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This article introduces the Journal of Speech, Language, and Hearing Research Special Issue: Selected Papers From the 2022 Apraxia Kids Research Symposium. The field of childhood apraxia of speech (CAS) has developed significantly in the past 15 years, with key improvements in understanding of basic biology including genetics, neuroscience, and computational modelling; development of diagnostic tools and methods; diversity of evidence-based interventions with increasingly rigorous experimental designs; and understanding of impacts beyond impairment-level measures. Papers in this special issue not only review and synthesize the some of the substantial progress to date but also present novel findings addressing critical research gaps and adding to the overall body of knowledge. A second aim of this prologue is to report the current research needs in CAS, which arose from symposium discussions involving researchers, clinicians, and Apraxia Kids community members (including parents of children with CAS). Four primary areas of need emerged from discussions at the symposium. These were: (a) What questions should we ask? (b) Who should be in the research? (c) How do we conduct the research? and (d) How do we move from research to practice? Across themes, symposium attendees emphasized the need for CAS research to better account for the diversity of people with CAS and improve the timeliness of implementation of high-level evidence-based practice across the lifespan. It is our goal that the articles and prologue discussion in this special issue provide an appreciation of advancements in CAS research and an updated view of the most pressing needs for future research. [ABSTRACT FROM AUTHOR]

Consumer collective action is commonly connected to individualised politics, market responsibility and local utopias. In this paper, we take an alternative point of departure and discuss the (emergence of) neo-materialist movement organisations (NMMOs) as mobilising prefigurative everyday politics in local organising and creating strategies toward alternative global futures. Our approach is threefold. First, we introduce the concept of neo-materialist movement organisations and, second, outline their organising in the everyday context and prefigurative commitments. Third, we explore different strategies of scaling toward alternative futures with particular focus on (controversial) institutional avenues. We contribute to the emerging literature on prefigurative politics in consumer movements by problematising the dominant approach to social change trapped in local inwardness. We further highlight the potential for systemic changes via local authorities, or what we call scaling through institutions. [ABSTRACT FROM AUTHOR]

This paper discusses how a consumer social movement employs prefigurative practices to resist a dominant market logic and drive market changes in the here and now. We based our research on one year of ethnographic fieldwork with vegetarian and animal welfare activists embedded in a cultural milieu that predominantly supports the consumption of animal products. We used the storytelling method for the description and data analysis. Our findings reveal that activists challenge the market logic of animal abuse in three ways. First, they work to revolutionise the so-called meat culture. Second, they pro-actively demand laws that protect animal rights. Third, they establish singular modes of community-based exchange that detach themselves from the doxa of the consumption of animal products. By opposing the mainstream culture, the mainstream policy and the mainstream marketplace, these activists develop influential arenas of consumption that resemble their ideal world and impact the market as a whole. [ABSTRACT FROM AUTHOR]

This paper aims to explore the intricate relationship between religio-political influence and its impact on social work in contemporary India. The escalating trends of majoritarianism, homogeneity, the instrumentalization of religion for political power, growing inequality, and the prevalence of caste-based violence have contributed to an alarming increase in intolerance among various religious, ethnic, and linguistic groups. These challenges, primarily driven by religio-political factions in India, pose significant obstacles to effective social work practice and intervention. The question arises: Can social work disentangle itself from religion and religio-political influence, or should a new narrative be developed within social work practice to address these concepts? This article underscores the pressing need for a fresh perspective that integrates religion, religiopolitics, and their influence on social work. New narrative can facilitate the development of effective strategies and interventions that mitigate the adverse effects of religio-political factions while promoting social justice and inclusivity. In conclusion, this paper emphasizes the necessity of reimagining the relationship between religion, religio-politics, and social work in India. Thus, social work can play a crucial role in fostering positive societal change, addressing inequality, and countering the rising tide of intolerance fueled by religio-political influences. [ABSTRACT FROM AUTHOR]

Purpose: Parental advocacy is an emerging area of research and policy interest in Wales and across the UK. Although there is little research in the UK context to date, international research has indicated that parental advocacy can improve the relationship between parent and professional in the field of child protection social work. This paper aims to ascertain how the implementation of a parental advocacy programme supports parents to play a meaningful role in decision-making when children's services are working with them and their families. Design/methodology/approach: This study used interviews, surveys and focus groups to obtain qualitative data from 18 parents, seven parent advocates, two advocacy managers and four social workers, to explore the potential impact of parental advocacy on decision-making. The study identified challenges in implementing parental advocacy, particularly relating to awareness of the service. Participants also discussed experiences of the child protection system and how parents are supported by advocates. Findings: Despite challenges surrounding implementation, initial findings were encouraging, and generated examples of how parental advocacy services have helped parents to understand children's services and develop relationships of trust with social care professionals. In doing so, this study identified potential mechanisms that may be useful to support future service delivery. Originality/value: This paper and research is novel as it explores parental advocacy within the Welsh context. Although there has been research conducted into parental advocacy, this has largely come from the USA. This research comes from the evaluation of an innovative and promising parental advocacy scheme in Wales. [ABSTRACT FROM AUTHOR]

Definition: The "Pink Tax" refers to charging higher prices for products and services marketed primarily to women compared to similar or identical items targeted at men, despite comparable production costs. This research uses Unilever as a case study to focus on the impact of the Pink Tax on women's purchasing power, particularly within the personal care industry. The study provides a comprehensive overview of the Pink Tax's evolution, key research findings, public responses, and regulatory measures to address this issue. By synthesising existing research and case studies, this paper highlights the economic burden imposed on women and the reinforcement of gender stereotypes through market practices. The study underscores the need for equitable pricing mechanisms and informed consumer advocacy to rectify the economic disparities exacerbated by the Pink Tax. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to critically review the context of adult protection in Ireland with a focus on older people. The paper traces advances and current limitations in policy, regulation, practice and legislation. Design/methodology/approach: A review of historical and current contexts in adult safeguarding in Ireland is presented with consideration of key public reviews and commentaries related to care provision, governance and the legislative status of adults at risk. Findings: While Ireland's journey to provide adult safeguarding responses for older people has progressed since 2002, there remain many gaps. Further work needs to be addressed urgently to enable a comprehensive alignment of fit-for-purpose, responsive legislation, practice and policy to meet the complex and diverse needs of an increasing ageing population who may require safeguarding support. This includes fostering robust inter-sectorial collaboration, safeguarding legislation and cultural change related to human rights approaches. Research limitations/implications: The paper is a discussion on the context of adults safeguarding in relation to practice, policy and legislation. Practical implications: Identifies the need for significant reform in the Irish system of health service. Argues for an overarching, inter-sectorial approach to addressing adult safeguarding, which focuses on prevention as well as early intervention. Originality/value: The paper offers a review of the current diverse elements comprising current adult safeguarding and older people in Ireland and integrates legislative, regulatory, policy and practice realities. Challenges are illustrated within the context of reactive rather than proactive safeguarding agendas which are linked to public scandals and debates. The paper argues for a more integrated and robust inter-sectorial approach to safeguarding underpinned by adult safeguarding legislation and an overarching governance structure. [ABSTRACT FROM AUTHOR]

Background: The paper analyzes how the Accountability Can Transform Health (ACT Health) program activated bottom-up citizen action to secure government responses and more accountable health services in Uganda. The ACT Health program had two phases—Phase 1 focused on a community-level intervention studied with a randomized control trial, and Phase 2 supported citizen-led advocacy targeting government officials across multiple levels. The focus of this paper is an analysis of Phase 2, when the "people-centered advocacy" approach supported almost 400 community advocates representing 98 health facilities to organize, identify joint advocacy priorities, directly monitor health services, and collaborate on health advocacy campaigns in 18 districts. Most district campaigns focused on the complex, power-laden issue of health worker absenteeism. With a few notable exceptions, iterative cycles of engagement between citizens and the state across multiple levels are infrequently discussed in the formal literature on health accountability. Methods: This paper is based on a comparative, inductive, practitioner-led analysis of program monitoring data from 18 multi-level health advocacy campaigns. The findings emerge from analysis of a "Heat Map," capturing grounded accounts of government responses to community-led advocacy. Results: Officials in eight out of 18 districts fulfilled or surpassed commitments made to community advocates. Government responses included: increased monitoring, more downward accountability, countering backlash against advocates, applying sanctions for absent health workers, and increased budget allocations. Advocates' bottom-up advocacy worked in part through triggering top-down responses and activating governmental checks and balances. Conclusions: Methodologically, this article demonstrates the value of analyzing process monitoring and program data to understand outcomes from direct engagement between citizens and the state to improve health services. Survey-based research methods and quantitative analysis may fail to capture signs of government responsiveness and relational outcomes (such as subtle signs of shifting power dynamics) many hope to see from citizen-led accountability efforts. Practitioners' perspectives on how accountability for health emerges in practice are important correctives to much positivist research on accountability, which has a tendency to ignore the complex dynamics and processes of building citizen power. [ABSTRACT FROM AUTHOR]

This paper explores the potential of the perspective of epistemic injustice to reconcile medical sociology's attention to the micro level of experience and interpersonal exchange, and disability studies' focus on the macro level of oppressive structures. The first part of the paper provides an overview of the concept of epistemic injustice and its key instances—testimonial, hermeneutical, and contributory injustice. We also consider previous applications of the concept in the fields of health care and disability, and we contextualise our investigation by discussing key features of postsocialism from the perspective of epistemic injustice. In the second part, we explore specific epistemic injustices experienced by people who use disability support by drawing on interviews and focus groups conducted with parents of disabled children in present‐day Bulgaria. In our conclusion, we revisit our methodological and theoretical points about the potential of epistemic injustice to facilitate mutually beneficial exchanges between medical sociology and disability studies. [ABSTRACT FROM AUTHOR]

Although there has been an increase in intersectionality scholarship in the field of psychology, there is still a dearth of research and praxis grounded in a Black feminist theoretical perspective. The purpose of this paper is to apply a Black feminist and intersectionality lens to research, practice, and advocacy on Black women's experiences of gendered racism. First, this paper will provide a brief herstory of Black feminist, womanist, and intersectionality theory and its relevance to the field of psychology. Next, we will highlight an example of how to apply a Black feminist and intersectionality lens to research on gendered racism among Black women. Then, we will apply Black feminism to therapy with Black women by highlighting a clinical case example. We will end by highlighting the importance of Black feminism to social justice advocacy and systems-level interventions to promote the health and well-being of Black women. [ABSTRACT FROM AUTHOR]

Accessible Summary: What is known on the subject?: ECT is a treatment which has a long and complicated history. There is no consensus on its effectiveness and there is a great deal of polarized debate as to whether it should be used. MHNs are asked to work with people who are receiving ECT as part of their duties. What the paper adds to existing knowledge?: The paper seeks to move beyond the polarized arguments and to consider how MHNs can work with people where ECT is being considered or administered as part of their treatment in a manner which satisfies their professional obligations. Implications for practice: MHNs may need to broaden their understanding of ethics beyond the traditional biomedical ethics model of beneficence, non‐maleficence, justice and autonomy, as well as improving their understanding of social and political factors which may have an unseen effect of the use of ECT as a treatment in order to meet their professional obligations when working with people being administered ECT. INTRODUCTION: Electroconvulsive therapy (ECT) has a complex and contentious place in psychiatric care. Mental health nurses (MHNs) are of obligated to be part of this practice despite ethical concerns. Aim: To consider the ethical dilemmas and decision‐making processes facing MHNs involved in the administration of ECT. Method: A critical realist review of the literature surrounding ethical considerations and ECT was undertaken using thematic analysis. Findings: Four key themes emerged: the MHN as an advocate and conflict in their role, issues surrounding consent, questionable efficacy and unknown method of action, side effects, and legal issues and clinical guidelines. Discussion: Using a critical realist framework for understanding, the decision‐making process and ethical considerations are viewed as part of the empirical and actual parts of reality, while the potential for other, unseen causal powers to be at play is acknowledged. Implications for practice: MHNs need to ensure they have an adequate ethical underpinning to their practice to enable them to navigate contentious areas of practice such as ECT to practice effectively and preserve safety. This may require moving beyond the traditional biomedical model of ethics. Developing an appreciation of unseen causal factors is also an essential part of MHNs' developing professional competency. [ABSTRACT FROM AUTHOR]

Although culturally oriented consumer research has examined the impact of consumer movements and consumer activism on lifestyle and group consumption, the interrelationships between consumer culture theory and new social movements has remained unexplored. Contrasting and critically discussing the activities and aims of consumer and new social movements, this study indicates that new social movements have both a subtle and direct impact upon the central theoretical pillars of Consumer Culture Theory. Exploring two urban social movements, as mini-case studies, this paper shows and critically discusses how protesters' activities shaped a) spaces of marketplace cultures, b) consumer ideology and c) the macro-institutions that influence consumption. The findings can prompt scholars to rethink and re-imagine CCT through the prism of politics and collective demands for social change. [ABSTRACT FROM AUTHOR]

Internationally, lead agencies and consumer movements emphasise the need for high-level research participation in mental health. However, evidence suggests that people with lived experience tend to be recruited as subjects rather than as active agents in research, or are consulted in tokenistic ways. Although participatory research has the potential to rectify epistemic disparities, few studies have grappled with how to move from exclusion and tokenism to high-level research participation. This paper describes a qualitative co-evaluation of a co-produced model of research partnership, Raising the Bar, which involved deliberate establishment and facilitation of six participatory research teams, comprising 28 lived experience and 'conventional' mental health researchers. Findings indicate that the theoretical elements of the model set the bar high from the outset, supporting research teams to address inconsistencies in knowledge about participation. It also provided researchers with the competencies and resources to undertake participatory research in egalitarian team structures, and to negotiate new forms of non-traditional research outputs - thereby challenging whom research might be for and how it might be made accessible. Finally, the model shifted collective meanings about research, lending credibility to participatory practices, which came to be seen as essential for meeting the needs of affected communities. Nonetheless, systemic barriers to participatory research remain, and need to be recognised and acted upon to promote a culture that supports high-level research participation. [ABSTRACT FROM AUTHOR]

Consumer activism has been reshaped as it has moved increasingly into the digital realm, and yet relevant theorisations have been slow to emerge. This paper presents an innovative approach to digital consumer politics by examining and connecting key scholarship in digital activism and the digital economy. Through a discussion of three case studies (#grabyourwallet, #deleteuber and #deletetwitter, and Connecting Good or CoGo), we analyse digitally mediated agency, and the transformation of consumption meanings and practices in the digital economy. We argue that digital consumer activism offers both new forms of campaigning and presents familiar problems. Our case studies demonstrate the complexity of engendering agency when consumer activism enters the digital realm. Equally, the case studies illustrate contradictions in the ways in which consumer politics contests the capitalist economy offline, but leaves it substantially uncontested online due to a reliance on digital platforms dedicated to private profit. [ABSTRACT FROM AUTHOR]

The International Union of Basic and Clinical Pharmacology (IUPHAR) Geriatric Committee aims to improve the use of drugs in older adults and develop new therapeutic approaches for the syndromes and diseases of old age through advocacy, education, and research. In the present paper, we propose strategies relevant to drug development and evaluation, spanning preclinical and the full range of clinical studies. Drugs for older adults need to consider not only age, but also other characteristics common in geriatric patients, such as multimorbidity, polypharmacy, falls, cognitive impairment, and frailty. The IUPHAR Geriatric Committee's position statement on 'Measurement of Frailty in Drug Development and Evaluation' is included, highlighting 12 key principles that cover the spectrum of translational research. We propose that where older adults are likely to be major users of a drug, that frailty is measured at baseline and as an outcome. Preclinical models that replicate the age, frailty, duration of exposure, comorbidities, and co‐medications of the proposed patients may improve translation. We highlight the potential application of recent technologies, such as physiologically based pharmacokinetic–pharmacodynamic modeling informed by frailty biology, and Artificial Intelligence, to inform personalized medicine for older patients. Considerations for the rapidly aging populations in low‐ and middle‐income countries related to health‐care and clinical trials are outlined. Involving older adults, their caregivers and health‐care providers in all phases of research should improve drug development, evaluation, and outcomes for older adults internationally. [ABSTRACT FROM AUTHOR]

The coevolution process enables organizations to adapt to and influence their external environment. Multinational corporations (MNCs) operating in dynamic foreign markets use this capability to achieve operational sustainability. MNCs in China operate in a changing stakeholder environment that features rising consumer activism and local stakeholders' persistent ethical problems and encounter recurrent consumer crises. Coevolving with this environment requires MNCs to react to consumer challenges and actively influence the environment by improving stakeholders' ethical behavior. Based on the attention-based view and bounded rationality studies, we propose that the tension between expansion attention and stakeholder attention hinders MNCs from coevolving with this environment. Our analysis of MNC-linked consumer crises in China reveals that MNCs can reduce the consumer crisis risk by maintaining continuous attention to improving the ethical behavior of local employees, suppliers, and dealers. In contrast, MNCs' rapid local expansion weakens this stakeholder's attention, expanding MNCs' crisis risk. Our findings reveal an attention-based constraint to MNCs' coevolution and inform approaches to overcoming this constraint. This paper also extends international attention studies by affirming the significance of matching the focus of attention with environmental change for MNCs' operational sustainability in foreign markets. [ABSTRACT FROM AUTHOR]

Following the publication of the UN Convention on the Rights of Persons with a Disability, the rights and situation of people with disabilities have once again become a focus of national, European and international policy and advocacy. Mansell et al., (2007) identified that there were over 1million people with disabilities in Europe living in institutions of over 30 places in size and almost 1.4 million in some form of residential care. This paper reports findings from a review of national and international sources of data on living situation for 27 European countries as of 2019. Although there had been some changes, especially for children and especially in countries where EU structural funds had been used, there were still 1.4 million people living in residential care, with many still for more than 30 people. People with intellectual and developmental disabilities were those who were most likely to still be in residential services. We consider some of the potential reasons for these findings and discuss what might be needed to really advance deinstitutionalisation. People with disabilities have the same rights as everyone else to live in the community. This paper looks at where people with disabilities live and how this has changed over time. We found that many people with disabilities still live in institutions and that the number had not changed much since 2007. There have been more changes for children than adults. Fewer children now live in institutions. People with intellectual disabilities are most likely to still live in institutions and least likely to be living and participating in the community. Many countries in Europe still do not have good information about where people with disabilities live and whether they have choice and control or are active citizens. There was more change in countries which had received money from the European Union. However, in many countries, there were no plans for how to help more people to live in the community. [ABSTRACT FROM AUTHOR]

Novel forms of assisted gestation—uterus transplantation and artificial placentas—are highly anticipated in the ethico‐legal literature for their capacity to enhance reproductive autonomy. There are also, however, significant challenges anticipated in the development of novel forms of assisted gestation. While there is a normative exploration of these challenges in the literature, there has not yet, to my knowledge, been empirical research undertaken to explore what reproductive rights organisations and advocates identify as potential benefits and challenges. This perspective is invaluable. These organisations/individuals have an awareness not only of the needs of individuals but also of the political landscape in which regulatory decisions are made and which individuals navigate when seeking reproductive assistance. In this study, data was generated from two semi‐structured focus groups (n = 11). Reflective thematic analysis was used to examine the views raised by study participants in these focus groups. This paper explores two of the themes constructed in the data. First, the equality‐enhancing potential of assisted gestation exploring the multifaceted ways in which assisted gestation has structural benefits for marginalised groups. Second, realising the equality‐enhancing potential of assisted gestation explores the intersecting barriers to access to reproductive technologies and how they may impede the benefits of these technologies in practice. These results can enhance conceptual understanding of the importance of novel forms of assisted gestation and ensure that attention is paid to practical barriers in further normative research. [ABSTRACT FROM AUTHOR]

This paper aims to explore digital consumer activism through a spatial lens, in order to understand how digital and place-based consumer activism intersect and interact. The empirical context is provided by Fairtrade Towns activism in the UK, investigated through netnographic methods. Three main spatialised tactics of digital consumer activism emerged from the analysis: emplacing the digital space; territorialising ethical consumption; and materialising digital activism. Building on these, we theorise hybrid consumer activism as a form of consumer activism whereby activists display belonging and identity both in physical and digital 'places' draw boundaries around spaces of ethical consumption through localised and digital collective action, and form hybrid digital ties. This study contributes to existing scholarship by taking into account placed and spatialised dimensions of digital consumer activism and by questioning the dichotomy between digital and place-based activism through the concept of "hybrid consumer activism". [ABSTRACT FROM AUTHOR]

The objective of this paper is to conduct a reappraisal of Katona's (1968) adaptive theory of consumer behaviour, which maintains that discretionary consumption is partly determined by attitudes and expectations of households. Initially, using UK data, we follow Katona by empirically examining whether changes in personal expenditure on durable goods are connected to earlier movements in consumer confidence. Evidence of a lack of a stable relationship between these two variables encourages us to perform a disaggregated analysis involving 111 components of four different forms of consumption, which enables construction of an aggregate measure of discretionary spending. We find that sufficient criteria are satisfied for the sentiment index to be accepted as a reliable predictor of the growth of gratuitous expenditure. In conclusion, then, it would seem that the validity of Katona's theory can be revived if we are prepared to discard the assumption that durable goods' consumption is synonymous with discretionary spending. [ABSTRACT FROM AUTHOR]

One central aim of disability studies is to shift understandings of disability, such that disability comes to be understood as about the social disadvantage/oppression that people face when society does not cater to impairment of body/mind. Nevertheless, there remains a need for more practical tools for disability advocacy, through which to transmit disability studies' ideas of disability to the general community. Drawing on a qualitative study of the perspectives of 23 people with physical and sensory impairments, this paper proposes virtual reality as an advocacy tool to communicate the principles and beliefs of disability studies. The findings highlight that, due to the nature of the technology, participants feel virtual reality has clear potential as a disability advocacy tool that can facilitate empathy, perspective-taking and positive social change, with a particular focus on how it is the environmental barriers and social attitudes around people that disables them. More practical advocacy or informal education tools are needed that align with the principles of disability studies. This research conducted in-depth interviews with 23 people with physical and sensory impairments. The research finds that virtual reality has clear potential as a disability advocacy tool. The participants reported that virtual reality can facilitate empathy, perspective-taking and positive social change. The research finds that virtual reality focuses on how environmental barriers and social attitudes around people with disability disable them, rather than focusing on impairment experiences. [ABSTRACT FROM AUTHOR]

Individuals who menstruate grapple with diverse challenges in menstrual and reproductive health. This includes financial burdens, societal stigmas, and negative mental and physical health implications. Period poverty, marked by insufficient access to menstrual products, education, and sanitation, remains a prevalent and poorly addressed issue. Alarming statistics highlight the extent of this problem and shed light on the staggering number of individuals lacking access to essential menstrual products. The discourse extends to the safety and accessibility of a diverse array of menstrual products. A comprehensive comparison of the cost of available period products was conducted using data obtained from various retail websites. The often-overlooked potential indirect expenses and profound impacts on quality of life were also discussed. Amidst other public health initiatives, pharmacists have emerged as pivotal advocates and educators. Pharmacists are poised to drive initiatives that increase access to menstrual products through public health education and advocacy. By providing education on different menstrual product options, pharmacists can empower individuals to make informed decisions based on their needs. This perspective illuminates the complex impacts of menstruation on individuals and proposes that pharmacists can play a role in overcoming barriers to access. The proposed strategies, rooted in education, research, and advocacy, pave the way for enhancing access, reducing stigma, and elevating the quality of life for those navigating the intricate complexities of menstruation. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to critically examine the current state of literature on peer parental advocacy, offering practical insights and ideas for researchers and practitioners interested in this evolving field. Design/methodology/approach: This narrative review is a comprehensive, critical and objective analysis of the current knowledge on peer parental advocacy. Findings: Parental peer advocacy (PPA) has seen growing interest, with increasing research detailing the benefits and challenges. It is now being considered within children's services across the UK, drawing upon the success of similar initiatives, especially in the USA. There is a compelling case for PPA, not least as it may contribute to resolving the longstanding challenges within children services of families having the opportunity to meaningfully participate in decision-making (Corby et al., 1996; Muench et al., 2017; Bekaert et al., 2021). Research limitations/implications: Parental advocacy (PA) continues to be an evolving area of academic research and policy development both in the United Kingdom and internationally. Emerging research suggests a compelling case for an expansion in PPA within child welfare and protection systems, specifically in case, program and policy advocacy. Practical implications: PA continues to be an evolving area of academic research and policy development both in the United Kingdom and internationally. Emerging research suggests a compelling case for an expansion in PPA within child welfare and protection systems, specifically in case, program and policy advocacy. Originality/value: To the best of the authors' knowledge, this is one of the first UK-based narrative reviews that critically analyses the research, highlighting the limitations and strengths of adopting PPA as an approach. [ABSTRACT FROM AUTHOR]

There are many sorts of day-to-day choices that are such that, if enough people were to choose one way rather than another, serious harm could be avoided or reduced, and yet it does not seem that any one such choice will itself make a difference. Consider, for example, how our collective consumer choices have various serious environmental and social consequences, and yet for many products, it is doubtful that one purchase more or less will itself make a difference to these outcomes. How are we to understand what each of us ought to do in these sorts of contexts? This paper further advances and illuminates a thesis that I have argued for elsewhere: that a purely 'non-instrumental' approach to this question is not satisfactory. A necessary and central part of understanding how to think about an individual choice in these contexts is showing that it does matter for instrumental reasons - for reasons having to do with its ability to have an influence on the outcome. Once a core instrumental solution is found, other moral considerations can build on top. I argue for this by way of an examination of a new non-instrumental approach advanced by Wieland and van Oeveren: a participation-based approach. I also identify what I think is the main source of resistance to my thesis: a mistaken conflation of two different problems. [ABSTRACT FROM AUTHOR]

BACKGROUND: Apprenticeships present an underutilized opportunity for people with disabilities to access in-demand jobs that provide stable employment at good wages, while meeting the needs of business for a skilled workforce. Numerous efforts are underway to increase the diversity of apprenticeships that are inclusive of people with disabilities. However, expanding the participation of people with disabilities in apprenticeship programs requires a long-term commitment to enhanced partnerships between public vocational rehabilitation (VR) and other disability programs, and state apprenticeship offices, as well as apprenticeship programs. OBJECTIVE: This paper explores the VR system's role in partnership-building that includes mutual education and learning, and systematically addressing the full range of barriers that exist in order for people with disabilities to more readily access apprenticeship opportunities. This includes creating apprenticeship models that are flexible and can readily support and accommodate those with more significant disabilities. METHODS: To increase the number of individuals with disabilities in apprenticeship programs, VR agencies have expanded efforts regarding apprenticeship programs as a viable employment strategy. This includes advocating for and helping inform the changes needed to make apprenticeship programs fully inclusive, equitable, and accessible. RESULTS: While apprenticeships have tremendous potential for improving employment opportunities for people with disabilities, there are numerous challenges to accessing apprenticeships at individual, programmatic, and systemic levels. CONCLUSION: Building more inclusive apprenticeships for people with disabilities requires a long-term systematic approach that includes building strong partnerships between the disability and apprenticeship communities, mutual learning and education, testing out various models and approaches, and addressing the fundamental barriers that currently exist. [ABSTRACT FROM AUTHOR]

For many marginalized people, coping with discrimination is not a temporary condition. Rather it is endemic to living in a discriminatory society and a source of ongoing stress. In this paper, we explore the need to provide people struggling to cope with the skills to tackle not just the personal consequences of discrimination, but also to understand and address the root causes of their pain, and specifically the ones that lie outside of themselves.We propose using the concept of social capital to bring greater awareness among clients, clinicians, and society in general about the need to pair the treatment of personal distress with concurrent practices to understand and tackle larger systemic issues impacting their mental health. People with marginalized identities are often expected to find ways to cope with oppression and then sent back into a broken world, perhaps with stronger coping skills, but often ones which do not address the root cause or source of the pain, which is social injustice.We propose that it is therapeutically important to problematize, pathologize and address the systems and narratives that discriminate and cause people to need to cope, instead of focusing therapeutic interventions only on the internal resources of the person doing the coping. [ABSTRACT FROM AUTHOR]

An increase in the birth rates and a decrease in mortality is currently one of the priority lines of the development of society. From a purely technocratic standpoint, development of the population should be based on accurate knowledge of the number of consumers and the movement of needs, without which it is impossible to solve many social problems in general. The paper addresses a question of the need to orient the economy towards the development of a person and the population as a whole. The purpose and objectives of the study were to identify the dynamics of the population size, natural increase, the main trends in the growth of birth rate, the analysis of the causes of death, including infant mortality, the study of the marriage and divorce rates, migration. In the main part of the paper, the indicators of the population size in the republic over the past 17 years and in recent years are considered, including: the main trends in population growth, factors affecting the growth and decrease in mortality, causes of infant mortality, migration balance, marriage and divorce rates, both in the republic as a whole and region-wise. In conclusion, proposals were made to create favourable conditions for the demographic growth of population of the republic. Today, the solution of problems in the field of demographic policy is becoming increasingly important. It is necessary to accurately determine the priority paths of demographic growth, taking into account the specifics of the development of the population of Kazakhstan. In the future, this would facilitate the solution of demographic problems in terms of improving the demographic situation, which will contribute to the prosperity of the whole state. [ABSTRACT FROM AUTHOR]

Despite the growing role of corporate social responsibility (CSR) and the associated environmental, social and governance (ESG) factors, even corporations within the same industry take a vastly different approach in how they manage CSR. What makes corporations adopt more ESG‐aligned investments? What role do stakeholders play? This paper studies the role of government policy and consumer activism in CSR investments. The model shows the complementary nature between different stakeholders and between different government policy tools in inducing CSR investments. Economic uncertainty can amplify or dampen the effect of government policy and consumer activism. I derive testable implications of the model. [ABSTRACT FROM AUTHOR]

This paper offers the 6 A's model of social worker associations and COVID-19, which includes (i) 'Apprehend', (ii) 'act', (iii) 'advocate', (iv) 'alliance', (v) 'an emphasis on solidarity and resilience' and (vi) 'a future prospect'. The model is based on the findings of qualitative analysis of social worker associations' reports on COVID-19. It also offers insights that can be utilised in similar crises in the future. [ABSTRACT FROM AUTHOR]

The purpose of this article is to share an advocacy framework that was developed with the hope that it can provide PETE programs, K-12 district coordinators, and other interested physical education professionals an effective way of delivering the concepts and skills related to becoming more effective advocates. The advocacy framework closely resembles a decision-making tree for those who intend to engage in advocacy. The utility and appeal of a decision-making tree is, of course, its inherent logic and organization that helps those faced with the question, "Where do I begin?" followed by a sequence of pre-identified next steps. It further allows for targeted interventions with identifiable purposes and indicators of successful outcomes. This advocacy framework focuses on the teacher who must be able to engage in both social promotion (action intended to garner support at the grassroots level) and policy change (intended to influence policy change up the various levels of decision makers). That said, each of the component parts of the advocacy framework are described in detail in this paper. [ABSTRACT FROM AUTHOR]

This paper fills a gap in the literature of platform economy in relation to consumers' perceptions and actions regarding labour justice. It coins the term 'platformised consumer activism' and explores #cancel_efood to appraise how consumer activism is expressed through and against platforms. In September 2021, one of the most popular delivery service apps in Greece suddenly requested its workers who were on short-term expiring contracts to switch to freelance contracts. The instant uproar that followed included nation-wide mass mobilisations, as well as a trending topic on Greek Twitter #cancel_efood inviting consumers to uninstall the app and give it the lowest possible rating. Drawing on nascent literature regarding worker resistance in the platform economy, as well as digital consumer activism, we locate a gap in consumers' perceptions and solidarities. We question power and resistance in the platform economy and argue that the tendency to celebrate digital media and consumer activism persists, despite evidence of growing awareness of the limitations of both in the platform economy. We showcase how the success of #cancel_efood cannot suggest that consumers are the new warriors of labour justice in the platform economy, but that their practices, enabled by connectivity and solidarity, can increase the visibility of workers' struggles, and put pressure on specific platform players when they are about to violate workers' rights. [ABSTRACT FROM AUTHOR]

A case is made for the value of art therapy in addressing traumatic interpersonal and structural experiences of cis-heterosexist violence against lesbian, gay, bisexual, trans, queer, intersex, and asexual (LGBTQIA+) clients. The urgency of developing culturally responsive approaches to art therapy for trauma is highlighted by reviewing research on mental health among sexual and gender minorities (SGM). Interventions are investigated through intersectionality and minority stress theory to provide a preliminary overview of current research and practice-based results for art therapy. These subjective and objective interventions are divided, then related to recent literature on art therapy with LGBTQIA + populations. Subjective interventions include critical self-reflexivity of art therapists, challenging harmful assumptions, raising awareness, externalising and self-expression, facilitating positive identity development, supporting the coming-out process, strengthening interpersonal relationships, fostering family-of-origin and peer acceptance, and cultivating resilience and hope. Objective interventions include critically conscious studio audits, affirming media and materials, LGBTQIA + continuing education and training, community connections and resources, organisational advocacy, workplace advocacy, and political engagement. Overall, these considerations are limited due to the lack of comprehensive and formal research on art therapy for SGM trauma experiences. Implications such as the need for further research and adaptive frameworks are discussed. Clinical recommendations and examples are presented throughout to highlight the nascent and imaginative work that art therapists have done with LGBTQIA + clients. Art therapy for trauma experiences with LGBTQIA + persons must be culturally responsive to the unique needs of the community for effective and ethical services. Research has found the harmful experiences of systemic and interpersonal stigma, discrimination, and violence against sexual and gender minorities (SGM) have significant health consequences disproportionately impacting these communities. This paper uses intersectionality and minority stress theory to discuss SGM-related trauma and violence, and offers preliminary suggestions for an art therapy practice with LGBTQIA + clients. Though subjective interventions are key to managing SGM stress, objective interventions to change harmful conditions are necessary for sustainable and effective mental health care for LGBTQIA + people. This can be done across various intrapersonal, interpersonal, community, and structural levels of engagement. Attending to the unique aspects across these levels, art therapists can support clients in gaining greater awareness of marginalisation and how to use lived experience as a guide towards identifying and embracing their values, aspirations, and queerest parts of themselves. Together, LGBTQIA + and allied art therapists can come together in the shared pursuit of queer justice and transforming systems of marginalisation, beginning within the studio by practising affirming-care. [ABSTRACT FROM AUTHOR]

Young women in Australia experience serious risks from intimate partner violence (IPV) as a form of family violence. However, there has been a lack of attention to the impact of this on young women and, as a result, these risks are not well understood. This article critically examines existing literature, policy and research and in doing so, specifically explores the ways in which young women aged between 10 and 20 years old are represented and positioned in contemporary family violence discourses. Framed by a review of socio-political and cultural history, the paper highlights the early colonial, patriarchal foundations of Australia, which have specific implications for the challenges that contemporary young women experience in situations of IPV. With a particular emphasis on the Australian context, this article employs both an intersectional and critical feminist lens, with a key focus on the dimensions of adolescent development and youth social geographies. Focusing specifically on these dimensions, including development, gender and age, highlights the important role that feminist social work perspectives and practices can contribute to uncovering, understanding and responding to young women's experiences of intimate partner violence through policy and advocacy. [ABSTRACT FROM AUTHOR]

We are witnessing an era of increased intensity of consumer activism (and its discontents) within the arts, cultural and media industries. Ethical, radical, activist and even 'woke' consumer interests are now actively catered to across almost all goods and services, from food, fashion and fast-moving consumer goods to tourism, transport and finance. The aim of this paper is to analyse another field where these practices have recently focussed – the media and cultural industries. Drawing on interviews with 20 self-identified feminist and ethical consumers, this article examines how hyperconscious ethical consumption of cultural and media content is lived out and experienced as careful consumption. How are these careful audience activities described, rationalised and understood by the interview participants? What deliberative processes do they undertake and how does that guide them to certain conclusions about what media, art and culture they are willing to watch or not, where they draw the line, and why? This article shows how perceptions of consumer choice, responsibility and culpability are being channelled into an aspirational ethics, involving forms of self-improvement, self-care and self-control such as screening and filtering content, 'cancelling' and boycotting media, and attempts to correct, optimise and diversify our tastes and interests. [ABSTRACT FROM AUTHOR]

The purpose of this discussion paper is to explore how nurses can be strategically poised to advocate for needed policy change in support of greater income equality and other social determinants of health. We adapted Bronfenbrenner's social‐ecological model to highlight how four broad pervasive subsystems shape the opportunities that nurses have to engage in advocacy at the policy level. These subsystems include organizations (the microsystem), professional bodies (the mesosystem), public policies (the exosystem), and societal values (the macrosystem). On the basis of this adapted model, we recommend changes among modifiable elements of the microsystem and mesosystem that can help position nurses (ecologically and collectively) to advocate for public policy change and use examples from a Canadian context to illustrate these points. We believe that the ideas arising from this model can be widely used where policy action on the social determinants of health is needed to inform, guide, and frame change efforts and advocacy work. [ABSTRACT FROM AUTHOR]

Purpose: This discursive paper presents a lived experience leadership model as developed as part of the Activating Lived Experience Leadership (ALEL) project to increase the recognition and understanding of lived experience leadership in mental health and social sectors. The model of lived experience leadership was formulated through a collaboration between the South Australian Lived Experience Leadership & Advocacy Network and the Mental Health and Suicide Prevention Research and Education Group. Design/methodology/approach: As one of the outcomes of the ALEL research project, this model incorporates findings from a two-year research project in South Australia using participatory action research methodology and cocreation methodology. Focus groups with lived experience leaders, interviews with sector leaders and a national survey of lived experience leaders provided the basis of qualitative data, which was interpreted via an iterative and shared analysis. This work identified intersecting lived experience values, actions, qualities and skills as characteristics of effective lived experience leadership and was visioned and led by lived experience leaders. Findings: The resulting model frames lived experience leadership as a social movement for recognition, inclusion and justice and is composed of six leadership actions: centres lived experience; stands up and speaks out; champions justice; nurtures connected and collective spaces; mobilises strategically; and leads change. Leadership is also guided by the values of integrity, authenticity, mutuality and intersectionality, and the key positionings of staying peer and sharing power. Originality/value: This model is based on innovative primary research, which has been developed to encourage understanding across mental health and social sectors on the work of lived experience leaders in seeking change and the value that they offer for systems transformation. It also offers unique insights to guide reflective learning for the lived experience and consumer movement, workers, clinicians, policymakers and communities. [ABSTRACT FROM AUTHOR]

The Roe v. Wade case, which legally supported abortion in the U.S., was overturned in 2022, and the international conversation about reproductive justice gained momentum as a result. Reproductive justice is a concept that advocates reproductive freedom (the freedom to have/not have children and the freedom to raise children in a healthy environment) for all couples and individuals. This paper introduces the family care relationship in reproductive justice and presents a concept of reproductive justice. By incorporating family care relationships in the concept of reproduction, the complexity and uniqueness of the reproductive choice process are preserved. Family care relationships are well suited for focusing on family-centered societies and the processes leading to abortion care, and autonomous decision-making in reproductive choice can be strengthened. It is important to explore appropriate support methods from the dynamism of the caring network, advocate for positive freedom, and settle the decision-making power in a moderated position, even with some abandonment of individualism. [ABSTRACT FROM AUTHOR]

Background: Patient interest in the use of cannabis-based medicines (CBMs) has increased in Australia. While recent policy and legislative changes have enabled health practitioners to prescribe CBMs for their patients, many patients still struggle to access CBMs. This paper employed a thematic analysis to submissions made to a 2019 Australian government inquiry into current barriers of patient access to medical cannabis. Methods: We identified 121 submissions from patients or family members (n = 63), government bodies (n = 5), non-government organisations (i.e., professional health bodies, charities, consumer organisations or advocacy groups; n = 25), medical cannabis and pharmaceutical industry (n = 16), and individual health professionals, academics, or research centres (n = 12). Data were coded using NVivo 12 software and thematically analysed. The findings were presented narratively using a modified Levesque's patient-centred access to care framework which includes: i) appropriateness; ii) availability and geographic accessibility; iii) acceptability; and iv) affordability. Results: Submissions from government agencies and professional health bodies consistently supported maintaining the current regulatory frameworks and access pathways, whereas an overwhelming majority of patients, advocacy groups and the medical cannabis industry described the current regulatory and access models as 'not fit for purpose'. These differing views seem to arise from divergent persepctives on (i) what and how much evidence is needed for policy and practice, and (ii) how patients should be given access to medical cannabis products amidst empirical uncertainty. Notwithstanding these differences, there were commonalities among some stakeholders regarding the various supply, regulatory, legislative, financial, and dispensing challenges that hindered timely access to CBMs. Conclusions: Progress in addressing the fundamental barriers that determine if and how a patient accesses and uses CBMs needs i) a 'system-level' reform that gives due consideration to the geographic disparity in access to prescribers and medical cannabis, and ii) reframing societal and health professional's views of CBMs by decoupling recreational vs medical cannabis. [ABSTRACT FROM AUTHOR]

Although there is ample evidence that consumer attachment varies across luxury and non‐luxury brands, there is a lack of research in understanding the predictors, moderators and consequences of luxury brand attachment (LBA). This paper aims to develop and test a research model for LBA (study 1), examine the moderating influence of self‐consciousness on the relationship between actual/ideal self‐congruence and LBA (study 2) and validate the research model across privately and publicly consumed products (study 3). Data (n = 961) were analysed using Structural Equation Modelling with the IBM SPSS AMOS 25.0. The results show that consumers' perceived actual and ideal self‐congruence have a significant positive impact on LBA. In addition, LBA results in consumer advocacy. Private (public) self‐consciousness enhances the relationship between actual (ideal) self‐congruence and LBA. However, social anxiety did not influence the relationship between self‐congruence and LBA. Moreover, the relationship between actual self‐congruence and LBA was stronger for privately consumed products. This research would provide luxury managers with an understanding of how consumers develop a bond with luxury brands based on the perceived brand self‐congruence. The LBA model would also help managers segment luxury consumers and identify the segments with low, medium and high attachment. In addition, using the findings of this research, luxury managers can incorporate the relevant aspect of self‐congruence into brand positioning and advertising messages. [ABSTRACT FROM AUTHOR]

The social, financial, and emotional repercussions of the COVID-19 pandemic has left many organizations that support survivors of intimate partner violence questioning how to maintain core services while addressing compounding individual, organizational, and public health issues. Stay-at-home orders and other COVID-19 mitigation strategies have resulted in reduced shelter availability and increased intimate partner violence rates. Coupled with the economic impact of the pandemic, these factors have threatened financial and housing stability. To better understand these challenges and provide immediate support, The National Alliance for Safe Housing (NASH) co-hosted a peer support call to provide a virtual platform for practitioners to ask questions, discuss challenges, and share strategies for quality service provision during the COVID-19 pandemic. Over 800 practitioners from across the United States participated in the NASH call, most of whom were advocates, program directors, and managers. NASH gathered data on practitioners' needs from a brief survey from the registration form analyzed using conventional inductive content analysis. Practitioners' primary concerns were situated within eight questions, which we categorized into four meta-categories: (1) managing residential housing programs; (2) getting survivors materials resources; (3) keeping staff safe; and (4) maintaining organizational operations. The paper concludes with community-grounded and empirically supported practice recommendations aligned with practitioners' expressed needs. [ABSTRACT FROM AUTHOR]

Medical-legal partnerships connect legal advocates to healthcare providers and settings. Maintaining effectiveness of medical-legal partnerships and consistently identifying opportunities for innovation and adaptation takes intentionality and effort. In this paper, we discuss ways in which our use of data and quality improvement methods have facilitated advocacy at both patient (client) and population levels as we collectively pursue better, more equitable outcomes. [ABSTRACT FROM AUTHOR]

Failure of governments across the world to address climate change has fuelled social movements focused on climate-related policy and action. Research analysing these movements has focused mainly on the types of strategies employed including blockades and occupations, marches and petitions, divestment, boycotts and litigation as well as how groups are framing climate change as a problem. What has been largely missed are the ways these groups are framing the change they want to see, that is their demands to governments. Not all demands and actions have the same potential to create the changes needed to mitigate climate change. Used in public health and health promotion, the systems science Intervention Level Framework (ILF) is a tool that can help analyse to what extent different demands have the leverage to create change in a system. We use the ILF to analyse 131 demands from 35 different climate-related advocacy groups in Australia. Results show demands are more focused on lower system leverage points, such as stopping particular projects, rather than on more impactful leverage points, such as the governance structures that determine climate-related policy and decision-making mechanisms. Further, the results highlight the lack of attention on public health related topics of transport and food systems. This paper shows how a systems science framework used in health promotion, the ILF, could enable climate advocacy groups to more effectively target demands to achieve more impactful outcomes from governments, corporations and the public. [ABSTRACT FROM AUTHOR]

Recognizing law as a determinant of scarcity in health care is vital. This paper underscores the need for a comprehensive approach to manage scarcity beyond intellectual property, using targeted regulations to promote affordability and counter market distortions. I argue that relying on law solely to ensure democratic deliberations for resource allocation overlooks market failures and economic inequalities that contribute to scarcity. I examine different "legal determinants of scarcity" that can be used, on the basis of the right to health, to improve or positively influence the availability and affordability of health technologies through complementary policies such as direct price control, competitive procurement, competition laws, and public-private partnerships. I conclude by asserting that health care affordability must be a central positive human rights obligation in economic and health policies and that states must strive to diversify their approaches to eliminate persistent economic barriers. [ABSTRACT FROM AUTHOR]

This article provides results from interviews and a focus group conducted at two different points in time in the first year of the COVID-19 pandemic, which explored impacts of the pandemic and adaptation among water advocacy organizations in southern Ontario, Canada. Our findings show that despite the destabilizing and sometimes devastating impact of COVID-19 on grassroots organizations and their programs, by disrupting business as usual the pandemic also created the conditions for experimentation, innovation, the establishment of new capacities and strategic foci. In this paper, we share descriptive narratives from water activists in our geographic area about how they adapted and innovated their work despite the challenges of the pandemic. Our findings illustrate and add nuance to themes emerging in the literature about the impacts of the pandemic on environmental advocacy groups and other nonprofit organizations, and generate new themes for further exploration. [ABSTRACT FROM AUTHOR]

The European Union (EU) establishes common rules for managing agricultural markets, standards for marketing agricultural products and for trade with third countries and these rules are outlined in the so-called Single Common Market Organisation (CMO) Regulation. Republic of North Macedonia, as an aspirant country is committed to gradual alignment of the national regulations with EU CMO policies and commodity regimes. In this sense, the priority for the coming period shall be a full implementation adherence of the legal provisions to achieve minimum quality (and safety) standards by operators with agricultural products. A significant improvement in the quality and marketing of agricultural products is a paramount issue for particular sub-sectors, such as milk and dairy. Milk and dairy sector in the Republic of North Macedonia operates in a dynamic environment where it is influenced by-collective social trends, consumer spending behaviour, increasing environmental activism among consumers, regulatory framework, technological changes, increasing regulatory framework for environmental factors, government decisions, and ever evolving legal system. This paper presents PEST analysis of the internal and external factors that impact the situations in the Macedonian milk and dairy sub-sector, with regard to the introduction and implementation of the Common Market Organisation (CMO) measures. [ABSTRACT FROM AUTHOR]

The consumer is an important political subject in addressing global social issues, especially in the fashion industry. Due to the complex, multi-jurisdictional nature of the problems created through global capitalism, a significant overhaul of the fashion industry is not easy to achieve; nor is it easy for consumers to choose to withdraw from these markets. Further, framing individual consumer responsibility is difficult, especially when considering how questions of obligation intersect with geographical hierarchies as well as questions of privilege. In this paper, we critique how responsibility is framed in contemporary fashion activism in relation to questions of gender. Using the organisation Fashion Revolution as a site of normative consumer activism, we highlight how two hashtag campaigns, #WhoMadeMyClothes and #LovedClothesLast, instrumentalise gender to engage consumers to act against injustice. Through our analysis, we question how calls to take up responsibility for fashion injustice intersect with profound questions about what women owe other women. [ABSTRACT FROM AUTHOR]

Physical activity (PA) policies have the potential to ensure adequate opportunities for children to develop PA behaviors for a lifetime. Examples include mandating that schools provide recess and physical education for a specified amount of time per week; ensuring that physical education teachers are licensed; providing activity breaks in academic classrooms; and mandating the implementation of policies at federal, state, and local levels. Collectively, these policies help to promote and support Comprehensive School Physical Activity Programs (CSPAP). However, there is little guidance on how PA policies can be implemented at the school and district level, limiting their impact on promoting student behaviors. Therefore, the purpose of this paper is to provide an overview of research conducted on CSPAP policy development, adoption, and implementation and how best to support local implementation efforts in schools to increase PA and its impact on children's health. We provide pragmatic recommendations for how school and district leadership can use implementation science principles to assess current policy implementation and advocate for more comprehensive PA policies which support systems change. [ABSTRACT FROM AUTHOR]

The article focuses on the prevalence of questionable research practices (QRPs), the negative effects they have on the public's trust in research, and the cultural pressures that incentivize the practices. Topic include understanding the nature of QRPs and the pressures researchers face to prioritize research quantity and career advancement over quality; and the pressure to prioritize research impact, reach, and quantity over quality is often a significant contributor to QRPs.

Purpose: The emerging consumer-dominant logic of marketing captures consumers' active and primary role in a range of mainstream marketing processes such as branding, product development and sales. However, consumers' active role in driving pro-social behaviour change has not yet received close attention. The purpose of this paper is to introduce and explore consumer dominance in social marketing. The authors propose a definition of consumer-dominant social marketing (CDSM) and explicate five key elements which underpin the phenomenon. Design/methodology/approach: This conceptual study offers an analysis informed by exemplars with significant representations of consumer-dominant pro-social behaviours and projects. The methodological approach is characterised as "envisioning conceptualisation", which is explained in terms of MacInnis' (2011) framework for conceptual approaches in marketing. Findings: As a phenomenon, CDSM operationalises the following elements: power, agency, resources, value and responsibility. The authors demonstrate how these elements are interconnected and define their meaning, significance and implications in the context of social marketing and pro-social behaviour change. The authors also identify this new form of social marketing as existing on a continuum depending on the level of involvement or dominance of the consumer and of social marketers; at one end of this continuum, exclusive CDSM is entirely consumer-driven and does not engage with businesses or organisations, while on the other end, inclusive CDSM encompasses partnership with external stakeholders to achieve pro-social behaviour change. Research limitations/implications: The existence of inclusive and exclusive CDSM points towards an intricate power balance between consumers, mainstream social marketers and businesses. While this study identifies and explains this substantial distinction, it is an important task for future research to systematise the relationship and explore the optimal balance between consumer activism and involvement of formalised organisations such as charities and businesses in pro-social behaviour change projects. Practical implications: The study provides social marketing professionals with an understanding of the benefits of harnessing consumer empowerment to enhance the impact of social marketing interventions. Originality/value: The study makes a theoretical contribution by introducing, defining and explicating consumer dominance as a substantive area of social marketing. [ABSTRACT FROM AUTHOR]