Why the Synthetic Cell Needs Democratic Governance

Engineering synthetic cells from the bottom up is expected to revolutionize biotechnology. How can synthetic cells support societal transitions necessary to tackle our current global challenges in a socially equitable and sustainable manner? To answer this question, we need to assess socioeconomic considerations and engage in early constructive public dialogue.

What we know about effective public engagement on CRISPR and beyond

Advances in gene editing technologies for human, plant, and animal applications have led to calls from bench and social scientists, as well as a wide variety of societal stakeholders, for broad public engagement in the decision-making about these new technologies. Unfortunately, there is limited understanding among the groups calling for public engagement on CRISPR and other emerging technologies about 1) the goals of this engagement, 2) the modes of engagement and what we know from systematic social scientific evaluations about their effectiveness, and 3) how to connect the products of these engagement exercises to societal decision or policy making. Addressing all three areas, we systematize common goals, principles, and modalities of public engagement. We evaluate empirically the likely successes of various modalities. Finally, we outline three pathways forward that deserve close attention from the scientific community as we navigate the world of Life 2.0.

Conducting public involvement in dementia research: The contribution of the European Working Group of People with Dementia to the ROADMAP project

Background

Dementia outcomes include memory loss, language impairment, reduced quality of life and personality changes. Research suggests that outcomes selected for dementia clinical trials might not be the most important to people affected.

Objective

One of the goals of the ‘Real world Outcomes across the Alzheimer's Disease spectrum for better care: Multi‐modal data Access Platform’ (ROADMAP) project was to identify important outcomes from the perspective of people with dementia and their caregivers. We review how ROADMAP's Public Involvement shaped the programme, impacted the research process and gave voice to people affected by dementia.

Design

The European Working Group of People with Dementia (EWGPWD) were invited to participate. In‐person consultations were held with people with dementia and caregivers, with advance information provided on ROADMAP activities. Constructive criticism of survey content, layout and accessibility was sought, as were views and perspectives on terminology and key concepts around disease progression.

Results

The working group provided significant improvements to survey accessibility and acceptability. They promoted better understanding of concepts around disease progression and how researchers might approach measuring and interpreting findings. They effectively expressed difficult concepts through real‐world examples.

Conclusions

The role of the EWGPWD in ROADMAP was crucial, and its impact was highly influential. Involvement from the design stage helped shape the ethos of the programme and ultimately its meaningfulness.

Public contribution

People with dementia and their carers were involved through structured consultations and invited to provide feedback on project materials, methods and insight into terminology and relevant concepts.

Four Decades of Public Participation in Risk Decision Making

Over the past four decades, the promise of public participation to improve decisions, obtain legitimacy, and build capacity for risk decision making and management has had a mixed record. In this article, we offer a narrative of how public participation has evolved in the United States and we examine prospects for its future. We trace three forces that have had significant impact on practice: an emergent emphasis on democratic deliberation, a transition from dichotomous thinking about science versus politics to an integrated perspective, and the recognition that different parties to the decision-making process bring valid epistemological contributions. The promise of public participation in risk decision making is challenged by loss of trust in institutions and individuals and by broad socio-political dynamics that are weakening democratic values and processes. These include the scarcity of attitudes and aptitudes supportive of public participation among both individuals and institutions; an anti-democratic political atmosphere that promotes disrespect; pursuit of private interests over the common good; failure to appreciate the limitations of dialogue and learning; underutilization of existing knowledge; and insufficient knowledge of how context matters. We end by offering several suggestions for focusing further research and improving practice.

Border Environmental Justice PPGIS: Community-Based Mapping and Public Participation in Eastern Tijuana, México

Community mapping projects have been studied as important contributions to the field of environmental justice and Public Participation Geographic Information Systems (PPGIS). As a collaborative project between the Colectivo Salud y Justicia Ambiental and Red de Ciudadanos por el Mejoramiento de las Comunidades (RECIMEC), the “Mapeo Comunitario de la Zona Alamar” was created as a mechanism for community participation in the urban planning process in Tijuana, México. This paper outlines the project’s community mapping process, including planning, data collection, priority identification, and data submission. Results from this community mapping project are analyzed including the (1) particular environmental risks and goods in this border region, (2) the influence that the project data had on the urban planning process, and (3) the impact that the community mapping process had on community organizing capacity. Our findings point to particular environmental challenges in this border city including clandestine trash dumps, and contaminated water runoff points. The mapping project influenced the land use planning process by identifying the key environmental risks and goods to prioritize in the zoning and ground truthing urban planning data. The community mapping project also had a key impact on community organizing through the fomenting of knowledge and relationships between community members and government representatives at the city’s urban planning agency.

Exploring factors associated with participation in citizen science among UK museum visitors aged 40-60: A qualitative study using the theoretical domains framework and the capability opportunity motivation-behaviour model

Citizen science has grown as a form of public engagement in science. Middle-aged citizens who are already consuming scientific information should be a potential outreach group. Behaviour change research in citizen science participation among the demographic is lacking. A total of 47 museum visitors aged 40-60 years took part in qualitative questionnaires and semi-structured interviews. Thematic analysis with the aid of theoretical domains framework and capability opportunity motivation-behaviour model revealed eight themes: (1) limited awareness of citizen science; (2) curiosity, competence and other significant characteristics and skills; (3) important beliefs about one's capability; (4) importance of clear project purpose and impacts; (5) interest, enjoyment and incentives; (6) lasting impacts of family upbringing; (7) project details that make participation easy, better project promotion; and (8) the living environment, availability of free time and money. Addressing a maximum number of these factors with behaviour change techniques can improve the likelihood of citizen science participation.

Changing health care with, for, or against the public: an empirical investigation into the place of the public in health service reconfiguration

OBJECTIVES

This study sought to understand the different approaches taken to involving the public in service reconfiguration in the four United Kingdom health systems.

METHODS

This was a multi-method study involving policy document analysis and qualitative semi-structured interviews in England, Northern Ireland, Scotland and Wales.

RESULTS

Despite the diversity of local situations, interview participants tended to use three frames within which they understood the politics of service reconfigurations: an adversarial approach which assumed conflict over scarce resources (change against the public); a communications approach which defined the problem as educating the public on the desirability of change (change for the public); and a collaborative approach which attempted to integrate the public early into discussions about the shape and nature of desirable services (change with the public). These three framings involved different levels of managerial time, energy, and resources and called on different skill sets, most notably marketing and communications for the communications approach and community engagement for the collaborative approach.

CONCLUSIONS

We argue that these framings of public involvement co-exist within organisations. Health system leaders, in framing service reconfiguration as adversarial, communicative or collaborative, are deciding between conceptions of the relationship between health care organisations and their publics in ways that shape the nature of the debates that follow. Understanding the reasons why organisations adopt these frames would be a fruitful way to advance both theory and practice.

Enabling 'citizen voice' in the English health and social care system: A national survey of the organizational structures, relationships and impacts of local Healthwatch in England

Background

Local Healthwatch have been operating since 2013 as ‘consumer champions’ in health and social care in England. There is little evidence about how they operate and the daily practices through which they seek to represent citizen views and influence others.

Objective

To explore (a) the current organizational arrangements, relationships and impact of local Healthwatch in England, and (b) to what extent do these vary across local Healthwatch organizations.

Design

An online survey of all 150 local Healthwatch in England between December 2018 and January 2019. The survey comprised 47 questions and used a combination of closed‐ and open‐response questions.

Results

We received responses from 96 local Healthwatch (68% response rate). Most local Healthwatch reported that they are ‘independent’ organizations that only do Healthwatch‐related work (58.3%) and are funded through a contract (79.2%). Budget cuts have affected four‐fifths of local Healthwatch (79.3%) since 2013. Three‐quarters (74%) of local Healthwatch currently receive funding external to that provided by their local authority for their Healthwatch functions. Most Healthwatch engage with only one CCG (56.3%), one mental health trust (82.3%) and one community health trust (62.5%), though 59.4% engage with more than one hospital trust. Healthwatch respondents overwhelmingly reported impacts that were local in nature.

Conclusions

Geographical and historical factors, the quality and quantity of their relationships with stakeholders, and different funding arrangements all contribute to high variability in the structure and activities of local Healthwatch and to shaping the nature of their work and impact across England.

Examining diversity in public willingness to participate in offshore human biobanking: An Australian mixed methods study

To ensure their sustainability and scientific utility, human biobanks are networking internationally. Sharing biospecimens and associated data across jurisdictions raise a number of practical, ethical, legal and social challenges that could reduce the publics' willingness to donate their much needed tissue for research purposes. This research aims to identify the impact of biobank location on willingness to donate through a national quantitative survey (n = 750) and 16 in-depth interviews. A latent class analysis in combination with qualitative results suggests that a large proportion of Australians are willing to donate and/or allow their tissue to be stored offshore to help others, but others are reluctant due to uncertainty around foreign ethical and regulatory standards and the loss of potential local benefits. The results highlight for the first time the diversity of public views, and provide important guidance for policy makers and science communicators eager to tailor strategies for specific publics.

'Nothing to do with the science': How an elite sociotechnical imaginary cements policy resistance to public perspectives on science and technology through the machinery of government

That policymakers adopt technoscientific viewpoints and lack reflexivity is a common criticism of scientific decision-making, particularly in response to moves to democratize science. Drawing on interviews with UK-based national policymakers, I argue that an elite sociotechnical imaginary of 'science to the rescue' shapes how public perspectives are heard and distinguishes what is considered to be legitimate expertise. The machinery of policy-making has become shaped around this imaginary - particularly its focus on science as a problem-solver and on social and ethical issues as 'nothing to do with the science' - and this gives this viewpoint its power, persistence and endurance. With this imaginary at the heart of policy-making machinery, regardless of the perspectives of the policymakers, alternative views of science are either forced to take the form of the elite imaginary in order to be processed, or they simply cannot be accounted for within the policy-making processes. In this way, the elite sociotechnical imaginary (and technoscientific viewpoint) is enacted, but also elicited and perpetuated, without the need for policymakers to engage with or even be aware of the imaginary underpinning their actions.

Public participation, engagement, and climate change adaptation: A review of the research literature

There is a clear need for a state-of-the-art review of how public participation in climate change adaptation is being considered in research across academic communities: The Rio Declaration developed in 1992 at the UN Conference on Environment and Development (UNCED) included explicit goals of citizen participation and engagement in climate actions (Principle 10). Nation states were given special responsibility to facilitate these by ensuring access to information and opportunities to participate in decision-making processes. Since then the need for public participation has featured prominently in calls to climate action. Using text analysis to produce a corpus of abstracts drawn from Web of Science, a review of literature incorporating public participation and citizen engagement in climate change adaptation since 1992 reveals lexical, temporal, and spatial distribution dynamics of research on the topic. An exponential rise in research effort since the year 2000 is demonstrated, with the focus of research action on three substantial themes-risk, flood risk, and risk assessment, perception, and communication. These are critically reviewed and three substantive issues are considered: the paradox of participation, the challenge of governance transformation, and the need to incorporate psycho-social and behavioral adaptation to climate change in policy processes. Gaps in current research include a lack of common understanding of public participation for climate adaptation across disciplines; incomplete articulation of processes involving public participation and citizen engagement; and a paucity of empirical research examining how understanding and usage of influential concepts of risk, vulnerability and adaptive capacity varies among different disciplines and stakeholders. Finally, a provisional research agenda for attending to these gaps is described. This article is categorized under:Vulnerability and Adaptation to Climate Change > Institutions for AdaptationPolicy and Governance > Governing Climate Change in Communities, Cities, and Regions.

Can hype be a force for good?: Inviting unexpected engagement with science and technology futures

Hype, or simplified and sensationalised science, appears to be inescapable in science communication with examples extending from viral social media accounts and 'breakthrough'-themed press releases, to the mediated claims of the celebrity scientist. In science communication, the negative effects of hype are familiar. The question is whether hype is always a distortion and a lie, or can it be redeemed? This essay reviews the contribution of hype to science, specifically in terms of encouraging reflexivity for science and technology. I present three perspectives on hype and invite further conversation on the role of hype in science communication.

Community health alliances as social enterprises that digitally engage citizens and integrate services: A case study in Southwestern Sydney (protocol)

South Western Sydney (SWS) is one of the fastest growing regions in the state of New South Wales (Australia). Much of the population live in local government areas (LGAs) with levels of disadvantage higher than the state average, with a predominance of non-communicable and chronic diseases that are typically associated with age-related and behavioural factors. This necessitates the management of social determinants of health through the integrated provision of primary and social care. The SWS Local Health District and Primary Health Network is exploring the potential of community health alliances (CHAs) as an innovative approach to support the provision of integrated health services. CHAs are a population health approach for addressing health challenges faced by people who share a common area of residence, sociocultural characteristic or health need, and are characterised by a shared mission, shared resource needs and acquiring/developing necessary organisational knowledge and skills. We explore how CHAs operate as social enterprises that utilise digital health and citizen engagement to deliver integrated people-centred health services (IPCHS) by conducting two case studies of CHAs operating in SWS: in Wollondilly and Fairfield LGAs. Using this approach, we aim to unpack the conceptual convergence that enables social enterprises to utilise digital health interventions and citizen engagement strategies to co-produce IPCHS with a view to developing theory and a framework for engaging digital citizens in integrated primary health care via social enterprise.

Legitimating complementary therapies in the NHS: Campaigning, care and epistemic labour

Questions of legitimacy loom large in debates about the funding and regulation of complementary and alternative medicine (CAM) in contemporary health systems. CAM’s growth in popularity is often portrayed as a potential clash between clinical, state and scientific legitimacies and legitimacy derived from the broader public. CAM’s ‘publics’, however, are often backgrounded in studies of the legitimacy of CAM and present only as a barometer of the legitimating efforts of others. This article foregrounds the epistemic work of one public’s effort to legitimate CAM within the UK’s National Health Service: the campaign to ‘save’ Glasgow’s Centre for Integrative Care (CIC). Campaigners skilfully intertwined ‘experiential’ knowledge of the value of CIC care with ‘credentialed’ knowledge regarding best clinical and managerial practice. They did so in ways that were pragmatic as well as purist, reformist as well as oppositional. We argue for legitimation as negotiated practice over legitimacy as a stable state, and as labour borne by various publics as they insert themselves into matrices of knowledge production and decision-making within wider health care governance.

Community Citizen Science for Risk Management of a Spontaneously Combusting Coal-Mine Waste Heap in Ban Chaung, Dawei District, Myanmar

Since 2015, a large heap of improperly disposed coal-mine waste in Ban Chaung, Dawei district, Myanmar, has repeatedly spontaneously combusted, affecting an indigenous community. Recently, the regional Myanmar government has compelled the mine to properly manage the mine waste heap, but there is no opportunity for affected villagers to participate. This study empowers the affected villagers to make risk management decisions via a community citizen science approach. First, field investigations were performed with the affected community to identify hot spots at the waste heap releasing gaseous pollutants that may exceed acceptable levels. Next, existing monitoring data previously collected by the community were interpreted as clear evidence of past poor waste management. Information about suppression of existing fire and mine waste storage options was presented to the community for them to make an informed decision about the most appropriate corrective action that should be taken by the mine. The mining company chose to use surface sealing for both suppression of existing fire and on-site storage of the mine waste but did not install any long-term monitoring system. Nevertheless, the community's choice was surface sealing with preventive monitoring together with emergency response, which is the more scientifically appropriate option. This outcome of a science-based risk management decision by the community will be forwarded to the regional government for enforcement. This process of community citizen science is in line with the normative rationale of public participation, which is meant to influence decisions, elevate democratic capacity, and empower marginalized individuals and communities.

Responsibility, rationality, and acceptance: How future users of autonomous driving are constructed in stakeholders' sociotechnical imaginaries

Although autonomous driving is expected to provide a solution for various mobility-related issues, ideas on how the technology will actually unfold are vague. Nevertheless, stakeholders in the field hold expectations about the technology and the future users. With very few exceptions, so far research does not focus on these expectations as social constructions of individuals and publics. In addition, these perceptions play only a minor role in the technology-centered debate. Thus, to bring these perceptions to light and to analyze their implications, we draw on the sociotechnical imaginaries approach to reconstruct stakeholders' views of future users and publics. We perform a qualitative content analysis and show that imaginaries unfold along the themes of responsibility for the process of driving, rationality in decision-making, and acceptance for emerging technologies. We discuss how the themes relate to each other, what role science plays, and what implications follow from the respective stakeholders' views.

The Environmental Protection Agency's Use of Community Involvement to Engage Communities at Superfund Sites

The Environmental Protection Agency’s (EPA) Superfund program was established to identify, assess and clean up the nation’s worst hazardous waste sites to protect human health and the environment. Community involvement is an important part of the Superfund program for at least three reasons. First, involving communities in decision making at Superfund sites is a statutory requirement. Second, community involvement is important so that clean up decisions will support reuse in the surrounding community. Third, because even after cleanup many sites have residual contamination that warrants administrative and legal controls to protect health and the environment, community members should understand these controls to both help protect community members and any limitations on site reuse. Community feedback informs both proposed actions and local reuse decisions. While the EPA recognizes that the agency performs many activities that are helpful to support community involvement, there are areas in need of improvement and further research would be helpful for communities in the future.

The Mechanism of Social Organization Participation in Natural Hazards Emergency Relief: A Case Study Based on the Social Network Analysis

The uncertainty and complexity of natural hazards put forward new requirements for emergency management systems. In order to deal with natural hazards effectively, it is important to build a cooperative network between government organizations and social organizations. The social network analysis method is adopted, the April 2013 Ya’an China earthquake is taken as a case study, the institutionalized emergency organization network before the disaster and the actual response organization network after the disaster are analyzed, and centrality, between centrality, closeness centrality and core-periphery are calculated. Through qualitative and quantitative research, the functions of social organization in the process of natural hazards emergency relief are revealed, the role orientation of social organization in the emergency management network is analyzed, and the influence factors of the social organization participation in the natural hazards relief is pointed out. Research results will help to promote the cooperation between social organization and government, and improve the efficiency of natural hazards emergency relief.

Analysis of the Local Agenda 21 in Madrid Compared with Other Global Actions in Sustainable Development

Over the last two decades, numerous towns have been involved in the Local Agenda 21 program in Spain, which is founded on social participation. In the wake of this initiative, the recent promotion of the new Spanish Urban Agenda by the national government seeks to implement the 2030 Agenda in municipalities nationwide. This research aims to examine the Local Agenda 21 process by using Madrid as a case study to determine the lessons learned to enable the effective application of the new Spanish Urban Agenda. A total of 3712 activities included in the action plans of the 21 districts of Madrid were analyzed to identify linkages with the Sustainable Development Goals and the targets of Sustainable Development Goal # 11 (“Sustainable cities and communities”). Methodologies used were solely oriented to develop an ad hoc Local Agenda 21 plan for each district, hindering the comparison of schemes and findings. Social, institutional, economic, and environmental dimensions of sustainable development were not equally considered by the plans, being the first two aspects the most predominant. Social engagement hardly reached 0.44% of the registered population. The contribution of all action plans to the sustainable development of Madrid was not assessed due to the absence of indicators in the program.

The Relationship among Government, Enterprise, and Public in Environmental Governance from the Perspective of Multi-Player Evolutionary Game

Environmental governance is an important component of the national governance system. China’s current environmental problems are particularly complex. How to let the government, enterprises, and the public participate in environmental governance is the key to enhance the ability of environmental governance. Based on the evolutionary game theory, the interaction and influencing factors among enterprise pollution control, government supervision, and public participation are analyzed, and the empirical analysis is carried out based on China’s 30 provincial panel data from 2009 to 2018. The research results show that government supervision has a positive effect on the environmental governance and can urge enterprises to actively perform pollution control. The effect of government supervision is constrained by the income and cost of enterprises, and the penalties for passive pollution control should be raised. At the same time, improving the government’s reputation loss can effectively stimulate the government’s environmental supervision behavior. Public participation significantly promotes the governance effect of three industrial wastes, and the enthusiasm of public participation is closely related to participation cost and psychological benefits. Public participation can replace government supervision to a certain extent. The interaction between government and public has a positive effect on environmental governance. The research results will help to build an effective environmental governance system and improve environmental governance performance and public satisfaction.

Current Status, Challenges, and Policy Recommendations of China's Marine Monitoring Systems for Coastal Persistent Organic Pollution Based on Experts' Questionnaire Analysis

Persistent organic pollutants (POPs) monitoring and management in typical semi-enclosed bays is a major global environmental issue. This study concentrated on a questionnaire survey and analysis of marine environmental management and monitoring departments at all levels in China, and proposed suggestions on the construction and improvement of POPs monitoring and management system. Results show that POPs are initially involved in China's current marine environmental monitoring system, and the monitoring strength and capability still need to be continuously improved, mainly in the recognition, funding input, relevant standards, monitoring, and evaluation technical regulations of marine environmental POPs monitoring. Therefore, in order to gradually improve the monitoring and management system of China's offshore marine environment POPs, this study suggests starting from four directions: (1) Building POPs monitoring system of a marine ecological environment, and strengthening POPs monitoring in different environmental media; (2) strengthening land-based POPs emission and the related human activities' intensity survey, and establishing a POPs information sharing database; (3) optimizing POPs monitoring technology in the marine environment, and improving POPs supervision and management technical support system; and (4) participating in regional and international marine environment POPs monitoring and evaluation projects, and strengthening the construction of talent teams.

Increasing research impact with citizen science: The influence of recruitment strategies on sample diversity

Despite the fact that citizen engagement in research is widely practised and regarded as one of the keys to maximizing the impact of research and innovation, empirical evidence on the value, potential and possibilities of engaging a broad diversity of citizens in practice is scant. The purpose of our article is twofold: (1) to provide more insight into the value and opportunities of engaging audiences that typically are not engaged with science and (2) to explore the effect of a targeted recruitment strategy versus a generic recruitment strategy on the profile, motivation and retainment of citizen science volunteers. Our empirical research is based on five citizen science projects in the domain of surface and drinking water research in the Netherlands. This article finds that using a targeted recruitment strategy, it is possible and worth to recruit a diverse sample of citizen science volunteers.

Citizen perspectives on the use of publicly reported primary care performance information: Results from citizen-patient dialogues in three Canadian provinces

OBJECTIVE

Performance measurement and reporting is proliferating in all sectors of the healthcare system, including primary care, despite a dearth of evidence on how the public uses reports on primary care performance. We explored how the public might use this information, to guide the development of effective reporting systems for primary care.

METHODS

We conducted six full-day deliberative dialogue sessions with a purposive sample of 56 citizen-patients across three Canadian provinces (British Columbia, Ontario and Nova Scotia). Participants identified how they would use publicly reported performance data. We conducted a thematic analysis of the data by region.

RESULTS

Common uses for primary care performance information emerged across all sessions. Participants most often discussed the utility of this information for community advocacy and participation in health system decision making. Similar barriers for using performance information to choose a primary care provider were identified in each region including the perceived lack of choice of providers and the high value placed on relationships with current providers. Finally, the value of public performance reporting in enhancing trust that people would receive good care was also a common theme.

CONCLUSIONS

Citizen-patient perspectives highlight that public reporting on primary care performance could promote the health system's responsiveness by enabling public engagement in decision making at the community level. The role of public reporting in promoting trust rather than empowering patient choice may reflect unique elements of the Canadian health system's context.

Situating anticipation in everyday life: Using sensory methods to explore public expectations of synthetic biology

Public involvement in technological anticipation is a common feature of contemporary sociotechnical innovation. However, most engagements abstract sociotechnical futures, rather than situating them in the everyday practices in which people are routinely engaged. Recent developments in synthetic biology have established the potential for 'drop in' replacements for ingredients in consumer products, particularly in flavour and fragrance markets. This article explains how a sensory methodology can be used to explore citizens' everyday experiences and how these can be used to ground anticipation of possible sociotechnical futures. The article uses a socio-historical approach to analyse and compare two practice domains - caring for families and hygiene and personal care - to show how biosynthetic futures can disrupt existing relations between people, objects and ideas. The implications for conceptualising publics in synthetic biology and for approaches to public engagement and participation are discussed more broadly.

Experiences and expertise of codependency: Repetition, claim-coupling, and enthusiasm

Arenas where experts interact with publics are useful platforms for communication and interaction between actors in the field of public health: researchers, practitioners, clinicians, patients, and laypersons. Such coalitions are central to the analysis of knowledge coproduction. This study investigates an initiative for assembling expert and other significant knowledge which seeks to create better interventions and solutions to addiction-related problems, in this case codependency. But what and whose knowledge is communicated, and how? The study explores how processes of repetition, claim-coupling, and enthusiasm produce a community based on three boundary beliefs: (1) victimized codependent children failed by an impaired society; (2) the power of daring and sharing; and (3) the (brain) disease model as the scientific representative and explanation for (co)dependence. These processes have legitimized future hopes in certain suffering actors, certain lived and professional expertise and also excluded social scientific critique, existing interventions, and alternative accounts.