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Abstract Background Cardiovascular disorders (CVD) are the single greatest cause of mortality worldwide. In the UK, the National Health Service (NHS) has launched an initiative of health checks over and above current care to tackle CVD. However, the uptake of Health Checks is poor in disadvantaged communities. This protocol paper sets out a UK-based study (Sussex and Nottingham) aiming to co-produce a community delivered CVD risk assessment and coaching intervention to support community members to reduce their risk of CVD. The overall aim of the project is to implement a tailored-to-context community engagement (CE) intervention on awareness of CVD risks in vulnerable populations in high, middle and low-income countries. The specific objectives of the study are to enhance stakeholder’ engagement; to implement lifestyle interventions for cardiovascular primary prevention, in disadvantaged populations and motivate uptake of NHS health checks. Methods This study uses both qualitative and quantitative methods in three phases of evaluation, including pre-, per- and post-implementation. To ensure contextual appropriateness the ‘Scaling-up Packages of Interventions for Cardiovascular disease prevention in selected sites in Europe and Sub-Saharan Africa: An implementation research’ (SPICES) project will organize a multi-component community-engagement intervention. For the qualitative component, the pre-implementation phase will involve a contextual assessment and stakeholder mapping, exploring potentials for CVD risk profiling strategies and led by trained Community Health Volunteers (CHV) to identify accessibility and acceptability. The per-implementation phase will involve healthy lifestyle counselling provided by CHVs and evaluation of the outcome to identify fidelity and scalability. The post-implementation phase will involve developing sustainable community-based strategies for CVD risk reduction. All three components will include a process evaluation. A stepped wedge cluster randomised trial of the roll out will focus on implementation outcomes including uptake and engagement and changes in risk profiles. The quantitative component includes pre and post-intervention surveys. The theory of the socio-ecological framework will be applied to analyse the community engagement approach. Discussion Based on the results ultimately a sustainable community engagement-based strategy for the primary prevention of CVD risk will be developed to enhance the performance of NHS health care in the UK. The Trial Registration number is ISRCTN68334579.

Despite the significant health disparities experienced by lesbian, gay, bisexual, and transgender (LGBT) populations, few investigators affiliated with the National Institutes of Health-funded Clinical and Translational Science Award Programs are conducting research related to this underserved population. We provide recommendations shared during a half-day workshop aimed at increasing researcher readiness to conduct LGBT research. This workshop was presented as part of a series on conducting research with underserved populations offered by the Recruitment, Retention, and Community Engagement Program of the Center for Clinical and Translational Science at the University of Illinois at Chicago. Six LGBT health research experts provided focused presentations. The workshop presentations included a summary of significant health inequality issues, theoretical models relevant to research on LGBT health, best practices in measuring sexual orientation and gender identity, recommendations for recruitment and retention, a discussion of community engagement, and ethical considerations in conducting LGBT research. We provide a summary of recommendations to guide future research, training, and public policy related to LGBT health. The information can increase capacity among Clinical and Translational Science Award affiliated researchers in conducting research in this special population.

Aim: This descriptive paper aims to describe the design and implementation of a community engaged primary healthcare strategy in rural Australia, the Primary Healthcare Registered Nurse: Schools-Based strategy. This strategy seeks to address the health, education and social inequities confronting children and adolescents through community engaged service provision and nursing practice. Background: There have been increasing calls for primary healthcare approaches to address rural health inequities, including contextualised healthcare, enhanced healthcare access, community engagement in needs and solutions identification and local-level collaborations. However, rural healthcare can be poorly aligned to community contexts and needs and be firmly entrenched in health systems, marginalising community participation. Methods: This strategy has been designed to enhance nursing service and practice responsiveness to the rural context, primary healthcare principles, and community experiences and expectations of healthcare. The strategy is underpinned by a cross-sector collaboration between a local health district, school education and a university department of rural health. A research framework is being developed to explore strategy impacts for service recipients, cross-sector systems, and the establishment and maintenance of a primary healthcare nursing workforce. Findings: Although in the early stages of implementation, key learnings have been acquired and strategic, relationship, resource and workforce gains achieved. [ABSTRACT FROM AUTHOR]

The paper aims to comprehensively examine the critical role of rural development in the broader framework of achieving the Sustainable Development Goals (SDGs). Employing a robust mixed-methods research design, we explore global and regional rural development policies through a cross-cutting analysis. The primary objective is to uncover the profound and positive impact of specific interventions on critical SDG indicators, with a particular focus, on poverty reduction, improved access to education and healthcare, and significant progress in agricultural productivity. Our research uses a mixed-methods design, combining quantitative analysis, qualitative insights from community engagement sessions, and spatial analysis using GIS-based mapping. Preliminary results show a promising correlation between sustainable agricultural practices and meeting the SDGs, with a 30% reduction in food insecurity rates, while the qualitative insights indicate a notable increase in community cohesion and empowerment, highlighting the impact of rural development on well-being. Summarising these multi-faceted findings, our study highlights the symbiotic relationship between rural development initiatives and the SDGs. The imperative for context-specific and adapted strategies is evident from the spatial analyses, highlighting the need for a comprehensive, integrated and locally informed approach to achieve sustainable and equitable overall development. The paper advocates the recognition of rural development as a key driver for positive change in pursuit of the SDGs, providing valuable insights for policy makers, practitioners and researchers. [ABSTRACT FROM AUTHOR]

In the countryside, where intensive rural development and rising property values have been observed since the late 1970s, the preservation and meaning of traditional dwellings have emerged as crucial considerations in shaping Hong Kong's countryside conservation policy. The focus of this paper is on the conservation of temples, as we are drawn to these structures not only for their architectural merit but also for their role as public buildings within the countryside. Consequently, their cultural significance is heavily influenced by the stakeholders they are associated with, distinguishing them from other types of dwellings. This paper examines the coastal landscape of South Lantau, which includes several villages with distinct traditions that have undergone significant transformations since the 1960s. Located at the southwest edge of Hong Kong, Lantau Island had a rural lifestyle that was relatively undisturbed before WWII because of the difficulty in accessing the island. However, in response to the large people influx from China's mainland after 1949, the Hong Kong government introduced the Lantau Development Plan in 1953, mainly to open up new sources of freshwater resources for Hong Kong Island. The construction of South Lantau Road in 1955 and Shek Pik Reservoir in 1957 gradually led to the decline of agricultural activities in South Lantau and the population exodus of local villagers, resulting in a rupture to regional traditions. In multilineage communities such as the villages on South Lantau, worship of a common deity provides a vital source of social bonding, particularly for an area long beset by typhoons, piracy and banditry. Local people pray for safety and prosperity through collective rituals and celebratory activities. Therefore, temples are not only religious establishments but also embody the sense of social solidarity among villagers on South Lantau. Through the case study of three rural villages on South Lantau, this paper examines how temples play an important role in the continuity of the communal network amid repercussions from the postwar disruption of traditional rural life. Significantly, this pilot study also draws attention to the functions of temples in their historical context. It emphasises the importance of recognising and re-evaluating these buildings for cultural enhancement as part of community engagement. This study provides valuable insights for future conservation efforts for religious buildings in the countryside. [ABSTRACT FROM AUTHOR]

University Libraries play a crucial role in moving towards Open Science, contributing to more transparent, reproducible and reusable research. The Center for Digital Scholarship (CDS) at Leiden University (LU) library is a scholarly lab that promotes open science literacy among Leiden's scholars by two complementary strategies: existing top-down structures are used to provide training and services, while bottom-up initiatives from the research community are actively supported by offering the CDS's expertise and facilities. An example of how bottom-up initiatives can blossom with the help of library structures such as the CDS is ReproHack. ReproHack -- a reproducibility hackathon -- is a grass-root initiative by young scholars with the goal of improving research reproducibility in three ways. First, hackathon attendees learn about reproducibility tools and challenges by reproducing published results and providing feedback to authors on their attempt. Second, authors can nominate their work and receive feedback on their reproducibility efforts. Third, the collaborative atmosphere helps building a community interested in making their own research reproducible. A first ReproHack in the Netherlands took place on November 30th, 2019, co-organised by the CDS at the LU Library with 44 participants from the fields of psychology, engineering, biomedicine, and computer science. For 19 papers, 24 feedback forms were returned and five papers were reported as successfully reproduced. Besides the researchers' learning experience, the event led to recommendations on how to enhance research reproducibility. The ReproHack format therefore provides an opportunity for libraries to improve scientific reproducibility through community engagement. [ABSTRACT FROM AUTHOR]

In Australia, like in several of the Nordic countries, truth commissions (TCs) are becoming part of the political and educational landscape. These developments are related to a global phenomenon over the past 40-odd years, where states are examining their relations to minority groups and/or Indigenous people, including acknowledging historical mistreatment and addressing remaining injustices. A common aim of these processes is to spread knowledge to the broader public via institutions for education. This paper focuses on ongoing TC processes in the Australian and Nordic contexts, with a specific focus on their potential consequences for teacher education (TE). By addressing barriers and possibilities on systemic, institutional, and practical levels of TE, the paper aims to develop an understanding of (1) how new knowledge produced through TCs meets the organization of teacher training; possible ways for TE to respond to new requirements; and (2) of the pedagogical and didactical challenges that might entail. The main argument is that a closer professional dialogue is needed between scholars engaged in TCs and TEs for TE to better respond to the requirements of TCs and for TCs to better recognize conditions for organizing TE. [ABSTRACT FROM AUTHOR]

Providing students with opportunities to wrestle with and engage with messy, real-world problems can be challenging in traditional, higher education courses. However, for students in helping and applied professions, engaging with challenging problems in a supportive environment is critical to developing their skills and confidence. This paper presents an innovative pedagogical pilot project that utilizes design thinking in the context of a community-engaged applied learning experience to guide students as they worked on a real problem for real organizations. Undergraduate sociology and master's level social work students engaged in the experience during their regular course work. Their instructors coached them through the process. At the conclusion of the project, they reflected on the process and what they learned. These student reflection papers were analyzed using both a deductive and inductive approach. We found three themes present in these reflection papers: skill development, deeper understanding, and meaningful experience. We conclude our paper by describing how instructors can incorporate aspects of this project into their own classrooms. [ABSTRACT FROM AUTHOR]

Background: ALL_EARS@UoS is a patient and public involvement and engagement (PPIE) group for people with lived experience of hearing loss. The purpose of the group is to share experiences of hearing loss and hearing healthcare, inform research and improve services for patients at University of Southampton Auditory Implant Service. A year after inception, we wanted to critically reflect on the value and challenges of the group. Four members of ALL_EARS@UoS were recruited to an evaluation steering group. This paper reports the evaluation of the group using the UK Standards for Public Involvement. Methods: An anonymous, mixed-methods questionnaire was co-designed and shared with members of ALL_EARS@UoS using an online platform. The questionnaire was designed to capture satisfaction, individual feedback through free-text answers, and demographic information. Descriptive statistics have been used to express the satisfaction and demographic data. Reflexive thematic analysis has been used to analyse the free-text responses. Group engagement and activity data over time were monitored and collected. Results: The questionnaire response rate was 61% (11/18). Areas identified as strengths were 'Communication' and 'Working together'. Five themes were developed from the thematic analysis; (1) Increased knowledge and awareness around the topic of hearing health for group members and wider society, (2) supporting research, (3) inclusivity within the group, (4) opportunity to make a difference for people in the future and (5) running of the group/group organisation. The data highlighted the value and challenges of PPIE. Members described feeling listened to and appreciation of being able to share experiences. Time of day and meeting format were identified as challenges as they affected who could attend the meetings. The ability to secure and maintain sufficient funding and time to support inclusive and diverse PPIE activities is a challenge for researchers. Conclusions: We have identified how PPIE added value to both group members and researchers, emphasising the true benefit of PPIE. We have highlighted challenges we are facing and our plan to tackle these. We aim to continue to develop and sustain a group that reflects the diversity of the Deaf/deaf or hard of hearing community and of our local community. Plain English Summary: Patient and public involvement and engagement enables members of the public to influence what research happens. We have established a group called ALL_EARS@UoS for people with lived experience of hearing loss. This is so we can work together and learn from our group members' experiences, to inform our research into hearing loss. The members of ALL_EARS have helped to decide the aims, objectives, and principles of the group. This paper is a report of the value and challenges of the first year of the group. We recruited members of the group to work with us to design a survey. This paper describes the findings from the survey. Our members described benefits, ranging from supporting research to being able to share their experience with others. A challenge for members is the difficulty in being involved alongside their other commitments. A challenge for researchers is the funding and time needed to maintain the group. Other challenges include ensuring the group is diverse and that we understand and meet the needs of our members. We report on how we will address these challenges, so we can continue to work in partnership as a group. [ABSTRACT FROM AUTHOR]

Background: Hypertensive disorders of pregnancy are among the leading causes of maternal mortality and morbidity in the U.S., with rates highest among birthing people who are Black, rural residents, and/or have low-income. Severe hypertension, in particular, increases risk of stroke and other serious pregnancy complications. To promote early detection and treatment of severe hypertension, the Alliance for Innovation on Maternal Health developed the Severe Hypertension During Pregnancy and Postpartum Period Safety Bundle (HTN Bundle). Multiple studies have demonstrated the HTN Bundle’s effectiveness in the inpatient setting. With funding from the National Heart, Lung, and Blood Institute, we engaged community partners to adapt the HTN Bundle for the outpatient setting (i.e., O-HTN Bundle) and planned for its implementation. In this paper, we describe the protocol for a study evaluating O-HTN Bundle implementation in 20 outpatient clinics serving Black, rural, and/or low-income populations. Methods: This study is a hybrid type 3 effectiveness-implementation trial with a multiple baseline design. We will implement the O-HTN Bundle in three successive cohorts of clinics using a multicomponent implementation strategy to engage community partners (coalition, patient workgroup) and support clinics (training, facilitation, education materials, and simulations of severe hypertension events). To test the strategy, we will compare clinic fidelity to evidence-based guidelines for (a) patient education on hypertension and (b) blood pressure measurement technique, with repeated measures occurring before and after strategy receipt. We will also observe strategy effects on community- and clinic-level intermediate outcomes (community engagement, organizational readiness), implementation outcomes (reach, adoption, fidelity, maintenance), and effectiveness outcomes (receipt of guideline concordant care). Analyses will address whether outcomes are equitable across Black, rural, and/or low-income subgroups. Guided by the Consolidated Framework for Implementation Research 2.0, we will use mixed methods to identify adaptations and other determinants of implementation success. Discussion: This study integrates community engagement and implementation science to promote equitable and timely response to severe HTN in the outpatient setting during pregnancy and postpartum. This is one of the first studies to implement an outpatient HTN Bundle and to use simulation as a strategy to reinforce team-based delivery of guideline concordant care. Trial registration: This study was registered with ClinicalTrials.gov as “Testing Implementation Strategies to Support Clinic Fidelity to an Outpatient Hypertension Bundle (AC3HIEVE).” Registration number NCT06002165, August 21, 2023: . [ABSTRACT FROM AUTHOR]

Background: Across the globe, racial and ethnic minorities have been disproportionately affected by COVID-19 with increased risk of infection and burden from disease. Vaccine hesitancy has contributed to variation in vaccine uptake and compromised population-based vaccination programs in many countries. Connect, Collaborate and Tailor (CCT) is a Public Health Agency of Canada funded project to make new connections between public health, healthcare professionals and underserved communities in order to create culturally adapted communication about COVID-19 vaccines. This paper describes the CCT process and outcomes as a community engagement model that identified information gaps and created tailored tools to address misinformation and improve vaccine acceptance. Methods: Semi-structured interviews with CCT participants were undertaken to evaluate the effectiveness of CCT in identifying and addressing topics of concern to underserved and ethnic minority communities. Interviews also explored CCT participants' experiences of collaboration through the development of new partnerships between ethnic minority communities, public health and academic researchers, and the evolution of co-operation sharing ideas and creating infographics. Thematic analysis was used to produce representative themes. The activities described were aligned with the levels of public engagement described in the IAP2 spectrum (International Association for Public Participation). Results: Analysis of interviews (n = 14) revealed that shared purpose and urgency in responding to the COVID-19 pandemic motivated co-operation among CCT participants. Acknowledgement of past harm, present health, and impact of social inequities on public service access was an essential first step in establishing trust. Creating safe spaces for open dialogue led to successful, iterative cycles of consultation and feedback between participants; a process that not only helped create tailored infographics but also deepened engagement and collaboration. Over time, the infographic material development was increasingly directed by community representatives' commentary on their groups' real-time needs and communication preferences. This feedback noticeably guided the choice, style, and presentation of infographic content while also directing dissemination strategies and vaccine confidence building activities. Conclusions: The CCT process to create COVID-19 vaccine communication materials led to evolving co-operation between groups who had not routinely worked together before; strong community engagement was a key driver of change. Ensuring a respectful environment for open dialogue and visibly using feedback to create information products provided a foundation for building relationships. Finally, our data indicate participants sought reinforcement of close cooperative ties and continued investment in shared responsibility for community partnership-based public health. [ABSTRACT FROM AUTHOR]

Background: The Dance and Health project aimed to promote public involvement in health research. Public involvement leads worked with project partner community groups, Aakash Odedra Dance Company and Moving Together, to develop a community engagement project with people living in low-socioeconomic areas/deprivation and diverse ethnic minority groups. Dance and Health included a weekly 60-min dance class and 30 min of facilitated health science discussion, that could either be a public involvement discussion for a research project, an activity about a particular biomedical research theme or ongoing discussions with a visiting researcher. The goal of this paper is to explore the impact of the Dance and Health project on the social capital of participants and provide key learnings on how to engage and build partnerships with people from underserved groups in health research contexts. Methods: Qualitative interviews and focus groups were completed which explored participant and dance tutor experiences in community venues. Participants were aged between 22 and 90, most were female and were from Asian ethnic minority groups and White British groups living in deprived neighbourhoods in Leicester. Qualitative data were analysed using qualitative content analysis. Results: The responses to the Dance and Health project were positive across all the focus groups. Central themes identified were Feedback on the Project, Motivation to Exercise, Criticism of the NHS, Mental Wellbeing, Engagement in a Post Pandemic New Normal, Accessibility and Inclusivity, Empowerment and Building Social Capital. Discussion: The focus groups evidenced that the project had broad impact. Participants expressed empowerment and ownership and described a range of social capital enrichment generated through the project including networks and friendships, access to the institutional resource of health science, and the opportunity to engage with a health and leisure activity that was valued and meaningful. Plain English Summary: A research team worked with community dance schools in Leicester to try to get more people from the Asian community and from poorer neighbourhoods involved in research and science. By taking part in the project, people benefitted from an opportunity to exercise and to learn about and influence health research taking place locally. However, the researchers also noticed that there were other benefits to the project. Dancing and learning about health science helped people bond and form new friendships. The researchers joined in, and this helped build friendships and trust between participants and people working in science and research. This is called bridging which is where we bring people together from different groups. The dance sessions made the researchers more approachable and less intimidating, so it was easier to trust them and build friendships. Bridging and bonding are ways of building social capital. Social capital describes the social resources that people can access in their neighbourhoods and communities e.g. facilities (village halls or clubs) and support networks. Researchers delivered focus groups in which participants talked about Feedback on the Project, Motivation to Exercise, Criticism of the NHS, Mental Wellbeing, Engagement in a Post Pandemic New Normal, Accessibility and Inclusivity, Empowerment and Social Capital. This supported the idea that projects where we try to engage with communities can build social capital. This is most likely when projects provide safety and accessibility, (1) and flexibility, a sense of belonging, commitment, communication, being genuine, relevance, sustainability (4). [ABSTRACT FROM AUTHOR]

This paper explores urban recovery as a participatory bottom-up process that highlights the importance and social significance of spaces of shared memories in reconstituting the built as well as the sociocultural fabrics of a place. It examines the multiple modes of engaging local communities in the process of recovering and rehabilitating shared public spaces, including organizing workshops to identify a space of common social significance, co-designing and co-producing a spatial intervention, and maintaining the intervention over the long term. The paper focuses on Karantina, a neighborhood in Beirut that became the site of post-disaster recovery in the aftermath of the Beirut Port blast in August 2020, and the spatial intervention that the urban recovery team at the Beirut Urban Lab implemented in the sub-neighborhood of Al-Khodor. In doing so, the paper contributes experiences from recent work on participatory modes of engaging the local community groups in Al-Khodor. It highlights the importance of community participation in researching, designing, implementing, and maintaining spatial interventions in the near absence of an active government in a country such as Lebanon. [ABSTRACT FROM AUTHOR]

Introduction: Achieving effective community engagement has been an objective of U.S. National Institutes of Health-funded HIV research efforts, including participation of persons with HIV. Community Advisory Boards (CABs) have remained the predominant model for community engagement since their creation in 1989. As HIV cure-directed research efforts have grown into larger academic-industry partnerships directing resources toward both basic and clinical research under the Martin Delaney Collaboratories (MDC), community input models have also evolved. The BEAT-HIV MDC Collaboratory, based at The Wistar Institute in Philadelphia, United States, implemented a three-part model for community engagement that has shown success in providing greater impact for community engagement across basic, biomedical, and social sciences research efforts. Discussion: In this paper, we review the case study of the formation of the BEAT-HIV Community Engagement Group (CEG) model, starting with the historical partnership between The Wistar Institute as a basic research center and Philadelphia FIGHT as a not-for-profit community-based organization (CBO), and culminating with the growth of community engagement under the BEAT-HIV MDC. Second, we present the impact of a cooperative structure including a Community Advisory Board (CAB), CBO, and researchers through the BEAT-HIV CEG model, and highlight collaborative projects that demonstrate the potential strengths, challenges, and opportunities of this model. We also describe challenges and future opportunities for the use of the CEG model. Conclusions: Our CEG model integrating a CBO, CAB and scientists could help move us towards the goal of effective, equitable and ethical engagement in HIV cure-directed research. In sharing our lessons learned, challenges and growing pains, we contribute to the science of community engagement into biomedical research efforts with an emphasis on HIV cure-directed research. Our documented experience with implementing the CEG supports greater discussion and independent implementation efforts for this model to engage communities into working teams in a way we find a meaningful, ethical, and sustainable model in support of basic, clinical/biomedical, social sciences and ethics research. Plain English summary: HIV biomedical research groups have prioritized community support and representation as exemplified by the creation of Community Advisory Boards (CABs). Most CABs bring diverse stakeholders to advise on research objectives as part of their activities. The BEAT-HIV Delaney Collaboratory, based at The Wistar Institute in Philadelphia, is a research program created in 2016 to advance HIV cure research. To better engage communities beyond the CAB, the BEAT-HIV Delaney Collaboratory created a Community Engagement Group (CEG) model composed of three distinct components. First, the involvement of a community-based organization (CBO) introduces the historical know-how and relationship with the community. Philadelphia FIGHT fulfills the CBO role as a provider of primary care, education, advocacy, and research support for persons with HIV. Second, the BEAT-HIV CAB provides individual experiences and community input into HIV cure research and gives updates to the broader community about the status of research. Third, basic, clinical/biomedical, and social scientists implement the scientific goals of the BEAT-HIV Collaboratory. In this paper, we aimed to highlight the strengths, challenges, lessons learned, and opportunities of the BEAT-HIV CEG model. We also present examples of collaborative community engagement projects. Our paper contributes to the literature on novel community engagement approaches beyond the CAB. Based on our experience to date using the CEG, a multi-part community engagement model could help move us towards the goal of inclusive, effective, equitable, and ethical engagement in HIV cure research. [ABSTRACT FROM AUTHOR]

This paper explores an innovative educational program designed to protect and promote the geocultural heritage of Minoan Crete. The program applies environmental education and sustainability principles while integrating theater in education, a novel approach that significantly impacts participants' perspectives. By effectively combining these elements, the program fosters environmental awareness, deepens cultural appreciation, and instills sustainable behaviors in both the local population and visitors. This interdisciplinary approach, blending geocultural heritage into environmental education, promotes an understanding of the delicate balance between nature and human interaction during the Minoan era. The paper also examines the program's potential for broader community engagement and policy influence, emphasizing how its educational outcomes could result in meaningful changes at both community and policy levels. We advocate for the preservation of Minoan Crete's geocultural heritage and its sustainable future through a unique blend of educational strategies, marking a milestone in heritage conservation. [ABSTRACT FROM AUTHOR]

Sexual assault and sexual harassment (SASH) remain pressing issues on university campuses, making it imperative for higher education institutions to develop prevention strategies. Within this context, education plays a pivotal role in addressing the underlying factors contributing to SASH, while also providing crucial information about care and support pathways for survivors. This paper, authored by practitioners from the Australian National University’s (ANU) Respectful Relationships Unit (RRU), reflects on the conceptualisation, implementation, and evaluation of a large-scale respect and consent education program. Tailored to ANU's context, the program utilised a multi-modal approach including an online module, face-to-face workshops, and residential hall pilots. Challenges, such as engagement and sustainability, were addressed through collaborative partnerships and continuous improvement efforts. Evaluation, conducted in collaboration with social scientists from the ANU Centre for Social Research and Methods (CSRM), provided insights for refinement and future directions. ANU's ongoing commitment to community engagement, innovation, equity, and evaluation underscores its dedication to fostering safer and more inclusive campus environments. Through collaboration and a shared commitment to prevention, ANU aims to make meaningful progress towards a campus free of sexual harm. [ABSTRACT FROM AUTHOR]

Early warning systems (EWS) facilitate societies' preparedness and effective response capabilities to climate risks. Climate risks embody hazards, exposure, and vulnerability associated with a particular geographical area. Building an effective EWS requires consideration of the factors above to help people with coping mechanisms. The objective of this paper is to propose an approach that can enhance EWSs and ensure an effective climate risk resilience development. The paper focuses on the Southern African Development Community (SADC) region and highlights the issues with EWS, identifying weaknesses and characteristics of EWS to help in climate risk adaptation strategies. The SADC region was chosen as the context because it is a climate variability and change hotspot with many vulnerable populations residing in rural communities. Trending themes on building climate risk resilience were uncovered through scientific mapping and network analysis of published articles from 2008 to 2022. This paper contributes to on-going research on building climate risks resilience through early warning systems to identify hidden trends and emerging technologies from articles in order to enhance the operationalization and design of EWS. This review provides insight into technological interventions for assessing climate risks to build preparedness and resilience. From the review analysis, it is determined that there exists a plethora of evidence to support the argument that involving communities in the co-designing of EWS would improve risk knowledge, anticipation, and preparedness. Additionally, Fourth Industrial Revolution (4IR) technologies provide effective tools to address existing EWS' weaknesses, such as lack of real-time data collection and automation. However, 4IR technology is still at a nascent stage in EWS applications in Africa. Furthermore, policy across societies, institutions, and technology industries ought to be coordinated and integrated to develop a strategy toward implementing climate resilient-based EWS to facilitate the operations of disaster risk managers. The Social, Institutional, and Technology model can potentially increase communities' resilience; therefore, it is recommended to develop EWS. [ABSTRACT FROM AUTHOR]

Background: Identifying locally relevant and agreed-upon priorities for improving young people's mental health, aligned with social and environmental factors, is essential for benefiting target communities. This paper describes a participatory approach to engage young people and professionals in identifying such priorities, whilst considering the social determinants related to them. Methods: We utilised a community-based participatory approach to support young people and professionals in identifying, reviewing, refining, and prioritising, locally relevant opportunity areas that are crucial for understanding and addressing social determinants of young people's mental health. We adopted a flexible five-stage process, which enabled greater reflection and adaptation in response to young people's and professionals' feedback and reflections. Results: Over seven months, we engaged with young people and professionals in Northern Devon, (a rural area in southwest England), involving over 290 individuals to identify locally relevant priorities for supporting young people's mental health. Three priorities were identified for subsequent exploration using co-design approaches: (1) identity and belonging; (2) mental health awareness and literacy; and (3) diverse opportunities (for education, employment and leisure). The engagements suggested that designing initiatives and strategies in these areas could contribute to improvements in young people's mental health. Conclusion: Young people in Northern Devon prioritised three themes for the next phase of the Kailo Programme—mental health literacy, access to diverse careers and employment opportunities, and identity and belonging within their communities. Rural communities face unique barriers associated with these issues, related to less diverse populations, lack of access to reliable and affordable transport and local industries, and seasonal working. The perceived neglect by authorities towards rural young people has resulted in a lack of activities and opportunities catering to their specific needs, compared to urban areas. Although the government has recognised the need to address these disparities, community members suggest that there is still more work to be done. Plain English summary: The Kailo project aims to help young people and their communities find local solutions for better mental health in the UK. This paper discusses our findings in Northern Devon, England. Through various conversations and workshops with young people and professionals, we identified three key themes: (1) identity and belonging; (2) mental health knowledge and awareness; and (3) a variety of career, education, and leisure opportunities. These themes will be of focus for Kailo's next phase where ideas and initiatives will be designed and developed with young people and community professionals with the aim to help address important mental health challenges young people are experiencing within Northern Devon. [ABSTRACT FROM AUTHOR]

Background: Little Haven is a rural, community-based specialist palliative care service in Gympie, Australia. Its goals are to provide highest quality of care, support and education for those experiencing or anticipating serious illness and loss. Families and communities work alongside clinical services, with community engagement influencing compassionate care and support of dying people, their families and communities. Public Health Palliative Care promotes community engagement by community-based palliative care services and is grounded in equal partnerships between civic life, community members, patients and carers, and service providers. This takes many forms, including what we have termed the 'citizen organization'. Objectives: This paper reports on an evaluation of Little Haven's model of care and explores the organization's place as a 'citizen' of the community it services. Design: A co-designed evaluation approach utilizing mixed-method design is used. Methods: Multiple data sources obtained a broad perspective of the model of care including primary qualitative data from current patients, current carers, staff, volunteers and organizational stakeholders (interviews and focus groups); and secondary quantitative survey data from bereaved carers. Thematic analysis and descriptive statistics were generated. Results: This model of care demonstrates common service elements including early access to holistic, patient/family-centred, specialized palliative care at little or no cost to users, with strong community engagement. These elements enable high-quality care for patients and carers who describe the support as 'over and above', enabling good quality of life and care at home. Staff and volunteers perceive the built-in flexibility of the model as critical to its outcomes; the interface between the service and the community is similarly stressed as a key service element. Organizational stakeholders observed the model as a product of local activism and accountability to the community. Conclusion: All participant groups agree the service model enables the delivery of excellent care. The construction of a community palliative care service as a citizen organization emerged as a new concept. Plain language summary: 'Citizen organization': an Australian community-based palliative care service model Little Haven is a rural, community-based specialist palliative care service in Gympie, Australia. It aims to provide highest quality of care, support and education for those experiencing or anticipating serious illness and loss. Families and communities work alongside clinical services, with community engagement influencing compassionate care and support of dying people, their families and communities. Public Health Palliative Care promotes community engagement by community-based palliative care services in equal partnerships between civic organizations, community members, patients and carers, and service providers. We undertook an evaluation of Little Haven's model of care by speaking with current patients, current and past carers, staff, volunteers and stakeholders about their experiences of Little Haven. We found that Little Haven's model contains the essential elements of a palliative care service and provides early access to holistic, patient/family-centred, specialized palliative care at little or no cost to users. They have strong community engagement with a strong background in community activism. We identified that Little Haven's 'being in the community' goes beyond service provision or even sentiment. We observed a symbiotic relationship between the organization and the community it supports in what we have termed the 'citizen organization'. The distinctive characteristic of the citizen organization is its inseparability from the community in which it dwells. [ABSTRACT FROM AUTHOR]