Category / Social Work and Social Policy

The slow process from public health research to law

We know that public health works and thinks long-term. We’ll typically see the population benefits of reducing health risks such as tobacco use, obesity and high alcohol intake in ten or twenty years’ time.  But we often forget that preceding public health research into the determinants of ill health and the possible public health solutions is also slow working.  Evidence-based public health solutions can be unpopular with voters, politicians or commercial companies (or all).  Hence these take time to get accepted by the various stakeholders and make their way into policies.

I was, therefore, glad to see that Scotland won the Supreme Court case today in favour of a minimum price for a unit of alcohol. As we know from the media, the court case took five years.  Before that the preparation and drafting of the legislation took years, and some of the original research took place long before that.  Together with colleagues at the Health Economic Research Unit at the University of Aberdeen, the University of York and Health Education Board for Scotland, we conducted a literature review on Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland as early as 2001 [1].  Some of the initial research was so long ago it was conducted for the Scottish Executive, before it was even renamed the Scottish Government.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Research started years ago! Ludbrook et al.(2002) Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland: Lit Review, HERU, Univ. of Aberdeen. [ISBN: 0755932803] http://www.gov.scot/Resource/Doc/1124/0052548.pdf

NIHR Grant Applications Seminar & Support event – last chance to book

 

 

 

 

Are you planning to submit a grant application to NIHR?

Research Design Service South West (RDS-SW) are holding a one day event on 9 November 2017 at Plymouth Science Park, Devon.

Last few days to book!

The events consists of:

  • a morning seminar session which is open to anyone to come and RDS advisers give presentations on what makes a good grant proposal.
  • an afternoon support session of one-to-one appointments which is for those who would like to discuss their own proposal with an RDS adviser. Those interested in this opportunity will be asked to supply in advance a brief description of their project idea.

Registration is FREE and lunch will be provided. Places are limited and will be allocated on a ‘first come, first served’ basis. In order to secure a place at one of these events, delegates will need to complete the online registration form by 1pm 30 October 2017. One-to-one appointments need to be booked in advance by selecting the appropriate option on the registration form.

You can find out more here

Don’t forget your local branch of the NIHR Research Design Service is based within the BU Clinical Research Unit (BUCRU) on the 5th floor of Royal London House. Feel free to pop in and see us, call us on 61939 or send us an email.

FHSS student needs help with online questionnaire for her research

Our PhD student Orlanda Harvey is currently conducting her study on why people use Anabolic Androgenic Steroids (AAS).  Since steroid use is a sensitive topic and its users are a hard-to-reach population we need as much help as we can get to get her survey distributed to as many as possible potential steroid users (aged 18 and over).  We, as her PhD supervisors, would like to ask you to alert friends, family, neighbours, health care professionals working with this target group, etc. to the existence of this survey.   Her questionnaire is available in paper version (from harveyo@bournemouth.ac.uk or telephone Edwin van Teijlingen at: 01202-961564).  However, the easiest and most anonymous way would be for people to complete it online using the following online link.

 

Thank you very much in advance!

Dr. Margarete Parrish

Dr. Steven Trenoweth

Prof. Edwin van Teijlingen

 

 

Congratulations to James Palfreman-Kay

Congratulations to BU’s Equality and Diversity Adviser James Palfreman-Kay whose application to HEFCE’s ‘Catalyst Fund: Tackling hate crime and online harassment on campus‘ has been successful.  He is one of 40 academic recipients of funding at universities and colleges throughout England.  Applications have been  assessed by a panel of HEFCE staff and external experts from across relevant areas of knowledge particular to student safeguarding.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

 

SAIL Project Team Meeting

Last week, Prof Ann Hemingway,  Prof Adele Ladkin  and Dr Holly Crossen-White joined European research colleagues in Ostend, Belgium for a SAIL Project bi-annual team meeting. Over two days  all research partners from four different European countries had the opportunity to share their initial research data from pilot projects being developed within each country for older people. The BU team will be undertaking the feasibility study for the SAIL project and will be drawing together all the learning from the various interventions created by the other partners.

 

 

BU Sociology article in The Conversation

Congratulations to Dr. Hyun-Joo Lim Senior Lecturer in Sociology at BU who has just written an interesting piece on human rights issues faced by North Korean female defectors in China in The Conversation. You can access this article by clicking here!

 

Well done!

Prof. Edwin van Teijlingen

CMMPH

 

Congratulations to Dr. Keen on new Nepal publication

Congratulations to Dr. Steve Keen in the Faculty of Health & Social Sciences and BU PhD graduate Dr. Pratik Adhikary on the acceptance today of their paper ‘Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi ‘ by the journal Health Prospect [1].  This is a peer-reviewed public health journal, part of Nepal Journals Online, and the journal is Open Access.  Nepal Journals OnLine (NepJOL) provides access to Nepalese published research, and increase worldwide knowledge of indigenous scholarship.

The Faculty of Health & Social Sciences has a growing number of publications on health and migration research, especially on the health and well-being of migrants from Nepal [2-5].

 

Prof. Edwin van Teijlingen

 

References:

  1. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect (forthcoming)
  2. Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
  3. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  4. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  5. Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.

Denyse King’s Health Education England project ‘NoObesity’

NoObesity

The government’s key priority of reducing childhood obesity through adult education (as announced by Jeremy Hunt in Sept 2015), prompted BU’s Denyse King to write a proposal to Health Education England. Denyse is a Midwifery Lecturer / Public Health Practitioner in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) at Bournemouth University. The proposal outlined her wish to develop a stand-alone mobile learning resource for health workers who care for families of overweight or obese children, and for families who need to identify individual needs to facilitate behavioural changes.

Afbeeldingsresultaat voor childhood obesity statistics uk, 2016

The development of this project pivoted on putting patients and the public in the centre of the process. Patients and the public were engaged through focus groups where insights were gathered to identify the challenges and issues to the problem. A series of online focus groups were undertaken with service users and professionals to understand the key challenges and issues respondents came across when trying to prevent/manage overweight and obesity. Key themes from the focus groups were:

  • Empowering – the solution needs to recognise the experiences people bring and therefore the tools need to be empowering in supporting families to address obesity.
  • Parenting tips – to address challenges with encouraging positive health behaviours with children.
  • Responding to barriers – from parent/carers who are being supported by health professionals.
  • Obesity isn’t a quick fix – recognising that sustained behaviour change takes time and support to overcoming barriers is vital.
  • Healthy snacks and activities – provide easy and simple ideas to support parents/carers and professionals to identify quick ways to support healthier eating and increase activity.
  • Portion size – understanding that portion size is important in addition to eating healthily.

Topic experts were identified and invited to join the project steering group where they provided the governance and steer of the overall development of this project whilst Denyse King wrote the content. The following Apps have been developed as a result and will be available to all as free download in IOS and Android platforms from late September 2017:

  • NoObesity Family Focused App – After consultation with a healthcare worker, families set health goals, identify potential barriers and strategies to overcome them, record their progress towards their goals, earning points and awards as they go. Families are encouraged to link accounts to healthcare professional accounts (see below). The tool also includes parenting tips, games and useful links.
  • NoObesity Professional Focused App– Healthcare professionals can see the goals, barriers, strategies, progress, points and awards of linked families, making them better able to provide tailored advice to the families, to help them achieve their goals. This is based on research findings that ‘one-size- fits-all’ health advice simply doesn’t work for most families. The tool also includes the Wessex MECC-based guidance on how to best support families, how to handle common objections, games and useful links.

Denyse would like to thank Dr. Joanne Newton project proposal support, Felicity Hargreaves and Helen Bingham for approval of the final project proposall. Thanks to all those who contributed to answering the research questions, as well as those who tested and fed back on the prototype, and also to Bournemouth University, University of Southampton, and NHS England for their support of this project.

 

List of the members of the steering group

Name Job Title Organisation Steering Group Role
Em Rahman Head of Public Health Workforce Development Programmes Health Education England (Wessex) Steering Group Chair
Alison Potter Technology Enhanced Learning Lead (South) Health Education England (South) Deputy-Chair
Dr. Jenny Godson (MBE) National Lead for Oral Health Improvement Public Health England Dental and dental aspects of nutrition
Prof. Edwin van Teijingen Professor – Centre for Midwifery, Maternal & Perinatal Health Bournemouth University Research supervision and education governance
Dr. Juliet McGrattan General Practitioner Cumbria Medical Chambers GP role governance
Kate King-Hicks Health and Wellbeing Programme Lead Public Health England (South East) Obesity governance
Tony Hewett Intervention Manager and behaviour change specialist Miltoncross Academy School staff role governance
Dr. Jo Walker Consultant Paediatrician Portsmouth Hospitals Trust Consultant doctors role governance
Dr. Wendy Marsh Lead Midwife for Safeguarding Portsmouth Hospitals Trust Safeguarding governance
Kate Lees Consultant in Public Health and Dietitian Lees & Latouze Nutrition governance
Denyse King Lecturer in Midwifery and Public Health Practitioner Bournemouth University Content author and governance

Good month for BU reproductive health publications

This month has been exceptionally good for BU publications in the field of midwifery and maternity care.  Two PhD students has their articles published in international academic journals, one member of staff had a textbook chapter published, an interdisciplinary team has been accepted for publication in the British Journal of Midwifery, and a member of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) co-authored this month’s editorial in the Journal of Asian Midwives  as well as an epidemiology paper on the HPV (Human Papilloma Virus) in Nepal.  

The first of this success story was CMMP PhD student Preeti Mahato whose  her latest paper ‘Factors related to choice of place of birth in a district in Nepal’ appeared in the Elsevier journal Sexual & Reproductive Healthcare  [1].  The second PhD paper was also based on research in Nepal this time by Sheetal Sharma whose paper ‘Evaluation a Community Maternal Health Programme: Lessons Learnt’ appeared in Journal of Asian Midwives [2].  The textbook chapter was by Dr. Jenny Hall who contributed a chapter to the latest edition of Mayes Midwifery , which is the classic midwifery textbook and now in its 15th edition [3].  The interdisciplinary paper is by Angela Warren, service user and carer coordinator PIER partnership, Dr Mel Hughes, principal academic in social work, academic lead for PIER partnership, and  Dr Jane Fry and Dr Luisa Cescutti-Butler who are both senior lecturers in midwifery in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) [4]. The latest issue of the Nepal Journal of Epidemiology carried a CMMPH co-authored paper on the HPV in young women in Nepal [5].   The final piece, an editorial, appeared yesterday in the latest issue of the Journal of Asian Midwives [6].


Congratulations to all authors!

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Mahato, P., van Teijlingen, E., Simkhada, P., Sheppard, Z., Silwal, R.C. (2017)  Factors related to choice of place of birth in a district in Nepal, Sexual & Reproductive Healthcare 13 : 91-96.
  2. Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens, J., Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4 (1): 3–20.
  3. Hall, J. (2017) ‘Fertility and it’s control’ In: Macdonald, S. & Johnson, G.  Mayes’ Midwifery, 15th Edition,  London: Elsevier.
  4. Warren, A., Hughes, M., Fry, J., Cescutti-Butler, L. (2017) ‘Involvement in midwifery education: experiences from a university service user and carer partnership’ British Journal of Midwifery (forthcoming).
  5. Sathian, B., Babu, MGR., van Teijlingen, E.R., Banerjee, I., Subramanya, H.S., Roy, B., Subramanya, H., Rajesh, E., Devkota, S. (2017) Ethnic variation in perception of Human Papillomavirus and its Vaccination among young women in Nepal, Nepal Journal of Epidemiology 7 (1): 647-658.  http://www.nepjol.info/index.php/NJE/article/view/17757
  6. Jan, R., van Teijlingen, E. (2017) Exciting Times in South-Asian Midwifery, Journal of Asian Midwives 4 (1):1

New publication by FHSS PhD student

Congratulations to Faculty of Health & Social Sciences (FHSS) PhD student Folashade Alloh and Dr. Pramod Regmi, newly appointed lecturer in International Health.  They just published ‘Effect of economic and security challenges on the Nigerian health sector’ in the journal African Health Sciences.  The paper is Open Access and can be found here!

Well done!

 

Prof. Edwin van Teijlingen

CMMPH

New publication on Community Hospitals

The Health Services Journal published a commentary this week on Community Hospitals [1].  This online article is written by Dr. Emma Pitchforth who is based at RAND Europe in Cambridge (& BU Visiting Faculty), Prof. Edwin van Teijlingen (Faculty of Health & Social Sciences) and Dr. Ellen Nolte based at the European Observatory on Health Systems and Policies

The authors highlight the recently completed NIHR study on Community Hospitals [2].  The notion of a Community Hospital in the UK is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.

With ease of access and a sense of homeliness, there is potential for Community Hospitals to be better integrated into NHS in England.  The authors suggest that a more strategic role for ‘traditional’ Community Hospitals might be timely within the NHS in England.  They further conclude that if challenges around Community Hospitals are addressed and their within the English health system is properly defined, they could provide positive benefits to the health service. It seems that, if done correctly, Community Hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.The full NIHR report is Open Access and can be found here!

Last year the research team had already published a scoping review article from the NIHR study [3].

 

 

References:

  1. Pitchforth, E., van Teijlingen, E., Nolte, E. (2017) Community hospitals: a traditional solution to help today’s NHS? Health Services Journal (11 July) https://www.hsj.co.uk/community-services/community-hospitals-a-traditional-solution-to-help-todays-nhs/7020019.article#/scientific-summary
  2. Pitchforth, E., Nolte, E., Corbett, J., Miani., C, Winpenny., E, van Teijlingen, E., Elmore, N,, King, S,, Ball, S,, Miler, J,, Ling, T. (2017) Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies Health Services & Delivery Research 5(19): 1-248.
  3. Wimpenny, E.M., Corbett, J., Miami, C., King, S., Pitchforth, E., Ling, T., van Teijlingen, E. Nolte, E. (2016) Community hospitals in selected high income countries: a scoping review of approaches and models. International Journal of Integrated Care 16(4): 13 http://dx.doi.org/10.5334/ijic.2463