Engagement Approach Research Articles

Tweeting on thin ice: Scientists in dialogic climate change communication with the public

This study examines the dynamics of interactions between climate scientists and the public on Twitter, utilizing a combination of quantitative and qualitative methods. It explores scientists' tweets, public responses, and the factors influencing the "two-way" interactions and engagement with climate change issues. The findings indicate that scientists' personal disclosures and discussions of their professional lives significantly influence public engagement, particularly resonating with fellow scientists. Conversely, professional accomplishments often elicit more skeptical or critical responses from the public, highlighting the need for contextually relevant communication for lay audiences. Additionally, the study emphasizes the role of visual content, such as images and videos, in enhancing the accessibility and appeal of scientific information on social media. Furthermore, the current study uncovers a spectrum of public attitudes towards climate change, ranging from support to skepticism. It underscores the importance of acknowledging these diverse perspectives in climate communication. The use of humor and references to popular culture in public responses suggests an engaging and relatable approach to the topic. Ultimately, the study concludes that effective science communication on social media necessitates a nuanced understanding of audience perceptions, strategic utilization of visual elements, and a focus on fostering dialogic and participatory conversations, as argued by the public engagement with science (PES) model. This approach not only enhances public engagement with scientific content but also promotes broader civic awareness and participation in scientific dialogues about climate change, especially on social media platforms like Twitter.

Socioeconomic Implications of Livestock Intensification in Emerging Economies

Purpose: The general objective of the study was to examine the socioeconomic implications of livestock intensification in emerging economies. 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. Findings: The findings reveal that there exists a contextual and methodological gap relating to socioeconomic implications of livestock intensification in emerging economies. Preliminary empirical review revealed that while intensification held promise for increasing productivity and improving livelihoods, it also posed risks such as environmental degradation, social inequalities, and animal welfare concerns. Despite these challenges, the research highlighted the importance of supportive policies and institutional frameworks in promoting inclusive and sustainable development. Governments played a crucial role in providing enabling environments for responsible intensification practices, while stakeholder engagement and participatory approaches ensured that the benefits reached all segments of society. Overall, the study emphasized the need for a holistic approach that balanced economic growth with environmental and social considerations to achieve sustainable livestock intensification in emerging economies. Unique Contribution to Theory, Practice and Policy: The Dependency Theory, Modernization Theory and Political Economy Theory may be used to anchor future studies on socioeconomic implications of livestock intensification in emerging economies. The study provided recommendations aimed at advancing theory, practice, and policy. The research emphasized the need for interdisciplinary approaches to understand the complex dynamics of intensification processes. Practically, it suggested promoting inclusive and sustainable intensification practices tailored to local contexts and involving stakeholders in decision-making. From a policy perspective, enabling environments supporting responsible intensification, including regulatory frameworks and rural infrastructure investments, were recommended. Additionally, integrated approaches to livestock intensification were advocated, recognizing the interconnectedness of social, economic, and environmental dimensions. Overall, implementing these recommendations required collaborative efforts from governments, civil society, the private sector, and researchers to address the challenges associated with livestock intensification in emerging economies. Keywords: Livestock Intensification, Environmental Stewardship, Smallholder Farmers, Rural Infrastructure, Integrated Approaches, Inclusive Growth

Descriptive and content analysis of breast cancer vlogs on YouTube.

e21016 Background: Vlogs, or “video blogs,” are personally-created experiential videos based on wide-ranging topics, usually posted to YouTube. Many women with breast cancer (BC) document their cancer experiences in YouTube vlogs. These may have the potential to serve as peer-to-peer support and provide community. This study provides a descriptive and content analysis of vlogs by women with BC. Methods: YouTube was searched in incognito mode in 11/2023 using the search terms “breast cancer vlog.” A maximum of 10 videos/creator were included based on viewership and date created. Video characteristics collected included: title, length, number of views, likes, comments, and playlist inclusion. Videos were assessed for sponsorship, presence of explanation and discussion on BC, type of content, and themes. Creator characteristics included age, location, and engagement approaches. Descriptive and content analysis were performed to assess and analyze video content and potential areas where peer-to-peer support may be provided. Results: 90 vlogs by 13 creators were included, all originating from personal accounts. Mean video length, number of views, and number of comments were 21.4 minutes (SD 9.1), 266,780 (SD 534,465), and 1485 (SD 3422), respectively. 38.9% included hashtags. 12.2% included paid sponsorships. Most common filming location was at home (96.7%), followed by the hospital (31.1%), or in the car (21.1%). Home vlogs were most often set in the living room (44.3%), bedroom (33.0%), or kitchen (20.6%). 56.7% included visuals of treatment as well as physical findings. Creators addressed motivation for vlogging in 48.9%; the two most common reasons were wanting to build a community and helping others in a similar situation. In 46.7%, creators explicitly expressed emotion. Most common themes were treatment (85.6%), mental health (81.1%), side effects (72.2%), appearance (63.3%), and family relationships (36.7%). Subthemes included young age, finances, and the importance of online community support. Patient-directed advice was offered in 60.0%, mostly on treatment-related issues. In 56.7%, creators provided explicit treatment definitions. Chemotherapy was discussed in 70.0%; surgery in 57.8%, primarily mastectomy; radiation in 30.0%; general side effects in 71.1%. 24.4% were about a new diagnosis. When mentioned (44.4%), most common creator location was the USA. When mentioned (30.0%), most common age demographic was 20-29 years old. Conclusions: Vlogs by women with BC receive significant levels of engagement. The dedication to building community demonstrated by vlog creators, and the personal nature of their storytelling, advice, and suggestions, may make these vlogs a potential resource for peer-to-peer support.

Patient-Informed Value Elements in Cost-Effectiveness Analyses of Major Depressive Disorder Treatment: A Literature Review and Synthesis

ObjectivesPrior work identified 6 key value elements (attributes of treatment and desired outcomes) for individuals living with major depressive disorder (MDD) in managing their condition: mode of treatment, time to treatment helpfulness, MDD relief, quality of work, interaction with others, and affordability. The objective of our study was to identify whether previous cost-effectiveness analyses (CEAs) for MDD treatment addressed any of these value elements. A secondary objective was to identify whether any study engaged patients, family members, and caregivers in the model development process. MethodsWe conducted a systematic literature review to identify published model-based CEAs. We compared the elements of the published studies with the MDD patient value elements elicited in prior work to identify gaps and areas for future research. ResultsOf 86 published CEAs, we found that 7 included patient out-of-pocket costs, and 32 included measures of productivity, which were both priorities for individuals with MDD. We found that only 2 studies elicited measures from patients for their model, and 2 studies engaged patients in the modeling process. ConclusionsPublished CEA models for MDD treatment do not regularly include value elements that are a priority for this patient population nor do they include patients in their modeling process. Flexible models that can accommodate elements consistent with patient experience are needed, and a multistakeholder engagement approach would help accomplish this.

The impact of virtual reality simulation on dental education: A systematic review of learning outcomes and student engagement.

Virtual reality (VR) simulations have been increasingly employed to train dental students prior to clinical practice. According to the literature, blended learning designs in the form of VR simulations can be utilized by both dental students and instructors to provide quality education. They can also save time and improve motor skills before students enter clinical stages. Therefore, this study was designed to review the importance of available VR simulators and their impact on student learning and outcomes. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed to review the literature systematically, and different databases such as PubMed, ScienceDirect, Cochrane Library, Scopus, and Google Scholar were searched (up to December 2023) for relevant articles using keywords: "virtual reality," "virtual reality simulators," "virtual reality simulation," and "dental education." The Mixed Methods Appraisal Tool was used to assess the study quality. After a comprehensive literature search, 1477 research articles were identified, of which 16 were included in the present study. In terms of students' learning outcomes, engagement, and optimal approach, a significant improvement was observed compared to conventional training methods, specifically in their knowledge, performance, confidence, and psychomotor skills. The findings suggest that VR simulators enhance the overall learning abilities of dental students and should be regarded as an integral component of the current curriculum. However, it is important to recognize that VR simulators cannot fully substitute traditional training methods; rather, they can effectively complement them.

‘The Sanctuary’ – developing a human-animal model to promote health in a supported residential aged care setting

Abstract Human-animal relationships are vital for many older persons. Finding ways to include animals in aged care settings can be part of reorienting aged care settings from a solely humancentric focus to a human-animal inclusive one for the 21st century. This case study project report describes the development of an animal inclusive model of care for a Residential Aged Care Facility (RACF) in a regional town in Australia. The model’s primary objective was to facilitate residents’ empowerment through safe engagements with animals as a source of health and wellbeing while incorporating best practise animal-care and husbandry. Exemplars used to inform the model included The Eden AlternativeTM and Care Farms. The Sanctuary model sought to cover several gaps identified in these approaches. These included clear policies and protocols regarding animal welfare, infrastructure needs (animal housing and designated human-animal interaction areas), staffing models, stakeholder engagement approaches (both within the RACF and the local community) and developing sustainable resourcing and financial frameworks. A vision to establish a refuge for both humans and animals was inherent in the design of the Sanctuary model, and to operationalize this vision, policies, resourcing plans and practical processes were formulated informed by multi-species ethical understandings. Regrettably, it was not possible to fully implement the model. However, this case study is presented with the aim of seeking to redress the noted 85% wastage of global health research; a wastage that includes human-animal research knowledge. Insights into opportunities and barriers and experiential knowledge are shared with the aim of facilitating future endeavours to implement parallel visions that embed human and animal inclusive models in residential aged care in the future.

Suicide Prevention by Peers Offering Recovery Tactics (SUPPORT) for US Veterans With Serious Mental Illness: Community Engagement Approach.

Peer specialists are hired, trained, and accredited to share their lived experience of psychiatric illness to support other similar individuals through the recovery process. There are limited data on the role of peer specialists in suicide prevention, including their role in intervention development. To better understand peer specialists within the Veterans Health Administration (VHA), we followed partnership community engagement and a formative research approach to intervention development to (1) identify barriers, facilitators, and perceptions of VHA peer specialists delivering a suicide prevention service and (2) develop and refine an intervention curriculum based on an evidence-informed preliminary intervention framework for veterans with serious mental illness (SMI). Following the community engagement approach, VHA local and national peer support and mental health leaders, veterans with SMI, and veteran peer specialists met to develop a preliminary intervention framework. Next, VHA peer specialist advisors (n=5) and scientific advisors (n=6) participated in respective advisory boards and met every 2-4 months for more than 18 months via videoconferencing to address study objectives. The process used was a reflexive thematic analysis after each advisory board meeting. The themes discussed included (1) the desire for suicide prevention training for peer specialists, (2) determining the role of VHA peer specialists in suicide prevention, (3) integration of recovery themes in suicide prevention, and (4) difficulties using safety plans during a crisis. There were no discrepancies in thematic content between advisory boards. Advisor input led to the development of Suicide Prevention by Peers Offering Recovery Tactics (SUPPORT). SUPPORT includes training in general suicide prevention and a peer specialist-delivered intervention for veterans with SMI at an increased suicide risk. This training aims to increase the competence and confidence of peer specialists in suicide prevention and the intervention supports veterans with SMI at an increased suicide risk through their recovery process. This paper intends to document the procedures taken in suicide prevention intervention development, specifically those led by peer specialists, and to be a source for future research developing and evaluating similar interventions. ClinicalTrials.gov NCT05537376; https://classic.clinicaltrials.gov/ct2/show/NCT05537376.

Examining Elementary Preservice Teachers’ Beliefs About Literacy Instruction

ABSTRACT This study used semi-structured focus group interviews to examine specific literacy beliefs of 21 elementary pre-service teachers (PSTs) from five teacher education programs across the eastern, southern, and central parts of the USA. The interviews were transcribed and analyzed for statements about literacy beliefs. Each belief statement was also tagged as being positive (+), negative (-), or equal (=) to further identify the nuanced ways in which PSTs expressed each belief. Compared to findings in the field, this study (1) provides clearer explanations and categories of PSTs’ literacy beliefs, (2) captures nuanced understanding of PSTs’ literacy beliefs by examining their affective connotations, and (3) provides an emic perspective from PSTs across contexts. In doing so, the results expand on previous frameworks of literacy beliefs. Further, beliefs related to Teacher Strategy, Engagement, and Literacy Approach were discussed the most by PSTs. Literacy beliefs shared less frequently included beliefs about Culturally Responsive Teaching, and some Literacy Components (LC), such as, LC-Spelling, LC-Emergent Literacy, and LC-Fluency. Of the top three literacy beliefs shared by PSTs, references about Engagement were the most positive. The study suggests implications for literacy teacher educators.

Value in care: The contribution of supportive care to value-based lung cancer services-A qualitative semistructured interview study.

Despite significant advances in the management of lung cancer, patients continue to experience a high burden of unmet need impacting quality of life and outcomes of care. Achieving value-based health care, where investment is targeted to services that deliver optimal experience and outcomes of care relative to the cost of delivering that care, requires attention to what people value most in meeting their needs. To date there has been little attention to what matters most to patients with lung cancer (i.e., what they value) as a component of achieving value-based cancer care. This qualitative study was undertaken to investigate components of care valued by people with lung cancer in Australia. This qualitative study used semistructured interviews with 23 people with lung cancer. Participants were recruited using a purposive sampling strategy from two metropolitan tertiary public health services. Data collected included demographic characteristics and patient perspectives regarding their priority concerns and components of care identified as most valuable in meeting their needs. Demographic characteristics of participants were analysed descriptively, and qualitative data were analysed thematically using Interpretive Description. Data analysis generated three key themes: valued components of care; benefits of receiving valued care componentsand consequences of missed opportunities for care. The components of care valued by patients reflect the core dimensions of cancer supportive care, with particular emphasis on ongoing opportunities for consultation (screening for unmet needs) and provision of person-centred information. The facilitation of trust between patients and their treating team, as a consequence of having these valued components evident in their care, was identified as a key characteristic of value-based care. This study has identified valued components of care described by people with lung cancer. Importantly, the care components identified have been proven to improve access to and coordination of care, and demonstrate the importance of integrating supportive care into care provision to achieve value-based cancer care. This study was informed by perspectives of lung cancer patients who participated in semistructured interviews. We acknowledge that this contribution does not meet the criteria for patient and public involvement in research as defined by Health Expectations, but this study forms part of a larger program of cancer supportive care work being undertaken by this team, where comprehensive consumer engagement and co-design approaches are embedded in our work.

Tag! You’re Home! Reunification of Pet Cats with their Owners Using a Community Engagement Approach

Reunification of lost pets with their owners is a key function of municipal animal shelters but reported Return to Owner (RTO) rates are as low as 3% for cats. In contrast, the percentage of recovered pet cats found within their own neighborhoods has been reported as high as 66-75%. The purpose of this study was to measure the impact of an innovative program designed to reunite cats with their owners by returning them to their neighborhoods without intake to the shelter. Loudoun County Animal Services, a municipal open-admission animal shelter with an annual intake of 2,300 animals (46% cats), created the Tag!You’re Home! Program (TYHP) on the assumption of positive intent by finders of free-roaming cats. The TYHP engages finders to return un-microchipped healthy social adult cats to their neighborhood after being furnished with a tag and collar with the shelter's contact information. Finders are advised to place the cat back where it was found and not provide food. If the cat is still present after 5 days (mandated stray period) and an owner has not called the shelter, the finder can bring the cat back for intake. Between 7/1/2022 and 12/31/2023, 499 stray cats were admitted to the shelter, 273 of which were adults, and 32 cats were enrolled in the TYHP as an alternative to intake. Of these 32 cats, 10 (31%) were confirmed RTO via owner contact, 10 (31%) did not require additional services (not brought back by finder), 6 (19%) were brought back by the finder after 5 days for intake, 4 (13%) were kept by the finder, and 2 (6%) were rehomed by the finder. Of the 6 cats brought back to the shelter, 1 had an outcome of RTO through the shelter, and 5 had an outcome of adoption. Of the 493 stray cats (267 adults) admitted to the shelter that were not first enrolled in the TYHP, 79 (74 adults) had an outcome of RTO, resulting in a 16% overall RTO rate and 28% adult RTO rate. The most common outcome subtypes for cats RTOed through the shelter were owner called (20%) and microchip (48%). Cats RTOed through the shelter were found a median of 0.4 km (IQR 0.1-1.7), or approximately 4 city blocks, from home. Over 80% of cats enrolled in the TYHP did not require intake to the shelter, and over 30% had a confirmed RTO outcome through the TYHP. While this was very similar to the 28% adult RTO rate reported during the same period for adult cats with intake to the shelter, the TYHP provided a valuable tool to RTO cats without microchips and reduced shelter intake of adult stray cats by 10%.

Exploring existing malaria services and the feasibility of implementing community engagement approaches amongst conflict-affected communities in Cameroon: a qualitative study

BackgroundCameroon is one of the countries with the highest burden of malaria. Since 2018, there has been an ongoing conflict in the country, which has reduced access to healthcare for populations in affected regions, and little is known about the impact on access to malaria services. The objective of this study was to understand the current situation regarding access to malaria services in Cameroon to inform the design of interventions to remove barriers and encourage the use of available services.MethodsA qualitative research study was carried out to understand the barriers preventing communities accessing care, the uptake of community health worker (CHW) services, and to gather perceptions on community engagement approaches, to assess whether these could be an appropriate mechanism to encourage uptake of community health worker (CHW) services. Twenty-nine focus group discussions and 11 in-depth interviews were carried out between May and July 2021 in two regions of Cameroon, Southwest and Littoral. Focus group discussions were held with CHWs and community members and semi-structured, in-depth interviews were conducted with key stakeholders including regional government staff, council staff, community leaders and community-based organisations. The data were analysed thematically; open, descriptive coding was combined with exploration of pre-determined investigative areas.ResultsThe study confirmed that access to healthcare has become increasingly challenging in conflict-affected areas. Although the Ministry of Health are providing CHWs to improve access, several barriers remain that limit uptake of these services including awareness, availability, cost, trust in competency, and supply of testing and treatment. This study found that communities were supportive of community engagement approaches, particularly the community dialogue approach.ConclusionCommunities in conflict-affected regions of Cameroon continue to have limited access to healthcare services, in part due to poor use of CHW services provided. Community engagement approaches can be an effective way to improve the awareness and use of CHWs. However, these approaches alone will not be sufficient to resolve all the challenges faced by conflict-affected communities when accessing health and malaria services. Additional interventions are needed to increase the availability of CHWs, improve the supply of diagnostic tests and treatments and to reduce the cost of treatment for all.

Community Sustainability Through Sustainable Community-Based Tourism

Objective: The objective of this study is to investigate how rural communities facing the problems of ageing population and lack of economic opportunities can be revived by adopting the approach of sustainable community-based tourism. Theoretical Framework: The study was guided by theories related to community development, placemaking, and community-based tourism. Method: The research used the case analysis method to analyze a community revitalization project in rural Taipei, Taiwan. Data were collected through field observation and interviews. The researcher was invited to participate in the related meetings and observe the practices of the community revitalization project. The researcher also interviewed the leader and volunteers of the community development project. Results and Discussion: It is found that a placemaking process mixed with top-down (facilitated) and bottom-up engagement approaches can effectively generate a sense of place among various groups of constituents. The research also found that it is critical to identify and leverage the cultural and ecological assets of the community in an innovative and integrated way so as to effectively connect the community and the society. To revive a community, volunteers played a mediating role in fulfilling the needs of the community and connecting the community with the society. Research Implications: The findings of the research can be applied to rural communities with similar problems and ecological/cultural assets. For policy makers, the study suggests that community revitalization requires an engagement process balanced with top-down (facilitated) and bottom-up approaches. Originality/Value: This study contributes to the micro-view of sustainability literature by analyzing sustainability at a community level through the aspects of community placemaking and sustainable community-based tourism.

Faculty-student rapport, student engagement, and approaches to collegiate learning: exploring a mediational model

Students value a close, supportive relationship with their professors, which has been shown to enhance their learning in higher education. However, more needs to be known about how quality faculty-student relationships shape students’ engagement and approaches to learning in higher education. In a diverse sample of 966 undergraduates from two different institutions of higher education, the current study explored the relationship between faculty-student rapport, student engagement, and deep and surface approaches to learning. Faculty-student rapport was positively correlated with student engagement (r = .50) and deep learning (r = .30), and negatively correlated with surface learning (r = -.21). Student engagement was positively correlated with deep learning (r = .70) and negatively with surface learning (r = -.32). Using multilevel modelling with students nested within classrooms, engagement was shown to mediate the effects of rapport on greater levels of deep learning (β = .31) and lower levels of surface learning (β = -.12). Although results held up across a range of demographic characteristics, some differences were noted for rapport-building among Asian American students and engagement across men versus women. These results have important implications for how faculty can engage students in the learning process by developing close, supportive relationships with their students and by extending their relationship with their students outside the classroom.

Tracking the Development of Community Engagement Over Time: Realist Qualitative Study.

A growing interest in engaging communities in the development of health care services and communities has not automatically led to progress or consensus as to how to engage communities successfully, despite the evidence base showing how to leverage enablers and alleviate barriers. To bridge the gap between the evidence base and which community engagement (CE) approaches have actually been applied in practice over time, this study aims to investigate how CE approaches have changed over the past 4 years in 6 different regions in the Netherlands and citizens' and professionals' experiences underlying these changes. For the last stage of a multiple case study following the development of CE approaches in 6 different regions in the Netherlands, a realist qualitative case study was conducted. To investigate how CE approaches had changed over the past 4 years, data from the entire 4 years of the study were used, including documents, interview transcripts, and observations. To examine citizens' and professionals' experiences underlying these changes, new interviews were conducted. The latest interview results were discussed with a panel to ensure the results had face validity. The regions had implemented different types of CE approaches over the past 4 years and were adapting these approaches over time. Many of the (remaining) approaches may be operating on a smaller scale. The study identified the following overarching themes along which CE had been adapted: fewer region-wide approaches and more community-focused approaches, more focus on building relationships with (already engaged) citizens and community-led initiatives, and more focus on practical and tangible health promotion and social cohesion activities and less focus on complex "abstract" programs. The study identified a further 4 overarching themes highlighting citizens' and professionals' experiences underlying these changes in the CE approaches: a lack of engagement environment, need for facilitative leadership from organizations, need for a clear and shared vision underscoring the importance of CE, and misalignment between citizens' and professionals' perspectives and motivations for CE. All participants had experienced the engagement environment as insufficient. To support CE, professionals experienced the need to develop and receive more facilitative leadership and to develop approaches better equipped to involve citizens in the decision-making process. Citizens experienced the need to better align citizens' and professionals' motivations and aims for CE approaches and to receive longer-term financial support for their community-led initiatives. This study suggests that CE has not yet been embedded within organizational cultures. This has arguably meant that the (remaining) CE approaches are operating on a smaller scale. To enable the further development of CE approaches, an investment in the engagement environment and a shared vision is required. Only then could CE within the regions move beyond the more seemingly smaller-scale CE approaches.

Recruitment of a Diverse Community-based Older Adult Cohort for a Longitudinal Aging Study: The 15104 Seniors Project.

Enrolling individuals from underrepresented ethnoracial groups in aging research is often a challenge. We sought a diverse sample of older adults from a small-town area for a longitudinal aging study. We employed an intensive community engagement approach encompassing a range of recruitment strategies. Over 4 years a steady trickle of individuals, 66% self-identifying as Black, signed up for study information; the proportion of those who eventually enroll in the study has been rising each year, from 68% to 94%. Community events, word-of-mouth referrals, and mailed postcards brought in the most contacts. The highest percentage of contacts who ultimately enrolled were from postcards, flyers, and word-of-mouth. Significantly more word-of-mouth referrals were endorsed by Black individuals than White and by Black men than other race/sex groups. We have had some success in building relationships and trust with the local community, enrolling Black study participants in a proportion equal to their representation in the target community using a variety of recruitment methods. Patience, immersion in the community, and partnerships with key community members alongside traditional advertisements, and the utilization of study participants as recruiters are critical to designing optimal, targeted, recruitment strategies.

Enhancing vaccination uptake through community engagement: evidence from China

With growing recognition of the importance of community engagement in addressing public health challenges, its role in promoting healthy behaviors and preventing infectious diseases has gained attention. However, vaccination coverage remains a significant concern in many developing countries. While previous studies have linked community engagement to positive health outcomes, there is a gap in understanding its influence on individual vaccination choices, particularly in the context of developing countries. Utilizing data from the 2021 Chinese General Social Survey (CGSS), this study examines the impact of community engagement on COVID-19 and flu vaccination uptake among 7281 individuals. Community engagement, measured by community vaccination notifications, serves as the key independent variable. The study employs Ordinary Least Squares (OLS) regression and Propensity Score Matching (PSM) methods to analyze the relationship between community engagement and vaccination behavior. The analysis reveals a positive association between community engagement and vaccination rates. Specifically, individuals receiving notifications were more likely to get the COVID-19 vaccine compared to non-recipients (vaccination rates: 100% vs. 53.3%), and flu vaccination rates were also significantly higher among those notified (2.7% vs. 1.9%). Mechanism analysis suggests that individuals receiving community notifications are more aware of the benefits of vaccination, leading to higher vaccination rates among this group. This study underscores the effectiveness of community engagement strategies in promoting positive vaccination behavior among individuals in China. By enhancing awareness and trust in immunization, community engagement initiatives play a crucial role in shaping health behaviors and improving vaccination uptake. These findings emphasize the importance of integrating community engagement approaches into public health interventions to address vaccination challenges.

Participatory Arts-based Game Design: Mela, a Serious Game to Address SGBV in Ethiopia

<p>The emerging body of work on participatory game design (PGD) highlights the significance of working with end-users’ voices as the starting point. This is particularly critical in serious games that seek to impact social change in areas such as sexual and gender-based violence (SGBV). This article, which is based on fieldwork with 16 college instructors in four agricultural colleges in rural Ethiopia, draws together concepts of participatory visual methods (particularly cellphilming), PGD and a game universe perspective to offer an engaging and interactive approach to the design of serious games. We refer to this as ‘Participatory Arts-based Game Design’ (PAGD), an approach that was used to create Mela, a serious game to address SGBV in Ethiopian agriculture colleges. Exploring Mela game’s participatory and engaging design process, this article offers a framework for serious game development to address critical social change issues that go beyond the game itself. It has the potential to not only place the end-users at the centre but to recognize the critical role of engagement and immersivity in a field oriented towards impact and sustainability.</p>

The Psychological Effects of Environmental Degradation on Human Well-Being

Purpose: This study sought to investigate the psychological effects of environmental degradation on human well- being. 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. Findings: The findings reveal that there exists a contextual and methodological gap relating to the psychological effects of environmental degradation on human well- being. Through a comprehensive review of empirical studies, it revealed the pervasive nature of environmental degradation's impact on human mental health, consistently finding associations between exposure to various environmental stressors and adverse psychological outcomes. The study emphasized the interconnectedness between environmental health and human well-being, highlighting the need for holistic approaches to sustainability that integrate mental health considerations. It underscored the importance of community engagement and participatory approaches in addressing the psychological effects of environmental degradation, advocating for community-based interventions to promote resilience and sustainable development. Unique Contribution to Theory, Practice and Policy: The Ecopsychology theory, Conservation Psychology theory and Stress and Coping theory may be used to anchor future studies on the psychological effects of environmental degradation on human well- being. The study offered valuable recommendations that contributed to theory, practice, and policy. It emphasized the need for an integrated theoretical framework that accounted for the multidimensional nature of environmental degradation and its psychological impacts. The recommendations highlighted the importance of integrating mental health considerations into environmental conservation efforts, promoting nature-based interventions, and prioritizing evidence-based policy reforms. Community engagement, interdisciplinary collaboration, and longitudinal research were identified as key strategies for addressing the psychological effects of environmental degradation and fostering resilience. Overall, the study provided a comprehensive roadmap for advancing understanding and addressing the complex interplay between environmental change and mental health outcomes.

Global movements for accelerating climate change action: the case of Farmer-Managed Natural Regeneration

ABSTRACT Much can be learned from burgeoning climate action movements in thousands of majority world rural communities. Land degradation has increased the vulnerability of over three billion people to famine, food insecurity, water shortages, and increasingly severe weather events, trapping climate-vulnerable communities in vicious cycles of impoverishment. Yet, many communities are learning through local climate action how to escape these cycles. We offer the case of Farmer-Managed Natural Regeneration (FMNR) as one example to understand the conditions under which impoverished rural communities address ecological degradation. Combining simple reforestation action with a community engagement approach enables farming households using FMNR to regreen their landscapes, increase food security, reduce poverty, increase resilience to climate change and transform rural development. Communities in at least 29 countries are practising FMNR, reforesting tens of millions of hectares of land, strengthening communities, and restoring landscapes. Synergies between FMNR and faith-based moral principles help boost its embrace. Across the majority world, moral imagination and reasoning help motivate emotions that sustain farmers’ local action through their hope of a better future and scale up globally important community-based agricultural movements. Such collective action movements harness synergies between climate justice, poverty reduction, and human flourishing.

Community Engagement, Jurisdictional Experience, and Previous Tobacco-Related Ordinances in Neighboring Communities as Drivers of Flavored Tobacco Bans in Los Angeles County.

We examined whether a community engagement approach and jurisdictional attributes were associated with local action to restrict the sale of flavored tobacco products in Los Angeles County during 2019-2022. We estimated crude and adjusted risk ratios to examine these associations. Jurisdictions that used an active community engagement approach to adopt a flavored tobacco ban ordinance, those with previous experience adopting other tobacco-related ordinances, and those located next to communities that have an existing tobacco retail license ordinance were more likely than jurisdictions without these attributes to adopt a new ordinance to restrict the sale of flavored tobacco products. Efforts to adopt such an ordinance were generally more successful in jurisdictions where community members were engaged and policy makers were familiar with the adoption of public health ordinances.