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Background Participatory approaches to developing health interventions with end-users are recommended to improve uptake and use. We aimed to explore the experiences of co-designing an online-delivered pain management programme (iSelf-help) for people with persistent pain. Methods A modified participatory action research (PAR) framework was used to co-design contents and delivery of iSelf-help. The PAR team included: (1) a patient advisory group consisting of people living with persistent pain (n = 8), (2) pain management service clinicians (n = 2), (3) health researchers (n = 3), (4) digital health experts (n = 2), (5) a health literacy expert, and (6) two Māori health researchers and our community partner who led the cultural appropriateness of iSelf-help for Māori (the Indigenous population of New Zealand). The iSelf-help co-design processes and activities of the ‘PAR’ team is reported in another paper. In this paper, all PAR team members were invited to share their experiences of the co-design process. Individual interviews were held with 12 PAR team members. Interview transcripts were analysed using the General Inductive Approach. Results Five common themes were identified from the interviews: (1) Shared understanding and values of the co-design process, (2) Mismatched expectations with content creation, (3) Flexibility to share power and decision making, (4) Common thread of knowledge, and (5) Shared determination. Sustaining these themes was an overarching theme of “A coalition of the willing”. Conclusions PAR team members valued the shared determination and responsibility to co-design iSelf-help. They also acknowledged the complexities and challenges during the process related to mismatched expectations, power sharing and establishing a common thread of knowledge. Successful co-design requires a shared commitment and responsibility as a coalition to meet the aspirations of end-users, within the boundaries of time and budget. Supplementary Information The online version contains supplementary material available at 10.1186/s40900-021-00275-0., Plain English summary Persistent non-cancer pain affects one in five people globally. Māori (the Indigenous population of New Zealand) experience a higher persistent pain prevalence than non-Māori. People living with persistent pain in New Zealand experience significant challenges in accessing specialised pain services, such as long-waiting times for referral, delays in getting a persistent pain diagnosis, lack of specialised health professionals in pain management and services that do not provide culturally responsive care. In an increasingly digital world, one way of addressing such access barriers is to provide pain services remotely. Using a participatory action research (PAR) framework, we co-designed an online version of an existing hospital-based pain management programme. The PAR ‘team’ included patients living with persistent pain, who have previously completed the pain management programme and other stakeholders including pain management clinicians, health researchers, technology design experts, and a health literacy expert. The PAR ‘team’ also included two Māori researchers, and our Māori community partner who led the cultural adaptation process of the online programme with Māori community members living with persistent pain. We invited all the PAR team members asking their experiences of co-designing an online pain management programme (iSelf-help) that is culturally adapted for Māori. Our results from interviewing 12 PAR team members suggest the shared values and determination to co-design the online programme enabled team members’ journey as a coalition to be successful, however, along the way, the process was complex and challenging at times both within and between the various teams. The key factors that caused such complexity were the mismatched expectations and understandings of the project, negotiating power sharing between the various teams and establishing a common thread of knowledge. We conclude that successful co-design requires a shared commitment and responsibility as a coalition to meet the aspirations of end-users, within the limits of time and budget. Supplementary Information The online version contains supplementary material available at 10.1186/s40900-021-00275-0.

Communication is the basis of nursing care and can have a significant effect on patient and community health. This study aimed to optimize the professional and interprofessional relationships of nurses. This participatory action research was conducted with 288 patients and 23 staff of one of the Reference Hospitals in Tehran, Iran, from 2019 to 2020. Interviews were simultaneously analyzed using the conventional content analysis method, and in the quantitative section, the communication skills checklist and a researcher-made questionnaire were used. Participants gave oral and written consent, and their confidentiality and anonymity were respected. Participants’ experiences showed that the implemented programs changed the work environment. The acquired basic concepts were improving the nurse’s responsibility and accountability, improving the quality of care and respecting the patient and the family. Quantitative data obtained before and after the implementation of change programs showed that patient satisfaction increased from 41.57±7.03 to 94.34±4.67 and patient and family training from 113.73±19.77 to 245.99±36.61. The length of hospital stay decreased from 5.52±2.47 to 3.57±2.35 days, nosocomial infections from 32.1±2.8 to 17.4±2.4 and readmission from 4.8±1.2 to 2.3±1.1. The results indicated that patients’ quality of care and safety was increased by optimizing the nurse’s professional and interprofessional relationship. Patients reported greater respect, and nurses had higher job satisfaction.

While the rural youth identity is an intersectional experience that creates a heterogeneous group of young people, a close exploration of a specific rural location can illuminate an experience that is both unique and shared. In this participatory action research study, a group of youth participated in one-on-one interviews and focus group discussions to describe their experience of their rural location. Reports, statistics, and youth counsellors also provided information about the local youth experience. What emerged was a consideration of the unique divide between public and private social realms that can create a dilemma for youth who are simultaneously encouraged to succeed in public life while provided with limited access to opportunities in that public life. The research project culminated in a sculpture created by a team of youth artists that incorporated the final analysis about the public/private divide. The sculpture is now a permanent display in the region.

Adolescents (10–24 years old) account for 23% of the global population. Physical inactivity, suboptimal dietary intake, overweight, and obesity during adolescence are risk factors associated with chronic disease development into adulthood. Research, policies, and guidelines that seek to prevent chronic disease risk factor development rarely engage adolescents in planning and decision-making processes. The aims of this review are to investigate (i) how adolescents currently participate in research, policy, and guidelines for reduction of chronic disease risk factors, and (ii) provide recommendations to optimize adolescent participation in future research, policy, and guideline decision making for chronic disease prevention. A systematic scoping review of the health peer-review research, policy, and guidelines, using Arksey and O’Malley’s six-stage framework, will be conducted. Participatory outcomes will be assessed based on the Lansdown-UNICEF conceptual framework for measuring adolescent participation. Classified as consultative, collaborative, or adolescent-led according to the degree of influence and power adolescents possess in the decision- making processes. Consultation with adolescents via digital surveys and focus groups will provide further information, perspective, and insight. Qualitative data will be analyzed by descriptive numerical summary and qualitative content analytical techniques. The title of this protocol is registered with Joanna Briggs Institute and Open Science Framework, doi:10.17605/OSF.IO/E3S64.

This paper examines stakeholder communication and interaction dynamics in place branding processes in order to inform alternative participatory place branding models. The paper draws from critical communications and branding theory to argue that place brand identities are the result of mediated messages in the public sphere. Consequently, place branding processes need to be observed as communicative exchanges. Through a case study of Australia’s southern and only island state of Tasmania, the research employs participatory action research combined with the method of sociological intervention to explore stakeholders’ communicative interaction patterns and engagement in place branding processes. Participants representing formal and informal stakeholders engaged in communicating meaning about places were invited to participate in a series of interviews and focus group discussions that allowed a unique self-reflective process and analysis of practices and power-geometries. The proposed quasi-real scenario led to an understanding of the impediments for communication and to scoping alternative modes of engagement towards effective stakeholder communication to support the development of resilient place brand identities. The findings of the exploration contribute to theoretical development of the field by providing an analysis of the nature of stakeholder interactions and communication patterns, impediments and opportunities for greater communication and collaboration towards a common purpose. On a practical level, the study can also inform the development of participatory models of place brand development. Finally, the method proposed here can serve as a practical tool to foster stakeholder engagement in processes of cocreation of place brand identities.

Existing large crop yield gaps between farmers’ fields in rainfed areas and the achievable yields are abridged through integrated watershed management during 2002-2007, while improving farmers’ livelihoods also. In addition to water shortages, emerging widespread deficiencies of multiple micro- and secondary nutrients such as sulphur (S), boron (B) and zinc (Zn) along with nitrogen (N) and phosphorus (P) are holding back the productivity potential through inefficient utilization of limited available water. Soil test-based balanced nutrient application of deficient SBZn plus NP in fields in watersheds recorded 70 to 119% (2100 kg ha −1 in maize, 660 kg ha −1 in groundnut, 640 kg ha −1 in mungbean and 1070 kg ha −1 in sorghum) improvement in crop productivity along with additional returns varying from Rs 16,050/- to Rs 28,160/- ha −1 over the farmers’ practice (only NP). Landform management to alleviate waterlogging proved effective intervention to manage high clay Vertisols for higher soybean and groundnut productivity by 13 to 27% (340 to 350 kg ha −1 in soybean and 160 to 250 kg ha −1 in groundnut) over the farmers’ practice. However, the integrated approach of balanced nutrition and landform management plus improved cultivar was the best option in increasing sunflower productivity by 182% (1600 kg ha −1 in sunflower) over farmers’ management (control). Adoption of these soil-water-crop interventions in target watersheds abridged yield gaps by 12 to 96% in groundnut (160 to 1280 kg ha −1 ), 29 to 100% (240 to 1130 kg ha −1 ) in pigeonpea and 0 to 100% (0 to 1175 kg ha −1 ) in chickpea. The impact of watershed interventions was seen in farm-based activities like improved milk production and incomes. The watershed programs alleviated migration in the catchments by improving the five capitals viz. human, financial, social, physical and natural.

Participatory media technologies like weblogs and Facebook provide a new space for political discourse, which leads some governments to seek controls over online speech. Activists who use the Internet for dissenting speech may reach larger audiences by publishing on widely-used consumer platforms than on their own standalone webservers, because they may provoke government countermeasures that call attention to their cause. While commercial participatory media platforms are often resilient in the face of government censorship, the constraints of participatory media are shaping online political discourse, suggesting that limits to activist speech may come from corporate terms of service as much as from government censorship. Las tecnologías de los medios sociales como los blogs y Facebook proporcionan un nuevo espacio para el discurso político, lo que ha llevado a algunos gobiernos a intentar controlar el discurso online. Los activistas que utilizan Internet para expresar su disidencia pueden alcanzar mayores audiencias publicando en las plataformas de las redes sociales más populares que en sus propios y solitarios servidores, puesto que provocarán reacciones de los gobiernos que a su vez atraerán mayor atención a sus causas. Pero aunque las plataformas de redes sociales comerciales a menudo resisten a la censura de los gobiernos, las restricciones con las que limitan el discurso político en la red sugieren que las barreras para el activismo están más en los términos de servicio corporativos que en la censura gubernamental.

Mosquitoes transmit a number of harmful diseases that have an impact on local communities and visitors, and many pose a threat to neighboring countries. As federal monitoring budgets shrink across the world, the increasing importance of citizen scientists in monitoring and identifying invasive species, as well as acting to prevent these diseases, are discussed. Examples of past mosquito management programs are provided, and future directions are discussed with an emphasis on the Western Pacific Region.

Suicide is a complex problem linked to genetic, environmental, psychological and community factors. For the Aboriginal population more specifically, loss of culture, history of traumatic events, individual, family and community factors may also play a role in suicidal behaviour. Of particular concern is the high rate of suicide among Canadian Aboriginal youth. While the need to develop interventions to reduce suicidal behaviour for First Nations on-reserve populations is evident, there may be an element of distrust of researchers by Aboriginal communities. Furthermore, research in mental health and specifically suicide is much more sensitive than studying medical illnesses like diabetes. Clearly, this issue requires a unique and insightful approach. While numerous suicide prevention/intervention plans and guidelines have been published specifically for work involving Aboriginal people, the literature lacks a comprehensive discussion of the methodological and logistical issues faced by research teams and Aboriginal communities attempting to develop culturally-grounded and community-specific suicide prevention and intervention strategies. This paper outlines the research process, key challenges and lessons learned in a collaborative University-First Nations suicide prevention project conducted with eight north-western Manitoba First Nations communities (Canada).

Se da origen a está investigación sobre los problemas que más afectan al niño Preescolar; como necesidad básica del futuro docente y para que su labor no se centre en impartir conceptos en el aula, si no que su labor vaya más allá y logré una educación integral del niño y de su familia. Además, de acuerdo a la filosofía de la Universidad Santo Tomas, como labor de ayuda a la comunidad desprotegida, es indispensable realizar un trabajo humanístico que permita efectuar una labor pedagógica con la sociedad. This research is based on the problems that most affect preschool children; as a basic need of the future teacher and so that his work does not focus on imparting concepts in the classroom, but that his work goes beyond and achieves a comprehensive education of the child and his family. In addition, according to the philosophy of the Universidad Santo Tomas, as a work of help to the unprotected community, it is essential to carry out a humanistic work that allows to carry out a pedagogical work with society. http://unidadinvestigacion.usta.edu.co Pregrado