Category / Health, Wellbeing & Society

BU’s Sarah Bate talks about developmental prosopagnosia at Birkbeck College

In September 2011 BU’s Dr Sarah Bate was invited to talk at a Face-Blindness Open Day at Birkbeck College.  The event was attended by people with prosopagnosia (face blindness) from all over the world and the media.  The other keynote speakers were big names in the face processing world: Brad Duchaine (Dartmouth College), Tim Valentine (Goldsmiths) and Martin Eimer (Birkbeck).

You can watch an excellent video of Sarah’s presentation here:

httpv://www.youtube.com/watch?v=WdCMj7Yp6CU&feature=related

The BU Challenges: the way forward

The BU Challenges (previously the Research Themes) were launched in December at the first of the BU-wide Fusion events. The Challenges are societally-led, encourage cross-School working and collaboration, and will be the main vehicle through which our research is presented externally in future.

To discuss how to take the Challenges forward and foster collaborative working, Matthew Bennett would like to talk to all staff interested in the Challenges. Matthew will spend an hour per Challenge either in the Costa in the Atrium or in the Costa in Studland House and invites you to join him to talk about the way forward for each theme.

The session times are listed below:

Research Theme

Date and Venue

Creative and Digital Economy 11 January – 2.00 pm to 3.00 pmCosta Coffee Shop, Poole House

 

Culture and Society 12 January – 2.30 pm to 3.30 pmCosta Coffee Shop, Poole House

 

Environmental Change and Biodiversity 16 January – 2.00 pm to 3.00 pmCosta Coffee Shop, Poole House

 

Entrepreneurship and Economic Growth 18 January – 11.00 am to 12.00 pmCosta Coffee Shop, Studland House

 

Green Economy and Sustainability 18 January – 4.00 pm to 5.00 pmCosta Coffee Shop, Poole House

 

Recreation and Leisure 19 January – 10.00 am to 11.00 amCosta Coffee Shop, Poole House

 

Health, Wellbeing and Aging 25 January – 1.30 pm to 2.30 pmCosta Coffee Shop, Studland House

 

Technology and Design 23 January – 4.00 pm to 5.00 pmCosta Coffee Shop, Poole House

 

Research into public health and tourism strategies

Watch this excellent short video from BU’s Dr Heather Hartwell (School of Tourism and School of Health and Social Care) who describes unique research facilitating strategic direction for public health, in alignment with tourism strategies, aimed at creating conversation and collaboration

To see other BU videos on YouTube go to the BU YouTube page.

 

httpv://www.youtube.com/watch?v=Hv8DM9zKU1c

Health,Wellbeing and Ageing

Thank you to all those who supported the Health, Wellbeing and Ageing research theme at last week’s fusion day. There was some excellent discussion and guidance on how the theme should develop and please can we encourage a continued dialogue.
We have managed to secure some admin support and therefore soon we will be asking you for key words that you think best define your research area. We can then develop a tagged word cloud which will facilitate our understanding of who we are and enable emergence of potential themes of direction. These will be ‘tested’ with the community on April 18th when we will have another face to face fusion day.
Hope that you all have a lovely Christmas and see you in the New Year

Critical thinking and professional judgement for social work

Professional judgement, communication and critical reflection are vital aspects of a social worker’s role and a new book, ‘Critical thinking and professional judgement for social work’, aims to empower post-qualifying students to develop these skills.

The front cover of 'Critical Thinking and Professional Judgement for Social Work'Author Lynne Rutter from the Centre for Post Qualifying Social Work at Bournemouth University explains more about professional learning, a new way of thinking and her own research.

“I am intrigued by the psychology associated with learning. It is obviously an emotional and very personal experience, especially for qualified practitioners, but it should also be an empowering experience.

“For me, professional higher education is about developing more complex thinking which has practical, reflective, personal, moral, as well as objective, conceptual and theoretical aspects. All these aspects are part of professional reasoning and judgement and ultimately professional understanding and knowledge, and so are equally important.

“My journey has led me to understand that there is a productive and empowering synergy here if no one aspect is privileged over the others and if a professional perspective becomes a focus. These were very important elements within the professional doctorate which made it very meaningful and useful for my own practice. The book brings much of this work together and aims to highlight and develop the complex thinking associated with professional learning as a key part of developing confidence and authority in a professional role.”

Order a copy of ‘Critical thinking and professional judgement for social work’.

Development of the health, wellbeing and ageing theme

Dear all,

I would really like to encourage full engagement with the fusion day on December 14. The development of the health, wellbeing and ageing theme is up to us – we can harness what we are good at and how research expertise knits together across the uni and present this as our BU interpretation. This is just the beginning and yes we will need a series of events to form together as a community – this will be one of the questions on Dec 14th – what now?

I feel that this theme has a very good pedigree with some excellent talent and is in the white hot area of the fusion triangle! – it is now giving it a voice and direction.

Heather Hartwell

Ground-breaking report published by BU research centre

A new report that will serve as a blueprint for effective leadership in social work and social care has just been published by the Centre for Post-Qualifying Social Work at BournemouthUniversity.

Entitled ‘Leadership and Management Development for Social Work and Social Care: Creating Leadership Pathways of Progression’, the ground-breaking report is co-authored by Professor Keith Brown, Director of the Centre, and Jane Holroyd MBE on behalf of Learn to Care, the body which represents workforce development managers from all local authorities in England.

Leadership & Management Development for Social Work & Social CareThe report provides the UK’s first framework for establishing an effective Leadership and Management pathway in social work and social care.  It addresses the major concerns and recommendations identified following the Peter Connelly case by the Social Work Reform Board (2009) and the Munro Review of Child Protection Services (2011) in terms of the call for a clear leadership and management strategy for front line social work managers.

This new framework has been developed over the past 18 months and has involved rigorous testing and piloting. A new underpinning theory and approach, Self-Leadership, which critically emphasises the quality of thinking and developing the abilities to manage self as part of improving personal and organisational performance, has been developed by Professor Brown and Jane Holroyd. Holroyd suggests this model is applicable to all professions, whatever their managerial position, as all professionals will be leaders within their own sphere of influence.

The report also highlights the critical role of assessment and evaluation to demonstrate that individuals have reached the required levels of competence and that a return on the investment is evidenced.

Conor Burns, MP for Bournemouth West, has hailed the framework as enormously important for the future of long term care in the UK.

“Reputationally for Bournemouth University, this is an incredibly important breakthrough. What we are currently doing with social work and social care training is teaching without testing and training without measuring the impact,” he said.

“As a state, we are spending millions and millions and not questioning the effectiveness of that spend”.

The Centre for Post Qualifying Social Work at Bournemouth University is at the leading edge of post qualifying social work education in the UK. It works with over one third of all local authorities in England and over 70 major employers, including training social workers within the armed forces.

The Centre’s portfolio of courses are designed to raise standards in social work practice and help those in social work and social care demonstrate their competence to work within complex situations with the most vulnerable in our society.

Of particular note, this leadership framework has been developed to meet the requirements of the NHS Leadership Qualities Framework and it is anticipated that this will be of real value, especially as we see increasing integration between the NHS and Local Authority community services in the coming months.

You can order a copy of the publication by emailing kbrown@bournemouth.ac.uk

Migration and Climate Change

The Migration and Global Environmental Change Report (commisioned by government) has been published today. The report warns of the serious implications of climate change for the world’s poorest people, who will be forced to migrate away from sterile land. The report suggests that migration will need to be managed – which is in itself controversial because migration is usually seen as a bad thing by aid agencies. Further, unless carefully managed, migration often gives rise to unrest and conflict, particularly where the migrants either impose an extra burden or are unwelcome by those living in the areas to which they migrate. Some difficult issues will need to be planned for – unfortunately such issues are often low down the priority in terms of planning .

The report can be accessed at:

http://www.bis.gov.uk/foresight

 

Health and Wellbeing (Wei-Jun Liang, Kevin McGhee and David Osselton)

Author: Kevin McGhee, Wei-Jun Liang, M. David Osselton (ApSci)

Alternative name suggestion:

Living with environmental change – Health and Wellbeing in the Fast-changing Environments

Functional Genomics and Integrated Systems Biology

Brief theme summary: 

In the dynamic and fast-changing natural or social environments, we are exposed to a variety of pollutants, drugs, viruses and deadly pathogens. As the ages of our population are rising, so are degenerative diseases, such as cancer, cardiovascular and Alzheimer’s diseases. Therefore, understanding those environmental impacts on human health and aging is paramount and becomes one of the top priorities in the vision of RCUK.

Differences in genetic make-up between individuals and different populations make us respond differently to harmful agents including prescribed medicinal drugs, beneficial to some or detrimental to others.  The desire to understand detailed mechanisms in order to provide better healthcare had been monumentally dispirited before we were able to reveal the detailed differences in our genomes. Ever since the completion of human genome sequencing in 2004, the advancement in genome sciences in conjunction with that of environmental sciences provides opportunities for substantiating the improvement of human health and wellbeing as well as management of  healthcare of aging populations. Since the genomic sequences of many other important organisms have also been determined, comparative genomic studies between humans and amongst other organisms is currently the most powerful way to unravel the intricate interrelationships of human health and environment. In the post-genome era, this newer vision of biological sciences driven by the concept of systems biology is currently pursued internationally.

With our expertise in molecular biology, human genetics, toxicology and analytical chemistry as well as some of the essential equipment, we can take advantage of functional genomics in order to drive the research theme in human health and wellbeing, and aging, in relation to environmental, social and cultural factors.

Scope of theme: what is included?

 Our current on-going research embraces the following areas:

 Pharmacogenomics

  • Molecular networks of integrin-linked mechanical signalling in relation to human heart disease – Bioimaging (in collaboration with Professor Jiang Jun Zhang of Media School and Professor Adrian Podoleanu of Kent University).
  • Impacts of SNP (genetic variations) on the toxicities of methadone amongst populations (in collaboration with Professor David Paunder of Dundee University).
  • Impacts of SNP (genetic variations) on the efficacy of morphine in patient pain management (collaboration with Tamas Hikish of Royal Bournemouth Hospital and Dr Joy Ross of Royal Marsden Hospital in London).

Biodiversities and conservation

  • Evaluation and protection of local red squirrel populations in Dorset (in collaboration with Dr Kathy Hodder).
  • Evaluation and protection of local Padina species to exploit their economic potential (in collaboration with Dr Roger Herbert).
  • Molecular mechanisms of pheromone-communications of diverse species (in collaboration with Professor Rudy Gozlan).
  • DNA profiling for human and animal identifications in the fields of anthropology and archaeology.

Our topics of interests in the immediate future:

  • Human vitamin C transport and its impact on human degenerative diseases, such as cardiovascular and Alzheimer’s diseases.
  • Human detoxification pathways in relation to the glucuronidation and transport, and personalised medicine (in collaboration with Prof Stephen Wong of Wake Forest University, USA)
  • Molecular mechanisms of infectious diesease (in collaboration with Professor Rudy Gozlan).

Scope of theme: what is excluded? Not sure.

Which big societal questions are addressed by this theme?

Humans are exposed to a variety of pollutants, drugs, viruses and deadly pathogens in the modern fast-changing environments. Degenerative diseases, such as cancer, cardiovascular and Alzheimer’s diseases are often associated with aging. To effectively maintain human health and wellbeing, understanding those environmental impacts on human health and aging using the approaches of functional genomics and systems biology is paramount and becomes one of the top priorities in the vision of RCUK.

How do these link to the priorities of the major funding bodies?

Health and well being is one of the most important research areas funded by some of the CRUK, namely, the BBSRC, the Wellcome Trust, the MRC, the Royal Society, from which we could sort future funding.

Our proposed research theme fits very well to the underlined strategic research priorities of the Two Current Research Priority Themes of the MRC:

  • Resilience, repair and replacement (Natural protection, Tissue disease and degeneration, Mental health and wellbeing, and Repair and replacement).
  • Living a long and healthy life (Genetics and disease, Life course perspective, Lifestyles affecting health, Environment and health).

As highlighted by the BBSRC, systems biology is the pivotal approach for addressing issues in human health, aging and diseases. It is an effective way forward to study human health in the aspects of epidemiology, such as parasites, virus, and infectious disease. Our research theme also fits well to strategic research priorities of the BBSRC, in exploiting new ways of working were outline as:

  • Data driven biology
  • Synthetic biology
  • Systems approaches to the biosciences
  • Technology development for the biosciences 

Our research theme also fits well to The CrossCouncil Priorities outlined by the BBSRC:

The Wellcome Trust also focuses on health and wellbeing associated with functional genomics. The Royal Society promotes international collaborations, and is encouraging collaborative studies on human health, wellbeing and aging impacted by population single nucleotide polymorphisms (SNPs) coincided with human life style and different ethnicities in the diverse living environments.

To follow the strategies outlined by RCUK in promoting 3Rs (Replacement, Refinement and Reduction of Animals in Research), we propose to use the cost-effective and well characterised model organisms, fruit-fly and zebra fish to study the molecular mechanisms in conjunction with survey data from human subjects.  The genome information of those model organisms is known and the organisms are amendable to genetic defects and molecular manipulations.  Moreover, at least 75% of human disease genes have their counterparts in their genomes. 

How does this theme interlink with the other BU themes currently under consideration?

Our research theme is complementary to the existing research in HSC and will be of interest to local hospitals and communities. Although a small team, we have the expertise in molecular biology, toxicology, and analytical chemistry with some of the essential equipment. Our current research orientations already fit well with the remit of our university research and enterprise strategies. We certainly would like to contribute to the existing theme of research orientations, particularly, health and well being, aging, environmental sciences, and social and cultural sciences within the university. Our expertise will enable us to form close link with the existing research groups that have already formed critical mass, particularly in the ApSci and HSC.

Through our research, we have already formed strong links with the Media School of BU and Physics Department in the University of Kent for bioimaging and biomodelling. We have already submitted a strong interdisciplinary research proposal to the MRC, addressing the impacts of genome on heart diseases. We will maintain this collaborative consortium and continuously formulate research proposals to address issues involved in human health and wellbeing.  We have also established strong links with Dr Helen Machitia of Glasgow University, Joy Gill of Imperial College School of Medicine for collaborative research in science and society.

Since we already have the expertise and facilities in fish studies in the School of Applied Sciences, it is logial and efficient to use the well characterised model organism, zebra fish to address questions in human health, fish conservation and environment issues.

Ageing (Kevin McGhee, Wei-Jun Liang, M. David Osselton)

Author: Kevin McGhee, Wei-Jun Liang, M. David Osselton (ApSci)

Alternative name suggestion: Genomics and Ageing (as a variant or sub-theme perhaps?)

Brief theme summary:  Demographically, the town of Bournemouth is enriched with an older, predominantly Caucasian population. Studies already proposed within this blog forum suggest that data of a phenotypic nature is available within the BU community. By introducing genomics as a tool to enhance the understanding of several themes: Ageing, Health and Wellbeing, Culture and Society and Environmental Change and Biodiversity we believe that expertise within the Forensic and Biological Sciences group (ApSci) can create new opportunities for research.

We propose to collect DNA from the Bournemouth geographical area and match this with existing phenotypic data to create a rich knowledge databank that we can share with existing and future genomic collaborative initiatives, leading to high impact papers.

Scope of theme: what is included? Gene x environment interaction; population genetics; psychological genetics; cognitive genetics; cancer genetics; cardiovascular genetics; genetics of ageing; biological ageing; toxicogenomics, functional genomics; cellular ageing; Alzheimer’s; dementia.

Scope of theme: what is excluded? Not entirely sure – open for discussion.

Which big societal questions are addressed by this theme?

Societal question: What is my risk of developing an illness e.g. Cardiovascular disease*?  It is known that fatty streaks can appear on the major arteries of children as young as one year old. Through environmental influences such as diet, nutrition, exercise and co-morbidity, the risk of an individual child developing atherosclerosis in later adult life can change in response to a number of lifestyle factors. However, at a cellular level individual variation in genes involved in atherosclerosis pathogenesis influence how one’s lifestyle factors modify that risk (and vice versa). By combining data from health science, social science and psychology with biological data such as DNA, a greater understanding of the profound interaction between genes and environment can be achieved (*This can be substituted for any disease of your choice).

Can you pose these questions?  If the phenotypic data is already available (i.e. social, health status, psychological study) then yes we can. In collaboration with HSC, DEC and others we would have to obtain DNA from individuals from the Bournemouth area and then link the genomic data with the phenotypic data. This will require enormous computing power and experts in e.g. the statistical package ‘R’ as well as genomics expertise from ApSci

How do these link to the priorities of the major funding bodies?

Of the seven research councils forming RCUK, two have current themes on genomics and ageing (BBSRC and MRC) and one further council’s (ESRC) theme investigating social science and culture and science.  The MRC has recently closed the Phase III call with Phase I seeing the creation of three fully funded centres: Edinburgh, Newcastle and UCL.  The Edinburgh centre already has a paper in press (Molecular Psychaitry) combing a Genome Wide Association Study (GWAS) with a vast array of phenotypic data, of which McGhee is a co-author (Davis et al, 2011).   By combining data on the local population already available within eg HSC, with the proposed collection of DNA from Bournemouth and surrounding areas, it allows BU to enter  collaborations on an international scale addressing the ‘big questions’ posed by the thress councils above.

Furthermore the Wellcome Trust’s strategic plan 2010-2020 has five main themes:

  • Maximising the health benefits of genetics and genomics
  • Understanding the brain
  • Combating infectious disease
  • Investigating development, ageing and chronic disease
  • Connecting environment, nutrition and health

Under the proposed BU theme of ageing, at least four out of the five Wellcome themes above can contribute to some aspect of ageing whilst facilitating multi-disciplinary research between schools and indeed, other institutions. By creating a repository of genomic and phenotypic information, it allows BU to enter collaborations with research intensive universities, increasing our prospects for high impact papers.

Reference:  Gail Davies, Albert Tenesa, Antony Payton, Jian Yang, Sarah E. Harris, David Liewald, Xiayi Ke, Stephanie Le Hellard , Andrea Christoforou, Michelle Luciano, Kevin McGhee, Lorna Lopez, Alan J. Gow, Janie Corley, Paul Redmond, Helen C. Fox, Paul Haggarty, Lawrence J. Whalley, Geraldine McNeill, Michael E. Goddard, Thomas Espeseth, Astri J. Lundervold, Ivar Reinvang, Andrew Pickles, Vidar M. Steen, William Ollier , David J. Porteous, Michael Horan, John M. Starr, Neil Pendleton, Peter M. Visscher, Ian J. Deary. 2011. Genome-wide association studies establish that human intelligence is highly heritable and polygenic. Molecular Psychiatry (in press)

How does this theme interlink with the other BU themes currently under consideration?

Ageing links with the BU themes: Health and Wellbeing, Culture and Society and even Environmental Change and Biodiversity, opening up further avenues for funding. It takes little imagination to identify ageing with health and wellbeing but with culture and society this may require some more imagination. For example, by comparing different populations e.g. China and UK and looking at both their environmental and social structure we can then infer how these variables combined with genomics have an impact on health and wellbeing as well as healthy ageing.

By stretching our imagination even further, it is possible to link Environmental Change and Biodiversity with Ageing. For example, one could take the view that as an individual grows older the environment, in which they live both locally and globally, is constantly under change. Sustainable fish stocks as a topical example has an effect both environmentally within the world’s oceans but also affects humans as a source of food and nutrients. It would be interesting to research how the ageing process and cognitive outcome of a five year old child now will be in 60 years’ time when compared to a 65 year old individual now and the foodstuffs available to them as a five year old child in 1951. Environmental, Biochemical, Genetic and Toxicological studies can all contribute to this theme.

This is obviously only one example of how several research themes can join together and we welcome discussion from colleagues on the suggestions we have raised.

Ageing (Sarah Hean)

Authors: Sarah Hean (School of Health and Social Care) on behalf of the Older Person, Children and Diverse Groups Programme (OPCD) of the Centre of Wellbeing and Quality of Life (CeWQoL)

Alternative name suggestion: Wellbeing and Quality of Life of Older People OR Wellbeing and Quality of Life across the Life Span

Brief theme summary: The theme focuses on intergroup communication as a means of enhancing older people’s quality of life.  Two dimensions are highlighted specifically: social and mental wellbeing.

Social wellbeing:  The theme focuses on reducing social isolation by enhancing older people’s communication with peers, community, health/social care professionals and other service providers (we view service providers as all professionals that may enhance the QOL of Older People and do not confine this to health and social care professionals alone), in order that their voice is heard in social policy. Professionals, working in multiprofessional, interagency environments, and who offer client-centred services, need to effectively communicate with each other and the client to ensure the quality of life of the older person. This theme explores how these processes can be better streamlined, understood and developed.

Mental well being: The mental/cognitive well being of older people is also a theme focus, considering particularly the experiences of older people living with dementia and the associated concepts of vulnerability.

We promote a humanistic approach that puts an emphasis on the lived experience of the older person, embodying their life goals and values.  Hereby, older people, form part of interprofessional, interdisciplinary or interagency teams rather than the passive recipient of their actions.  The theme therefore also focuses on developing these interprofessional teams through exploring and developing Interprofessional training that promotes an understanding of the value maps of both other professionals/agencies and the older person themselves.

Scope of theme: what is included? Research is often related to applied social science type research and service evaluations.

Developing rigorous theoretical models to guide research and practice in the theme is central.

Quantitative research: secondary data analysis of service records and cross sectional and longitudinal surveys. 

Qualitative research:  a range of perspectives (phenomenology, grounded theory etc) through focus groups, interviews and practice observations.  Practice development/service enhancement methodologies are also relevant.

Members of our OPCD programme apply their expertise in user involvement, social capital, social isolation, social networks, working with vulnerable groups, mental health, Dementia, Complementary Therapies, Interprofessional working and Education to this theme.  We focussing these skills on improving:

  • the outcome of Wellbeing and Quality of life
  • the population group of Older People.

To give a flavour of the types of project that fit under this theme, see below:

Previously funded Projects in Programme

  • Evaluation of the Mid Essex Memory Assessment and Support Service Care (Programme themes: Dementia, Older people) (Funder: NHS)
  • Evaluation of a Women worker in Criminal Justice System ((Programme themes: mental health, intergroup communication) (CoFunders: NHS/Criminal Justice System)
  • Evaluation of the South West Mental Health Assessment, Advice and Reports in Court Proceedings Pilot ((Programme themes: mental health/ intergroup communication)(CoFunders: NHS/CJS) 
  • Evolving theory in interprofessional education seminar series CROSS INSTITUTIONAL (Programme themes: Intergroup communication; Funder: ESRC)   

Current Funded Projects in Programme

  • Exploring the impact of friendship clubs on social isolation for the older age group”  – commissioned by. 2008-2011;  (Programme themes: Older People, social wellbeing) (Funder: Brendon care)
  • Knowledge Transfer Partnership: Building a business/social enterprise model to support older people self funding their own care (CROSS SCHOOL: HSC-BS))(Programme themes: Older people, intergroup communication) (Funder: ESRC/ HTB)
  • Exploring older people’s experiences of wellbeing and financial literacy during an Economic Down Turn (CROSS SCHOOL: HSC-BS) (Programme theme: Older people, quality of life, intergroup communication) (Joint Funders Institute of chartered accountants Scotland, Bournemouth Foundation)

Bids submitted

  • Interagency working London: evaluation of Focus teams liaising between Medium Secure Unit and CMHTs: (Short listed tender interview completed, Awaiting outcome: Programme theme: (Mental health, intergroup communication) (Funder: NHS)
  • Economic impact of social organisations: SW form: shortlisted for interview: Sarah Hean, John Fletcher, Charlie Monkcom (CAB) Presentation July 2011 CROSS SCHOOL (HSC-Tourism)(Programme theme: Older people, quality of life, Mental health, intergroup communication)(Funder: Big Lotttery. SW Forum)(Awaiting outcome)

Bids planned for term ahead:

  • Dementia bid: mapping the care pathway from the perspective of the patient: CROSS INSTITUIONAL (Programme theme: Older people, dementia) (Funder ESRC)

Scope of theme: what is excluded? Drug control trials or laboratory trials are out of our remit.

Which big societal questions are addressed by this theme? The Big Society promotes a move away from state support for social action to an increased reliance on community involvement and support of these activities.  This places particular pressure on third/voluntary sector organisations to fill the gap left by the with drawl of state funding and services.  These organisations are finding it increasingly important to be accountable for the social and financial impact of any state funding they do still receive and they need to develop their organisations financially to be increasingly independent of state funding.  In an increasingly ageing population, those third sector organisations supporting older people are particularly vulnerable.

This theme explores both the social impact (specifically on the quality of life of older people) and financial implications of these services.  We anticipate that novel interagency partnerships between the private, public and third sector will be key to the way the Big Society is managed and that the theme will contribute to this by developing an understanding of these opportunities and how they work.

How do these link to the priorities of the major funding bodies? The theme is congruent with the RCUK, cross council theme of Ageing: Lifelong Health and Wellbeing: realising economic, social and health gains of healthy ageing while reducing dependency, costs and inequities later in life.

By way of example, the funded project exploring the quality of life during and economic downturn and financial literacy in older people highlights the economic gains of health and wellbeing in older populations.

The currently funded KTP is developing a business model for older people self funding their own care.  This is particularly relevant to reducing dependency and costs in the older population

The evaluations/tenders that fall under this theme are increasingly being asked to address the links between cost effectiveness and social impact.  Our tenders on the a) economic impact of social organisations b) interagency working: London respond to this trend through a focus on cost effectiveness of wellbeing interventions, the financial impact of social interventions and the social impact of financial investment.

The research councils, the ESRC, specifically emphasises the importance of interdisciplinary working.  Thematically and operationally our bids to date are interdisciplinary: crossing school, professional, academic discipline, academic institution and public/private/third sector boundaries.

How does this theme interlink with the other BU themes currently under consideration? Links with the Health and Wellbeing theme.

Health and Wellbeing (Heather Hartwell and Ann Hemingway)

Authors: Heather Hartwell and Ann Hemingway (School of Tourism and School of Health and Social Care)

Alternative name suggestion: Wellbeing and Quality of Life

Brief theme summary: Wellbeing as described by the World Health Organisation (WHO) in its constitution (2006) denotes ‘health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’. However, the concept is not new for example Aristotle described wellbeing in terms of ‘ataraxia’ (inner peace) and ‘eudaimonia’ (a feeling of wellbeing, happiness, contentment, pleasure, satisfaction and living the best life possible).Within the field of happiness economics, where the concept of subjective wellbeing is defined as life satisfaction, it can be both uni- or multi-dimensional. In other words from an economic standpoint, subjective wellbeing can be defined and measured as both satisfaction with life in general (uni-dimensional) and satisfaction with different aspects, or domains, of life (multi-dimensional). Happiness, although challenging to assess, as people will derive differing amounts of pleasure from the same experience, resonates with the ‘set-point’ theory of wellbeing where each individual is thought to have a set-point of happiness given by genetics and personality. Life events may deflect above and below but in time hedonic adaptation will return an individual to this initial point. The theoretical framework for interpretation is the theory of ‘Subjective Wellbeing Homeostasis’ (Australian Unity, 2010), which proposes that everyone has a genetically determined ‘set-point’ for well-being that is internally maintained and defended, similarly to how body temperature is managed. Currently, the wellbeing debate anchors on two general perspectives: the hedonic approach, which defines wellbeing in terms of pleasure attainment; and the eudaimonic approach, which focuses on meaning and self-realization. The latter resonates with an emerging conceptualisation of public health which is to reject the model of ourselves as mechanics that diagnose and fix what is wrong to organic metaphors where we understand ourselves as ‘gardeners’, enabling the growth of what nourishes human life and spirit.

Scope of theme: what is included?

The cross university wellbeing theme currently with 113 staff registered has identified the following foci of activity:

  • Quality of life, wellness, wellbeing
  • Public Health
  • Health behaviours, physical activity, nutrition
  • Economic wellbeing
  • Health systems
  • Assistive and enabling technologies
  • Wellbeing in the workplace, learning environment, caring environment
  • Social inclusion and cohesion
  • Use of Media to influence Public Wellbeing
  • Emotions
  • Human right and ethics

 

Scope of theme: what is excluded? Infectious diseases.

Which big societal questions are addressed by this theme? Behavioural and lifestyle factors are major contributors to ill health and death some are well known such as unhealthy diet and lack of exercise however some are less obvious such as social isolation which is associated with increasing the risk of mental illness and coronary heart disease. A strong evidence base is required that will change the focus of our ‘National Sickness Service’ to one of prevention. In the Public Health White Paper, 2010, the emphasis is on research that can demonstrate new and cost effective ways of encouraging healthy behaviour.

The current fifth wave of public health identifies three main challenges:

  • How can the social and commercial changes which have conspired to make overweight/obesity more ‘normal’ be reversed?
  • How can the social inequality gap be reduced?
  • How can the rise in the levels of depression and anxiety with the associated loss of mental and emotional wellbeing be addressed?

How do these link to the priorities of the major funding bodies?

AHRC – Lifelong Health and Wellbeing (LLHW) is a major cross-council initiative supporting multi-disciplinary research addressing factors across the life course that influence healthy ageing and wellbeing in later life. 

ESRC STRATEGIC PRIORITIES 2011-2015 – There are three refined primary strategic research objectives, which will guide future funding from the ESRC, in light of the comprehensive spending review – health and wellbeing would be incorporated within:

  • Influencing Behaviour and Informing Interventions – Create a better understanding of how and why people and organisations make decisions, and how these can be managed or influenced.

EU – FP7 Activity 2.2 Fork to farm: Food (including seafood), health and well being – Understanding consumer behaviour and consumer preferences as a major factor in the competitiveness of the food industry and the impact of food on the health, and well-being of the European citizen.

National Institute of Health Research (NIHR) Funding stream on applied research focusing on dementia prevention, diagnosis and care and specifically on promoting the wellbeing of sufferers.

How does this theme interlink with the other BU themes currently under consideration? This theme will link with recreation and leisure (serious leisure and physical activity), society and social change, green economy (slow travel), and aging.

Currently, there is much interest from local and national colleagues, for example locally, Dr Adrian Dawson (Director of Public Health) and social enterprises such as BH Live and Active Dorset. Nationally, the Department of Health and the Royal Society for Public Health are engaged with the HEIF Wellbeing in the Workforce project. A horizontal wellbeing theme links the relationship between research and policy and hence provides an opportunity to demonstrate impact.

Key dates are:

  • May 27th (cross university meeting with the Director of Public Health)
  • July 6th (Innovation in Wellbeing Conference, HEIF Wellbeing in the Workplace project)
  • July 13th (cross university meeting with BH Live)

In addition, this theme will build on the work of CeWQoL, with its many local, national and international partners, and is a vertical stream within HSC, as it is within the School of Tourism through the Centre for Events and Sport Research.

Just to note: 

  • BU has a Memorandum of Understanding with the Royal Society for Public Health, a powerful and strategic leader within this discipline.
  • BU is part of the Healthy University network.

Health and Wellbeing (Carol Bond)

Authors: Carol Bond (Health and Social Care)

Alternative name suggestion: None

Brief theme summary: Personal health and wellbeing. Understanding personal concepts of health and wellbeing, especially for people who face additional health challenges. How healthcare systems and healthcare professionals can develop to support health and wellbeing.

Scope of theme: what is included? Concepts of health

Concepts of health in people who have additional health needs

Health care professionals (education, development, ethics, attitudes, culture, power)

Experience of people with additional health needs (i.e. living with long term conditions and disability)

People’s experiences of healthcare (systems, providers, treatments, care) – and using this to improve systems and care

‘New’ technologies  in health, such as use of the internet, web 2.0 etc by people to support their own health needs and self management

Scope of theme: what is excluded? Medicine / Development of clinical procedures (focus should be on better understanding the ‘patient’ experience and using this to improve care)

Which big societal questions are addressed by this theme? How can publicly funded heathcare systems (the NHS) cope with the increase in people living with long term conditions

How can people be supported / encouraged to take more responsibility for managing their own health

How can the NHS achieve its aims of creating a ‘revolution for patients – “putting patients first” – giving people more information and control and greater choice about their care’  

How do these link to the priorities of the major funding bodies? Not stated.

How does this theme interlink with the other BU themes currently under consideration? If the theme is Society & Social Change rather than culture and society I can see a link with this theme in the area of changing public expectations of health services and societies attitudes towards health (e.g. disability,  body image, mental health) and the way that society impacts on personal health and wellbeing. There are also links with Aging, as a lot of people experience new health challenges along with the aging process.