Community Representatives Research Articles

СУБЪЕКТИВНОЕ БЛАГОПОЛУЧИЕ НА РАБОЧЕМ МЕСТЕ: ПОДХОДЫ К МОНИТОРИНГУ САМОЧУВСТВИЯ ПЕРСОНАЛА

A direct correlation between the level of staff well-being and the company’s profitability has been proven by both foreign and Russian studies. However, one of the unresolved problems today remains the fact that well-being at work is still not considered as a factor and resource for the productivity and efficiency of employees. The reality of modern life highlights the need for a rapid rethinking of the nature and patterns of connections between well-being at work and the state of labour productivity, socio-economic assessments of this relationship, and the development of management and digital solutions for monitoring and maintaining an adequate level of staff well-being. The article presents the results of a survey of representatives of the expert community conducted by the authors to identify the current aspects of well-being at work, as well as a brief description of the concept of a digital service developed by the authors for monitoring the well-being of employees through self-assessment.

Community Outreach, Engagement, and Mentoring Program for Underrepresented Scholars in Cancer Health Disparities.

Racial/ethnic minorities and women are affected by cancer and cancer risk factors at higher rates; however, they are largely underrepresented in scientific professions focused on health disparities. One way to reduce disparities is to increase diversity within the workforce by planning training activities for minority scholars and paying close attention to community outreach. This paper describes the outcomes of a robust community outreach plan engaging communities in education, research, and clinical trials to increase the number of underrepresented student scholars in cancer disparities research through research training, mentorship, and service-learning activities provided within local organizations. The program provided two cohorts of scholars from underrepresented communities with opportunities to attend seminars, present their research to community representatives, and connect with the local community. Cohort 1 consisting of ten scholars participated in a 2-year program that started in the summer of 2018. Cohort 2, consisting of seven scholars, participated in a 1-year program starting in June 2020. Overall, scholars provided positive feedback on all service-learning program activities and the effectiveness of the program in shaping career interests. New procedures developed in response to the COVID-19 pandemic continued the effective management of all components of the program and helped increase engagement with the community outreach staff. The outreach program evaluated here can prepare diverse scholars to enter the workforce with interdisciplinary training for mitigating cancer disparities and serve as a model for planning and implementing similar programs at other institutions.

Cross-cultural adaptation of the awareness and beliefs about cancer measure for Hispanics/Latinos living in the United States.

The purpose of this study is to culturally adapt the Awareness and Beliefs about Cancer (ABC) measure for use in the Hispanic/Latino population living in the United States (US). In accordance with Patient Reported Outcomes (PRO) Consortium guidelines for cross-cultural adaptation of measures for content and linguistic validity, we conducted: two forward-translations, reconciliation, two back-translations, revision and harmonization, six cognitive interviews, revision, external expert review, and finalization of the version. We used a mixed methods approach, conducting cognitive interviews with Hispanic/Latino community members while also convening an expert panel of six clinicians, health professionals, and community representatives and including the in the entire process. After cross-culturally adapting the ABC measure, we assessed the psychometric properties of the instrument using item response theory analysis. Item parameters, discrimination and category thresholds, and standard errors were calculated. For each of the adapted subdomains, we used item information curves to report the graphical profile of item effectiveness. Twenty-two Hispanic/Latino community members were enrolled in cognitive interviews, and Hispanics/Latinos fluent in Spanish completed the measure to assess its psychometric properties. Cognitive interviews revealed opportunities to improve items. Key changes from the original measure include the inclusion of gender inclusive language and an inquiry into e-cigarette use on items related to smoking habits. Psychometric property analyses revealed that the anticipated delay in seeking medical help, general cancer beliefs, and cancer screening beliefs and behaviors subdomains had some slope parameters that were < 1; this implies that those items were not able to adequately discriminate the latent trait and had poor performance. The adapted ABC measure for US Hispanics/Latinos meets content and linguistic validity standards, with construct validity confirmed for cancer symptom recognition and barriers to symptomatic presentation subdomains, but revisions are necessary for others, highlighting the need for ongoing refinement to ensure the cultural appropriateness of instruments.

Ethical Considerations for Enrolling "Invested Parties" in Large-Scale Clinical Studies: Insights from the RECOVER Initiative.

Research institutions often lack policies addressing the risks and benefits of enrolling "invested parties" such as investigators, research staff, and patient, caregiver, and community representatives (groups most affected by a disease or intervention) in studies where they have direct involvement. Invested parties may have both strong motivations to study the condition or intervention and to participate as study subjects. More guidance is needed to promote appropriate access to research participation and mitigate potential risks. This article addresses the gap in guidance by presenting an ethical framework and practical guidelines for the enrollment of invested parties. Drawing from experiences with the Researching COVID to Enhance Recovery (RECOVER) Initiative, a large multisite observational cohort study, we argue that invested parties should not be categorically excluded from enrollment in their own research studies if certain criteria are met and appropriate safeguards are in place. We underscore the need to balance inclusion with fairness, promote valid voluntary informed consent, ensure data privacy, protect scientific validity, and mitigate unique risks to invested parties as participants. Additionally, we recommend regular reporting and empirical assessment to evaluate the impact of enrolling invested parties on participants and study outcomes.

The consequences of micro-discretions and boundaries in the social prescribing link worker role in England: a realist evaluation.

Social prescribing addresses non-medical factors affecting health and well-being. Link workers are key to its delivery by connecting people to relevant support, often in the voluntary, community and social enterprise sector. Funding from the National Health Service means that link workers are becoming a common part of primary care in England. To explore and understand the implementation of link workers in primary care in England. A realist evaluation addressed the question - When implementing link workers in primary care to sustain outcomes - what works, for whom, why and in what circumstances? Link workers and staff associated with seven primary care sites across England. Researchers spent 3 weeks with each link worker, going to meetings with them, watching them interact with patients, with healthcare staff and with voluntary, community and social enterprise organisations. In addition, interviews were conducted with 61 patients and 93 professionals (voluntary, community and social enterprise representatives and healthcare staff, including link workers). Follow-up interviews were conducted with 41 patients and with link workers 9-12 months later. Data were coded and developed into statements to identify how context around the link worker triggers mechanisms that lead to intended and unintended outcomes. We found that link workers exercise micro-discretions in their role - actions and advice-giving based on personal judgement of a situation, which may not always reflect explicit guidance or protocols. Our analysis highlighted that micro-discretions engender positive connections (with patients, healthcare staff, the voluntary, community and social enterprise sector) and promote buy-in to the link worker role in primary care. Micro-discretions supported delivery of person-centred care and enhanced job satisfaction. Data also highlighted that lack of boundaries could place link workers at risk of overstepping their remit. Our research focused on link workers attached to primary care; findings may not be applicable to those working in other settings. Data were collected around seven link worker cases, who were selected purposively for variation in terms of geographical spread and how/by whom link workers were employed. However, these link workers were predominately white females. Enabling link workers to exercise micro-discretions allows for responsiveness to individual patient needs but can result in uncertainty and to link workers feeling overstretched. Poor link worker retention may, in part, be associated with a lack of clarity around their role. Research to explore how this shapes intention to leave their job is being conducted by authors of this paper. This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme as award number NIHR130247.

Drug-resistant tuberculosis treatments, the case for a phase III platform trial.

Most phase III trials in drug-resistant tuberculosis have either been underpowered to quantify differences in microbiological endpoints or have taken up to a decade to complete. Composite primary endpoints, dominated by differences in treatment discontinuation and regimen changes, may mask important differences in treatment failure and relapse. Although new regimens for drug-resistant tuberculosis appear very effective, resistance to new drugs is emerging rapidly. There is a need for shorter, safer and more tolerable regimens, including those active against bedaquiline-resistant tuberculosis. Transitioning from multiple regimen A versus regimen B trials to a single large phase III platform trial would accelerate the acquisition of robust estimates of relative efficacy and safety. Further efficiencies could be achieved by adopting modern adaptive platform designs. Collaboration among trialists, affected community representatives, funders and regulators is essential for developing such a phase III platform trial for drug-resistant tuberculosis treatment regimens.

Sociocultural code of the health sphere: typology, variability, possibility of impact

Introduction. In the formation of individual approaches to the treatment of diseases, taking into account the characteristics of each patient, the main attention is paid to the characteristics of the human genome and other biomarkers. At the same time, the individual culture of health, the worldview characteristics of patients, as a rule, are not taken into account, which determines the need for further development of the concept of the socio-cultural code of health and determination of the potential for its application. Materials and methods. Critical analysis of domestic and foreign literature, development of a conceptual approach that makes it possible to study the specifics of the attitude of representatives of various social communities to the sphere of health and the possibility of influencing it. Results. The sociocultural code of health is one of the subsystems of the sociocultural code as a whole. The complexity of the social organization makes it possible to single out the levels of the cultural code in accordance with the scale of the social community under consideration: national, ethnic, and corporate socio-cultural code of health. The variability of the socio-cultural code is largely due to the nature of the information space in which social communities are located. The study of indicators of the socio-cultural code by the methods of sociology allows obtaining qualitative and quantitative data characterizing the attitude of society towards the sphere of health. Research limitations. The study is limited by insufficient understanding of the nature of memory and the peculiarities of storing information in it, which limits the possibilities of studying the sociocultural code of the health sector. Conclusion. Taking into account not only predispositions to certain diseases due to the genetic code, but cultural attitudes towards health, prevention and treatment of diseases determined by the socio-cultural code of health, can improve both the quality of treatment and the effectiveness of preventive measures. Emphasis on ethnic, corporate, and occupational cultural characteristics of citizens provides the gain in the effectiveness of educational activities aimed at magnifying the value of health, personal responsibility for it, and raising public awareness about a healthy lifestyle, prevention measures and methods of treatment (as far as possible without resorting to specialists).

A deaf-centred art-science approach to community engagement with sign language technologies

Sign Language Machine Translation (SLMT) is an emerging technology that will primarily impact deaf and hard of hearing communities. Historically, these technologies have been developed by hearing scientists, without input from deaf researchers or community representatives. SignON was a three-year project exploring the application of SLMT, and using a co-creation approach which was led by the European Union of the Deaf. Here we describe an art-science method to engage deaf, hard of hearing, and hearing audiences with SLMT through theatre and performance. We also reflect on the insights, perspectives, and feedback shared by audience members.

‘This modern Cinderella’: Railway Queens, mass media, and British civic culture, 1925–75

Abstract Between 1925 and 1975, the British railway industry elected beauty queens from the daughters of employees. Focusing upon the Railway Queens, this article will reveal the importance of beauty queens as ‘civic celebrities’, a novel role for public figures that emerged between the wars and helped to sustain a vibrant civic culture across the early to mid-twentieth century. It combined the traditional ceremonial function of ‘civic’ representative with the modern consumerist ethos of media ‘celebrity’. Despite the gendered constraints of such competitions, this article posits that serving as a beauty queen enabled young working-class women to become legitimate representatives of various civic communities for the first time, whilst also enabling participation in the media’s image-making of glamorous, consumerist femininities. As such, the role rendered civic and consumer cultures more inclusive and increasingly inextricable. This article further suggests that civic celebrities altered how communities were represented to themselves within British civic culture. If elites continued to represent hierarchical communities of authority and deference, then from the 1920s onwards, civic celebrities such as beauty queens began to represent relatively democratic communities of non-partisan inclusivity and consumer aspiration.

Seroprevalence and risk factors for Q fever and Rift Valley fever in pastoralists and their livestock in Afar, Ethiopia: A One Health approach.

Coxiella burnetii, the causative agent of Q fever, and Rift Valley fever virus are two under-researched zoonotic pathogens in Ethiopia. Potential outbreaks of these diseases, in light of the high dependency of nomadic pastoralists on their livestock, poses a risk to both human and animal health in addition to risking the pastoralists livelihoods. Our study aimed to determine the seroprevalence and associated risk factors for Q fever and Rift Valley fever in pastoral communities in the Afar region of north-eastern Ethiopia. This cross-sectional study screened pastoralists (n = 323) and their livestock (n = 1377) for IgG antibodies to Coxiella burnetii and Rift Valley fever virus. A seroprevalence for Q fever of 25.0% (95%CI 18.6-32.6) was found in pastoralists and 34.3% (95%CI 27.9-41.3) in livestock overall; with 51.9% in goats (95%CI 44.9-58.8), 39.9% in sheep (95%CI 24.6-51.2), 16.3% in camels (95%CI 10.4-24.6) and 8.8% in cattle (95%CI 5.0-15.0). For Rift Valley fever the seroprevalence in pastoralists was 6.1% (95%CI 3.3-11.0) and 3.9% (95%CI 2.6-5.7) in livestock overall; cattle had the highest seroprevalence (8.3%, 95%CI 3.3-19.2), followed by goats (2.7%; 95%CI 1.4-5.1), sheep (2.5%; 95%CI 1.0-5.9) and camels (1.8%; 95%CI 0.4-6.9). Human Q fever seropositivity was found to be associated with goat abortions (OR = 2.11, 95%CI 1.18-3.78, p = 0.011), while Rift Valley fever seropositivity in livestock was found to be associated with cattle abortions (OR = 2.52, 95%CI 1.05-6.08, p = 0.039). This study provides evidence for a notable exposure to both Q fever and Rift Valley fever in pastoralists and livestock in Afar. The outbreak potential of these pathogens warrants ongoing integrated human and animal surveillance requiring close collaboration of the human and animal health sectors with community representatives following a One Health approach.

Gender and Geographical Representation on Editorial Board Members of Medical Informatics Journals.

Previous work has suggested that gender and geographical distribution (affiliation) of Editors-in-Chief (EiC) and Editorial Board (EB) members are inequitable in representation of scientific communities, and could benefit from increasing diversity of representation. Specifically, previous studies suggest that male and ethnically white (or non-minoritized groups) are overrepresented. Such differences in representation may potentially influence the scientific and scholarly record. This paper aims to build on pre-existing literature by examining the diversity of representation among EiCs and EB members in the top (Q1) journals in the "Medicine-Health Informatics" category (ranked by SCImago Journal and Country Rank, or SJR) in terms of gender as assessed by genderize.io) and geographical distribution of affiliations. Preliminary findings are consistent with those of previous work on the topic: only 25% (8/32) of the EiCs in the selected journals are female, while females only represent 32.7% (426/1303) of the EB members across journals. Furthermore, the US is highly represented in EBs, with more than half of the members, i.e., 52.2% (698/1337), being US-affiliated. Present results suggest the need for an intentional approach to diversifying representation on editorial boards of medical informatics journals. Such intention can be seen as part of a call to action from important stakeholders, including medical informatics leaders and programs, journal management and publishers, and the medical informatics and scientific community more generally.

Prevalence of current suicidal thoughts and lifetime suicide attempts in individuals with cancer and other chronic diseases in Germany: Evidence for differential associations from a representative community cohort

BackgroundResearch indicates an elevated risk for suicidal thoughts and behaviors (STBs) among individuals with cancer, but community-based studies on the prevalence of STBs in comparison to the general population and other chronic diseases are lacking. MethodsData was drawn from the representative population-based, prospective Gutenberg Health Study (GHS). Participants (N = 12,382; age: M = 59.5, SD = 10.8; 48.9 % women) completed highly standardized medical assessments and validated questionnaires such as the PHQ-9. In addition to prevalence estimates (stratified by STBs and gender), logistic regression models were calculated (controlling for confounders). ResultsThe sample included 1910 individuals with cancer, 8.2 % of whom reported current suicidal thoughts and 2.0 % reported lifetime suicide attempts. There was neither a significant association between a cancer diagnosis and suicidal thoughts (p = .077) nor suicide attempts (p = .17) in models adjusting for age, gender, and income. Other chronic diseases were linked to suicidal thoughts and attempts only in men. LimitationsAlthough the investigation of the two kinds of STB are a strength of the study, the items' different time frames complicate comparisons. In addition, the cross-sectional design limits the ability to understand observed relationships and to identify periods of risk. ConclusionThis study expands the evidence base regarding the vulnerability to STBs in individuals with cancer, including long-term survivors. It highlights their heterogeneity, differential risk factors underlying suicidal thoughts and attempts, and the relevance of other (contextual) factors shaping an individual's susceptibility to suicidal crises.

Prevalence and Factors Associated With Healthy Aging in a Large Representative Community Sample of Older Ethiopians.

Objectives: To examine the prevalence and predictors of healthy aging among community-dwelling older adults living in Bahir Dar, Ethiopia. Methods: A community-based cross-sectional study included older adults aged 60 and above (n = 845; Mage = 71 years; 56.4% females). Poisson regression estimated the Relative Risk (RR) of factors associated with healthy aging status. Results: 36.7% of respondents were classified as healthy agers. Factors associated with an increased likelihood of healthy aging included reporting not being lonely, adequate nutrition, no multimorbidity, good self-rated health, financial independence, and engaging in at least 1hour of moderate physical activity per week. Discussion: The proportion of healthy agers in this study was substantially lower compared to developed countries but comparable to the prevalence reported in similar developing nations. Enhancing physical activity, ensuring proper nutrition, interventions to foster social participation engagement, and networking, and managing chronic diseases were identified as promising strategies to promote healthy aging.

The impact of methylparaben and chlorine on the architecture of Stenotrophomonas maltophilia biofilms

The biofilm architecture is significantly influenced by external environmental conditions. Biofilms grown on drinking water distribution systems (DWDS) are exposed to environmental contaminants, including parabens, and disinfection strategies, such as chlorine. Although changes in biofilm density and culturability from chemical exposure are widely reported, little is known about the effects of parabens and chlorine on biofilm morphology and architecture. This is the first study evaluating architectural changes in Stenotrophomonas maltophilia colony biofilms (representatives of bacterial communities presented in DWDS) induced by the exposure to methylparaben (MP) at environmental (15 μg/L) and in-use (15 mg/L) concentrations, and chlorine at 5 mg/L, using widefield epi-fluorescence mesoscopy with Mesolens. The GFP fluorescence of colony biofilms allowed the visualization of internal structures and Nile Red fluorescence permitted the inspection of the distribution of lipids. Our data show that exposure to MP triggers physiological and morphological adaptation in mature colony biofilms by increasing the complexity of internal structures, which may confer protection to embedded cells from external chemical molecules. These architectural modifications include changes in lipid distribution as an adaptive response to MP exposure. Although chlorine exposure affected colony biofilm diameter and architecture, the colony roundness was completely affected by the simultaneous presence of MP and chlorine. This work is pioneer in using Mesolens to highlight the risks of exposure to emerging environmental contaminants (MP), by affecting the architecture of biofilms formed by drinking water (DW) bacteria, even when combined with routine disinfection strategies.

A New Generation of Postbiotics for Skin and Scalp: In Situ Production of Lipid Metabolites by Malassezia.

Effects of pre- and probiotics on intestinal health are well researched and microbiome-targeting solutions are commercially available. Even though a trend to appreciate the presence of certain microbes on the skin is seeing an increase in momentum, our understanding is limited as to whether the utilization of skin-resident microbes for beneficial effects holds the same potential as the targeted manipulation of the gut microflora. Here, we present a selection of molecular mechanisms of cross-communication between human skin and the skin microbial community and the impact of these interactions on the host's cutaneous health with implications for the development of skin cosmetic and therapeutic solutions. Malassezia yeasts, as the main fungal representatives of the skin microfloral community, interact with the human host skin via lipid mediators, of which several are characterized by exhibiting potent anti-inflammatory activities. This review therefore puts a spotlight on Malassezia and provides a comprehensive overview of the current state of knowledge about these fungal-derived lipid mediators and their capability to reduce aesthetical and sensory burdens, such as redness and itching, commonly associated with inflammatory skin conditions. Finally, several examples of current skin microbiome-based interventions for cosmetic solutions are discussed, and models are presented for the use of skin-resident microbes as endogenous bio-manufacturing platforms for the in situ supplementation of the skin with beneficial metabolites.

Resilience Evaluation and Renovation Strategies of Public Spaces in Old Communities from a Disaster-Adaptive Perspective

Old community districts grapple with issues such as antiquated infrastructure and functional designs that fail to meet contemporary needs. These limitations lead to diminished disaster resistance and a reduced quality of life for inhabitants. Public spaces within these antiquated districts can function as sanctuaries during calamities, enhancing the community’s disaster response efficacy and expediting post-disaster recovery, which is vital for effective disaster management. Nevertheless, the disaster-resilience attributes of public spaces in these old districts have not been sufficiently researched. This study focused on three representative old communities in Beijing, analyzing and contrasting their disaster resilience attributes and various community types. Utilizing the Analytic Hierarchy Process, a hierarchical structural model was formulated, examining the public spatial structure, function, transportation, and ecology. A comprehensive analysis was then conducted to identify the resilience characteristics that public spaces in old communities should possess. The findings indicated that the prioritization of the four criteria—ecological space, transit space, spatial function, and spatial structure—in the development of disaster-resilient public spaces in communities increases progressively. The renovation to increase the disaster-resilience of old communities should concentrate on optimizing the spatial structure layout of the community, enhancing the integrity, openness, and coherence of public spaces; imbuing public spaces with versatile and multifaceted functions, and establishing hierarchical distribution systems; ensuring transit spaces cater to both everyday use and disaster exigencies, maintaining unimpeded traffic flow under all conditions; and creating multi-tiered ecological spaces to bolster resilience during disasters while enhancing daily aesthetics. This research enriches the strategies for the disaster-resilient renovation of public spaces in old communities, offering precise and scientific references to improve community disaster resilience and emergency response capabilities.

Legal Certainty and Procedural Justice in Land Management in Indonesia: Ensuring Rights Protection and Effective Dispute Resolution

Land disputes are a persistent issue in many countries, including Indonesia, often complicated by conflicting land certificates and ambiguous regulations. This article explores the multifaceted aspects of resolving such disputes, emphasizing the pivotal role of land certificates in achieving legal certainty. In addressing these challenges, the research employs the juridical-normative legal method to analyze the complexities inherent in land dispute resolution. A significant finding is that disputes involving dual certificates frequently entail multiple stakeholders, necessitating a meticulous determination of rights and liabilities among the parties involved. Thus, the principle of dignified justice becomes paramount in adjudicating these disputes, ensuring equitable outcomes for all parties. The prevalence of dual certificates exacerbates legal uncertainty for landholders, undermining the efficacy of certificates as conclusive evidence of ownership. Consequently, there is a pressing need for legislative reforms aimed at fortifying the validity and indisputability of land certificates. Strengthening the legal framework is essential to uphold the integrity of property rights and enhance confidence in the judicial process. Agrarian reform emerges as a pivotal strategy in addressing these issues, offering a systematic approach to resolve disputes and establish robust legal frameworks. By reforming existing regulations, stakeholders can mitigate ambiguities and streamline processes, thereby fostering an environment conducive to sustainable development and equitable land distribution. Effective resolution of land disputes hinges upon collaborative efforts among diverse stakeholders, including government bodies, legal institutions, and community representatives. These collaborations are instrumental in devising comprehensive strategies that promote legal certainty and uphold justice.

Protection of the LGBT community’s rights during the war in Ukraine

The article puts an emphasis on the need to protect the rights of LGBT communities. Although the issue of protecting LGBTI rights was considered in the writings of domestic scientists, the Russian- Ukrainian war has become a new challenge for LGBT representatives and caused new problems for them. In the conditions of the war in Ukraine, this is an urgent issue today, because nowadays, persons in same-sex relationships experience restrictions on their rights. The author emphasizes that in connection with the desire of our country to become a full member of the EU, a significant task for it is to prevent discrimination based on such grounds as sexual orientation and gender equality. Despite the public’s negative attitude towards representatives of the so-called “sexual minorities”, the latter stood up to protect their Motherland. Therefore, the state’s performance of its obligations towards such persons is an important issue today. The problem is that there is no normative consolidation of the legal status of LGBT communities in Ukraine and this leads to a limited amount of constitutional, civil, and family rights compared to other citizens. However, in the conditions of the war, representatives of the LGBT community feel even more restricted in their rights than before the war. In particular, they cannot legalize their relations and because of this certain difficulties arise. The author draws attention to the fact that the presence of gaps in the current legislation leads to the fact that LGBT military personnel do not have the same rights as other citizens of Ukraine, although they fight for the independence and territorial integrity of our state. The article highlights that changes to the Constitution of Ukraine cannot be made during the war. Therefore, injustice towards LGBT military personnel should be eliminated by adopting the Law of Ukraine “On the Institute of Registered Partnerships”. The article draws attention to the fact that national courts, if to analyze their practice, are «not ready» to protect LGBTI rights due to the negative perception of these persons in the state. The author emphasizes that the courts must effectively protect the rights of LGBTI people and restore their violated rights. They should also take into account the fact that the practice of the ECtHR is aimed at protecting the rights of the LGBT community. However, a completely different situation is observed in Ukraine, which leads to the adoption of decisions against our state and this generates negative consequences for it.

Representation of Surrounding Communities in Iwan Simatupang's RT-Nol/RW-Nol Drama Script (Sociology of Literature Theory)

Representation of Surrounding Communities in Iwan Simatupang's RT-Nol/RW-Nol Drama Script (Sociology of Literature Theory)

Intervention Fidelity in a Virtual Community Participatory Research Trial.

The objective of this report is to describe approaches used to ensure fidelity in the B-SWELL feasibility trial. A virtual randomized feasibility trial was conducted. Intervention fidelity was evaluated in accordance with Borrelli's five principles of fidelity: design, training, delivery, receipt, and enactment. In addition to the rigorous oversight by the research team, tools were developed or adapted for the virtual trial. Tools used in the trial included a Visual Analog Attendee Engagement Tool, weekly feedback surveys, audio recordings, a facilitator's checklist, an overall satisfaction survey, and a technology survey. Using Borrelli's framework for treatment fidelity, the researchers noted high ratings from the overall satisfaction survey, designed to assess ongoing participant satisfaction with the intervention materials and continued enactment. The tools successfully guided the intervention process from design to enactment. Adherence to Borrelli's principles of fidelity enables rigorous oversight of an intervention and its delivery. The growing use of technology to deliver programmed interventions requires that tools be adapted and created to monitor fidelity. Validation of the research-developed and -adapted tools is recommended in a larger trial.