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Given that the workforce constitutes a principal resource of primary care, appraisal of models of care requires thorough investigation of the health workforce in all Models of Child Health Appraised (MOCHA) countries. This chapter explores this in terms of workforce composition, remuneration, qualifications and training in relation to the needs of children and young people. We have focused on two principal disciplines of primary care; medicine and nursing, with a specific focus on training and skills to care for children in primary care, particularly those with complex care needs, adolescents and vulnerable groups. We found significant disparities in workforce provision and remuneration, in training curricula and in resultant skills of physicians and nurses in European Union and European Economic Area Countries. A lack of overarching standards and recognition of some of the specific needs of children reflected in training of physicians and nurses may lead to suboptimal care for children. There are, of course, many other professions that also contribute to primary care services for children, some of which are discussed in Chapter 15, but we have not had resources to study these to the same detail.

This paper aims to study a change process on a university campus from a pedagogical perspective. The aim of the process, as expressed by facilities management and faculty leadership, was to create campus learning landscapes that promote social encounters and learning between students and researchers, as well as other embedded groups. The paper addresses how pedagogical needs are or should be integrated in the design process.

The data of this case study regarding change on campus consist of semi-structured interviews of information-rich key stakeholders identified using snowball sampling method. The interviews were analysed to find common themes and reference to pedagogical needs and expectations.

Campus usability and reliability are improved when pedagogy informs the design, and needs such as sense of belonging (human) and connectivity (digital) are fulfilled. User-centred design should be followed through during the whole campus change process, and there should be sufficient communications between user groups.

The discussion is based on one case. However, the recommendations are solid and also reflected in other related research literature regarding campus change initiatives.

The paper states recommendations for including pedagogical needs in campus learning landscape change and underlines the role of real user-centred processes in reaching this goal.

The study introduces the concept of campus reliability and highlights a missing link from many campus change cases – pedagogy – which is suggested to be essential in informing campus designs that produce usable and reliable future-ready outcomes.

There is an increasing need for greater awareness and understanding of the risks climate change poses to farming communities so as to inform appropriate adaptive responses. The purpose of this study is to investigate farmers’ climate change impacts, awareness, risk perception and current adaptation strategies adopted to deal with the impacts of climate change on their livelihood.

This research was undertaken with 67 farmers in Bayelsa State, Nigeria. This study used a combination of focus group discussion and quantitative survey to obtain data. Surveyed farmers were invited to an initial workshop and asked to take photos of climate change impacts on their land and the adaptation strategies being adopted. The photos were analysed and discussed with the farmers in a second workshop. Then, in a third workshop, farmers and other stakeholders came together to rank the most important consequences of climate change and shared knowledge on adaptation strategies. The survey and photovoice data were analysed using descriptive and inferential statistics.

The results of this study showed that a majority of the farmers were knowledgeable of climate change, mostly got climate information through media. Floods and high temperatures were perceived as the most occurring climate change-related disaster risks. Majority of the farmers perceived climate change as high risk and have taken up multiple adaptation strategies in response to it, including changing planting times, mulching their land and digging irrigation pits. Farmers’ responses indicated that they want to do more but are restricted by financial resources.

This study outcomes provide evidence for a need to consider stakeholders’ participation in planning climate change responses to effectively address the challenges posed by climate change, particularly in coastal agricultural communities. Government and relevant agencies as recommended need to support farmers to undertake needed adaptive strategies to adapt with future flooding, high temperature and drought, providing them with necessary facilities to enhance their adaptive capacities.

To the best of the authors’ knowledge, this was one of the first studies to use photovoice to investigate climate change awareness, impacts and adaptations strategies with majority female farmers in west Africa. This study highlights the importance of participatory approaches to capture grassroots climate adaptation approaches.

This study aims to explore the difference in cognitive strategy use during observed occupational performance between and within different levels of impaired awareness of deficits of individuals with acquired brain injury (ABI).

A cross-sectional study (N = 24) of individuals with ABI receiving rehabilitation and with the capacity to demonstrate goal-directed behaviour (Allen cognitive level screen score = 4.0) was undertaken. Cognitive strategy use during occupational performance of daily activities (measured with the perceive, recall, plan and perform [PRPP]) was evaluated between and within different awareness levels (awareness levels measured by the self-regulation skill interview). Statistical analyses, using independent t-test, Mann Whitney U test, ANOVA and Friedman test, were executed.

Significant differences were shown for both strengths and weaknesses in cognitive strategy use between emergent (n = 13) and anticipatory awareness (n = 11) groups on PRPP items “perceive”, “sensing” and “mapping”; and “searches”, “recall steps”, “identify obstacles”, “calibrates”, “stops”, “continues” and “persists”. Within emergent awareness group, participants scored lowest related to “perceive”, “plan”, “sensing”, “mapping”, “programming” and “evaluating”. Within anticipatory awareness group, participants scored lowest related to “plan”, “programming” and “evaluating”.

This study showed differences in cognitive strategy application during task performance in individuals with emergent or anticipatory awareness deficits that fit with theoretical expectations. It is recommended to make use of the PRPP assessment results (strengths and weaknesses in cognitive strategy application) to support the level of awareness determination. The PRPP assessment results and the level of awareness tailor the clinical reasoning process for personalised intervention planning and cognitive strategy training.

Because impaired awareness has so much impact on the course and outcome of rehabilitation (Rotenberg-Shpigelman et al., 2014), in clinical practice, it is of paramount importance to be aware of the level of awareness of the client (Smeets et al., 2017) and the effect on occupational performance.