Implementation Of Best Practices Research Articles

Implementation of Community‑Wide Initiatives Designed to Reduce Teen Pregnancy: Measuring Progress in a 5‑Year Project in 10 Communities.

Community-wide initiatives (CWI) to prevent teen pregnancy were implemented in 10 communities in the USA. The CWI supported the implementation of evidence-based teen pregnancy interventions (EBIs) and implementation of best practices for adolescent reproductive health care. Implementation was supported through mobilizing communities, educating stakeholders, and strategies to promote health equity. We assessed indicators of progress of the CWI for the following five project components (data collected from 2010 to 2015): community mobilization, stakeholder education, working with diverse communities, evidence-based interventions, and increasing access to clinical services and the potential contributions of training and technical assistance. Communities engaged multiple stakeholder groups to contribute to planning, community outreach and education, and partnership development and used multiple dissemination methods to share information on adolescent reproductive health needs and teen pregnancy prevention strategies. The amount of training and technical assistance from state- and community-based organizations was associated with increased numbers of youth receiving EBIs and increased provision of contraceptives. The number of health centers implementing best practices for adolescent reproductive health services increased; conducting sexual health assessments, offering hormonal contraception or IUD, and offering quick start of IUDs were associated with increases in long-acting reversible contraception utilization. These findings demonstrate that scaled prevention efforts can occur with adequate support including training and technical assistance and community awareness and engagement in the process. The findings raise important questions for understanding what factors contribute to successful community-wide implementation of EBIs and health center best practices for contraceptive access and whether these lead to reductions in teen pregnancies in highly impacted communities.

Barriers and enablers to the implementation of evidence-based practice in pressure ulcer prevention and management in an integrated community care setting: A qualitative study informed by the theoretical domains framework.

Pressure ulcer reduction is a healthcare priority. Good clinical guidelines have the potential to transform pressure ulcer prevention and management practices. However, evidence suggests these guidelines are inconsistently utilised. The aim of this study was to explore health practitioners' perceived barriers and enablers to the implementation of evidence-based pressure ulcer prevention and management recommendations in an integrated community care setting. The study used a qualitative exploratory design. It took place in a community Trust in London, England. Semi-structured interviews were conducted with a purposive sample of registered nurses and allied healthcare professionals (AHPs). The Theoretical Domains Framework (TDF) informed both data collection and data analysis. Analysis followed a five-step process including deductive coding of the transcripts and inductive generation of specific belief statements. Nine nurses and four AHPs took part in the study. Six TDF domains were identified as most relevant to the implementation of best practice in pressure ulcer prevention and management: Goals, Knowledge, Skills, Beliefs about capabilities, Environmental context and resources and Social influences. All participants felt it was important to prevent pressure ulcers and were motivated to do so. Key enablers to the implementation of evidence-based practice included high levels of self-reported pressure ulcer knowledge and skills (nurses), responsive community equipment provision, the introduction of novel Pressure Ulcer Implementation Facilitator roles and integrated team working. Barriers included self-reported deficits in knowledge and skills (AHPs), worries about inspecting intimate anatomical locations (AHPs), difficulties initiating conversations with patients about risk and behaviour change, high workloads and clutter in the home. Family members and mobile working solutions were identified as both enablers and barriers. Potential routes to addressing implementation challenges are identified and recommendations made for future research.

Implementing Intergenerational Best Practices in Community-Based Settings: A Preliminary Study.

Evidence-based intergenerational (IG) programs bring youth and older adults together in shared activities and promote socioemotional health across age-groups. The core components of these IG programs include 14 IG "best practices" that should be implemented during IG program sessions to optimize program effectiveness for both youth and older adult participants. Despite the proliferation of IG programs across the United States, it is unclear the extent to which these IG best practices have been implemented in the community. This preliminary study assesses the implementation of IG best practices at two community-based sites by program leaders who participated in a multifaceted professional education intervention for IG best practice use. Implementation of best practices was measured through the Best Practices Checklist completed by program leaders and trained coders as well as through narrative written comments. Program leaders indicated that they were able to consistently implement six out of the 14 IG best practices in 46 IG sessions, whereas the best practice named "Adaptations to equipment were made" was least likely to be implemented. Analysis of narrative comments indicated that (a) the group arrangement of participants and (b) program leaders' familiarity with activities also influenced implementation. While many IG best practices can be implemented in the community, some best practices can be implemented with greater ease and consistency. Training resources can support IG best practice implementation; however, our multifaceted professional education intervention may benefit from the addition of case examples or vignettes to depict potential strategies for optimizing evidence-based IG practices.

Complementary Medicine and Self-Care Strategies in Women with (Recurrent) Urinary Tract and Vaginal Infections: A Cross-Sectional Study on Use and Perceived Effectiveness in The Netherlands.

Due to the excessive use of antibiotic and antimycotic treatments, the risk of resistant microbes and fungi is rapidly emerging. Previous studies have demonstrated that many women with (recurrent) urinary tract infection (UTI) and/or vaginal infections (VIs) welcome alternative management approaches to reduce the use of antibiotics and antifungals and avoid short- and long-term adverse effects. This study aims to determine which complementary medicine (CM) and self-care strategies are being used by women suffering from (recurrent) UTI and VI in The Netherlands and how they perceive their effectiveness in order to define directions for future research on safety, cost-effectiveness, and implementation of best practices. A cross-sectional online survey was performed among women, ≥18 years old, with a history of UTIs; 162 respondents were included in the data analysis, with most participants aged between 50 and 64 years (36.4%). The women reported having consulted a CM practitioner for UTI-specific symptoms (23.5%) and VI-specific symptoms (13.6%). Consultations of homeopaths, acupuncturists, and herbal physicians are most often reported. Overall, 81.7% of the women suffering from UTI used complementary or self-care strategies besides regular treatment, and 68.7% reported using CM/self-care strategies to treat vaginal symptoms. UTI- related use of cranberries (51.9%), vitamin C (43.8%), and D-mannose (32.7%) were most reported. Perceived effectiveness was mostly reported for homeopathic remedies and D-mannose. The results showed a substantial burden of UTI and VI on daily and sexual activities. Besides the frequency of use, the indication of perceived effectiveness seems to be an important parameter for further and rigorously designed research to encourage nonantibiotic/antifungal treatment implementation into daily clinical practice.

33392 Investigating the relationship between placement instability, mental health, behavioral and justice-related outcomes among sex-trafficked youth

ABSTRACT IMPACT: This public health work contributes to the development and implementation of best practices for working with sex trafficked youth who experience placement instability and justice involvement. OBJECTIVES/GOALS: Youth removed from their home into foster care or a group home (i.e., placement instability) are vulnerable to sex trafficking. This study examines whether placement instability predicts mental health, behavioral and justice-related outcomes among sex-trafficked girls. METHODS/STUDY POPULATION: Placement instability occurs when children are temporarily or permanently removed from their home and placed in foster care or a group home. Domestic minor sex trafficking is exploitation and abuse of children for commercial sexual purposes in exchange for money or other goods/services. We hypothesize that sex trafficked girls who experience placement instability will report more mental health challenges, substance use, abuse history and justice involvement than those without placement instability. Data came from participant files in a specialty court program from 2012-2014 (N=184). Multiple sources contribute to the information contained court files; all data extracted by the research team come solely from the court files. Descriptive, bivariate, and logistic regression analyses were performed. RESULTS/ANTICIPATED RESULTS: All participants were (cis)female, 74% were African American, 96% US citizens, with average age of 16 years. Three-quarters of participants had a documented mental health challenge, such as depression and 88% reported substance use. Eighty-one percent of participants had been in a placement, with a group average of 4.5 placements. Girls with placement instability reported more mental health challenges (p<.001), substance use (p<.001), abuse (p<.001), running away (p<.001) and bench warrants (p<.001) than girls without placement instability. Logistic regression estimated housing instability was positively associated with mental health challenge, substance use, running away, number of bench warrants, and number of citations. DISCUSSION/SIGNIFICANCE OF FINDINGS: Among girls who have been trafficked, placement instability places them at greater risk for personal and behavioral challenges, including increased justice involvement. Comprehensive trauma-informed services should be provided to the family to help mitigate issues in the home.

Anesthesiologists' Role in Value-based Perioperative Care and Healthcare Transformation.

Health care is undergoing major transformation with a shift from fee-for-service care to fee-for-value. The advent of new care delivery and payment models is serving as a driver for value-based care. Hospitals, payors, and patients increasingly expect physicians and healthcare systems to improve outcomes and manage costs. The impact of the coronavirus disease 2019 (COVID-19) pandemic on surgical and procedural practices further highlights the urgency and need for anesthesiologists to expand their roles in perioperative care, and to impact system improvement. While there have been substantial advances in anesthesia care, perioperative complications and mortality after surgery remain a key concern. Anesthesiologists are in a unique position to impact perioperative health care through their multitude of interactions and influences on various aspects of the perioperative domain, by using the surgical experience as the first touchpoint to reengage the patient in their own health care. Among the key interventions that are being effectively instituted by anesthesiologists include proactive engagement in preoperative optimization of patients' health; personalization and standardization of care delivery by segmenting patients based upon their complexity and risk; and implementation of best practices that are data-driven and evidence-based and provide structure that allow the patient to return to their optimal state of functional, cognitive, and psychologic health. Through collaborative relationships with other perioperative stakeholders, anesthesiologists can consolidate their role as clinical leaders driving value-based care and healthcare transformation in the best interests of patients.

Construção do DesHospitaliza - Plano para alta responsável de pacientes idosos com doenças crônicas

Objetivo: identificar as categorias que deverão compor o plano para alta responsável de pacientes idosos com doenças crônicas e que servirá de documento norteador para as unidades hospitalares federais no Rio de Janeiro, visando contribuir para a realização de melhores práticas nos processos de desospitalização e transição do cuidado do hospital para a Atenção Primária à Saúde. Metodologia: estudo descritivo exploratório com abordagem qualitativa, com uso da técnica de grupo focal e Análise Temática de Conteúdo, com auxílio do software IRAMUTEQ. Resultados: a análise dos dados permitiu a identificação das categorias consideradas importantes para compor o plano para alta responsável, a saber: acolhimento e porta de entrada, planejamento para alta responsável, atenção centrada na pessoa e educação em saúde. Considerações: O conteúdo apreendido na pesquisa demonstra a necessidade dos serviços de saúde hospitalares desenvolverem ações, elaborarem protocolos e planos para alta responsável. Percebeu-se que é preciso investir na mudança de cultura institucional para avançar na direção de um cuidado centrado no paciente e pautado na integralidade do cuidado.

Surgeon and medical oncologist peer network effects on the uptake of the 21‐gene breast cancer recurrence score assay

BackgroundDrivers behind the adoption of gene expression profiling in breast cancer oncology have been shown to include exposure to physician colleagues’ use of a given genomic test. We examined adoption of the Oncotype DX 21‐gene breast cancer recurrence score assay (ODX) in the United States after its incorporation into clinical guidelines. The influence of patient‐sharing ties and co‐location with prior adopters and the role of these potential exposures across medical specialties on peers’ adoption of the test were examined.MethodsWe conducted a retrospective cohort study of women with incident breast cancer using a 100% sample of fee‐for‐service Medicare enrollee claims over 2008–2011. Peer networks connecting medical oncologists and surgeons treating these patients were constructed using patient‐sharing and geographic co‐location. The impact of peer connections on the adoption of ODX by physicians and testing of patients was modeled with multivariable hierarchical regression.ResultsAltogether, 156,229 women identified with incident breast cancer met criteria for cohort inclusion. A total of 7689 ODX prescribing physicians were identified. Co‐location with medical oncologists who adopted the test in the early period (2008–2009) was associated with a 1.38‐fold increase in the odds of a medical oncologist adopting ODX in 2010–2011 (95% CI = 1.04–1.83), as was co‐location with early‐adopting surgeons (odds ratio [OR] = 1.25, 95% CI = 1.00–1.58). Patients whose primary medical oncologist was linked to an early‐adopting surgeon through co‐location (OR = 1.17, 95% CI = 1.04–1.32) or both patient‐sharing and co‐location (OR = 1.17, 95% CI = 1.03–1.34) were more likely to receive ODX.ConclusionsExposure to surgeon early adopters through peer networks and co‐location was predictive of ODX uptake by medical oncologists and testing of patients. Interventions focused on the role of surgeons in molecular testing may improve the implementation of best practices in breast cancer care.

Роль ПСЦ в развитии стратегии декарбонизации Компании

This article analyses the relevance of ESG/sustainable development topics for the Russian oil and gas sector, reviews decarbonization strategies of international companies and LUKOIL, accentuates the role of production & service centers (using the example of LINK) in implementation of innovative projects. Authors discuss the advantages, opportunities created by integrating technological, digital, and R&D activities within a single platform. The presented organizational structure of the PSC will enable more efficient development of cooperation, development of methodologies and implementation of best practices at LUKOIL enterprises.

INFORMATION SUPPORT OF UKRAINIAN CUSTOMS AFFAIRS IN THE CONTEXT OF DIGITAL SOCIETY DEVELOPMENT STRATEGY

Introduction. In the current conditions of global transformations, the impact of pandemic challenges and threats, the level of digitalization of public administration in general and the level of information support of fiscal authorities in particular play a key role. The use of effective technologies of informatization of the customs authorities of the state creates favorable conditions for the movement of goods across the state border by simplifying, accelerating and improving the procedures of customs clearance and customs control. Today there is an urgent need to unify the national legal framework in the field of customs to international standards, improve the technological, institutional and infrastructural direction of reforming the customs authorities of the state and to intensifyty the processes of digitalization in Ukrainian customs policy. The purpose of the article is to study the specifics of the activities and tasks of reforming the information support in the state customs authorities, to outline priorities and obstacles to improving the efficiency of customs institutions in Ukraine and in the economic avant-garde countries on the context of digital strategy of society. Methods. In studying the features of information support of customs in Ukraine and the level of informatization of customs authorities in particular, a set of general scientific and special research methods was used, covering: analysis and synthesis, generalization and statistical. Results. As a result of the study of information support of the customs of Ukraine, the basis of its implementation is systematized, the transformational features of information support of the customs authorities of the state are analyzed. The experience of informatization of the customs space of economically developed countries in the conditions of digitalization of the economy is analyzed. Modern information systems of the customs authorities of Ukraine and the peculiarities of their functioning are outlined. The advantages and obstacles of accession of the customs authorities of the state to the Convention on the procedure of joint transit are detailed. The problematic aspects that prevent the increase of efficiency of information support in the LCA of Ukraine are determined. Prospects. Further research is planned to focus on assessing the level of efficiency of the customs information system in Ukraine and developed countries, analysis of security, fiscal and economic effects of digital transformations of customs procedures, areas of implementation of best practices of informatization of customs institutions.

EU az egészségügyért: az Európai Unió 4. Egészségügyi Cselekvési Programja

The European Commission proposed a new, ambitious health programme 2021-2027 in May 2020. The main aim of this EU4Health programme is to provide a significant contribution to the post-COVID-19 recovery by making the EU population healthier, strengthening the resilience of health systems, and promoting innovation in the health sector. The general objectives of the programme are to protect people in the Union from serious cross-border threats to health; to improve the availability in the Union of medicines, medical devices and other crisis relevant products, contribute to their affordability, and support innovation; to strengthen health systems and the healthcare workforce, including digital transformation and increasingly integrated and coordinated cooperation among the Member States, sustained implementation of best practices and data sharing, to increase the average level of public health.

Barriers to access, implementation, and utilization of parenting interventions: Considerations for research and clinical applications.

In February 2019, the American Psychological Association approved a resolution on physical discipline of children by parents that recognized its negative impact on children; called for increased use of more effective, alternate forms of discipline; and highlighted the need for greater access to behavioral parenting intervention for underserved groups. Despite a wealth of empirical evidence supporting these statements and similar resolutions by other influential organizations (e.g., American Academy of Pediatrics, American Professional Society on the Abuse of Children), many challenges exist in providing empirically supported parent training interventions to individuals in need. The current article reviews many barriers to access and implementation of best practices for parents of children and adolescents, including structural barriers to accessing care and factors that interfere with effective delivery of interventions. The review also provides suggestions for clinicians, researchers, and public policy advocates to begin making progress toward reducing and removing these barriers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

ФОРМИРОВАНИЕ ПРОФИЛЯ КОМПЕТЕНЦИЙ ЛИДЕРОВ ПРОФЕССИОНАЛЬНЫХ ЭКСПЕРТНЫХ СООБЩЕСТВ

In the difficult conditions of transformation of socioeconomic and labor relations, professional expert communities (PEC) acquire a special role, ensuring both the development of individual professions, experts, and, in general, affecting the quality of the education system and the national qualifications system in the country. At the same time, community leaders play a key role, often acting as initiators of the creation and locomotives of PEC development. The aim of this study is to systematize the approaches of modern researchers to modeling competencies and develop, on its basis, a competency profile for PEC leaders. The theoretical and methodological basis of the study is a systematic approach based on a multidimensional model of competencies, which involves considering both professional and personal competencies. The empirical basis of the study is a series of in-depth expert interviews with twenty leaders of professional expert communities, selected based on the results of PEC monitoring, implemented in 2019–2020 within the framework of the RFBR grant. The study made it possible to formulate the main goal of the communities’ activities, which is the exchange of experience, the development of the profession and the community of professionals, the dissemination and implementation of best practices, and the transfer of knowledge. Based on this, the community leader must demonstrate a sufficiently high level of intellectual qualities, as well as managerial and expert knowledge. The study shows that one of the key competencies characteristic of PEC leaders is developed skills of expert activity in the framework of the professional activity of the community. In addition, PEC leaders have a high and equal level of the following competencies: continuous development, confidence, self-awareness and control, honesty and ethical behavior; they all have a high level of intellectual abilities, the skill of demonstrating leadership expertise and expert examination. Cognitive competences and meta-competencies are the most pronounced among PEC leaders. Among the socio-ethical competencies, honesty and ethical behavior are the most manifested. Formation of the competence profile of PEC leaders will allow determining the most manifested competencies of community leaders and preparing recommendations regarding the formation of individual development plans for current and future community leaders. The stronger communities become embedded in socioeconomic relations, the more important it is to understand the capabilities of their leaders. In addition, the understanding of PEC managers’ competency profiles will allow integrating them more effectively into the activities of professional qualifications councils, whose activities are aimed, among other things, at standardizing areas of professional activity.

Complementary implementation of best practice in environmental management with health and safety; context of the United Arab Emirates construction industry

This research study investigates the strategic implementation of health and safety (H&S) and its effect on environmental management in the UAE construction industry. For this purpose, two objectives are formulated to explore: (i) the extent to which there is a commitment to environmental management, and (ii) the extent to which environmental and H&S activities are appropriately integrated. Quantitative data were collected by a questionnaire survey from 27 respondents including contractors, consultants, clients and safety officers from the UAE construction industry. The data were analyzed using descriptive and inferential statistics. Results indicate a strong relationship between the variables. Some respondents were of the opinion that the best international H&S practice is applied in the UAE and information availability is appropriate. Many managers are committed to environmental management and the H&S of their employees, but there are some barriers and critical success factors to be addressed to assure continued improvement. There is potential for improving environmental and health and safety performance.

A threatened ecological community: research advances and priorities for Banksia woodlands

The rapid expansion of urban areas worldwide is leading to native habitat loss and ecosystem fragmentation and degradation. Although the study of urbanisation’s impact on biodiversity is gaining increasing interest globally, there is still a disconnect between research recommendations and urbanisation strategies. Expansion of the Perth metropolitan area on the Swan Coastal Plain in south-western Australia, one of the world’s thirty-six biodiversity hotspots, continues to affect the Banksia Woodlands (BWs) ecosystem, a federally listed Threatened Ecological Community (TEC). Here, we utilise the framework of a 1989 review of the state of knowledge of BWs ecology and conservation to examine scientific advances made in understanding the composition, processes and functions of BWs and BWs’ species over the last 30 years. We highlight key advances in our understanding of the ecological function and role of mechanisms in BWs that are critical to the management of this ecosystem. The most encouraging change since 1989 is the integration of research between historically disparate ecological disciplines. We outline remaining ecological knowledge gaps and identify key research priorities to improve conservation efforts for this TEC. We promote a holistic consideration of BWs with our review providing a comprehensive document that researchers, planners and managers may reference. To effectively conserve ecosystems threatened by urban expansion, a range of stakeholders must be involved in the development and implementation of best practices to conserve and maintain both biodiversity and human wellbeing.

Corrigendum to: A threatened ecological community: research advances and priorities for Banksia woodlands

The rapid expansion of urban areas worldwide is leading to native habitat loss and ecosystem fragmentation and degradation. Although the study of urbanisation's impact on biodiversity is gaining increasing interest globally, there is still a disconnect between research recommendations and urbanisation strategies. Expansion of the Perth metropolitan area on the Swan Coastal Plain in south-western Australia, one of the world's thirty-six biodiversity hotspots, continues to affect the Banksia Woodlands (BWs) ecosystem, a federally listed Threatened Ecological Community (TEC). Here, we utilise the framework of a 1989 review of the state of knowledge of BWs ecology and conservation to examine scientific advances made in understanding the composition, processes and functions of BWs and BWs' species over the last 30 years. We highlight key advances in our understanding of the ecological function and role of mechanisms in BWs that are critical to the management of this ecosystem. The most encouraging change since 1989 is the integration of research between historically disparate ecological disciplines. We outline remaining ecological knowledge gaps and identify key research priorities to improve conservation efforts for this TEC. We promote a holistic consideration of BWs with our review providing a comprehensive document that researchers, planners and managers may reference. To effectively conserve ecosystems threatened by urban expansion, a range of stakeholders must be involved in the development and implementation of best practices to conserve and maintain both biodiversity and human wellbeing.

Gender Equality in Employment: A View from Kazakhstan

Abstract Issue under consideration: existing legal resources to support gender equality in the workplace. We systematised the provisions of Kazakhstan labour law, which should guarantee the prohibition of discrimination based on sex. The analysis resulted in five themes: “Characteristics of women’s labour”, “Analysis of labour laws differentiation”, “Evaluation of labour rights discrimination” and “Characteristics of the new labour legislation of the Republic of Kazakhstan”, “Characteristics of workers with a special social status”. We analysed the essence of the method of differentiation of labour legislation, which affects the establishment of special working conditions for women and workers with family responsibilities. We suggested a correlation between the content of legal norms and the level of guarantees of gender equality in the labour market. The results show that family circumstances, gender equality are factors influencing the formation of labour legislation, state policy in the field of wage labour. The creation of a favourable environment for labour relations of the considered categories of workers should be carried out through labour contracts, acts of the employer, social partnership agreements, collective agreements. However, priority should be given to normative acts of national action. Ensuring gender equality in fact always requires the implementation of special measures by the employer, which must be guaranteed by a coercive state mechanism. At least this thesis is true for the conditions of Kazakhstan, a country with a transition economy, when business does not have high social activity, and state power is in a period of transformation. Importance should be given to the monitoring and implementation of international obligations in the field of ensuring the prohibition of discrimination, the implementation of best practices and standards. The post-Soviet law of Kazakhstan recognises the priority of international law over national law, and this channel should be maximally used to promote the value of gender equality.

Dicom_wsi: A Python Implementation for Converting Whole-Slide Images to Digital Imaging and Communications in Medicine Compliant Files

Background: Adoption of the Digital Imaging and Communications in Medicine (DICOM) standard for whole slide images (WSIs) has been slow, despite significant time and effort by standards curators. One reason for the lack of adoption is that there are few tools which exist that can meet the requirements of WSIs, given an evolving ecosystem of best practices for implementation. Eventually, vendors will conform to the specification to ensure enterprise interoperability, but what about archived slides? Millions of slides have been scanned in various proprietary formats, many with examples of rare histologies. Our hypothesis is that if users and developers had access to easy to use tools for migrating proprietary formats to the open DICOM standard, then more tools would be developed as DICOM first implementations. Methods: The technology we present here is dicom_wsi, a Python based toolkit for converting any slide capable of being read by the OpenSlide library into DICOM conformant and validated implementations. Moreover, additional postprocessing such as background removal, digital transformations (e.g., ink removal), and annotation storage are also described. dicom_wsi is a free and open source implementation that anyone can use or modify to meet their specific purposes. Results: We compare the output of dicom_wsi to two other existing implementations of WSI to DICOM converters and also validate the images using DICOM capable image viewers. Conclusion: dicom_wsi represents the first step in a long process of DICOM adoption for WSI. It is the first open source implementation released in the developer friendly Python programming language and can be freely downloaded at https://github.com/Steven N Hart/dicom_wsi.

Cultural adaptation of the Child Feeding Questionnaire for use in Brazil

ABSTRACT Objective A methodological study aimed at performing the cultural adaptation of the Child Feeding Questionnaire for its use in Brazil. Methods We collected data in a city in the northeastern region of the state of São Paulo, between March and September 2018; seven judges assessed its language standardization, and 85 parents of preschool children performed the cultural adaptation. Results The judges’ agreement level was above 80% for 54 of the 55 statements in the questionnaire. For the parents, the questionnaire is very good, they had no difficulties in using it; most of them understood the affirmative sentences and all parents considered the questionnaire important for the knowledge of child´s healthy eating. We estimated the internal consistency by considering the Kuder-Richardson coefficient for dichotomous variables, and the correlation of each item with the total score was also sought. The results showed values between 0.72 and 0.76, indicating a good consistency, which confirms the reliability of the Brazilian version of the questionnaire. Conclusions The Child Feeding Questionnaire was culturally adapted, aided by the parents. Future studies must be conducted in other Brazilian realities to allow the questionnaire to be widely used. It contributes to promoting the implementation of better practices in child feeding that favor healthy growth and development, as well as to encourage healthy habits in Brazilian families, and to reduce overweight and childhood obesity in the country.

Awarded innovative and educational good practices against chronic pain across Europe

In continuation with the second edition of the research project “European Civic Prize on Chronic Pain – Collecting Good Practices”, the third edition of the initiative led by Active Citizenship Network, whose term has spanned from 2020-2021, has recently selected several good practices in the fight against chronic pain in the European Union. This year’s edition of the Prize has been extremely significant, as it has taken place in the midst of the Covid-19 pandemic, and a diverse approach has been taken in the collection and implementation of good practices. The project has included practices stemming from healthcare professionals, institutions, civic and patient organizations, and other advocative entities for patients in Europe. This article will focus on two of the winning good practices that have been selected by the Jury of experts and will examine initiatives related to Professional Education and Innovation.