Transdisciplinary Team Research Articles

The benefits of the dairy value chain to inclusive sustainable development in European highlands: a systems thinking approach

This research investigates the benefits of the dairy value chain beyond food provision, and its contribution to inclusive sustainable development (ISDH) in European highlands. Transdisciplinary teams interviewed and analysed 11 cases related to the dairy value chain sourced from three highland regions in Europe: Alps (Austria, France, Italy), Massif Central (France), Pyrenees (Spain). Actors interviewed were farmers, cooperatives, retailers and associations. A systems thinking approach was applied to develop a conceptual map (Causal Loop Diagram, CLD) describing the contribution of the dairy value chain to ISDH, through the interpretation of the viewpoints of interviewed actors. For each case, the factors contributing to ISDH were identified, then clustered within related topics. Topics from all the cases were used to develop a CLD, and subsystems and leverage points identified. Six interconnected subsystems were identified: local resources, environment, dairy production, collaboration, supply chain and socio-economic. Four leverage points were also identified: public subsidies, feed autonomy, certification of product, and added value. In conclusion, the dairy value chain provides the following benefits aligned with the dimensions of ISDH: landscape maintenance and ecosystem services, quality of dairy products and added value, inclusive governance for actors, reduction of environmental impact, and local development. This model delivers a decision-making tool for the actors involved in the dairy value chain, to prioritise strategic interventions.

“Do I feel safe here?” Organisational climate and mental health peer worker experience

BackgroundIn Australia, lived experience peer support workforces are expanding making it one of the fastest growing emerging disciplines in transdisciplinary mental health settings. This article provides insight for organisations on the contextual realities peer workers face, increases understanding of peer support services to improve service delivery environments and contributes to mental health systems reform. This study aimed to qualitatively explore peer support workers experience integrating into and working within transdisciplinary mental health service teams.MethodSemi-structured interviews were undertaken with 18 peer support workers currently working in mental health services in Australia. The research was a qualitative descriptive study design. All data collected were analysed utilising thematic analysis.ResultsPeer workers found their experience in the workplace was influenced by their colleagues and the organisation’s understanding of the peer role. Factors relating to organisational culture and climate were a central theme throughout discussions noting that a negative climate was perceived as harmful to peer workers. Themes established through results include (1) the role of leadership, (2) attitudes and behaviours of colleagues, (3) provision of psychologically safe environments, (4) the organisations messaging and use of language and (5) organisational structures and policy.ConclusionThis study contributes to evidence for the impact of organisational culture on integrating and supporting peer support workers in mental health service delivery. This study provides insights into peer worker experiences integrating into transdisciplinary teams, confirming findings established in previous studies, highlighting a lack of movement or change in workplace culture to support peer worker integration into mental healthcare settings.

Große Transformation für eine Nachhaltige Raumentwicklung als Herausforderung für die raumbezogene Hochschullehre

Climatic and ecological changes across the globe represent a challenge for humanity that can only be solved through a great transformation, that is, a widespread shift toward sustainable spatial development. This means addressing transformation needs in all systems to recognize that civil society, economies and politics are all predetermined by planetary boundaries. This transformation demands that the fields of applied spatial science and spatial planning identify strategies and solutions. This paper examines the extent to which these topics are already being addressed by the university-level spatial studies programs currently training future planners. It develops and examines criteria for evaluating these programs using guideline-based interviews and literature research to perform detailed analysis of selected programs. The study demonstrates that not only specialist knowledge, but also personal and methodological skills are crucial to the success for far-reaching change processes and, ultimately, a society-wide paradigm shift. In some cases, these skills are already being addressed by individual spatial studies programs, especially planning programs. However, there remains a need to accelerate the cultivation of independent learning skills and collaboration in inter- and transdisciplinary teams. Accordingly, this paper proposes a differentiated view of teaching and learning formats in higher education and encourages deepening the focus of spatial studies programs on sustainability and transformation issues.

Application of the MENTOR model to advance One Health by promoting bat conservation and reducing zoonotic spillover risk

For few taxonomic groups do conservation efforts have such a disproportionate impact on biodiversity and human well-being as they do with bats. Bats face significant conservation challenges that affect their long-term viability, inhibit their ecosystem functions and services, and increase zoonotic spillover risks. Protecting bat populations and their habitats ultimately reduces these conservation threats, helps prevent pandemics, and supports essential ecosystem services. MENTOR-Bat is a fellowship program focused on strengthening technical research, and leadership capacity in the Global South to promote healthy environments where bats and humans can coexist with reduced risks of pathogen transmission. Co-designed by the United States Fish and Wildlife Service (USFWS) and Bat Conservation International (BCI), MENTOR-Bat mirrors the One Health framework by featuring a transdisciplinary team of three mentors and nine fellows from Cameroon, Colombia, and Indonesia. Fellows and mentors receive academic and field-based training on bat ecology and conservation, One Health, human dimensions of conservation, behavior change, strategic communications, international policy, adaptive management, project planning, conservation leadership, and public health. Fellows will then design and implement team pilot projects to advance One Health and bat conservation in their respective countries. Program evaluation of MENTOR-Bat is based on Kirkpatrick’s Hierarchy and focuses on measuring the development of established One Health core competences. By incorporating One Health and conservation within its activities, MENTOR-Bat can become a valuable programmatic template for transdisciplinary programming advancing evidence-based strategies for improving the well-being of bats, humans, and the environment.

Transcending disciplinary boundaries: Nature based solutions (NbSs) for Caribbean coastal resilience

Caribbean Small Island Developing States are experiencing multiple interconnected crises including susceptibility to natural hazards, increased vulnerability to climate change, biodiversity loss and reduced accessibility to development funding. Nature-based Solutions can provide an integrated approach to boost Caribbean coastal resilience as they are economic and practical solutions that capably balance competing interests. This study used a participatory method, Group Model Building, to engage stakeholders across varying disciplines and levels of decision-making to collaboratively identify the underlying causes of low Nature-based Solutions uptake regionally and potential intervention mechanisms. Six overarching factors contributed to low adoption, including data and knowledge limitations, a propensity towards hard engineering, low collaborative engagement, and limited implementation capacity. Some areas identified for intervention were comprehensive data collection, reducing uncertainty surrounding the implementation of Nature-based Solutions, effective collaboration, using case studies and best practices, and knowledge translation and dissemination. The outputs demonstrated a critical role for the engineer in mainstreaming Nature-based Solutions through adopting a systematic and holistic design approach. Concomitant to this is the need for engineers to operate successfully within transdisciplinary teams to enhance transformative communication skills and ensure that solutions not only minimize environmental impact but also support the conservation of biodiversity and ecosystem services.

Shaping the Coast: Accounting for the Human Wildcard in Projections of Future Change

AbstractCoastal change and evolution are the product of physical drivers (e.g., waves) tightly coupled with human behavior. As climate change impacts intensify, demand is increasing for information on where, when, and how coastal areas may change in the future. Although considerable research investments have been made in understanding the physical drivers and processes that modify and shape coastal environments, many do not account for human behavior, compromising the accuracy of comprehensive future change predictions. We outline four social science approaches—historic case studies, simulations, longitudinal studies, and longitudinal studies supported by experimental data—that can be coupled with physical change information to support transdisciplinary understanding of future change. A fundamental need for each approach is more and better empirical data to better gauge human behavior. In addition, foundational investments in transdisciplinary collaboration help research teams support the integration of these approaches.

Abstract B171: Using a transdisciplinary collaboration process to create a plan to address prostate cancer disparities

Abstract WI ranks highest in the US for overall cancer incidence and mortality among Black/African American (Black) individuals. Prostate cancer (PC) is the most frequently diagnosed cancer among men in WI and the second leading cause of cancer death. This region has numerous challenges including segregation, poverty, educational achievement gaps, and high Black imprisonment rates which impact PC awareness, screening, and treatment. To effectively address a problem as complex as prostate cancer disparities, multiple perspectives are needed. We brought together a transdisciplinary team that integrated community and academic expertise to develop a shared understanding of prostate cancer disparities and potential causes and to create a community action and research agenda. The team met every other week for 16 months. During that time, This team engaged in a facilitated process developed through our Community and Cancer Science Network that included: 1) Incubation: co-learning about the multi-factorial causes of PC disparities by reviewing available data, engaging experts, and seeking input from researchers, health care providers and community members; 2) Innovation: using this information to consider potential solutions to create a draft plan; and 3) Integration: seeking feedback to ensure the draft plan met the needs of diverse audiences and then refined the solutions. During the Incubation phase. the team reviewed available literature and data; developed a root causes analysis of disparities, conducted surveys, interviews and discussion sessions with researchers, healthcare providers, and community members (n=98); invited presentations by relevant experts and survivors, and engaged in robust discussions. In the Innovation phase, the team analyzed the data and reflected on opportunities to address the issues outlined in the root cause analysis. Potential solutions were assessed for fit and feasibility. Finally, in the Integration Phase, the team conducted a series of town halls with community members and researchers (n=70) to review the draft plan and seek feedback. The team used the feedback to refine the plan and consider next steps. Final recommendations include: 1) Patient navigation to assist men with PC at diagnosis; 2) A trusted messenger campaign to increase PC awareness; 3) Increase provider and community awareness of genetic risk; 4) Patient-provider forums to build relationships and trust; 5) Expand survivor support offerings for Black men with PC; 6) Improve PC screening education; 7) Increase provider awareness of current screening guidelines; 8) Expand research into the role of stress in PC. Our transdisciplinary approach is effective in engaging and blending diverse perspectives to generate solutions to complex problems. Future work will sustain this approach in implementing solutions through collaborative efforts. Citation Format: Tobi Cawthra, Kevin Izard, Robert Allen, Darryl Davidson, Chris Nielson, Ambrose Wilson-Brown, Deepak Kilari, Marquayla Ellison, Dev Karan, Ericka Sinclari, Alvin Flowers, Kyle Ashley, Leonard Wilson, Marcus Hogans, Kenneth Jacobsohn, Melinda Stolley. Using a transdisciplinary collaboration process to create a plan to address prostate cancer disparities [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B171.

Abstract A131: A transdisciplinary approach to redefining mammographic quality to address disparities

Abstract Breast cancer mortality rates and stage of diagnosis in Wisconsin continue to improve, but only for some. Using learnings from a statewide mammography project in Illinois, the Mammographic Quality Initiative (MQI) studies the mammographic process in Wisconsin to understand the factors that contribute to quality, create a shared measurement system to monitor and improve quality, and reduce disparities in early-stage diagnoses and breast cancer survival rates across the state. MQI is a project of the Community and Cancer Science Network (CCSN) at the Medical College of Wisconsin Cancer Center that brings together transdisciplinary teams made up of academic medicine and non-academic members to develop new research and action agendas to address disparities. Core to the CCSN transdisciplinary (TD) approach are three values–deep equity, systems thinking, and understanding of the issue from biology to policy. When CCSN TD teams come together and apply these values, new ways of seeing the problems that underpin disparities are surfaced and innovative solutions emerge. While building of shared measurement is not new, applying this approach to defining what gets measured, and applying it to mammography, is novel. MQI is using a multilevel model of transdisciplinary engagement. A statewide leadership team coordinates an initial study of mammographic quality and convenes regional learning collaboratives (RLCs) to examine quality and ways to improve. Its Southeastern WI RLC began meeting two years ago and is triangulating multiple sources of qualitative data, including lived experience, expert perspectives, and research, to help determine which factors should be included in a measurement of quality. MQI gathers data using multiple mediums to encourage sharing of knowledge and experiences, including facilitated meetings, literature reviews, surveys, community and survivor world cafes, and crowdsourcing. Learnings highlight that considering only one sector’s perspective results in an incomplete definition of quality and set of measures. Data shows that providers emphasize quantitative measures of the technical aspects of mammography, while navigators and patients emphasize systems conditions and justice orientations that shape the process. Existing definitions and measures of quality readily assess explicit practices, programs, and policies, but understanding additional factors—interpersonal interactions and power dynamics, and mental models around women in health care—offer opportunity to root deeper into causes and potential quality improvement solutions that have not yet been explored in mammography. The CCSN TD approach helps build empathy across perspectives, spotlights the contradictions inherent in provider and patient experiences, highlights enablers and barriers in the system itself, and importantly—lays bare when we are working at the surface, so that teams can dive deeper into solutions at semi-explicit and transformational levels of change (FSG Six Conditions of Systems Change). Citation Format: Kelly Hackett, Laura Pinsoneault, Tobi Cawthra, Bridgid Chanen, Tommi Thompson, Beth Brunner, Gale Johnson, Kristin Troy, Kara Gavin, Vaia Makris, Purushottam Laud, Melinda Stolley, Joan Neuner. A transdisciplinary approach to redefining mammographic quality to address disparities [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A131.

Abstract B164: Sustaining statewide transdisciplinary collaborations to address cancer disparities

Abstract Background: Wisconsin’s cancer disparities are evident when considered by race/ethnicity, geography, and socio-economic status. Addressing these disparities requires deeper integration of social and scientific problem-solving and a systems approach. Given the nature of disparities, it also demands that we not just seek equitable outcomes but collaborate in ways that reflect equity in the process. To achieve this, we developed a transdisciplinary approach inclusive of community, clinicians, and researchers and builds capacity to understand, at a deep level, factors that underpin disparities and design newer sustainable solutions. Methods: The Community and Cancer Science Network (CCSN) Integration Hub was established within the Medical College of Wisconsin Cancer Center to provide leadership and capacity building to eight transdisciplinary teams working to address cancer disparities. The Integration Hub and its teams use a co- leadership structure with a community and academic PI as well as a facilitator and evaluator. The Integration Hub has four primary strategies: identifying and addressing knowledge gaps in cancer disparities, building capacity for transdisciplinary collaboration, cultivating networks and relationships, and disseminating through feedback loops that touch communities, academic medicine, and policy. Our approach is grounded in the principles of deep equity, considerations across the biology to policy spectrum, and systems thinking. Results: In its third year, CCSN adapted and adopted tools to understand its effectiveness in building a collaborative environment for transdisciplinary approaches to problem-solving and to set strategy for sustainability. Results from a partner survey administered to team members (n=73) highlighted that the CCSN model contributes to fostering learning conditions that support a strong transdisciplinary approach including a supportive learning environment, concrete learning practices, leadership that reinforces learning and a reflection of core principles as well as embedding a transdisciplinary orientation in team members. The Integration Hub leadership also completed the Organizational Mapping Tool for Coalitions, Alliances and Networks (OMT-CAN) to assess critical dimensions of network health. The assessment helps identify strengths and identify areas for improvements. CCSN network leaders (n=21) rated the network moderate to strong in culture and relationships; joint action, planning, learning and evaluation; and in purpose, goals and strategy. The team further identified the need to work on refining structure, identity and participation; its capacity for strategic communications; and advocacy and organizing. Discussion: To integrate social and scientific problem-solving and address cancer disparities requires the resourcing of credible capacity building networks that can broker equitable relationships between academic medicine and community members and organizations. The CCSN Integration Hub offers a strong model embedded within a cancer center that accomplishes those goals. Citation Format: Tobi Cawthra, Laura Pinsoneault, Kristen Gardner-Volle, Alexis Krause, Kim Kinner, Melinda Stolley. Sustaining statewide transdisciplinary collaborations to address cancer disparities [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B164.

Design of a Tool Capable of Assessing Environmental Sociocultural Physical Factors Influencing Women's Decisions on When and Where to Toilet Within Real-World Settings: Protocol for the Build and Usability Testing of a Mobile App for Use by Community-Dwelling Women.

Although surveys and apps are available for women to report urination and bladder symptoms, they do not include their decisions regarding toileting. Real-world factors can interfere with toileting decisions, which may then influence bladder health. This premise lacks data per want of a robust data collection tool. The Prevention of Lower Urinary Tract Symptoms (PLUS) research consortium engaged a transdisciplinary team to build and test WhereIGo, a mobile data collection app for Android and iOS. The design goal was a comprehensive reporting system for capturing environmental, sociocultural, and physical factors that influence women's decisions for toileting. Aims include having (1) an innovative feature for reporting physiologic urge sensation when "thinking about my bladder" and shortly before "I just peed," (2) real-time reporting along with short look-back opportunities, and (3) ease of use anywhere. The development team included a plain language specialist, a usability specialist, creative designers, programming experts, and PLUS scientific content experts. Both real-time and ecological momentary assessments were used to comprehensively capture influences on toileting decisions including perceived access to toileting, degree of busyness or stress or focus, beverage intake amount, urge degree, or a leakage event. The restriction on the maximal number of taps for any screen was six. PLUS consortium investigators did pilot-testing. Formal usability testing relied on the recruitment of community-dwelling women at four PLUS research sites. Women used the app for 2 consecutive days. Outcome measures were the system usability scale (SUS; 0-100 range) and the functional Mobile Application Rating Scale (1-5 range). These scales were embedded at the end of the app. The estimated a priori sample size needed, considering the SUS cut point score set at ≥74, was 40 women completing the study. Funding was provided by the National Institute of Diabetes and Digestive and Kidney Diseases since July 2015. The integrity of the build process was documented through multiple 5-minute videos presented to PLUS Consortium and through WhereIGo screenshots of the final product. Participants included 44 women, with 41 (93%) completing data collection. Participants ranged in age from 21 to 85 years, were predominantly non-Hispanic White (n=25, 57%), college-educated (n=25, 57%), and with incomes below US $75,000 (n=27, 62%). The SUS score was 78.0 (SE 1.7), which was higher than 75% of the 500 products tested by the SUS developers. The mean functional Mobile Application Rating Scale score was 4.4 (SE 0.08). The build and informal acceptability testing were completed in 2019, enrollment for formal usability testing completed by June 2020, and analysis was completed in 2022. WhereIGo is a novel app with good usability for women to report toileting decisions, urination, and fluid intake. Future research using the app could test the influence of real-time factors on bladder health. RR1-10.2196/54046.

The big global issues: Applied linguists and transdisciplinarity beyond SLA

AbstractIn an age of persistent existential crises, governments and wider society are demanding from academia tangible contributions toward tackling the “big” contemporary issues, including climate change, demographic collapse, social instability, and the risks of escalating global conflict. Since all such problems involve a linguistic dimension, applied linguists are increasingly repurposing their research skills to achieve impact in such domains, far beyond the traditional scope of their core discipline. This paper discusses doing so within the distinctive framework of the Zurich approach to transdisciplinarity. Core features of the Zurich approach are sketched, and a case is made for applied linguists working alongside scientists, engineers, lawyers, and others in transdisciplinary teams focused on wicked problems.

Parent and adolescent perspectives on a novel transdisciplinary model of healthcare delivery for type 1 diabetes.

We aimed to obtain pre-adolescent/adolescent and parent input on a proposed transdisciplinary model for routine type 1 diabetes (T1D) healthcare in which an advanced practice nurse, dietitian, and psychologist with expertise in T1D and extensive cross-discipline training co-deliver care during quarterly T1D care visits using a family-focused approach. Participants were 17 parent-youth dyads plus one additional adolescent who responded to open-ended questions about the structure and format of the proposed transdisciplinary care model via an online, private social network. A six-member coding team developed and revised a codebook, coded question responses through iterative cycles of inductive coding, and distilled major recurring themes to obtain perspectives on the transdisciplinary care model and feedback on improving the model. We identified nine themes regarding reactions to our proposed transdisciplinary care model, which fell into three broad categories: 1) General Perceptions of Transdisciplinary Care (e.g., Transdisciplinary Care may facilitate improved communication and collaboration among providers and result in more holistic care); 2) Perceptions about Transdisciplinary Care Providers (e.g., Perspectives on the inclusion of dietitians and psychologists as members of the transdisciplinary care team were mixed); and 3) Suggestions for Improving the Transdisciplinary Care Model (e.g., Ensure care is patient/family centered and holistic). The present findings provided important feedback to modify our transdisciplinary care model and on parent and youth preferences for T1D healthcare delivery.

Síndrome de Lowe: Um estudo de caso

This study highlights the complexity of Lowe's syndrome, also known as oculocerebrorenal syndrome (OCR), first described by Lowe in 1952, is a rare genetic condition that primarily affects the eyes, brain, and kidneys. Genetic diagnosis, although possible, is often limited by the costs and slowness of the public health system. Thus, diagnosis is often based on clinical criteria and laboratory tests. The prevalence is estimated at 1 in 500,000 in the general population. The case report presents LG, a child with Lowe's Syndrome with neuropsychomotor delay, congenital cataract and glaucoma. The transdisciplinary team, composed of diverse healthcare professionals, has taken a holistic approach to addressing the complex clinical and therapeutic challenges of the syndrome. The therapeutic interventions focused on improving the quality of life, highlighting the importance of speech therapy and the need for early intervention integrated with a transdisciplinary approach, in addition to the active inclusion of the family in the therapeutic process. The study emphasizes the crucial role of third sector institutions in supporting populations in vulnerable situations and highlights the need for articulation between institutions and the public health system.

Optimizing child protection systems: A systematic review of the literature on risk assessment practices

Child maltreatment is a global phenomenon that has affected millions of children, with far-reaching consequences for their development. The assessment of risk has emerged as a fundamental and indispensable component within child protection services. Professionals should use safe and effective risk assessment practices, always prioritizing the best interests of the child. This systematic review aims to elucidate the prevailing risk assessment practices employed by professionals within the child protection systems. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Thirteen empirical studies were selected, featuring participants from diverse fields such as social services, health, psychology, and law enforcement. The professionals relied on a multifaceted approach, incorporating clinical judgment, professional expertise, actuarial risk assessment tools, individual interviews with children, adolescents, and family members, as well as the observation of familial dynamics. Moreover, intra- and interinstitutional collaboration played a pivotal role in the comprehensive evaluation of risk. Consequently, the discerned efficient practice appears to be a synergistic effort undertaken by a transdisciplinary team. This collaborative action encompasses the utilization of clinical judgment, augmented by the judicious administration of actuarial risk assessment instruments.

Using one health training for interprofessional team building: implications for research, policy, and practice in Nigeria.

In recent years, the concept of One Health (OH) has arisen as an approach that helps to catalyze the creation of transdisciplinary teams needed for surveillance and investigation of emerging disease dynamics. Besides a wealth of descriptions of what the OH approach encompasses, a dearth of information is available regarding the training of individuals in OH competencies. In 2019, the Nigerian Center for Disease Control developed an OH strategic plan to meet the country's human, animal, and environmental health challenges. In response to the demand for clinicians, scientists, climatologists, conservationists, and environmentalists, who have expertise in environment, human, plant, and animal health to work collaboratively in addressing OH challenges in Nigeria. An interprofessional group of faculty from the University of Texas Medical Branch, the University of Jos, and the National Veterinary Research Institute convened to develop a novel OH course 'entitled 'One Health for Translational Team Science. The objective of the course was to explore the evolution of an emerging epidemic, capitalizing on various learning environments, including animal, environmental, human, and public health perspectives. The 6-week course comprised of three parts: 2-weeks virtual part of case-based group discussions focusing on animal and environmental aspects, 2 weeks of individual field experiences, and a final virtual part focusing on human health. Pedagogical tools used were: case-based group discussions, breakout group presentations, role-play activities, field project write-up, peer evaluation, group writing assignments, and weekly reflections with the goal of working in teams to develop and practice the fundamental leadership and management skills in addressing emerging public health challenges. Post-course evaluations showed that all participants felt more confident identifying and practicing the necessary attitudes and skills to participate effectively in the evaluation of an outbreak. Furthermore, the roles, responsibilities, and "One Health ways of thinking" for the various disciplines and professions involved in improving global health were articulated and identified.

Spanish translation of the Expert Recommendations for Implementing Change (ERIC) compilation

BackgroundMost implementation science resources (e.g., taxonomies) are published in English. Linguistic inaccessibility creates a barrier to the conduct of implementation research among non-English-speaking populations, so translation of resources is needed. Translation into Spanish can facilitate widespread reach, given the large proportion of Spanish speakers around the world. This research aimed to systematically translate the Expert Recommendations for Implementation Change (ERIC) compilation into Spanish as an exemplar for the linguistic translation process.MethodsUsing the World Health Organization guidelines, this work translated the ERIC compilation strategy names, short definitions, and thematic clusters through a three-step process: 1) forward translation into Spanish by a native Spanish-speaking implementation scientist, 2) back-translation into English by a bilingual global health researcher, and 3) piloting via virtual focus group discussions with bilingual researchers not conducting implementation research. To achieve a generalizable translation, recruitment targeted a multicultural group of Spanish-speaking researchers. At the conclusion of each step, the transdisciplinary research team (N = 7) met to discuss discrepancies and refine translations. The Spanish version of the ERIC compilation was finalized through group consensus. Reflections from research team meetings and focus group discussions were synthesized qualitatively.ResultsGiven that dialectical nuances exist between Spanish-speaking regions, efforts prioritized universally accepted terminology. Team discussions focused on difficult translations, word choice, and clarity of concepts. Seven researchers participated in two focus groups, where discussion surrounded clarity of concepts, alternative word choice for Spanish translations, linguistic formality, grammar, and conciseness. Translation difficulties highlighted lack of precision in implementation science terminology, and the lack of conceptual clarity of words underscored limitations in the application of the compilation.ConclusionsThe work demonstrated the feasibility of translating implementation science resources. As one of the first systematic efforts to translate implementation resources, this study can serve as a model for additional efforts, including translation into other languages and the expansion to conceptual modifications. Further, this work yielded insights into the need to provide conceptual clarity in implementation science terminology. Importantly, the development of Spanish resources will increase access to conduct implementation research among Spanish-speaking populations.

The complex system of climate change security and the ripple effect of water–food–socioeconomic nexus

The effects of climate change are recognized globally. This study hypothesizes that climate change impacts are a complex system that creates a ripple effect on water security, food security, and economic security. Ultimately, those domains simultaneously exacerbate climate change effects and produce national security concerns. The study’s framework uses a transdisciplinary team’s quantitative and qualitative approach to evaluate the challenges and possible solutions to climate change security on the Water–Food–Socioeconomic Nexus. Iraq has been taken as a case study highlighting the deficits in management and governance. The dynamic of the ripple effect shows the interventions for each sector’s water-food-socioeconomic and security that collectively impact upon each other over time. The radical shift in the political infrastructure after 2003 from a centralized to a decentralized one without proper preparation is one of the root causes of the governance and management anarchy. About 228 state and non-state actors are involved in decision-making, leaving it fragile and unsustainable. Only 1% of the national budget is allocated to both the Ministry of Water Resources and the Ministry of Agriculture, which leaves no capacity to mitigate the risk of climate change impact.

Challenges of the Nursing Professional within the Nexus between Health and Climate Change

The world population is facing one of the greatest threats to the survival of all species. Climate change is affecting people’s health and represents a challenge for the Nursing professionals who are called to work in transdisciplinary teams to evaluate the impact of this phenomenon on human health, to promote healthy environments, to mitigate and adapt the health sector, as well as its impact of the population affected by extreme weather events.

A Biopsychosocial Model for Understanding Training Load, Fatigue, and Musculoskeletal Sport Injury in University Athletes: A Scoping Review.

McClean, ZJ, Pasanen, K, Lun, V, Charest, J, Herzog, W, Werthner, P, Black, A, Vleuten, RV, Lacoste, E, and Jordan, MJ. A biopsychosocial model for understanding training load, fatigue, and musculoskeletal sport injury in university athletes: A scoping review. J Strength Cond Res 38(6): 1177-1188, 2024-The impact of musculoskeletal (MSK) injury on athlete health and performance has been studied extensively in youth sport and elite sport. Current research examining the relationship between training load, injury, and fatigue in university athletes is sparse. Furthermore, a range of contextual factors that influence the training load-fatigue-injury relationship exist, necessitating an integrative biopsychosocial model to address primary and secondary injury prevention research. The objectives of this review were (a) to review the scientific literature examining the relationship between training load, fatigue, and MSK injury in university athletes and (b) to use this review in conjunction with a transdisciplinary research team to identify biopsychosocial factors that influence MSK injury and develop an updated, holistic biopsychosocial model to inform injury prevention research and practice in university sport. Ten articles were identified for inclusion in this review. Key findings were an absence of injury surveillance methodology and contextual factors that can influence the training load-fatigue-MSK injury relationship. We highlight the inclusion of academic load, social load, and mental health load as key variables contributing to a multifactorial, gendered environmental, scientific inquiry on sport injury and reinjury in university sport. An integrative biopsychosocial model for MSK injury in university sport is presented that can be used to study the biological, psychological, and social factors that modulate injury and reinjury risk in university athletes. Finally, we provide an example of how causal inference can be used to maximize the utility of longitudinally collected observational data that is characteristic of sport performance research in university sport.

User-Centered Framework for Implementation of Technology (UFIT): Development of an Integrated Framework for Designing Clinical Decision Support Tools Packaged With Tailored Implementation Strategies.

Electronic health record-based clinical decision support (CDS) tools can facilitate the adoption of evidence into practice. Yet, the impact of CDS beyond single-site implementation is often limited by dissemination and implementation barriers related to site- and user-specific variation in workflows and behaviors. The translation of evidence-based CDS from initial development to implementation in heterogeneous environments requires a framework that assures careful balancing of fidelity to core functional elements with adaptations to ensure compatibility with new contexts. This study aims to develop and apply a framework to guide tailoring and implementing CDS across diverse clinical settings. In preparation for a multisite trial implementing CDS for pediatric overweight or obesity in primary care, we developed the User-Centered Framework for Implementation of Technology (UFIT), a framework that integrates principles from user-centered design (UCD), human factors/ergonomics theories, and implementation science to guide both CDS adaptation and tailoring of related implementation strategies. Our transdisciplinary study team conducted semistructured interviews with pediatric primary care clinicians and a diverse group of stakeholders from 3 health systems in the northeastern, midwestern, and southeastern United States to inform and apply the framework for our formative evaluation. We conducted 41 qualitative interviews with primary care clinicians (n=21) and other stakeholders (n=20). Our workflow analysis found 3 primary ways in which clinicians interact with the electronic health record during primary care well-child visits identifying opportunities for decision support. Additionally, we identified differences in practice patterns across contexts necessitating a multiprong design approach to support a variety of workflows, user needs, preferences, and implementation strategies. UFIT integrates theories and guidance from UCD, human factors/ergonomics, and implementation science to promote fit with local contexts for optimal outcomes. The components of UFIT were used to guide the development of Improving Pediatric Obesity Practice Using Prompts, an integrated package comprising CDS for obesity or overweight treatment with tailored implementation strategies. ClinicalTrials.gov NCT05627011; https://clinicaltrials.gov/study/NCT05627011.