Advocacy Efforts Research Articles

Abstract PO5-05-10: Analysis of Trends in Funding of Metastatic Breast Cancer Research

Abstract Introduction To inform funding strategies for research in metastatic breast cancer (MBC), knowledge of the current research landscape and identification of potential gap areas requiring additional research are essential. In 2014, the Metastatic Breast Cancer Alliance (MBCA) published an analysis that showed that between 2000 and 2013, only 7% of all funds for breast cancer research were devoted to metastasis. As more people are living with MBC, addressing research priorities for those living with the disease is important, as is understanding gaps in the current funding landscape of MBC research to appropriately target investment. Methods A collaborative effort between funders and patients was undertaken to analyze breast cancer projects funded between 2014 and 2020 from the International Cancer Research Partnership database, the Health Resource Alliance database, and MBCA members, representing grants from 83 non-profit organizations worldwide. Project titles, abstracts, and classifications of these grants were extracted from these databases. Next, to identify research projects in the databases that are related to metastasis, a classification tool that uses a machine learning algorithm was built, trained on manually coded grants from the 2000-2013 analysis, and validated by expert coders. Projects were then coded according to a pre-established metastasis classification policy to categories such as type of research (e.g., treatment), genes or proteins studied, site of metastasis, breast cancer subtype, and patient priority questions. In terms of the latter, MBCA members living with MBC were surveyed about research priorities. Member advocates ranked survey questions according to highest patient priority, and these were converted to language that could be queried with the tool. Results Investment in MBC research nearly doubled from 2014 to 2020. Research into understanding and overcoming treatment resistance, which was the highest patient priority question, increased from 15% in 2014 to 26% of the MBC portfolio in 2020; this was a statistically significant increase above the rate of inflation. In terms of treatment resistance according to subtype, the highest number of projects focused on triple-negative MBC (>300). By contrast, < 20 projects were focused on overcoming treatment resistance in metastatic invasive lobular breast cancer. Of the six categories evaluated (e.g. biology and detection/diagnosis/prognosis), the largest increase in investment was for treatments. Discussion The coding tool allows for ongoing complex queries such as identification of funded research relevant to areas identified as important by MBC advocates (Table) and provides a funders’ ‘dashboard’ to identify gap areas in need of further research funding. This collaborative effort between funders and patient advocates, and the resulting current and future analyses, can be used to focus advocacy efforts to drive research funding of priorities and understudied areas of MBC. Despite the increase in funding, the investment in metastatic research–the primary cause of death from breast cancer–remains insufficient. Table. Research Priorities of MBC Patient Advocates Citation Format: Margaret Flowers, Teri Pollastro, Kari Wojtanik, Katherine McKenzie, Kimberly Badovinac, Medha Deoras-Sutliff, Lynne Davies. Analysis of Trends in Funding of Metastatic Breast Cancer Research [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO5-05-10.

ESSA ADVOCACY NETWORK

INTRODUCTION AND AIMS Advocacy is an important and effective way to influence policy changes to improve outcomes. Best practice advocacy is when efforts are coordinated, multifaceted, structured, and collective. The ESSA Advocacy Network was piloted in 2021, to improve engagement with members, and strengthen ESSA advocacy efforts, whilst simultaneously building members capacity and confidence, to engage in activities for positive change. METHOD ESSA advocacy priorities are broad and diverse, aiming to enhance workforce opportunities to benefit all member groups. These areas include chronic conditions, mental health, rural and remote health, disability, aged care, physical activity, primary healthcare, public health, sport, and, workplace and personal injury. These priorities are affected by enablers including technology and innovation, data and evidence and funding mechanisms such as GST and fee schedules in compensable scheme. All advocacy efforts aim to reduce barriers, enhance enablers and increase access to the exercise and sports science workforce. The advocacy network self-identify interest in priorities and are engaged when opportunities arise to share knowledge, experience and their expertise to inform and shape advocacy. RESULTS In 2023, members were engaged in the development of over 300 submissions and letters. Advocacy efforts resulted in member engagement in meetings with Members of Parliament, Senators, Parliamentary advisors, and senior government officials plus representation on advisory groups for the development of clinical guidelines, strategic plans and resources for allied health. CONCLUSION As the advocacy network emerges from its infancy into the next stage of maturity as an integral part of advocacy for exercise physiology, exercise science, and sport science, a professional and streamlined approach is required. ESSA will grow the network in terms of members engaged and the output.

The State of Podiatry

Podiatric medicine and surgery are thriving because of the continued evolution of education and training in podiatric medicine and surgery combined with the demand for services for lower extremity care. Although the profession faces challenges, such as student recruitment, it enjoys the advocacy efforts of the American Podiatric Medical Association, an organization with a 112-year history of defending and advancing its members and their patients. Members of this small but mighty profession are outstanding volunteers and passionate about both the specialty and patient care.

School Meals for All: A Qualitative Study Exploring Lessons in Successful Advocacy and Policymaking in Maine and California

BackgroundThe COVID-19 pandemic focused national attention on food insecurity, equity, and the role of school meal programs in supporting children, families, and communities. In doing so, the pandemic created a rare policy window—an opportunity to advance a longstanding public health goal of guaranteed access to free school meals for all students. In July 2021, California and Maine became the first states to authorize school meal for all legislation (also known as universal free meals). ObjectiveThe aim of this study was to explore perspectives of policymakers, state agency officials, and advocates on the conditions and mechanisms that facilitated passage of school meal for all legislation in California and Maine. DesignA qualitative case study was conducted. ParticipantsBetween December 2021 and June 2022, semistructured interviews were conducted with 30 policymakers, state agency officials, and advocates. Statistical analysis performedInterviews were analyzed using principles of content analysis. Key themes are organized using Kingdon’s multiple streams framework for public policy. ResultsEleven key themes were identified. Lessons are drawn from the policy and advocacy strategies used to advance laws in California and Maine. For instance, paving the way with incremental policy change, tailoring messaging to diverse audiences, and organizing at the grassroots and grasstops levels were critical to success of advocacy efforts. ConclusionsPromising practices can guide efforts to expand access to school meals and advance other child nutrition policies in other states and nationally. Moving forward, lessons learned from implementation of universal free school meal legislation in California, Maine, and other early adopters should be documented and shared.

Stakeholder Perspectives of PATH (Plan for Appropriate Tailored Healthcare in Pregnancy) Telemedicine Recommendations [ID 2683565

INTRODUCTION: The COVID-19 pandemic has propelled innovation in prenatal care delivery including use of telemedicine for routine prenatal visits. The Plan for Appropriate Tailored Healthcare in Pregnancy (PATH), a consensus-based prenatal care recommendation developed by a multidisciplinary panel of prenatal care experts, includes two recommendations regarding telemedicine: 1) telemedicine should be an option for all visits aside from four key in-person contacts requiring in-person visits; and 2) home monitoring is an appropriate option for most routine parameters during pregnancy. A national listening tour was conducted to elicit stakeholder feedback for incorporating telemedicine recommendations into practice. METHODS: We conducted nine, 120-minute virtual focus groups with more than 25 organizations including professional (8), patient advocacy (8), public health (5), and payer groups (4). Focus groups were transcribed, coded by recommendation. Data were next analyzed with matrix coding across positive attitudes, negative attitudes, and implementation considerations. RESULTS: Focus groups included 110 participants. Most participants supported telemedicine use as a care modality for routine prenatal care. Positive attitudes included the belief that telemedicine increased care flexibility, care access, and patients' health agency. Negative attitudes included concerns that poor digital literacy, insufficient access to devices, and high cost could perpetuate existing health disparities. Implementation considerations included the importance of relationship building with patients, technical support staff use, home monitoring device validation, and patient education on telehealth best practices. Participants also emphasized needed improvements to telehealth infrastructure and funding. CONCLUSION: Interprofessional stakeholders broadly support telemedicine use in routine prenatal care. Improvements in existing advocacy efforts, research, and infrastructure in underserved communities are needed to facilitate increased access to telemedicine.

Advancing the labour rights of migrant workers beyond Kafala: the impact of ‘established-outsider relations’ on reforming Qatar’s transnational labour management system

In the years following Qatar’s successful 2010 bid to host the FIFA World Cup 2022, there has been a significant shift in its engagement with the migrant labour rights discourse, and subsequent embarkment on significant reforms as the result of intense international scrutiny and advocacy action. The core feature of Qatar’s historically evolved transnational labour management system, Kafala, has become a key focal point of international advocacy efforts. The objective of this article is to assess the extent to which the reforms constitute a break in Qatar’s historical (that is, pre-FIFA 2022) labour management system, and thus a meaningful disruption to the social reproduction regime that allowed the Kafala system to persist. We do so by probing the institutionalisation of those reforms, with a particular focus on the agency of labour through collective worker empowerment. Drawing on interviews with key transnational actors involved in the reform process in situ, we employ the ‘established-outsider’ relations concept in our analysis of the reforms, while highlighting the remaining challenges. Our ultimate argument is that although the reforms in Qatar seek to provide more labour rights and protections, they fall short of loosening the absolute control of sponsors (kafeels) over their employees. This is due to two main reasons: the absence of strong and effective institutions to convert the legal reforms into rights in practice; and the fact that laws outside of the labour ministry, that fall under the jurisdiction of the interior ministry, are the foundation of the relationship between citizens and migrants and remain largely untouched. These double-edged limitations guarantee the social reproduction of the highly unequal labour mobility system by firmly keeping in place ‘established-outsider’ relations.

Indonesia Paradox on Plastic Waste Import in International Policy and Social Movement Perspective

Indonesia, recognized as the second largest marine polluter globally, faces a significant environmental crisis despite stringent international policies and vigorous social movements advocating for sustainability. According to data from INAPLAS and BPS, Indonesia generates 64 million tons of plastic waste annually, with 3.2 million tons ending up in the sea. The waste management system in Indonesia is rudimentary, involving basic stages of collection, transportation, and disposal, with processing occurring only at the final destination. Amidst this waste crisis, Indonesia continues to import plastic waste from countries such as the United States, Germany, Australia, and Hong Kong, exacerbating the environmental and health hazards. This paper explores the paradox of plastic waste import in Indonesia, focusing on how international policies, including the Basel Convention and its recent amendments, intersect with local regulations and their enforcement. It also examines the role of social movements in combating plastic waste imports and advocating for environmental sustainability. The central problem addressed is the regulatory and social polemic surrounding waste importation in Indonesia, considering the social, political, and legal dimensions. Employing a conceptual and statute approach, the paper provides a comprehensive analysis of the waste import regulation issues linked to social problems within Indonesian society. It argues that the complexity of international trade, economic incentives, and insufficient regulation enforcement contribute to the paradoxical situation where policies and advocacy efforts seem misaligned with outcomes. The findings offer social and juridical recommendations for the Indonesian government and society to address the waste import dilemma effectively. By aligning policies with environmental goals and leveraging social movements, Indonesia can drive significant change towards sustainable waste management practices.

Survivorship care for people affected by advanced or metastatic cancer: MASCC-ASCO standards and practice recommendations

PurposePeople with advanced or metastatic cancer and their caregivers may have different care goals and face unique challenges compared to those with early-stage disease or those nearing the end-of-life. These MASCC-ASCO standards and practice recommendations seek to establish consistent provision of quality survivorship care for people affected by advanced or metastatic cancer.MethodsAn expert panel comprising MASCC and ASCO members was formed. Standards and recommendations relevant to the provision of quality survivorship care for people affected by advanced or metastatic cancer were developed through conducting: (1) a systematic review of unmet supportive care needs; (2) a scoping review of cancer survivorship, supportive care, and palliative care frameworks and guidelines; and (3) an international modified Delphi consensus process.ResultsA systematic review involving 81 studies and a scoping review of 17 guidelines and frameworks informed the initial standards and recommendations. Subsequently, 77 experts (including 8 people with lived experience) across 33 countries (33% were low-to-middle resource countries) participated in the Delphi study and achieved ≥ 94.8% agreement for seven standards (1. Person-Centred Care; 2. Coordinated and Integrated Care; 3. Evidence-Based and Comprehensive Care; 4. Evaluated and Communicated Care; 5. Accessible and Equitable Care; 6. Sustainable and Resourced Care; 7. Research and Data-Driven Care) and ≥ 84.2% agreement across 45 practice recommendations.ConclusionStandards of survivorship care for people affected by advanced or metastatic cancer are provided. These MASCC-ASCO standards will support optimization of health outcomes and care experiences by providing guidance to stakeholders in cancer care (healthcare professionals, leaders, and administrators; governments and health ministries; policymakers; advocacy agencies; cancer survivors and caregivers. Practice recommendations may be used to facilitate future research, practice, policy, and advocacy efforts.

Who’s the best? Investigating the NAMM Foundation’s “Best Communities of Music Education” awardees

The “Best Communities for Music Education” (BCME) award from the National Association for Music Merchants (NAMM) Foundation is intended to celebrate school districts committed to supporting music education. However, despite its over twenty-year history, little is known about the awardees themselves. The purpose of this study was to describe the characteristics of school districts that received NAMM’s BCME award in 2021 and 2022. We utilized publicly available data from NAMM and the National Center for Education Statistics (NCES) to analyze demographic data of 2021 and 2022 awardees along several categories. We also gathered and analyzed BCME lists from 2005–2020 to provide an insight on the frequency of repeat awardees. Findings show that awardees primarily represent suburban communities that skew more affluent, more educated, and more white than national averages. These findings may help interrogate conceptions of quality, highlight issues of inequity among school districts, and bring insight into policy tools underpinning public music education advocacy efforts.

Shared Vision for Improving Outcomes for Serious Fungal Diseases: Report of a Patient, Caregiver, and Clinician Summit.

Recently, increasing focus on patient input into research and healthcare improvements has fostered expanded patient-centered advocacy efforts. This first pan-fungal disease summit, part of the MYCology Advocacy, Research, & Education effort, brought together patients, caregivers, and mycology experts to better document patient experiences with invasive fungal disease (IFD) and establish priorities for mycology education, advocacy, and research. Patients who had suffered from IFD, their caregivers, clinicians, industry representatives, government officials, and patient advocacy professionals were invited. Patients and caregivers shared their stories and struggles with IFD. Breakout sessions separated mycology experts from patients and caregivers for further discussions to identify commonalities and perceived gaps and to formulate recommendations. The 2 groups then reconvened to develop consensus recommendations. IFD patients and their caregivers shared experiences reflecting the typically lengthy prediagnosis, acute treatment, long-term treatment, and posttreatment recovery stages of IFD. They reported substantial physical, psychological, and financial burdens associated with the IFD experience, particularly related to delayed diagnoses. They reaffirmed a need for coordinated patient-centered education, peer support, and advocacy to document the burden of serious fungal infections. Mycology experts discussed strategies to address gaps in the mycology field, such as insufficient training, inadequate workforce support, and a need to partner more with patient groups. A summit involving patients with IFD, family caregivers, and mycology experts identified a substantial nonclinical burden of disease associated with IFD. Patients and mycology experts prioritized several goals for education, advocacy, and research to raise awareness of IFD and improve outcomes.

Energy drinks in Tamale: Understanding youth perceptions, consumption patterns, and related factors.

Energy drinks (EDs) have become a popular choice for young people seeking physical and cognitive boosts, with ingredients such as caffeine, taurine, and B vitamins aimed at improving academic, athletic, and alertness levels. However, the popularity of these drinks is also driven by low prices, taste, brand loyalty, and gendered marketing, with boys being more likely to consume them. Despite the supposed benefits, EDs have been associated with high-risk behaviours, deaths, and adverse health effects, especially those related to cardiovascular risk. Meanwhile, in Ghana, the use of EDs is on the rise. Hence, this study aimed to examine the prevalence and consumption patterns, perceptions, and factors associated with ED consumption among the youth of the Tamale Metropolis. The study was cross-sectional, consisting of 541 participants. The group consisted of 340 males and 201 females, between the ages of 15 and 45. A questionnaire was utilized to obtain data on the respondents' consumption patterns and perceptions of EDs, as well as their socio-demographic characteristics. The results of the study indicated that a large percentage of the respondents, 98.7%, had consumed EDs before, while 78.7% currently consume them. Respondents believed that EDs provided additional energy (81.00%) and reduced stress (62.30%). However, they also perceived side effects such as insomnia (60.60%) and restlessness (51.40%). Also, the highest proportion of respondents (83.4%) had poor knowledge of EDs. They were unaware of the classification of EDs and their ingredients, side effects, and benefits. Age, marital status, level of education, work intensity, EDs served at gatherings, and knowledge of EDs was significantly associated with ED consumption (p < .05). Consumption was higher among those aged 26 to 35 years, singles, individuals with no formal education, and those with high work intensity. The high consumption was also associated with low knowledge levels. It is recommended that public health and nutrition professionals engage in further advocacy efforts to improve the youth's knowledge and perception of EDs in a positive manner. In addition, lawmakers should use legislation to influence consumption rates and safeguard the health of consumers.

State Legislation Related to School Nutrition: Predictors of Bill Passage From 2010–2019

ObjectiveThis study aimed to discover the prevalence of school nutrition state legislation and to identify the correlates of enactment. Design, Setting, and ParticipantsAn online legislative database, Legiscan, was used to collect bills related to school nutrition from the US from 2010 to 2019. Bills were coded and compiled into a study database with state-level dietary variables (obesity prevalence, fruit, and vegetable intake, sugar-sweetened beverage consumption), community variables (percent White, poverty), and bill-characteristic variables (party affiliation in legislature, strength of language, party of governor, school gardens, vegetable intake, and other salient variables). Multivariable models were built to examine predictors of bill enactment. ResultsOf the 462 bills introduced, 38.7% (n = 156) were enacted. In a multivariable model, the strength of bill language, political party affiliation, implementation of school gardens, and vegetable intake were the variables associated with bill passage. Bills with strong language were less likely to be enacted (P <0.001). Bills introduced by Democrats were more likely to be enacted (P = 0.01). Conclusion and ImplicationThis study showed a better understanding of legislative support for child nutrition via policy surveillance of bills and their correlates of enactment. This information can be used to prioritize advocacy efforts and identify ways research can better inform policy.

Persistent environmental lead exposures disrupting black children’s neurodevelopment and quality of life trajectories: an under-recognized ACE in the hole

Persistent environmental lead exposures disrupting black children’s neurodevelopment and quality of life trajectories: an under-recognized ACE in the hole

Nurses' perspectives on shared decision-making in the daily care of hospitalized patients with dementia: An exploratory qualitative study.

Gain insight into the process of shared decision-making (SDM) in daily hospital care for patients with dementia from nurses' perspectives. Explorative qualitative design. In-depth digital interviews were conducted with 14 registered nurses between June and November 2022. A phenomenological approach was applied using Colaizzi's seven-step method. Five themes were identified in the data: (1) SDM in daily care: How shared decision-making is applied; (2) Nurses' perceptions and competence: How nurses perceive and manage SDM; (3) Nurses' roles and advocacy: The evolving roles of nurses and their advocacy efforts, (4) Recognition of dementia and its impact: How nurses recognize and manage dementia; and (5) Interventions to support SDM: Strategies and interventions to facilitate SDM. This study highlights the complexity of SDM in patients with dementia. It demonstrates the importance of the involvement of relatives, omission of patient goals in discussions and perceived deficiencies of nurses. The early identification of dementia, evaluation of nuanced capacity and targeted communication are essential. Further research and enhanced training are required to improve care in this context. Potential areas for further research on SDM in nurses involving patients with dementia include investigating the effects of integrating goal discussions into SDM training for nurses, overcoming barriers to SDM competence, and challenging the idea that SDM is solely the responsibility of physicians. These findings highlight the need for policies that encourage interdisciplinary collaboration, address misconceptions and recommend training programmes that focus on applying SDM to the daily care of patients with dementia, thereby improving the overall quality of patient care. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used for reporting. No patient or public contribution.

Advocacy for Equitable Recess in Washington State.

Recess in schools is a critical opportunity for children to engage in important behaviors that can promote their health and well-being, and daily recess is recommended by the American Academy of Pediatrics and other national organizations. In Washington state, school recess is not equitably provided, with parents reporting a wide range from as little as 10 minutes to >45 minutes daily. State laws can help promote equitable and high-quality recess, but most states in the United States do not have recess laws. In 2023, a bill (Senate Bill 5257) mandating a minimum of 30 minutes of daily recess for all elementary students with provisions for other recess best practices (including not withholding recess as punishment and encouraging movement breaks for middle/high-schoolers) passed with bipartisan support in the Washington state Legislature and was signed into law. In this case study, we describe the process undertaken and lessons learned by the cross-sector coalition that spearheaded the advocacy efforts, which included pediatricians, parents, educators, community organizations, and youth.

The customer is always right? Corporate client influence and women’s attainment in large US law firms

Abstract Drawing on resource dependence and new institutional theories, this article examines the impact of corporate clients on the representation of women among associates and partners of large US law firms. We investigate the influence of women in corporate executive positions, women corporate chief legal officers, and clients who join in collective efforts to advocate for law firm diversity, as well as the role of power and dependence in client–firm relationships. We use longitudinal data on 665 law offices from the 2005 and 2010 editions of the NALP Directory of Legal Employers and incorporate client characteristics from the 2005 National Law Journal client list. We find that women executives among a firm’s corporate clients are linked to greater representation of women among law firm associates, but we observe no effects among partners, and scant effects of client participation in a key collective advocacy effort. Firm independence from client power is negatively linked to gender diversity among associates, while client independence from firm power is positively associated with women’s representation at both the associate and partner levels. In addition, firm independence from client power weakens the influence of female and activist corporate leaders on gender diversity in the case of associates but strengthens their influence in the case of partners.

Current Status of Integrated Palliative Care Among Parkinson Foundation Centers of Excellence in the United States.

To assess the current structures, knowledge, and readiness to integrate palliative care (PC) into Parkinson disease (PD) care at Parkinson's Foundation Centers of Excellence (COE) in the United States. Three unique surveys were administered to health care professionals/staff at COEs to assess PC (1) resources, (2) knowledge and comfort, (3) clinical experience and processes, (4) barriers, and (5) readiness for implementation. Response rates for the 3 surveys were 97%, 98%, and 56%. In total, 41% of COEs have access to outpatient PC specialists, 71% have mental health counseling, 82% have support groups, and 9% had very limited PC resources. Overall, 74% of providers believed persons with advanced PD should receive PC, and knowledge of PC fundamentals was good across providers. For high-needs persons with PD (PWP), only 16% of physicians and 24% of advanced practice providers made referrals to PC specialists ≥75% of the time, while 9% and 16% never made such referrals. Limited time, space, financing, and staffing were seen as major barriers to PC implementation. In total, 37% of providers were satisfied with their COE's ability to provide PC services. Most COEs report a culture open to change and appear well-positioned to implement PC in a more comprehensive fashion. These results demonstrate the emergence of structures and processes to provide PC to persons with PD at COEs. They also identify concrete opportunities to strengthen integration of PC through educational, quality improvement, and advocacy efforts.

Changing the narrative: The future we want to see. Insights from older generations

Demographic change, a prominent trend in our societies, impacts the labour market, pensions, and the health and care sectors, among others. Concurrently, ageing brings opportunities, as older people actively contribute to society through work, caregiving and knowledge sharing. When looking at demographic change, it is important to consider its intersections with other global trends, such as inequality, climate change and technological advancements, and how this interconnectedness impacts people's daily lives across their lifespan. This article delves into recent European policy approaches and research on demographic change, pinpointing shortcomings and suggesting initiatives to reshape perceptions of ageing and revise the current narrative of old age. Drawing on insights from AGE Platform Europe, the European advocacy organisation of and for older people, this article highlights the collective advocacy efforts at the European and international levels. These efforts aim to truly embody the European motto ‘United in Diversity’ and to foster fairer and more resilient societies.

Conceptual framework for global protection against technology-enabled violence against women and girls

Technology-enabled violence against women and girls has emerged as a significant and complex issue in today's digital age. This form of violence, which includes cyberstalking, online harassment, and the non-consensual sharing of intimate images, poses serious threats to the safety, privacy, and well-being of women and girls worldwide. Addressing this issue requires a comprehensive and coordinated response that integrates legal, technological, and social interventions. This concept paper proposes a conceptual framework for global protection against technology-enabled violence against women and girls. The framework is based on a thorough review of existing literature, research, and best practices in the field, and aims to provide a roadmap for stakeholders to develop effective strategies and interventions to prevent and address this form of violence. The framework consists of the Legal Dimension which focuses on the legal frameworks and mechanisms needed to prevent and address technology-enabled violence against women and girls. It includes an analysis of existing laws and regulations, as well as recommendations for strengthening legal protections and ensuring accountability for perpetrators. The Technological Dimension explores the role of technology in both perpetrating and preventing violence against women and girls. It includes an examination of technological solutions, such as digital security tools and platforms, as well as ethical considerations related to technology development and use. The Social Dimension examines the social and cultural factors that contribute to technology-enabled violence against women and girls. It includes an analysis of gender norms, power dynamics, and social media dynamics that influence the prevalence and impact of this form of violence. The framework also includes strategies for implementing its recommendations at the global level, including advocacy efforts, capacity-building initiatives, and partnerships with governments, civil society organizations, and the private sector. It emphasizes the importance of multi-stakeholder collaboration in addressing this complex issue. Overall, the conceptual framework for global protection against technology-enabled violence against women and girls aims to provide a comprehensive and holistic approach to addressing this pressing global challenge. We hope that this framework will serve as a valuable resource for stakeholders working to create a safer and more inclusive digital environment for women and girls worldwide.

Employee Advocacy Programs in Public Relations

Purpose: The general aim of the study was to determine how the implementation of employee advocacy programs influences the effectiveness of employee advocacy programs in the context of public relations.&#x0D; Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.&#x0D; Findings: The findings reveal that there exists a contextual and methodological gap relating to employee advocacy programs in public relations. Preliminary empirical review revealed that that these initiatives played a significant role in shaping organizational culture, enhancing brand perception, and fostering stakeholder relationships. Through a comprehensive review of empirical research, it was found that employee advocacy positively influenced employee engagement, organizational reputation, consumer trust, and crisis management. Factors such as leadership support, clear communication, organizational culture, and employee training were identified as critical drivers of program success. Additionally, research highlighted the impact of advocacy programs on consumer trust and purchase intentions, emphasizing their strategic value in building brand credibility and loyalty. Future research is encouraged to explore emerging trends and best practices in employee advocacy.&#x0D; Unique Contribution to Theory, Practice and Policy: The Social Identity, Social Exchange and Social Learning theories may be used to anchor future studies on employee advocacy programs in public relations. The study provided valuable recommendations that contributed to theory, practice, and policy in the field. It suggested further exploration of theoretical frameworks such as Social Identity Theory and Social Exchange Theory to better understand employee advocacy dynamics. Practitioners were advised to prioritize leadership support, authenticity, and transparency in advocacy efforts while investing in training and development programs for employees. Additionally, the study recommended the development of clear policies and metrics to guide and evaluate advocacy initiatives. Emphasis was placed on fostering a supportive organizational culture, promoting collaboration, and cross-functional integration to maximize the impact of employee advocacy programs.