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Development of the technological process for the IGR reactor's highly-enriched irradiated uranium-graphite fuel immobilization

The immobilization of irradiated highly enriched uranium (HEU) fuel is a critical component of nuclear waste management and non-proliferation efforts. In Kazakhstan, at National Nuclear Center of the Republic of Kazakhstan special attention is given to managing legacy HEU fuel from research reactors. One such case involves the IGR research reactor, whose first core containing irradiated HEU uranium-graphite fuel was operated from 1961 to 1966 and removed following reactor modernization. This fuel now requires a reliable and secure immobilization strategy. Here, this paper presents the development of a technological process for immobilizing this fuel to reduce its enrichment to below 20 % in terms of 235U content. The proposed method involves down-blending irradiated HEU fuel with depleted uranium, followed by encapsulation in a Portland cement matrix. Full-scale experiments were conducted to assess the uniformity of uranium distribution within the matrix. The results confirm the effectiveness of this approach, ensuring reliable immobilization of fuel in accordance with international requirements, including IAEA standards and Kazakhstan's regulatory framework. These findings contribute to the broader effort of adapting immobilization strategies for the safe management of spent fuel from research reactors.

12 - MGMT OF RADIOACTIVE AND NON-RADIOACTIVE WASTE↗

Consequence analyses of sabotage-induced radiological releases in sodium-cooled fast microreactors

Analysis of three sodium-cooled fast microreactors (SFMs) with thermal powers of 10, 30, and 50 MWt showed that smaller reactors result in lower radiological consequences during a postulated sabotage-induced event because of their reduced core inventory. All SFMs used U-10Zr metal fuel enriched to 15 wt% high-assay low-enriched uranium and operated until their respective effective multiplication factor (k eff ) reduced to less than 1 or until the end of their operational lifespan. Sabotage scenarios were simulated at this point, when the fuel inventory within the core contains the highest-level of radioactivity. Radionuclide core inventories were calculated using the SCALE code at shutdown and 3 days post-shutdown. Dose consequence analyses were performed for three sabotage scenarios using the RASCAL tool. As microreactor developers plan for minimal on-site or complete off-site emergency response, it remains essential to evaluate their physical protection needs and potential hazards, including assessing postulated sabotage-induced events that could become more relevant. SFM licensees should identify a credible worst-case, major accident, estimate release source terms, and perform dose consequence analyses to evaluate site-specific physical protection measures. In conclusion, this recommendation supports a risk-informed, performance-based approach, aligning with applicable regulatory requirements, i.e., 10 CFR Parts 100 and 53 rulemaking in the United States.

98 NUCLEAR DISARMAMENT, SAFEGUARDS, AND PHYSICAL P↗

Considerations for Introducing Artificial Intelligence into Nuclear Power Plants

Advanced computational tools and techniques such as artificial intelligence and machine learning (AI/ML) can transform the nuclear power industry. This is necessary given that the economic viability of the existing fleet is in jeopardy and its labor-centric approach to operations and maintenance. Currently, AI/ML research is being undertaken for reactor system design and analysis including fault and accident prognosis, nuclear risk analysis such as plant safety and security evaluation, and plant operations and maintenance including predictive maintenance. Applications include both existing and advanced reactor technologies with the aim of improving operational and business efficiencies. Most every aspect of the organization can benefit, from instrumentation and control, to work planning, to human-machine interactions and business management. AI/ML in nuclear can simplify complex problems and produce more effective decision-making. Nonetheless, careful consideration must be given to the implementation of an AI/ML initiative. The aims of this research are to 1) review barriers to AI/ML adoption within the nuclear power industry, and 2) suggest potential solutions. These barriers are organized along five distinct categories (Figure 1) that are interconnected. The first are historical barriers that track the industry’s development over the decades including worldwide nuclear events that shaped public perceptions. The resulting federal scrutiny and intense safety culture that emerged are discussed. Technical barriers to AI/ML adoption are considerable, and include data privacy concerns, data governance, and the current lack of AI/ML expert knowledge at the plants. The main business case barrier remains cost, but an absence of an industry-wide vision and wide-scale adoption also produces reluctance. Stakeholder readiness is reviewed with special attention given to regulatory readiness. The 5-year strategic plan for AI readiness recently published by the U.S. Nuclear Regulatory Commission is highlighted. Last, adoption barriers at the user level are addressed including the importance of user experience and explainable AI. The AI adoption barriers described here are inter-related and ideally should be addressed in a holistic fashion.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Workshop on Establishing and Operating a National Nuclear Security Support Centre Hypothetical Scenario: “Centralia Nuclear Security Support Centre Strategy Implementation Plan”

[This is part of a hypothetical scenario-based exercise for workshop participants, based on the fictitious country "Centralia."] In prior years, as a part of efforts to strengthen and better sustain nuclear security within the State, Centralia requested through the Integrated Nuclear Security Support Plan (INSSP) framework that the International Atomic Energy Agency (IAEA) conduct an expert mission on establishing and operating a national nuclear security support centre (NSSC). After the IAEA conducted the NSSC expert mission, members of the Centralia Committee on Nuclear Security (CNS) agreed to initiate the feasibility determination phase of establishing an NSSC, in line with the systematic process recommended by the IAEA. Centralia Nuclear Regulatory Authority (CNRA), as the designated lead organization for coordinating the feasibility determination process, prepared a Feasibility Report in collaboration with members of the CNS and based on input gathered among relevant national stakeholders. The report was presented to the National Security Advisor (NSA), who reviewed and approved the proposal for Centralia to proceed with establishing an NSSC. After Centralia moved into the planning phase for the Centralia Nuclear Security Support Centre (CNSSC), per REF, the primary stakeholders of the centre jointly developed this strategy implementation plan, which provides an outline of the organizational structure, needs analysis, programme objectives, financial and project management, risk management, and other key aspects of the centre. This document will be reviewed and updated as necessary on a semi-annual basis during the project implementation period of establishing CNSSC.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Integrated Off-gas System: A Preconceptual Design of an Integrated Off-Gas Treatment System

The U.S. has a vested interest in the advancement of nuclear energy to achieve aggressive net-zero goals, with reprocessing and recycling of used nuclear fuels (UNF) playing a vital role. It will not be possible to meet U.S. regulatory requirements without robust off-gas treatment, so it is crucial to advance treatment technologies to facilitate the design of future reprocessing facilities. For many years, teams of researchers across the U.S. Department of Energy (DOE) National Laboratory complex have been investigating off-gas treatment technologies for the capture and removal of volatile radionuclides (i.e., 85 Kr, Xe, 14 C, and 129 I) and oxides of nitrogen (NO X ) that are produced from reprocessing. These investigations have been focused on developing individual technologies for the capture of Kr, Xe, iodine, and CO 2 . Capture technologies for each constituent were tested independently from one another by utilizing nonradioactive surrogates to simulate simplified off-gas streams. The tests have been relatively small, laboratory-scale experiments of up to approximately 1 L/minute total gas flow rate. To increase the readiness of these technologies for deployment, an integrated test system with a larger-scale capacity is needed to bridge the gap between promising bench scale and fully scalable UNF reprocessing off-gas treatment. This document contains the goals, design basis, functional requirements, preconceptual design, and cost estimates for an integrated off-gas demonstration system for the capture and removal of NO x , Kr, Xe, CO 2 , and iodine at 10× higher throughput than earlier laboratory studies. The order-of-magnitude cost estimate for this system is approximately $\$$886,000. Next phases include conceptual design, detailed design, fabrication, and commissioning.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Uptake, Efflux, and Sequestration of Mercury in the Asian Clam, Corbicula fluminea , at Environmentally Relevant Concentrations, and the Implications for Mercury Remediation

(1) Mercury (Hg) is a persistent, ubiquitous contaminant that readily biomagnifies into higher trophic level species in aquatic environments across the globe. It is crucial to understand the movement of environmentally relevant concentrations of Hg in impacted freshwater streams to minimize risks to ecological and human health. (2) The bioconcentration kinetics of aqueous Hg exposure (20, 100, and 200 ng/L) in the invasive Asian Clam, Corbicula fluminea, were measured. A toxicokinetic model, the first parameterized for Hg accumulation in freshwater clams, was developed to estimate uptake and efflux parameters and compared to previous parameter values estimated for other mollusk species. (3) Results demonstrated that even at low Hg concentrations, Corbicula record signals of contamination through bioconcentration, and both direct measurement and toxicokinetic models demonstrate large Hg bioconcentration factors (as high as 1.34 × 10 5 mL/g dry tissue), similar to partitioning coefficients seen in engineered Hg sorbents. (4) Our study found that Corbicula accumulated Hg at aqueous concentrations relevant to impacted streams, but well below regulatory drinking water limits, demonstrating their utility as a sensitive sentinel species and potential bioremediator.

bioaccumulation↗

Panel Session 12: Effective Aspects of the 2016 Consent Order between DOE-EM-LA Field Office - NM Environment Department and Identifying Comparable Approaches

This panel focused on the extremely effective 2016 Compliance Order on Consent executed between the US Department of Energy (DOE) Office of Environmental Management - Los Alamos Field Office (EM-LA) and the New Mexico Environment Department (NMED) and highlights practices and concepts toward developing an environmental compliance agreement that is mutually productive to both the NMED and the DOE. To further demonstrate successful practices, the panel also highlighted another very effective compliance agreement with comparable approaches - the 1993 Savannah River Site (SRS) Federal Facility Agreement (FFA) executed between DOE, the South Carolina Department of Health and Environmental Control (SCDHEC), and the Environmental Protection Agency (EPA). EM-LA, NMED, SRS, and SCDHEC representatives provided attendees an opportunity to understand and compare extremely effective approaches to regulatory compliance across the complex.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Assessing the Solar Photovoltaic Potential in Puerto Rican Brownfields and Reservoirs: Analysis and Modeling [Slides]

This study by the National Renewable Energy Laboratory (NREL) evaluates the potential for solar photovoltaic (PV) development on brownfields and reservoirs in Puerto Rico. Redeveloping these sites offers significant benefits, such as expanding energy infrastructure, supporting environmental remediation, and enhancing community revitalization. The study identifies up to 3.3 gigawatts (GW) of solar PV capacity, including 213 megawatts (MW) on closed landfills, 1-2.5 GW on contaminated sites, 78 MW on decommissioned plants, 21-50 MW on transmission line rights-of-way, and 636 MW on waterbodies for floating PV. This research highlights the strategic importance of investments and regulatory support to achieve Puerto Rico's goal of 100% clean energy by 2050.

14 SOLAR ENERGY↗

Assessing the Solar Photovoltaic (PV) Potential in Puerto Rican Brownfields and Reservoirs: Detailed Results and Methodology Annex [Slides]

This is the technical annex for "Assessing the Solar Photovoltaic (PV) Potential in Puerto Rican Brownfields and Reservoirs." This study by the National Renewable Energy Laboratory (NREL) evaluates the potential for solar photovoltaic (PV) development on brownfields and reservoirs in Puerto Rico. Redeveloping these sites offers significant benefits, such as expanding energy infrastructure, supporting environmental remediation, and enhancing community revitalization. The study identifies up to 3.3 gigawatts (GW) of solar PV capacity, including 213 megawatts (MW) on closed landfills, 1-2.5 GW on contaminated sites, 78 MW on decommissioned plants, 21-50 MW on transmission line rights-of-way, and 636 MW on waterbodies for floating PV. This research highlights the strategic importance of investments and regulatory support to achieve Puerto Rico's goal of 100% clean energy by 2050.

14 SOLAR ENERGY↗

Enhancing Site Screening for Underground Hydrogen Storage: Qualitative Site Quality Assessment - SHASTA: Subsurface Hydrogen Assessment, Storage, and Technology Acceleration Project

The global shift towards renewable energy sources to mitigate fossil fuel dependency and meet carbon emission targets by 2050 has underscored the importance of innovative solutions to address energy supply-demand imbalances. Underground Hydrogen Storage (UHS) has emerged as a promising strategy to store excess renewable energy in subsurface formations for future retrieval and utilization. This report focuses on enhancing the site screening process for UHS facilities. By drawing on insights from prior research to identify key criteria influencing site suitability, our objective is to present a comprehensive set of sixteen specific criteria essential for refining the selection of UHS sites. These criteria cover various aspects such as reservoir performance, legal access, regulatory compliance, economic viability, public acceptance, and safety and security considerations. Our proposed methodology allows users to evaluate potential sites using binary responses, transitioning from isolated factors to broader considerations that facilitate a qualitative assessment of site suitability. This method enables comparative analysis and informed decision-making, supporting stakeholders in the site selection process. Our approach is designed as a guiding framework rather than a rigid template for site screening, emphasizing the importance of customizing approaches to individual circumstances. As UHS site development project evolves, adopting a comprehensive selection methodology that integrates holistic evaluations will be essential for ensuring efficient and effective site screening processes tailored to specific project needs.

08 HYDROGEN↗

Enhancing Site Screening for Underground Hydrogen Storage: Qualitative Site Quality Assessment - SHASTA: Subsurface Hydrogen Assessment, Storage, and Technology Acceleration Project

The global shift towards renewable energy sources to mitigate fossil fuel dependency and meet carbon emission targets by 2050 has underscored the importance of innovative solutions to address energy supply-demand imbalances. Underground Hydrogen Storage (UHS) has emerged as a promising strategy to store excess renewable energy in subsurface formations for future retrieval and utilization. This report focuses on enhancing the site screening process for UHS facilities. By drawing on insights from prior research to identify key criteria influencing site suitability, our objective is to present a comprehensive set of sixteen specific criteria essential for refining the selection of UHS sites. These criteria cover various aspects such as reservoir performance, legal access, regulatory compliance, economic viability, public acceptance, and safety and security considerations. Our proposed methodology allows users to evaluate potential sites using binary responses, transitioning from isolated factors to broader considerations that facilitate a qualitative assessment of site suitability. This method enables comparative analysis and informed decision-making, supporting stakeholders in the site selection process. Our approach is designed as a guiding framework rather than a rigid template for site screening, emphasizing the importance of customizing approaches to individual circumstances. As UHS site development project evolves, adopting a comprehensive selection methodology that integrates holistic evaluations will be essential for ensuring efficient and effective site screening processes tailored to specific project needs.

08 HYDROGEN↗

Engineered Solutions Group's SMR Containment Cable and Electrical Penetration Assembly System

GAIN Project CRADA Number NFE-21-08839, entitled “SMR Containment Cable and EPA System” was initiated by the partnership of Oak Ridge National Laboratory (ORNL) and Engineered Solutions Group (ESG) to test an ESG-designed Electrical Penetration Assembly and Containment Cabling System Qualified for not only legacy LWR designs, but also Small Modular Reactors designs currently being designed by several different suppliers. This project was undertaken to fill the equipment gap of EPA and Cabling Systems that require much more severe environmental requirements than legacy plant applications present due to their smaller containment volumes that result in high energy densities compared to legacy designs. This high energy density results in severe accident environments and more severe normal operating conditions as well. We developed two approaches to qualify Electrical Penetration Assembly (EPA) and Containment Cabling Systems for SMRs and Advanced Reactors. We take into consideration the more severe environmental parameters found with SMR designs. The system will need to meet a qualification test program addressing wear/cyclic aging, potential radiation exposure, thermal aging, vibration aging, thermal cycling, seismic qualification, electrical fault testing (per IEEE 317) and accident simulation. The equipment must meet the requirements of 10CFR50.49, GDC 50 in 10CFR50 Appendix A, and 10CFR50 Appendix J. NRC Regulatory Guides (RGs) identify an acceptable way of meeting regulatory requirements. RGs frequently endorse a standard for meeting these requirements. Specific to this review, equipment would be qualified in accordance with the following IEEE Standards. • IEEE 317-2013 (Electrical Penetration Assemblies), which is endorsed by RG 1.63, Rev. 3, • IEEE 323-2003 and the more current IEC/IEEE 60780-323 (Environmental Qualification of 1E Equipment) which is endorsed by RG 1.89. IEEE 323-2003 is endorsed by RG 1.209, • IEEE 344-2020 (Seismic Qualification. The 2013 version endorsed by RG 1.100, Rev. 4, with exceptions), • IEEE 383-2015 (Electrical Cables) (which is endorsed by RG 1.189 Rev. 4 and the -2003 version endorsed by RG 1.211 rev. 0), • IEEE 572-2019 (Electrical Connectors and Assemblies), which is endorsed by 1.156 Rev 1, and • [IEEE 1202 (endorsed by RG 1.189) would normally be applicable but the advanced cable designs are impervious to this cable flame test.] The primary goal of such a program is to provide an EPA design that can meet the qualification requirements for all legacy light water reactor plants currently operating as well as new plant designs including light water Small Modular Reactors. Thus, these requirements are applicable to plants licensed under 10CFR50 and 10CFR52. Other reactor designs may be evaluated, and this test system and qualification method applied to those applications if the requirements would satisfy the requirements of the intended plant. A secondary benefit of this work is to document some of the history and background in these requirements as there have been recent delays in an SMR licensing process due to NRC Requests for Additional Information in this subject matter area.

42 ENGINEERING↗

Cybersecurity Incident Response Guide for Wind

As wind energy systems become increasingly digitized and interconnected, they face a growing array of cyber threats that can disrupt operations, compromise safety, and trigger cascading impacts across the energy ecosystem. The Wind Incident Response Guide provides a structured, wind-specific framework for preparing for, detecting, responding to, and recovering from cyber incidents. Drawing on lessons from field demonstrations, cyber-physical testbeds, and stakeholder engagement across the wind sector, this guide integrates technical, operational, and regulatory considerations to support asset owners, operators, and responders. It outlines key roles and responsibilities, maps incident response phases to wind-specific scenarios, and highlights applicable laws, regulations, standards, and best practices. By tailoring general cybersecurity principles to the unique architectures and operational constraints of wind systems—including remote access, legacy components, and environmental interfaces—this guide aims to enhance resilience, reduce response time, and support coordinated action across public and private stakeholders. It is intended as a practical resource for utilities, developers, regulators, and emergency managers working to secure the future of wind energy.

17 - WIND ENERGY↗

Pennsylvania Department of Environmental Protection (PA DEP) 26r Detailed Produced Water Compositions (version 1.0)

A database of geochemical compositions of aqueous species in produced water reported to the PA DEP. Samples were collected between mid-2012 to early-2020. Data from publicly-available PA DEP 26r reports were scraped from pdf files and cumulated into tabular spreadsheet format for >1000 produced water streams from Marcellus wells in Pennsylvania. In addition to providing the original values, the NETL NEWTS team has reformatted the dataset to allow sample streams to be easily copied into OLI Studio and Geochemist WorkBench (GWB) software for modeling the geochemistry and the recovery of critical minerals, such as lithium, from these produced water streams. In addition, a version of the dataset has been included with predictions for some missing values in the original dataset using machine learning techniques within CoDaRT software, a public ML software developed by the Nation Energy Technology Laboratory. We have made the Input into CoDaRT and one example output from CoDaRT available in this dataset.

Aqueous Chemistry↗

Past Approaches for Spent Nuclear Fuel, High-Level, and Transuranic Waste Disposal in the United States—Part 1: Safety Criteria and Treatment of Uncertainty

The United States (US), with its 50-year experience in developing deep geologic disposal for transuranic waste, spent nuclear fuel (SNF), and high-level radioactive waste (HLW), has much to share with other countries. Yet, other countries are better able to translate the US experience and corresponding policy decisions into solutions sensible for their country when they understand the compliance requirements in US laws and regulations. This paper presents past approaches in the generic and site-specific standards of the US Environmental Protection Agency (EPA) and implementing regulations of the US Nuclear Regulatory Commission (NRC) using the framework provided by (1) key questions of the Blue Ribbon Commission on America’s Nuclear Future, and (2) international consensus standards. Both the 1985 EPA generic standards, as updated in 1993 and applied at the operating Waste Isolation Pilot Plant in southern New Mexico for transuranic waste from atomic energy defense activities, and the EPA 2008 site-specific standards and implementing regulations, as applied at the proposed Yucca Mountain repository in southern Nevada for SNF and HLW, adopt the strategy of using quantitative, probabilistic analysis to assess performance and compliance.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Nitrogen Status Rewires Transcriptional Regulation of Dhurrin, a Dual‐Purpose Defense Metabolite in Sorghum bicolor

Dhurrin, a cyanogenic glucoside, plays an important role in Sorghum bicolor physiology and defense. The concentration of dhurrin in sorghum is influenced by both nitrogen status and stage of plant organ development. While nitrogen resupply activates the expression of genes for dhurrin biosynthesis, the molecular mechanisms underlying this regulation remain unclear. In this study, we investigated the transcriptional response of sorghum to nitrogen resupply following growth under nitrogen-limiting conditions. Using a time-course design, we measured hydrogen cyanide potential (HCNp), growth, and nitrate content at 0-, 2-, 6-, 12-, 24-, 36-, 48-, and 60-h after resupply and collected tissue for RNAseq analysis in parallel for analysis of gene expression and construction of gene regulatory networks (GRNs). HCNp (mg g −1 DW) increased significantly in leaf and stem tissues following nitrogen resupply, with increases in the leaf partially driven by continued declines in controls under ongoing nitrogen stress. Expression of the dhurrin pathway genes was upregulated in leaves from 24 h after nitrogen resupply, with diel expression patterns observable over the remaining time points. No upregulation was observed in roots or stems, suggesting that developmental context overrides environmental cues. GRN analysis identified candidate transcription factors regulating dhurrin biosynthesis genes, including members of the MYB, bZIP, and GARP-type transcription factor families. Some of these candidate transcription factors may be involved in relieving senescence-associated suppression of dhurrin biosynthesis and link nitrogen signaling to pathway activation. These findings provide new insight into the nitrogen-responsive regulation of dhurrin in sorghum, highlighting candidate regulators for future functional characterization.

S. bicolor↗

Design of Mini-Plate-1 Irradiation Test for Qualification of High-Density, Low-Enriched U-10Mo Monolithic Fuel

The United States High Performance Research Reactor project is tasked with fuel development and qualification leading to conversion of higher power research and test reactors in the US from high-enriched uranium (HEU) to low-enriched uranium (LEU) fuels. Here, this manuscript identifies the functional and operational design requirements of the first miniature test plate (mini-plate [MP]) irradiation campaign (MP-1) of commercially fabricated LEU U-10Mo monolithic plate-type fuel and is the precursor to a large parametric mini-plate test (MP-2) aimed at producing the data to support regulatory qualification of the LEU U-10Mo monolithic fuel. The manuscript (1) provides a general description of the selected U-10Mo LEU fuel and (2) defines the overall experiment design and functional requirements to accomplish the specific test objective of MP-1, which is to confirm that the commercially manufactured LEU U-10Mo monolithic fuel meets the established requirements of geometric stability, mechanical integrity and stable and predictable behavior. The fuel testing parameters are established by the need to bound performance behavior within the operational envelope of the reactors being converted.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Comparative Analysis of Report-Back of Research Results Strategies for Personal Chemical Exposure Data

Background. Report-back of research results (RBRR) is ethically supported and highly requested by participants yet lacks broadly transferable guidelines for RBRR. Effective RBRR must be responsive to target audience needs and may not be addressed by a ‘one-size-fits-all’ approach. Objective. Within a subset of our 19 studies on RBRR, we had the unique opportunity to carry out a comparative analysis of RBRR strategies across cohorts with similar development and evaluation methods, yet distinct in life stage, geography, number and type of chemicals assessed, and community contexts. Methods. We highlight key outcomes from three environmental health studies: an ongoing New York, NY cohort (Fair Start; n=486) and a Detroit, MI cohort (CLEAR; n=34) assessing exposure to ambient urban pollution during pregnancy, and a longitudinal cohort in Houston, TX (Houston-3H) following Hurricane Harvey (n=312). Focus group and survey data were analyzed to identify lessons learned and explore how RBRR supports understanding of environmental health. Results. Commonalities emerged in RBRR development, design, organization, and data visualization, as well as in how RBRR can contribute to an understanding of health-environment connections. Differences included preferences for individual versus community level findings, as well as distinguishable contextual considerations. For pregnancy cohorts, messaging was framed with cultural sensitivity, and to avoid unintended consequences of parental guilt due to prenatal exposures. In the post-disaster Houston-3H study, participants requested additional transparency regarding sampling design and study rationale. Significance. All RBRR case studies reported chemicals without known regulatory or health guidelines, so results were contextualized within the study population. Participants across cohorts requested multi-study comparisons to better understand their results beyond their communities. While foundational RBRR elements (e.g. plain language, graphic organizers) may supersede cohort-specific differences, RBRR should be personalized to encompass perceptions of health across different life-stage, cultural, and environmental contexts.

Vogel, Taylor J.↗