Advanced Roles Research Articles

P-1691. Palliative medicine consultation does not reduce antimicrobial use during end-of-life care

Abstract Background The role of antimicrobial drugs in end-of-life (EOL) care is uncertain, with the potential palliative benefit of antimicrobials in some settings being outweighed by potential limited benefit and added toxicity. In this study, we aimed to analyze the roles of palliative care consultation and code status change on antimicrobial prescribing practices at the EOL. We hypothesized that palliative medicine consultation (PMC) reduces antimicrobial use in patients receiving EOL care. Methods This was a retrospective cohort study conducted on adult patients who were admitted to Wake Forest Baptist Health facilities between January-December 2019 and who were either transitioned to comfort care or discharged to hospice. Patients were stratified based on the presence or absence of PMC during their hospitalization. The primary outcome was the mean days of therapy (DOT) per patient before and after EOL care. DOTs were defined as a calendar day when a single systemic antimicrobial was administered. Antimicrobials given topically or prescribed solely for Pneumocystis or herpesvirus prophylaxis were excluded. Results A total of 2242 patients were identified, of whom 621 received PM consultation during their hospitalization. Among those receiving PMC, there were a total of 3301 days of hospitalization and 4560 DOTs prior to the transition to EOL care, for a mean DOT/hospital day of 1.38 (95% CI 1.34-1.42). There were 6,563 hospital days and 11,466 DOTs among the non-PMC group, for a mean DOT/hospital day of 1.75 (1.72-1.78). Following transition to EOL care, antimicrobial use decreased rapidly, with 0.087 DOTs/hospital day in the PMC group (0.077-0.097) and 0.051 DOTs/hospital day (0.044-0.056) in the non-PMC group. Conclusion In this observational study, antimicrobial drug use decreased markedly in patients transitioning to EOL care. However, the rate of antimicrobial use in EOL patients was not reduced by PMC and was greater than in those patients not receiving PMC, although this difference was not clinically substantial. Antimicrobial use was infrequent in EOL patients in our cohort. Future studies should evaluate the palliative benefit of antimicrobials in specific subgroups of patients receiving EOL care. Disclosures Ryan C. Maves, MD, AiCuris: Grant/Research Support|Biotest: Grant/Research Support|GeoVax: Grant/Research Support|Shionogi: Advisor/Consultant|Shionogi: Honoraria|Sound Pharmaceuticals: Grant/Research Support

P-864. Systematic Review and Meta-analysis of the Impact of Infectious Diseases Consultation on Management and Outcomes of Staphylococcus aureus Bacteremia in Children

Abstract Background Staphylococcus aureus is a common cause of both community-acquired and nosocomial bacteremia in children. Multiple studies evaluating the role of infectious disease consultation (IDC) in adult patients with Staphylococcus aureus bacteremia (SAB) have shown a protective effect of IDC on mortality and recurrence rates. However, there is limited data available regarding the impact of IDC on outcomes of SAB in the pediatric population. Literature Search on the Impact of Infectious Disease Consultation in Pediatric Patients with Staphylococcus aureus Bacteremia Methods This systematic literature review and meta-analysis were performed per the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement and the Meta-Analysis of Observational Studies in Epidemiology (MOOSE) guidelines. A search strategy to identify publications about SAB and IDC in children was developed in collaboration with a health sciences librarian. The primary outcomes were all-cause mortality and SAB recurrence rates. Crude or unadjusted numbers were used for the pooled odds ratios (ORs) as adjusted ORs were not available in all articles. Meta-analysis of outcomes of Staphylococcus aureus Bacteremia in pediatric patients Results Among 972 articles screened, 8 studies were included in the systematic review, of which, 2 were retrospective cohort studies, 2 were prospective cross-sectional studies, and 4 were quasi-experimental studies. The quality of 6 studies was considered good ( >18 of 28 possible points) per the Downs and Black quality tool while two studies were considered fair (15 – 18 points). Five of 8 studies directly evaluated the impact of IDC on outcomes in pediatric SAB and included in the meta-analysis. Pooled results showed IDC was associated with significantly lower mortality in pediatric SAB with low heterogeneity (pooled OR = 0.44, 95% confidence interval [CI]: 0.20−0.97, I2 = 0%). IDC was associated with lower recurrence rates, however this was not statistically significant with moderate heterogeneity (pooled OR = 0.24, 95% CI: 0.04 to 1.34, I2 = 56%). Funnel Plot of Mortality and Recurrence in Pediatric Patients with Staphylococcus aureus Bacteremia Conclusion Our study suggests that IDC significantly improves the mortality of pediatric patients with SAB. Given there have been only five papers evaluating the same topic, with most being retrospective studies at a single center, a multicenter prospective study will be required. Our study provides a strong argument in favor of policies such as “automatic” IDC for children with SAB. Disclosures All Authors: No reported disclosures

Constructing TheKeep.Ca With Thrivers of Cancer in Manitoba, Canada, in Support of Enhancing Patient Engagement: Protocol for a Pragmatic Multimethods Study.

TheKeep.Ca was built to facilitate engagement with those experiencing cancer in Manitoba, Canada. Constructed between 2020 and 2024 with a group of patient advisors, the website includes information on engagement activities including research participation, the patient advisor role, and how those experiencing cancer can access these Manitoba activities. A link allows visitors to register to be contacted about activities that match their demographics, cancer history, and activity preferences. After TheKeep.Ca was constructed, this protocol was developed to establish TheKeep.Ca as a platform for scientific research focused on optimally engaging those experiencing cancer. We asked the following questions: (1) What was the patient advisors' experience who participated in developing TheKeep.Ca? (2) What are the baseline characteristics of website traffic and registrants at TheKeep.Ca? (3) How does registering with TheKeep.Ca impact the cancer experience? The planned launch date for the website and initiation of research activities is January 2025. For objective 1, the active patient advisors (N=6) participating in the website project will be invited to participate in project activities including with responses to a question prompt sheet, semistructured audio-recorded interviews, or both. Responses and interviews will be analyzed using reflexive thematic analysis to understand and inform practices for patient engagement on projects. At the website launch, TheKeep.Ca will become publicly accessible and indexable on internet search engines, but no additional promotional interventions will take place in the initial 6 months resulting in visitors primarily from web search traffic. For objective 2, Google Analytics and website registrant data collected during the first six months will be analyzed to obtain baseline characteristics of website visitors. For objective 3, an online survey will be emailed to registrants six months after the website launch characterizing their website experience, the activities they participated in, and collecting feedback on the website. For objectives 2 and 3, quantitative data will be analyzed using both descriptive and inferential statistics, and qualitative data from open-ended questions will be analyzed using thematic analysis guided by an inductive descriptive semantic approach. This study was approved by the University of Manitoba Health Research Ethics Board on December 12, 2024 (HS26614-H2024L263). Institutional approval from CancerCare Manitoba is pending as of December 23, 2024. Findings from objective 1 are expected to be finalized within the first six months after the website launch. Those from objectives 2 and 3 are expected by the 12-month mark. Reporting will include peer-reviewed journals, conferences, and a lay-language summary on TheKeep.Ca. The research outlined in this protocol will facilitate understanding patient advisors' experience in developing TheKeep.Ca. It will also characterize the website' effectiveness and its impact on the cancer experience, providing a baseline and direction for future research and development. PRR1-10.2196/63597.

Patient involvement in the development of patient-reported outcome measures used following hip or knee arthroplasty: a scoping review.

Involving patients in developing patient-reported outcome measures (PROMs) is essential for accurately capturing their perspectives. However, understanding how patients were involved in developing PROMs used after hip or knee arthroplasty is limited. This scoping review aimed to evaluate whether patients were involved in the development of these PROMs and how they were involved. Two independent reviewers documented patient involvement in item development and comprehensibility testing for 50 PROMs used after hip or knee arthroplasty. Trends in patient involvement over time were analyzed using binary logistic regression. There was no documentation of patient involvement in a collaborative role during the PROM development processes. Regarding the consultative role, of these 26 PROMs, they contributed to item development in 13 PROMs (26%) and comprehensibility testing in four PROMs (8%) and both item development and comprehensibility testing in nine PROMs (18%). Patients who underwent arthroplasty were involved in one or both phases in ten PROMs (20%), while patients with other lower extremity conditions were involved in 16 PROMs (32%). Patients who underwent arthroplasty contributed to both phases in five PROMs: Oxford Knee Score-Activity and Participation Questionnaire, Patient's Knee Implant Performance Questionnaire, Patient-Reported Outcomes Measurement Information System R-Plus-Osteoarthritis of the Knee, Oxford Arthroplasty Early Recovery Score and Oxford Arthroplasty Early Change Score. In addition, our analysis revealed no significant change in patient involvement in a consultative role during either item development or comprehensibility evaluation over time since 1982, when the first PROM included in this review was developed (p = 0.21). Almost half of PROMs used after arthroplasty did not involve patients in their development, highlighting the need to address this gap in development of PROMs. There is also a need to analyze PROMs to ensure they accurately reflect the outcomes that matter to patients.

Commentary on "preoperative cardiology consultations for geriatric patients with hip fractures rarely provide additional recommendations and are associated with prolonged hospital stays and delayed surgery: a retrospective case control study".

This letter discusses the recent study by Vahabi et al., which examined the role of preoperative cardiology consultations in geriatric patients undergoing hip fracture surgery. While the study highlights the limited impact of these consultations on treatment modifications and the associated delays in surgical intervention, this letter suggests areas for further exploration. Specifically, it proposes extending outcome monitoring to include long-term cardiovascular events and incorporating cost-effectiveness analysis to better assess the value of preoperative consultations. Moreover, the letter advocates for the use of blinding in future studies to minimize selection bias and enhance the reliability of results.

Delaying until it is definitely too late – A theoretical framework for explaining procrastination in estate planning

AbstractProcrastination in estate planning poses significant challenges in personal financial planning. Despite recognizing its importance, many individuals delay estate planning, risking unplanned estate distribution and family conflicts. This procrastination, driven by discomfort and perceived ample time, leaves legacy unstructured, failing to meet the testator's wishes and needs. Understanding procrastination in estate planning is crucial as it affects financial security for surviving dependents and the orderly transfer of assets. Procrastination research, although extensive in academic and professional contexts, has not adequately addressed estate planning, leaving a gap in comprehending this behavior within financial decision‐making. This article systematically analyzes procrastination in estate planning, presenting a theoretical framework based on the Rubicon Model and incorporating the mood‐repair hypothesis and temporal motivation theory. It outlines the estate planning process, identifying phases where procrastination occurs and the possible reasons behind it. The framework explains how negative emotions and discounted future benefits contribute to delays, impacting the timely completion of estate plans. The article highlights the role of financial advisors in helping clients navigate estate planning, offering practical recommendations to improve client engagement and ensure better financial outcomes.

Multilingual high school learner/consultants’ perspectives on ELA and AP English courses: Enhancing bilingual development while learning about the UN online

ABSTRACT This action research project explored the experiences of high school Multilingual Learners in a developmental bilingual Spanish/English program using ATW (ActionThroughWords), an online language through content course about the United Nations. The course seeks to improve users’ academic English proficiency and enrich their knowledge. A volunteer bilingual teacher and her students (N = 28) participated in hybrid ELA and AP English classes for one semester each. Students took the role of learner-consultants, providing feedback on how to improve ATW from the perspectives of adolescents. The bilingual teacher’s reflections throughout the project offered insights regarding her students’ development and how best to incorporate ATW in her classes. Results based on observations, survey, and interview data indicated that participants were interested in the unit themes and flexibly used L1 resources and online tools to support learning. In their consultant roles, students in both classes were highly motivated and provided suggestions to improve the content and interactive functions of the website for multilingual teen users. AP students were able to function more independently, as their proficiency and content knowledge were relatively more advanced.

Organization and conduct of electronic consultations between government authorities and the public

Ensuring effective interaction between government authorities and the public is an important element of the democratic process. In today’s context, where issues of transparency and accountability of government bodies are becoming increasingly relevant, there is a growing need for new tools to involve citizens in decision-making processes. One such tool is electronic consultations, which enable efficient and direct feedback from the public, reduce costs, and enhance the democratic nature of decision-making. Despite the numerous advantages, such as accessibility, convenience, and time savings, the process of organizing and conducting electronic consultations remains underdeveloped and faces a number of challenges. Therefore, it is important to investigate the effectiveness of electronic consultations as a tool for public participation, identify key issues related to their implementation and use, and develop recommendations for improving the processes of electronic consulting in the context of public administration. The aim of the article is to highlight the features, uncover the essence, and identify the specifics of conducting electronic consultations with the public as a form of realization of subjective public rights. In particular, the author focuses on analyzing the role of electronic consultations in ensuring transparency, accountability, and public participation in decision-making processes. The main stages of conducting electronic consultations are described, including: preparing inquiries, selecting appropriate platforms, organizing feedback, and summarizing the results. Positive aspects of electronic consultations, such as accessibility for a wide audience, efficiency, and convenience of participation, are considered. Potential issues such as limited citizen engagement, technical difficulties, and risks of manipulation by participants are highlighted. The article also examines international experience and legislative initiatives that promote the development of electronic consultations. Proposals are made to improve the organization of electronic consultations in Ukraine, including improving platforms, enhancing digital literacy of the population, improving information dissemination, increasing citizen participation in the process, ensuring data protection, and providing feedback, which will allow for the maximum expansion of public involvement in governance processes.

User requirements for research data management services in Myanmar university libraries: A case study of the University of Yangon Library

University libraries in Myanmar are developing research data management services (RDMS) to support and boost the country's research and development. This paper reports on a research study that aims to identify and understand user requirements for RDMS. The University of Yangon Library (UYL) was selected as the research case, and 40 faculty members, research students, and library workers were approached and interviewed. The analysis of interview data adopted a thematic approach and used two analytic tools: coding for tagging and interpreting data; and concept map for visualising and demonstrating the progress of analysis. The analysis discerned 12 RDMS requirements in four theoretical themes: research data management planning, research data collection, research data processing and analysis, and research data preservation and sharing. Moreover, the analysis indicated that, to support the development of RDMS, libraries should enact three different roles, namely, participative role, educational and consultative role, and facilitative role. Also, practical implications were drawn from the analysis and suggested a three-stage action plan for RDMS development at the case library. Although this study focuses on libraries in Myanmar universities, the findings provide useful insights and implications for university libraries in other countries.

The role of Black-led community organisations in supporting Black mental health: a Black emancipatory action research project

ABSTRACT Objective To explore the role of Black-led community organisations in supporting Black mental health and wellbeing in the UK. Design A qualitative, Black Emancipatory Action Research Framework was adopted. Framework application involved adequately compensating community organisations for their consultancy role; having ‘research conversations’ rather than interviewing participants; and focusing outputs on community benefit. Eight individual and group research conversations took place with nine Black directors, employees and volunteers working with Black-led community organisations, aged between 19 and 62, living in the UK. Reflexive thematic analysis was used to analyse conversations. Results Three themes were developed in relation to what Black-led community organisations do for Black mental health. These are: identify and respond to mental health needs; selectively build relationships with mainstream services; and drive social and systemic improvements. Findings revealed that Black-led community organisations uniquely identify and address mental wellbeing by offering respite from racism, hosting activities, and meeting urgent needs. They navigate and facilitate access to health and social systems, protect communities from harmful services, and advocate for social and systemic change. Drawing on the study design, findings, and the broader literature, we propose three key changes to current funding, community, and research practices. These are a reconsideration of how Black-led organisations’ work is valued and measured, a forging of greater collaboration between these organisations, and bolder consideration of how research practice can benefit Black communities. Conclusions Black-led organisations play multiple roles in supporting individual and collective mental health, crucial for mediating the effects of racism and mitigating ethnic inequalities. To our knowledge, this is the first study to both illuminate the critical role of community organisations in promoting Black mental health in the UK and to prioritise participant, and community, benefit throughout the research process.

Successful Cooperation between the Ministry of Finance and Local Governments for Implementing Regional Financial Management: Key Factors

This study aimed to evaluate the Ministry of Finance role in providing mentoring to Local Governments for the implementation of regional financial management. Financial advisor role is a strategic step to foster synergy and collaboration with Local Governments in the field of national financial management. A qualitative approach and an exploratory design were used followed by SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis. The analysis was used to provide recommendations for the Ministry of Finance and Local Governments to implement regional financial management strategies. Data collection methods varied for all subjects. Internal data from the Ministry of Finance were obtained through interviews and document studies, while external data were collected through the completion of questionnaires by 461 Local Governments and document studies. The results showed that Local Governments require coordination and mentoring from the Ministry of Finance regarding regional financial management. The Ministry of Home Affairs has the authority to guide Local Governments in terms of institutional structure. Moreover, the Ministry of Finance can voluntarily offer mentoring by demonstrating the positive aspects of work and illustrating the benefits of financial advisor role, as explained in the rational choice theory.

The Educational Psychology Consultation and assessment role with bilingual learners through the lens of Gaelicmedium Education service delivery

This article is a literature review and reflection on how an English-speaking Educational Psychologist (EP) without Gaelic language approached the challenge of identifying and supporting learners’ Additional Support Needs (ASN) in Gaelic-medium Education (GME) settings. Literature regarding bilingual learning and language acquisition is reviewed and discussed in the context of GME, identifying factors to consider primarily in Consultation and interpreting assessment information including orthography, distributed vocabulary, code-switching, and working memory. Implications for EP practice are considered, including the importance of knowing the evidence base regarding bilingual children and young people with ASN when facilitating discussions to support families and professionals regarding a suitable education and support for the child or young person. The importance of providing equitable service to bilingual learners and the challenges in providing this are discussed.

The dynamics of financial retirement planning: financial attitude, health literacy, and the role of financial advisors with financial literacy as a moderator

The dynamics of financial retirement planning: financial attitude, health literacy, and the role of financial advisors with financial literacy as a moderator

Tax Evasion Attitudes among Category A and B Business Income Taxpayers in Ethiopia

This study investigates the activities of tax evasion attitude in Ethiopia using a mixed-methods approach. The target populations are category A and B taxpayers and tax officials of revenue offices. Data is collected through surveys and structured interviews with taxpayers, focusing on variables such as reported income, tax compliance rates, and demographic factors. Statistical techniques, regression analysis, and in-depth interviews with key stakeholders are employed for nuanced insights. Thematic analysis is employed for qualitative data analysis, with ethical considerations prioritized. Data was collected from 566 taxpayers and selected officials, using a mixed research approach with both descriptive and explanatory research design. The dependent variable is tax evasion attitude, measured by questionnaires that show taxpayers' compliance indirectly. The study found that variables such as the complexity of the tax system, tax rate, weak tax administration, compliant peers, and the role of tax advisors have a positive relationship with tax evasion attitudes. Government legitimacy had a weak and negative correlation with tax evasion attitude, while peer influence, corruption, Tax rate and tax system had a weak and positive correlation with tax evasion attitude. The study recommends that revenue authority should train taxpayers to prepare and present their tax returns, encourage large taxpayers to establish their own accounting information systems and collaborate with certified accountants.

PP71 Organizations Responsible For The Evaluation Of Health Technologies Globally: A Scoping Review

IntroductionThe process of health technology assessment (HTA) is a valuable tool for the pursuit of equitable and sustainable healthcare systems. Various countries have established organizations dedicated to conducting HTAs, adapting such institutions to local healthcare ecosystems. The aim of this study was to evaluate the structure, methods, and processes of organizations responsible for national-level HTAs globally.MethodsA scoping review was conducted assessing organizations responsible for conducting HTAs for national-level decision-making in any country. Identification of eligible organizations was performed through a review of member organizations of INAHTA, EUnetHTA, RedETSA, and HTAsiaLink networks, as well as organizations evaluated in reviews with a similar scope. For each organization, the following data were searched: country, year of foundation, organizational nature, role in decision-making, funding, technologies assessed, criteria considered for decision-making (such as efficacy and safety, costs, impact on equity, among others), type of economic evaluation, and patient involvement.ResultsWe identified 69 organizations, from 56 countries, mainly European (n=39; 56%). Fifty-three (77%) are government-affiliated; most (n=51; 74%) have a consultative role. Public funding is the main funding, and 12 (17%) organizations charge fees for conducting HTA. Technologies assessed include drugs (n=61; 88%), devices (n=47; 68%), and procedures (n=33; 48%). HTA is usually initiated upon request from the manufacturer (n=45; 65%). Patient involvement is not clearly described in 32 organizations (46%); in 29 organizations (42%), the role of patients is to provide information that is considered during decision-making.ConclusionsAmong the evaluated organizations, it is observed that the majority are government-affiliated, have public funding, and play a consultative role. The results of this study serve as an important reference for the development and improvement of organizations responsible for conducting HTAs.

Child Protection and Visitation in the Italian Legal Framework

Child Protection and Visitation in the Italian Legal Framework This paper investigates the intersection of child protection and pedagogy within the Italian legal system, focusing specifically on the regulations surrounding the protection of minors and supervised visitation. The analysis does not offer a critique from a purely legal perspective, but rather examines the legal framework through a pedagogical lens, highlighting the law’s relevance to educators, teachers, and pedagogists. The paper is structured into three key sections. The first section provides an overview of the concept of family as defined by specific regulations within the Italian legal system. This sets the stage for understanding the broader legal context in which child protection is situated. The second section presents a pedagogical analysis of the most significant legal provisions related to child protection, including family removal measures and the roles of Court-Appointed Technical Consultants and Party-Appointed Technical Consultants. This analysis underscores the importance of viewing these regulations not just as legal impositions, but as influential factors in educational practices. The third section delves into the implications of these legal norms for the ‘Spazio Neutro’ (Neutral Space) service, a supervised visitation program managed by educators within Social Services. This service exemplifies the critical relationship between law and pedagogy, illustrating how legal regulations can shape and enhance educational interventions. The paper argues that for professionals directly involved in the social practices governed by these regulations, it is essential to engage with the law critically, rather than simply applying it. This critical engagement ensures that the implementation of legal provisions is both rigorous and pedagogically sound. Ultimately, the paper demonstrates how the legal framework not only influences educational practices but also fosters a deeper integration of pedagogical principles within the field of child protection, contributing to a more comprehensive understanding of the relationship between law and education.

태국 고등 교육 기관의 음악 석사 논문 질 향상을 위한 방법과 실천

This study explores methods and practices for enhancing the quality of music dissertations in higher education institutions across Thailand. A qualitative research methodology was employed, grounded in phenomenology, to investigate this subject. Data were gathered through in-depth interviews with 12 distinguished music professors, specializing in both Thai and Western music, all of whom have at least five years of experience as primary thesis advisors at the graduate level. The findings are organized into three key paradigms: (1) improving student characteristics, including admissions, academic presentations, research sponsorship, and the role of research assistants; (2) supporting the dissertation process, with a focus on raising student awareness, enhancing the roles of advisors, and developing support mechanisms; and (3) elevating the quality of music dissertations, divided into five categories: musicology, music education, Western music performance, Western composition, and Thai traditional music composition.

Mewujudkan Bantuan Hukum Bagi Terdakwa Kasus Narkotika di Rumah Tahanan Negara Kelas IIb Boyolali

This legal counseling aims to understand the preparation and implementation process carried out by legal advisors from BKBH, Universitas Muhammadiyah Surakarta. Before trial assistance, there is a preparation process that includes the defendant's rights, which are fundamental principles in the legal system. These principles aim to protect the defendant's human rights and ensure that the judicial process runs fairly. Several rights of the defendant, generally recognized and guaranteed by various legal systems, including criminal law, are the right to legal assistance, the right to a prompt trial, the right to present witnesses, the right not to bear the burden of evidence, the right to a public trial, and the right to assistance from an interpreter if they do not understand the Indonesian language. The process and stages of trial assistance for narcotics abuse cases involving prison inmates at Class IIB Boyolali State Detention Center, who are about to or are currently being tried in Boyolali District Court, go through several steps. These begin with the reading of the indictment and conclude with the final verdict. The trial stage is crucial in the criminal justice process, where all evidence will be examined publicly. This community assistance provides education related to the defendant's rights in narcotics cases at Boyolali District Court and emphasizes the importance of the legal advisor's role in ensuring that the defendant's rights are fulfilled during the trial process.

Advisors as key partners for achieving adoption at scale: embedding “My Climate View” into agricultural advisory networks

IntroductionThis paper examines the role of agricultural advisors as key partners for scaling adoption of long-term climate information. Agri-food sectors across the world face significant challenges in responding to climate change, which intersect with broader pressures driving transitions to more climate resilient and sustainable agri-food systems. Making better climate information available to farmers is a key part of responding to these challenges, since relevant and usable climate information can help farmers to adapt to future climate conditions. The development of climate services, which seek to provide climate information to assist with decision making, has therefore increased significantly over the last decade. The Climate Services for Agriculture (CSA) program provides long-term climate projections to help the Australian agriculture sector prepare for and adapt to future climate conditions. ‘My Climate View’ is an online tool produced by CSA, which provides localised and contextualised, commodity-specific climate information, through historic weather data and multi-decadal projections of future climate, aimed at Australian famers and farm advisors. Agricultural advisors have a critical yet often underutilised role as climate information intermediaries, through assisting farmers translate climate information into action.MethodsThis paper uses CSA as a case study to examine farmer-advisor interactions as a key adoption pathway for My Climate View. We interviewed 52 farmers and 24 advisors across Australia to examine the role of advisors as key partners in helping farmers to understand climate information and explore on-farm climate adaptation options.Results and discussionInteractions between farmers and their trusted advisors are an essential part of the enabling environment required to ensure that this long-term climate information can be used at the farm scale to inform longer-term decisions about climate adaptation. We use the concept of an interaction space to investigate farmer-advisor interactions in the adoption and sustained use of My Climate View. We find that although My Climate View is not a transformational technology on its own, its ability to enable farmers and advisors to explore and discuss future climate conditions and consider climate adaptation options has the potential to support transformational changes on-farm that are needed to meet the sustainability transition pressures that climate change presents.

Ethical Considerations of Online Mystification and Fake News: Good Practices in the Context of the Bulgarian Political Adviser’s Role

The paper explores the functions and responsibilities of the political advisor in the context of the global problem of fake news and post-truth. Based on this exploration, certain conclusions are drawn about the critical specifics of the political advisor's role in transferring good practices within public administration. These practices involve creating mechanisms for detecting fake news and tools for their revelation. The main aim of the paper is to examine the political advisor's position as an institution that, on one hand, manages the flow of information and, on the other hand, facilitates the transfer of good practices in public administration.