Health Empowerment Research Articles

Edukasi, Pendampingan, dan Pemberdayaan Keluarga yang Menjalani Isolasi Mandiri COVID 19 dalam Upaya Peningkatan Status Kesehatan Keluarga

The beginning of 2020 was the beginning of the COVID-19 outbreak in the world; until 2021, more and more COVID-19 cases occurred in Indonesia, and more and more positive cases in the community resulted in hospitals not being able to accept patients for treatment in hospitals, so people who experienced moderate symptoms, mild and without symptoms can self-isolate in their respective homes. As of February 28, 2021, there were 2112 positive cases in Tegal City. During self-isolation, the patient needs family support; the family has a vital role in improving health status, so education, assistance, and empowerment are needed for families; education is provided through booklet media, as well as the provision of masks, hand sanitizers, hand soap, disinfectant spray and digital thermometer to families who are self-isolating. This activity aims to increase knowledge, attitudes, and behavior about COVID-19 to improve health status and prevent the spread of COVID-19 in the community, especially families.

Prioritization of maternal and newborn health policies and their implementation in the eastern conflict affected areas of the Democratic Republic of Congo: a political economy analysis.

Maternal and neonatal mortality remains a major concern in the Democratic Republic of Congo (DRC), and the country's protracted crisis context exacerbates the problem. This political economy analysis examines the maternal and newborn health (MNH) prioritization in the DRC, focussing specifically on the conflict-affected regions of North and South Kivu. The aim is to understand the factors that facilitate or hinder the prioritization of MNH policy development and implementation by the Congolese government and other key actors at national level and in the provinces of North and South Kivu. Using a health policy triangle framework, data collection consisted of in-depth interviews with key actors at different levels of the health system, combined with a desk review. Qualitative data were analysed using inductive and then deductive approaches, exploring the content, process, actor dynamics, contextual factors and gender-related factors influencing MNH policy development and implementation. The study highlighted the challenges of prioritizing policies in the face of competing health and security emergencies, limited resources and governance issues. The universal health coverage policy seems to offer hope for improving access to MNH services. Results also revealed the importance of international partnerships and global financial mechanisms in the development of MNH strategies. They reveal huge gender disparities in the MNH sector at all levels, and the need to consider cultural factors that can positively or negatively impact the success of MNH policies in crisis zones. MNH is a high priority in DRC, yet implementation faces hurdles due to financial constraints, political influences, conflicts and gender disparities. Addressing these challenges requires tailored community-based strategies, political engagement, support for health personnel and empowerment of women in crisis areas for better MNH outcomes.

The Use of Digital Technologies in the Promotion of Health Literacy and Empowerment of Informal Caregivers: Scoping Review.

Informal caregivers (IC) play an important role in the community as health care providers for people who are dependent on self-care. Health literacy contributes to empowerment, better care, and self-management of one's own health and can be developed using digital technologies. This study aims to map scientific evidence about the use of digital technologies to promote health literacy and the empowerment of ICs. We conducted a scoping review following the Joanna Briggs Institute methodology. The CINAHL, MEDLINE, Scopus, and PubMed databases were searched to find primary studies on the theme. Inclusion criteria were based on the Population, Concept, and Context logic. To be selected for analysis, studies must have involved informal or family caregivers aged ≥18 years who provide care to dependent persons and who have access to the internet and digital devices (computer, smartphone, and tablet). A total of 2 independent researchers (SS and LVH) performed the screening process. This study is part of a main project that was approved by the Ethics Committee for Health of the Regional Health Administration of Lisbon and Tagus Valley (reference 058/CES/INV/2022). A total of 9 studies were included in the review. The analysis of the studies showed that ICs use digital tools, such as computers and smartphones, with smartphones being the preferred tool. ICs use the internet to access information; manage home tasks; communicate with relatives, their peers, and health care professionals; and take part in forums. Due to difficulties in leaving their houses, forums are highly valued to preserve human connections. The use of digital technologies to convey clear, objective, reliable, and accessible information is a strategic action for promoting health literacy and for contemplating the variable care needs of ICs. By working with ICs in the development of new technologies, researchers are building a new tool that meets ICs' needs.

Multidimensional relative poverty alleviation of the targeted microcredit in rural China: a gendered perspective

PurposeThis study explores whether targeted microcredit can effectively alleviate households’ multidimensional relative poverty (MdRP) in rural China in the new era following the poverty elimination campaign and discusses it from a gendered perspective.Design/methodology/approachThis study applies a fixed-effects model, propensity score matching (PSM) and two-stage instrumental variable method to two-period panel data collected from 611 households in rural western China in 2018 and 2021 to explore the effects, mechanisms and heterogenous performance of targeted microcredit on households’ MdRP in the new era.Findings(i) Targeted microcredit can alleviate MdRP among rural households in the new era, mainly by reducing income and opportunity inequality. (ii) Targeted microcredit can promote women’s empowerment, mainly by enhancing their social participation, thereby helping alleviate households’ MdRP. The effect of the targeted microcredit on MdRP is more significant in medium-educated women households and non-left-behind women households. (iii) The MdRP alleviation effect is stronger in villages with a high degree of digitalization.Research limitations/implicationsLearn from the experience of targeted microcredit. Accurately identify poor groups and integrate loan design into financial health and women empowerment. Particularly, pay attention to less-educated and left-behind women households and strengthen coordination between targeted microcredit and digital village strategies.Originality/valueThis study clarifies the effect of targeted microcredit on women’s empowerment and households’ MdRP alleviation in the new era. It also explores its various effects on households with different female characteristics and regional digitalization levels, providing ideas for optimizing microcredit.

Evaluating the Digital Health Experience for Patients in Primary Care: Mixed Methods Study.

The digital health divide for socioeconomic disadvantage describes a pattern in which patients considered socioeconomically disadvantaged, who are already marginalized through reduced access to face-to-face health care, are additionally hindered through less access to patient-initiated digital health. A comprehensive understanding of how patients with socioeconomic disadvantage access and experience digital health is essential for improving the digital health divide. Primary care patients, especially those with chronic disease, have experience of the stages of initial help seeking and self-management of their health, which renders them a key demographic for research on patient-initiated digital health access. This study aims to provide comprehensive primary mixed methods data on the patient experience of barriers to digital health access, with a focus on the digital health divide. We applied an exploratory mixed methods design to ensure that our survey was primarily shaped by the experiences of our interviewees. First, we qualitatively explored the experience of digital health for 19 patients with socioeconomic disadvantage and chronic disease and second, we quantitatively measured some of these findings by designing and administering a survey to 487 Australian general practice patients from 24 general practices. In our qualitative first phase, the key barriers found to accessing digital health included (1) strong patient preference for human-based health services; (2) low trust in digital health services; (3) high financial costs of necessary tools, maintenance, and repairs; (4) poor publicly available internet access options; (5) reduced capacity to engage due to increased life pressures; and (6) low self-efficacy and confidence in using digital health. In our quantitative second phase, 31% (151/487) of the survey participants were found to have never used a form of digital health, while 10.7% (52/487) were low- to medium-frequency users and 48.5% (236/487) were high-frequency users. High-frequency users were more likely to be interested in digital health and had higher self-efficacy. Low-frequency users were more likely to report difficulty affording the financial costs needed for digital access. While general digital interest, financial cost, and digital health literacy and empowerment are clear factors in digital health access in a broad primary care population, the digital health divide is also facilitated in part by a stepped series of complex and cumulative barriers. Genuinely improving digital health access for 1 cohort or even 1 person requires a series of multiple different interventions tailored to specific sequential barriers. Within primary care, patient-centered care that continues to recognize the complex individual needs of, and barriers facing, each patient should be part of addressing the digital health divide.

Confirmatory Factor Analysis and Validation of the Sexual and Reproductive Empowerment Scale for Adolescents and Young Adults in Kenya.

Understanding the levels of power that adolescent girls and young women exercise in their sexual and reproductive lives is imperative to inform interventions to help them meet their goals. We implemented an adapted version of the Sexual and Reproductive Health Empowerment (SRE) Scale for Adolescents and Young Adults among 500 adolescent girls and young women aged 15-20 in Kisumu, Kenya. We used confirmatory factor analysis (CFA) to assess factor structure, and logistic regression to examine construct validity through the relationship between empowerment scores and ability to mitigate risk of undesired pregnancy through consistent contraceptive use. Participants had a mean age of 17.5, and most were students (61 percent), were currently partnered (94 percent), and reported having sex in the past 3 months (70 percent). The final, 26-item CFA model had acceptable fit. All subscales had Cronbach's alpha scores >0.7, and all items had rotated factor loadings >0.5, indicating good internal consistency and robust factor-variable associations. The total SRE-Kenya (SRE-K) score was associated with increased odds of the consistent method used in the past three months (adjusted odds ratio: 1.98, 95 percent CI: 1.29-3.10). The SRE-K scale is a newly adapted and valid measure of sexual and reproductive empowerment specific to adolescent girls and young women in an East African setting.

293 The MEND Initiative: Meaningfully Empowering the NeuroDiverse

OBJECTIVES/GOALS: This project’s objective is to empower verbally-communicating autistic adults to express their mental health needs to mental health professionals, regardless of their training or experience in autism. By enhancing empowerment in this area, we aim to enhance their self-awareness and confidence in navigating and accessing mental health support. METHODS/STUDY POPULATION: Following the Toronto Translational Framework (TTF), our approach involves co-designing and testing an intervention directly with the autistic population through three phases. Phase I will review published literature on autism, mental health, and patient empowerment, validate our identified need through informal meetings with stakeholders, and assemble an autistic advisory committee (AAC) of 5-8 members who are able to provide informed conset without assistant, are fluent in English, and 18 years of age or older. Phase II will involve participatory design sessions with our AAC to develop a low-fidelity prototype to address the identified need. Phase III will evaluate our prototype’s effectiveness through a separate series of focus groups, which will consist of members from our target population. RESULTS/ANTICIPATED RESULTS: We are anticipating that by the end of our research, we have successfully co-designed an intervention that effectievly empowers autistic adults in their mental health journey through increasing their self-awareness and confidence in navigating and receiving mental health support. At a larger scale, results may include the empowerment of autistic adults to seek and receive mental health care from mental health professionals, regardless of professionals’ prior autism expertise. DISCUSSION/SIGNIFICANCE: By enhancing self-awareness of their mental healthcare needs and boosting self-reported confidence in communicating with mental health professionals, we aim to take the first step in creating timely, patient-centered solutions, and bridging gaps in the evolving neuro-affirmative healthcare system.

The Peran Intervensi Gizi Sensitif (Program Kesehatan Lingkungan, Masalah Kemiskinan dan Pemberdayaan Perempuan) dalam Perbaikan Masalah Gizi Balita Stunting di Kelurahan Landasan Ulin Utara

Stunting is defined as a state of short or very short stature caused by linear growth that fails to reach its proper genetic potential. Stunting affects brain growth and development. Stunted children also have a higher risk of suffering from chronic diseases in their adult years. Stunting reduction requires integrated interventions, including specific nutrition interventions and sensitive nutrition interventions. This study aims to identify sensitive nutritional interventions (environmental health programs, poverty issues and women's empowerment) in overcoming the nutritional problem of stunting toddlers. This type of research is qualitative which is analyzed descriptively and in-depth interviews and observations with research samples are informants from the non-health sector, namely village heads, RW heads, RT heads, PKK. The sampling technique was carried out by purposive sampling technique. This research was conducted in the Village of Landasan Ulin Utara, Banjarbaru City. The results showed sensitive nutritional interventions for environmental health (clean Saturday or Sunday program, mutual cooperation, and eco engine training), poverty issues (keluarga harapan program, provision of BST, BLT BBM, KIS, BPJS, PNPM, and business equipment assistance), and women's empowerment (DASHAT program, MSME training, seed and livestock assistance). Sensitive nutritional interventions can be carried out on an ongoing basis and combined with specific nutritional interventions in handling stunting toddler nutritional problems.

Life skills and reproductive health empowerment intervention for newly married women and their families to reduce unintended pregnancy in India: protocol for the TARANG cluster randomised controlled trial

IntroductionIn South Asia, younger women have high rates of unmet need for family planning and low empowerment. Life skills interventions can equip young women with agency, but the effectiveness of...

Policy Modernization and Novel Economic Indicators Coxswaining Nation on Growth Path

India as a nation witnessing the continuous modernization of Monetary and Fiscal Policies. In the previous subsequent budgets, the allocation of funds on the national development which is gauged on the scales of infrastructure, production and manufacturing index, farming and allied farming index, supply chain and logistics, health, education, employment, rural and women empowerment and national governance has seen considerable progress. On looking at the larger picture, the total expenditure stated in the budget and its impact on the economic growth considering the factor Like GDP, GVA, NR, Per Capita Income, is evident. However, to create a profound understanding and awareness about the policy, changes and implementation of policy, and how its roads to the growth of the nation, we need to prove it with the less revealed, less used economic indicators like, to name a few, Government Debt to GDP, Government Revenue to Spending, Government spending to GDP, PMI to Private sector Credit, Youth Unemployment Rate to Jobless Claims, Labor Force Participation rate, NPA to Loans to Private Sector, Capital flow to Capacity utilization, Business Confidence index, Composite PMI to corporate profits, ZEW Economic Sentiment Index, etc. This research would provide all the hidden spots, blind spots to the leaders who can guide the nation to prosper.

Building a Foundation for Health: A Review of Healthy Lifestyle Knowledge Among Indonesian Cleaning Workers in the Malaysian Cleaning Services Industry

Introduction: The global economy is affected by Indonesian migrant workers' destinations in Malaysia, Taiwan, Hong Kong, and Singapore. Poor housing and cleanliness make it hard for Indonesian workers, especially cleaning service workers, to stay healthy. Employees in the cleaning service business may not understand how to manage their health or navigate the healthcare system due to health literacy issues. Indonesian workers in Malaysia are assessed for workplace health literacy and empowerment. Addressing these issues and improving health literacy can enhance public health, eliminate health inequities, and empower people to make health decisions. Methods: The cross-sectional accidental sampling study involves 23 Indonesian workers from a prominent Malaysian university. All Indonesian workers were given a full explanation of the 15-question healthy living questionnaire. Results: 47.9% of migrant workers had sufficient knowledge, 39.1% had poor knowledge, and 13% had good knowledge. Conclusion: Poor personal hygiene affects Indonesian workers in Malaysia, focusing on workplace health knowledge and empowerment. It stresses health literacy, especially for the poor. To improve public health, reduce health inequities, and empower people to make health decisions, these concerns and health literacy initiatives are crucial.

A secondary gendered analysis of interviews with Latina cisgender women indicated for HIV pre-exposure prophylaxis

ABSTRACT HIV infections disproportionately impact Latinx populations in the United States, yet oral pre-exposure prophylaxis (PrEP) uptake is low. This study was a secondary gendered analysis of interviews with Latina cisgender women (n = 20) recruited from an urban safety net hospital inNew York City between August 2019 and October 2022. All women were indicated for PrEP by the provider. In-depth interviews were conducted with participants in English and Spanish and asked about social determinants of health, sexual partnerships and behaviors, and PrEP-specific enablers and barriers. Secondary thematic content analysis was conducted to identify gender-related factors influencing PrEP uptake. The following themes emerged from the data:structural factors (e.g., employment), partner-related factors, low sexual health knowledge, and resilience and empowerment. Partner-related factors were the most salient; partner infidelity served as reasons for initiating PrEP. Despite being constrained by low power in relationships, women made empowered choices to initiate PrEP and protect themselves. Findings indicated that the impact of gender inequity was an important factor in Latina women’s PrEP decision making, pointing to a need to address partner-driven HIV risk, imbalance of power in relationships, and gender norms.

Effectiveness of a 5-year health empowerment programme on promoting cardiovascular health for adults from low-income families in Hong Kong

ObjectiveThis study aimed to evaluate the effectiveness of a health empowerment programme (HEP) to enhance cardiovascular health for adults from low-income families. MethodsA prospective cohort study (N = 219, Intervention group: n = 103, comparison group: n = 116) was conducted with participants recruited from January 2013 to November 2015 and followed up until January 2022. Throughout the study duration, intervention group were invited to participate in the HEP. The cardiovascular health status of both groups at baseline and follow-up were assessed using the adapted Ideal Cardiovascular Health Index (ICHI) defined by the American Heart Association. After inverse propensity score weighting, multiple linear regression and Poisson regression were employed to examine the effects of the HEP. ResultsThe HEP was associated with a greater increase in ICHI total score (B = 0.33, p < 0.001), and the increase of proportion of people achieving a normal blood pressure (Incidence rate ratio: 3.39, p < 0.05). ConclusionHEP can be an effective and sustainable strategy to reduce social disparities in cardiovascular health of adults from low-income families, as indicated by improvement in the ICHI total score and blood pressure status. Practical ImplicationsThe sustainable HEP in the community setting has potential for generalizability and scalability to other financially challenged families.

Pengaruh Kesehatan Reproduksi Wanita dan Pemberdayaan Wanita Terhadap Tingkat Partisipasi Angkatan Kerja Wanita di Indonesia

This study aims to find out and analyze how the influence of women's reproductive health and women's empowerment on the participation rate of the female workforce in Indonesia. This study used secondary data sourced from the Indonesian Central Bureau of Statistics with the research variables grouped into two parts, namely the bond variable which in this study was determined as the female labor force participation rate and the independent variables consisting of women's life expectancy, young women's marriage, female mother, female education level, female per capita income and female involvement in parliament. This study uses panel data regression analysis with the selected method, namely the Common Effect Model (CEM). The results showed that women's life expectancy, young women's marriage, women's fertility rates and women's involvement in parliament each had a negative and insignificant effect on women's labor force participation. Women's education level has a negative and significant effect on female labor force participation and women's per capita income has a positive and significant effect on female labor force participation.

Integrated oral health empowerment program for Imtaq Shighor Isy Karima Boarding School

Background: A significant public health challenge among children and adolescents is dental and oral health problems, which is around 60-90%. This dental and oral disease can have a negative impact on the quality of life, causing pain, limited oral function, and emotional stress, and can cause students' teaching and learning activities to decline. Purpose: improving the health of students through early detection and independent and integrated management of general and dental health at Imtaq Shighor Isy Karima Islamic Boarding School, Karanganyar Regency, Central Java Province. Method: Socialization activity on general health and dental management of students carried out in August 2023 at Imtaq Shighor Isy Karima Boarding School, Karanganyar Regency, Central Java Province. There were 30 cottage caregivers as participants. Evaluation is carried out by giving a pretest and post-test. Result: Based on the evaluation results, it was found that the average pre-test score was 68.18 while the post-test average was 81.36 so participants experienced an increase in knowledge of 13.18%. Conclusion: participants who took part in socialization activities on early detection and management of general and dental health of students experienced increased knowledge and were active in discussions, based on the participants' pre-test and post-test completion.

Impact of telenurse-led intervention in clinical trials on health literacy, empowerment, and health outcomes in patients with solid tumours: a pilot quasi-experimental study

BackgroundDuring the COVID-19 pandemic, decentralised clinical trials incorporated self-monitoring, self-reporting, and telenursing tools to address health literacy and health empowerment of patients enrolled in clinical trials. We aimed to determine the impact of an educational intervention using telenursing consultations on health literacy, health empowerment, and health-related quality of life in cancer patients enrolled in clinical trials by measuring the level of satisfaction with the care received and assessing the views of healthcare professionals concerning the advanced practice nurse (APN) role in oncology clinical trials.MethodsIn this pilot analytical, descriptive, longitudinal, quasi-experimental, and pre-post test study, an educational intervention was conducted by 5 visits with an APN using synchronous teleconsultation in patients starting cancer treatment for the first time in a clinical trial (n = 60), and health professionals working with the APN (n = 31). A descriptive analysis of the samples and questionnaires were utilised along with statistical comparisons.ResultsAfter the intervention, patients' health literacy (31.7%), health empowerment (18.3%), and health-related quality of life (33.3%) increased (p < 0.05), with a decrease and trend towards resolution of care needs (p < 0.05). Satisfaction with the quality and care received in terms of perceived convenience, transition, and continuity of care showed positive results in 64.9 ± 20.7, 77.6 ± 19.5, and 72.1 ± 20.4 of respondents, respectively. On the overall assessment of the APN role, healthcare professionals expressed a high level of agreement with the statements related to their work performance.ConclusionsThe data indicates that a clinical trial APN-led telenursing educational intervention results in an overall increase in health literacy, an improvement in health empowerment and health-related quality of life, and a decrease in care needs of oncology clinical trials patients. Patients stated that they received a high quality of care and health professionals indicated high levels of acceptance with APNs. Based on these results, we suggest that the APN role should gain more recognition in the Spanish healthcare system and their professional competencies should be aligned with those of other countries.

Empower HER Health: A Comparative Study on Women's Empowerment and Gender-Based Violence in Karnataka and India Using NFHS 4 And 5

Introduction: Women's empowerment is crucial for gender equality. This study, utilizing NFHS 4 and 5 data, assesses GBV and women's empowerment, including health indicators in Karnataka and India, aiming to evaluate achievements and challenges impacting women's lives for gender equality. Materials and Methods: This study retrospectively analyzed NFHS 4 (2015–16) and NFHS 5 (2019–21) data for India and Karnataka, covering health, Gender-based Violence, education, economic and social-political empowerment. Data analysis used MS Excel 365 and Datawrapper tools. Results: Karnataka's female population increased by 7% (NFHS4 to NFHS5), surpassing India's 1%. Health indicators improved, including menstrual hygiene, family planning, prenatal and postnatal care, and reduced early marriages. Educational attainment, economic involvement, mobile phone ownership, and women's participation in household decisions increased. However, Karnataka saw a notable rise in GBV cases among young women, with spousal violence at 44.4% and sexual violence at 11% (NFHS5). Conclusion: This study depicts the evolution of women's empowerment and gender-based violence in Karnataka, India. Results show improvements in health, education, economic involvement, and specific empowerment indicators. However, the documented rise in GBV cases in Karnataka highlights the need for targeted interventions. Karnataka's experience can be a blueprint for achieving gender equality and women's empowerment in India.

MANifest Health Theory: A Holistic Approach to Cis-Gender Men's Health.

Men's health has often been overlooked in health care, with traditional gender norms and societal expectations significantly shaping men's health behaviors and attitudes. The MANifest Health Theory (MHT) offers a comprehensive framework to address cis-gender men's unique health needs by considering the complex interplay of biological, psychological, and social factors. Rooted in four interconnected core concepts-Biopsychosocial Model, Health Optimization, Health Synchronicity, and Ethnocultural Expression-MHT provides a holistic understanding of men's health. This article explores how MHT integrates inductive and deductive reasoning, describing, explaining, predicting, and controlling aspects of men's health. Key components such as Gender-Sensitive Care, Health Empowerment, Supportive Environments, and Interdisciplinary Collaboration are discussed in relation to practical strategies for health care delivery. The limitations of MHT, including its developmental status, cultural applicability, and inclusivity of diverse gender identities, are acknowledged. Future steps for validating and refining the theory through empirical research, cultural adaptation, and inclusion of diverse gender experiences are outlined. By applying MHT, health care professionals can deliver more holistic and culturally competent care, promoting healthier lifestyles and reducing health care disparities among men.

111. Effectiveness of a Shelter-Based Health Empowerment Program for Pregnant And Parenting Youth Experiencing Homelessness: A Mixed-Methods Community-Based Participatory Research Study

111. Effectiveness of a Shelter-Based Health Empowerment Program for Pregnant And Parenting Youth Experiencing Homelessness: A Mixed-Methods Community-Based Participatory Research Study

2075 Systematic review of ‘Ageing well’ interventions to improve and maintain independent living for community housebound populations

Abstract Introduction The housebound population are growing in number, with a large proportion living rurally or in coastal areas, which increases the risks of isolation and health inequalities. This population are an under researched and underserved group (Public Health England, 2019). Being unable to leave the home is a factor for living in the poorest of health, which contributes to advancing levels of frailty, Curtis et al (2018). Considering the current focus of empowerment to ‘age well’ (NHS England Long Term Plan, 2019), a granular understanding of community focused ageing well interventions is the focus of this systematic review to empower clinicians to ‘make every contact count’ (NHS England 2020). Method A narrative evidence review of findings has been completed entitled ‘ageing well interventions to improve and maintain independent living for community housebound populations.’ The review was registered with PROSPERO international prospective register of systematic reviews (CRD 42022371047) and reported according to the Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA). Data screening was undertaken by two reviewers at each stage to ensure accuracy, quality, and reliability. Results The results have identified key health interventions designed and delivered by community clinicians, including benefits of exercise, medication review, oral health, and health empowerment to improve outcomes for the housebound population. The results have outlined a total of twenty-nine outcome measures, which have been examined intrinsically and extrinsically to explore greatest impact for housebound health. Conclusion At the time of the Autumn conference, the research study will have completed the systematic review and be able to present findings to illustrate areas of intervention synthesized for the target population. Key to this will be understanding application, effectiveness, and generalizability for community delivery. The poster presentation will share progress of the wider study with opportunities to take part in the next Delphi panel stage.