Health-related Projects Research Articles

Issue on Teaching and Training Future Health Informaticians:Partnering with Students to Develop a Capstone for a Graduate Health Informatics Program.

To assess the desirability, feasibility, and sustainability of integrating a project-based capstone course with the course-based curriculum of an interdisciplinary MSc health informatics program guided with a student-partnered steering committee and student-centered approach. We conducted an online cross-sectional survey (n=87) and three semi-structured focus groups (n=18) of health informatics students and alumni. Survey data was analyzed descriptively. Focus groups were audio-recorded and transcribed verbatim and then analyzed using a general inductive and classic analysis approach. Most students were supportive of including a capstone project but desired an option to work independently or within a group. Students perceived several benefits to capstone courses while concerned over perceived challenges to capstone implementation, evaluation, and managing group processes. Themes identified were: 1) professional development, identity, and career advancement; 2) emulating the real world and learning beyond the classroom, 3) embracing new, full circle learning, 4) anticipated course structure, delivery, and preparation, 5) balancing student choice, interests, and priorities, and 6) concerns over group dynamics, limitations, and support. This study demonstrates the value of having students as partners at each stage in the process from methods conception to course curriculum design. With the steering committee and the curriculum developer, we codeveloped a student-centered course that integrates foundational digital health-related project knowledge acquisition with an inquiry-based project which can be completed independently or in small groups. This study demonstrates the potential benefits and challenges that health informatics educators may consider when (re)-designing capstone courses.

Exploring community-based participatory research for household and ambient air pollution projects: insights from key informants

BackgroundDespite the extensive use of community-based participatory research (CBPR) in health-related projects, there is limited work on how CBPR processes result in outcomes, especially in household and ambient air pollution (HAAP) research. This study explores the reflections of key informants on factors that shape the implementation and outcomes of CBPR in HAAP projects.MethodsWe conducted semi-structured interviews with 13 key stakeholders, including academic researchers, non-governmental organisation administrators, a policymaker, and community members. All interviewees have experience in CBPR projects. Interviews were analysed using framework analysis, and findings were mapped to Wallerstein et al.’s CBPR conceptual model, which consists of four constructs: context, partnership processes, intervention and research, and outcomes.ResultsThe findings are described under two main categories: ‘barriers to participation’ and ‘good practices for effective CBPR design and implementation’. Relevant sub-categories were barriers at the structural, research, community, and individual levels. Suggestions for good practices included respect, cultural humility, trust, effective communication, suitable and affordable interventions such as improved cookstoves, appropriate participatory research tools, and gratuity for the community’s time.ConclusionKey informants’ perspectives identified factors supported by the CBPR model to inform the design and implementation of the CBPR approach. The add-ons to some of the model’s factors, such as intra-community dynamics, give value to the informants’ knowledge to support community-research partnerships and improve outcomes in HAAP intervention projects. Addressing these factors at the design stage and reporting CBPR evaluation could deepen the understanding of community-research partnerships.

Musculoskeletal Disorder (MSD) Health Data Collection, Personalized Management and Exchange Using Fast Healthcare Interoperability Resources (FHIR).

With the proliferation and growing complexity of healthcare systems emerges the challenge of implementing scalable and interoperable solutions to seamlessly integrate heterogenous data from sources such as wearables, electronic health records, and patient reports that can provide a comprehensive and personalized view of the patient's health. Lack of standardization hinders the coordination between systems and stakeholders, impacting continuity of care and patient outcomes. Common musculoskeletal conditions affect people of all ages and can have a significant impact on quality of life. With physical activity and rehabilitation, these conditions can be mitigated, promoting recovery and preventing recurrence. Proper management of patient data allows for clinical decision support, facilitating personalized interventions and a patient-centered approach. Fast Healthcare Interoperability Resources (FHIR) is a widely adopted standard that defines healthcare concepts with the objective of easing information exchange and enabling interoperability throughout the healthcare sector, reducing implementation complexity without losing information integrity. This article explores the literature that reviews the contemporary role of FHIR, approaching its functioning, benefits, and challenges, and presents a methodology for structuring several types of health and wellbeing data, that can be routinely collected as observations and then encapsulated in FHIR resources, to ensure interoperability across systems. These were developed considering health industry standard guidelines, technological specifications, and using the experience gained from the implementation in various study cases, within European health-related research projects, to assess its effectiveness in the exchange of patient data in existing healthcare systems towards improving musculoskeletal disorders (MSDs).

Moderating Influence of the Legal and Regulatory Framework on Precursors of Sustainability of Donor Funded Projects in the Health Sector in Kenya

Purpose: The objective of the study was to find out the moderating influence of the legal and regulatory framework on sustainability of donor funded projects in the health sector in Kenya.
 Methodology: This study used a mixed method research design where both quantitative and qualitative data were collected, then analyzed, and conclusions drawn. The research design used was explanatory. The target population was 700 employees drawn from various stakeholders in the health sector. The study adopted stratified, purposive, and simple random sampling techniques to select a sample of 230 respondents. The study used questionnaires to collect primary data. The data was analyzed using the Statistical Package for Social Sciences (SPSS) version 27.
 Findings: The findings revealed that the legal and regulatory framework has a moderating effect on the relationship between stakeholder engagement, resource mobilization, process execution & leadership practices and sustainability of donor funded projects in the health sector in Kenya.
 Unique Contribution to Theory, Policy, and Practice: The study recommended that the health sector in Kenya should strengthen the frameworks for stakeholder engagement in health-related projects and that policies should be reviewed and re-designed to support activities in the space of donor funded projects if sustainability of projects has to be achieved. The study further recommends that there is need for tools and frameworks that would ensure that leadership practices are aligned to achieve project sustainability.

Influence of Stakeholder Engagement on Sustainability of Donor Funded Projects in the Health Sector in Kenya

Purpose: The study sought to find out the influence of stakeholder engagement on the sustainability of donor funded projects in the health sector in Kenya.
 Methodology: This study used a mixed method research design where both quantitative and qualitative data were collected, then analyzed, and conclusions drawn. The research design used was explanatory. The target population was 700 employees drawn from various stakeholders in the health sector. The study adopted stratified, purposive, and simple random sampling techniques to select a sample of 230 respondents. The study used questionnaires to collect primary data. The data was analyzed using the Statistical Package for Social Sciences (SPSS) version 27. Both descriptive and inferential statistics were computed. The data was presented using Tables.
 Findings: The study found out that there exists a relationship between stakeholder engagement and sustainability of donor funded projects in the health sector in Kenya. The statistical results of coefficients showed that the legal and regulatory framework moderates the relationship between stakeholder engagement and sustainability of donor funded projects in the health sector in Kenya. The study therefore concludes that an improvement in stakeholder engagement will lead to an improvement in sustainability of donor funded projects in the health sector in Kenya.
 Unique Contribution to Theory, Practice and Policy: The study was anchored on Ladder of Participation Model. The study therefore recommends that the health sector in Kenya should work towards strengthening the frameworks for stakeholder engagement in the health-related projects if sustainability of the projects must be attained. There is great need to review and ensure stakeholder relationship management, stakeholder participation in decision making of key activities as well as ensure avenues to enable stakeholders actively participate in project activities across the entire project life cycle. The study recommends stakeholder mapping to be done based on meritocracy. The study recommends that the legal and regulatory framework around the stakeholder engagement should be strengthened to ensure compliance.

Influence of Stakeholder Engagement on Sustainability of Donor Funded Projects in the Health Sector in Kenya

Purpose: The study sought to find out the influence of stakeholder engagement on the sustainability of donor funded projects in the health sector in Kenya.
 Methodology: This study used a mixed method research design where both quantitative and qualitative data were collected, then analyzed, and conclusions drawn. The research design used was explanatory. The target population was 700 employees drawn from various stakeholders in the health sector. The study adopted stratified, purposive, and simple random sampling techniques to select a sample of 230 respondents. The study used questionnaires to collect primary data. The data was analyzed using the Statistical Package for Social Sciences (SPSS) version 27. Both descriptive and inferential statistics were computed. The data was presented using Tables.
 Findings: The study found out that there exists a relationship between stakeholder engagement and sustainability of donor funded projects in the health sector in Kenya. The statistical results of coefficients showed that the legal and regulatory framework moderates the relationship between stakeholder engagement and sustainability of donor funded projects in the health sector in Kenya. The study therefore concludes that an improvement in stakeholder engagement will lead to an improvement in sustainability of donor funded projects in the health sector in Kenya.
 Unique Contribution to Theory, Practice and Policy: The study was anchored on Ladder of Participation Model. The study therefore recommends that the health sector in Kenya should work towards strengthening the frameworks for stakeholder engagement in the health-related projects if sustainability of the projects must be attained. There is great need to review and ensure stakeholder relationship management, stakeholder participation in decision making of key activities as well as ensure avenues to enable stakeholders actively participate in project activities across the entire project life cycle. The study recommends stakeholder mapping to be done based on meritocracy. The study recommends that the legal and regulatory framework around the stakeholder engagement should be strengthened to ensure compliance.

To Obtain Informed Consent or Not to Obtain Informed Consent? Drones for Health Programs in the Grey Zone between Research and Public Health

Drones are increasingly being introduced to support healthcare delivery around the world. Most Drones for Health projects are currently in the pilot phase, where frontline staff are testing the feasibility of implementing drones into their healthcare system. Many of these projects are happening in remote localities where populations have been historically under-served within national healthcare systems. Currently, there exists limited drone-specific guidance on best practices for engaging individuals in decision-making about drone use in their communities. Towards supporting the development of such guidance, this paper focuses on the issue of obtaining community and individual consent for implementing Drones for Health projects. This paper is based on original qualitative research involving semi-structured interviews (N = 16) with program managers and implementation staff hired to work on health-related projects using drone technologies. In this paper, we introduce a scenario described by one participant to highlight the ethical and practical challenges associated with the implementation and use of drones for health-related purposes. We explore the ethical and practical complexities of obtaining informed consent from individuals who reside in communities where Drones for Health projects are implemented.

Practical applications of implementing integrated mental health practices with primary care providers.

Community Health Advanced by Medical Practice Superstars is a 1-year, Health Resources and Services Administration (HRSA)-funded fellowship for early career physicians and physician assistants/associates to become primary care transformational leaders. Fellows implement practice-based health care transformation projects in one of the three HRSA priority areas: childhood obesity, mental health, and opioid use disorder. The purpose of these projects is to expand on integrated health in primary care settings where there is a shortage of mental health professionals. The fellows identified areas in which they were able to incorporate mental health care provision to improve diagnostic capacity and whole health delivery, facilitate appropriate behavioral health outcomes, and improve patient physical health outcomes. Project modalities included initiating or increasing behavioral health screenings, aligning screenings with patient outcomes, and coordinating behavioral health care with physical health care. This article describes six mental health-related health care practice transformation projects implemented across rural health care settings, including Federally Qualified Health Centers and academic medical centers. The topics included (a) depression in pregnant and postpartum mothers; (b) adverse childhood experiences screening; (c) depression and chronic disease outcomes, especially diabetes; (d) the use of automated enhancements in patients' electronic medical records for management of clinical depression; (e) improving health outcomes and medication adherence of patients with opioid use disorder; and (f) the (in)adequacy of the Patient Health Questionairre-2 (PHQ-2) for the assessment of depression among patients with diabetes. Clinical specialties included family medicine, pediatrics, and women's health. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Adaptation of Health-Specific Self-Efficacy Scales for use in Bangladesh

The aim of the present study was to adapt a ‘Health-Specific Self-Efficacy Scales (HSSES)’ for use in Bangladesh. For this purpose, 155 respondents (age range 18 to 42 years) were selected using convenient sampling technique from different departments (students, facultiesand stuff) of IUBAT University. The scales were adapted following five steps such as ensuring construct equivalence, forward translation, focus group discussion, back translation as well as a pilot study. The findings demonstrated that the Bangla Version of 'Health-Specific Self-Efficacy Scales' has sound reliability [Cronbach Alpha 0.79 (‘Nutrition Self-Efficacy (NSE)’ 0.84, ‘Physical Exercise Self-efficacy (PESE)’ 0.76,‘Alcohol Resistance Self-efficacy (ARSE)’ 0.82), Split-half reliability 0.73 (Spearman-Brown) and 0.76 (Guttman method), test-retest reliability 0.67] and satisfactory validity. These results exhibit that Health-Specific Self-Efficacy Scales (‘NSE’, ‘PESE’ and ‘ARSE’) are reliable and valid instruments for assessing nutrition, physical exercise and alcohol resistance-related self believes as well as health consciousness. Furthermore, this study uncovers the opportunity for further health-related research projects in Bangladesh. IUBAT Review—A Multidisciplinary Academic Journal, 5 (1): 15-25

Estimating Chinese bilateral aid for health: an analysis of AidData’s Global Chinese Official Finance Dataset Version 2.0

BackgroundAlthough it is difficult to quantify, previous estimates suggested that China’s global health aid has increased sharply since the early 2000s. Unlike many donors, China has no official aid reporting...

How much global climate adaptation finance is targeting the health sector?

Abstract Climate change seriously threatens health and wellbeing with projected health burdens estimated to cost USD 2-4 billion a year by 2030. Adaptation in the health sector is critical to keep pace with the ongoing consequences of the climate crisis and the impacts projected to occur in the next decade and beyond. Yet estimates by the WHO indicate that climate finance targeting the health sector to date is extremely low: less than 0.5% of multilateral climate adaptation funding has targeted the health sector. In this study, we trace and quantify the amount of adaptation financing targeting the health sector from both multilateral and bilateral sources using publicly available information on the OECD-DAC database and Climate Funds Update. We find that between 2009-2019 only 0.39% of multilateral and bilateral climate adaptation funding targeted health-related efforts specifically. Despite the relatively higher number of health-related projects in Sub-Saharan Africa compared to other regions, a smaller amount of funding is allocated per project compared to other regions. Regional variations in funding are concerning as the countries with the most vulnerability to the climate crisis coincide with regions getting the least amount of funding per project. There is a significant gap in globally financed adaptation efforts in the health sector. Swift and committed remediation is needed to minimise the spiralling risk of high negative health outcomes. Key messages • Between 2009-2019 only 0.39% of multilateral and bilateral climate adaptation funding targeted health-related efforts specifically. • The countries with the most vulnerability to the climate crisis coincide with regions getting the least amount of funding per health project.

Challenges on the European Union-China cooperation in higher education from ‘people-to-people dialogue’ perspective: The case of health-related joint projects

The European Union (EU) and People’s Republic of China have a tradition of cooperation in Higher Education (HE) that has been increasingly developed since the Chinese reform of economic opening. From 2012 onwards, when the EU-China High-Level People-to-people Dialogue was established as the third pillar of a Comprehensive Strategic Partnership between both parties, this cooperation in HE was enhanced, particularly in terms of people mobility (students, teachers and researchers). Along with this, globalization and the need for global governance responses in terms of global issues like climate changes, water and food security, pandemics and other health issues lead us to reflect about the role of academic and scientific cooperation - in the domain of HE and research cooperation-in the lens of this People-to-People approach. By means of a literature review grounded on different sources of documents (scientific articles; policy briefs; joint statements and educational programs) and their content analysis, the aim of this paper is to trace a brief state-of-the-art of the EU-China relations in the field of HE and research to analyze if there are effective EU-China partnerships in HE as a whole, and in health scientific joint research projects in particular, by mapping health-related projects involving the EU’s and PRC’s academic and research institutions, as well as their goals.

Enhancing community participation for environmental health improvement in rural Tanzania: Evidence from Bukombe district

Community participation has become a dominant approach in environmental health-related projects, yet, its enhancement has remained a challenge. This study examines ways of enhancing community participation in environmental health-related initiatives in rural areas of Tanzania. A total of one hundred people (n = 100) were engaged in this study. An embedded case study design was employed, in which multiple methods such as household questionnaires, in-depth interviews, focus group discussions, and document analysis were used in collecting empirical data. Findings show that integration of the community into the development agenda and facilitating communities to access required equipment and tools is vital for enabling participation in environmental health-related matters. Effective and efficient leadership, mobilisation, and sensitisation of communities are operational and functioning strategies to improve environmental health through community participation, while retribution measures may prevent environmental pollution. There is a definite need for the integration of community participation as a key aspect of environmental-related projects and programs in the development policy aiming at improving the environmental health of communities.

Interreg and WHO-CC : a Fruitful Collaboration in the Service of E-Mental Health

Within the IT4Anxiety project, the World Health Organisation Collaborating Centre (WHOCC) for research and training in mental health of Lille, is the leader of the work package “identification of needs among the different actors in the mental health field”. The complexity of our object of study - the use of new technologies for people’s mental health - requires undertaking a multi-disciplinary approach, considering both the clinical and the socio-anthropological aspects. A mixed-methods research conducted with pepole people experiencing anxiety, carers and professionnals, aims to describe the use, acceptability and needs of the different categories of actors concerned by the use of new technologies. The quantitative part is a cross-sectional, descriptive, observational study. A anonymous self-administered questionnaire is distributed online and in hard copy in the 5 partner countries (Belgium, France, Germany, the Netherlands and the UK) to the three study populations. It consists of access to digital tools or technological solutions, experience related to these and the contribution and perceived effect of users to e-mental health related projects. The qualitative approach includes a detailed understanding of the potential therapeutic and socio-anthropological changes that these tools can bring. It explores : description of used technologies, the representations and emerging needs in relation to the management of anxiety and the improvement of mental health ; the clinical impact perceived by all stakeholders and the implementation of new ways of living with the tools. This international research will enable a comparative study to be carried out on the dynamics of appropriation of these e-(mental) health devices in different countries of the North-Western European region.DisclosureNo significant relationships.

European Union Structural Funds as the Source of Financing Health Care Infrastructure Investments in Poland-A Longitudinal Analysis.

European Union (EU) structural funds aim at reducing economic and social disparities between the member states regions. The objectives of the study were to (1) provide a summary overview of all health related projects co-financed by EU structural funds in Poland between 2004 and 2020, (2) define the share of projects/funds devoted to infrastructure investments, and (3) assess the total value of EU structural funds' contribution to health care infrastructure investments in comparison to the national public budgets. Data on projects co-financed by EU structural funds covered all projects realized under three financial perspectives: 2004–2006; 2007–2013; 2014–2020. The extraction of “health-related” projects was done according to both the type priority under which the project was realized as well as the type of beneficiary. Results showed that between 2004 and 2020, 14,179 health related projects were implemented, with a total value of 33.2 billion PLN, including EU contribution of 22.8 billion PLN (68.7%). Although projects focused on education and public health prevailed in terms of their total number, infrastructural projects consumed the vast majority of funds. Within the analyzed period, a total of 6,689 health infrastructure projects were implemented with a total value of 29.5 billion PLN, including 19.7 billion PLN of EU contributions. The results confirm that the EU structural funds constituted an important source of infrastructural investments in the Polish health system and majority of them were consumed by investments in public hospitals.

Occupant health in buildings: Impact of the COVID-19 pandemic on the opinions of building professionals and implications on research

The objectives of this study are to investigate building professionals' experience, awareness, and interest in occupant health in buildings, and to assess the impact of the COVID-19 pandemic on their opinions, as well as to compare the research on occupant health in buildings to professionals' opinions. To address these objectives, a mixed research methodology, including a thorough review of the literature (NL = 190) and an online survey (NS = 274), was utilized. In general, there is an increasing research interest in occupant health and a heightened interest in health-related projects, among professionals, following the COVID-19 pandemic. Specifically, among the nine different building attributes examined, indoor air quality was the most researched building attribute with a focus on occupant health and was also presumed to be the most important by the professionals. Professionals considered fatigue and musculoskeletal pain to be the most important physical well-being issues, and stress, anxiety, and depression to be the most important mental well-being issues that need to be the focus of design, construction, and operation of buildings to support and promote occupant health, while eye-related symptoms and loss of concentration were the most researched physical and mental well-being symptoms in the literature, respectively. Finally, professionals indicated that COVID-19 pandemic had significant effect on their perspectives regarding buildings’ impact on occupant health and they believed future building design, construction and operation will focus more on occupant health because of the pandemic experience.

Accounting for country- and time-specific values in the economic evaluation of health-related projects relevant to low- and middle-income countries.

Economic evaluation of health-related projects requires principles and methods to address the various trade-offs that need to be made between costs and benefits, across sectors and social objectives, and over time. Existing guidelines for economic evaluation in low- and middle-income countries embed implicit assumptions about expected changes in the marginal cost per unit of health produced by the healthcare sector, the consumption value of health and the appropriate discount rates for health and consumption. Separating these evaluation parameters out requires estimates for each country over time, which have hitherto been unavailable. We present a conceptual economic evaluation framework that aims to clarify the distinct roles of these different evaluation parameters in evaluating a health-related project. Estimates for each are obtained for each country and in each time period, based on available empirical evidence. Where existing estimates are not available, for future values of the marginal cost per unit of health produced by the healthcare sector, new estimates are obtained following a practical method for obtaining projected values. The framework is applied to a simple, hypothetical, illustrative example, and the results from our preferred approach are compared against those obtained from other approaches informed by the assumptions implicit within existing guidelines. This exposes the consequences of applying such assumptions, which are not supported by available evidence, in terms of potentially sub-optimal decisions. In general, we find that applying existing guidelines as done in conventional practice likely underestimates the value of health-related projects on account of not allowing for expected growth in the marginal cost per unit of health produced by the healthcare sector.

What works for vulnerable families? Interpretations of effective health promotion.

SummaryUnder the umbrella of the Healthy Futures Nearby programme, 46 small-scale projects were funded to promote changes in health-related behaviours (smoking, alcohol, diet and exercise) and to improve perceived health among vulnerable families in the Netherlands. The evaluation of these health-related multiple project programmes is often based on funder-defined outcomes and strategies. However, within the funded projects, assumptions about improving the health of vulnerable families based on local knowledge and experiences will also shape the project outcomes and strategies. These additional outcomes and strategies are project-specific interpretations of effective health promotion. Knowing these interpretations is crucial for the policy related and scientific relevance of the evaluation. Therefore, we aimed to determine the interpretations of each project and how they translate into relevant inputs for the overall evaluation of the programme. Based on 46 semi-structured group interviews with local project stakeholders, we produced a list of assumptions about what health promotion for vulnerable families should look like and then identified five main clusters: (i) strategies of offering pre-defined, health (behaviour)-related activities to families, (ii) actively involving vulnerable families in the initiative, (iii) assumptions about how health promotion should start with or include non-health-related topics, (iv) assumptions on how one should build on what already exists in the local context of the families and (v) assumptions on the role of the (health) professional in health promotion among vulnerable families. These project interpretations of effective health promotion provide inputs and priorities for the HFN programme’s overall evaluation.

Comparative assessment of blood levels of homocysteine, hormones and minerals in children with different levels of physical growth living near the Chornobyl exclusion zone

Objective: We compared thecontent of homocysteine, hormones and minerals of the blood in the children with different levels of physical development living in the settlements near Chornobyl exclusion zone. Methods: We used instrumental, laboratory, mathematical and statistical methods in the study. Results: 158 children (78 boys and 80 girls) from Polisskyi district, Kyiv oblast were examined within the projectsof the European Commission in Ukraine «Health and Ecological Programmes Connected with Chornobyl Exclusion Zone: Development, Training and Coordination of Health-Related Projects» and Rhône-Alpes Regional Council (France). The studied territory has remained contaminated with radioactive substances after Chornobyl accident until the present day. 137Cs incorporation was shown to affect negatively the physical development (PD) of the children. 137Cs radionuclides cause the disorders of cellular energy, affect negatively thyroid hormone genesis.A significantly high level of free triiodothyronine (T3), parathyroid hormone (PTH) and P was established in adolescents with abnormal low PD in comparison with the children with abnormal high PD. Correlations between the indices of PD, endocrine system and mineral metabolism, registered in a group of examined children, reflect the physiological response of the organism to the cell damage associated with an exposure to 137Cs radionuclides. Comparison of the values of separate metabolic indices with the reference values does not always reflect objectively the severity of metabolic disorders. To identify the metabolic disorders under conditions of constant incorporation of 137Cs radionuclides in a child’s organism, it is necessary to use the information on the associations among several metabolic indices in a group of children living in the territory suffered from the accident at Chornobyl nuclear power plant.

Speaking Softly and Listening Hard: The Process of Involving Young Voices from a Culturally and Linguistically Diverse School in Child Health Research.

The involvement of young people in the planning of research continues to be rare, particularly for young people from culturally and linguistically diverse communities. This paper describes our experience in establishing a Youth Research Advisory Group (YRAG) in South West Sydney (SWS), including barriers and successful strategies. One hundred and fifteen students between school Years 7 and 12 (ages 11–18) took part in at least one of five sessions between 2019 and 2021. In total, we carried out 26 YRAG sessions, with between five and 30 students in each. Sessions focused on mapping the health priorities of the participants and co-developing research project proposals related to their health priorities. Our work with students revealed that their main areas of concern were mental health and stress. This led to material changes in our research strategy, to include “Mental Health” as a new research stream and co-develop new mental health-related projects with the students. Important strategies that enabled our research included maintaining flexibility to work seamlessly with organisational and individual preferences, and ensuring our processes were directed by the schools and—most importantly—the students themselves. Strategies such as maintaining an informal context, responding rapidly to student preference, and regularly renegotiating access enabled us to engage with the students to deepen our understanding of their experiences.