Perspectives on the strategic uses of concept mapping to address public health challenges

We examine the adaptation of approaches used to plan and implement the steps of concept mapping to meet specialized needs and requirements in several public health projects. Seven published concept mapping projects are detailed to document how each of the phases were modified to meet the specific aims of each project. Concept mapping was found to be a useful tool to complement public health roles such as assessment, program development, and priority setting. The phases of concept mapping allow for a blending of diverse perspectives, which is critical to public health efforts. The adaptability of concept mapping permits the use of multiple modalities such as the addition of face-to-face brainstorming; use of qualitative methods, including structured interviews; and review and use of published literature and guidelines. Another positive aspect of concept mapping for public health practice is its ability to identify program elements, provide a visual map of generated ideas and their relationships to one another, and assist in identifying priorities. Our reflections on the adaptability should help inform another generation in designing concept mapping projects and related products that may benefit from unique adaptations and the rapidly expanding social media technology and platforms.     

Use of concurrent mixed methods combining concept mapping and focus groups to adapt a health equity tool in Canada

The aim of this project was to identify and prioritize a set of conditions to be considered for incorporating a health equity tool into public health practice. Concept mapping and focus groups were implemented as complementary methods to investigate the conditions of use of a health equity tool by public health organizations in Quebec. Using a hybrid integrated research design is a richer way to address the complexity of questions emerging from intervention and planning settings. This approach provides a deeper, operational, and contextualized understanding of research results involving different professional and organizational cultures, and thereby supports the decision-making process. Concept mapping served to identify and prioritize in a limited timeframe the conditions to be considered for incorporation into a health equity tool into public health practices. Focus groups then provided a more refined understanding of the barriers, issues, and facilitating factors surrounding the tools adoption, helped distinguish among participants’ perspectives based on functional roles and organizational contexts, and clarified some apparently contradictory results from the concept map. The combined use of these two techniques brought the strengths of each approach to bear, thereby overcoming some of the respective limitations of concept mapping and focus groups. This design is appropriate for investigating targets with multiple levels of complexity.     

The use of concept mapping in measurement development and evaluation: Application and future directions

The past decade has seen an increase of measurement development research in social and health sciences that featured the use of concept mapping as a core technique. The purpose, application, and utility of concept mapping have varied across this emerging literature. Despite the variety of uses and range of outputs, little has been done to critically review how researchers have approached the application of concept mapping in the measurement development and evaluation process. This article focuses on a review of the current state of practice regarding the use of concept mapping as methodological tool in this process. We systematically reviewed 23 scale or measure development and evaluation studies, and detail the application of concept mapping in the context of traditional measurement development and psychometric testing processes. Although several limitations surfaced, we found several strengths in the contemporary application of the method. We determined concept mapping provides (a) a solid method for establishing content validity, (b) facilitates researcher decision-making, (c) insight into target population perspectives that are integrated a priori, and (d) a foundation for analytical and interpretative choices. Based on these results, we outline how concept mapping can be situated in the measurement development and evaluation processes for new instrumentation.     

Reflections on the absence of formal reflection in public relations education and practice

This content analysis is a part of wider research into the value of reflective practice in public relations education and practice. Examination of this topic is important given that reflective practice is widely recognised as an essential element for claims of professionalism (Dewey, 1933; Schön, 1983, 1987), and professionalism remains an elusive goal for PR practitioners (L’Etang, 2009). This article examines the extent to which the terms and processes associated with reflective practice are formally included in the contents of a range of widely used and well regarded public relations textbooks. The aim is to provide insight into the significance (or lack of it) of reflective practice in contemporary public relations curricula. Given that textbooks are highly influential teaching media that both reflect and shape curricula, conclusions about the emphasis of reflective practice in public relations teaching can be drawn as a result of this analysis. The findings indicate that – based on the content of the textbooks analysed – reflective practice is not formally included in the public relations teaching curriculum. Further research is needed to determine whether this omission also reflects the situation in public relations practice. This research has relevance for public relations educators given that they play a significant role in influencing future generations of public relations professionals. It concludes with a call for a shift in public relations education that includes greater emphasis on reflective practice.     

Knowledge,boundaries, and bodies: Social construction between medical sociology and science and technology studies

Medical sociology and science and technology studies (STS) emerged from different positions, but often closely related concerns, within the broad discipline of sociology. Their interface and areas of overlap have mostly been shaped by theoretical positions broadly considered “social constructionist.” Taken together, these perspectives provide empirical and theoretical tools to analyze important questions about how social inequalities, forms of scientific knowledge, and patterns of human health come to be produced and feedback into one another. Examining their intersection enables sociological questions such as: How is medical and public health scientific knowledge produced, stabilized, and taken as fact? How are scientific facts about health and illness used, experienced, and challenged? What is the relationship between health inequalities and public health or medical knowledge? This article seeks to briefly trace the important contributions that social constructionist research has made at the interstices of medical sociology and STS, further clarifying the history, points of intersection, and areas of diversion between them. The current COVID-19 pandemic has unveiled the political struggles that constitute public health scientific knowledge and circulation. The interface between STS and medical sociology can help us to make sense of the interrelationships between politics, power inequalities, and public health scientific knowledge.     

Results from a psychometric assessment of a new tool for measuring evidence-based decision making in public health organizations

BackgroundIn order to better understand how to improve evidence-based decision making (EBDM) in state health departments, measurement tools are needed to evaluate changes in EBDM. The purpose of this study was to test the psychometric properties of a new measurement tool to assess EBDM in public health practice settings.MethodsA questionnaire was developed, pilot-tested and refined in an iterative process with the input of public health practitioners with the aim of identifying a set of specific measures representing different components of EBDM. Data were collected in a national survey of state health department chronic disease practitioners. The final dataset (n = 879) for psychometric testing was comprised of 19 EBDM items that were first examined using exploratory factor analysis, and then confirmatory factor analysis.ResultsThe final model from confirmatory factor analysis includes five latent factors representing components of EBDM: capacity for evaluation, expectations and incentives for EBDM, access to evidence and resources for EBDM, participatory decision making, and leadership support and commitment.ConclusionsThis study addresses the need for empirically tested and theory-aligned measures that may be used to assess the extent to which EBDM is currently implemented, and further, to gauge the success of strategies to improve EBDM, in public health settings. This EBDM measurement tool may help identify needed supports for enhanced capacity and implementation of effective strategies.     

Implementing evidence-based practices and programmes in the human services: lessons from research in public administration

The development of evidence-based practice and programmes (EBP) has led to increasing interest in implementation issues in the field of human services, and specifically how to bridge the gap between scientific knowledge and actual practice. However, because EBP are usually connected with social policies, which are political, implementation problems arise concerning resource allocation, ethics and power. Such implementation problems in the field of public administration have been extensively researched. The aim of this paper is to investigate whether and how research into policy implementation in public administration may benefit ongoing research on EBP in the human services to understand, explain and manage common implementation problems. This paper is based on a broad review and comparison of the literatures on policy implementation in public administration and implementation of EBP in the human services. Analysis shows that human services could learn from public administration research to develop a broader theoretical approach for understanding and managing implementation of evidence-based practice and programmes.     

Evaluation of the public health achievements made by projects supported by a federal contract mechanism at the Centers for Disease Control and Prevention (CDC), USA

In 2012, the Centers for Disease Control and Prevention (CDC) established the Achieving Public Health Impact through Research (APHIR) contract mechanism. APHIR provides CDC’s Centers, Institute, and Offices (CIOs) a mechanism that supports multiyear, high impact public health research. Awarded projects supported research on a wide range of topics (e.g., cancer surveillance, HIV education programs, development of biological assays, and evaluation of traumatic brain injury prevention programs) and achieved diverse outcomes (e.g., contribution to the body of knowledge in their field, changes in practice and health service delivery, and capacity building). This article describes how existing impact frameworks and a variety of methods and tools (key informant interviews, online survey, bibliometric analysis, Altmetric and document reviews) were used to identify the outcomes achieved by awarded projects. The approach discussed in this paper can be used to evaluate projects that involve a diversity of activities and outcomes.     

The knowledge construction network of engagement research: Examining scholars’ star collaborators,embeddedness, and influence

Engagement is not new to the public relations lexicon. Yet, despite its significance in practice and the increasing scholarly attention, engagement has become a convoluted ideograph. Engagement has been critiqued as unorganized, lacking in a unified definition, and absent of a unified method of measurement. Still, it is a fundamental concept to the field. We take a network perspective to examine the construction of knowledge of engagement in the public relations literature. Broadly, we ask how scholars' direct and indirect connections influence our understanding of engagement? Using two bibliometric analysis techniques, we reveal and assess the connections among scholars, theories, concepts, and engagement types to inform future researchers’ scholarly endeavors into engagement.     

Textual accounts,ruling action: the intersection of knowledge and power in the routine conduct of community nursing work

This paper reflects critically on nursing knowledge-based action, its increasingly scientific and text-based manifestations, and the relevance of these practices for power and powerlessness in nursing. Smith's concept of text-mediated relations of ruling (1990. 1999) provides the analytic frame to investigate how nursing case managers articulate public health services and home support for people with disabilities to specific policies, including fiscal policy. An institutional ethnography shows how a nurse's routine text-mediated assessment and exercise of professional judgement establishes a ruling relation with a client (against her intention), as he is “written up” in organizational texts. The analysis of assessment texts spells out how a local perspective is subdued to the ruling discourse. A general argument is made on the basis of this analysis: nurses participate in ruling through the textualization of their knowledge and in the process it dominates their knowing and acting. An ideological construction of nursing knowledge results. The paper suggests what this means for the profession, nurses themselves, and their clients.     

FROM SOCIAL PROBLEM TO PERSONAL ISSUE: THE LANGUAGE OF LIFESTYLE

In this paper the way in which the concept of lifestyle has been mobilized in the debate over healthcare in the last decade is analysed. Has the USA become a more compassionate nation as former President George Bush urged? Or have neo-conservative and right-wing groups continued to impede the democratization of well-being? And, in the absence of full democratization through public provision, how have private sector health and fitness industries capitalized upon the lifestyle concept in the marketing of their wares? These questions are addressed as they pertain to the United States in the time immediately prior to and during the Clinton period.     

The role of source and the factors audiences rely on in evaluating credibility of health information

In the wake of public relations crises of credibility such as FEMA's staged press conference in response to the California wildfires, source credibility merits increased scholarly and practitioner scrutiny in order to maximize the effectiveness of the information practitioners release, particularly when the objective is to promote action vital to public health and well-being. Through a random national telephone survey (n = 400), this research analyzes how the source itself moderates credibility as well as the criteria important to audience evaluations of credibility. Results indicate practitioners are perceived as credible sources of health information and that audiences take a rather mindful route in their evaluations of source credibility.     

Adoption of an Outdoor Residential Hall Smoking Policy in a California Public University: A Case Study

Abstract

Objective: Because secondhand smoke is a public health concern, many colleges have adopted bans to ensure healthier environments. This study demonstrates how outdoor smoking policy change can be accomplished at a large public university. Participants: The participants were 1,537 students housed in residential communities at the University of California, Berkeley, who completed an online survey. Methods: A proposal for smoke-free residential communities that included student resident survey data was prepared. Results: The survey data indicated that most students (77%) were bothered by secondhand smoke, and most (66%) favored smoke-free environments. The data were used to advocate for a change in the residential community smoking policy. Conclusion: The survey data and institutional comparisons played a key role in administrators’ decision-making about campus smoking policy. Despite administrators’ concerns about students’ safety and freedom of choice, student-led advocacy was able to influence policy change.     

Developing a public health policy-research nexus: An evaluation of Nurse Practitioner models in aged care

A frustration often expressed by researchers and policy-makers in public health is an apparent mismatch between respective priorities and expectations for research. Academics bemoan an oversimplification of their work, a reticence for independent critique and the constant pressure to pursue evaluation funding. Meanwhile, policy-makers look for research reports written in plain language with clear application, which are attuned to current policy settings and produced quickly. In a context where there are calls in western nations for evidence based policy with stronger links to academic research, such a mismatch can present significant challenges to policy program evaluation. The purpose of this paper is to present one attempt to overcome these challenges. Specifically, the paper describes the development of a conceptual framework for a large-scale, multifaceted evaluation of an Australian Government health initiative to expand Nurse Practitioner models of practice in aged care service delivery. In doing so, the paper provides a brief review of key points for the facilitation of a strong research-policy nexus in public health evaluations, as well as describes how this particular evaluation embodies these key points. As such, the paper presents an evaluation approach which may be adopted and adapted by others undertaking public health policy program evaluations.     

Passing a Mental Health Levy

ABSTRACT

The “devolution revolution” has decreased federal and state roles in the funding of social services and increased the burden on local sources, both public and private. This article describes how a community passed an initially unpopular property tax levy earmarked to support local drug, alcohol and mental health services. The article illustrates how social workers employing specific community practice knowledge provided leadership to the successful campaign. This example of community practice leadership includes building and maintaining coalitions, managing group tension and conflict and demonstrating fundamental social work values.     

In search of experiential knowledge

In recent years, the concept of “experiential knowledge” has increasingly been used to characterize the distinctive contribution patients make to decision-making in the health field. Even though it seems well-nigh impossible to characterize it precisely, there is no doubting its significance for decision-making contexts ranging from the individual to the political. Since individual experiences of any condition or treatment differ widely, whose experiences come to constitute “knowledge”? In this paper, I argue that, rhetoric notwithstanding, numerous constraints “filter” the experiences which come to function as “experiential knowledge”. Looking to the future of health care, likely to be marked by growing inequalities, I suggest that a reflection on the notion of experiential knowledge leads to two challenges for social scientists.     

Public relations and place branding: Friend,foe or just ignored? A systematic review

Communication about places is typically termed place branding and is generally situated within the marketing discipline. However, in practice, place branding shares many commonalities with public relations. It involves relationships with a wide range of stakeholders, reputation management, and communication campaigns that involve no direct sale of a product. While some have noted the parallels between place branding and public relations, the intersection of these two fields has not been reviewed empirically. This study examines the relationship between public relations and place branding by exploring how scholars in each field have conceptualised and represented the other in their research publications. A systematic review of 378 journal articles, published from 1988 to 2018 in 18 selected journals from both fields, was conducted. This research shows that while there is a significant conceptual crossover between the two fields and they work together in practice, the place branding literature largely treats public relations as a promotional tactic rather than a disciplinary body of knowledge. Conversely, outside of public diplomacy research, public relations has shown little interest in places and place communication, and there is limited research applying public relations theories and concepts to places. This paper adds to current knowledge on the interdisciplinarity of public relations theories and concepts and how public relations is perceived outside its own field and suggests new possibilities for interdisciplinary research on place communication.     

All the News that’s Fat to Print: The American “Obesity Epidemic” and the Media

In the last twenty years scientific, medical, and public health interest in obesity has skyrocketed. Increasingly the term “epidemic” is being used in the media, medical journals, and public health policy literature to describe the current prevalence of fatness in the U.S. Using social scientific literature on epidemics, social problems, and feminist theories of the body, this paper traces the historical emergence of the “obesity epidemic” through an analysis of 751 articles on obesity published in The New York Times between 1990 and 2001. Through the identification and analysis of three discursive pairings I argue that the “obesity epidemic” is a part of a new breed of what I call “post-modern epidemics,” epidemics in which unevenly medicalized phenomena lacking a clear pathological basis get cast in the language and moral panic of “traditional” epidemics. I show how this moral panic together with the location of the problem within the individual precludes a more macro level approach to health and health care delivery at a time when health care services are being dismantled or severely cut back.

From ‘public health’ to ‘safeguarding children’: British health visiting in policy,practice and research

This study examines the location of British health visiting in contemporary policy discourses concerned with public health and safeguarding children. It argues that professional identity and orientation can be understood through health visiting’s long history of public health work with children and families, which has included an engagement with protecting children. The expansive safeguarding children agenda, which includes the requirement to undertake a progressive universal approach to service provision and which incorporates a broad concept of risk and requires early intervention, has created tensions, particularly given current workforce constraints. The location and visibility of British health visiting in the academic and practice worlds also shape how the profession is understood.