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Background: Australian cardiovascular disease (CVD) prevention guidelines recommend absolute CVD risk assessment, but less than half of eligible patients have the required risk factors recorded due to fragmented implementation over the last decade. Co-designed decision aids for general practitioners (GPs) and consumers have been developed that improve knowledge barriers to guideline-recommended CVD risk assessment and management. This study used a stakeholder consultation process to identify and pilot test the feasibility of implementation strategies for these decision aids in Australian primary care. Methods: This mixed methods study included: (1) stakeholder consultation to map existing implementation strategies (2018-20); (2) interviews with 29 Primary Health Network (PHN) staff from all Australian states and territories to identify new implementation opportunities (2021); (3) pilot testing the feasibility of low, medium, and high resource implementation strategies (2019-21). Framework Analysis was used for qualitative data and Google analytics provided decision support usage data over time. Results: Informal stakeholder discussions indicated a need to partner with existing programs delivered by the Heart Foundation and PHNs. PHN interviews identified the importance of linking decision aids with GP education resources, quality improvement activities, and consumer-focused prevention programs. Participants highlighted the importance of integration with general practice processes, such as business models, workflows, medical records and clinical audit software. Specific implementation strategies were identified as feasible to pilot during COVID-19: (1) low resource: adding website links to local health area guidelines for clinicians and a Heart Foundation toolkit for primary care providers; (2) medium resource: presenting at GP education conferences and integrating the resources into audit and feedback reports; (3) high resource: auto-populate the risk assessment and decision aids from patient records via clinical audit software. Conclusions: This research identified a wide range of feasible strategies to implement decision aids for CVD risk assessment and management. The findings will inform the translation of new CVD guidelines in primary care. Future research will use economic evaluation to explore the added value of higher versus lower resource implementation strategies. [ABSTRACT FROM AUTHOR]

Background: Very little attention has been given to the social accountability of conferences, either in action or in scholarship, in particular, of scientific conferences. Concerns that have been raised include: (1) Local communities and regions suffer from ecological pressure caused by conferences, (2) There is limited value to the local community, (3) International conferences take place at locations irrelevant to the topics discussed; hence there is no connection with locals, and (4) It has been the observation of the authors that <10% of participants may come from the region where the conference is organized, which makes it challenging to make a "positive societal impact" locally. We conducted a natural experiment investigating the interactions between academia, conference organizers, and community leaders. Methods: We utilized a case study approach to report on the outcomes of two 2022 annual international conferences that seek to improve community health. We used a mixed-methods approach of surveys and interviews. Thematic analysis was conducted to identify the key themes. Results: We obtained 358 responses from all six World Health Organization regions. Results from both conferences were split into two categories: the why and the how. A strong consensus among participants is that bi-directional learning between conference organizers and local communities leads to shared understanding and mutual goals. The data emphasize that including communities in academic conferences helps us progress forward from intentions toward demonstrating accountability and reporting impact. Discussion: A diversity of perspectives is needed to advance socially accountable health system transformation. Five best practices from conference participants are laid out as a framework to assist in the change: (1) Build trust, (2) provide funding for community member participation, (3) appreciation of local community knowledge, (4) involve the local community in the planning stages, and (5) make the local community part of the conference and learning. [ABSTRACT FROM AUTHOR]

This systematic reflection essay blends research and community engagement with Margaret Kovach's keynote address at the 2022 conference of the International Society of the Scholarship of Teaching and Learning (ISSOTL) and with the co-authors' autoethnographic accounts reflecting on their challenges across Australia and the US in conducting ethically responsible SoTL scholarship. The essay is a call for engagement with community-led projects drawing on Neil Drew's (2006) metaphor of a seagull, who flies in, takes what it wants, and leaves a mess behind. Two stories provided by the co-authors invite further discussion into the hopeful challenges of conducting community-led SoTL research. [ABSTRACT FROM AUTHOR]

Summary: Indigenous Australians are Australia's first ecologists and stewards of land, sea and freshwater Country. Indigenous biocultural knowledge, as coded in story, song, art, dance and other cultural practices, has accumulated and been refined through thousands of generations of Indigenous tribal groups who have distinct cultural responsibilities for their ancestral estates. European colonisation of Australia had and is still having severe impacts on Indigenous cultural practice, knowledge, people and Country. In contemporary ecology and environmental management, re‐recognition of the unique values of Indigenous biocultural knowledge and practice is occurring and increasingly being deployed alongside Western approaches in what has been described as cross‐cultural, two‐way or right‐way work. This article describes the development of cross‐cultural ecology and environmental approaches in Australia. We then provide an overview of 10 years of conference presentations associated with the annual Indigenous Ecological Knowledge symposiums of the Ecological Society of Australia (ESA). From 2010 to 2020, 173 people participated in the symposia from around Australia and Aotearoa (New Zealand), of which 62% were Indigenous Australians and 3% Maori. Most participants were from Indigenous Ranger groups followed by University staff, with a roughly even split of men and women. A total of 100 presentations were given and a word frequency analysis of the presentation titles revealed the dominant words (themes) were: Indigenous, management, Country, fire, working, knowledge and cultural. The increasing Indigenous participation in the ESA conferences was coincident with increasing Indigenous‐led projects across Australia, although we recognise that much more work needs to be done to increase Indigenous participation and control in Australian ecology and environmental management to move from cross‐cultural to Indigenous‐led approaches. [ABSTRACT FROM AUTHOR]