In this article, we look at three photographs that each (re)present a space of citizenship and community. In examining each photo, we question our assumptions about adult education and community building practices. In each of the three cases, we adopt the same approach. We start by focusing on a particular place where present-day citizenship nowadays takes shape and observing what is to be seen at this location. This observation forces us to view that particular place in sharp focus and to direct our attention to the specific citizenship practice emerging there. This is an exercise in paying attention, which helps us to take notice of the singular way in which citizenship and community play a role in that particular context. In line with this, we also formulate some critical observations regarding a number of mainstream concepts in policy discourse such as social cohesion, active citizenship, lifelong learning, etc. These terms often represent programmes that close off the space in which an original contribution to adult education can be developed rather than opening it up. In analyzing these three images, we do not aim to construct a fully-fledged theoretical framework nor to develop a method. Rather, we wish to open the possibility of seeing things differently and altering our way of thinking.

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High blood pressure (BP) and type-2 diabetes (T2DM) are forerunners of chronic kidney disease and left ventricular dysfunction. Home BP telemonitoring (HTM) and urinary peptidomic profiling (UPP) are technologies enabling risk stratification and personalized prevention. UPRIGHT-HTM (NCT04299529) is an investigator-initiated, multicenter, open-label, randomized trial with blinded endpoint evaluation designed to assess the efficacy of HTM plus UPP (experimental group) over HTM alone (control group) in guiding treatment in asymptomatic patients, aged 55-75 years, with ≥5 cardiovascular risk factors. From screening onwards, HTM data can be freely accessed by all patients and their caregivers; UPP results are communicated early during follow-up to patients and caregivers in the intervention group, but at trial closure in the control group. From May 2021 until January 2023, 235 patients were screened, of whom 53 were still progressing through the run-in period and 144 were randomized. Both groups had similar characteristics, including average age (62.0 years) and the proportions of African Blacks (81.9%), White Europeans (16.7%), women 56.2%, home (31.2%), and office (50.0%) hypertension, T2DM (36.4%), micro-albuminuria (29.4%), and ECG (9.7%) and echocardiographic (11.5%) left ventricular hypertrophy. Home and office BP were 128.8/79.2 mm Hg and 137.1/82.7 mm Hg, respectively, resulting in a prevalence of white-coat, masked and sustained hypertension of 40.3%, 11.1%, and 25.7%. HTM persisted after randomization (48 681 readings up to 15 January 2023).In conclusion, results predominantly from low-resource sub-Saharan centers proved the feasibility of this multi-ethnic trial. The COVID-19 pandemic caused delays and differential recruitment rates across centers.

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In this article, we confront the tradition that understands cultural awareness training as the individual acquisition of intercultural competences with recent developments in the theorizing of culture and education. The question we ask is how to understand cultural awareness training if dealing with cultural diversity is not depending on individual (Sennett, 2012).