Review Of Grey Literature Research Articles

How Do We Define and Measure Health Equity? The State of Current Practice and Tools to Advance Health Equity.

Introduction:Healthy People establishes national goals and specific measurable objectives to improve the health and well-being of the nation. An overarching goal of Healthy People 2030 is to “eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.” To inform Healthy People 2030 health equity and health disparities content and products, the US Department of Health and Human Services (HHS) Office of Disease Prevention and Health Promotion (ODPHP), in collaboration with NORC at the University of Chicago, conducted a review of peer-reviewed and gray literature to examine how health equity is defined, conceptualized, and measured by public health professionals.Methods:We reviewed (1) peer-reviewed literature, (2) HHS and other public health organization Web sites, and (3) state and territorial health department plans. We also conducted targeted searches of the gray literature to identify tools and recommendations for measuring health equity.Results:While definitions of health equity identified in the scan varied, they often addressed similar concepts, including “highest level of health for all people,” “opportunity for all,” and “absence of disparities.” Measuring health equity is challenging; however, strategies to measure and track progress toward health equity have emerged. There are a range of tools and resources that have the potential to help decision makers address health equity, such as health impact assessments, community health improvement plans, and adapting a Health in All Policies approach. Tools that visualize health equity data also support data-driven decision making.Discussion:Using similar language when discussing health equity will help align and advance efforts to improve health and well-being for all. Healthy People objectives, measures, and targets can help public health professionals advance health equity in their work. HHS ODPHP continues to develop Healthy People tools and resources to support public health professionals as they work with cross-sector partners to achieve health equity.

24/7 Digital Work-Based Spy: The Effects of Technological Panopticism on Workers in the Digital Age

Abstract This paper is delivered from a conceptual theoretical review of grey literature: identifying key concepts and pragmatic policy interventions, which are required to address various aspects of the digital workforce. The main objective and purpose of this study is to analyze then articulate how technological panopticism, digital surveillance has changed the world of work. The study alerts us to the significant changes in work relations, which have been imposed by the digital age. At a nascent level society is asked to consider; how prepared are we to address the effects of technological panopticism on the mental (and physical) wellbeing of digital workers. On a nuanced basis the study fulfils another societal role: acting to introduce consideration of the digital surveillance aspects of how interaction with artificial intelligence and/or the internet of things could develop in the 2020s.

Cooking up an electric revolution: The political economy of e-cooking

There is a puzzle regarding the electrification of cooking. While important advances have been made in the provision of clean cooking on the one hand, and there have been heightened efforts to increase rates of electrification throughout the world on the other, the two policy objectives are often not integrated, despite the overlapping health, environmental and economic benefits of doing so. Energy policy often overlooks electric cooking as part of broader electrification strategies and forecasts, while clean cooking advocates often omit electrification from their initiatives. This means significant progress in meeting cooking needs through electrification is not being achieved. Hence, although SDG7's aims of universal access to electricity and clean cooking fuels and technologies are intertwined, and provide overlapping health, environment, and economic benefits, energy policy around these two goals remains disconnected. Drawing on interviews with practitioners and researchers and informed by a review of relevant academic and grey literature, we explore how political economy analysis can shed light on this mutual neglect by providing an understanding of the ways in which power, politics and governance shape the current landscape of e-cooking, but also how, when reconfigured, they have the potential to shape a pathway of greater electrification. Informed by the preceding analysis, we suggest some potential intervention points for moving forward. These include supporting niche actors; building coalitions supportive of the transition; rethinking behaviour change around cooking; using state policy to accelerate e-cooking transitions and improving coordination among international actors active in this space.

PCR39 Patient and Caregiver Diversity in FDA Patient Engagement Activities and CBER-Regulated Therapeutics: A Review of the Literature

This review of literature is aim one of a multipronged pilot project to understand what is known about current research and efforts related to increasing diverse patient engagement in drug development and factors that contribute to variances in knowledge of- and participation in- patient engagement activities relevant to U.S. Food and Drug Administration (FDA) Center for Biologics Evaluation and Research (CBER) regulated products for food allergies. A two-fold approach was used to conduct this review: (1) a scoping systematic literature, and (2) a review of grey literature. Research abstracts were screened and reviewed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for articles published between years 2012-2021. All abstracts were screened by two trained researchers and reviewed by a third using predefined inclusion criteria. Grey literature was information identified from food allergy organization websites and screened for inclusion by two trained researchers following prespecified criteria. A Microsoft excel® tracking tool was built to organize extracted data. Finally, a framework developed by the National Health Council (NHC) was adapted and used to synthesize the extracted data for both approaches. Seven out of 1,370 research abstracts were included for full text data analysis. In most (86%), patients and caregivers were solely study participants, compared to one study (14%) in which they were actively involved in informing the research process. Sixteen organization websites were identified for screening—seven of which were included for analysis. 71.4% (5/7 organizations) reported engagement opportunities for patients/caregivers but did not explicitly share how diverse populations were encouraged to engage. The importance of diverse patient engagement in food allergy therapeutic development has been stressed by both patient organizations and in research. However, further exploration is needed in how to meaningfully engage diverse groups of patients and caregivers impacted by food allergies to help inform regulatory decision-making

Integrating Public Transit and Shared Micromobility Payments to Improve Transportation Equity in Seattle, WA

This study explores how shared micromobility services can integrate with public transit through equitable payment structures to address first and last mile issues for light rail transit riders in Seattle, WA, and increase accessibility for low-income households. Seattle has recently permitted shared micromobility services such as e-scooter companies to begin operating alongside existing bikesharing services in the city. However, equity concerns have arisen as the users of bikeshare have been disproportionately white, affluent, and well-educated. To address these concerns, efforts have been made to reduce barriers to access and make these services more equitable to encourage their use among marginalized populations. Previous research has demonstrated evidence that these services can improve accessibility for disadvantaged populations such as low-income people of color. This research consists primarily of a literature review of relevant academic and gray literature, and a jurisdictional scan of cities in the U.S., Canada, Finland, and China. The objective of this research is to identify barriers to accessing shared micromobility services and synthesize existing best practices to propose solutions to make these services more equitable. Findings from this research then inform a set of recommendations for equitable payment integration in King County, which can also be generalized to other municipalities that are striving for equitable public transit and shared micromobility integration.

Evidence-Based Analysis of Social Impact Bonds for Homelessness: A Scoping Review.

Social impact bonds (SIBs) have emerged as an innovative financial instrument designed to support the social service sector in delivering innovative social programs. In particular, SIBs can be used to finance prevention of homelessness among those regarded as vulnerable. There is little evidence that outcomes from SIB-funded programs are significantly different compared to more traditional programs. This is the first scoping review of academic and gray literature that explores the main features and outcomes from all SIBs for homelessness based on evidence, addressing an important gap in the literature. The scoping review provides a transparent and comprehensive approach for mapping areas of this research. A total of 73 studies and articles were found eligible for inclusion. These concerned 32 SIBs for homelessness implemented in the United Kingdom, the United States, Australia, and Belgium. The review found that academic papers on SIBs for homelessness lack evidence-based analysis, while gray literature lacks transparency, especially in evaluation method and outcome. We found that fourteen projects met their target outcomes. The common features of these SIBs were a navigator intervention model, effective partnership working, and use of Special Purpose Vehicles. Our findings show that it is necessary for the managers of SIBs to improve outcome metrics and evaluation methods, support target groups fairly, and attract more private investors to finance SIBs for better addressing homelessness.

Effects of local faith-actor engagement in the uptake and coverage of immunization in low- and middle-income countries: A literature review

Introduction: Religious leaders are universally recognized as having an influence on immunization uptake and coverage in low- and middle-income countries (LMICs). Despite this, there is limited understanding of three questions: 1) how do religious leaders impact the uptake and coverage of immunization in LMICs? 2) what successful strategies exist for working with local faith actors to improve immunization acceptance? and 3) what evidence gaps exist in relation to faith engagement and immunization? Methods: In January 2021, we searched PubMed and Google Scholar databases covering the period from January 1, 2011 to January 15, 2021 with key search terms related to faith engagement and immunization in peer-reviewed literature and conducted a gray literature review to answer these three questions. We excluded articles covering faith engagement and immunization in high-income countries, news articles, online blogs, social media postings, and articles in languages outside of English. Data were coded to guide thematic analysis. Results: We found extensive evidence supporting the value of religious engagement for immunization promotion and acceptance in LMICs across faiths. However, there was limited rigorous evidence and examples of specific approaches for engaging local faith actors to strengthen immunization uptake in LMICs. As a result, there is a lack of widely shared knowledge of what works (or doesn’t) and successful models for engaging local faith actors. Additional current evidence gaps include: few rigorous study designs; a lack of vaccine hesitancy studies outside of Nigeria and Pakistan; and limited exploration of faith engagement and immunization in religions other than Islam and Christianity. Conclusions: Our review findings reinforce the powerful role local faith actors play in diverse communities within LMICs in both promoting and inhibiting immunization uptake. The literature review comes at a critical time, given the urgent need to expand access to COVID-19 vaccination in LMICs. Findings from this review will advance understanding on how to more effectively engage local faith actors in promoting immunization campaigns and addressing vaccine hesitancy, which is more complex than expected. Further study is needed to understand how to most effectively counter vaccine hesitancy in different geographic, linguistic, and socio-cultural context.

A review of the circumstances and health-seeking behaviours associated with bat exposures in high-income countries.

Human–bat interactions are now the source of the majority of locally acquired human lyssavirus infections in many high‐income countries without hematophagous or ‘vampire’ bat species. This study aims to identify the most common types and circumstances of bat exposures occurring among members of the general public in high‐income countries with no hematophagous bats, and to describe the health‐seeking behaviours associated with exposures in these settings. We conducted a scoping review of relevant academic and grey literature on bat exposures and confirmed bat lyssavirus infections among members of the general public in Australia, Canada, the United States and high‐income European countries from 1996 to 2019. Case studies and population‐based studies were included for analysis, and findings were extracted and synthesized by the literature type and geographic region. A total of 63 publications were identified, including: 47 case studies and 16 population‐based studies. Overall, most exposures in Australia and Europe were intentionally initiated by humans and involved attempts to handle, touch or help a bat. In North America, however, household exposures were more common and predominantly involved a bat being found in a room or area where a person had slept. Studies also showed that a proportion of bat exposures in high‐income countries go unreported in the absence of a public health investigation and are therefore unlikely to receive prompt treatment. The results of this review suggest that the most effective strategies for preventing bat exposures vary between regions and that health‐seeking behaviours following bat exposures could be improved in high‐income settings.

A systematic review and mixed-methods synthesis of the experiences, perceptions and attitudes of prison staff regarding adult prisoners who self-harm.

Self-harm, including suicide, is common among prisoners. Staff attitudes and perceptions regarding self-harm may affect quality of care and patient safety. To systematically review the experiences, perceptions and attitudes of staff in adult prisons regarding self-harm. Systematic searches of EMBASE, Medline, PsycINFO and CINAHL databases were conducted, and supplemented by hand-searching and grey literature review, to identify relevant English-language articles published since the year 2000. Articles were screened by two authors and evaluated with standardised quality appraisal tools. Qualitative data were analysed thematically, whereas quantitative data were narratively synthesised because of high study heterogeneity. Two thousand articles were identified, of which 32 were included, involving 6389 participants from five countries. Most studies were moderate (n = 15) or poor (n = 10) quality, and seven were rated as good quality. Staff frequently witnessed self-harm and described multiple perceived risk factors and causes of this. Perceptions that self-harm is 'manipulative' or 'attention-seeking' were associated with hostility toward prisoners and lower quality of care. Perceived barriers to preventing and managing self-harm included low staffing levels, prison environments and culture, poor staff confidence and insufficient training. The importance of multidisciplinary teamwork and building staff-prisoner relationships were highlighted. Staff occasionally experienced intense psychological reactions to self-harm, which resulted in adaptive or maladaptive coping that influenced their capacity to care. There are mixed attitudes and perceptions toward self-harm among prison staff. Further training, support and resources are required to protect staff's well-being and improve self-harm prevention and management in prisons.

Queering Institutions, Nearing Inclusion

There is overwhelming evidence that Two-Spirit, lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual (2SLGBTQIA+) youth in Canada experience significantly higher rates of mental health problems than their heterosexual and cisgender peers. This paper argues that intersectoral action on the social determinants of health (SDOH) at all levels of government is necessary to meaningfully address 2SLGBTQIA+ youth mental health in Canada. A literature review of English-language, peer-reviewed articles and grey literature was conducted to assess the root determinants of 2SLGBTQIA+ youth mental health. This paper utilizes an intersectional lens and the 3i framework to assess the relevant ideas, interests, and institutions that fuel mental health inequities facing 2SLGBTQIA+ youth in Canada. This paper recommends a pan-Canadian 2SLGBTQIA+ Health Strategy; a shift of focus towards SDOH; improving sex education curricula and teacher training; building resilience among 2SLGBTQIA+ youth; and strengthening the shelter system to improve 2SLGBTQIA+ youth mental health in Canada.

The Technology Landscape of Patient-Centered Clinical Decision Support - Where Are We and What Is Needed?

Patient Centered Outcomes Research (PCOR) and health care delivery system transformation require investments in development of tools and techniques for rapid dissemination of clinical and operational best practices. This paper explores the current technology landscape for patient-centered clinical decision support (PC CDS) and what is needed to make it more shareable, standards-based, and publicly available with the goal of improving patient care and clinical outcomes. The landscape assessment used three sources of information: (1) a 22-member technical expert panel; (2) a literature review of peer-reviewed and grey literature; and (3) key informant interviews with PC CDS stakeholders. We identified ten salient technical considerations that span all phases of PC CDS development; our findings suggest there has been significant progress in the development and implementation of PC CDS but challenges remain.

Artisanal and Small-Scale Gold Mining (ASGM): Management and Socioenvironmental Impacts in the Northern Amazon of Ecuador

Mining is one of the oldest economic activities of mankind. Within this activity, artisanal and small-scale gold mining (ASGM) is one of the most studied sectors due to its high level of environmental contamination and the social problems it causes. In recent years, ASGM in the northern Amazon of Ecuador has increased significantly, and studies that describe its current situation and impact are scarce. In this sense, the present study aimed to analyze the current status and socioenvironmental impacts caused by ASGM gold mining activities in the Cascales canton in the province of Sucumbíos in northeastern Ecuador. The methodological tools used in the present study were a literature review of scientific and gray literature, field visits to assess perceived impacts and an expert judgment to discuss the results and establish challenges. The main results indicate that illegal and informal activities continue to be carried out in the upper zone of the Cascales and Duvino rivers; 90% of local miners still use mercury in this activity, although it is legally prohibited. Among the main impacts evidenced are the contamination of water bodies, soil and atmosphere due to the use of mercury and disturbance to flora and fauna due to the use of machinery in the exploration process. Finally, the government should focus efforts on strengthening public policies to socialize the importance of good environmental practices in ASGM and the effects of the impacts on human health and environmental issues, all this with the support of social actors, such as ministries, universities, NGOs, ASGM associations and private enterprise.

A mixed methods study to assess the impact of COVID-19 on maternal, newborn, child health and nutrition in fragile and conflict-affected settings

BackgroundThe impacts of COVID-19 are unprecedented globally. The pandemic is reversing decades of progress in maternal, newborn, child health and nutrition (MNCHN), especially fragile and conflict-affected settings (FCAS) whose populations were already facing challenges in accessing basic health and nutrition services. This study aimed to investigate the collateral impact of COVID-19 on funding, services and MNCHN outcomes in FCAS, as well as adaptations used in the field to continue activities.MethodsA scoping review of peer-reviewed and grey literature published between 1st March 2020–31st January 2021 was conducted. We analysed 103 publications using a narrative synthesis approach. 39 remote semi-structured key informant interviews with humanitarian actors and donor staff within 12 FCAS were conducted between October 2020 and February 2021. Thematic analysis was undertaken independently by two researchers on interview transcripts and supporting documents provided by key informants, and triangulated with literature review findings.ResultsFunding for MNCHN has been reduced or suspended with increase in cost of continuing the same activities, and diversion of MNCHN funding to COVID-19 activities. Disruption in supply and demand of interventions was reported across different settings which, despite data evidence still being missing, points towards likely increased maternal and child morbidity and mortality. Some positive adaptations including use of technology and decentralisation of services have been reported, however overall adaptation strategies have been insufficient to equitably meet additional challenges posed by the pandemic, and have not been evaluated for their effectiveness.ConclusionsCOVID-19 is further exacerbating negative women’s and children’s health outcomes in FCAS. Increased funding is urgently required to re-establish MNCHN activities which have been deprioritised or halted. Improved planning to sustain routine health services and enable surge planning for emergencies with focus on the community/service users throughout adaptations is vital for improved MNCHN outcomes in FCAS.

Factors Influencing the Practice of Exclusive Breastfeeding in West and Central Africa

ObjectivesTo disseminate knowledge of social and behavioral factors influencing exclusive breastfeeding to guide national nutrition programs in West and Central Africa.MethodsWe searched literature up to August 2018 using pre-defined search terms on PubMed, Google Scholar, Popline and The Cochrane Library. We identified 225 references, representing 19 of the 24 countries in West and Central Africa. Most were from Nigeria (n = 108) and Ghana (n = 45). We used thematic content analysis to synthesize quantitative and qualitative findings separately.ResultsFactors influencing exclusive breastfeeding in first 6 months of life were divided into individual, setting and structural levels using the 2016 Lancet conceptual model. Socio-economic attributes, perceptions, beliefs and mother-infant interactions were important at the individual level. Misconceptions around breastmilk's quality and availability (quantity) were factors that influenced mothers to give infants water or other liquids. At the setting level, women's autonomy and grandmothers influenced infant feeding decisions in many families. At the structural level, work was an obstacle to achieving exclusive breastfeeding for women in both formal and informal sectors. Social norms generally supported breastfeeding; however, exclusive breastfeeding was challenged by multiple beliefs, including that giving water quenches thirst and “water is life”.ConclusionsThis work provided a comprehensive review of peer-reviewed and grey literature on the “Factors Influencing the Practice of Exclusive Breastfeeding and Giving Water in West and Central Africa”. The review provides insights on facilitators as well as the many reasons preventing exclusive breastfeeding and provided evidence for the Stronger With Breastmilk Only regional initiative. Disseminating this knowledge among government stakeholders and their partners will mobilize action to achieve the exclusive breastfeeding WHA 2025 and SDG 2030 targets in the subregion, where only one-third of infants (0–5 months) receive breastmilk only (UNICEF, 2021).Funding SourcesBill & Melinda Gates Foundation through Alive & Thrive, managed by FHI Solutions, and UNICEF, West and Central Africa RISING Initiative.

Mitigating Youth Unemployment through Pre-service experience Acquisition under Parent-Employer Collaborative arrangements

The article examines the possibility and challenges of redressing graduate unemployment through parent-employer collaboration that revolves around of remuneration of pre-service em-ployment. The paper used a qualitative research design involving a review of grey literature from published articles and reports on theories and challenges of global, regional and Uganda’s youth unemployment, particularly graduate unemployment and the strategies being applied to mitigate it. Paper findings show the potential for adopting the proposal, given the benefits it is likely to generate for parents, fresh graduates, employers and the government. The proposed arrangement equips fresh graduates with practical working experience which enhanc-es job prospects; employer obtains value added from fresh graduate services at lower cost, and an opportunity to recruit the graduate as a permanent employee; the parent enjoys reduced cost incurred on spending on endless search for jobs by students. Both the government and society benefit through lower social costs due to reduced time graduates spend unemployed as well as greater contribution realized from their work. Findings make significant contribution to knowledge and practice on alleviating graduate unemployment, through parent-employer col-laboration that generates benefits for parents, fresh graduates, employers and the government

Coordination mechanisms for COVID-19 in the WHO Regional office for Africa

AimThis study describes the coordination mechanisms that have been used for management of the COVID 19 pandemic in the WHO AFRO region; relate the patterns of the disease (length of time between onset of coordination and first case; length of the wave of the disease and peak attack rate) to coordination mechanisms established at the national level, and document best practices and lessons learned.MethodWe did a retrospective policy tracing of the COVID-19 coordination mechanisms from March 2020 (when first cases of COVID-19 in the AFRO region were reported) to the end of the third wave in September 2021. Data sources were from document and Literature review of COVID-19 response strategies, plans, regulations, press releases, government websites, grey and peer-reviewed literature. The data was extracted to Excel file database and coded then analysed using Stata (version 15). Analysis was done through descriptive statistical analysis (using measures of central tendencies (mean, SD, and median) and measures of central dispersion (range)), multiple linear regression, and thematic analysis of qualitative data.ResultsThere are three distinct layered coordination mechanisms (strategic, operational, and tactical) that were either implemented singularly or in tandem with another coordination mechanism. 87.23% (n = 41) of the countries initiated strategic coordination, and 59.57% (n = 28) initiated some form of operational coordination. Some of countries (n = 26,55.32%) provided operational coordination using functional Public Health Emergency Operation Centres (PHEOCs) which were activated for the response. 31.91% (n = 15) of the countries initiated some form of tactical coordination which involved the decentralisation of the operations at the local/grassroot level/district/ county levels. Decentralisation strategies played a key role in coordination, as was the innovative strategies by the countries; some coordination mechanisms built on already existing coordination systems and the heads of states were effective in the success of the coordination process. Financing posed challenge to majority of the countries in initiating coordination.ConclusionCoordinating an emergency is a multidimensional process that includes having decision-makers and institutional agents define and prioritise policies and norms that contain the spread of the disease, regulate activities and behaviour and citizens, and respond to personnel who coordinate prevention.

Governing Open Ocean and Fish Carbon: Perspectives and Opportunities

Marine life plays a vital role in the ocean’s biological pump by sequestering and mediating fluxes of carbon to the deep sea and sea floor. The roles that fish and other marine vertebrates play in the biological pump are increasingly attracting scientific and policy attention. In this paper, we investigated the interest in and possibilities for the international governance of open ocean and fish carbon ecosystem services. We used semi-structured interviews with representatives from environmental non-governmental organisations (ENGOs), policy makers, and policy experts, along with an exploratory review of grey and peer-reviewed literature to: 1) trace the pathway of important milestones, key actors, and their strategies to influence governance of ocean carbon, and, 2) investigate which frameworks might be used to govern open ocean and fish carbon. Strategies of key actors to direct attention to open ocean and fish carbon included collaborating with scientists, organising side events at climate and biodiversity negotiations and seminars to engage policy makers, as well as educational campaigns directed to the public and policy makers about the co-benefits of open ocean and fish carbon. While we found a strong focus of ENGO activities related to the UN Framework Convention on Climate Change, we also found strong opposition against active governance of open ocean and fish carbon by key Intergovernmental actors in this forum. Opposition stems from a lack of scientific information on how long open ocean and fish carbon is stored, difficulties in attributing carbon flows with individual countries mitigation actions, and fewer perceived co-benefits (e.g. coastal protection in the case of coastal blue carbon) for coastal communities. More viable routes for the future governance of open ocean and fish carbon may lie in international fisheries management and in current negotiations of a treaty for biodiversity conservation in the high seas.

RETRACTED ARTICLE: Toward a characterization of Ecuadorian ceviche: much more than shrimp

Ceviche is present in all the Pacific coast of Latin America. Its origin and history are still debated. The consensus is that it arises from creolization between local and Eurasian ingredients and techniques. Ecuadorian ceviche is both traditional and iconic, present in one form or another in its twenty-four provinces, adapting to the availability of products and becoming part of the identity of regions, parishes, and cities. The objective of this work is to confirm ceviche as a traditional Ecuadorian dish, to assess the most popular types of Ecuadorian ceviche, condiments and sides, and also to glimpse the wide variety of preparations that appear through adaptation to ingredient availability and food customs. We performed a review of both scientific and gray literature, a relative search volume analysis and a survey among culinary professionals (n = 403). The most popular in Ecuador is shrimp (Litopenaeus vannamei) ceviche with 54% of the responses, followed by fish, regardless of species (29%), and both lupin (Lupinus mutabilis) and black clam (Anadara tuberculosa) with 5%. The most utilized condiments are onion, lemon juice and cilantro a “holy trinity” with more than 90% usage. These results are in good agreement with those provided by Web search volumes. The variety of main ingredients, condiments and sides is ample, though, and suggests further research. Sustainability concerns related to ceviche are the sustainability of shrimp farming and fish capture, and the preservation of mollusks and their ecosystems.

Social Media Support and Funding Assistance for Psychological Injuries in Social Work.

IntroductionPsychological injuries in social work are on the rise in complex modern society. Some individuals are incurring both physical and psychological injuries. Often, psychological injuries are more miserable than physical injuries. To combat the psychological injury suffered by individuals involved in social work, authorities should mobilize support via social media and raise funds by this and other feasible means to cover the cost of care for these individuals. This study focuses on social media support and funding assistance that could play useful roles in helping to treat psychological injuries among social workers and their clients in China.MethodsA scoping review of academic and gray literature was undertaken to identify the different injuries involved in social work. Semi-structured interviews were carried out with 7 experts, including social workers, social media professionals, and social fund directors. Empirical studies on psychological injuries in social work provided examples in support of the policy advocacy reported in this paper.ResultsThe scoping review found diverse literature on the subject of psychological injury in social work over the past decade in China. Semi-structured interviews with experts indicate that social media support can alleviate psychological suffering and that funding assistance has a positive influence on assisting individuals coping with psychological injuries. The empirical cases support the plan to encourage more support from social media and funding sources.ConclusionPsychological injury is greatly influenced by social bias and discrimination. According to cases and actions are taken to mitigate the harm done, supportive social media strategies could greatly diminish the psychological injuries to social workers and their clients and help them avoid much suffering. This study finds that funding organizations could provide a new treatment mechanism—social media marketing strategies and functional activities—to help a large number of individuals with psychological injuries out of the disease trap in China.

Towards a conceptual framework of enterprise support for pro-environmental small and medium-sized enterprises: A contextualised review of diverse knowledge domains

Whilst there are well-established bodies of knowledge about enterprise support and the role of entrepreneurial learning for SMEs (Small and medium-sized enterprises) in general and a growing body of evidence relating to environmental capabilities, green/eco-innovation, sustainable supply chains and green skills for SMEs in particular, there is little empirical and peer reviewed literature that address approaches to enterprise support specifically focussed on the needs of the growing number of pro-environmental SMEs. This study undertakes a contextualised review of diverse knowledge domains to identify the key features of enterprise support for pro-environmental SMEs. In doing so, the paper plots the knowledge journey of experienced academic programme providers, from the initial design of an enterprise support programme for pro-environmental SMEs, through a thematic review of academic, grey and other related literature and finally presents a propositional and normative conceptual framework that proposes eight key features of enterprise support for pro-environmental SMEs. The resulting ‘framework for action’ aims to offer a practical tool for providers of pro-environmental enterprise support to review and improve their own provision, an analytical frame for other researchers in this field and a benchmark for SMEs seeking guidance on their pathway to net-zero business performance.