The incidence of food refusal associated with illness is reviewed, not illness by illness, but according to those factors that affect the ability to eat; normal learning about eating, aversive learning about eating, regulation of appetite, children's cognitions about foods, and parental anxiety about intake. Diseases affecting the major organs are likely to generate food refusal based on at least one of these factors, if not all of them. However, some minor disease processes can also have a major impact on food acceptance. Child temperament also affects food acceptance and may interact with the disease process to produce food refusal.

Purpose Young people who are looked after by the state face challenges as they make the transition from care to adulthood, with variation in support available. In the past decade, funding has been directed towards organisations to pilot innovations to support transition, with accompanying evaluations often conducted with a single disciplinary focus, in a context of short timescales and small budgets. Recognising the value and weight of the challenge involved in evaluation of innovations that aim to support the transitions of young people leaving care, this paper aims to provide a review of evaluation approaches and suggestions regarding how these might be developed. Design/methodology/approach As part of a wider research programme to improve understanding of the innovation process for young people leaving care, the authors conducted a scoping review of grey literature (publications which are not peer reviewed) focusing on evaluation of innovations in the UK over the past 10 years. The authors critiqued the evaluation approaches in each of the 22 reports they identified with an inter-disciplinary perspective, representing social care, public health and organisation science. Findings The authors identified challenges and opportunities for the development of evaluation approaches in three areas. Firstly, informed by social care, the authors suggest increased priority should be granted to participatory approaches to evaluation, within which involvement of young people leaving care should be central. Secondly, drawing on public health, there is potential for developing a common outcomes’ framework, including methods of data collection, analysis and reporting, which aid comparative analysis. Thirdly, application of theoretical frameworks from organisation science regarding the process of innovation can drive transferable lessons from local innovations to aid its spread. Originality/value By adopting the unique perspective of their multiple positions, the authors’ goal is to contribute to the development of evaluation approaches. Further, the authors hope to help identify innovations that work, enhance their spread, leverage resources and influence policy to support care leavers in their transitions to adulthood.

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Global research has shown that most young people who are care experienced are not prepared to transition to independent living at 18 years of age and require support into early adulthood. We used rigorous systematic methods to identify English-based peer reviewed and grey literature describing innovations relevant to care experienced young people as they transition into adulthood, with a focus upon lessons for their implementation and diffusion. We synthesised the evidence narratively and organise data linked to seven key areas important to the transition to adulthood: (1) Health and well-being;(2) relationships; (3) education and training; (4) employment; (5) participation in society;(6) accommodation; (7) other. Twenty-five papers met our inclusion criteria. This review has found that, whilst there are a broad spectrum of innovations taking place within the social care environment for care experienced young people to support their transition into adulthood, there exists limited insight into how best to support implementation and diffusion of evidence-based innovation. We drew upon the 'Consolidated Framework for Implementation Research', developed in the setting of clinical service delivery, to highlight challenges in implementing and diffusing evidence-based innovation for care experienced young people transitioning into adulthood.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial License 3.0, which permits unrestricted use, distribution, and reproduction in any noncommercial medium, provided the original work is properly cited. Irish Sea Coastal Stakeholder Engagement in NW AbstractThe creation of a holistic more inclusive approach to marine management could be positively influenced by the development of well structured and sincere Stakeholder Engagement and Public Participation (SEPP) processes. However poorly designed frameworks and processes lacking sincerity may engender scepticism, mistrust and create barriers in the attainment of a thriving and diverse coastal economy. During 2009 a public participation and stakeholder engagement policy has been used by government agencies, Defra and the Department of Energy and Climate Change to gauge public opinion within the marine and coastal environment of the Irish Sea. This concerns the development of Irish Sea Conservation Zones and the UK's Nuclear Newbuild programme. Both issues have complex dynamics regarding their environmental, economic, societal and sustainability aspects. This paper studies two contrasting styles of SEPP deployed during this critical 'first contact' stage by a participatory observation approach and assesses how this phase may affect the development of the engagement process and how this may affect a project's outcome.