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Generations of historians have seen the interplay between the early modern state and its armed forces, and between warfare and state formation, as key factors in the process of modernisation. The creation of the modern state was most powerfully expressed through the supposed symbiosis between absolute regimes and standing armies. The image of geometric order and discipline generated by formations of infantry drawn up in kilometre-long battle lines; the authorities’ direct involvement in provisioning, equipping, and uniforming its soldiers; central government’s reach into every aspect of warfare and military planning. All of these have been regarded as defining traits of the interconnection between the standing army and the state. Research on the inner structures of early modern military society has, until recently, been coloured by preconceptions about functioning hierarchies and chains of command, an increasingly effective military administration, rigid discipline, and corresponding efficiency in the waging of warfare. Such a top-down view remained unchallenged as long as researchers relied almost exclusively on sources derived from governmental and/or legal provenance, leaving an impression of overwhelming state authority reaching right down to the level of the common soldier.
Chapter 5 addresses the application of the law on disfigurement from the point of view of employers. It analyses the findings from interviews with HR and EDI professionals about their approaches to disfigurement equality at work. It explores employer approaches to visible difference in a variety of contexts – from recruitment to workplace culture to making reasonable adjustments. This chapter reveals considerable uncertainty among employers about how to address the social barriers of looking different. This uncertainty is addressed by guidance in Appendix 1. Moreover, drawing on literature about the legal consciousness of human resources departments, it also uncovers tensions in the daily reality of HR practice which may impact both their ability and motivation to create appearance-inclusive workplaces.
Lack of reliable, affordable transportation is a common barrier to clinical research participation, potentially contributing to health disparities. Insufficient and/or nonexistent institutional policies on research-related transportation make it challenging for research teams to effectively overcome transportation barriers and promote research participation among people from disadvantaged backgrounds. This study’s goal was to review research-related transportation policies across clinical research-involved institutions and propose recommendations for what such policies should address to help promote research engagement among diverse, representative populations.
Methods:
We surveyed 28 recruitment sites, members of the National Institutes of Health-funded Healthy Brain and Child Development Consortium, poised to recruit over 7000 families, and completed an online search for each site’s policies relevant to research-related transportation (i.e., transportation of participants or research staff travel to/from research activities). We identified, reviewed, and thematically described content of the relevant policies and developed summary recommendations for institutional guidance components.
Results:
We identified seven policies (from five sites) on research-related transportation; four provided guidance on research-related transportation services; two on reimbursement; and one on when research staff transports participants. The online search identified publicly available business travel policies for 22 sites. No policy addressed research staff travel specifically for “study business” or research personnel transporting children for research purposes.
Conclusions:
Few institutions involved in clinical research have policies guiding research-related transportation. Such policies, if adopted, could help support research-related transportation and, thus, participation of individuals from disadvantaged backgrounds, increasing generalizability of research results and contributing toward reducing social and health disparities.
This chapter explores how members of the online incel community interact with (presumably) new members on the subreddit r/Braincels. It seeks to explore why new members might stay on a website known for hostility and poor mental health. Through the use of corpus linguistic methods, I explore ways that members of the community might interact with newcomers. I argue that users do not index their identity as new on the forum through lexemes such as new or first, and that there appears to be few repeated and explicit ways that members signal posting on the forum for the first time. As such, I analyse how incels construct their community, by using corpus linguistic methods and Martin and White’s (2005) appraisal framework. I argue that the members of the incel community constructed their group as ‘toxic’, but also as a place where they were able to receive mental health support. Ultimately, I argue that more work needs to be done to explore not only why people might engage with these kinds of forums, but also how members of the incel community convince people to stay engaged.
Inadequate recruitment and retention impede clinical trial goals. Emerging decentralized clinical trials (DCTs) leveraging digital health technologies (DHTs) for remote recruitment and data collection aim to address barriers to participation in traditional trials. The ACTIV-6 trial is a DCT using DHTs, but participants’ experiences of such trials remain largely unknown. This study explored participants’ perspectives of the ACTIV-6 DCT that tested outpatient COVID-19 therapeutics.
Methods:
Participants in the ACTIV-6 study were recruited via email to share their day-to-day trial experiences during 1-hour virtual focus groups. Two human factors researchers guided group discussions through a semi-structured script that probed expectations and perceptions of study activities. Qualitative data analysis was conducted using a grounded theory approach with open coding to identify key themes.
Results:
Twenty-eight ACTIV-6 study participants aged 30+ years completed a virtual focus group including 1–4 participants each. Analysis yielded three major themes: perceptions of the DCT experience, study activity engagement, and trust. Participants perceived the use of remote DCT procedures supported by DHTs as an acceptable and efficient method of organizing and tracking study activities, communicating with study personnel, and managing study medications at home. Use of social media was effective in supporting geographically dispersed participant recruitment but also raised issues with trust and study legitimacy.
Conclusions:
While participants in this qualitative study viewed the DCT-with-DHT approach as reasonably efficient and engaging, they also identified challenges to address. Understanding facilitators and barriers to DCT participation and DHT interaction can help improve future research design.
Insufficient sample sizes threatened the fidelity of the primary research trials. Even if the research group recruits a sufficient sample size, the sample may lack diversity, reducing the generalizability of the results of the study. Evaluating the effectiveness of online advertising platforms (e.g., Facebook & Google Ads) versus traditional recruitment methods (e.g., flyers, clinical participation) is essential.
Methods:
Patients were recruited through email, electronic direct message, paper advertisements, and word-of-mouth advertisement (traditional) or through Google Ads and Facebook Ads (advertising) for a longitudinal study on monitoring COVID-19 using wearable devices. Participants were asked to wear a smart watch-like wearable device for ∼ 24 hours per day and complete daily surveys.
Results:
The initiation conversion rate (ICR, impressions to pre-screen ratio) was better for traditional recruitment (24.14) than for Google Ads, 28.47 ([0.80, 0.88]; p << 0.001). The consent conversion rate (CCR, impressions to consent ratio) was also higher for traditional recruitment (66.54) than for Google Ads, 2961.20 ([0.015, 0.030]; p << 0.001). Participants recruited through recommendations or by paper flier were more likely to participate initially (Χ2 = 23.65; p < 0.005). Clinical recruitment led to more self-reporting white participants, while other methods yielded great diversity (Χ2 = 231.47; p << 0.001).
Conclusions:
While Google Ads target users based on keywords, they do not necessarily improve participation. However, our findings are based on a single study with specific recruitment strategies and participant demographics. Further research is needed to assess the generalizability of these findings across different study designs and populations.
Decentralized research has many advantages; however, little is known about the representativeness of a source population in decentralized studies. We recruited participants aged 18-64 years from four states from June to December 2022 for a prospective cohort study to assess viral epidemiology. Our aim was to determine the association between age, gender, race/ethnicity, rurality, and socioeconomic status (SES) on study participation in a decentralized prospective cohort study.
Methods:
We consented 9,286 participants from 231,099 (4.0%) adults with the mean age of 45.6 years (±12.0). We used an electronic decentralized approach for recruitment. Consented participants were more likely to be non-Hispanic White, female, older, urban residents, have more health conditions, and possessed higher socioeconomic status (SES) compared to those non-consented.
Results:
We observed an interaction between SES and race-ethnicity on the odds of consent (P = 0.006). Specifically, SES did not affect non-Hispanic white participation rates(OR 1.24 95% CI 1.16 – 1.32] for the highest SES quartile compared to those with the lowest SES quartile) as much as it did participants combined across the other races (OR 1.73; 95% CI 1.45 – 2.98])
Conclusion:
The relationship between SES and consent rates might be disproportionately greater in historically disadvantaged groups, compared to non-Hispanic White. It suggests that instead of focusing on enrollment of specific minority groups in research, there is value in future research exploring and addressing the diversity of barriers to trials within minority groups. Our study highlights that decentralized studies need to address social determinants of health, especially in under-resourced populations.
How to hire voluntary helpers? We shed new light on this question by reporting a field experiment in which we invited 2859 students to help at the ‘ESA Europe 2012’ conference. Invitation emails varied non-monetary and monetary incentives to convince subjects to offer help. Students could apply to help at the conference and, if so, also specify the working time they wanted to provide. Just asking subjects to volunteer or offering them a certificate turned out to be significantly more motivating than mentioning that the regular conference fee would be waived for helpers. By means of an online-survey experiment, we find that intrinsic motivation to help is likely to have been crowded out by mentioning the waived fee. Increasing monetary incentives by varying hourly wages of 1, 5, and 10 Euros shows positive effects on the number of applications and on the working time offered. However, when comparing these results with treatments without any monetary compensation, the number of applications could not be increased by offering money and may even be reduced.
There were practical limits to these political imaginaries and projects. People needed to work, and the war was a source of employment for many displaced people. This chapter explores the parallel systems of governance in Khartoum that southern militia-running businessmen (including Kerubino Kuanyin Bol, Paulino Matip, Abdel Bagi Ayii Akol, and others) organised in Khartoum, including their own prisons, barracks, and offices. Many residents drew on their jobs, sympathetic policing, and ‘traditional’ courts, but these rebel authorities also propagated their own ideas of future structures of political community based on regional zones of ethno-political authority. This is an unrecorded history of militia governance, looking beyond these authorities’ immediate mercenary aims and exploring their leadership’s and members’ own critiques of governance and models of power. This sets a challenge to current studies of rebel governance systems, which rarely examine pro-government proxy militias. It also outlines how the more creative, inclusive, and imaginative intellectual work detailed in this book was undermined (and ultimately buried) by these wartime exigencies and practical (if mercenary) structures of militia work and ethnic self-defence.
The consent process for research studies can be burdensome for potential participants due to complex information and lengthy consent forms. This pragmatic study aimed to improve the consent experience and evaluate its impact on participant decision making, study knowledge, and satisfaction with the In Our DNA SC program, a population-based genomic screening initiative. We compared two consent procedures: standard consent (SC) involving a PDF document and enhanced consent (EC) incorporating a pictograph and true or false questions. Decision-making control, study knowledge, satisfaction, and time to consent were assessed. We analyzed data for 109 individuals who completed the SC and 96 who completed the EC. Results indicated strong decision-making control and high levels of knowledge and satisfaction in both groups. While no significant differences were found between the two groups, the EC experience took longer for participants to complete. Future modifications include incorporating video modules and launching a Spanish version of the consent experience. Overall, this study contributes to the growing literature on consent improvements and highlights the need to assess salient components and explore participant preferences for receiving consent information.
In order to situate the women who worked in royal and aristocratic households in their proper context, the first chapter explores household composition, demonstrating similarities of servant arrangements at all levels of elite society even though household size varied at different status gradations. Over time, households of every status level grew, offering further career opportunities, especially since elite households became more welcoming to women in the late fourteenth century, even though throughout the Middle Ages they remained almost exclusively male domains. This chapter argues that female servants gained their positions through kinship and patronage opportunities that favored their placement and promotion. In investigating the qualities that employers desired in their servants, I contend that they chose attendants who demonstrated useful skills, good character, and pleasing appearance. This chapter reveals that turnover occurred due to death, retirement, marriage (which did not necessitate retirement), dismissal, or transition to different households, and seems to have been a frequent aspect of life for a lady-in-waiting, yet I also assert that a minority of attendants served their ladies for long durations, at least a decade or more.
Offering two case studies – the economic transformations of Sohar and Duqm – this chapter grounds the book’s argument about Oman’s global labour market in material cases of spatial transformation and the integration into global value chains through which both commodities and labour circulate. The chapter argues that millennial citizen expectations take shape in these developments, from the interaction of ostensible outcomes of economic globalisation, neoliberalism, and government responsibilities of governing hydrocarbon windfalls. Citizen reactions emerge from their perceived right to, or exclusion from, these returns. The chapter further substantiates two points through these cases. First, both neoliberal reform and oil wealth explicitly or implicitly make promises to populations about an improved economic life, which, when unrealised, results in disenfranchisement and discontent. Second, capital needs labour and pursues supplies from the global labour market not only because it is cost effective but deliberately because it is both flexible and controllable. It seeks to avert potential labour disruption and secure seamless operations. Together, these findings show the ways Omani labour organises and the power of labour through the threat of its resistance.
The investigation of singular practices and actions is the bedrock of Conversation Analysis (CA), yet it is not the only approach that CA research can take. This chapter poses a series of analytic questions designed to guide the analyst’s attention towards a complementary mode of analysis, one which takes as its object of study not a singular practice but rather a system of practices, alternative solutions to a recurrent problem of social organization. While this approach has been employed to greatest effect in research on generic organizations of interaction, the analytic techniques are themselves generic and applicable across domains of action. Rather than select a practice or action and ask what forms it can take or what environments it can inhabit, conversation analysts can instead select a problem, an exigency of social interaction, and ask how participants solve it. Alternative practices and actions naturally cluster around the organizational problems to which they serve as possible solutions, and it is this endogenous organization that CA research aims to document. The chapter sketches out and illustrates a range of analytic techniques that conversation analysts have employed in past research and can employ again to discover and investigate organizations of practice.
Chapter 7 examines the belief by some that affirmative action amounts to reverse racism and reverse sexism. The distinction between affirmative action and equal opportunity is described, as is the common belief that affirmative action involves quotas (quotas are illegal). Practices that undermine meritocracy in both college admissions and in employment are explored. These practices include legacy admissions, donors, and, in the context of employment, biases in job selection. Chapter 7 makes the case for the need of affirmative action because subtle forms of bias infiltrate all aspects of employment. The chapter critically examines the argument that diversity benefits organizations. The chapter ends with a discussion of goal-oriented versus process-oriented affirmative action plans, and other strategies to reduce bias in admissions and employment.
This chapter analyzes the discursive functions of a single interactional practice – the use of the phrase “now what” – that is recurrently employed by an individual diagnosed with behavioral variant frontotemporal dementia (bvFTD; pseudonym Robert). Robert’s use of “now what” recruits assistance from interlocutors when a wider array of recruitment resources may not be readily available. I show how this practice calls on collaborators to articulate the next step of a task-based activity for which Robert requires guidance. I also examine how Robert employs “now what” over the course of a year. Over time, Robert begins to employ “now what” to navigate non-task-based activities, such as when being reprimanded, showing how he extends its use as he faces new interactional challenges. Some research examines "dementia interactions" through a lens of deficit; other research emphasizes skillfulness. I show how “now what” illuminates both the troubles Robert faces while simultaneously demonstrating his resourcefulness to navigate such troubles. I argue that such "compensatory" practices point to both deficit and skill, and suggest that a dichotomous framework – identifying a practice or behavior as either only a deficit or a skill – is unlikely to adequately capture the social engagement of those diagnosed with neurological disorders.
Recruiting and retaining research participants is challenging because it often requires overcoming structural barriers and addressing how histories of mistrust and individuals’ lived experiences affect their research engagement. We describe a pilot workshop designed to educate clinical research professionals on using empathy skills to recognize and mitigate bias to improve recruitment and retention. In a post-workshop survey (22/31 participants completed), 94% agreed the workshop helped them practice perspective-taking, recognize implicit bias, and identify opportunities for empathy. Participants reported increased confidence in key recruitment and retention skills (p < 0.05). Future studies will evaluate whether this translates into improved recruitment.
Long-term health and developmental impact after in utero opioid and other substance exposures is unclear. There is an urgent need for well-designed, prospective, long-term observational studies. The HEALthy Brain and Child Development Study aims to address this need. It will require optimizing recruitment and retention of caregivers and young children in long-term research. Therefore, a scoping review of original research articles, indexed in the PubMed database and published in English between January 1, 2010, and November 23, 2023, was conducted on recruitment and retention strategies of caregiver–child (≤6 years old) dyads in observational, cohort studies. Among 2,902 titles/abstracts reviewed, 37 articles were found eligible. Of those, 29 (78%) addressed recruitment, and 18 (49%) addressed retention. Thirty-four (92%) articles focused on strategies for facilitating recruitment and/or retention, while 18 (49%) described potentially harmful approaches. Recruitment and retention facilitators included face-to-face and regular contact, establishing a relationship with study personnel, use of technology and social platforms, minimizing inconveniences, and promoting incentives. This review demonstrates that numerous factors can affect engagement of caregivers and their children in long-term cohort studies. Better understanding of these factors can inform researchers about optimal approaches to recruitment and retention of caregiver–child dyads in longitudinal research.
Gecarcinid crabs have their life cycles in antagonistic scenarios, with their larvae developing in the sea and the juvenile/adult phases occurring on land. Adults migrate from land to sea to release their larvae, which return to land upon reaching the megalopa stage. Recruitment and early instar traits in gecarcinids crabs remain unknown, leading to some species lacking age-specific information. Despite massive recruitment observed in some insular gecarcinid species (e.g. Gecarcoidea natalis), recruits are generally expected to be few and exhibit cryptic behaviour, potentially occupying the burrows of conspecifics. We evaluated whether recruits of Johngarthia lagostoma on Trindade Island, Brazil, co-inhabit larger conspecific burrows, analysing this occurrence and examining their growth patterns, density, and body size across different lunar phases. Johngarthia lagostoma recruits inhabit conspecific burrows, either abandoned or occupied by adult crabs, but always with leaves stored in the inner chamber. Recruits in co-inhabiting behaviour reach a maximum carapace width of 7.3 mm, and after that, they are likely detected by the adults and possibly cannibalized or leave burrows naturally. During the full moon, the higher density and smaller size of recruits were recorded, indicating a recruitment lunar phase. It is crucial to ascertain the prevalence of co-inhabitation behaviours in other land crab species to expand the knowledge about recruitment patterns in these key community species.
The emergence of the COVID-19 pandemic required an immediate global clinical research response. The ACTIV (Accelerating COVID-19 Therapeutic Interventions and Vaccines)-3 trials and the ACTIV-associated Outpatient Treatment with Anti-Coronavirus Immunoglobulin trial used Good Participatory Practices (GPP) to develop materials for study implementation from a global network perspective. GPP guidelines offer a framework for engaging stakeholders throughout the research process. This paper provides an overview of the materials developed and their applicability in various settings, reports results from a survey of study site personnel on the materials’ usefulness, summarizes important lessons learned, and serves as a reference for networks eager to apply GPP. Survey results showed that flipbooks and overview videos were highly ranked. Stakeholder input was valuable in developing easily understandable participant-facing materials with culturally appropriate images. Materials should be available to submit with the initial protocol submissions to ethics committees, and in formats that accommodate a wide range of institutional resources, policies, and infection-control practices. This article emphasizes the importance of GPP, including stakeholder consultation, in developing materials that support clinical research and address language, cultural, and sociopolitical barriers during a pandemic. The findings will be used to optimize efforts and resource allocation for new and ongoing studies.