Key Stakeholder Groups Research Articles

АНАЛІЗ РИНКУ ЖИТЛОВОЇ НЕРУХОМОСТІ ЧЕРЕЗ ПРИЗМУ ТЕОРІЇ СТЕЙКХОЛДЕРІВ

The approach proposed by Alkema V.G. was chosen as the methodological basis of the research. and I.V. Bolbotenko, which is adapted to the specifics of the functioning of the residential real estate sector, which includes five interrelated stages: from the identification of stakeholders and their grouping based on the degree of influence on the activity of the construction enterprise, through the analysis of the "power" parameters (degree the ability to influence the economic entity) and "interest" (the level of motivation of such influence) to build a matrix of the balance of interests and calculate the overall level of balance of interests. The main stakeholders of the residential real estate market are aggregated into three groups by spheres of influence, which include the sphere of authority (responsibility), the sphere of direct influence, and the sphere of indirect influence. The author's vision of the subject content of each of the above-listed segments is presented. The key groups of stakeholders that have the greatest influence on the subjects of the residential real estate market include construction company owners (sphere of authority/responsibility), construction enterprise managers (sphere of authority/responsibility), financial and credit organizations (sphere of direct influence), customers (developers) (sphere of direct influence), local authorities (sphere of indirect influence). Conclusions were made regarding the weakness of the institutional influence of such groups of indirect influence as the local population, the sphere of science and education, professional associations, the interest of which is not fully realized due to the lack of real mechanisms of pressure on other stakeholders. The obtained results of the analysis are implemented in the identification of the most important interests in the construction industry, which include: stability of business conditions, effectiveness of personnel policy, effective decision-making mechanism, competitiveness of the final product, high indicators of profitability, liquidity, financial stability, business activity. Interests that lie beyond purely economic parameters (optimal organization of territories, complex infrastructure solutions) show the lowest total rating points. The need of the construction sector to cooperate with stakeholders of indirect influence, in particular the spheres of science and education, was determined. The reasons for the expansion of the use of informal and illegal mechanisms for realizing the interests of priority groups of stakeholders have been revealed.

How do human actions affect fisheries? Differences in perceptions between fishers and scientists in the Maine lobster fishery

The degree to which human actions affect marine fisheries has been a fundamental question shaping people’s relationship with the sea. Today, divergences in stakeholder views about the impacts of human activities such as fishing, climate change, pollution, and resource management can hinder effective co-management and adaptation. Here, we used surveys to construct mental models of the Maine lobster fishery, identifying divergent views held by two key stakeholder groups: lobster fishers and marine scientists. The two groups were differentiated by their perceptions of the relative impact of pollution, water temperature, and fishing. Notably, many fishers perceive the process of fishing to have a positive effect on fisheries through the input of bait. Scientists exhibited a statistically significantly stronger concern for climate change and identified CO2 as one of the dominant pollutants in the Gulf of Maine. However, fishers and scientists agreed that management has a positive impact, which appeared to be a change over the past two decades, possibly due to increased collaboration between the two groups. This work contributes to the goal of decreasing the distance between stakeholder perspectives in the context of a co-managed fishery as well as understanding broader perceptions of impacts of human activities on marine ecosystems.

Perceptions and Practices of Key Worker Stakeholder Groups in Hospital Animal- Assisted Intervention Programs on Occupational Benefits and Perceived Risks

Perceptions and Practices of Key Worker Stakeholder Groups in Hospital Animal- Assisted Intervention Programs on Occupational Benefits and Perceived Risks

РАЗРАБОТКА МОДЕЛИ ЦЕННОСТНО-ОРИЕНТИРОВАННОЙ ОЦЕНКИ СТОИМОСТИ СТРОИТЕЛЬНЫХ ПРОЕКТОВ С ТОЧКИ ЗРЕНИЯ ИНСТИТУЦИОНАЛЬНОГО ИНВЕСТОРА С УЧЕТОМ ИНТЕРЕСОВ КЛЮЧЕВЫХ ГРУПП СТЕЙКХОЛДЕРОВ

In the modern conditions of the development of the world economy, a significant problem is being formed regarding the effectiveness of assessing the market value of construction projects from the point of view of institutional and private investors. This problem is caused by the instability and uncertainty of the development of the world economy, on the one hand, as well as the imperfection and lack of modernity of traditional methods of assessing the market value of construction projects, on the other. Within the framework of the current development of the situation in the global economy, the implementation of construction projects is associated with significant risks, which creates significant threats in the field of investment efficiency. This issue requires improving the process of assessing the market value of construction projects from the point of view of an institutional investor. The existing models of evaluation of construction projects are focused mainly on the profitability indicator and do not take into account two key factors: the dynamics of potential growth in the market value of the project and the interests of stakeholders as key persons able to influence the cost of the construction project. The model proposed in the framework of this study includes two key advantages in its structure, it allows you to calculate the growth potential of the market value of a construction project in an unstable economic situation. In addition, this model takes into account the interests of key groups of stakeholders, which makes it possible to determine that this model of estimating the market value of a construction project takes into account both quantitative and qualitative factors affecting the cost of the project. The model is based on the paradigm of comparative evaluation of construction projects from the point of view of an institutional investor, the calculation of the final results of the effectiveness of individual construction projects, according to this model, allows you to identify the most priority and effective from the point of view of a potential investor. This model makes it possible to assess the growth potential of the market value of a construction project both at the pre-investment stage and at the stage of direct investment. This model fully corresponds to modern trends in the field of investor orientation mainly on the potential growth rates of the market value of a construction project.

THE DEVELOPMENT OF THE INSTITUTE OF PROFESSIONALIZATION OF STATE SERVICE IN UKRAINE AND SYSTEM OF PROVIDING PROPOSALS

In modern conditions the high quality of public administration and services is a critical aspect of state competitiveness. One of the foundations of ensuring high quality of public administration and services is the professionalization of public service. The purpose of the article is to analyze the peculiarities of development of the institute of professionalization of public service in Ukraine and to formulate proposals on the system of prerequisites of its provision. The article considers the peculiarities of the development of the institute of professionalization of public service in modern Ukrainian realities. Based on analysis of structural peculiarities of staff composition of local authorities of a separate region, taken from previous studies, the author has formed several conclusions of applied character on the direction of focus of tasks of professionalization of public service. The importance of a systemic approach in the task of developing the institute of professionalization of public service was noted, and it was proposed to implement a comprehensive program designed to promote the systemic and sustainable development of the institute of professionalization. A separate focus is aimed at the role of stakeholders in the effective development of the professionalization institute and the provider system. The importance of attracting the support of key stakeholder groups for the effective implementation of a comprehensive change program is noted. Special attention was paid to the importance of involvement of civil servants of various levels as one of the stakeholder groups to reduce the risk of non-acceptance of changes or their sabotage. The importance of formation of public coalitions as an effective lever to accelerate the introduction of changes, acceptance of their results, advocacy of changes among broad groups of stakeholders was noted. The aspect of permanence of changes in the context of development of the institute of professionalization of public service during the transit of power is highlighted separately.

The role of the PMO in enforcing and standardizing attendance to the needs of software project teams by project managers

Despite their critical role in project success, software project teams (SPTs) remain the most neglected key stakeholder group by software project managers (SPMs) and researchers in the project management field. The needs and interests of SPTs have not received due attention from SPMs. As an attempt to address the neglect of SPTs by SPMs, the authors of this study developed a model aimed at assisting SPMs to pay necessary attention to the needs of their project teams. Key to the function of the model is the project management office (PMO), which is aimed at enforcing and standardising the collection and addressing of SPT members’ views and concerns. The PMO as a custodian of project management practices in an organisation, is responsible for standardising and enforcing project management practices across the enterprise. The purpose of this research study is to explore how the functions of the PMO can be used to operationalise the enforcement, institutionalisation and standardisation of the overall function of the model. Given the practical orientation of this study, pragmatic and interpretive research paradigms were deemed appropriate for application. Using interpretation, various suitable PMO functions as determined from project management literature were used to meet this study’s objective. Future studies should include the validation of the practicality of this paper’s assertion in a real-life project environment.

PrEdiction of Risk and Communication of outcomE followIng major lower limb amputation: a collaboratiVE study (PERCEIVE)—protocol for the PERCEIVE qualitative study

IntroductionDeciding whether to proceed with a major lower limb amputation is life-changing and complex, and it is crucial that the right decision is made at the right time. However, medical...

Understanding people who volunteer with marine turtles: motives and values for engagement in conservation

ABSTRACT Volunteers play a key role in the conservation of many threatened species, yet volunteer motivations for participating in conservation and strategies used for attracting and retaining volunteers remain little studied. Iconic and charismatic megafauna species, such as marine turtles, attract the attention of conservation volunteers worldwide, making this species an ideal case study to explore volunteer motivations. We developed a novel values-based framework that examines the motivations and values of people volunteering with turtles in Queensland, Australia by harmonizing insights from Values Belief Norm (VBN) theory and intrinsic, instrumental, and relational values. We found that although motivations for these volunteers are multi-faceted, common factors underpinning volunteering decisions included values alignment with the organization, social influence, the ability to learn, and optimism. Awareness of these characteristics can assist organizations with designing more effective voluntary programs and further scholarly understanding of drivers of pro-environmental behaviors among a key group of environmental stakeholders.

The relationship between employer image and employee commitment in family-run hospitality firms

PurposeAmong all forms of commitment, affective commitment has been shown to be the most desirable for enterprises. However, research on commitment among employees in family-run businesses in the hospitality industry is scant. To address this gap, this study aims to analyze the impact of employer image components on hospitality employees’ affective occupational commitment within family-run businesses. As one can assume specific employer image aspects when studying family-run businesses, this paper expects to achieve a better understanding of the relationship between employer image and employee commitment in this context.Design/methodology/approachThis study adopts the employer image framework of Baum and Kabst (2013), emphasizing that in addition to considering potential employees, the commitment of current employees needs to be assessed. Convenience sampling is used to obtain a sample from the target population (Tyrolean hospitality and gastronomy employees) from June to September 2018. Multiple linear regression analysis is applied to test the influence of individual employer image constituents on employees’ affective occupational commitment.FindingsAmong the five components of the employer image framework applied here, working atmosphere, task attractiveness and payment attractiveness show a significant influence on employees’ affective occupational commitment.Originality/valueThis study connects an existing employer image model to employee commitment within the hospitality industry. The findings suggest that the model is applicable to current employees as a key stakeholder group and shows the utility of employer image theory in connection with employee commitment.

Development of a core outcome set for the evaluation of interventions to enhance trial participation decisions on behalf of adults who lack capacity to consent: a mixed methods study (COnSiDER Study)

BackgroundTrials involving adults who lack capacity to provide consent rely on proxy or surrogate decision-makers, usually a family member, to make decisions about participation. Interventions to enhance proxy decisions about trial participation are now being developed. However, a lack of standardised outcome measures limits evaluation of these interventions. The aim of this study was to establish an agreed standardised core outcome set (COS) for use when evaluating interventions to improve proxy decisions about trial participation.MethodsWe used established methods to develop the COS including a consensus study with key stakeholder groups comprising those who will use the COS in research (researchers and healthcare professionals) and patients or their representatives. Following a scoping review to identify candidate items, we used a modified two-round Delphi survey to achieve consensus on core outcomes, with equivocal items taken to a consensus meeting for discussion. The COS was finalised following an online consensus meeting in October 2020.ResultsA total of 28 UK stakeholders (5 researchers, 10 trialists, 3 patient/family representatives, 7 recruiters and 3 advisors/approvers) participated in the online Delphi survey to rank candidate items from the scoping review (n = 36) and additional items proposed by participants (n = 1). Items were broadly grouped into three categories: how family members make decisions, their experiences of making decisions, and the personal aspects that influence the decision. Following the Delphi survey, 27 items were included and ten items exhibited no consensus which required discussion at the consensus meeting. Sixteen participants attended the meeting, including additional patient/family representatives invited to increase representation from this key group (n = 2). We reached consensus for the inclusion of 28 outcome items, including one selected at the consensus meeting.ConclusionsThe study identified outcomes that should be measured as a minimum in all evaluations of interventions to enhance proxy decisions about trials. These relate to the process of decision-making, proxies’ experience of decision-making, and factors that influence decision-making such as understanding. Further work with people with impairing conditions and their families is needed to explore their views about the COS and to identify appropriate outcome measures and timing of measurement.Trial registrationThe study is registered on the COMET database (https://www.comet-initiative.org/Studies/Details/1409)

Enough time for lunch? The duration and governance of lunch eating times in Australian primary schools: A mixed-methods study

Developing healthy eating behaviours is important to assist children in maintaining good health and decrease the risk of chronic health conditions. Recent nutrition promotion efforts in Australian primary schools have mainly focused on canteen guideline compliance and obesity prevention interventions. The aim of this study was to investigate the primary school food environment, specifically, allocated lunch eating duration and the governance of children's lunch breaks. Parents (n = 402) and teachers (n = 123) were asked via an online survey, about school allocated lunch eating duration and its adequacy. Respondents were asked about the supervision, monitoring and feedback of children's lunches, as well as how they felt about these practices. Parents (n = 308) and teachers (n = 102) also responded to the open-ended question “What could be done to improve the school food environment at your school?“.Ten minutes was the allocated lunch eating duration reported by most parents and teachers and 58% of those parents and 30% of those teachers rated this as inadequate. Increasing the allocated lunch eating duration was frequently cited as a way to improve the school food environment. A similar proportion of parents and teachers agreed with teachers monitoring food intake, not providing feedback on food brought to school, and that parents should decide what children eat. More parents (44%) than teachers (23%) believed that teachers should eat their own lunch with the children. These findings provide an insight into the primary school lunch environment and the views of two key stakeholder groups. School food policies should consider these findings in future revisions, particularly with regards to eating times.

A protocol for developing a core outcome set for ectopic pregnancy

BackgroundRandomised controlled trials (RCTs) evaluating ectopic pregnancy have reported many different outcomes, which are themselves often defined and measured in distinct ways. This level of variation results in an inability to compare results of individual RCTs. The development of a core outcome set to ensure outcomes important to key stakeholders are collected consistently will guide future research in ectopic pregnancy.Study aimTo develop and implement a core outcome set to guide future research in ectopic pregnancy.Methods and analysisWe have established an international steering group of key stakeholders, including healthcare professionals, researchers, and individuals with lived experience of ectopic pregnancy. We will identify potential outcomes from ectopic pregnancy from a comprehensive literature review of published randomised controlled trials. We will then utilise a modified Delphi method to prioritise outcomes. Subsequently, key stakeholders will be invited to score potential core outcomes on a nine-point Likert scale, ranging from 1 (not important) to 9 (critical). Repeated reflection and rescoring should promote whole and individual stakeholder group convergence towards consensus ‘core’ outcomes. We will also establish standardised definitions and recommend high-quality measurements for individual core outcomes.Trial registrationCOMET 1492. Registered in November 2019.

Using the Medical Research Council framework and public involvement in the development of a communication partner training intervention for people with primary progressive aphasia (PPA): Better Conversations with PPA

BackgroundPrimary progressive aphasia is a language-led dementia resulting in a gradual dissolution of language. Primary progressive aphasia has a significant psychosocial impact on both the person and their families. Speech and language therapy is one of the only available management options, and communication partner training interventions offer a practical approach to identify strategies to support conversation. The aim of this study was to define and refine a manual and an online training resource for speech and language therapists to deliver communication partner training to people with primary progressive aphasia and their communication partners called Better Conversations with primary progressive aphasia.MethodsThe Better Conversations with primary progressive aphasia manual and training program were developed using the Medical Research Council framework for developing complex interventions. The six-stage development process included 1. Exploratory review of existing literature including principles of applied Conversation Analysis, behaviour change theory and frameworks for chronic disease self-management, 2. Consultation and co-production over 12 meetings with the project steering group comprising representatives from key stakeholder groups, 3. Development of an initial draft, 4. Survey feedback followed by a consensus meeting using the Nominal Group Techniques with a group of speech and language therapists, 5. Two focus groups to gather opinions from people with PPA and their families were recorded, transcribed and Thematic Analysis used to examine the data, 6. Refinement.ResultsCo-production of the Better Conversations with primary progressive aphasia resulted in seven online training modules, and a manual describing four communication partner training intervention sessions with accompanying handouts. Eight important components of communication partner training were identified in the aggregation process of the Nominal Group Technique undertaken with 36 speech and language therapists, including use of video feedback to focus on strengths as well as areas of conversation breakdown. Analysis of the focus groups held with six people with primary progressive aphasia and seven family members identified three themes 1) Timing of intervention, 2) Speech and language therapists’ understanding of types of dementia, and 3) Knowing what helps. These data informed refinements to the manual including additional practice activities and useful strategies for the future.ConclusionsUsing the Medical Research Council framework to develop an intervention that is underpinned by a theoretical rationale of how communication partner training causes change allows for the key intervention components to be strengthened. Co-production of the manual and training materials ensures the intervention will meet the needs of people with primary progressive aphasia and their communication partners. Gathering further data from speech and language therapists and people living with primary progressive aphasia and their families to refine the manual and the training materials enhances the feasibility of delivering this in preparation for a phase II NHS-based randomised controlled pilot-feasibility study, currently underway.

Augmented Workforce Canvas: a management tool for guiding human-centric, value-driven human-technology integration in industry

The Fourth Industrial Revolution is transforming the roles of humans, technology and work in production systems. Although the level of automation on shop floors increases, it is not always feasible or effective to assign the execution of production tasks to autonomous systems. Where total automation is ineffective, new forms of Human-Technology Integration (HTI), Operator Assistance Systems (OAS) and Augmentation Technologies can empower the workforce and increase overall business productivity. OAS can be conceptualized as systems that interact with operators to augment their cognitive and physical capabilities whilst performing industrial work tasks, resulting in HTI. In order to achieve successful HTI, an organization must make appropriate strategic and operational decisions for its business environment while also effectively managing its operations. Identifying and executing effective managerial decisions and activities for HTI can be aided by using business support, i.e., management tools. However, in industry, the systematic guidance of practitioners in HTI activities remains challenging. This paper addresses the challenge of guiding practitioners in HTI by introducing the Augmented Workforce Canvas (Canvas). Developed through Procedural Action Research (PAR), the Canvas is a strategic technology management tool aimed at systematically guiding users through the complex transformation towards HTI and the future of work on the shop floor. The Canvas takes a value-driven, technology-neutral approach to HTI. The tool begins with an assessment by key stakeholder groups of the set of underlying problems and the required added value of the HTI. It can be used as a methodological framework for industrial researchers to identify their respective contributions to the overall context of HTI in industrial contexts. Building on 39 industry expert interviews, the Canvas was co-designed and developed in 13 workshop sessions, refined and tested in 12 working sessions by industry practitioners, and evaluated in three industry case studies. The Canvas contributes to the development of industrial human-technology systems by placing the value-added for production systems at the heart of management decisions.

What motivates informal carers to be actively involved in research, and what obstacles to involvement do they perceive?

BackgroundDue to demographic changes and a strained public sector operating in many countries globally, informal care is increasing. Currently, at least 1.3 million adults in Sweden regularly provide help, support and/or care to a family member/significant other. With no sign of an imminent decrease in their caring activities, it is important that informal carers are considered as a key stakeholder group within research that affects them, e.g., the co-design of carer and/or dyadic support interventions. The objective of this descriptive, quantitative study was to investigate informal carers’ perceived motivations and obstacles to become involved in research.MethodsA cross-sectional survey design was adopted, using first-wave data from a panel study. The data, collected in Sweden between September 2019 and March 2020, included survey responses from 147 informal carers who were either aged 60+ years themselves or were caring for someone who was aged 60+ years.ResultsOur main results showed that informal carers are, in general, interested in research. Slightly fewer were interested in becoming actively involved themselves, but older age was the only characteristic significantly associated with less interest of being actively involved. Two latent motivational dimensions emerged from the factor analysis: ‘family motivation’ and ‘the greater good motivation’. These, according to our results, almost equally valued dimensions, described the differing reasons for informal carers to become involved in research. The most common perceived obstacle was lack of time and it was reported by more women than men.ConclusionOur study contributes with new knowledge of informal carers’ perceived motivations and obstacles regarding carer involvement in research. Paying attention to the differing motivational dimensions held by informal carers could help researchers create conditions for more inclusive and systematic participation of informal carers within research. Thereby, increasing the opportunities for research that is deemed to be of higher societal impact. IRRID (International Registered Report Identifier): RR2-10.2196/17759.

From policy to practice: prioritizing person-centred healthcare actions in the state of Victoria

BackgroundMeaningful involvement of consumers in healthcare is a high priority worldwide. In Victoria, Australia, a Partnering in Healthcare (PiH) policy framework was developed to guide health services in addressing consumer-focused healthcare improvements. The aim of this project was to identify priorities for improvement relating to the framework from the perspective of Victorian healthcare consumers and those who work in the healthcare sector.MethodsA survey of Victorians representing key stakeholder groups was used to identify a “long list” of potential priorities, followed by a day-long summit to reduce this to a “short list” using explicit prioritization criteria. The survey was piloted prior to implementation, and diverse consumer groups and key health service providers were purposefully sampled for the summit.ResultsThe survey (n = 680 respondents) generated 14–20 thematic categories across the proposed framework’s five domains. The summit (n = 31 participants, including n = 21 consumer representatives) prioritized the following five areas based on the survey findings: communication, shared decision-making, (shared) care planning, health (system) literacy and people (not) around the patient. These priorities were underpinned by three cross-cutting principles: care/compassion/respect, accountability and diversity.ConclusionFew studies have explicitly sought consumer input on health policy implementation. Adopting a codesign approach enabled the framework to be a shared foundation of healthcare improvement. The framework was subsequently launched in 2019. All Victorian health services are required to commit annually to improvement priorities against at least two framework domains.

Management practices to minimize land use conflicts on large infrastructure projects: examples of dams construction in Pakistan

In this research two cases of infrastructure development (Chotiari and Diamer Bhasha Dams) from Pakistan were studied in terms of a superposition of land uses and their consequences. For this purpose, we obtained qualitative information from both primary as well as secondary sources. Primary data were collected through a partially developed questionnaire from pre-selected experts of various professional backgrounds. National and regional dailies along with other published literature were used as a secondary source of information. The findings have identified the key groups of stakeholders and their relative social power at different levels of governance. The results further highlight that unfair land acquisition, improper displacement, mismanagement in compensation, etc., have caused negative impacts on local people and the surrounded environment. The article further emphasizes governance issues and conflicts among different actors due to the project. Finally, we recommend several actions to prevent strong opposition and conflicts in the infrastructural project in developing countries, like the enhancement of the capacities and the capabilities of the local population, the diffusion of information and the involvement of stakeholders, and the application of technical tools and devices.

Green Diabetes Summit 2021.

On July 21, 2021, Diabetes Technology Society convened the virtual Green Diabetes Summit. The event consisted of 23 representatives from key stakeholder groups based in both the United States and Europe. The purposes of the summit were to (1) provide background on the complexity of addressing sustainability-related issues, including waste management, of diabetes devices from many different perspectives along the products' life cycle stages, and (2) determine the feasibility and role of a coalition of stakeholders to find solutions, particularly in the design, use, and proper disposal of diabetes devices used in home care that no one stakeholder can resolve on their own.

The Perinatal Journey of a Refugee Woman in Greece: A Qualitative Study in the Context of the ORAMMA Project to Elucidate Current Challenges and Future Perspectives

Migrant and refugee women face specific health risks and challenges during the perinatal period, presenting with complex physical, psychological, and mental health issues. Compassionate antenatal and postnatal care is urgently required across Europe given how outcomes during this period determine the health wellbeing throughout a person’s life. The current study aimed to describe the perinatal health care provided to refugee and migrant women in Greece, as well as to identify the barriers to delivering quality health care to these population groups. Data were gathered via qualitative research, and via document analysis, including grey literature research. Two focus groups were convened; one with five midwives in Athens (representing NGOs in refugee camps and public maternity hospitals) and another in Crete with twenty-six representatives of key stakeholder groups involved in the perinatal care of refugees and migrant women. Desk research was conducted with in a stepwise manner comprising two steps: (a) a mapping exercise to identify organizations/institutes of relevance across Greece, i.e., entities involved in perinatal healthcare provision for refugees and migrants; (b) an electronic search across institutional websites and the World Wide Web, for key documents on the perinatal care of refugee and migrant women that were published during the 10-year period prior to the research being conducted and referring to Greece. Analysis of the desk research followed the principles of content analysis, and the analysis of the focus group data followed the principles of an inductive thematic analysis utilizing the actual data to drive the structure analysis. Key findings of the current study indicate that the socioeconomic status, living and working conditions, the legal status in the host country, as well as providers’ cultural competence, attitudes and beliefs and communication challenges, all currently represent major barriers to the efficient and culturally appropriate provision of perinatal care. The low capacity of the healthcare system to meet the needs of women in these population groups in the context of maternal care in a country that has suffered years of austerity has been amply recorded and adds further contextual constraints. Policy reform is urgently required to achieve cultural competence, to improve transcultural care provision across maternity care settings, and to ensure improved maternal and children’s outcomes.

Development of ‘Core Outcome Sets’ for meningioma in clinical studies: The COSMIC project

Abstract Aims To date, meningioma clinical trial activity has been limited, but a number of high-quality studies are underway, with more in development. There is heterogeneity in the outcomes reported in meningioma clinical trials. The COSMIC Project will develop two ‘Core Outcome Sets’ (COS) through comprehensive, transparent, consensus methodology; to ensure outcomes relevant to key stakeholders are reported within and across future meningioma clinical studies. The first will be for use in clinical effectiveness trials (COSMIC: Intervention), the second will be for use in clinical studies of incidental meningioma (COSMIC: Observation). Method Three systematic literature reviews will be performed to generate a long-list of outcomes potentially relevant to meningioma patients, healthcare professionals, researchers, and other stakeholder groups. The first systematic review will present the outcomes reported in published and ongoing meningioma clinical effectiveness trials. The second systematic review will present patient-reported outcomes (PRO) from the measurement tools utilised in meningioma PRO studies. The third systematic review will present the outcomes reported in published and ongoing clinical studies of untreated meningioma. Outcomes will be deduplicated, unique outcomes categorised according to the taxonomy presented by COMET, and the lists combined. The long-list of outcomes will be prioritised through two, 2-round, modified eDelphi surveys including meningioma patients, healthcare professionals, researchers, and other stakeholder groups. Undecided outcomes from both eDelphi surveys will be ratified at two, one-day consensus meeting, with representation from all key stakeholder groups. Results We have formed a study advisory group with international representation from key organisations. The project already has confirmed support from the International Consortium on Meningioma (ICOM), the European Association of Neuro-Oncology (EANO), the Response Assessment in Neuro-Oncology Patient-Reported Outcome group (RANO-PRO), the Society for Neuro-Oncology (SNO), British Neuro-Oncology Society (BNOS), Society of British Neurological Surgeons (SBNS), The Brain Tumour Charity (TBTC), and Brainstrust. Conclusion Standardising minimum outcome reporting in meningioma clinical effectiveness trials and meningioma clinical studies, through the development of these two COS will ensure outcomes reported are relevant to key stakeholder groups, including patients, whilst reducing research waste for a disease with increasing clinical trial activity. We seek to raise awareness of this project and invite participation from a wide range of stakeholders to ensure that the final COS reflects the opinion of the neuro-oncology community. Registration will take place via the study website www.thecosmicproject.org between June-August 2021.