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BackgroundDespite extensive literature describing the use of social media in health research, a gap exists around best practices in establishing, implementing, and evaluating an effective social media knowledge translation (KT) and exchange strategies. ObjectiveThis study aims to examine successes, challenges, and lessons learned from using social media within health research and to create practical considerations to guide other researchers. MethodsThe Knowledge Translation Platform of the Alberta Strategy for Patient-Oriented Research SUPPORT Unit formed a national working group involving platform staff, academics, and a parent representative with experience using social media for health research. We collected and analyzed 4 case studies that used a variety of social media platforms and evaluation methods. The case studies covered a spectrum of initiatives from participant recruitment and data collection to dissemination, engagement, and evaluation. Methods and findings from each case study as well as barriers and facilitators encountered were summarized. Through iterative discussions, we converged on recommendations and considerations for health researchers planning to use social media for KT. ResultsWe provide recommendations for elements to consider when developing a social media KT strategy: (1) set a clear goal and identify a theory, framework, or model that aligns with the project goals and objectives; (2) understand the intended audience (use social network mapping to learn what platforms and social influences are available); (3) choose a platform or platforms that meet the needs of the intended audience and align well with the research team’s capabilities (can you tap into an existing network, and what mode of communication does it support?); (4) tailor messages to meet user needs and platform requirements (eg, plain language and word restrictions); (5) consider timing, frequency, and duration of messaging as well as the nature of interactions (ie, social filtering and negotiated awareness); (6) ensure adequate resources and personnel are available (eg, content creators, project coordinators, communications experts, and audience stakeholder or patient advocate); (7) develop an evaluation plan a priori driven by goals and types of data available (ie, quantitative and qualitative); and (8) consider ethical approvals needed (driven by evaluation and type of data collection). ConclusionsIn the absence of a comprehensive framework to guide health researchers using social media for KT, we provide several key considerations. Future research will help validate the proposed components and create a body of evidence around best practices for using and evaluating social media as part of a KT strategy

Youth are vulnerable to mental health challenges. Social media presents an opportunity to evaluate disinhibited mental health discourse and self-disclosure. The objective of this study was to explore reported experiences and information needs related to youth seeking support for mental health on the social media platform, Reddit.com. We searched two subreddits: r/mental health and r/teenagers on Reddit.com for posts made by youth (13-24 years) relating to mental health help-seeking behaviors and information needs. Posts were screened and relevant data were extracted, coded, and analyzed using thematic analysis. Thematic analysis of relevant posts yielded four themes: (1) navigating mental health issues, (2) disclosing to others, (3) barriers to seeking care, and (4) experiences seeking care. Youth may have a diverse range of mental health help-seeking-related information needs and may face several barriers throughout the process of seeking care.

The prevalence of trauma within secure forensic populations is widely acknowledged, yet the implementation of trauma-informed care (TIC) in secure forensic settings (SFS) remains in its infancy. This qualitative study delves into the perceptions and experiences of healthcare professionals (HCPs) adopting a TIC framework in SFS, examining associated barriers and facilitators. 15 participants engaged in semi-structured interviews, and results underwent thematic analysis, yielding five overarching themes and 15 sub-themes. Themes identified include: 1) understanding the TIC experience in SFS, 2) organizational and personal barriers in TIC implementation, 3) facilitators and reflections on TIC benefits, 4) barriers to specific TIC practices, and 5) practical recommendations. Participants emphasized the prevalent nature of trauma in SFS and underscored the perceived advantages of creating spaces for reflection and emotional well-being. Interviewees explored the impact of organizational culture, the demands of frontline roles and training accessibility. Practice implications highlight the need to involve key stakeholders (staff and SUs) in decision making and in assessing the feasibility of implementing TIC. SFS should prioritize TIC by addressing training needs, allocating time for TIC in supervision, providing specialist support for trauma-informed clinical work, and ensuring dedicated spaces for reflection. While the study highlights the power of incorporating HCP perspectives, limitations arise from findings drawn from a single forensic service, emphasizing the importance of further replication. This research contributes valuable insights into advancing trauma-informed care practices within secure forensic settings. [ABSTRACT FROM AUTHOR]

Most research on long-term human ecodynamics examines changes in the size and structure of human populations, often in relation to climate change. Here we offer an alternative perspective that draws on recent progress in conservation science, examining the causes and consequences of ecosystem collapse. We identify human actions that can cause abrupt transformation of ecosystems, in relation to key mechanisms and underlying theory. Such ecosystem collapse can in turn affect human societies by altering flows of ecosystem benefits to people. In this way, human ecodynamics can be understood by separately analysing the dynamics of social and ecological sub-systems, which are reciprocally linked. Ecosystem collapse represents a perturbation of these sub-systems, and provides insights into the mechanisms underlying their respective dynamics. We illustrate this approach through four case studies, which examine the spread of agriculture during the Holocene. Four key knowledge gaps emerge through consideration of these case studies: the linkages between social and ecological sub-systems, and how these change over time; the presence of feedbacks between these sub-systems; the relationships between local- and regional-scale collapse; and the relationships with ecological recovery. Increased research on ecosystem collapse could help clarify the relative influence of environmental degradation on societal dynamics, while providing insights into resilience and sustainability. Given the outstanding societal importance of ecosystem collapse, such research could also strengthen the relevance of historical sciences to the contemporary world. [ABSTRACT FROM AUTHOR]

Wildfire substantially alters aquatic ecosystems by inducing moderate to catastrophic physical and chemical changes. However, the relations of environmental and watershed variables that drive those effects are complex. We present a Driver‐Factor‐Stressor‐Effect (DFSE) conceptual framework to assess the current state of the science related to post‐wildfire water‐quality. We reviewed 64 peer‐reviewed papers using the DFSE framework to identify drivers, factors, stressors, and effects associated with each study. A total of five drivers were identified and ranked according to their frequency of occurrence in the literature: atmospheric processes > fire characteristics > ecologic processes and characteristics > land surface characteristics > soil characteristics. Commonly reported stressors include increased nutrients, runoff, and sediment transport. Furthermore, although several different factors have been used at least once to explain water‐quality effects, relatively few factors outside of precipitation and fire characteristics are frequently studied. We identified several gaps indicating the need for long‐term monitoring, multi‐factor studies, consideration of organic contaminants, consideration of groundwater, and inclusion of soil characteristics. This assessment expands on other reviews and meta‐analyses by exploring causal linkages between influential variables and overall effects in post‐wildfire watersheds. Information gathered from our assessment and the framework itself can be used to inform future monitoring plans and as a guide for modeling efforts focused on better understanding specific processes or to mitigate potential risks of post‐wildfire water quality. Plain Language Summary: Wildfires impact the hydrology and water quality of surface waters that drain burned areas. However, the environmental and watershed factors that drive post‐wildfire water quality are not well understood. We conducted a scoping review of peer‐reviewed publications to assess the current state of the science and identify knowledge gaps. Using the data gathered from the review, we developed a conceptual framework to identify factors that most frequently explain post‐wildfire impacts, the resulting stressors (i.e., changes in the system), and the effects associated with the observed stressors. Precipitation and burn severity are most frequently related to post‐wildfire impacts. Factors such as soil characteristics are studied relatively infrequently. Effects include impaired water quality, increased drinking water treatment, and increased streamflow. Our analysis identified several gaps that can be filled by long‐term monitoring, conducting studies in geographic regions affected by wildfire but where little data exists, expanding current observations to better understand shifts in baseflow contributions, and expanding chemical analyses to include organic contaminants. Key Points: Precipitation and burn severity are studied more often than soil and land characteristics to explain post‐wildfire water qualityIncreased streamflow and impaired water quality are the most documented effects of wildfire, though other effects can be importantKnowledge gaps include long‐term monitoring, multi‐factor studies, and consideration of groundwater and organic contaminants [ABSTRACT FROM AUTHOR]