Financial Issues Research Articles

Evaluating the deformation modulus at representative elementary volume using electrical resistivity tomography

The deformation modulus of rock mass is an essential parameter for evaluating the bearing capacity and deformations. A deformation modulus obtained through conventional approaches, including empirical equations and in situ tests, cannot present the deformation modulus at representative elementary volume (DREV) due to limited test coverage and technical difficulties in harsh geological or topographic conditions. This study utilized electrical resistivity (ER) tomography and numerical back-analysis to investigate DREV at the Asmari-Jahrum formation. We employed geoelectrical contrasts to detect proper locations for installing extensometers at excavated galleries. The deformations recorded by extensometer were used to back-calculate the DREV values by finite difference numerical modeling. We established a correlation between ER and DREV to predict DREV, which were 30–80 % more accurate than those obtained through conventional approaches at the study site. The tested area, anisotropy, creep, ER inaccuracies, and plastic deformations are evaluated as statistically significant factors that can influence DREV. Our methodology provides a systematical approach to assess DREV, which applies to geoengineering projects within the Asmari-Jahrum formation or similar sedimentary units (ER below 200 Ω⸱m). This methodology is also replicable for other geological formations with harsh geology or limited access without exposing an extreme financial burden or environmental issues.

Accessing the Impact of Policy Reforms on the Rights to Education: A Comparative Study of Emerging and Developed Economies (Nigeria and the U.S. )

This study examined the impact of education policy reforms on the right to education in emerging and developed economies, focusing on Nigeria and the United States. It analyzed how policy interventions shaped access to education, the quality of educational outcomes, and equity in both countries. The key research questions investigated the effectiveness of education reforms in improving access, addressing regional and socioeconomic disparities, and ensuring quality education. The study adopted a comparative case study methodology, analyzing secondary data, policy documents, and education statistics from both nations. Theoretical frameworks such as Human Capital Theory and a rights-based approach to education were used to evaluate the policies' impact. Findings revealed that while Nigeria made significant strides in increasing school enrollment through policies like the Universal Basic Education (UBE) program, it struggled with quality, funding, and regional disparities. In contrast, the U.S. achieved widespread access to education but faced persistent challenges related to racial and socioeconomic inequities, influenced by the shortcomings of standardized testing and uneven funding allocation. The study’s implications suggested that addressing policy implementation, funding, and equity issues is essential for advancing the right to education. Recommendations were provided to strengthen reforms, improve funding mechanisms, and promote equitable access to quality education in both contexts.

A systematic review of the financial issues of higher education institutions (HEIs) and possible strategies to cope with them

The field of higher education has not only been for elites since the last three decades. It has also included the general masses in it. That’s why the transformation of the socio-economic status and general awareness in the present age owes to higher education. On the other hand, challenges have also emerged and set conditions on the path to sustainability. Thus, higher education has faced problems, especially financial problems. These issues further give birth to some other issues. This study is an attempt to understand the issues caused by financial issues. The study also aimed to propose strategies to deal with these issues. Based on the systematic literature review, the problems have been categorized as lack of internet, digitalization, and online teaching; underdeveloped infrastructure for STEAM; lack of priorities; and quality issues. These findings create hurdles in achieving the quality of HEIs. To cope with these issues, clear policy and setting priorities were proposed as the top most important strategies to bring about quality and achieve HEIs’ organizational objectives. It can be concluded that HEIs need appropriate strategic and financial managers and administrators who can align their strategy with the vision and mission of the institutions.

The economics of mental ill-health in the EU/EEA

Abstract This presentation will provide an overview of the challenges and costs of mental ill health in 29 EU/EEA countries and an economic assessment of options to address current policy gaps. Nearly 20% of people in the EU/EEA experience mental ill health, with a particularly high prevalence among vulnerable groups such as people on low incomes or young people. However, in the majority of cases, and particularly for those with milder forms, these conditions go undiagnosed. Even when diagnosed, access to quality health services is sub-optimal, mainly due to financial issues or waiting times. The European Union and its Member States have identified mental ill health as a major public health threat, but there are still significant policy gaps and a lack of evidence on the most effective and cost-effective interventions to implementation. Building on its methodology for identifying and evaluating better public health policies for better lives, the OECD has recently extended the scope of its economic work to mental health. This presentation will start by providing an estimate of the health and economic burden of mental ill health in EU/EEA countries and will present evaluations of best practices in this field recently introduced by EU Member States. The talk will not only present the results of the analyses but will also use the identified case studies to discuss the approach used and some of the methodological issues involved in carrying out economic analysis for a set of diseases with high burden but relatively low mortality.

Informing Psychosocial Care for Young Couples Coping with Early-Onset Breast Cancer: A Cross-Sectional Examination of Unmet Service Needs and Their Association with Psychological Distress in the First Year Post-Diagnosis.

Objective: Young women diagnosed with breast cancer report greater psychological and physical morbidity than both older women and healthy peers. Similarly, young partners experience elevated cancer-related distress. Psychosocial oncology programs are not frequently attuned to the needs of young adult patients and may exclude their social networks. This marks a critical gap in psychosocial care delivery. The study investigated unmet service needs, psychological distress, and care preferences of young couples managing breast cancer in the first year post-diagnosis. Methods: Forty dyads (n = 80) of women aged 18-45 and their partners completed measures of anxiety (Generalized Anxiety Disorder-7), depression (Patient Health Questionnaire-9), and a service use questionnaire adapted from previously published Adolescent and Young Adult (AYA) literature. The resulting 25 items assessed perceived care needs and service utilization across three domains: informational, emotional/supportive, and practical issues. Descriptive statistics, cross-tabulations, and bivariate correlations were computed. Actor and partner effects of unmet needs on mental health outcomes were investigated with generalized estimating equations (GEE). Results: Patients and partners were in their late thirties, mostly non-Hispanic White, married, highly educated, and employed. Approximately 60% of patients and 43%-66% of partners presented one or more unmet service needs, which correlated with greater distress. Unmet needs about information related to exercise, recurrence, nutrition, and symptom management were prevalent. Unmet supportive service needs of both patients and partners included age-appropriate programs, sexual health, and family counseling. Women reported practical needs for work/school accommodations, integrative care, financial issues and health coverage; while financial concerns, health insurance, and caregiving demands were priorities for partners. Conclusion: Young couples facing early-onset breast cancer experience large proportions of unmet service needs. These challenges were exacerbated by the lack of developmentally targeted psychosocial programs pertaining to informational, supportive, and practical care needs. Enhancing providers' understanding of the psychosocial issues affecting young couples' well-being, and the implementation of systematic procedures to detect and respond to their distress, is urgently needed.

A process study of early achievements and challenges in countries engaged with the WHO Special Initiative for Mental Health

BackgroundThere is increasing awareness of the importance of the transformation of mental health systems. Launched in 2019, the WHO Special Initiative for Mental Health seeks to accelerate access to quality and affordable care for mental health conditions as an integral component of Universal Health Coverage. Nine countries are currently engaged with the initiative.MethodsThis study reviewed processes of implementation—and progress achieved—across all settings by late 2022. It involved review of 158 documents provided by WHO relating to Special Initiative activities and 42 interviews with country-level stakeholders, WHO Regional and HQ personnel engaged with the initiative, and core donors. Documents were thematically coded using a template based upon the WHO framework of health system building blocks. Responses to structured interviews were coded based on an emergent thematic framework.ResultsDocumentation reported similar achievements across all domains; however challenges were reported most frequently in relation to service delivery, leadership and governance, and workforce. Issues of financing were notable in being twice as likely to be reported as a challenge than a success. Interviews indicated four major areas of perceived achievement: establishing a platform and profile to address mental health issues; convening a multi-stakeholder, participatory engagement process; new, appropriate services being developed; and key developments in law, policy, or governance around mental health. The planning process followed for the initiative, senior country-level buy-in and the quality of key personnel were the factors considered most influential in driving progress. Ambivalent political commitment and competing priorities were the most frequently cited challenges across all interviewees.ConclusionsThe role of the Special Initiative in raising the profile of mental health on national agendas through a participatory and inclusive process has been widely valued, and there are indications of the beginnings of transformational shifts in mental health services. To secure these benefits, findings suggest three strategic priorities: increasing political prioritisation and funding for systems-level change; clearly articulating sustainable, transformed models of care; and promoting feasible and contextualised measures to support accountability and course correction. All are of potential relevance in informing global strategies for mental health systems transformation in other settings.

Parent and adolescent perspectives on family problems during the COVID‐19 pandemic: Implications for family resilience

AbstractObjectiveTo understand how parents and adolescents perceive the major family problems they faced during a global pandemic, focusing on implications for family resilience.BackgroundFamilies are challenged by the upheaval in contemporary life due to a global health pandemic and unrelenting changes to work, school, civic, and home routines. Family resilience theory guided our understanding of how families perceive and understand the problems they faced during a major disruption in their lives.MethodA diverse sample of parent–adolescent pairs was surveyed at two points in time. Qualitative content analysis was used to analyze open‐ended questions asking about family members' perceptions of the major problems they faced as a family during the pandemic.ResultsMost participants reported a major family problem during the pandemic (e.g., unemployment, online learning, isolation, fear of COVID‐19), with financial issues being the most prevalent problem. Parents were more likely to identify a major family tension, compared with adolescents, who were more likely to say they were unaware of any major family problems.ConclusionParents and adolescents reported substantial family stress and tension, especially around financial strain and social isolation, indicating their heightened awareness of the new risks they were facing. Both parents and adolescents also described a willingness to pull together on behalf of family well‐being and adaptation.ImplicationsSupport mechanisms through public policy and from family life practitioners can help families navigate pandemic‐related stressors, assess adverse events in adolescence, promote new pathways in navigating disrupted routines, and enhance family resilience.

Financial issues most frequent barriers for eating disorders treatment

Financial issues most frequent barriers for eating disorders treatment

Challenges and coping strategies among caregivers of children with cancer receiving care at a national referral hospital in Kenya

BackgroundThe number of children diagnosed with cancer is expected to increase by 2050. The caring aspect of these children is usually left to members of the family, more so the mothers. Caregivers are usually faced with various challenges, such as financial issues, social stigma, and emotional and psychological issues. Caregivers use various coping strategies to manage the challenges they experience in the caring process, which can be positive or negative coping strategies.ObjectiveTo explore the challenges and coping strategies of caregivers of children with cancer receiving care at a national referral hospital in Kenya.MethodsThis study employed a descriptive phenomenological approach to explore the challenges and coping strategies of caregivers of children with cancer receiving treatment at a national referral hospital in Kenya. Purposive and snowball sampling techniques were used to select 44 participants for five focus group discussions (FGDs) conducted between October and December 2023. The data were analysed via inductive thematic analysis.ResultsFour themes arose from the challenges experienced, which included psychological, financial, treatment-related, and social/family-related issues. These eleven subthemes included stress, depression, lack of transport, lack of food, loss of employment, treatment delays, and marital issues, among others. Two themes related to coping strategies were positive adaptation and denial, which were highlighted as negative coping strategies. Positive coping included praying, crying, talking to people, and seeking help.ConclusionCaregivers of children with cancer undergo various challenges and apply various coping strategies to try and adapt to their new normal. Reinforcing positive coping strategies and helping caregivers utilize other coping strategies, such as the use of support groups, could help them better care for their children.

The Ripple Effects of Financial Fraud: Investor Trust and Risk Appetite Post-Kangmei Pharmaceutical

The financial fraud at Kangmei Pharmaceutical (stock code: 600518) has had profound implications for retail investors. This paper, through data analysis, explores the correlation between information asymmetry and investment outcomes for retail investors. Information asymmetry often leaves retail investors unable to access the true financial state and operational conditions of companies, leading them to make speculative investments. Post-exposure, as information transparency increased, retail investors became aware of the company's financial issues and rushed to sell, causing a stock plunge. This highlights how information asymmetry not only affects investment decisions but also amplifies market volatility. To mitigate risks from information asymmetry, regulators must strengthen oversight and penalties, improve disclosure transparency and authenticity, while investors need to enhance self-protection awareness and information gathering and analysis capabilities. Only then can we minimize the impact of information asymmetry on retail investors and uphold fairness and stability in financial markets. This paper suggests that by implementing a robust regulatory framework and encouraging proactive investor education, we can better safeguard retail investors from the detrimental effects of information asymmetry, thereby fostering a more resilient and equitable financial market ecosystem.

Information or Noise? Examining the Effect of Discretionary Disclosure of Accounting Estimates on Financial Analyst Forecasts

Whether discretionary disclosure of accounting estimates increases or decreases the decision usefulness of financial information is a fundamental issue in accounting and finance. Our paper speaks to this issue by examining the effect of discretionary disclosure of accounting estimates on the forecasting behaviour of financial analysts, who are sophisticated users of financial information and play a crucial role as an information intermediary in the capital markets. We find that discretionary disclosure of accounting estimates (made in the 10‐K management discussion and analysis and financial statement footnotes) reduces analyst forecast errors and analysts’ tendency to round their annual earnings forecasts. These effects are more pronounced when analysts issue forecasts for companies with high accounting reporting complexity. Overall, the results suggest that discretionary disclosure of accounting estimates reduces information costs by providing relevant information for analysts’ forecasting decisions.

Identifying and addressing health-related social needs: a Medicaid member perspective.

Multiple state and national health care organizations have invested in activities to screen for and address the health-related social needs (HRSNs) of their patients. However, patient perspectives concerning HRSN screening discussions and facilitated referrals to supports are largely unexplored. The main objectives of this study were to explore the ways in which Massachusetts Medicaid (MassHealth) members engage with their health care clinicians to discuss HRSNs, to identify common needs discussed, and to describe whether members feel these needs are being addressed by health care clinicians and staff. The study team performed a cross-sectional, qualitative research study that included in-depth, open-ended interviews with 44 adult MassHealth members. Interviews were conducted between June and October 2022. Interviews were recorded, transcribed, and systematically coded for analysis, and common themes were reported. The data collected for this study were part of a larger independent evaluation of MassHealth's 2017-2022 Section 1115 Demonstration that granted authority from CMS to implement health care delivery system reforms in Massachusetts. In this qualitative study of Medicaid members, some reportedly felt comfortable freely discussing all of their clinical and social needs with their health care clinicians, while others noted feelings of apprehension. Several members recalled being asked about their HRSNs in various clinical or community settings, while others did not. The majority of members endorsed having an unmet HRSN, including housing, nutrition, financial, or transportation issues, and many barriers to addressing these HRSNs were discussed. Finally, many members cited a preference for discussing HRSNs with community-based care coordinators and social workers at the community partner organizations rather than with their health care clinicians. Community-based care coordinators were lauded as essential facilitators in making the connection to necessary resources to help address HRSNs. Study results highlight an opportunity to increase the effectiveness of HRSN screening and referral practices within the health care setting through relationship building between Medicaid members and diverse interdisciplinary care teams that include staff such as community health workers. Continued investment in cross-sector partnerships, screening workflows, and patient-clinician relationships may contribute to establishing an environment in which members can comfortably discuss HRSNs and connect with needed services to improve their health.

Analyzing Factors and Reasons Behind NonAttendance of ENT Patients: Clinical Audit.

Objective: This study analyzed the frequency of follow-up patients at the ENT clinic and identified different factors that are associated with nonattendance at follow-up appointments since nonattendance imposes significant stress on the system of healthcare. Methods: This study was an ambidirectional cohort study and conducted a telephonic survey with 104 ENT patients who missed their appointments. Results: The findings of the study revealed that patients missed their scheduled appointments because of transportation problems (46%), professional engagement (46%), family problems (44%), and financial problems (32.7%). However, patients didn't identify forgetfulness about the appointment, complete recovery, and health-related issues on the day of the appointment as the barrier to missing their scheduled appointment. The study assessed the relationship between socioeconomic status and the frequency of follow-up patients in an ENT clinic where transportation factor (P < .000), working commitments (P < .004) affecting the "Lower Middle and Middle Class" individuals, and financial problems (P < .005), family problems (P < .028), feeling sick (P < .037) were significantly affecting the "Middle-Upper Class" and "Middle Class." Meanwhile, forgetfulness was not associated with the socio-economic status of the ENT patients (P = .237). Conclusion: This study found transportation, family, financial issues, and professional commitments to be the key barriers to ENT appointment attendance, with Lower-Middle-Class patients particularly affected by forgetfulness. These missed appointments negatively impact patient health and strain the healthcare system.

Effect of Pandemic Covid-19 to the Operation Management Activities in Industry

COVID-19 pandemic has affected the activities related to operations management in the manufacturing industry under the scope of production interruption of raw materials and spare parts, labour, logistics, finance as well as supply and demand fluctuation. Manufacturing industry has faced limitation in the import of raw materials and spare parts which cause delay in manufacturing projects and activities. Due to the pandemic, standard operating procedures are implemented to ensure the labour can work in a safer environment without having the risk of getting infected. Logistics are also adapted with a new practice to ensure contactless delivery of products and items are disinfected before delivering. The pandemic has caused companies to face many financial issues where they are forced to shut down or take loans to sustain their business. Moreover, the supply and customer demand for the products fluctuate as the lifestyle of people changes to adapt themselves to the pandemic. The effects have showed the importance of implementing countermeasures to prepare the manufacturing industry for the post-pandemic world.

Assessing the Challenges in Managing School Funds for Heads of Secondary Schools in Kilolo District, Tanzania

This study sought to identify the “Challenges in Managing School Funds for Heads of Secondary Schools in Kilolo District, Tanzania” through a mixed approach with the population of one District educational officer, six heads of schools, six school bursars and sixty-three secondary school teachers who obtained through purposive sampling and simple random techniques. Questionnaires and interviews used to collect data. Data analysed through thematic analysis and descriptive statistics with the aid of the Statistical Package for Social Sciences (SPSS) computer software. The findings found that heads of secondary schools faced numerous challenges such as inadequate funds from the government, inconsistencies disbursement of money from the government and bureaucracy. In addition, distance (remoteness of the schools), transport cost and time consumer when heads of schools needs procurement budgets approved from the District Educational Officer, poor support from the parents and some staff as well as denying school management training on financial management issues were among the challenges. Lastly, the findings found that training, workshops, provision of seminars will enhancing the heads of schools’ financial management literacy. Moreover, heads of schools should involve other staff members, school management team (SMT), and the use of educational financial guidelines as a source of knowledge and skills to manage schools’ fiscal resources. It also recommended that the heads of schools should adhere to the proper practices of financial management through monetary auditing. Likewise, Tanzania government should provide managerial training, workshops and seminars as the best strategies to diminish financial management challenges as well as introducing financial management courses in teachers’ colleges and universities prepare experts in the schools’ financial management activities.

Incidence of drug dependence and epilepsy in patients with PTC (Post Traumatic Contusions) manage conservatively. A prospective study.

Objective: To explore the presence of drug dependence and Epilepsy in patients with PTC (Post Truamatic Contusions) balanced cautiously. Study Design: Proposed Reviewed Research study. Setting: Hayatabad Medical Complex, Peshawar. Period: July 2020 to December 2020. Methods: About 90% of patients aged between fifteen to sixty-five years old identified with cerebral lesion and balanced cautiously were applied. Follow up sessions was provided to patients for 12to 18 months. Results: Among the enrolled patients, 23% established early PTS (Post Traumatic Seizures) and approximately established late PTS (Post Traumatic Seizures) from mild to moderate level of cerebral lesion. Patients having early signs of Post traumatic Seizure, about 6% utilized AEDs (Anti-epileptic Drugs) for about 3 months throughout the treatment period and about 7% of patients along with late Post Traumatic Seizures utilized AEDs. Moreover, approximately 8 percent patients established late post traumatic Seizure without considering any early signs of condition. Research findings indicated that only 3% of patients with early and late PTS actually required AEDs for at least 6 months. Although, about 44 percent of patients were utilizing Anti-epileptic drugs to control seizures. Sensible usage of Anti-epileptic drugs is familiar in our region, contributing to enhanced danger of medicine opposition and acquiring financial pressure on low-paid people in well-established state. Additionally, extreme usage of anti-epileptic and prophylactic drugs doesn’t impact the occurrence of PTE (Post Traumatic Epilepsy). Conclusion: The presence of late and early post-traumatic epilepsy observed within our study is contrast to that explored in another research. Sensible production of AEDs is occured in our state, that increases the danger of medicine opposition and attain financial issues for economically destruct people in well-established states. Extreme usage of AEDs and prophylactic drugs doesn’t have an important influence on stopping PTE.

BCT Crowdfunding: Is It the Bridge of Trust Required for Funding EU’s SMEs?

Small and medium-sized enterprises (SMEs) are the cornerstone of the European eDaconomy, representing 99.8% of all businesses and providing 66% of employment. Despite their critical role, SMEs face significant challenges in accessing traditional financing, particularly in the aftermath of the 2008 financial crisis, which led to a reduction in riskier lending by banks. Crowdfunding has emerged as a viable alternative, offering a decentralized and democratized avenue for raising capital, especially through platforms powered by blockchain technology.This paper explores the potential of blockchain technology (BCT) to revolutionize crowdfunding within the European Union (EU), addressing the critical financial needs of SMEs. BCT enhances transparency, trust, and efficiency in crowdfunding by enabling features such as tokenization, smart contracts, and decentralization. These innovations offer solutions to longstanding issues in traditional finance, such as fraud, information asymmetry, and the reliance on intermediaries.However, the paper also highlights the limitations and challenges of crowdfunding in Europe, particularly the disparities in crowdfunding trends between the UK, Nordic countries, and the rest of the EU. Financial data from 2018 and projections for 2023 reveal that while the number of crowdfunding campaigns in the EU is growing, the per-campaign value remains significantly lower compared to the UK, reflecting a continued focus on smaller-scale investments.The integration of BCT into crowdfunding practices presents both opportunities and obstacles. Although it offers a promising path to more efficient and secure funding mechanisms, the successful implementation of BCT will require coordinated efforts from governments, regulatory bodies, financial institutions, and technology developers to navigate the complex legal and technological landscape.In conclusion, while blockchain-based crowdfunding has the potential to reshape SME financing in Europe, realizing its full benefits will demand proactive engagement with emerging challenges and continuous adaptation to evolving regulatory frameworks.

Public Private Partnership and Financial Implication to Government: A Case Study from Malaysia

The implementation of infrastructure projects through the Public Private Partnership (PPP) that involve investments from the private sector has greatly benefited the country. Apart from being an alternative to conventional public infrastructure projects, PPP is also said to be a more efficient method as the risk of project implementation is transferred to the private partner. Even with these advantages, it cannot escape criticism, especially the implementation of PPP projects which involve financial implications to the government. The main purpose of this study is to investigate the Malaysian government's experience in the implementation of PPP projects especially regarding its financial implication issue and how the Malaysian government addresses the issue. A total of 29 officers from several government agencies were interviewed. The interview transcripts were analyzed using ATLAS. Ti application. Apart from contributing a theory regarding PPP, the results of this study have provided new knowledge on PPP, especially Malaysia's experience in dealing with financial commitment issues arising from the implementation of PPP projects. Although the context of development in other countries may differ, this Malaysian experience can be used as an example for PPP practitioners in planning PPP projects elsewhere.

Improving National and International Surveillance of Movement Behaviours in Childhood and Adolescence: An International Modified Delphi Study.

The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. To identify how to improve surveillance of movement behaviours, from the perspective of experts. This Delphi Study involved 62 experts from the SUNRISE International Study of Movement Behaviours in the Early Years and Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: (1) funding, (2) capacity building, (3) methods, and (4) other issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a five-point Likert scale from 'extremely' to 'not at all' important. Consensus was defined as > 70% rating of 'extremely' or 'very' important. We received 62 responses to round 1 of the survey and 59 to round 2. There was consensus for most items. The two highest rated round 2 items in each category were the following; for funding (1) it was greater funding for surveillance and public funding of surveillance; for capacity building (2) it was increased human capacity for surveillance (e.g. knowledge, skills) and regional or global partnerships to support national surveillance; for methods (3) it was standard protocols for surveillance measures and improved measurement method for screen time; and for other issues (4) it was greater awareness of physical activity guidelines and strategies from WHO and greater awareness of the importance of surveillance for NCD prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26) or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research. This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

Talk to Me: A social media campaign about clinical trials tailored to the needs of young adults with cancer.

67 Background: Among adolescents and young adults (AYAs; 15-39 years) with cancer, clinical trial enrollment (CTE) rates range from 3% to 14%. Patient-directed interventions to improve CTE are rare. Internet-based interventions, while feasible and acceptable to AYAs with cancer, often lack patient input and engagement that are critical to success. AYAs are digital natives and report that the internet and social media are the two most important sources of health-related information. We leveraged AYA engagement with social media and designed a mixed methods research study, "Talk to Me," to create targeted social media messages to increase awareness about CTE for AYAs with cancer. Methods: Our interdisciplinary study team includes clinicians, researchers, health educators, and AYA patient advocates. We conducted 5 focus groups among a demographically, clinically, and geographically diverse group of AYAs with cancer (n=35) to identify priority topics to 1) inform the development of social media message libraries to address informational gaps and dispel myths surrounding CTE and 2) guide implementation strategies of these messages. Design mock-ups and color palettes were co-designed and co-developed with focus group participants and patient advocates through iterative feedback. Results: Guided by qualitative findings, social media posts were categorized into "introduction", "knowledge dissemination", and "addressing social, cultural, emotional, and financial issues" related to CTE. Instagram was selected to host our messages as the demographics of users most closely matched that of our target audience. Hashtags were carefully chosen based on existing posts of related material on Instagram. Links to trusted sources for additional information were embedded in the post descriptions and housed in a linktr.ee bio-landing page. The campaign was officially launched on Instagram in April 2024. We posted 3 times a week in both English and Spanish and monitored metrics biweekly to assess engagement and reach. Over nearly 2 months, 42 messages were posted, 116 users followed the account, 656 accounts were reached, 108 accounts were engaged, and 432 visited our profile page. Engagement peaked in Week 2 with 238 accounts reached and in Week 6 with 119. Overall, there were 173 likes (English=128, Spanish=43). Conclusions: An interdisciplinary, patient-informed, iterative approach to developing a social media knowledge intervention demonstrates a robust, methodologic approach to developing acceptable information and messages for AYAs who may consider participating in clinical trials.