Ranking Exercise Research Articles

Optimization and evaluation of alternative village-based breeding plans: the case of goats in Afar region, Ethiopia

The study aims to design and evaluate alternative village-based breeding plans for Afar goats in Aba’ala, Afar region, Ethiopia. The alternative breeding plans were designed and evaluated using ZPLAN+ computer program following the gene flow method and selection index procedures. Input parameters were sourced from a production system survey study, own-flock ranking exercises and literature. The breeding goal traits included six-month weight, daily milk yield and proportions of weaned kids. Four alternatives were designed based on the variation of the number of the traits in the selection index (recording) while keeping all traits in the aggregate breeding goal. Furthermore, the proposed alternative plans were evaluated by varying the years of breeding buck service period. Higher annual genetic gain was estimated for six-month weight (0.2983 kg) in alternative 4, for daily milk yield (0.0083 kg or 8.3 g) and proportion of lambs weaned (0.0142%) in alternative 1 when the years of buck use for breeding was set to two years. Higher selection accuracy was obtained in alternative 1 when all the traits were included in the selection index while lower selection accuracy was achieved in alternative 4 when six-month weight only was included in the selection index. The highest profit per doe per year was achieved in alternative 1 (1.221€) while the lowest was obtained in alternative 4 (0.885 €) when six-month weight only is included in the selection index. The simulation results gave an acceptable range of genetic gains with little difference across the alternatives. Therefore, village breeding programs with a few traits in the recording and two years of breeding buck use are deemed practicable. The proposed breeding plans should be part of the national development strategies and involvement of local research institutions and universities is very crucial to ensure adequate technical support.

Being a "Good Parent" to a NICU Infant With a Major Congenital Anomaly.

In the United States, up to one-third of infants with a congenital anomaly require neonatal intensive care unit (NICU) hospitalization. Parents of these infants may have different decision-making priorities, which may be influenced by the timing of the infant's diagnosis. (1) To compare the ranked importance of decision-making beliefs for parents of infants who received a prenatal versus postnatal congenital diagnosis and (2) explore how parents describe their decision-making beliefs. A cross-sectional, sequential mixed-methods pilot design was applied to collect quantitative data using the Good Parent Ranking Exercise and further explore parents' decision-making beliefs through qualitative interviews. Maximum difference scaling/hierarchical Bayes estimation and content analysis were used to analyze the quantitative and qualitative data, respectively. Forty mothers completed the Good Parent Ranking Exercise and 20 mothers completed qualitative interviews. Four of the top 5 ranked parenting beliefs were shared by mothers in the prenatal and postnatal groups. Mothers in the postnatal group ranked "focusing on my child's quality of life" higher. Qualitative interviews revealed that previously identified decision-making beliefs were consistent in this NICU parent population, with 1 additional belief identified. Mixed-methods analysis revealed high concordance between the prenatal and postnatal groups. NICU nurses need to know that decision-making beliefs for parents who receive a prenatal versus postnatal congenital diagnosis, while largely similar, may have differences. Future research should explore decision-making beliefs in demographically diverse parent groups (ie, fathers, partnered vs nonpartnered couples) and effective strategies for promoting NICU parents' decision-making beliefs.

Livelihood Strategy of Migrant Agricultural Household in Cilacap Central Java

Migration has long served as a critical livelihood strategy, enabling people to seek better wages when opportunities in their current location become scarce. Remittances—money sent back home by migrants—significantly boost household income and play a vital role in the economies of their home regions. This research investigates the remittances sent by migrant workers, how they are used within household dynamics, and whether they help elevate families into higher income categories. Data for this study was gathered from August 21 to August 31, 2023, using primary sources. The research employed purposive sampling, resulting in a sample of 168 families. A wealth ranking exercise was used to analyze poverty and understand rural livelihoods in developing countries, classifying households into low, middle, and high-income groups. For middle and high-income families, remittances are the largest source of income, averaging USD 2,790.25 for middle-income and USD 7,994.80 for high-income households. These remittances enable families to meet a broader range of needs, improve their quality of life, ensure future financial stability, and enhance their capabilities and investments, strengthening their potential to improve their socio-economic status.

Co-creation of human papillomavirus self-sampling delivery strategies for cervical cancer screening in rural Zimbabwe: nominal group technique.

Human papillomavirus (HPV) self-sampling is recommended for cervical cancer screening, particularly among women who do not participate in or have access to current screening methods offered in Zimbabwe. Key stakeholder involvement is critical in co-creating acceptable delivery strategies for implementing HPV self-sampling to ensure demand and facilitate uptake by the target population. The main objective of this study was to engage key stakeholders in co-creating acceptable HPV self-sampling delivery strategies for cervical cancer screening in rural Zimbabwe. We invited key stakeholders and employed a nominal group technique (NGT) for data collection. We employed the NGT to (1) identify barriers to access and utilisation of available cervical cancer screening services and (2) co-create delivery strategies for HPV self-sampling. The workshop included 8 participants (women n = 4, health workers n = 2 and policymakers n = 2). Quantitative data was gathered by ranking ideas and qualitative data were collected from participant group discussions and analysed thematically. The results of the ranking exercise were fed back to the participants for comments. The most significant barriers to accessing and utilising current cervical cancer screening services by women were: Inadequate information and education on cervical cancer, lack of resources and funding for cervical cancer programmes, long distances to nearest health facilities, and low perceived personal risk of cervical cancer. Key stakeholders recommended enhanced education and awareness, results notification, linkage to care, community-based self-sampling, and the choice of sampling devices as potential HPV self-sampling delivery strategies. Our study demonstrated the utility of the NGT for reaching a consensus. Using the NGT, we established priority delivery strategies for HPV self-sampling cervical cancer screening. Adequate education and awareness, early results notification, choice of sampling device and community-based self-sampling were crucial to HPV self-sampling screening in rural Zimbabwe. The proposed delivery strategies can guide the development of guidelines for designing and implementing an HPV self-sampling intervention. We recommend a study to determine women's most preferred HPV self-sampling delivery strategies before implementing the intervention.

Assessing the validity and feasibility of using a best-worst scaling measure for values elicitation among older adults with newly-diagnosed blood cancers to inform treatment decisions.

344 Background: Multiple stakeholders have called for the development of tools to facilitate values elicitation with patients to inform treatment decision making about chemotherapy. We previously developed a best-worst scaling (BWS) measure, a theory-driven values elicitation tool, for older adults (≥ 60 years) with blood cancers through patient and expert engagement. We sought to evaluate the feasibility and validity of using this measure to inform initial treatment decisions for newly-diagnosed patients. Methods: We completed a convergent mixed-methods study to test feasibility and validity of remote delivery of the measure following guidance for choice experiments (Janssen, Exp Rev Pharm Out Res, 2017). Convergent validity was evaluated by comparing preferences with a ranking exercise. Content validity was tested in cognitive interviews. Results: 178 patients at a public safety net hospital were eligible, 157 (88%) were approached, and 48 (31%) consented (48% lymphoma, 40% leukemia/myelodysplastic syndrome, 12% other). Mean age was 73.9 years (range 60 - 95). 59% were male; 96% were white; 67% had a bachelor’s degree or higher. 52% completed the BWS measure prior to their initial treatment visit. Patients agreed or strongly agreed that the instrument was understandable (96%), relevant to them (58%), and showed their real preferences (75%). 50% felt it was easy to answer. 54% of responses from the BWS measure were concordant with ranking on their top priority. Cognitive interviews (n=7) demonstrated content validity: all patients were able to accurately describe the instructions of the BWS instrument and correctly define each included outcome; most patients reported that the BWS instrument helped solidify their preferences; all patients reported it was beneficial; no patients reported missing domains of outcomes; all reported that the time and emotional burden to complete the measure were appropriate. Conclusions: Using this BWS measure to inform treatment decisions of older adults with newly-diagnosed blood cancers is feasible and appears valid for clinical use. Future work is needed to optimize implementation and validate the measure in different settings and with a larger and more diverse population.

A systematic study of biological SE systems from complexity and design perspectives

Previous research has presented the concept of self-engineering (SE) systems that aim to identify and preserve system functions autonomously. Examples of self-engineering responses include self-healing, self-repair, self-adapting and self-reconfiguration. Biology already utilises many of these responses to repair and survive, greater understanding of complexity in these biological systems could improve future bioinspired designs. This paper provides a novel systematic evaluation of the complexity of SE biological systems. Eight biological self-engineering systems identified are evaluated using Axiomatic design and complexity. The key functional requirements and design parameters for each biological system are identified. Design matrices were used to highlight different types of complexity. A further evaluation of eight SE biological systems is performed using the SE complexity theory; nine experts and 23 students used the complexity theory to complete a ranking exercise. The results of the ranking were analysed and compared, with a final normalised mean plotted for each factor and biological system. From the analysis of both studies, proposed design rules are presented to help designers handle complexity while creating new self-engineering systems inspired by biology.

Stakeholder perspectives on interventions to improve HIV pre-exposure prophylaxis uptake and continuation in Lesotho: A participant-ranked preferences study.

Low uptake and high discontinuation remain major obstacles to realizing the potential of Pre-Exposure Prophylaxis (PrEP) in changing the trajectory of the HIV epidemic. We conducted a card sorting and ranking exercise with 155 local stakeholders to determine their views on the most important barriers and most promising interventions to achieving high PrEP coverage. Stakeholders were a purposive sample of PrEP policymakers and implementing partners (n = 7), healthcare providers (n = 51), and end-users (n = 97). End-users included adults who were currently using PrEP (n = 55), formerly using PrEP (n = 36), and those who were offered PrEP but declined (n = 6). Participants sorted pre-selected interventions and barriers to PrEP coverage into three piles-most, somewhat, and least important. Participants then ranked interventions and barriers in the "most important" piles in ascending order of significance. Ranked preferences were analyzed as voting data to identify the smallest set of candidates for which each candidate in the set would win in a two-candidate election against any candidate outside the set. Participants viewed a lack of PrEP awareness as the most important barrier to PrEP uptake for women, and a fear of HIV testing for men. Community-based HIV testing was ranked as the most promising intervention to improve PrEP uptake for both men and women. Perceived or experienced stigma was seen as an important barrier for PrEP continuation for both men and women, with an additional important barrier for men being daily activities that compete with the time needed to take a daily pill. Adherence counseling and multi-month PrEP prescriptions were seen as the most promising interventions to improve PrEP continuation. Our findings suggest community-based activities that generate PrEP demand (community-based HIV testing and mass media campaigns), reinforced with facility-based follow-up (counseling and multi-month prescription) could be promising interventions for PrEP programs that are aimed at the general adult population.

Justifying employee gatekeeping: A video-elicitation and comparative study on resolving the moral unease of hiring

Hiring is an act of evaluation that comes with much organizational and social responsibility, making it a morally sensitive situation. The way employee gatekeepers come to terms with their selections presents itself as an exemplary case to study the moral dimension of organizational life. Relying on a pragmatist perspective and an economies of worth framework, this article uncovers how employers experience moral uncertainty and justify their choices. Through a comparison of gatekeeping in two employment fields, this study covers new ground on how decision logics and regimes of valuation play out and can be structurally conditioned. Through in-depth interviews, combined with a ranking exercise based on video-elicitation, with recruiters and hiring managers from the corporate (n: 23) and cultural (n: 17) fields in the Netherlands, this paper explores how evaluation processes and selections are justified. The interviews show that a sense of moral unease is common among gatekeepers, but much more prevalent among corporate rather than cultural gatekeepers. Larger organizational size, high market pressure and lower supply of candidates does not translate into moral sterility for corporate gatekeepers. Second, the study reveals that a connexionist logic enters as a powerful justificatory regime, transforming candidate selection procedures into test of confession.

A participatory assessment of gender activities in raising the most dominant village poultry species in Bauchi State, Nigeria

An interactive semi-structured interview and sessions of participatory ranking exercises were conducted among three groups of poultry farmers from Gongoro, Jalam and Kutaru communities in Bauchi State, Nigeria. Following a general introduction, farmers were asked to list and rank by population the most common poultry species being raised in their respective communities. They also participated in listing and ranking the extent of gender involvement in raising the predominant poultry species identified in their respective communities. Village chicken was ranked as the predominant species reared in all three communities. Women were significantly more involved in some checklist activities in raising village chickens than men (Chi-square = 24.102; p-value <0.0001). The study highlights the possibility of using participatory approaches to identify the predominant poultry species farmers rear in their communities, to prioritize it in programs aimed at improving poultry health; to recognize and effectively utilize the roles played by men and women to promote village poultry farming.

Improving relative performance evaluation process of employees within a peer group

PurposeRelative performance evaluation (RPE) is a widely practiced employee appraisal process in the services industry. In a global delivery model, teams are spread across different geographical locations. The team members work on various tasks under the guidance of different managers and at times under more than one manager for performing the same task. Such complexities make RPE of the team members quite challenging. The paper proposes a methodical step-by-step approach to simplify the evaluation process without compromising on the rigour.Design/methodology/approachRPE has followed three different approaches. First is the traditional way, wherein evaluators had a common meeting to discuss and arrive at relative evaluation and ranking of members of the peer group employees. In the second, the number of evaluators and employees in a peer group were split in to 2 subgroups. The evaluators provided independent ratings and rankings. Simple mathematical tool then derived the combined ranking. In the third approach, each evaluator evaluated each employee in the peer group and provided the relative ranking for each employee. Again, mathematical tools provided the final ranking considering inputs from all evaluators. All the three evaluation approaches were analysed through an inter-rater agreement method.FindingsAll the three approaches for evaluation provided similar results giving confidence that less time-consuming methods could be adopted by evaluators without compromising on the rigour of the evaluation. The outcome of the exercise proved effective as the complaints reaching the ombudsmen reduced as compared to the earlier years. Considerable evaluation time was also saved. The study described in this paper is carried out in a non-unionized, Indian private sector services firm. Its effectiveness in other set ups is yet to be tested.Research limitations/implicationsThe research is carried out in the Indian Engineering services firm operating in the Knowledge based sector. Though study results are encouraging, the adaptability of methodology across different sectors and geographies is yet to be tested. More broad based studies are needed to evaluate suitability across firms and regions.Practical implicationsRelative evaluation exercise is challenging for evaluators. Although openness in evaluation is desired, it also makes evaluators uncomfortable in appearing to be taking sides or being opposing a candidate's ranking. The proposed approach brings in anonymity to each evaluator without scarifying individual evaluation.Social implicationsThe proposed methodology can be deployed across different services industries as the proposed methodology is business domain agnostic. It can be easily ported and tailored to align with an individual organization's evaluation philosophy. The suitability and effectiveness of the method can be studied under various types of firms like manufacturing, private, public, NGO, labour oriented, etc. As the proposed method reduces efforts, the stake holders can focus on understanding the relation between employee performance measurement, employee engagement, and long-term outcomes related to employee performance evaluation.Originality/valueThe proposed employee evaluation method leverages inter-rater reliability and agreement tool as a consensus approach to the relative performance ranking exercise. Such an approach to relative performance ranking is original as no prior studies with such an approach are found in the existing Literature.

Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon.

Patient perspectives have received increasing importance within health systems over the past four decades. Measures of patient experience and satisfaction are commonly used. However, these measures do not capture all the information that is available through engaging with patients. An improved understanding of the various types of patient perspectives and the distinctions between them is needed. The lack of such knowledge limits the usefulness of including patient perspectives as components within pay-for-performance initiatives. This study aimed to explore patient perspectives on hospital care in Lebanon. It also aimed to contribute insights that may improve the national pay-for-performance initiative and to the knowledge on engaging patients towards person-centered health systems. We conducted a qualitative study using focus group discussions with persons recently discharged after hospitalization under the coverage of the Lebanese Ministry of Public Health. This study was implemented in 2017 and involved 42 participants across eight focus groups. Qualitative content analysis was used to analyze the information provided by participants. Five overall themes supported by 17 categories were identified, capturing the meaning of the participants' perspectives: health is everything; being turned into second class citizens; money and personal connections make all the difference; wanting to be treated with dignity and respect; and tolerating letdown, for the sake of right treatment. The most frequently prioritized statement in a ranking exercise regarding patient satisfaction was regular contact with the patient's doctor. Patient perspectives include more than what is traditionally incorporated in measures of patient satisfaction and experience. Patient valuing of health and their perceptions on each of the health system, and access and quality of care should also be taken into account. Hospital pay-for-performance initiatives can be made more responsive through a broader consideration of these perspectives. More broadly, health systems would benefit from wider engagement of patients. We propose a framework relating patient perspectives to value-based healthcare and health system performance.

Library Data Storytelling: Obstacles and Paths Forward

ABSTRACT Data storytelling holds much potential to positively impact public perceptions of libraries. However, realizing the potential of library data storytelling will require understanding practical and cultural obstacles within public and other library contexts that range from prioritizing data collection over communication to fearing regulatory and assessment uses of data. Based on mixed qualitative methods (34 interviews, a questionnaire, a ranking exercise, post-workshop discussions) and six years of iteratively developed data storytelling workshops, this article explores common obstacles – emotions and attitudes; time, tools, and training – to library data storytelling and proposes ways to overcome them.

Determining patient value profiles in psoriasis.

Healthcare professionals (HCPs) should strive to create the maximum value for their patients in which value is defined as the patient-relevant health outcomes achieved per costs made. However, currently it remains difficult to determine which outcomes matter to an individual psoriasis patient. To define outcome profiles, or so called 'patient value profiles', within a cohort of psoriasis patients that can be translated to daily practice to increase value for the individual patient. Hierarchical clustering on principal components (HCPC) was used to identify groups of patients sharing the same profile within an outcome ranking exercise. Once the clusters were defined, their characterization was provided based on a V-test. In a final step, a multi-class decision tree (MDT) based on relevant socio-demographic and clinical variables was built to allocate patients to a cluster. In the ranking exercise 120 patients participated. The median age was 50.0 (IQR 25.0) years and 36.7% were female. Median PASI score was 2.4 (IQR 5.2) and median duration of psoriasis was 17.0 (IQR 20.0) years. Primary treatment varied from topicals to biologicals. We found three distinct patient value profiles in this cohort (QoL, cost and treatment). A MDT was built which had an accuracy of 64%. We found three distinct patient value profiles in a cohort of psoriasis patients and patients can be easily assigned to one of these profiles based on a MDT. HCPs can use these profiles to steer psoriasis management accordingly allowing for a more goal-orientated approach.

Redefining Cancer Research Priorities in Low- and Middle-Income Countries in the Post-COVID-19 Global Context: A Modified Delphi Consensus Process.

The post-COVID-19 funding landscape for cancer research globally has become increasingly challenging, particularly in resource-challenged regions (RCRs) lacking strong research ecosystems. We aimed to produce a list of priority areas for cancer research in countries with limited resources, informed by researchers and patients. Cancer experts in lower-resource health care systems (as defined by the World Bank as low- and middle-income countries; N = 151) were contacted to participate in a modified consensus-seeking Delphi survey, comprising two rounds. In round 1, participants (n = 69) rated predetermined areas of potential research priority (ARPs) for importance and suggested missing ARPs. In round 2, the same participants (n = 49) rated an integrated list of predetermined and suggested ARPs from round 1, then undertook a forced choice priority ranking exercise. Composite voting scores (T-scores) were used to rank the ARPs. Importance ratings were summarized descriptively. Findings were discussed with international patient advocacy organization representatives. The top ARP was research into strategies adapting guidelines or treatment strategies in line with available resources (particularly systemic therapy) (T = 83). Others included cancer registries (T = 62); prevention (T = 52); end-of-life care (T = 53); and value-based and affordable care (T = 51). The top COVID-19/cancer ARP was strategies to incorporate what has been learned during the pandemic that can be maintained posteriorly (T = 36). Others included treatment schedule interruption (T = 24); cost-effective reduction of COVID-19 morbidity/mortality (T = 19); and pandemic preparedness (T = 18). Areas of strategic priority favored by cancer researchers in RCRs are related to adaptive treatment guidelines; sustainable implementation of cancer registries; prevention strategies; value-based and affordable cancer care; investments in research capacity building; epidemiologic work on local risk factors for cancer; and combatting inequities of prevention and care access.

Comparative Education and (De)Colonial Entanglements: Towards More Sustainable and Equitable Learning Futures

The last several decades have seen a global resurgence of academic engagement with decolonial, postcolonial, anti-colonial, and southern scholarship as a way to confront the persisting modern/colonial legacies in education. This special issue brings together a collection of nine articles to critically interrogate (de)colonial entanglements in comparative education by addressing three questions. Who benefits from and who is punished by the colonial legacies of knowledge production in comparative education? How can the professionals and scholars in the field generate more sustainable and just (trans)local and multilingual research practices that act as epistemic disobedience against coloniality? How might we learn from this uncertain time to construct new comparative genres that extend beyond the Western modern/colonial logic? The articles in this special issue challenge the current preoccupation of many researchers, educators, and policy-makers with global education trends – student achievement tests, competitive education league tables, global ranking exercises, and “best practices”– inviting comparative education researchers to articulate decolonial, antisexist, antiracist, and regenerative alternatives that recognize the interdependence of people, place, and planet, as well as the importance of cultural change. Collectively, this special issue aims at creating a space for welcoming critical and creative scholarship to radically reimagine – and ultimately transform – education for more sustainable and equitable global futures.

A severely fragmented concept: Uncovering citizens’ subjective accounts of severity of illness

Universal healthcare is constrained by national governments' finite health resources. This gives rise to complex priority-setting dilemmas. In several universal healthcare systems, the notion of severity (Norwegian: ‘alvorlighet’) is a key consideration in priority setting, such that treatments for ‘severe’ illness may be prioritised even when evidence suggests it would not be as cost-effective as treatment options for other conditions. However, severity is a poorly-defined concept, and there is no consensus on what severity means in the context of healthcare provision – whether viewed from public, academic, or professional perspectives. Though several public preference-elicitation studies demonstrate that severity is considered relevant in healthcare resource distribution, there is a paucity of research on public perceptions on the actual meaning of severity. We conducted a Q-methodology study between February 2021 and March 2022 to investigate views on severity amongst general public participants in Norway. Group interviews (n = 59) were conducted to gather statements for the Q-sort ranking exercises (n = 34). Data were analysed using by-person factor analysis to identify patterns in the statement rankings. We present a rich picture of perspectives on the term ‘severity’, and identify four different, partly conflicting, views on severity in the Norwegian population, with few areas of consensus. We argue that policymakers ought to be made aware of these differing perspectives on severity, and that there is need for further research on the prevalence of these views and on how they are distributed within populations.

Abstract 30: Development of a Breast Cancer Survivorship Health System Needs Assessment Questionnaire (BSH-Q) for Malaysian Health Institutions

Abstract Purpose: There is a need to develop and implement a Breast Cancer Survivorship Care Plan in Malaysia based on the available healthcare resources and services. The objective of the study is to develop a Breast Cancer Survivorship Health System Needs Assessment Questionnaire (BSH-Q) using the Delphi method. Methods: The three rounds of e-Delphi surveys were conducted from November, 2020 to April, 2021. Development of BSH-Q was accomplished amongst key stakeholders (multidisciplinary healthcare professionals involved in cancer care in public hospitals, NGOs and breast cancer survivors). The first Delphi round was intended to explore the barriers, facilitators and needs of healthcare providers focused on five main survivorship care domains. The questions were open ended, allowing expert participants to brainstorm their ideas. Delphi round two involved a ranking exercise of the newly developed questionnaire based on the first Delphi round. A five point Likert scale was used to rate the importance of each item. This was followed with a pilot study to determine the feasibility of the research process, and face validity of the questionnaire. The pilot study was tested on healthcare providers working in University Malaya Medical Centre representing the five respective domains: Rehabilitation, life-style, psychosocial, financial, and genetic counselling. The participants were selected based on their involvement in managing the healthcare issues related to the five domains. Results: A total of 55 participants responded to the Delphi survey. Following the first Delphi survey, a total of 95 questions were developed in the domains of psychosocial, lifestyle, financial, rehabilitation, genetic counselling, cancer surveillance and management. In the second Delphi survey, 39 participants responded, they selected a total of 196 questions as important and finally 182 relevant questions were developed for the final BSH-Q version. The newly developed BSH-Q underwent a pilot study with no major modifications to the questionnaire. Conclusion: The Delphi survey method is suitable to develop the BSH-Q questionnaire. The newly developed BSH-Q is a valuable tool for Malaysia to analyse existing services in the country to provide a needs assessment too for the development of an implementation framework cancer survivorship care in Malaysia. Citation Format: Tania Islam, Syahidatul Akmal Azmi, Suniza Jamarish, Fatiha Hana Shaharuddin, Julia Patrick Engkasan, Nur Aishah Taib. Development of a Breast Cancer Survivorship Health System Needs Assessment Questionnaire (BSH-Q) for Malaysian Health Institutions [abstract]. In: Proceedings of the 11th Annual Symposium on Global Cancer Research; Closing the Research-to-Implementation Gap; 2023 Apr 4-6. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(6_Suppl):Abstract nr 30.

From rejection to acceptance: the institutionalization of adopting university ranking outcomes as policy and strategic tools in China since the 1980s

ABSTRACT China is an important player in global university ranking exercise. Nevertheless, existing studies have not adequately explored how the legitimacy of adopting university ranking outcomes has been chronologically established on Chinese soil. This paper attempts to fill this knowledge gap drawing on interviews with 37 stakeholders between 2003-2021 and an analysis of 2086 articles and reports published between 1984–2022 concerning university rankings. It first analyses the process of institutionalization of adopting university ranking outcomes in China, and discusses how the policy initiatives such as the ‘985 Project' in 1998 and the ‘Double First-Class' Project in 2016 intertwined with university rankings over the time and provide opportunities for establishing such legitimacy. Secondly, it analyses the mechanisms through which university ranking outcomes gain legitimacy, and suggests that interactions among the stakeholders are one of the key mechanisms, whereby the central government plays a pivotal role in legitimizing adoption of international university ranking results. Furthermore, we argue that the universities have responded actively to adopting the ranking outcomes and use them as strategic tools to achieve their own goals. As such, this paper sheds a new light on the impact of university rankings in China and beyond.

Exploring preferences of different modes of administration of hypomethylating agent treatments among patients with acute myeloid leukemia.

About half of patients with Acute Myeloid Leukemia (AML) are not eligible for Standard Induction Chemotherapy (SIC). Hypomethylating Agents (HMAs) intravenously (IV) or subcutaneously (SC) in a clinical setting are typically offered as an alternative. However, injectable HMAs may be burdensome for patients given the frequent hospital visits and side effects. This study explored patient treatment preferences for different modes of administration (MOA) and the relative importance of treatment-related characteristics that influence treatment decisions. Semi-structured 1:1 interviews were conducted with 21 adult patients with AML in Germany, the United Kingdom, and Spain, who are not eligible for SIC, had experience with HMAs or were scheduled to be treated with HMAs. After discussing their experience of living with AML and its treatments, patients were presented with hypothetical treatment scenarios to explore their preferences, and a ranking exercise to assess the relative importance of treatment characteristics that influence their treatment-decisions for AML. Most patients reported an overall preference for oral administration over parenteral routes (71%), mostly due to convenience. Those preferring IV or SC routes (24%) reasoned with faster speed of action and onsite monitoring. When presented with a hypothetical situation of a patient having to choose between two AML treatments that were identical except for their MOA, the majority preferred the oral route (76%). Regarding treatment characteristics that influence treatment decisions, patients most frequently reported efficacy (86%) and side effects (62%) as important, followed by mode of administration (29%), daily life impacts (24%) and location of treatment (hospital versus home) (14%). However, only efficacy and side effects were rated as number one deciding factors (67% and 19%, respectively). Patients most frequently rated dosing regimen (33%) as least important. The insights gained from this study may help support patients with AML who are receiving HMA treatment instead of SIC. A potential oral HMA with similar efficacy and tolerability profiles to injectable HMAs could influence treatment decisions. Furthermore, an oral HMA treatment might decrease the burden of parenteral therapies and improve patients' overall quality of life. However, the extent of influence MOA has on treatment decisions requires further investigation.

Studying Social Status Perceptions Among Migrants Through Photo Ranking Exercises

This paper discusses the use of photo ranking exercises together with qualitative interview data to study migrants’ perception of social status. It draws on data from a mixed-method study, involving in-depth interviews with migrants from different socio-economic backgrounds and mobility experiences in Germany. The paper focuses on how photo ranking exercises can be combined with more traditional interviewing techniques in order to elicit peoples’ subjective perceptions of status mobility in transnational spaces. It demonstrates that ranking exercises can be helpful in the effort to design data collection methods which are combining substantialist and relational approaches to the study of social class and social positions.