Humanitarian settings in Pakistan face major gaps in mental health service delivery, with limited specialist resources and a high burden of untreated conditions. Though the World Health Organization’s mhGAP-Humanitarian Intervention Guide aims to strengthen the capacity of primary care physicians to identify and manage common mental health conditions, the evidence for multidimensional training outcomes remains limited. This study evaluated the effectiveness of mhGAP-HIG training outcomes in terms of knowledge, skills, attitudes and confidence among physicians across different humanitarian contexts in Pakistan. As part of implementing an evidence-based digital MHPSS service model, seven mhGAP-HIG workshops were held across two provinces and a federal area. We conducted a quasi-experimental, mixed-methods evaluation where a total of 149 physicians completed standardized assessments of knowledge (mhGAP-HIG), therapeutic skills (ENhancing Assessment of Common Therapeutic Factors), attitudes (Mental Illness: Clinician’s Attitudes Scale-v4) and confidence, before and after the training. Paired sample t-tests and ANCOVA were used to assess within-group and between-group changes, respectively. Quantitative feedback and qualitative reflections were also evaluated. We found significant improvements across the domains of knowledge, skills, confidence and a modest improvement in attitude. The participants from Khyber Pakhtunkhwa showed greater gains in knowledge, while participants from Baltistan showed greater gains in skills, as compared to other provinces. Participants expressed a high level of satisfaction, reporting improvements in knowledge, confidence and ability to identify and manage common mental health conditions. Systematic efforts to adapt and implement mhGAP-HIG may lead to significant improvements across multidimensional competencies of physicians.

Sustainability transitions in manufacturing require new competences and organisational learning. This paper presents Schedazioni, a learner-led assessment tool that helps companies analyse past sustainable design actions. Developed through case studies and a Research-through-Design process, and piloted in industry, it enables teams to map transformations, identify problems, and reflect on impacts. By shifting assessment to internal sensemaking, it supports shared understanding and strengthens sustainability capability.

Community Engagement and Outreach (CEO) Cores are a key component of the IDeA Clinical and Translational Research (IDeA-CTR) Program, serving to develop and implement capacity-building initiatives that empower communities to engage and collaborate with investigators in community-engaged research. To strengthen collaboration and shared learning across sites, a CEO Special Interest Group was established. In 2022, the group conducted a landscape analysis to systematically characterize and categorize CEO Core activities across the IDeA-CTR network, with a focus on capacity-building efforts related to knowledge transfer, co-learning, and infrastructure development. The analysis revealed several common approaches to community engagement and capacity building across sites, as well as distinctive strategies tailored to the specific needs and communities served. Multiple innovative practices were identified and disseminated across the network, highlighting opportunities to enhance collective impact and inform future community-engaged efforts.

Despite the growing application of behavioural science in public policy, progress in many countries has been slow. This study explores the challenges in applying behavioural insights (BI) to policymaking and identifies potential solutions. We conducted semi-structured interviews with 12 behavioural science experts who have worked with national governments or international bodies across 39 countries. Using inductive content analysis, we discovered three main challenges perceived by the experts: limited knowledge and misunderstandings of BI among stakeholders, constraints within the public policy environment, and resource limitations in both BI units and public administrations. The experts also highlighted strategies to build capacity within the public sector, including creating peer networks, partnering with external experts, organising targeted training programmes, and providing supportive tools and resources. We interpret these findings through the lens of navigating complex adaptive systems, distinguishing between ordered problems – amenable to transferable solutions – and genuinely complex problems requiring participatory approaches and contextual adaptation. Advancing contextual understanding of behavioural science in policy may require distinguishing challenges that permit efficient solutions from those demanding slower, relationship-based sense-making.

Despite substantial investment in clinical and translational research, only a small proportion of evidence-based interventions are adopted and sustained in routine practice, contributing to persistent delays between discovery and population benefit. Dissemination and implementation (D&I) science is a critical discipline for addressing this gap, and the NIH Clinical and Translational Science Award (CTSA) program (established 2006) has been strategically positioned as a national infrastructure to advance D&I capacity. We conducted a national environmental scan of publicly available websites and documents from all 66 CTSA hubs (May–July 2025), using a structured extraction tool to capture D&I-specific activities across seven domains: institution and community partnerships, formal D&I organizational structures within the CTSA, consultation services, collaborative programming, training opportunities, educational offerings, and pilot funding mechanisms. Findings reveal substantial heterogeneity in D&I science activities across CTSA hubs; 45% had a formal D&I unit, 54% offered D&I consultation services, and 37% provided collaborative programming. Structured workforce development was limited: 12% offered D&I-focused training grants, 15% offered structured educational programs, and 15% provided D&I-specific pilot funding. Consultation models varied widely in scope, access, and evaluation practices. These findings demonstrate uneven development of D&I science infrastructure across CTSAs and highlight opportunities to strengthen capacity nationally.

Since its establishment in 2005, the HTAi Patient and Citizen Involvement in HTA Interest Group (PCIG) has worked to strengthen health technology assessment (HTA) by systematically incorporating patient and citizen perspectives. Over two decades, PCIG has advanced this goal through multistakeholder projects and collaborations that have produced practical tools, guidance, and methods to support patient involvement in HTA worldwide. Through global knowledge exchange, PCIG has fostered shared learning and capacity building for inclusive, participatory HTA. Its work continues to drive a shift in the mindset of the HTA community – from passive consultation to active partnership with patients and citizens – and encourages investment in robust research to understand patient perspectives. As health systems increasingly aim to reflect lived experiences and community values to improve the implementation and impact of services, PCIG’s journey offers a compelling example of the long-term value of collective action, sustained engagement, and meaningful involvement in HTA.

As Ukraine works to modernize its healthcare system and align with international standards, integrating health technology assessment (HTA) into the national decision-making process has become a strategic priority. While HTA practices for pharmaceuticals have advanced, substantial gaps persist in the evaluation of medical devices (MDs), which require distinct methodological approaches given their characteristics. This article presents the rationale, development, implementation, and results of a comprehensive online training program aimed at building national capacity in the MD assessment. The program targeted 71 Ukrainian professionals with prior experience in pharmaceutical evaluation but limited exposure to MD. Through 40 hours of live online sessions delivered from September to December 2024, the course emphasized interactive learning, contextual adaptation, and international best practices. Assessments showed significant knowledge gains, with 87 percent of participants completing the program successfully. The initiative demonstrates that targeted, competency-based training can enhance national HTA capacity and may serve as a model for other transitioning healthcare systems.

The 2025 Evaluation Special Interest Group (SIG) meeting at the Association for Clinical and Translational Science conference brought together clinical and translational science (CTS) professionals to address evolving challenges in translational science evaluation. The meeting presentations and discussions addressed concept mapping for commonly used metrics, continuous quality improvement (CQI) practices, translational science impact evaluation, and evaluator toolkit development. Key themes and lessons learned included the tension between institution-specific and network-wide evaluation goals, the need for standardized yet flexible evaluation frameworks, and persistent barriers including limited staffing capacity and data ownership challenges. Facilitators identified included diverse CQI approaches, the evolving frameworks, and collaborative evaluation practices. Convened during a time of increasing research funding uncertainty and accountability, the meeting underscored the urgency of strengthening evaluation capacity to sustain the impact of CTS, highlighting both the enduring value of heterogeneous evaluation approaches and the critical need for coordinated CTS evaluation strategies to demonstrate impact and secure continued funding support.