There is growing evidence that optimising dietary quality and engaging in physical activity (PA) can reduce dementia and cognitive decline risk and improve psychosocial health and quality of life (QoL). Multimodal interventions focusing on diet and PA are recognised as significant strategies to tackle these behavioural risk factors; however, the cost-effectiveness of such interventions is seldom reported. A limited cost consequence based on a 12-month cluster-randomised Mediterranean diet (MedDiet) and walking controlled trial (MedWalk) was undertaken. In addition, QoL data were analysed. Programme costs ($AUD2024) covered staff to deliver the MedWalk programme and foods to support dietary behaviour change. The primary outcome measure of this study was change in QoL utility score, measured using the Assessment of Quality of Life (AQoL-8D). Change scores were compared for the groups using general linear models while controlling for demographic factors associated with baseline group differences and attrition. Change in QoL (decreased, maintained or improved) was determined using a cross-tabulation test. MedWalk programme costs were estimated at $2695 AUD per participant and control group cost at $165 per person – a differential cost of $2530. Mean change in utility scores from baseline to 12 months was not statistically significant between groups. Nevertheless, the MedWalk group was significantly less likely to experience a reduction in their QoL (20·3 % MedWalk v. 42·6 % control group) (P = 0·020). A MedDiet and walking intervention may have a role in preventing decline in QoL of older Australians; however, longer-term follow-up would be beneficial to see if this is maintained.

Military sexual trauma (MST) (sexual harassment or sexual assault experienced during military service) is associated with adverse mental health outcomes. This systematic review assessed international, published, peer-reviewed academic literature and aimed to (1) identify the mental health outcomes of MST for serving and ex-servicewomen, (2) understand whether sexual harassment and sexual assault impact mental health differently, and (3) identify individual differences that may influence mental health outcomes. Included sources were peer reviewed, primary research, which investigated MST as a predictor of mental health outcome(s) in women. Database searches (June 2023, May 2024, and March 2025) yielded 63 studies, most of which (n = 58) were conducted in the United States and used quantitative methods (n = 60). A narrative synthesis approach facilitated data synthesis. Quantitative studies identified associations between MST and adverse mental health outcomes, with qualitative studies providing further context to these associations. Military sexual assault appeared to have a stronger relationship with adverse mental health than other MST experiences. Posttraumatic stress disorder and depression symptoms were associated with further outcomes, such as suicidality, disordered eating, and substance use. Some additional trauma exposures exacerbated the impacts of MST on mental health, whilst social support mitigated negative mental health outcomes. This review identifies significant mental health impacts of MST and highlights the importance of formal and informal support for serving and ex-servicewomen with MST experiences.

Objectives/Goals: To support the growing number of clinical research professionals (CRP) working in behavioral and social science contexts, relevant formative assessments of research skills are needed. This study examines the development of an objective formative assessment designed to assess skills relevant to conducting social and behavioral research. Methods/Study Population: A multidisciplinary group at the University of Michigan was convened to develop the assessment. Case studies depicting clinical and translational research conducted in behavioral and social science contexts were used to measure proficiency in seven of the eight ECRPTQ competencies: Scientific Concepts & Research Design, Ethical & Participant Safety Concerns, Clinical Trial Operations (Good Clinical Practice), Study & Site Management, Data Management & Informatics, Leadership & Professionalism, Communication, and Teamwork & Team Science. Three difficulty levels of questions were developed: basic, intermediate, and advanced. To reinforce knowledge and skill development, the assessment was designed to give respondents formative feedback after responding to each question. Results/Anticipated Results: A preliminary “pre-pilot” test was conducted with three postdoctoral scholars to ensure that the assessment items were understandable. The assessment was then pilot tested with a larger group of 40 clinical research professionals (CRP) to test for the clarity and difficulty level of the items. A smaller group of 20 of these CRPs agreed to participate in focus groups to obtain feedback on their user experience. Data regarding years of experience as a CRP, types of studies engaged with, and information regarding professional certification were collected and used in the analyses. Demographic data collected were not connected to user responses. Results of the pilot test and focus groups were used to revise the questions on the final version of the assessment. Discussion/Significance of Impact: To our knowledge, this is the first objective assessment of research skills for CRP working in behavioral and social science contexts. We will discuss how other institutions can use this instrument to evaluate the training needs of their social and behavioral research workforce.

This paper is a review of existing sources across disciplines focusing on the topic of female farm ownership. Throughout the centuries, females have been explicitly excluded from owning and prevented from inheriting land. The purpose of this paper is to examine historical customs and rules governing female land ownership in Ireland and to demonstrate how the ‘old’ laws and customs have contributed significantly to the patriarchal system of farm ownership that is still in existence today even though the gender-based laws have disappeared. This paper argues that a contributing factor to the current male-dominated farm ownership figures is the normalisation of patriarchy by way of the old, gendered laws and practices. Although gender discrimination is no longer acceptable in such a direct legal form, the tradition and culture that established and supported such customs can still be seen today, as males account for 87% of Irish farmholders. This research addresses a lacuna in our understanding of women’s unequal position when it comes to the ownership of farms in Ireland.

School food has a major influence on children’s diet quality and has the potential to reduce diet inequalities and non-communicable disease risk. Funded by the UK Prevention Research Partnership, we have established a UK school food system network. The overarching aim was to build a community to work towards a more health-promoting food and nutrition system in UK schools. The network has brought together a team from a range of disciplines, while the inclusion of non-academic users and other stakeholders, such as pupils and parents, has allowed the co-development of research priorities and questions. This network has used a combination of workshops, working groups and pump-priming projects to explore the school food system, as well as creating a systems map of the UK school food system and conducting network analysis of the newly established network. Through understanding the current food system and building network expertise, we hope to advance research and policy around food in schools. Further funding has been achieved based on these findings, working in partnership with policymakers and schools, while a Nutrition Society Special Interest Group has been established to ensure maximum engagement and future sustainability of the network. This review will describe the key findings and progress to date based on the work of the network, as well as a summary of the current literature, identification of knowledge gaps and areas of debate, according to key elements of the school food system.

OBJECTIVES/GOALS: Limited access to medication and poor medication adherence exacerbate chronic diseases following disasters. Experts recommend individuals in disaster-prone areas be prepared to manage their chronic diseases in the event of resource disruption. This study’s goal is to identify factors underlying personal medical preparedness. METHODS/STUDY POPULATION: A cross-sectional survey of 120 insured adults age ≥50 in Southeast Louisiana with hypertension and ≥1 daily medication during the 2023 Atlantic Hurricane Season is underway. The survey includes the Household Emergency Preparedness Index Access and Functional Needs Section (HEPI AFN), a validated measure of medical preparedness that accounts for special circumstances including refrigerated medication and electricity-dependent medical equipment. The mean score of the 9-item tool ranges from 0 to 1, with higher scores indicating more preparedness. The survey also includes 3 open-ended questions where participants can explain difficulties with medication adherence during hurricanes in their own voice. Data collection is ongoing. This interim analysis provides descriptive statistics. RESULTS/ANTICIPATED RESULTS: An interim analysis of the first 50 respondents included 46% women, 52% Black, mean age 61.2 (SD=7.3) years, and mean 52.5 (SD=16.2) years living in a hurricane-impacted area. Participants had a median of 1 comorbid condition; 72% reported taking >5 daily medications. Most respondents (94%) stated their household was at least “somewhat prepared” to handle a disaster and reported medical preparedness on an average of 82% of HEPI-AFN items (mean score = 0.82, SD=0.18); 90% reported that they had never had a healthcare worker talk to them about personal medical preparedness. On open response questions, participants cited insurance restrictions as the primary barrier to having extra medication on hand. In the final sample, regression models will be used to examine factors associated with increased preparedness. DISCUSSION/SIGNIFICANCE: While most participants in this insured, disaster-experienced preliminary sample are medically prepared, few have discussed preparedness with a healthcare provider. Identifying socio-demographic factors associated with preparedness will help to strengthen mitigation strategies addressing widening of health disparities during disasters.

The concept of ‘publicness’ addresses the intersection between people and their physical surroundings, and the ways in which they affect each other in an ongoing process. This point of relational exchange is the core concept behind ‘Public Space in European Social Housing’ (PuSH), a three-year HERA-funded project conducted by a transnational, multidisciplinary team of researchers. Large-scale modernist postwar housing estates, often used for social, cooperative, or mass rental housing, tend to be problematised as places of segregation and disintegration in European cities. Yet they are potentially also primary sites for integration between people of different cultural origins and social backgrounds. By investigating publicness in relation to social housing, including cooperative housing and mass rental housing estates, PuSH aims to better understand how cultural encounters happen, and ultimately to reflect on how integration can be better sustained. In this paper, we take a relational conception of publicness as our point of departure to explore the differentiations and intersections between sites and modes of public life in relation to our approach and the social housing estates we investigate. Moreover, we present our conceptual contribution to the concept of publicness, both theoretically and methodologically using multidisciplinary theories and methodologies, and four analytical categories: heritage, practices/policies, democracy, informality, and moreover exhibitions are used as a research tool. This paper is a collaborative output whereby different researchers on the project present their theoretical developments and positions, identify the analytical categories and theoretical vocabularies on which they daw, and reflect on potential ways in which these concepts can be operationalised, and on the synergies that may develop between them. Taken together, our approach offers significant interpretations of publicness in relation to questions of public space, and tackles some of the most pronounced tensions in discussions of public space.