Category / Health, Wellbeing & Society

International Early Labour Research Group – 2014 meeting

Photo (L to R): Mechthild Gross (Germany), Marie Nott (UK), Tine Eri (Norway), Helen Spiby (UK)., Viola Nyman (Sweden), Vanora Hundley (UK), Patti Janssen (Canada), Mary-Ann Davey (Australia).

Researchers from across the globe met in Prague recently to discuss early labour research and to plan an international collaborative study. The group has been meeting regularly since 2008 and produced a number of collaborative papers, including a special issue of Midwifery dedicated to early labour and guest edited by two of the team. The meeting was timely given the recent ACOG guideline, related to re-framing established labour at 6cm cervical dilatation.

Presentations included:

  • Meta-synthesis on women’s experiences of early labour – Tine Eri (Vestfold University College, Norway)
  • Clinical midwives and early labour – Viola Nyman (University of Gotherberg, Sweden)
  • Role of media and women’s behaviours in early labour – Vanora Hundley (Bournemouth University, UK) also on behalf of Helen Cheyne (University of Stirling, UK)
  • Early labour triage service on the experiences of women, partners and midwives – Marie Nott (University of Southampton, UK)
  • Scoping Review of definitions of early labour onset and validation of the prediction tool – Patti Janssen  (University of British Colombia, Canada) 
  • Women’s perceptions of pre-hospital labour duration – Patti Janssen  (University of British Colombia, Canada) 

Opportunities for future collaboration were discussed and projects were identified that could involve a number of settings.  The potential for a fit with European Union funding will be explored.  Virtual collaboration will continue with the next face to face meeting to be held at Grange-over-Sands, immediately prior to the Normal Birth Conference 2015.

Changing diet and exercise, offering men-only groups, and humour may be the recipe for tackling male obesity

Publishing

Fewer men join weight loss programmes but are more likely than women to stick with them, according to analysis of international obesity studies by researchers from the Universities of Aberdeen, Bournemouth and Stirling.

Men also prefer the use of simple ‘business-like’ language, welcome humour used sensitively, and benefit from the moral support of other men in strategies to tackle obesity. The researchers suggest that obese men might be helped better if weight loss programmes were specifically designed for men.

Researchers from the Universities of Aberdeen, Bournemouth and Stirling analysed evidence from around the world, gathered from weight loss trials and studies that have also taken men’s views. The team particularly investigated what would make services more appealing for men.

From their systematic review (see: http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf ) of the evidence on obesity management published by the NHS National Institute for Health Research Health Technology Assessment Programme, researchers also found:

 

  • Cutting calories together with exercise and following advice on changing behaviour are the best way for obese men to shed pounds. This can also help reduce the risk of type 2 diabetes and can help improve erectile dysfunction for some men.
  • Obese men who eat less lose more weight than those who take more exercise but don’t eat less.
  • In the long term, one calorie-reducing diet has not yet been found to better than another for weight loss for men.
  • Middle-aged men are motivated to lose weight once they perceive they have a health problem they want to tackle.
  • A desire to improve personal appearance without looking too thin is also a motivator for weight loss in men.
  • Men are likely to prefer weight-loss programmes delivered by the NHS rather than those run commercially.
  • Group-based weight management programmes run only for men provide moral support.
  • Obesity interventions in sports clubs, such as football clubs, have been very effective, with low dropout rates and very positive responses from men.

 

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Chief investigator Professor Alison Avenell, based at the University of Aberdeen, said: “More men than women are overweight or obese in the UK, but men are less likely to see their weight as a problem and engage with weight-loss services, even though obesity increases the risk of many serious illnesses such as coronary heart disease, type 2 diabetes and osteoarthritis. This could be because dieting and weight-loss programmes are perceived as being feminine activities.”

“We looked at the outcomes of obesity management trials and interventions as well as interviews with men in order to find out more about how to design services and inform health policy. While more research is needed into the effectiveness of new approaches to engage men with weight-loss, our findings suggest that men should be offered the opportunity to attend weight loss programmes that are different to programmes which are mainly attended by women.”

 

Dr Flora Douglas, from the Rowett Institute of Nutrition and Health, said: “Men prefer more factual information on how to lose weight and more emphasis on physical activity in weight loss programmes. Interventions delivered in social settings were preferred to those delivered in health-care settings.   Group-based programmes showed benefits by facilitating support for men with similar health problems, and some individual tailoring of advice helped men.  Programmes which were situated in a sporting venue, where participants had a strong sense of affiliation, showed low drop-out rates and high satisfaction.”

University of Stirling Professor Pat Hoddinott said: “Men are much less likely to enrol in commercial weight loss schemes. Some men preferred weight loss programmes delivered in an NHS context. The difference between weight loss for men from NHS and commercial programmes is presently unclear”.

 

Professor Edwin van Teijlingen from Bournemouth University added: “This research project has benefited throughout from the input and insights offered by the Men’s Health Forum in Ireland, the Men’s Health Forum Scotland and the Men’s Health Forum England and Wales.”

This project was funded by the National Institute for Health Research, Health Technology Assessment Programme (NIHR HTA Project 09/127/01; Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men http://www.nets.nihr.ac.uk/projects/hta/0912701).  The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the Department of Health.

 

Prof. Edwin van Teijlingen

CMMPH

 

Successful BU Festival of Learning debate of media and fear in childbirth!

Festival of Learning

Yesterday saw the lively debate organised by Prof. Vanora Hundley on the motion: ‘The media is responsible for creating fear in childbirth.’

 

Elizabeth Duff from the NCT and HSC Prof. Edwin van Teijlingen affiliated with the Centre for Midwifery, Maternal & Perinatal Health and against the motion argued Joanne Dewberry (http://joannedewberry.co.uk/about-joanne/ ), independent blogger, journalist and successful business woman and Dr. Ann Luce from BU’s  Journalism and Communication Academic Group. 

The debate was part of BU’s Festival of Learning event to explore the role of the mass media in shaping such beliefs and identify whether media portrayals are responsible for rising rates of intervention.  The audience voted in favour of the motion, but the media team managed to get some people to reconsider their views on the impact of the mass media on women’s view of childbirth.

Professors Vanora Hundley and Edwin van Teijlingen

CMMPH

Upcoming seminar from Dr Terry Haines, Monash University, Australia

 

Dr Terry Haines from Melbourne will be in London for a conference and has offered to visit BU on Tuesday 8th July.

He will give a presentation at 2pm in TA134, Talbot campus, entitled:

“Researching health services that have an absence of evidence but are already a part of standard care”.

Terry is a distinguished researcher, with a physio / economics background, expertise in both quali and quant methods, and has 17 PhD students doing work around inpatient falls prevention as well as a variety of other topics.

You can view his profile and long list of publications here:

http://www.med.monash.edu.au/physio/staff/haines.html

I highly recommend him to you and so do please put the date in your diary and spread the word.

If you are able to attend the presentation at 2pm and / or would like to meet Terry for an informal discussion about potential research collaborations, etc., then do please email Samuel Nyman at snyman@bournemouth.ac.uk

Samuel Nyman

BUDI & Psychology Dept, SciTech

BU student Jib Acharya presents poster in Ethiopia

PG research

HSC Ph.D. student Mr. Jib Acharya presented a poster in Ethiopia on his thesis research.  His poster accepted by the scientific committee of the Micronutrient Forum Global Conference in Addis Adeba, the capital of Ethiopia.

 

Jib Acharya reported on his Ph.D. research which involves a mixed-methods study of to assess knowledge, attitudes and beliefs about nutritious food amongst rural and urban mothers in one district of Nepal.  The poster highlighted that both knowledge of and attitudes towards nutritious food of rural and urban mothers are still poor in both rural and urban populations.

Jib’s supervisors in the School of Health & Social Care are: Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.

 

Reference:

Acharya, J., van Teijlingen E., Murphy, J., Hind, M. (2014) A Comparative Study on Nutritional Problems in Preschool Aged Children of Nepal, poster presented at the Micronutrient Forum Global Conference in Addis Adeba, Ethiopia, June 2014.

 

 

Well done!

 

Prof. Edwin van Teijlingen, CMMPH

Strong CMMPH presence at ICM conference in Prague!

PG research, Publishing, Training

Dr. Carol Wilkins

In the first week of June members of the Centre for Midwifery, Maternal and Perinatal Health presented BU’s midwifery research and education at the 30th ICM (International Confederation of Midwives) Congress in Prague (Czech Republic).

There were four oral presentations in total, one workshop and three poster presentations.  The oral presentations comprised:

  1. Dr. Carol Wilkins (see picture) presented from her Ph.D. work ‘Emotional processing in childbirth study: exploration of the relationship between maternal emotions in pregnancy and risk of postnatal depression’.
  2. HSC Professor Vanora Hundley presented her international work on clean birth kits.
  3. Senior Lecturer in Midwifery Alison Taylor gave a paper under the title ‘Letting off steam! Video diaries to share breastfeeding experiences.  Her Ph.D. thesis research uses a novel approach of giving hand-held cameras to make home video diaries about their ‘realities’ of breastfeeding.
  4. HSC student Sheetal Sharma presented her Ph.D. research ‘Getting women to care: mixed–methods evaluation of maternity care intervention in rural Nepal’.

Dr Susan Way led a workshop on escalating concerns in relation to poor clinical practice and disrespectful care.

 

 

 

 

 

 

 

Furthermore, three HSC posters were displayed as part of a special session on Midwifery in South Asia, all three related to different CMMPH maternity care studies conducted in Nepal.

  1. Sharma, S.  Sicuri, E., Belizan, JM., van Teijlingen, E., Simkhada, P., Stephens J.,  Hundley, V., Angell, C.,  Getting women to care in Nepal: A Difference in Difference analysis of a health promotion intervention
  2. Milne, L, Hundley, V, van Teijlingen, E, Ireland, J, Simkhada, P, Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study,
  3. Sharma, S., van Teijlingen, E., Hundley, V. Simkhada, P., Angell, C. Pregnant & Dirty?

 

Prof. Edwin van Teijlingen

CMMPH

Delivering healthcare in prisons

Last week Jane Senior from University of Manchester and Research Project Manager of the Offender Health Research Network (OHRN) visited Bournemouth University. She came to BU to share her recent research findings with students, staff and professionals working with prisoners and ex-offenders.

Jane is a clinician-researcher who is a qualified mental health nurse with over 20 years post qualification experience of working in prisons and secure mental health settings. During the session Jane presented findings from three recent research projects:

  • Liaison and diversion services in England
  • Mental health in-reach service
  • Critical Time Intervention

These large-scale studies have been undertaken in collaboration with a number of UK Universities and also Columbia University, New York.

Those who attended particularly enjoyed having the opportunity to discuss with Jane the implications for her findings for professional practice now and in the future. One attendee said the session ‘was excellent – very interesting and engaging’ and another ‘ I really enjoyed the format of the session – so informative’. The critical Time Intervention is on-going research project and several of the professionals attending  the session felt was a great opportunity to learn more about this new pilot initiative.  The session was made possible through funding from the Society and Social Welfare Community.

BU Nepal health research at international midwifery conference

PG research

Yesterday HSC Ph.D. student Sheetal Sharma presented her key research findings under the title ‘Getting women to care: mixed–methods evaluation of maternity care intervention in rural Nepal’ at the 30th congress of the ICM (International Confederation of Midwives) in Prague.   Sheetal’s Ph.D. evaluates the effectiveness of a health promotion intervention aiming antenatal care attendance in rural Nepal.  Her evaluation suggests that practice should be socio-culturally appropriate and inclusive not only of women but also their families.

This afternoon three HSC posters were displayed as part of a special session on Midwifery in South Asia.  All three posters featured aspects of maternity care research conducted in the Centre for Midwifery, Maternal and Perinatal Health in Nepal.

Poster 1:        Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study

Milne, L, Hundley, V, van Teijlingen, E, Ireland, J, Simkhada, P,

Poster 2:        Pregnant & Dirty?

Sharma, S., van Teijlingen, E., Hundley, V. Simkhada, P., Angell, C.

Poster 3:        Getting women to care in Nepal: A Difference in Difference analysis of a health promotion intervention

Sharma, S.  Sicuri, E., Belizan, JM., van Teijlingen, E., Simkhada, P., Stephens J., Hundley, V., Angell, C.

 

Prof. Edwin van Teijlingen

CMMPH

HSC postgraduate student speaks at Canadian Conference

PG research

 

Pratik Adhikary spoke about his Ph.D. research at the American Canadian Conference for Academic Disciplines (Toronto: 19-22 May 2014).  Pratik presented the key findings from his thesis under the title ‘Health status and health risks to Nepalese migrant workers in the Middle East and Malaysia’.

Pratik is originally from Nepal and he conducted his research with male migrant workers who were returning to Nepal for definite or for a holiday/break.  He is supervised by Dr. Steve Keen and Prof. Edwin van Teijlingen both in HSC.

 

Pratik’s study has been supported by Bournemouth University, the PGR Development Fund and the Open Society Foundations.

 

Edwin van Teijlingen

CMMPH

Übersetzen: Translation of the MGI in German

Publishing

 

The Mother-Generated Index (MGI) is a validated tool to assess postnatal quality of life.  It was originally designed and tested by Dr. Andrew Symon (http://nursingmidwifery.dundee.ac.uk/staff-member/dr-andrew-symon) at the University of Dundee.    This instrument is usually administered several weeks or months after birth and correlates with indices of postpartum mood states and physical complaints. The instrument had not been translated into German before or validated for use among German-speaking women, nor have the results of the tool been assessed specifically for the administration directly after birth.  Our recent paper (Susanne Grylka-Baeschlin, Edwin van Teijlingen, Kathrin Stoll and Mechthild Gross) in Midwifery describes the systematic translation process of the MGI into German and to assess the convergent validity of the German version of the instrument directly after birth and seven weeks postpartum

Susanne Grylka-Baeschlin, as part of a European COST Action, has spent time at Bournemouth University’s Centre for Midwifery, Maternal and Perinatal Health.  Susanne Grylka-Bäschlin is a Swiss midwife based at the Hannover Medical School, Germany, who studies cultural differences in postnatal quality of life among German-speaking women in Switzerland and Germany.

 

Prof. Edwin van Teijlingen

 

CMMPH

Free places available for BU staff – BUDI workshop hosted by Museum of Modern Art (MoMA) 21st May 2014

Training

Thanks to FIF Mobility Strand Funding, Bournemouth University Dementia Institute (BUDI) are delighted to be welcoming colleagues from the Museum of Modern Art (MoMA) in New York to Bournemouth University from 20-23rd May 2014. As part of their visit, BU Staff are being invited to join a free workshop. In this workshop MoMA’s specially trained Museum Educators will share their successful model and established approach for making their services dementia-friendly (validated via evaluation from New York University). 

This workshop showcases MoMA’s innovative style of education delivery, providing attendees with an opportunity to hear the success of their approach and a practical demonstration in the Atrium Gallery. Staff with an interest in alternative teaching methods and those working with vulnerable groups may be particularly interested in attending. Please also pass on this information to any PhD students you feel may benefit from attending.

Date: 21st May 2014

Time: 11:00 – 15:30

Venue: Talbot Campus

There are a limited number of places available on this workshop for BU staff. To book a place, or for more information, please email mheward@bournemouth.ac.uk or call 01202 962538.

Successful Grant Application! Plaster & Boot Comparison for Ankle Fracture Surgery

Awarded & submitted bids

Despite ankle fractures requiring surgery being so common, patients are managed in many different ways and there is debate over whether patients require prolonged periods immobilised in plaster or whether being able to actively move/use the ankle might be advantageous.  £350k has recently been awarded to Poole Hospital and collaborators by the National Institute for Health Research’s Research for Patient Benefit scheme to find out!   

The Dorset office of the South West Research Design Service based within Bournemouth University’s Clinical Research Unit were contacted in late Spring 2010 about the potential study and have therefore been involved in all aspects from the outset.  Several members of the Clinical Research Unit are co-applicants and committed to the delivery of the trial. 

As the Research Design Service project lead, Zoe Sheppard helped facilitate the grant application bringing in statistical support, patient and public involvement advice, qualitative research expertise, health economic expertise, costing and research and development advice liaising with finance and research and development departments as well as the Peninsula Clinical Trials Unit.  In addition to inputting into specific aspects according to their expertise, all co-applicants also extensively commented on the overall design and proposal, meaning a wide-ranging input. 

Two previous drafts were submitted to the mock funding committee.  Six extensive written reviews were received from lay reviewers and methodologists as well feedback from the chair/panel members. 

So if you would like support with a grant application for health research, please get in contact as early as possible – we look forward to working with you!

The Bournemouth University Clinical Research Unit Team!