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We present two examples of how the environmental humanities have built bridges with governments and made effective policy interventions. Lessons can be drawn about how public humanities can help develop social and cultural understanding and societal resilience.
Tourism wildlife interactions are controversial, the debate hinging largely on the compromised welfare of the animals used. Despite this, lion cub (Panthera leo) interactions are popular, and there is a need to understand what motivates interactors to participate in the activity, their perceptions and expectations. We surveyed the attitudes of 300 visitors to three lion cub interaction facilities in South Africa. Whilst 38% of interactors were aware of the controversy around lion cub interactions, 69% desired the experience regardless. It is widely assumed that lion cub interaction opportunities are big attractions, yet 74% of respondents said that they would still have visited if lion cub interactions were not offered. Whilst 84% of interactors felt that their expectations were met, 61% said that the interaction had no impact on them. Several of those interviewed interacted with multiple species, and 34% determined that their favourite engagement was with animals that interacted back voluntarily. Most of those interviewed chose the interaction for their children (69%). Whilst 58% felt the experience was educational, only 2% of these had learnt about the plight of lions in the wild. When asked to reflect on the welfare of the lion cubs they had interacted with, ‘Freedom from discomfort’ was seen as the most important factor, as well as ‘Freedom to express natural behaviour’. Interactions were viewed with a variety of emotions and generated a range of beliefs. We conclude that the findings can be used by facilities to better prepare visitors for the experience, ensuring that interaction animals are better able to serve in their role as ambassador representatives.
This study investigates the impact of coronavirus disease 2019 (COVID-19) pandemic on HTAsiaLink members at the organizational level and provides recommendations for mitigating similar challenges in the future.
Methods
A survey was disseminated among HTAsiaLink members to assess the COVID-19 impact in three areas: (i) inputs, (ii) process, and (iii) outputs of the Health Technology Assessment organizations’ (HTAOs) research operations and HTA process in general.
Results
Survey results showed that most HTAOs hired more staff and secured similar or higher funding levels during COVID-19. Nevertheless, some organizations reported high staff turnover. COVID-19-relevant research was prioritized, and most of the organizations had to adapt their research design to meet the needs of policymakers. Time constraints in conducting research and inability to collect primary data were reported as impacts on the research process. Overall, the number of research projects and accessibility of respondents’ publications increased during COVID-19.
Conclusions
Research demand for HTAOs increased during COVID-19 and impacted their research process; however, they demonstrated resilience and adaptability to provide timely evidence for policymakers. With the growing reliance on HTA, HTAOs require adequate financial support, continuous capacity building, collaboration, and partnership, innovative HTA methods, and a pragmatic yet robust, evidence-to-policy process in preparation for future pandemics.
Evaluating the impact of patient involvement in health technology assessments (HTA) may help improve practices and avoid ineffective activities. Evaluation, however, continues to be infrequent, inconsistent, and often only relates to process quantity or quality. The Patient and Citizen Involvement in HTA Interest Group (PCIG) within Health Technology Assessment International set out to contextualize this impact to support evaluation.
Methods
Given the lack of established methodology to measure impact, the team performed a qualitative analysis of first-hand accounts about perceived changes in HTA due to involvement of patient stakeholders. A questionnaire was developed, piloted, and rolled out to collect personal perspectives from stakeholders with relevant experience. The stories were analyzed in the aggregate to identify themes in the data.
Results
From January 2019 to September 2021, twenty-four responses were collected through PCIG’s network. Responses (including one joint industry-HTA body submission) came from patient representatives (12), HTA bodies (11), and industry representatives (2) from North America (5), South America (3), Europe (13), and Asia Pacific (3). Based on themes commonly reported, a three-domain framework for evaluating impact is proposed: impact on basis of HTA result or recommendation, impact on HTA body, and impact on patient participants. The framework includes components under each domain to support reporting.
Conclusions
Using the Three-Domain Impact Framework may be useful in identifying, evaluating, and communicating the value of patient involvement in HTA. Enhancing and increasing reporting practices may improve transparency and facilitate process improvements for meaningful integration of patient stakeholders into HTA appraisals across jurisdictions.
Traditional approaches for evaluating the impact of scientific research – mainly scholarship (i.e., publications, presentations) and grant funding – fail to capture the full extent of contributions that come from larger scientific initiatives. The Translational Science Benefits Model (TSBM) was developed to support more comprehensive evaluations of scientific endeavors, especially research designed to translate scientific discoveries into innovations in clinical or public health practice and policy-level changes. Here, we present the domains of the TSBM, including how it was expanded by researchers within the Implementation Science Centers in Cancer Control (ISC3) program supported by the National Cancer Institute. Next, we describe five studies supported by the Penn ISC3, each focused on testing implementation strategies informed by behavioral economics to reduce key practice gaps in the context of cancer care and identify how each study yields broader impacts consistent with TSBM domains. These indicators include Capacity Building, Methods Development (within the Implementation Field) and Rapid Cycle Approaches, implementing Software Technologies, and improving Health Care Delivery and Health Care Accessibility. The examples highlighted here can help guide other similar scientific initiatives to conceive and measure broader scientific impact to fully articulate the translation and effects of their work at the population level.
Researchers generally do an excellent job tracking the scientific impacts of their scholarship in ways that are relevant for academia (e.g., publications, grants) but too often neglect to focus on broader impacts on population health and equity. The National Cancer Institute’s Implementation Science Centers in Cancer Control (ISC3) includes 7 P50 Centers that are interested in broad measures of impact. We provide an overview of the approach underway within the ISC3 consortium to identify health and social impacts.
Methods:
ISC3 adapted and applied the Translational Science Benefits Model (TSBM) to identify the impact on the discipline of D&I science and to consider dissemination and implementation (D&I) impacts in the four original TSBM domains: (1) clinical; (2) community; (3) economic; and (4) policy. To collect data from all Centers, we: (1) co-developed a set of detailed impact indicators with examples; (2) created a data collection template; and (3) summarized the impact data from each center.
Results:
Based on data from 48 ISC3 pilot studies, cores, or consortium activities, we identified 84 distinct benefits. The most common impacts were shown for implementation science (43%), community (28%), and clinical (18%). Frequent audiences included primary care providers, public health practitioners, and community partners. ISC3 members highlighted the need for product feedback, and storytelling assistance to advance impact.
Conclusions:
The ISC3 consortium is using a participatory approach to successfully apply the TSBM, thus seeking to maximize the real-world impacts of D&I science. The D&I field needs to prioritize ways to more fully document and communicate societal impacts.
Demonstrating the impact of implementation science presents a new frontier for the field, and operationalizing downstream impact is challenging. The Translational Science Benefits Model (TSBM) offers a new approach for assessing and demonstrating research impact. Here we describe integration of the TSBM into a mentored training network.
Methods:
Washington University’s Clinical and Translational Science Awards TSBM team collaborated with a National Institute of Mental Health-supported training program, the Implementation Research Institute (IRI), a 2-year training institute in mental health implementation science. This partnership included three phases: (1) introductory workshop on research impact, (2) workshop on demonstrating impact, and (3) sessions to guide dissemination, including interactive tools and consultation with the TSBM research team. Fifteen IRI alumni were invited to participate in the pilot; six responded agreeing to participate in the training, develop TSBM case studies, and provide feedback about their experiences. Participants applied the tools and gave feedback on design, usability, and content. We present their case studies and describe how the IRI used the results to incorporate TSBM into future trainings.
Results:
The case studies identified 40 benefits spanning all four TSBM domains, including 21 community, 11 policy, five economic, and three clinical benefits. Participants reported that TSBM training helped them develop a framework for talking about impact. Selecting benefits was challenging for early-stage projects, suggesting the importance of early training.
Conclusions:
The case studies showcased the institute’s impact and the fellows’ work and informed refinement of tools and methods for incorporating TSBM into future IRI training.
Marginalisation is a multilevel phenomenon in society depriving people from essential rights, resources, and opportunities. Street-outreach services in the Netherlands, like social street work (SSW), support these marginalised people in fostering their participation in society as an answer to their marginalised position in society. We followed 927 clients in SSW over an eight-month period. Clients filled in a questionnaire at three timepoints. We examined whether clients’ perceived belongingness, self-esteem, strengths, and informal support (outcome measures) were associated with the working relationship, over time. Results showed the establishment of a working relationship with clients at all three timepoints. An evolving working relationship was associated with an increase in clients’ perceived belongingness, self-esteem, strengths, and informal support over time. This study showed the ability of workers to establish a working relationship with clients in their living environment and underscored the necessity of establishing a working relationship in street-outreach services to foster clients’ participation in society. This study encourages policymakers to reflect on current street-outreach services, to deviate from demanding short-term and measurable results from professionals’ efforts, and to opt for a better fit between performance and financing conditions and daily practices of street-outreach services.
We aimed to examine the association between dietary Se intake and CVD risk in Chinese adults.
Design:
This prospective cohort study included adults above 20 years old in the China Health and Nutrition Survey (CHNS), and they were followed up from 1997 to 2015 (n 16 030). Dietary data were retrieved from CHNS, and a 3-d, 24-h recall of food intake was used to assess the cumulative average intake of dietary Se, which was divided into quartiles. The Cox proportional hazards model was adopted to analyse the association between dietary Se intake and incident CVD risk.
A total of 663 respondents developed CVD after being followed up for a mean of 9·9 years (median 9 years). The incidence of CVD was 4·3, 3·7, 4·6 and 4·0 per 1000 person-years across the quartiles of cumulative Se intake. After adjusting all potential factors, no significant associations were found between cumulative Se intake and CVD risk. No interactions were found between Se intake and income, urbanisation, sex, region, weight, hypertension and CVD risk.
Conclusion:
We found no association between dietary Se and CVD.
Over the last two decades, the international community has increasingly turned its attention towards the phenomenon of human trafficking. While the majority of States have adopted legislation criminalising trafficking, and many also passed legislation aimed at protecting trafficked persons, compliance with international and domestic standards is often questioned. This chapter explores processes before, and decisions by, judicial, quasi-judicial and specialised non-judicial bodies as determinants of anti-trafficking efforts – understood as factors shaping governments’ anti-trafficking efforts and influencing compliance with and implementation of international standards. Deploying a comparative approach and building on the results of a large-scale project exploring the determinants of anti-trafficking efforts globally, this chapter evaluates four case studies (Argentina, Brazil, Cyprus and the United Kingdom). It outlines how judicial, quasi-judicial and specialised non-judicial bodies’ role is perceived by anti-trafficking stakeholders, and how these mechanisms interact with other determinants in influencing anti-trafficking efforts at the domestic level.
Ressler introduces a sociological theory of transformative symbolic reality to illuminate a specific, but often overlooked, impact of the nonprofit sector that is directly tied to improving the quality of life for individuals and groups within society. Grounded in the sociology of communities and nonprofit theory, transformative symbolic reality states that society reproduces itself or changes through social reality, and that social reality can be purposefully manipulated to challenge the forces of inequity. Specifically, individuals or organizations can create both the physical and metaphysical spaces in which people manifest and manipulate social norms, expectations, and behaviors in an inter-relational way that generates transformative social capital. Through the lens of transformative symbolic reality, the chapter conceptualizes the nonprofit sector as a wellspring of this overlooked public good and argues that it is this transformative aspect of the nonprofit sector that undergirds connections between nonprofit organizations and any long-term social impact.
This chapter considers a range of internal and external restrictions (individual, institutional, national, and international) on the production of knowledge, which is situated in the dominant framing discourse of global neoliberalism. Recognising forms of restrictions on knowledge relates to how academic freedom itself is constructed, invoking the proposition that certain prerequisites are necessary for the practice of academic freedom. The chapter examines how university governance and funding mechanisms can constrain academic freedom. Within the university context, it extends its consideration to the role of ethics committees, bureaucratisation of university procedures, role of students, and university environment. The role of self-censorship at the individual level and the notion of scholars’ responsibility as well as freedom are critically examined. State-level restrictions are also considered. The chapter also situates these university-level and state-level restrictions within transnational restrictions, including international law and movement across borders.
This chapter explains problems associated with planning infrastructure systems in order to improve resilience. Understanding the concept and basic methods for planning infrastructure investments is an important aspect for studying resilience because planning is a key process that contributes to resilience preparedness and adaptation attributes. Initially, the chapter discusses the fundamental problems and issues found when making decisions about investment allocations amid uncertain conditions. Then, probabilistic risk assessment (PRA) as still the main tool used in industry in planning processes is explained. Because characterizing intensity and other relevant attributes of disruptive events is an important component of planning processes for enhancing resilience, this chapter continues by exploring how these events – and especially hurricanes – can be characterized in order to obtain information that can be used as input for the planning process. Finally, the chapter concludes by discussing economic concepts and tools related to infrastructure resilience enhancement planning processes.
A comparison of the modelling methodologies to capture the damage onset and delamination initiation in Abaqus and LS-Dyna is presented. A quasi-isotropic carbon fibre reinforced polymer laminate is modelled under a low-energy impact scenario. Hashin, Puck and Cuntze criteria are implemented for assessing intra-laminar damage in Abaqus in the linear elastic regime without damage evolution, with Virtual Crack Closure Technique being used for inter-laminar failure. In LS-Dyna, the Chang-Chang criterion is used for the intra-lamina failure with damage evolution, whereas delamination is captured using cohesive zone model and the tiebreak contact algorithm. The implementations carried out by both finite element software result in a modelling work well set to analyse and predict the impact response at the initial stages of delamination and damage within the plies. The composite damage criteria used in both finite element codes overall predict stiffer results when compared with the experimental data, however, remain in close agreement with each other.
Charles S. Mansueto, Behavior Therapy Center of Greater Washington, Maryland,Suzanne Mouton-Odum, Psychology Houston, PC - The Center for Cognitive Behavioral Treatment, Texas,Ruth Goldfinger Golomb, Behavior Therapy Center of Greater Washington, Maryland
The Comprehensive Behavioral (ComB) conceptual model is introduced in this chapter. Here, three phases of BFRB behaviors: Preparatory behaviors, pulling or picking behaviors, and post-removal behaviors are detailed. The functional assessment of individual BFRB practices is emphasized, in which antecedent variables, both internal and external to the individual are described, as are possible consequences of pulling, both of which impact on the performance and perpetuation of BFRB activity. Identification and description of antecedent and consequential variables (sensory, cognitive, affective, and motor) emphasize the complexity and heterogeneity of internally experienced BFRB experiences that impact on BFRB persistence. The ComB conceptual framework described here sets the stage for ComB-based clinical interventions introduced in later chapters.
This chapter analyses the policies of populist radical right party-led local governments in Austria, France, Italy and Switzerland. It assesses the extent to which their party ideology is evident. The analysis concerns three forms of policy: policy agendas, budgetary spending and policy designs. Each enables a different form of comparison to be made, through which the impact made by the parties and its cross-national variation is assessed. First, analysis of agendas reveals their policy priorities once elected into local government. These are compared with mainstream parties in similar contexts. Second, analysis of budgets shows the extent to which these priorities were realized in the form of spending. Comparison here is made with the preceding mainstream party-led local government in the same context. Third, analysis of their policies’ framing of target populations, policy tools and policy rationales demonstrates the varying extent to which they generate social constructions that align with party ideology. The leadership of local government by populist radical right parties in Western Europe is shown to lead to contrasting degrees and forms of policy impact.
This chapter provides an explanation for the different approaches to local government taken by populist radical right parties in Austria, France, Italy and Switzerland, and their different degree of radicalism. It conducts a systematic exploration of the process by which these parties govern at the local level. The empirical basis for this analysis is interviews with 57 local government actors, semi-structured in order to investigate the two overarching themes that are theoretically expected to influence their approaches to governing. The chapter unveils the mechanisms through which moderation is imposed (or radicalism is facilitated) by, first, various institutional constraints, and, second, cross-level party linkages. As a final step, it reconstructs the process by which each populist radical right-led local government responded to the European migration crisis during the 2010s. The institutional constraints and cross-level party linkages particular to each of the four cases can explain the varied (multi-level) governance configurations that emerge, and as a result the varying degree of radicalism in their approach.
The International Criminal Court seeks to end impunity for the world’s worst crimes, in order to contribute to their prevention. But what is its impact to date? This book takes an in-depth look at four countries under scrutiny of the ICC: Afghanistan, Colombia, Libya and Uganda. It puts forward an analytical framework to assess the impact of the ICC on four levels: on the domestic legal systems (systemic effect); on peace negotiations and agreements (transformative effect); on victims (reparative effect); and on the perceptions of affected populations (demonstration effect). It concludes that the ICC, through its expressive function, is having a normative impact on domestic legal systems and peace agreements, but it has brought little reparative justice for victims and it does not necessarily correspond with affected populations view justice priorities. The book concludes that justice for the world’s worst crimes has no “universal formula” that can easily be captured in law.
The ICC was meant to end impunity for the world’s worst crimes, thus contributing to their prevention. But twenty years after its establishment, its “theory of change” remains unclear, and few studies focus on its impact on the ground. To assess the Court’s impact, it is necessary to define the assumptions underlying its establishment. While deterrence is one such assumption, to date the evidence that the ICC effectively deters crimes is lacking. Other assumptions can be found in the Rome Statute itself, or in the expressed intentions of the Assembly of States Parties or senior officials of the Court. Lessons can also be drawn from impact studies of other international criminal tribunals. These sources indicate that the ICC should play an expressive function by engaging in norm projection. The chapter identifies four intended effects of the Rome Statute and ICC, including systemic effect on domestic legal systems; transformative effect on peace processes; reparative effect on victims; and demonstration effect, relating to its expressive function among affected communities. These four effects form an analytical framework to assess the impact of the ICC.
The International Criminal Court seeks to end impunity for the world’s worst crimes, in order to contribute to their prevention. But what is its impact to date? This book takes an in-depth look at four countries under scrutiny of the ICC: Afghanistan, Colombia, Libya and Uganda. It puts forward an analytical framework to assess the impact of the ICC on four levels: on the domestic legal systems (systemic effect); on peace negotiations and agreements (transformative effect); on victims (reparative effect); and on the perceptions of affected populations (demonstration effect). It concludes that the ICC, through its expressive function, is having a normative impact on domestic legal systems and peace agreements, but it has brought little reparative justice for victims and it does not necessarily correspond with affected populations view justice priorities. The book concludes that justice for the world’s worst crimes has no “universal formula” that can easily be captured in law.