Roadmap For Action Research Articles

Using Collective Intelligence to Develop Design Requirements for a Complex Intervention for Advance Care Planning in the Community.

Engaging people in advance care planning is a challenging systemic problem that requires a social innovation approach and a conceptual framework to guide behavioural and social change efforts. To identify stakeholders' perspectives on barriers to advance care planning engagement, options for overcoming these barriers, and user needs. The findings will inform the design of a health behaviour change intervention for engaging older adults (50+) in advance care planning. To advance co-production and intervention design goals, the study used collective intelligence and scenario-based design methods. Following a systematic stakeholder analysis, 22 participants were recruited to three online collective intelligence sessions. The socioecological perspective informed framing of integrated findings and specifying factors at the individual, interpersonal, service, and system levels. Identified barriers (n = 109) were grouped into seven categories: (i) Psychological, (ii) Advance Care Planning Literacy, (iii) Interpersonal and Interprofessional, (iv) Service-Related, (v) Resources and Supports, (vi) Advance Care Planning Process and Methods, (vii) Cultural and Societal. Stakeholders generated 222 options for overcoming these barriers and specified 230 service user needs. The need to change perceptions of advance care planning, increase psychological readiness, and target advance care planning literacy was highlighted (individual-level). Timely, focused, and meaningful interaction between the key ACP actors must be facilitated using creative strategies (interpersonal-level). Need- and value-based services, including high quality resources, support systems, and infrastructure, should be co-designed (service-level). Cultural and societal transformation is required (system-level). Findings integration offered insight into the complexity of the design context and problem situation and identified directions for context-specific advance care planning intervention development. The use of design thinking methodologies is recommended for the next phase of complex intervention development. The study presents a roadmap of actions required from policy-makers, practitioners, and researchers to ensure the design of adequate advance care planning interventions. Quality of reporting was assured by adherence to Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines (International Journal for Quality in Health Care, 19, 2007, 349). Patient and public representatives participated in the collective intelligence sessions. Members of the All Ireland Institute of Hospice and Palliative Care Voices4Care facilitated that process. Findings from the first CI session (involving patients and caregivers) informed the content, format, and methods used in subsequent CI sessions.

Living Wages in Latin America: An Assessment of Disparities and a Stakeholder Roadmap for Action

ABSTRACTA living wage (LW) refers to the salary that would be sufficient to cover the costs of a decent living standard for the employee and his family in a specific place. The topic is scarcely discussed in Latin American countries, which could benefit from it since the population of these countries faces several social and economic challenges, such as poor minimum wages (MWs), inflation and high poverty levels, even among employed people. To address this gap, this paper explores the research streams on LWs through a bibliometric assessment and sheds light on three case studies from Latin America evidencing the minimum wage gap in some Latin American countries. The results indicate huge disparities between MWs and LWs and, based on the bibliometric analysis, provide a stakeholder roadmap for action and a maturity level model for companies to adopt LWs.

Mapping out Remediation: An Actionable Roadmap to Support Trainees Through Remediation

What’s NewThis qualitative analysis offers an actionable, stepwise approach to remediation. IntroductionThe goal of graduate medical education is for trainees to develop the competence needed to practice independently; however, some residents struggle to achieve competency and require remediation. Evidence around how to best facilitate remediation is lacking. The objective of this study was to understand best practices for remediation in pediatrics. MethodA national web-based survey of pediatric residency program directors (PDs) on remediation practices was performed. The survey included 3 open-ended questions about PDs’ experiences with remediation. Self-reported barriers to and strategies for remediation were systematically analyzed using inductive thematic analysis to develop a theory of effective remediation in pediatric residency training. ResultsA total of 99 out of 195 (50.8%) program directors responded. Two main themes emerged: developing a personalized plan that ensures competency attainment and fostering psychological safety. Twelve categories outline actionable steps that PDs can take to make the remediation process successful. DiscussionBuilt from insight from pediatric PDs, we propose a conceptual model for effective remediation that accounts for competency attainment while safeguarding the emotional health of the resident. The conceptual model breaks the remediation process down into four phases: identification of the learner who struggles, planning the remediation process, implementation of the plan, and assessing the outcome of the process.

A systems-based analysis to rethink the European environmental risk assessment of regulated chemicals using pesticides as a pilot case

A growing body of scientific literature stresses the need to advance current environmental risk assessment (ERA) methodologies and associated regulatory frameworks to better address the landscape-scale and long-term impact of pesticide use on biodiversity and the ecosystem. Moreover, more collaborative and integrative approaches are needed to meet sustainability goals. The One Health approach is increasingly applied by the European Food Safety Authority (EFSA) to support the transition towards safer, healthier and more sustainable food. To this end, EFSA commissioned the development of a roadmap for action to establish a European Partnership for next-generation, systems-based Environmental Risk Assessment (PERA). Here, we summarise the main conclusions and recommendations reported in the 2022 PERA Roadmap. This roadmap highlights that fragmentation of data, knowledge and expertise across regulatory sectors results in suboptimal processes and hinders the implementation of integrative ERA approaches needed to better protect the environment. To advance ERA, we revisited the underlying assumptions of the current ERA paradigm; that chemical risks are generally assessed and managed in isolation with a substance-by-substance, realistic worst-case and tiered approach. We suggest optimising the use of the vast amount of information and expertise available with pesticides as a pilot area. It is recommended to as soon as possible adopt a systems-based approach, i.e. within the current regulatory framework, to spark a step-wise transition towards an ERA framed at a system level of ecological and societal relevance. Tangible systems-based and integrative steps are available. For instance, the rich sources of existing data for prospective and retrospective ERA of pesticides could be used to reality-benchmark existing and new ERA methods. To achieve these goals, collaboration among stakeholders across scientific disciplines and regulatory sectors must be strengthened.

Roadmap for action for advancing aggregate exposure to chemicals in the EU

Roadmap for action for advancing aggregate exposure to chemicals in the EU

Development of a roadmap for action on Evidence‐based risk communication in the EU Food Safety System

Abstract In March 2021, the European Food Safety Authority (EFSA) published the report ‘Technical assistance in the field of risk communication’, outlining four key areas for advancing scientific evidence to cover knowledge gaps in food safety related risk communication research. The four areas covered included: (1) false information related to food safety (2) effectiveness of transparency initiatives (3) insights into consumer trade‐offs related to risks and benefits (4) linking factors behind perception and behaviour. The successive EFSA theme paper on ‘Evidence‐based risk communication in the EU food system’ clarified the scope and objectives within each research area. Building on the findings in these two publications, an action Roadmap was developed which delves deeper into these areas and identifies key challenges and knowledge gaps through rigorous desk research, literature reviews, and interviews with key stakeholders. The produced roadmap outlines eight project proposals each addressing specific needs and covers all the four areas. By implementing the proposals outlined and described throughout the report, EFSA will be able to further improve risk communication including cooperation and engagement with its stakeholders in the EU food safety ecosystem. Each proposal details suggested activities to be performed, expected impact, potential challenges, collaboration and cooperation opportunities and is supported by SWOT and PESTLE analyses. Finally, a prioritisation strategy is presented for the implementation of the proposals within and across the four research areas in the short and medium term.

Carbon-zero agility: Enabling carbon-zero organizations through agile management and ambiguous feedback algorithms

To enable organizations to achieve carbon neutrality through agile capabilities, this paper establishes an integrative framework of carbon-zero agility consisting of three dimensions: search scope agility, search locus agility, and search pace agility. However, applying common agile methodologies like Scrum, Kanban, and Lean to cultivate these capabilities inevitably introduces feedback ambiguity, which can paralyze decision-making and increase errors due to inherent human cognitive limitations. To address this, tailored carbon-zero feedback algorithms are proposed to complement human judgment in agile workflows. Specifically, prescriptive analytics, federated learning, and probabilistic programming are injected into Scrum, Kanban, and Lean respectively to restore clarity amidst ambiguity. The framework is grounded in cases from the textile industry to demonstrate applicability in practical settings. By targeting the roots of distortions with human-algorithm collaborations, it provides an actionable roadmap to implement carbon-zero agility.

Priority setting: Development of the South Australian Aboriginal Chronic Disease Consortium RoadMap for Action.

Aboriginal and Torres Strait Islander (Aboriginal) people in South Australia are overburdened by cardiovascular disease, diabetes and cancer. The South Australian Aboriginal Chronic Disease Consortium (Consortium) was established in June 2017 as a collaborative partnership to lead the implementation of three state-wide chronic disease plans using a strategic approach to identifying key priority areas for action. In 2017-2018, the Consortium Coordinating Centre facilitated a priority setting process, which involved extensive consultation, including a prioritisation survey and stakeholder workshops. The Consortium's Aboriginal Community Reference Group was instrumental in leading the identification of priorities for action. The Consortium RoadMap for Action identified seven across-plan priorities and six condition-specific priorities. It acknowledged that: strengthening social and emotional well-being is central to improving health outcomes; prevention and early detection, acute management and ongoing management are all components of the continuum of care; and improving access to services, strengthening the workforce, and monitoring and evaluation are required across the continuum of care. Widespread implementation failure in the past across the health system and health services implementation and research translation highlights the value of the Consortium approach and its commitment to implementing the state-wide chronic disease plans in a collaborative manner. The Consortium relies on and fosters cross-sectoral alignment, with all key players including all public, private and Aboriginal Community Controlled health services, to progress its priorities and aspirations to improve health outcomes for Aboriginal people using evidence-based strategies. SO WHAT?: Rigorous and transparent priority setting processes that bring together research, clinical practice, health services operations, policy and community perspectives can foster intersectoral collaboration and partnership and support the implementation of shared priorities.

The social determinants of mental health and disorder: evidence, prevention and recommendations.

People exposed to more unfavourable social circumstances are more vulnerable to poor mental health over their life course, in ways that are often determined by structural factors which generate and perpetuate intergenerational cycles of disadvantage and poor health. Addressing these challenges is an imperative matter of social justice. In this paper we provide a roadmap to address the social determinants that cause mental ill health. Relying as far as possible on high-quality evidence, we first map out the literature that supports a causal link between social determinants and later mental health outcomes. Given the breadth of this topic, we focus on the most pervasive social determinants across the life course, and those that are common across major mental disorders. We draw primarily on the available evidence from the Global North, acknowledging that other global contexts will face both similar and unique sets of social determinants that will require equitable attention. Much of our evidence focuses on mental health in groups who are marginalized, and thus often exposed to a multitude of intersecting social risk factors. These groups include refugees, asylum seekers and displaced persons, as well as ethnoracial minoritized groups; lesbian, gay, bisexual, transgender and queer (LGBTQ+) groups; and those living in poverty. We then introduce a preventive framework for conceptualizing the link between social determinants and mental health and disorder, which can guide much needed primary prevention strategies capable of reducing inequalities and improving population mental health. Following this, we provide a review of the evidence concerning candidate preventive strategies to intervene on social determinants of mental health. These interventions fall broadly within the scope of universal, selected and indicated primary prevention strategies, but we also briefly review important secondary and tertiary strategies to promote recovery in those with existing mental disorders. Finally, we provide seven key recommendations, framed around social justice, which constitute a roadmap for action in research, policy and public health. Adoption of these recommendations would provide an opportunity to advance efforts to intervene on modifiable social determinants that affect population mental health.

Development of a roadmap for action for the project More Welfare: towards new risk assessment methodologies and harmonised animal welfare data in the EU

Development of a roadmap for action for the project More Welfare: towards new risk assessment methodologies and harmonised animal welfare data in the EU

Communicating Your Way Through Clashing Cultures

This article examines the handling of Socially Acute Questions (SAQs) in the English language classroom. SAQs have been described as complex and controversial issues that are considered acute in society, in research and professional domains, and in educational contexts. Although intercultural communicative competence (ICC) is being encouraged by our educational authorities, teachers feel at a loss as to how to achieve that learning outcome in their teaching-learning units (TLUs). Many of them have encountered problems and even conflict when trying to deal with SAQs. Even though they are struggling with a sense of frustration, they continue to consider that addressing such issues in their TLUs is key to 21st-century education. In this article, a customizable toolbox is proposed that second language (L2) teachers can draw from to foster and facilitate constructive intercultural dialogue when dealing with SAQs in their increasingly diverse English language classrooms. It starts off with a literature review providing perspectives on SAQs from transdisciplinarity, Social and Emotional Learning (SEL), and the Pedagogy of Encounter. It continues with an introduction to safe spaces, brave spaces, and story circles, as well as an overview of relevant concepts from cross-cultural pragmatics. The methods section then gives a detailed action-research-driven account of a racist incident that occurred in the author’s intervention group, a conversation class at the language institute of Université catholique de Louvain (UCLouvain), Belgium. Drawing from the literature review as well as the case study, and in the absence of institutional support to handle SAQs appropriately, the article concludes with a proposal for a customizable SAQs toolbox, meeting the stakeholders’ (the L2 learners’ and teachers’) academic expectations as well as emotional needs. Little or no work has been done so far on how to deal with SAQs in tertiary education. The actionable roadmap proposed in this article tries to bridge that gap. Even though the case study focuses on racism in the English language classroom, the customizable toolbox can be adapted across languages, academic disciplines, and other forms of discrimination.

Roadmap for action on the environmental risk assessment of chemicals for insect pollinators (IPol‐ERA)

Roadmap for action on the environmental risk assessment of chemicals for insect pollinators (IPol‐ERA)

Fungal diseases in Africa: Closing the gaps in diagnosis and treatment through implementation research and advocacy.

Fungal diseases impose an escalating burden on public health in Africa, exacerbated by issues such as delayed diagnosis, inadequate therapy, and limited access to healthcare resources, resulting in significant morbidity and mortality. Effectively tackling these challenges demands a comprehensive approach encompassing research, training, and advocacy initiatives. Recent clinical mycology surveys conducted by Global Action for Fungal Infection (GAFFI) and the European Confederation of Medical Mycology/International Society for Human and Animal Mycology (ECMM/ISHAM) have underscored gaps in fungal diagnostics and the availability and accessibility of antifungal therapy in Africa. The World Health Organization (WHO) Fungal Priority Pathogens List (FPPL) identifies fungi of critical or high importance to human health, providing a roadmap for action and highlighting the urgent need for prioritizing fungal diseases and developing targeted interventions within the African context. To enhance diagnosis and treatment, it is imperative to invest in comprehensive training programs for healthcare workers across all levels and disciplines. Equipping them with the necessary knowledge and skills will facilitate early detection, accurate diagnosis, and appropriate management of fungal infections. Moreover, implementation science research in medical mycology assumes a pivotal role in bridging the gap between knowledge and practice. By identifying the barriers and facilitators that influence the adoption of diagnostic techniques and public health interventions, tailored strategies can be formulated to improve their implementation within healthcare settings. Advocacy plays a critical role in raising awareness regarding the profound impact of fungal diseases on public health in Africa. Engaging policymakers, healthcare providers, researchers, industry experts and communities underscore the importance of addressing these diseases and galvanize efforts for change. Substantial investment in surveillance, research and development specifically focused on fungal diseases is indispensable for advancing our understanding of local epidemiology, developing effective interventions, and ultimately improving patient outcomes. In conclusion, closing the gaps in diagnosing and treating fungal diseases in Africa demands concerted research and advocacy initiatives to ensure better healthcare delivery, reduced mortality rates, and improved public health outcomes.

The Robert Koch Institute's cross-sectoral efforts to address climate change and health

Abstract The Robert Koch Institute (RKI) is Germany's national public health institute (NPHI). It recognises that climate change poses a significant threat to the health and wellbeing of people and that as an NPHI it has an important role to play. To reflect this, we have been strengthening our work on climate change and health in the institute, particularly in the last 18 months, guided by the “IANPHI Roadmap for Action on Health and Climate Change” amongst other resources. At the RKI, we see that our contribution on climate change and health is part of efforts together with an extensive landscape of actors, each with their own disciplinary and sector-specific expertise and resources. We have therefore been exploring our possible sector-specific contribution and further developing our cross-sectoral working in line with the institute's strategy for climate change and health. The RKI is also already underway with specific cross-sectoral exchange and projects on climate change and health. This includes taking part in the cross-sectoral German national agencies’ network on climate adaptation, carrying out a comprehensive and ambitious situation report on the evidence base on climate change and health in Germany, as well as through a cross-sectoral programme to develop new measurable climate adaptation goals as part of the German Adaptation strategy for Climate Change. This presentation will share how the RKI is developing and implementing its cross-sectoral contribution on climate change and health, and will include some lessons learnt and suggestions for how other health actors might be able to apply this learning for their own work. The presentation aims to: • illustrate how cross-sectoral work can be implemented and how use of the “health argument” can help with this; • stimulate thinking on how other health actors, including in the audience, might be able to engage in cross-sectoral working in their own fields and organisations.

Digitalization for Public Expenditure Accountability and Transparency (d4PEAT)


 Reforms in public expenditure management in India, especially in accounting and administrative processes, have lagged behind the reforms in public revenue management. Lack of uniform accounting codes, limited data standards, and standalone systems across different tiers of governments have led to issues related to data comparability, data aggregability, and misclassification of data. In addition, lack of a single source of truth and inadequate end-to-end digital data capture limits the efficiency, tractability, and accountability of public funds. Limited just-in-time fund-flows, where fund disbursals and actual expenditures are not in tandem, further increases the uncertainty in government transactions. This study identifies the touchpoints where mainstreaming digitalization could address these fundamental challenges of public expenditure management through an actionable roadmap in the form of d4PEAT framework. A composite score under d4PEAT framework for each level of government is calculated, which can be used to rank their performances and assess the progress made in mainstreaming digitalization of public expenditure management. The framework charts a process for debate, suggest areas where policy reforms can be initiated in India, leading to enhancing accountability and transparency in public spending.

Vitamin D status and clinical implications in the adult population of Malaysia: a position paper by the Malaysian Vitamin D Special Interest Group.

Vitamin D deficiency and insufficiency is common among populations globally, and in Asia and Malaysia. The purpose of this Position Paper is to propose recommendations for both clinicians and non-clinicians to promote vitamin D sufficiency in Malaysian adults. Formation of a national multisector, multidisciplinary alliance is also proposed to progress initiatives relating to safe sun exposure, adequate vitamin D intake through food fortification, and vitamin D supplementation for high-risk groups. Literature reviews were undertaken to inform summaries of the following: vitamin D status globally and in Asian and Malaysian populations, vitamin D status among individuals with common medical conditions, and current recommendations to achieve vitamin D sufficiency through sun exposure, food intake and supplementation. Recommendations were based on the findings of the literature reviews, recent European guidance on vitamin D supplementation, the 2018 road map for action on vitamin D in low- and middle-income countries, and research recommendations proposed by the Malaysian Ministry of Health in 2017. Recommendations on assessment of vitamin D in the adult Malaysian population include using serum or plasma 25-hydroxyvitamin D concentration as a biomarker, widespread participation by Malaysian laboratories in the Vitamin D Standardization Program, adoption of the US Endocrine Society definitions of vitamin D deficiency and insufficiency, and development of a comprehensive nationwide vitamin D status study. Specific high-risk groups are identified for vitamin D assessment and recommendations relating to loading doses and ongoing management are also made. This Position Paper provides individual clinicians and national stakeholder organisations with clear recommendations to achieve vitamin D sufficiency in the adult population of Malaysia.

Designing a Road Map for Action to Address Bias and Racism Within a Large Academic Medical Center.

The convergence of the COVID-19 pandemic, the Black Lives Matter Movement, and the public anguish and outrage resulting from the murder of George Floyd in 2020 intensified the commitment of many health care institutions to pursue racial and social justice and achieve health equity. The authors describe the Road Map for Action to Address Racism, which was developed to unify and systematize antiracism efforts across the Mount Sinai Health System. A 51-member Task Force to Address Racism, comprising faculty, staff, students, alumni, health system leaders, and trustees, developed recommendations to achieve the goal of becoming an antiracist and equitable health care and learning institution by intentionally addressing all forms of racism and promoting greater diversity, inclusion, and equity for its workforce and community. Grounded in the principles of Collective Impact, the Task Force developed a set of 11 key strategies to effect systemwide change. The strategies affected all aspects of the organization: business systems and financial operations, delivery of care, workforce development and training, leadership development, medical education, and community engagement. The authors describe Road Map implementation, currently in process, including the appointment of strategy leaders, evolution of a governance structure integrating stakeholders from across the health system, development of an evaluation framework, communication and engagement efforts, and process measures and progress to date. Lessons learned include the importance of recognizing the work of dismantling racism as integral to, not apart from, the institution's day-to-day work, and the need for specialized expertise and a significant investment of time to coordinate Road Map implementation. Going forward, rigorous assessment of quantitative and qualitative outcomes and a commitment to sharing successes and challenges will be critical to eradicating systems that have perpetuated inequities in the biomedical sciences and medicine and in the delivery of health care.

Combining Emotion with Reason: The Inner Logic, Practical Difficulties and Action Paths of Emotional Governance of Community Sports in China

As an integral part of the national governance system, community sport governance is beneficial to the construction of civilized and harmonious communities, and also plays an important role in promoting the modernization of the grassroots governance system and governance capacity. The study uses literature research and comprehensive analysis to sort out, summarize, and reflect on the internal logic and practical dilemmas of community sport emotional governance, and then completes the construction of a roadmap for action. The study considers that the inner logic of community sport emotional governance involves "conceptual reshaping--mechanism rebuilding--organizational reconstruction--emotion-driven" and faces real challenges such as emotional connection dilemma, emotional governance alienation dilemma, talent support dilemma, and institutional guarantee dilemma. The study proposes an action route for community sport emotional governance in terms of improving the emotional governance literacy and ability of grassroots sports workers, using social psychological mechanisms, establishing emotional connections between multiple subjects, broadening emotional connections, and building institutional norms for community sport emotional governance.

How can we deliver on the promise of precision medicine in oncology and beyond? A practical roadmap for action.

Precision medicine (PM) is a form of personalized medicine that recognizes that individuals with the same condition may have different underlying factors and uses molecular information to provide tailored treatments. This approach can improve treatment outcomes and transform lives through favorable risk/benefit ratios, avoidance of ineffective interventions, and possible cost savings, as evidenced in the field of lung cancer and other oncology/therapeutic settings, including cardiac disease, diabetes, and rare diseases. However, the potential benefits of PM have yet to be fully realized. There are many barriers to the implementation of PM in clinical practice, including fragmentation of the PM landscape, siloed approaches to address shared challenges, unwarranted variation in availability and access to PM, lack of standardization, and limited understanding of patients'experience and needs throughout the PM pathway. We believe that a diverse, intersectoral multistakeholder collaboration, with three main pillars of activity: generation of data to demonstrate the benefit of PM, education to support informed decision-making, and addressing barriers across the patient pathway, is necessary to reach the shared goal of making PM an accessible and sustainable reality. Besides healthcare providers, researchers, policymakers/regulators/payers, and industry representatives, patients in particular must be equal partners and should be central to the PM approach-from early research through to clinical trials and approval of new treatments-to ensure it represents their entire experience and identifies barriers, solutions, and opportunities at the point of delivery. We propose a practical and iterative roadmap to advance PM and call for all stakeholders across the healthcare system to employ a collaborative, cocreated, patient-centered methodology to close gaps and fully realize the potential of PM.

Towards the international interoperability of clinical research networks for rare diseases: recommendations from the IRDiRC Task Force

BackgroundMany patients with rare diseases are still lacking a timely diagnosis and approved therapies for their condition despite the tremendous efforts of the research community, biopharmaceutical, medical device industries, and patient support groups. The development of clinical research networks for rare diseases offers a tremendous opportunity for patients and multi-disciplinary teams to collaborate, share expertise, gain better understanding on specific rare diseases, and accelerate clinical research and innovation. Clinical Research Networks have been developed at a national or continental level, but global collaborative efforts to connect them are still lacking. The International Rare Diseases Research Consortium set a Task Force on Clinical Research Networks for Rare Diseases with the objective to analyse the structure and attributes of these networks and to identify the barriers and needs preventing their international collaboration. The Task Force created a survey and sent it to pre-identified clinical research networks located worldwide.ResultsA total of 34 responses were received. The survey analysis demonstrated that clinical research networks are diverse in their membership composition and emphasize community partnerships including patient groups, health care providers and researchers. The sustainability of the networks is mostly supported by public funding. Activities and research carried out at the networks span the research continuum from basic to clinical to translational research studies. Key elements and infrastructures conducive to collaboration are well adopted by the networks, but barriers to international interoperability are clearly identified. These hurdles can be grouped into five categories: funding limitation; lack of harmonization in regulatory and contracting process; need for common tools and data standards; need for a governance framework and coordination structures; and lack of awareness and robust interactions between networks.ConclusionsThrough this analysis, the Task Force identified key elements that should support both developing and established clinical research networks for rare diseases in implementing the appropriate structures to achieve international interoperability worldwide. A global roadmap of actions and a specific research agenda, as suggested by this group, provides a platform to identify common goals between these networks.