Abstract PO-028: Successful implementation of Latina breast health programs: A multi-stakeholder analysis to answer a multilevel question

Author(s):  
Yamilé Molina ◽  
Perla Chebli ◽  
Stephanie A. Torres ◽  
Joanna Olazar ◽  
Jeanette Olazar ◽  
...  
2018 ◽  
Vol 2 (S1) ◽  
pp. 78-78
Author(s):  
Cori M. Green ◽  
John Walkup ◽  
William Trochim

OBJECTIVES/SPECIFIC AIMS: (1) Develop a concept map of ideas from diverse stakeholders on how to best improve training programs. (2) Assess the degree of consensus amongst stakeholders regarding importance and feasibility. (3) Identify which ideas are both important and feasible to inform policy and curricular interventions. METHODS/STUDY POPULATION: Concept mapping is a 4 step approach to data gathering and analysis. (1) Stakeholders [pediatricians (peds), MH professionals (MHPs), trainees, parents] were recruited to brainstorm ideas in response to this prompt: “To prepare future pediatricians for their role in caring for children and adolescents with mental and behavioral health conditions, residency training needs to...”. (2) Content analysis was used to edit and synthesize ideas. (3) A subgroup of stakeholders sorted ideas into groups and rated for importance and feasibility. (4) A large group of anonymous participants rated ideas for importance and feasibility. Multidimensional scaling and hierarchical cluster analysis grouped ideas into clusters. Average importance and feasibility were calculated for each cluster and were compared statistically in each cluster and between subgroups. Bivariate plots were created to show the relative importance and feasibility of each idea. The “Go-Zone” is where statements are feasible and important and can drive action planning. RESULTS/ANTICIPATED RESULTS: Content analysis was applied to 497 ideas resulting in 99 that were sorted by 40 stakeholders and resulted in 7 clusters: Modalities, Prioritization of MH, Systems-Based, Self-Awareness/Relationship Building, Clinical Assessment, Treatment, and Diagnosis Specific Skills. In total, 216 participants rated statements for importance, 209 for feasibility: 17% MHPs, 82% peds, 55% trainees. There was little correlation between importance and feasibility for each cluster. Compared with peds, MHPs rated Modalities, and Prioritization of MH higher in importance and Prioritization of MH as more feasible, but Treatment less feasible. Trainees rated 5 of 7 clusters higher in importance and all clusters more feasible than established practitioners. DISCUSSION/SIGNIFICANCE OF IMPACT: Statements deemed feasible and important should drive policy changes and curricular development. Innovation is needed to make important ideas more feasible. Differences between importance and feasibility in each cluster and between stakeholders need to be addressed to help training programs evolve.


2020 ◽  
Author(s):  
Martijn Kuller ◽  
Francisco Pinto ◽  
Kevin Schönholzer ◽  
Judit Lienert

<p><strong>Introduction</strong></p><p>Flood early warning systems (FEWS) have the potential to reduce human and financial losses caused by flooding (World Bank, 2011). FANFAR (www.fanfar.eu) is a FEWS currently under development for 17 countries in West-Africa. The success of FEWS depends heavily on the effectiveness of communication between the system and hydrologists on the one hand, and the target audience on the other (UNISDR, 2015). Although the effectiveness of risk communication receives increasing research attention, what this means in the West-African context remains unclear (Perera et al., 2019). Our research aims to uncover effective communication strategies for FANFAR considering content, format and pathways.</p><p> </p><p><strong>Research Approach</strong></p><p>FANFAR is co-developed with around 40 hydrologists and emergency managers from 17 West-African countries during four one-week co-design workshops. We apply qualitative and quantitative research methods to elicit information about stakeholders’ understanding and preferences regarding various communication options. Qualitative methods include stakeholder analysis as well as surveys and group workshop sessions during three of the workshops in 2018–2020. Our stakeholder analysis (following Lienert et al., 2013) allowed us to better understand downstream stakeholders. We systematically assessed and discussed risk representation content, format and communication pathway during two workshops. Quantitative methods will include (online) questionnaires among other stakeholders including e.g. civilians, farmers, businesses and media.</p><p> </p><p><strong>Findings</strong></p><p>In the stakeholder analysis, 31 participants listed 249 stakeholders, which we merged into 68 stakeholder types. We analysed them according to the “importance” of considering their interests in the FANFAR co-design process, their “influence” (power), and how strongly “affected” they would be by a well-functioning FEWS. Stakeholders that were perceived as being of “high” importance on these three dimensions were: “resource planning” (mentioned by 31%), “economic service and operations planning” (25%) and “rescue aid” (18%).</p><p>A survey among emergency managers in a co-design workshop in 2019 indicated that return periods were not very well understood or interpreted, resulting in underestimation of flood risk and insufficient response. This result is significant, as return periods are the primary risk communication format used by most FEWS (Waylen et al., 2011), including FANFAR. Preferred and better understood were statistical information about expected impacts in the form of text, as well as infographics. Our ongoing research aims to uncover the most effective combinations of content, format and pathway to communicate flood risks to different audiences. Thus, we enable the development of tailored communication strategies that trigger the intended response from recipients. Ultimately, this research should lead to more successful implementation of FANFAR and reduced impact of floods in West-Africa.</p>


2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 34-34
Author(s):  
Karma L. Kreizenbeck ◽  
Teah Hoopes ◽  
Lotte Steuten ◽  
Veena Shankaran ◽  
Bernardo Goulart ◽  
...  

34 Background: In the context of many initiatives aimed at measuring quality and value in cancer care, the Hutchinson Institute for Cancer Outcomes Research (HICOR), partnered with community members to launch a regional, stakeholder-driven initiative to define and report value metrics for cancer care for Washington State. Region-wide Summits were held in 2014 and 2015. Participants included local healthcare delivery organizations, patient advocacy groups, payers, and policymakers. The 2014 Summit identified priority metrics; these metrics were reported at the 2015 Summit. Methods: For the 2015 Summit, HICOR staff developed algorithms to measure adherence to the community-prioritized metrics using a claims-registry linked database. Metrics spanned diagnosis, treatment, continuing, and end-of-life (EOL) phases of care. After reviewing adherence at the clinic-level and for the region, attendees were invited to attend break-out sessions for metrics where there was the largest variation: hospital and ED use during treatment, hospital and ED use at EOL, and breast cancer surveillance. Within the breakout sessions, participants were asked to identify barriers to adherence and possible interventions to improve care. After discussion, participants individually ranked the top 3 interventions and estimated expected improvement to be gained by successful implementation of the intervention Results: Table. Working groups were formed to develop detailed protocols for implementable interventions. Conclusions: Using an iterative, transparent, multi-stakeholder process, it is feasible build regional consensus to identify and prioritize value metrics in cancer care, and to develop consensus regarding approaches to improve adherence to those metrics. [Table: see text]


Clinical Risk ◽  
2012 ◽  
Vol 18 (3) ◽  
pp. 95-98 ◽  
Author(s):  
Susan Murray ◽  
Geraldine Boylan ◽  
Siun O'Flynn ◽  
Colm O'Tuathaigh ◽  
Kieran Doran

2014 ◽  
Vol 20 (4) ◽  
pp. 486-497 ◽  
Author(s):  
Maximilian J. Johnston ◽  
Dominic King ◽  
Sonal Arora ◽  
Kerri Cooper ◽  
Neha Aparajita Panda ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Damian Gordon ◽  
Ioannis Stavrakakis ◽  
J. Paul Gibson ◽  
Brendan Tierney ◽  
Anna Becevel ◽  
...  

Purpose Computing ethics represents a long established, yet rapidly evolving, discipline that grows in complexity and scope on a near-daily basis. Therefore, to help understand some of that scope it is essential to incorporate a range of perspectives, from a range of stakeholders, on current and emerging ethical challenges associated with computer technology. This study aims to achieve this by using, a three-pronged, stakeholder analysis of Computer Science academics, ICT industry professionals, and citizen groups was undertaken to explore what they consider to be crucial computing ethics concerns. The overlap between these stakeholder groups are explored, as well as whether their concerns are reflected in the existing literature. Design/methodology/approach Data collection was performed using focus groups, and the data was analysed using a thematic analysis. The data was also analysed to determine if there were overlaps between the literature and the stakeholders’ concerns and attitudes towards computing ethics. Findings The results of the focus group analysis show a mixture of overlapping concerns between the different groups, as well as some concerns that are unique to each of the specific groups. All groups stressed the importance of data as a key topic in computing ethics. This includes concerns around the accuracy, completeness and representativeness of data sets used to develop computing applications. Academics were concerned with the best ways to teach computing ethics to university students. Industry professionals believed that a lack of diversity in software teams resulted in important questions not being asked during design and development. Citizens discussed at length the negative and unexpected impacts of social media applications. These are all topics that have gained broad coverage in the literature. Social implications In recent years, the impact of ICT on society and the environment at large has grown tremendously. From this fast-paced growth, a myriad of ethical concerns have arisen. The analysis aims to shed light on what a diverse group of stakeholders consider the most important social impacts of technology and whether these concerns are reflected in the literature on computing ethics. The outcomes of this analysis will form the basis for new teaching content that will be developed in future to help illuminate and address these concerns. Originality/value The multi-stakeholder analysis provides individual and differing perspectives on the issues related to the rapidly evolving discipline of computing ethics.


2020 ◽  
Vol 23 (5) ◽  
pp. 679-697
Author(s):  
Koen Leurs ◽  
Irati Agirreazkuenaga ◽  
Kevin Smets ◽  
Melis Mevsimler

Serving as the introduction to the special issue on ‘Migrant narratives’, this article proposes a multi-perspectival and multi-stakeholder analysis of how migration is narrated in the media in the last decade. This research agenda is developed by focussing on groups of actors that are commonly studied in isolation from each other: (1) migrants, (2) media professionals such as journalists and spokespersons from humanitarian organizations, (3) governments and corporations and (4) artists and activists. We take a relational approach to recognize how media power is articulated alongside a spectrum of more top-down and more bottom-up perspectives, through specific formats, genres and styles within and against larger frameworks of governmentality. Taken together, the poetics and politics of migrant narratives demand attention respectively for how stakeholders variously aesthetically present and politically represent migration. The opportunities, challenges, problems and commitments observed among the four groups of actors also provide the means to rethink our practice and responsibilities as media and migration scholars contributing to decentring media technologies and re-humanizing migrants.


2020 ◽  
Vol 15 (5) ◽  
pp. 588-598 ◽  
Author(s):  
Sansanee Sapapthai ◽  
Natt Leelawat ◽  
Jing Tang ◽  
Akira Kodaka ◽  
Chatpan Chintanapakdee ◽  
...  

Area-Business Continuity Management (Area-BCM) is a new disaster management concept developed by the Japan International Cooperation Agency in 2013. One of the greatest challenges encountered in achieving a successful implementation of Area-BCM is the public–private partnership. Since stakeholder analysis is the key to understanding the complex relationships among all the parties involved, a variety of methods for and approaches to stakeholder analysis have been developed in several fields and with different objectives. Although studies on stakeholder analysis are attracting more attention, the number of studies on stakeholder analysis in the field of disaster management is still limited. The purpose of this study is to explore several stakeholder analysis methods applied to disaster management, particularly Area-BCM. By reviewing research articles in the ScienceDirect database from 1990 to 2018, this review article categorizes stakeholder analysis methods into three groups: (1) identifying stakeholders, (2) differentiating and categorizing stakeholders, and (3) investigating relationships among stakeholders. This study also identifies the strengths, weaknesses, opportunities, and threats (i.e., performs a SWOT analysis) of each existing method. Further, this study promotes the significance and advantages of stakeholder analysis in disaster management, especially in Area-BCM-related projects by helping researchers and practitioners to understand the existing stakeholder analysis methods and select the appropriate one.


2010 ◽  
Vol 14 (2) ◽  
pp. 193-202 ◽  
Author(s):  
Carl Lachat ◽  
Androniki Naska ◽  
Antonia Trichopoulou ◽  
Dagrun Engeset ◽  
Alastair Fairgrieve ◽  
...  

AbstractObjectiveTo identify and assess actions by which the catering sector could be engaged in strategies for healthier eating out in Europe.DesignA SWOT analysis was used to assess the participation of the catering sector in actions for healthier eating out. Caterers subsequently shortlisted essential actions to overcome threats and weaknesses the sector may face when engaging in implementing these actions.SettingAnalysis undertaken in the European Union-supported HECTOR project on ‘Eating Out: Habits, Determinants and Recommendations for Consumers and the European Catering Sector’.SubjectsThirty-eight participants from sixteen European countries reflecting a broad multi-stakeholder panel on eating out in Europe.ResultsThe catering sector possesses strengths that allow direct involvement in health promotion strategies and could well capitalise on the opportunities offered. A focus on healthy eating may necessitate business re-orientations. The sector was perceived as being relatively weak in terms of its dependency on the supply of ingredients and lack of financial means, technical capacity, know-how and human resources. To foster participation in strategies for healthier eating out, caterers noted that guidelines should be simple, food-based and tailored to local culture. The focus could be on seasonal foods, traditional options and alternative dishes rather than just on ‘healthy eating’. Small-to-medium-sized enterprises have specific concerns and needs that should be considered in the implementation of such strategies.ConclusionsThe study highlights a number of possible policy actions that could be instrumental in improving dietary intake in Europe through healthier eating out.


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