Mapping Exercise Research Articles

The Role of Geographic Information Systems (GIS) in Participatory Conservation of Heritage Areas

In contemporary heritage management, participatory approaches play a crucial role in identifying and safeguarding values for a diverse range of stakeholders. This inclusive methodology involves professionals, local communities, historians, conservationists, and policymakers in conservation efforts. Successfully addressing challenges in stakeholder engagement is crucial for promoting ownership and stewardship, thereby supporting sustainable conservation efforts. Various methods such as community workshops and collaborative mapping exercises have been adopted. Geographic Information Systems (GIS) have emerged as a valuable tool in facilitating stakeholder participation. This research explores the potential of GIS in participatory heritage conservation. It aims to present principles and considerations to outline the practical application of GIS in engaging communities for heritage conservation. By bridging traditional heritage management practices with contemporary participatory methods, the research aims to enhance inclusive, informed, and sustainable conservation efforts. On this basis, qualitative methods and logical argumentation are used to analyze research content, drawing on qualitative and quantitative data from previous studies. A conceptual model is presented through a literature review, followed by an evaluation of five case studies from Iran, The USA, Finland, Egypt, and Spain that have utilized GIS in participatory planning processes. The research highlights GIS's capability to capture diverse social groups' perspectives on heritage values and priorities using participatory mapping. This integration of community insights empowers stakeholders in decision-making processes, enhancing inclusivity in heritage management and supporting community-driven initiatives for urban heritage preservation.

Barriers to interprofessional mentorship in the health sciences

ABSTRACT We characterize, quantify, and groups barriers to interprofessional mentorship identified by health sciences faculty (medicine, nursing, pharmacy and public health) at an R1 institution. Participants completed a three-staged mixed methods Group Concept Mapping (GCM) exercise on perceived interprofessional barriers to tenure and promotion using QualtricsTM and GroupWisdomTM platforms. Thirty-six faculty members (43% of all eligible health sciences faculty) identified 95 barriers to interprofessional mentorship. Fifteen further sorted statements averaging six piles (standard deviation, 1.8), and rated statements on their prevalence and individual or institutional origin. Multidimensional scaling produced a point map with a stress value of 0.33, a good fit between the sorted data and map. Six clusters captured 47 unique ideas after synthesis. The most prevalent was ‘too many responsibilities’ (4.44). Most highly prevalent barriers were institutional, rather than individual in nature. Institutional barriers in health sciences can impede otherwise collaborative interprofessional initiative, team science, and mentoring.

Agro-Processing Value Chains Mapping and Technology Needs Assessment for Taita Taveta County, Kenya

A value chain mapping exercise was carried out in Taita Taveta County, focusing on the agro-processing value chain. The survey carried out by the Kenya Industrial Research and Development Institute (KIRDI), was conducted as part of the Kenya Industry and Entrepreneurship Project (KIEP), supported by the World Bank. The aim of the survey was to explore the technological challenges and opportunities faced by small businesses to help them grow, innovate, and compete more effectively. By looking closely at value chains like rice, dairy, bananas, mushrooms, beekeeping, leather, and engineering services, the study mapped out the specific technology needs of local enterprises. To do this, researchers used both qualitative and quantitative methods, gathering insights through interviews, group discussions, and on-site visits with key players in these sectors. The findings from the mapping exercise, revealed several challenges holding these businesses back which include; outdated equipment, limited opportunities for value addition, poor access to markets, and weak infrastructure. On top of that, the high cost of inputs adds more strain to farmers and processors. The outcome of the survey doesn't stop at identifying problems; it offers practical solutions in an intervention matrix, laying out clear steps to help businesses improve productivity, enhance product quality, and boost income. With the right support, Taita Taveta’s agricultural and livestock sectors have strong potential for growth and transformation.

Effects of empathy mapping and mini-simulation on second-year nursing students’ empathy and communication self-confidence: a quasi-experimental study

BackgroundEmpathy and communication are critical abilities for nursing students, and in recent years, scenario-based teaching has played a crucial role in fostering empathy and professional skill development. However, novice nursing students in basic nursing education often lack prior experience in patient communication, making it challenging for them to prepare adequately for scenarios and effectively handle difficulties in real-life situations. This deficiency also hampers participants’ or observers’ ability to engage in deep reflection, feedback, and learning. Consequently, students frequently experience anxiety in patient communication, and the effectiveness of empathy building remains limited. The aim of the study was to use empathy mapping and mini-simulation in learning to enhance nursing students’ empathy and self-confidence in communication.MethodsA prospective quasi-experimental research design was employed, targeting second-year students in the four-year nursing program at our institution, specifically in the Basic Nursing and Experimentation II class. The students were randomly divided into two groups: an experimental group and a control group, with a total of 98 students (52 in the experimental group and 46 in the control group). The experimental group received instruction using empathic communication digital materials and engaged in empathy mapping exercises, while the control group underwent conventional scenario-based teaching. Pre-test and post-test data were collected from both groups.ResultsA total of 98 students participated in the study, with 46 students in the control group and 52 students in the experimental group. The average age of the participants was 19.19 ± 0.53 years, with a predominance of females (82.7%). At the end of the semester, there was no significant difference in the average empathy levels between the two groups. However, the communication confidence levels of students in the control group (40.20 ± 6.54) were significantly lower than those in the experimental group (43.88 ± 6.35) (P = 0.006).ConclusionsThis teaching approach facilitated deeper and broader student learning, enhancing both empathy and communication confidence. The teaching materials developed in this study can be employed in future courses to teach empathy and patient communication effectively.

Variation in the commissioning of specialist weight management services and bariatric surgery across England: Results of a freedom of information-based mapping exercise across the 42 integrated Care Systems of England.

Specialist weight management services including bariatric surgery are commissioned within regions of England called Integrated Care Systems (ICSs) with eligibility and treatment guidelines determined as part of the National Institute for Health and Care Excellence (NICE) guidance. Reported variation in commissioning and bariatric surgery eligibility criteria has not been previously mapped. Freedom of Information (FOI) requests provide a tool, supported by legislation, to ask questions of public authorities including ICSs such that they must respond accurately. FOIs were sent to all 42 ICSs in England asking 4 questions aiming to establish whether there is variation in the commissioning of specialist weight management services and the eligibility criteria for bariatric surgery across England. Responses were presented descriptively and mapped across England. Responses were received from 41 out of 42 ICSs, with 34 reporting that they provide commissioned medical weight management programmes and 38 funding bariatric surgery. Thirteen reported using criteria that were not compliant with NICE guidance. A large area of the country centred around the East of England does not have a bariatric unit reducing access to care. There is significant geographical variation in the availability of both bariatric and specialist medical weight management services across England, with large portions of the country without local access to a service or no service at all. Where services are available, there is significant inconsistency in eligibility for bariatric surgery despite nationally available guidance.

Prioritization and multilevel mapping of implementation strategies for a cancer rehabilitation navigation program.

Although determinants and strategies for implementing a cancer rehabilitation navigation (CRNav) program have been described, defining specific implementation interventions could improve uptake in oncology care delivery. This manuscript shares prioritized implementation interventions using a multilevel framework. We convened interdisciplinary stakeholders from two CRNav programs to participate in an implementation mapping focus group. Using a multilevel framework that considered provider-, clinic-, and system-level interventions, the focus group discussion guide sought participant input on specific interventions that needed to occur at each level to facilitate implementation. The focus group transcript was analyzed using deductive thematic coding to identify program implementation interventions at each level. The interventions were then shared with all stakeholders to seek agreement and prioritization using a modified Delphi process. A priori a 70% threshold was established to define agreement. Two rounds of Delphi were conducted. Fifteen stakeholders were recruited and nine participated in the focus group. The implementation mapping exercise identified 19 different interventions within the following Expert Recommendations for Implementing Change domains by level: provider level-use evaluative and iterative strategies, provide interactive assistance, train and educate stakeholders, support clinicians; clinic level-change infrastructure, support clinicians, adapt and tailor to context, use evaluative and iterative strategies; and system level-develop stakeholder interrelationship, use financial strategies, change infrastructure. Seven of 15 individuals completed both rounds of the Delphi. Fourteen interventions achieved agreement for high importance. Highest prioritized implementation interventions were develop a core champion team, develop a rationale for program justification, agree upon outcomes measures for the program, and examine and contextualize barriers that will influence the program. Clinical implementation of an innovative care delivery model requires attention to specific interventions that affect various levels within a health care system. These findings will inform future research and clinical efforts in the implementation of CRNav programs.

A Multimethod International Mapping Exercise of Arts Interventions in Renal Units: The PAINT Project

Introduction: Due to the chronic nature of kidney disease, the challenges of symptom burden, and reduced mortality and comorbidity, individuals living with the condition experience substantial anxiety and depression. Incorporating the arts into clinical practice is encouraged to promote and support mental health and well-being. The aim of the PAINT project was to undertake an international mapping exercise to identify the current provision of arts programmes in kidney centres for people living with kidney disease. Methods: A multimethod approach was employed, involving a cross-sectional online survey and semi-structured qualitative interviews, which employed qualitative description research design. Healthcare staff working in kidney centres or organisations providing arts activities to individuals living with kidney disease were recruited into the study. Results: One hundred and nineteen participants from 29 countries responded to the survey, with 39 of the respondents reporting arts activities in their renal unit. There was a wide range of respondents in terms of role, and the types of arts activities included visual arts activities, music, literature/creative writing, film, movement/dance, and craft. Individuals with chronic kidney disease who had taken part in arts activities were mostly adults (64%), and most were undergoing haemodialysis (82%). Sixteen respondents participated in the semi-structured interviews and encouraged the adoption of arts activities for people living with kidney disease. Three themes were identified: enhanced well-being and positive outcomes for individuals living with kidney disease; staff engagement and enthusiasm; and barriers to participation. Conclusions: This overview of arts activities being offered globally to people living with kidney disease and experiences of renal healthcare staff who provide activities in their units are encouraging in terms of arts in healthcare. These practitioners have observed the benefits of this person-centred arts approach in action, predominantly in terms of the positive impact on the well-being of individuals with kidney disease and improved relationships with staff in dialysis units. Further attention and funding should be focused on arts activities within renal centres.

Development of a remote implementation support strategy to enhance integration of depression treatment into primary care settings in rural India.

Contextually responsive implementation support strategies are needed to enhance the integration of mental health services into primary health care. Technical assistance is widely used as a core "capacity building" strategy, primarily for increasing the motivation and capacity of individuals (e.g., frontline workers) to adopt evidence-based interventions in healthcare settings. This article documents the systematic design of a technical assistance strategy for supporting primary care staff (e.g., nurses) in integrating depression care, from screening to treatment, aligned with a non-communicable disease program across seven health facilities in the Sehore District of Madhya Pradesh, India. We conducted a mapping exercise of local health facilities with dedicated staff and a literature review to inform the development of the technical assistance strategy. Reporting guidelines guided the structure of the strategy protocol. The evidence-supported strategy, called Remote Coaching Support, is tailored to the local setting. It uses quality improvement methods like the Plan-Do-Act-Study cycle and training materials to help coaches deliver support remotely via video/phone-based calls and WhatsApp messaging with the overall goal of increasing uptake and fidelity of depression screening and referral among primary care staff in alignment with an existing non-communicable diseases program. The development of Remote Coaching Support involved iterative improvements through team meetings and practice-training feedback, though limitations exist due to a lack of systematic implementation standards, especially in this setting. This strategy will be tested in increasing scales to refine its application, with effectiveness and acceptability results to be evaluated in a randomized control trial.

From Periphery to Core? Mapping a History of Post-Keynesian Economics in Brazil

ABSTRACT Brazil is known for its openness towards heterodoxy in economics. The country has a tradition of fostering the dissemination of structuralism and Marxism since the 1950s, as well as other heterodox approaches since the late 1980s, including post-Keynesianism. Nonetheless, much of Brazil's post-Keynesian intellectual history is yet to be formalised. This article maps the genealogy and social organisation of post-Keynesianism in Brazil through a mixed-methods study. We explore how post-Keynesian economics has been referred to in the history of economics literature, as well as offering a mapping exercise to understand how post-Keynesian economists have organised themselves in economics departments in Brazil, and through publishing in leading post-Keynesian international outlets. First, we address an intellectual genealogy of post-Keynesians in Brazil via CV analysis. Second, we provide a bibliometric analysis of co-citation networks through articles written by Brazilian researchers published in post-Keynesian journals to capture emerging themes and citation patterns. Our conclusions point to: (1) the importance of academic genealogies and postgraduate supervision in creating a local inbreeding of post-Keynesians in several Brazilian economics departments; and (2) how the Brazilian post-Keynesian community builds and expands its theoretical framework in heterogeneous ways, notably in themes related to development and dependency.

A systematic review and mapping exercise to assess the content validity of patient-reported outcome measures for adults having reconstructive surgery of the lower limb.

Lower limb reconstruction (LLR) has a profound impact on patients, affecting multiple areas of their lives. Many patient-reported outcome measures (PROMs) are employed to assess these impacts; however, there are concerns that they do not adequately capture all outcomes important to patients, and may lack content validity in this context. This review explored whether PROMs used with adults requiring, undergoing, or after undergoing LLR exhibited content validity and adequately captured outcomes considered relevant and important to patients. A total of 37 PROMs were identified. Systematic searches were performed to retrieve content validity studies in the adult LLR population, and hand-searches used to find PROM development studies. Content validity assessments for each measure were performed following Consensus-based Standards for the selection of health measurement Instruments (COSMIN) guidelines. A mapping exercise compared all PROMs to a conceptual framework previously developed by the study team ('the PROLLIT framework') to explore whether each PROM covered important and relevant concepts. The systematic searches found 13 studies, while hand searches found 50 PROM development studies, and copies of all 37 measures. Although several studies discussed content validity, none were found which formally assessed this measurement property in the adult LLR population. Development of many PROMs was rated as inadequate, no PROM had sufficient content validity in the study population, and none covered all areas of the PROLLIT framework. The LIMB-Q was the most promising and comprehensive measure assessed, although further validation in a wider sample of LLR patients was recommended. Current PROMs used in adults requiring, undergoing, or after undergoing LLR lack content validity and do not assess all important and relevant outcomes. There is an urgent need for improved outcome measurement in this population. This can be achieved through development of a new PROM, or through validation of existing measures in representative samples.

Becoming Black? African Migrants’ Social Identity Constructions and Experiences of Racialization in Germany

ABSTRACT Becoming Black has been described as a common experience of racialization and social identity transformation for people migrating from countries in Africa to the United Kingdom or the United States. In shifting the socio-political research context to Germany, a society that has adopted a post-racialist self-conception, this registered report explores whether African migrants in Germany identify as Black, and how they negotiate experiences of racialization and their overlapping and often contradictory and competing social identities. The study combines narrative-style interviews with a mapping exercise and photo-elicitation. Research participants were interviewed in three cities in Germany and sampled based on region of origin (i.e. the African continent) rather than whether they identify as Black and/or African. Data collection and analysis were treated as an iterative process, and the final data analysis was guided by reflexive thematic analysis. The study presents three themes that capture the dynamic interplay between existing and evolving identities in the interview and migration context. While few participants explicitly spoke about “becoming Black,” the themes show that migrants’ identities were shaped by experiences of racialized Othering, giving rise to strategic identity performances to navigate social expectations, avoid discrimination, and assert belonging.

Growing pains in upscaling: A constructive technology assessment of sea lice treatment innovations in the stagnating Norwegian aquaculture regime

Innovations that scale up, often have unintended, adverse effects. Dealing with adverse effects is especially challenging in bioeconomy transitions, in which the large-scale deployment of innovations may generate severe environmental damages. This study looks at the case of Norwegian aquaculture which has been embraced as a model to revitalize rural livelihoods and foster regional development in coastal areas, but currently faces stagnation. The main cause for the industry’s stagnating development is a parasitic sea lice, which treatments have adverse effects on ecology and fish welfare. We perform a Constructive Technology Assessment (CTA) involving diverse stakeholders in a Multi-Criteria Mapping (MCM) exercise on the viability, opportunities, and risks of different treatment options to cope with sea lice in Norwegian aquaculture. We find that this method is well-suited to identify diverse anticipatory views on possible solutions to the sea lice problem, allowing decision-makers to identify more democratic, holistic, and sustainable pathways to upscale the bioeconomy.

Are EU member states ready for the European Health Data Space? Lessons learnt on the secondary use of health data from the TEHDAS Joint Action.

The proposal for a regulation on the European Health Data Space (EHDS) contains provisions that would significantly change health data management systems in European member states (MS). This article presents results of a country mapping exercise conducted during the Joint Action 'Towards the European Health Data Space' (TEHDAS) in 2022. It presents the state-of-play of health data management systems in 12 MS and their preparedness to comply with the EHDS provisions. The country mapping exercise consisted of virtual or face-to-face semi-structured interviews to a selection of key stakeholders of the health information systems. A semi-quantitative analysis of the reports was conducted and is presented here, focusing on key aspects related to the user journey through the EHDS. This article reveals a heterogenous picture in countries' readiness to comply with the EHDS provisions. There is a need to improve digitalization and quality of health data at source across most countries. Less than half of the countries visited have or are developing a national datasets catalogue. Although the process to access health data varies, researchers can analyse health data in secure processing environments in all countries visited. Most of the countries use a unique personal identifier for health to facilitate data linkage. The study concluded that the current landscape is heterogeneous, and no member state is fully ready yet to comply with the future regulation. However, there is general political will and ongoing efforts to align health data management systems with the provisions in the EHDS legislative proposal.

Cultivating ‘communities of practice’ to tackle civic policy challenges: insights from local government-academic collaboration in Leeds

Background: The academic impact agenda and evidence-informed policy movement have formed dynamic incentives for engagement between universities and local authorities. Yet, in the competitive higher education landscape, research-intensive universities frequently gravitate towards global rather than local impacts, while local government resources are diminished. In this context, how can universities and councils collaborate effectively to inform solutions to complex policy issues? Aims and objectives: This paper draws on data from a Review of Collaboration between researchers at the University of Leeds and officers at Leeds City Council, which explored factors that enable and constrain research–policy engagement. Where limitations of linear models of research–policy interaction are well documented, we consider how a ‘community of practice’ (CoP) approach might offer insights for accelerating civic knowledge exchange. Methods: A CoP lens was applied in analysing data from a mapping exercise, survey and semi-structured interviews involving academics and council officers. Findings: Examining research–policy engagement in terms of the ‘domain’, ‘community’ and ‘practice’ constituents of CoPs highlights the significance of interpersonal connections in forging ‘boundary-crossing’ collaborations that have spurred innovation in the city. Academics and officers commonly advocated enhanced inter-organisational processes whereby relationality is supported institutionally. Proposals are encapsulated in a model that conceptualises civic collaboration as a series of domain-specific CoPs supported by an inter-sectoral CoP performing vital ‘boundary bridging’ functions. Discussion and conclusions: Drawing on experiences from one English city, we advance a framework which offers promising insights into integration of organisational and relational facilitators of research–policy partnerships in responding to municipal policy challenges.

How can campus living labs thrive to reach sustainable solutions?

Many Higher Education Institutions utilize living labs to address complex societal challenges and foster innovative and sustainable solutions on campus. Despite the perceived benefits of campus environments for transdisciplinary real-world innovation, living labs often encounter challenges. As such, there is a growing need for more knowledge on facilitating these on-campus initiatives in different development phases. Here, enabling factors for on-campus living labs are investigated and their salience across the living labs’ development process established. First, a systematic literature review was conducted, identifying sixteen enabling factors. The most pertinent ones were stakeholders and networks, coordination on the organizational level, a conducive work culture, co-creation and collaboration, and suitable methods and practices for living labs. Second, all factors’ relevance across living labs’ development phases were assessed through the input of an expert panel. To that end, a mapping exercise was developed, which can in itself serve as a discussion tool for living lab practitioners. The results suggested that the initiation phase relies on leadership, coordination, stakeholder engagement, a conducive work culture, and funding. In contrast, operational phases were enabled by shared understanding, internal management, stakeholder collaboration, methodological appropriateness, and evaluation. Lastly, the dissemination phase hinged on transfer, scaling, evaluation, learning, and bridging stakeholders and contexts. These insights contribute to a better understanding of enabling factors for campus living labs during different phases of development, offering tailored guidance for stakeholders while stressing adaptability to local contexts. Subsequently, campus living labs may be better equipped to effectively generate sustainable solutions for the complex societal questions of this time.

Promoting equity in education for sustainable development through community-based learning and teaching

Our presentation reported on the vital role of Education for Sustainable Development (ESD) (UNESCO, 2023) in fostering learners equipped with the knowledge, skills, and attitudes essential for a sustainable future. Despite the emphasis on inclusive and equitable human development through ESD, achieving equitable learning outcomes for all students remains a persistent challenge in the context of UK higher education. Our project explored the benefits and challenges of enabling all students to engage with ESD. We made recommendations for learning developers to effectively support students developing understanding and competencies for sustainability. We explored this through considering the challenges and gaps in inclusive pedagogies, professional development opportunities, curricula integration, and external partnerships. The objective of the project was to address this issue by investigating how equity concerns in ESD can be effectively tackled through the integration of community-based learning and teaching (CBLT) approaches into university curricula (Salam, et al., 2019). Also referred to as service learning, the growing effort in implementing these approaches involves students engaging in organised activities benefiting local communities, enhancing academic knowledge, and fostering civic responsibility. This has important implications for learning developers and the support students need to engage effectively in what may be an unfamiliar form of learning and development. Collaborating with a student researcher, the project employed a multi-faceted methodology, including a literature review, mapping exercise using sustainable development goals (SDGs) and qualitative examination of module descriptions at University College London (UCL) and Queen Mary University of London (QMUL), both based in East London. In the presentation, we shared our existing practices combining ESD and community-based learning that included: Our mapping of the integration of ESD and community-based learning in our university curricula. Gaps and challenges in achieving equitable learning outcomes using a qualitative analysis of curriculum design and implementation. Our initial recommendations for the learning developer community in supporting students to engage with ESD, and gain vital knowledge, skills and competencies for a sustainable future. We also provided a short evaluation of our work as a research collaboration of learning development approaches involving students, academic developers and educators from two universities.

Network determinants of relationship influence on HIV prevention decision-making among people in the social networks of women who have experienced incarceration in the US.

Many cisgender women in the US who have experienced incarceration are at substantial risk for HIV acquisition after they return to the community. Various network interventions have been leveraged for HIV prevention in this population. The objective of this study was to identify network and relationship determinants of influence on HIV prevention decisions, including PrEP. We conducted interviews with a network mapping exercise with participants recruited from the social and sexual networks of women who had experienced incarceration. Participants enumerated important individuals in their lives from the past six months and provided demographic and relationship data as well as whether each relationship influenced their HIV prevention decisions. We abstracted network data from the interview transcripts and described the data set using descriptive statistics and network density graphs. To measure associations between characteristics at each level and whether a relationship was considered influential regarding PrEP decision-making, we use multiple logistic regression with random intercepts for each respondent. We interviewed 32 participants, average age 33.5 years (SD = 8.98), majority female (n = 28, 87.5%), white (n = 23, 71.8%), heterosexual/straight (n = 25, 78.1%), and with a personal history of incarceration (n = 29, 90%). They reported 253 relationships (119 family, 116 friend, 18 sexual relationships). Most adult network members had used drugs or alcohol (n = 182, 80.9%), and of those, 30.8% had used them with the participant (n = 53). The mean network size was 7 (SD = 4) and network density was 52.2%. In the full model, significant positive predictors of an influential relationship included participant non-heterosexual identity (OR 27.8), older average age in the network (OR 3.9 per standard deviation), and being a current or prior sexual partner (OR 10.1). Significant negative predictors included relationships with individuals who use or had used drugs (OR 0.28), longer average relationship duration in the network (OR 0.09) and being in a network with at least one sexual partner (OR 0.2). There are significant positive and negative determinants of relationship influence related to PrEP at individual-, dyad-, relationship-, and network-levels. These support using nuanced network approaches to behavior change that respect and leverage the diversity of relationships that comprise the social networks of women who have experienced incarceration.

An update on the concept and importance of health literacy in young people

Abstract The burden of non-communicable diseases is a growing public health crisis that requires immediate action. As health literacy (HL) has been strongly linked with health behaviours and health outcomes, it has many potential implications for health care and health education. Although recent research has emphasised the importance of developing HL early in life, much of the research has focused on understanding and improving HL in adult populations. As young people socialise in different contexts and are exposed to different health-related situations, they require different HL competencies. As part of a wider project, this study aims to gather the perceptions of international academics and community-based practitioners on the concept and importance of HL in and for young people. Specifically, the study aims to (i) explore current understandings of the concept of HL in young people; (ii) examine the importance of HL for young people; (iii) identify those at risk of having low levels of HL; and (iv) determine the specific health behaviours that young people are currently struggling with. A stakeholder mapping exercise was used to recruit academic and community-based practitioners to take part in a one-to-one interview (n = 29). Reflexive thematic analysis was used to analyse the data. The preliminary findings suggest that HL is a very broad yet individualised concept that is critical to develop at an early age given the difficulty young people face in adopting healthy behaviours in their social and physical environment. Furthermore, the participants highlighted that minority groups, such as members of the travelling community and refugees, and those from low socioeconomic populations, are at greatest risk of low HL. Finally, the health issues that appeared to be of most concern in young people were vaping, social media use and poor mental health. These findings can be used to inform appropriate interventions and policies to target the HL of young people. Key messages • Health literacy is a very, yet individualised, concept that is critical to develop given the difficulty young people face in adopting healthy behaviours in their social and physical environment. • Minority groups, such as members of the travelling community, refugees, and those from low socioeconomic populations are at greatest risk of low levels of health literacy.

Exploring the state-of-the-art on competencies for policymaking in public health

Abstract Against the complex backdrop characterizing both the nature of public health challenges and the corresponding skills required to face them, this presentation will introduce the state-of-the-art on scholarship concerned with the definition and/or development of competencies for effective policy making in public health. The presentation will focus especially on presenting findings of a scoping review of the state-of the-art involving: 1) research that develops competency frameworks explicitly designed for policymakers operating in public health; and 2) case studies that explore the application of specific competencies (whether explicitly or implicitly) in different public health contexts. By exploring both bodies of literature, the scoping review will take stock of how each study defines the concept of competencies, enumerates areas of knowledge and demonstrable skills pertaining thereto, and uses evidence to establish their significance in the field of public health leadership. The findings of the scoping review will also be brought into comparative perspective, examining whether and how the categories of existing competency frameworks correspond with one another, as well as reflect the insights of single case studies. The proposed presentation will conclude with an overview of findings of a mapping exercise including all competencies identified in the literature, which can serve the workshop audience as both a synthesis and holistic refinement on the state-of-the-art going forward. The proposed presentation will conclude with an overview of findings of a mapping exercise including all competencies identified in the literature, which can serve the workshop audience as both a synthesis and holistic refinement on the state-of-the-art going forward. Speakers/Panelists Anne-Catherine Viso Santé publique France, Saint Maurice, France Charlotte Marchandise EUPHA Kasia Czabanowska Maastricht University, Maastricht, Netherlands

How can we support the development of health literacy in young people?

Abstract Over the past two decades, there has been an increased interest in Health literacy (HL) to improve health behaviours and health outcomes. Due to its potential impact, HL is considered one of the major issues in public health and is increasingly being recognised in recent policies and initiatives. Although, the research justifying the importance of HL continues to grow, there is a lack of research focusing on strategies to improve HL and challenges that are faced when supporting HL, particularly in young people. Thus, this study aimed to explore, from the point of view of international academics and community-based practitioners, (i) key considerations when supporting young people’s HL; (ii) major challenges to supporting young people’s HL; and (iii) possible solutions to overcome such challenges. A stakeholder mapping exercise was used to recruit academic and community-based practitioners to take part of in a one-to-one interview (n = 29). Reflexive thematic analysis was used to analyse the data. The preliminary findings suggest that: the participants feel the use of participatory approaches is essential when designing a HL-focused program; the importance of embedding HL education and awareness into schools; the value in using interactive style learning; and the importance of targeting those ‘hardly reached’ populations. The participants highlighted that accessibility to schools; difficulty in engaging young people; and ensuring programs are sustainable as major challenges. Solutions to overcome which challenges were posited, including professional development for teachers; the development of engaging and context specific programs that target the young person’s physical and social environment; and importance of influencing national policies to value HL. These findings can be used to inform interventions and policies to target the HL of young people. Key messages • The importance of adopting participatory approaches when developing health literacy interventions. • The importance of developing feasible, context specific and engaging health literacy curricula within schools.