Peer Connections Research Articles

The Psychological Effects of Remote Learning on Students: Examining Social Isolation, Anxiety, and Self-Discipline

This study examines the psychological effects of remote learning on students, with a focus on social isolation, anxiety, and self-discipline, along with related factors like motivation and time management. Using data from 500 university students, a quantitative correlational analysis found a significant positive correlation between social isolation and anxiety (r = 0.52, p < 0.01), indicating that reduced in-person interaction intensifies emotional stress. Self-discipline emerged as a moderating factor, helping students with higher levels of self-regulation to maintain academic performance despite isolation and anxiety. Regression analysis showed that higher anxiety negatively impacts both self-discipline (B = -0.30, p < 0.01) and academic performance (B = -0.35, p < 0.01). Motivation and time management also positively correlated with academic engagement (r = 0.60, p < 0.01) and performance, highlighting their importance in online learning success. This study contributes to frameworks such as Baumeister and Leary’s "need to belong," Deci and Ryan’s Self-Determination Theory, and Zimmerman’s Self-Regulated Learning theory, emphasizing the critical role of social and emotional support in student resilience. Practical recommendations include offering mental health resources, enhancing virtual peer connections, and incorporating self-regulation training into curricula. These findings underscore the importance of addressing students' psychological needs to foster both academic success and emotional well-being in online education. Future research should explore the long-term effects of remote learning and evaluate targeted interventions to enhance students’ resilience and engagement.

Scrolling through adolescence: a systematic review of the impact of TikTok on adolescent mental health.

Amidst rising concerns about mental health in adolescents, the role of social media (SM), particularly highly visual platforms such as TikTok, has become a growing focus of investigation. In the extant literature, conclusive evidence is limited by the aggregate analysis of very heterogeneous SM platforms. This systematic scoping review examines the relationship between TikTok and mental health in adolescents. Additionally, it aims to highlight potential interactions between typical developmental processes and the unique aspects of TikTok, exploring their relevance to mental health within this demographic. Following PRISMA guidelines, a systematic search across PubMed, Scopus, Web of Knowledge, and PsychINFO yielded 20 studies that met the inclusion criteria, encompassing a total of 17,336 subjects from 10 countries. The retrieved studies analyzed four main topics related to TikTok use, i.e., the overall impact on adolescents' mental health, risk of problematic use and behavioral addiction, consequences on body image and self-esteem, and possible spreading of mental illness behaviors. While TikTok offers creative opportunities for self-expression and peer connection, the literature raises concerns about its potential negative effects on teens, such as lower life satisfaction, increased risk of "contagion" of certain psychiatric symptoms, and problematic usage patterns. Significant variations in study methodologies and outcome measures were observed. In the current era of evolving SM landscapes, a comprehensive approach informed by developmentally grounded research is critically needed to further understand the interplay between SM and adolescent mental health, providing insights for health authorities and policymakers.

Digital sexual literacy: the potential for online spaces to support sexual literacy among young people

IntroductionHealth literacy is defined as the capacity, resources and insight to seek information, ask critical questions and be an advocate for one’s health. Sexual literacy is framed in similar terms, relating to the capacity to navigate emotionally and physically safe sexual encounters and to hold a critical and assertive stance on relationship dynamics, gender and consent. In this paper, we present findings from a qualitative study that explored how young people’s use of the internet develops sexual literacy.MethodsIn-depth interviews were conducted with 22 young people (aged 18–25). Interviews explored the ways in which young people participate in online spaces to learn about sex, relationships, bodies and other aspects of sexual health. Data were analysed using qualitative, inductive thematic coding techniques.ResultsYoung people described learning about sexual health online as a process of exploring ideas, topics or experiences (going down ‘rabbit holes’). It was rarely the case that young people searched for specific information. Young people described engaging with multiple sources of content and multiple people online to learn about relationships or sex. This was often personal. Young people wanted to understand their own experiences and hear stories from people with similar experiences. Engaging with multiple sources, stories and people enabled critical reflection and peer-based learning.DiscussionBuilding sexual health literacy is not simply about providing young people with sexual health information. Rather, it is about supporting young people to develop critical insight and capacity to reflect deeply on experiences and issues that affect their sexual relationships. The online environment supports sexual literacy as it enables critical inquiry, access to multiple perspectives, peer connection and personal reflection.

Abuzaharen's Challenge: Building Sustainability Competencies through Science-Fiction Narratives and Game-based Learning

This paper presents a case study of the evolution of science-fiction themed game-based learning across two Masters units in a higher education course on sustainable development. The authors created three sustainability games to be played by classes in live workshop settings – a card matching game about urban challenges, a hackathon-style sustainability innovation challenge, and a systemic change analysis game - to build students’ capacity to think about systems, sustainability values, and strategies to advance positive change. The story of a bumbling, but well-intentioned, alien protagonist, Abuzaharen, serves as a dynamic backdrop to the games, which see students ‘transported’ to an alternative reality to complete time-bound challenges in a rigorous yet engaging manner in order to find their way ‘home’ to Earth. This paper documents how each game’s narrative, storytelling, design, and play evolved through multiple iterations over four years, drawing on critical reflection, evidence of engagement and student feedback. The paper also reflects on the affordances of generative artificial intelligence (GenAI) for game-based learning designers. One of the games has integrated GenAI to make Abuzaharen a real-time character in the delivery of the game, including judging student’s innovation pitches and generating live narrative content about game outcomes. The GenAI alien agent subsequently appears in ‘regular’ learning content as a course tutor. Qualitative feedback and educator observations suggest the games increased active class participation, built peer connections, fostered skills in problem-solving, promoted collaboration, and modelled creativity. The games also challenge existing narratives about negative impacts of GenAI on tertiary education by illustrating productive and creative uses of GenAI for students and educators. This paper argues that immersive, narrative-driven approaches, coupled with the strategic use of GenAI, can significantly enrich higher education for sustainability and other educational experiences by scaffolding selected competencies and applying complex concepts to real-world challenges in a light-hearted way. It concludes with practice-led insights and directions for future exploration of interest to sustainability educators, designers of interactive learning, and those experimenting with GenAI in narrative-based games.

LGTDA: Bandwidth exhaustion attack on Ethereum via dust transactions

Dust attacks typically involve sending a large number of low-value transactions to numerous addresses, aiming to facilitate transaction tracking and undermine privacy, while simultaneously disrupting the market and increasing transaction delays. These transactions not only impact the network but also incur significant costs. This paper introduces a low-cost attack method called LGTDA, which achieves network partitioning through dust attacks. This method hinders block synchronization by consuming node bandwidth, leading to denial of service(DoS) for nodes and eventually causing large-scale network partitioning. In LGTDA, the attacker does not need to have real control over the nodes in the network, nor is there a requirement for the number of peer connections to the nodes; the attack can even be initiated by simply invoking RPC services to send transactions. Under the condition of ensuring the validity of the attack transactions, the LGTDA attack sends a large volume of low-value, high-frequency dust transactions to the network, relying on nodes for global broadcasting. This sustained attack can significantly impede the growth of block heights among nodes, resulting in network partitioning. We discuss the implications of the LGTDA attack, including its destructive capability, low cost, and ease of execution. Additionally, we analyze the limitations of this attack. Compared to grid lighting attacks, the LGTDA attack has a broader impact range and is not limited by the positional relationship with the victim node. Through experimental validation in a controlled environment, we confirm the effectiveness of this attack.

Fostering physical activity motivation at substance use disorder treatment facilities: A qualitative study grounded in self-determination theory

Background and aimsStudies have found inconclusive results for the effects of physical activity (PA) interventions on substance use, mental health, and physiological health of people experiencing substance use disorders (SUDs). To improve PA interventions for individuals with SUDs, a deeper understanding of the underlying motivational processes is imperative. This study employs self-determination theory as a framework to explore factors impacting PA motivation in SUD treatment contexts. MethodsA qualitative research design utilising semi-structured interviews explored the experiences and perspectives of five people with lived or living experience of SUD treatment and five stakeholders within SUD treatment facilities across Western Australia. A reflexive thematic analysis was employed for the data analysis. ResultsFive themes were developed: (i) Belonging to a Community, describing the sense of community fostered by group PA (ii) Mind, Body, and Soul, outlining the impact of PA on mental and physical well-being and sense of self; (iii) Physical Activity and Recovery Integration, describing how structured PA supports individuals transitioning from SUD treatment to community environments, (iv) Goals and Rewards, illustrating how setting goals fosters a sense of accomplishment, and (v) Safe Space, describing the importance of creating safe environments for PA exploration. ConclusionInsights gained from this study could be used to design PA interventions that address individuals’ basic psychological needs and promote more autonomous motivation while fostering peer connections, PA knowledge, and independence. These implementations may lead to greater PA engagement and adherence.

Examining peer review network dynamics in higher education visual communication courses using ERGM

Peer review plays a pivotal role in shaping collaborative learning environments and evaluating student engagement, but there is a lack of research on the relational dynamics that underlie the interactions between students during the peer review process, which is critical for understanding the effectiveness of peer review for students’ learning outcomes. Using explanatory sequential study design, this study’s objectives are to explore the dynamics of peer review as a feedback mechanism in higher education within a social network context, focusing on student interactions during the feedback process. Specifically, we applied dyadic-independent Exponential Random Graph Modeling (ERGM), along with mixed-methods design to analyze peer review interactions within a visual communication course at a large state university. We collected and analyzed two samples: a quantitative sample of 167 students for network analysis, drawn from 3082 peer reviews and rubric scores, and a qualitative sample of 136 students from post-course surveys that provided feedback on the peer review process and course methodologies. Our investigation revealed the inherently social network nature of peer review, shedding light on its significance in engaging students and assessing student engagement. Specifically, we examined the role of students’ performance levels, edge-based attributes derived from the visual peer review rubric, and language used in the feedback on the likelihood of forming peer review connections in the network. Our findings indicate that attributes derived from the visual peer review rubric significantly influence the likelihood of peer connections. On the other hand, students’ performance levels do not have any impact on the formation of peer connections. The findings highlight the importance of visual peer review activities in shaping peer connections in the classroom. Future studies will incorporate higher-order structures, such as transitivity and triadic closure, into our ERGM model to further enhance our understanding of peer review dynamics in educational settings.

Blockchain Handshaking with Software Assurance: Version++ Protocol for Bitcoin Cryptocurrency

Cryptocurrency software implements cryptocurrency operations (including the distributed consensus protocol and peer-to-peer networking) and often involves the open-source community. We design a software assurance scheme for cryptocurrency and advance the cryptocurrency handshaking protocol by providing the verification capability of the Bitcoin software by peers and preventing any potential peer from establishing a connection with modified Bitcoin software. Since we focus on Bitcoin (the most popular cryptocurrency) for implementation and integration, we call our scheme Version++, built on and advancing the current Bitcoin handshaking protocol based on the Version message. Our Version++ protocol providing software assurance is distinguishable from previous research because it is permissionless, distributed, and lightweight for its cryptocurrency application. Our scheme is permissionless since it does not require a centralized trusted authority (unlike the remote software attestation techniques from trusted computing); it is distributed since the peer checks the software assurances of its own peer connections; and it is designed for efficiency/lightweight to support the dynamic nature of the peer connections and large-scale broadcasting in cryptocurrency networking. Utilizing Merkle Tree for the efficiency of the proof verification, we implement and test Version++ on Bitcoin software and conduct experiments in an active Bitcoin node prototype connected to the Bitcoin Mainnet. Our prototype-based performance analyses demonstrate the lightweight design of Version++. The peer-specific verification grows logarithmically with the number of software files in processing time and in storage. Furthermore, the Version++ verification overhead is small compared to the version-verack handshaking process; we measure the overhead to be 0.524% in our local networking environment between virtual machines and between 0.057% and 0.282% (depending on the peer location) in our more realistic cloud-based experiments with remote peer machines.

Problematic use of social media in adolescents or excessive social gratification? The mediating role of nomophobia

The term problematic social media use (PSMU) refers to the interference produced by social networks in everyday life, where online participation is perceived as rewarding and continues despite negative consequences. The constant gratification (peer connection, instant notifications, scrolling, and variable rewards) has negative consequences for the well-being of adolescents, from the fear of not being connected to developing negative moods. Recent studies of uses and gratifications theory suggest that user preferences, such as the search for friendships and maintaining social relations, are related to PSMU. Based on that theory, this study analyzes the mediating role of nomophobia in the link between social use (social gratification) and problematic social media use among adolescents in Madrid (Spain). The research was conducted in 2022 with adolescents aged 14–17 (N = 820), who self-reported the use of social media, nomophobia, and problematic social media use (Adolescent Risk of Addiction to Social Networks and the Internet Questionnaire; ERA-RSI). The data were analyzed using structural equation modeling (SEM) with partial least squares (PLS). The gratification-oriented social use offered by social networks in interactions with other people and nomophobia were explanatory variables for problematic use in adolescent participants. As predicted, nomophobia mediates the link between social use and PSMU. Social use and nomophobia were positively and significantly related, with a medium effect size. The preference for online social interaction and fear of losing this connection contribute significantly to PSMU. The results revealed the need for school-based prevention and intervention programs for digital well-being.

Becoming agents for genomic change: genetic counsellors' views of patient care and implementation influences when genomics is mainstreamed.

Genetic counsellors (GCs) across the world are increasingly transitioning beyond clinical genetics services to meet the growing demands for genomic healthcare. This presents a unique opportunity for GCs to be 'genomic change agents' as they work in alternative models of care. Through various innovative models of mainstream care funded through a change program, we explored the views of GCs regarding their position as 'genomic change agents' and what may hinder or drive the success of their evolving roles. Guided by the Diffusion of Innovation Theory, we conducted qualitative interviews with all twelve GCs employed by the change program in different models of providing genomics across five specialties in Australia. Audio-recordings of all interviews were transcribed verbatim and analysed using inductive content analysis. Findings show that early in these new roles, participants held varied descriptions of 'genomics mainstreaming': some envisioned it as an end state exclusive to medical specialists practicing genomics while others saw the involvement of GCs as crucial. Participants believed they were uniquely positioned to expedite patient access to genomic testing and counselling and enhance medical specialists' capability to use genomics. Challenges included hesitancy of some medical specialists regarding the value of genomics in healthcare and potential tension arising from distinct perspectives and practice between genetic and non-genetic professionals. Participants anticipated a decline in the standard of care when non-genetic colleagues managed consent discussion and result disclosure. Our study underscores leadership support and peer connection with those in similar roles as essential elements for GCs' success in mainstream settings.

Finding the beat: A partnership to address the relationship between a music program and health among youth who have experienced trauma.

Expertise on treating trauma and traumatic stress sequelae has been siloed in the mental health professions, although somatic psychotherapies and adjuncts to treatment are gaining attention. Alternative and accessible interventions are needed, especially for youth who have experienced trauma. Lost Voices is a community-based group providing trauma-informed music therapy to youth who have experienced trauma in southern Michigan. The purpose of this program evaluation was to use a community-based participatory research approach to create a thoughtful partnership between an academic partner and a nonprofit organization in order to evaluate the outcomes of a music therapy intervention currently being delivered by professional musicians to youth who have experienced trauma. This program evaluation used semistructured interviews with 19 key stakeholders (e.g., youth participants, facility staff, musicians) from two residential youth programs in southern Michigan. A total of four themes were identified from the interviews, including (a) processing emotion, (b) building trust, (c) self-expression, and (d) future orientation. Subthemes included individual story and coping within the theme processing emotion, a focus on outside role models and peer connection within the theme building trust, the fun aspect of the intervention and confidence as part of the theme self-expression, and future orientation encompassed the motivation that youth participants gained as well as forward thinking. This program evaluation provides data to help build the evidence for alternative mental health treatments that specifically reach those impacted by a lack of access and availability of treatments due to social determinants of health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The development and early success of the South Carolina two-generation community of practice to support family-serving professionals.

System-level initiatives are key to promoting health and well-being among young families, yet agencies and organizations who support those families often do not coordinate their delivery of supportive services and resources. We describe the South Carolina (SC) two-generation (2Gen) community of practice (CoP) and its early efforts to foster statewide adoption of "whole family" centered approaches. This mixed-methods study evaluated the impact of the CoP. Quantitative data were gathered from CoP participants to assess its impact on their increased knowledge and use of the 2Gen approach, as well as on new peer connections and individual professional development. Qualitative data were gathered on the perceived value of the CoP, as well as opportunities for growth. Data indicate that SC 2Gen CoP meetings have been well received by participants. Data from meeting evaluations demonstrate that the information increased participants' knowledge on the 2Gen approach and that it contributed to their growth and professional development. Meetings have also been effective in promoting connections between like-minded professionals, as well as in providing useful information to integrate 2Gen approaches into their work. These early findings demonstrate the continued need for the SC 2Gen CoP and its potential to grow into a robust outlet to support family-serving professionals in SC. More efforts are needed to promote systems coordination and integration among family-serving professionals. CoPs are one way to integrate system-level strategies, such as the 2Gen approach, to support family-serving professionals and enhance the integration of resources provided to families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Polycystic Ovary Syndrome and the Internet of Things: A Scoping Review.

Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder impacting women's health and quality of life. This scoping review explores the use of the Internet of Things (IoT) in PCOS management. Results were grouped into six domains of the IoT: mobile apps, social media, wearables, machine learning, websites, and phone-based. A further domain was created to capture participants' perspectives on using the IoT in PCOS management. Mobile apps appear to be useful for menstrual cycle tracking, symptom recording, and education. Despite concerns regarding the quality and reliability of social media content, these platforms may play an important role in disseminating PCOS-related information. Wearables facilitate detailed symptom monitoring and improve communication with healthcare providers. Machine learning algorithms show promising results in PCOS diagnosis accuracy, risk prediction, and app development. Although abundant, PCOS-related content on websites may lack quality and cultural considerations. While patients express concerns about online misinformation, they consider online forums valuable for peer connection. Using text messages and phone calls to provide feedback and support to PCOS patients may help them improve lifestyle behaviors and self-management skills. Advancing evidence-based, culturally sensitive, and accessible IoT solutions can enhance their potential to transform PCOS care, address misinformation, and empower women to better manage their symptoms.

Exploring adolescent suicidal trajectories: The intersection of race/ethnicity, gender, and social connectedness.

Understanding adolescent racial/ethnic and gender disparities in suicidal ideation and attempts longitudinally can help curb future suicidal risk. Survey data (1994-2008) from the Longitudinal Study of Adolescent to Adult Health (Add Health study, n = 18,887) examined racial/ethnic and gender ideation and attempt disparities over four waves of data from across the United States (51% female; 51% White; Mage = 17.43 years at Wave 1). Repeated-measures latent class analyses described how ideation and attempt patterns present longitudinally and how racial/ethnic minority groups predict different classes based on each wave and age-appropriate social supports (i.e., parents, peers). Those most at-risk disclosed ideation and some attempt risk in early adolescence (Waves 1 and 2) and mostly identified as female. The second most prevalent group first disclosed ideation in their 20s and predominately identified as non-Hispanic White females. Peer connections were not significant for most groups except for non-Hispanic White males in Wave 3, while Black females who reported stronger school connections had decreased ideation and attempt rates in Wave 1 but not 2 (just 1 year later). A negative link between social supports and high-risk ideation and attempt classes was found among Black females, non-Hispanic Whites, and Latinos overall. As the United States becomes more diverse, understanding the unique ideation and attempt disparities are crucial. Tailoring interventions to include risk and protective mechanisms among intersectional communities could eradicate disparities. Longitudinal studies can illuminate how protective and risk factors can change over time and even within and among racial/ethnic and gender groups.

Conceptualizing the social networks of children of parents with serious mental illness: a thematic analysis.

Social networks, defined as the set of active and significant ties surrounding an individual, influence the wellbeing of vulnerable children. The best evidenced mechanism through which this occurs is where networks act as a vehicle to access social support. Little is known about the content and function of social networks of children of parents with severe and enduring mental illness (COPMI). COPMI are a frequently under-identified vulnerable child population at risk of negative outcomes. This qualitative study investigates the structure, role and function of these children's networks. Researchers conducted 17 semi-structured egocentric social network interviews. Interviews incorporated personal network mapping as a data collection method. COPMI were recruited through third sector organizations and interviewed across three sites in England. Data was analyzed using an inductive thematic analysis. Five network features were identified (i) parents as primary providers of support (i) limited networks and diminished connections over time (iii) substitutable ties (formal and informal) (iv) peer connections as source of both support and strain (v) coping strategies: self-censorship, avoidance and animals. Children of parents with severe and enduring mental illness networks are structurally typical of vulnerable children in that they are limited, rely on parents as primary ties but allow for some substitution of support ties. COPMI-specific features included peer relationships at times as source of strain and network level coping strategies used to manage wellbeing, including pets. This latter reflects previous findings in vulnerable adult populations so far unevidenced in children. Little evidence as to the mechanistic effect at work within networks was collected. However, COPMI were clearly shown to be engaged in active management and strategising in network navigation approaches, indicating the need to engage with children in this capacity, rather than approaching them as passive recipients of support. As such, effective network level interventions for this group are likely to prioritize access to beneficial substitute ties when support is limited. Additionally, interventions that promote network navigation skills and help foster productive coping strategies can capitalize on the child's active management role within their network.

Navigating school belonging in Qatari schools: A mixed‐methods study of student perspectives

AbstractA sense of school belonging is essential for adolescent development, though there is limited research investigating ways to improve students' sense of school belonging in Qatar. With 116 Qatari secondary school students, the current study explored student perspectives of ways teachers and schools could improve their sense of school belonging. Students responded to a survey including open‐ended questions and a descriptive scale measuring the usefulness of established belonging strategies during remote learning, in‐person, or all the time (both). Encouragement and support from teachers were found to be useful all the time, with school activities during breaks and opportunities to make friends only being useful during school‐based learning. From the examination of open‐ended responses using a hybrid qualitative approach with inductive and deductive coding, two overarching themes each at the teacher‐level and school‐level were found, defined by several subthemes. Belonging practices at the teacher‐level included caring and supportive teachers and teachers treating students as people. Belonging practices at the school‐level included student engagement and a positive and supportive school environment. For Qatari students practices such as prioritising supportive student–teacher relationships, introducing policies which promote a respectful, fair and safe environment, and offering school wide‐extracurricular activities that encourage peer connections are important to develop their sense of school belonging.

I’ll Be There for You: Generating Sustained Student Connectedness from the Beginning

This study examines the efficacy of a redesigned induction session to enhance and sustain student connectedness, addressing ongoing concerns relating to student isolation. We socially engineered the group formation process prior to students undertaking a group activity at undergraduate Business induction sessions. The intention of the activity was for students to collaboratively problem-solve components of the university experience, learn where to seek information and develop connections with peers from day one of their university experience. Our analysis confirms that the social engineering of groups based on similar interests enabled students to establish more sustained peer connections compared with random assignment, and students are generally more satisfied with their induction. These findings have practical implications for universities, which are accepting and enrolling a greater variety of students as they aim to widen participation.

Onboarding Students at Scale: A New Student Orientation Course that Prepares Students to Succeed in their Online Degree Programs

A new online orientation course equips students with the tools and skills to thrive in online programs. It welcomes them to the university, introduces the learning management system, fosters peer connection, and locates essential resources. Additionally, it teaches valuable strategies for time management, motivation, and success in online learning. This adaptable base course caters to the university’s diverse online programs while maintaining a core structure. Designed for efficient facilitation by Academic Directors, it also allows for a personalized touch. Surveys indicate the course effectively prepares students for their first online course. Notably, completing the orientation has become the strongest predictor of student retention and academic success. This award-winning approach serves as a valuable example for designing online student orientation programs.

Understanding the needs and perspectives of young adults with recent suicidal ideation: insights for suicide prevention

IntroductionSuicide rates among adolescents and young people are increasing, especially in Western countries. Suicidal ideation often precedes suicide attempts and suicide. Yet, research involving individuals with lived experience in suicide prevention, especially among young adults, remains scarce. Understanding their needs is crucial for effective interventions. This qualitative study aims to explore the needs and perspectives of young adults with lived experience to provide tailored recommendations for suicide prevention.MethodsSemi-structured interviews were carried out with 19 young adults who had experienced suicidal ideation within the past two years. Open-ended questions addressed the needs for help and support regarding suicide prevention. Data was thematically analyzed and, through an iterative process involving discussion among all authors, categorized into six themes.ResultsThe results indicated needs around more openness and understanding of suicide among the general public, advocating mental health education starting from a young age, reducing barriers in mental health care such as long waiting lists and enhancing informal support systems by facilitating online and offline peer connections. Participants also highlighted contemporary concerns such as social welfare, academic pressure, and social media as significant needs in the current time.ConclusionThis study highlights the necessity for comprehensive suicide prevention approaches catering to the diverse needs of young adults with recent suicidal ideation. It highlights the urgency of societal awareness, early mental health education, and improved access to services. Informal support networks and addressing societal stressors are also deemed crucial. Structural changes are urged to create supportive environments.

Transformative Peer Connections: Early Experiences From the ASCO Palliative Care Community of Practice.

The integration of palliative care into routine oncology practice is the standard of care by most leading cancer organizations. Palliative medicine helps to deliver higher quality of care at a lower cost. However, there are barriers to implementing palliative oncology at many institutions for myriad reasons. In this article, we discuss an innovative strategy that ASCO implemented called the Communities of Practice (CoP). We share our experiences as the Palliative Care CoP and how our group seeks to develop processes and structures to collectively promote systemic change and enhance palliative care delivery for people with cancer. Our Palliative Care CoP engages with senior leaders, administrators, and those in power to achieve a shared vision of delivering holistic health care for people with serious illness. We continue to evolve to meet our members' growing needs by addressing eight main domains: (1) increasing palliative care education and resources; (2) creating opportunities for global palliative care research; (3) providing peer mentorship and community building; (4) engaging with patient advocates; (5) supporting and developing interdisciplinary teams; (6) assisting with professional development and identity formation, especially for trainees and early career faculty; (7) extending our outreach through social media; and (8) enhancing the clinical practice of palliative oncology. The ASCO CoP has been a vital forum to realize ASCO's mission of conquering cancer and advancing the Art and Science of Cancer Care: From Comfort to Cure.