Category / Publishing

New BU paper on digital tools for diabetes

Congratulations to BU PhD student Nurudeen Adesina on the publication of his systematic review.  Nurudeen together with Huseyin Dogan in the Department of Computing & Informatics, Sue Green in the Nursing for Long-term Health Centre, and Fotini Tsofliou in Centre for Midwifery, Maternal & Perinatal Health (CMMPH) appeared in print just before Christmas with their paper ‘Effectiveness and Usability of Digital Tools to Support Dietary Self-Management of Gestational Diabetes Mellitus: A Systematic Review‘ [1].

This new paper highlights that advice on dietary intake is an essential first line intervention for the management of gestational diabetes mellitus (GDM). Digital tools such as web-based and smartphone apps have been suggested to provide a novel way of providing information on diet for optimal glucose regulation in women with GDM. This systematic review explored the effectiveness and usability of digital tools designed to support dietary self-management of GDM. A systematic search of Medline, Embase,
Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, and Scopus using key search terms identified 1476 papers reporting research studies, of which 16 met the specified inclusion criteria. The quality of the included studies was assessed using the ErasmusAGE Quality Score or the Mixed Methods Appraisal Tool (MMAT) version 2018. The findings show that the adoption of digital tools may be an effective approach to support self-management relating to healthy diet, health behaviour, and adherence to therapy in women with GDM as a usable intervention. However, the four authors argue that there is a lack of evidence concerning the effectiveness of tools to support the dietary management of GDM. Consideration for ethnic specific dietary advice and evidence-based frameworks in the development of effective digital tools for dietary management of GDM should be considered as these aspects have been limited in the studies reviewed.

Reference:

Adesina, N.; Dogan, H.; Green, S.; Tsofliou, F. Effectiveness and Usability of Digital Tools to Support Dietary Self-Management of Gestational Diabetes Mellitus: A Systematic Review. Nutrients 2022, 14, 10. https://doi.org/10.3390/nu14010010

Research papers: A game of Happy Families

Recently I completed a game of Happy Families, to be more precise I added a paper with my fourth family member to a ‘collection’.  I got the idea from Prof. Jonathan Parker  and Prof. Sara Ashencaen Crabtree (both based in the Department of Social Sciences & Social Work) who published a paper with their children a few years ago [1].  When Jonathan told me about this achievement I had already published two dozen of scientific and practitioners’ papers with my partner  Jilly Ireland, Professional Midwifery Advocate in University Hospitals Dorset NHS Foundation Trust and FHSS Visiting Faculty (for example 2-5).

Two years ago, Dr. Preeti Mahato (in the Centre for Midwifery, Maternal & Perinatal Health) and I published a paper with my middle son about ‘Vaping and e-cigarettes: A public health warning or a health promotion tool?’ [6].  The following year, Prof. Hamid Bouchachia (Faculty of Science & Technology) and I co-authored a paper with my oldest son on AI and health in Nepal [7], followed by a paper this year on academic publishing with FHSS’s Dr. Shovita Dhakal Adhikari (Department of Social Sciences & Social Work , Dr. Nirmal Aryal (CMMPH) and Dr. Pramod Regmi (Department of Nursing Sciences  [8].  And to complete the four family members in the Happy Families set, I published a paper late last month with my daughter under the title ‘ Understanding health education, health promotion and public health’ [9].

 

 

 

References:

  1. Parker, J.Ashencaen Crabtree, S., Crabtree Parker, M. and Crabtree Parker, I., 2019. ‘Behaving like a Jakun!’ A case study of conflict, ‘othering’ and indigenous knowledge in the Orang Asli of Tasik Chini. Journal of Sociology and Development, 3 (1): 23-45.
  2. Ireland, J., Bryers, H., van Teijlingen E., Hundley, V., Farmer, J., Harris, F., Tucker, J., Kiger, A., Caldow, J. (2007) Competencies and Skills for Remote & Rural Maternity Care: A Review of the Literature, Journal of Advanced Nursing, 58(2): 105-115.
  3. van Teijlingen E., Simkhada, P., Ireland, J. (2010) Lessons learnt from undertaking maternity-care research in developing countries. Evidence-based Midwifery 8(1): 12-6.
  4. Ireland, J., van Teijlingen, E, Kemp J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33. http://ecommons.aku.edu/jam/vol2/iss1/5/
  5. Ireland, J., Khashu, M., Cescutti-Butler, L., van Teijlingen, E, Hewitt-Taylor, J. (2016) Experiences of fathers with babies admitted to neonatal care units: A review of literature, Journal of Neonatal Nursing 22(4): 171–176.
  6. van Teijlingen, E., Mahato, P., Simkhada, P., van Teijlingen, C., Asim, M., & Sathian, B. (2019). Vaping and e-cigarettes: A public health warning or a health promotion tool? Nepal Journal of Epidemiology9(4), 792-794. https://doi.org/10.3126/nje.v9i4.26960
  7. van Teijlingen, A., Tuttle, T., Bouchachia, H., Sathian, B., & van Teijlingen, E. (2020). Artificial Intelligence and Health in Nepal. Nepal Journal of Epidemiology10(3), 915–918. https://doi.org/10.3126/nje.v10i3.31649
  8. van Teijlingen, E.R., Dhakal Adhikari, S., Regmi, P.R., van Teijlingen, A., Aryal, N., Panday, S. (2021). Publishing, identifiers & metrics: Playing the numbers game. Health Prospect, 20(1). https://doi.org/10.3126/hprospect.v20i1.37391
  9. van Teijlingen, K., Devkota, B., Douglas, F., Simkhada, P., van Teijlingen, E. (2021) Understanding health education, health promotion and public health, Journal of Health Promotion 9(1):1-7.  https://www.nepjol.info/index.php/jhp/article/view/40957

Peer-reviewing ten years on

The process of peer review is widely recognised as the key element of quality control in academic publishing and the scientific community more generally.  Peer review is the critical appraisal of one’s work by fellow scholars, who read and comment on your manuscript and offered a verdict on its quality, rigour, originality, style, completeness, etc. etc.

Peer reviewers are typically experts in your field, if not your topic, or who have expertise in the methods you applied or the population or are you studied.  They are also academics often with busy day jobs, who act as unpaid peer reviewers, and as journal editors for that matter.  Peer reviewers are with full-time jobs who give up their free time to review for academic journals.  A recent article by Aczel and colleagues (2021) reported that reviewers across the globe spent over 100 million hours on peer reviewing for free in 2020, the estimated value of this equated to nearly £300 million in the UK alone.  This quantifies in some of my feelings I wrote about a decade ago now in a BU Research Blog with the title ‘Peer review and bust academics’.

However, with the ever-growing number of health and social science journals the requests for reviewing seem to grow relentlessly.  This month alone (November 2021) I received twenty or 21 requests to review.  I have reviewed three manuscripts for Birth, Nepal Journal of Epidemiology, and The Journal of International Development, but I had to reject or ignore many more (see Table 1).  I usually do my reviews over the weekend.  One weekend this month I could not review because I had to prepare materials for the external auditor who came to visit Bournemouth University for a project recently completed, and this weekend I could not find the time because I’m proof-reading two PhD chapters (and writing this blog).

I leave you with some food for thought: academics spent time applying for research funding, then apply for the ethical approval, do the research, we write up the findings, and write blogs about the process!

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

Aczel, B., Szaszi, B., Holcombe, A.O. (2021) A billion-dollar donation: estimating the cost of researchers’ time spent on peer review. Res Integr Peer Rev 6, 14. https://doi.org/10.1186/s41073-021-00118-2.

Bournemouth research cited in The Sunday Times

Today Bournemouth University’s research on Nepali migrant workers and kidney problems was cited in The Sunday Times. In the preparation for the Qatar 2022 men’s football world cup The Sunday Times published an article under the title ‘Dying for the World Cup‘.

Dr. Pramod Regmi and Dr. Nirmal Aryal were awarded funding from GCRF (The Global Challenges Research Fund) and Bournemouth University’s QR fund.  This work resulted in an editorial highlighting that low-skilled migrant workers in the Middle Wast and Malaysia are at a disproportionately higher risk of kidney problems. The working conditions are often Dirty, Dangerous and Difficult (referred at as the 3Ds) include physically demanding work, exposure to a hot environment, dehydration, chemical exposures, excessive use of pain killers, and lifestyle factors (such as restricted water intake and a high intake of alcohol/sugary drinks) which may precipitate them to acute kidney injuries and subsequent chronic kidney disease [1].  And recently, a national survey of nephrologists (kidney specialists) on their perceptions of the size of the problem of kidney health in Nepali migrant workers [2].

 

 

References:

  1. Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021). Kidney health risk of migrant workers: An issue we can no longer overlookHealth Prospect 21(1): 15-17.
  2. Aryal, N.Sedhain, A.Regmi, P.KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences 12(12), 126–132.

 

Not going in!

Yesterday I had the pleasure of attending the online workshop ‘500 Years of Childbirth’ together with by CMMPH (Centre for Midwifery, Maternal & Perinatal Health) colleges Dr. Juliet Wood and Dr. Laura Iannuzzi. The session ‘500 Years of Childbirth’ was part of Being Human Festival, the UK’s national festival of the humanities which runs 11–20 November 2021.  History has always been a passion of me, and the presenters, Julia Martins and Carly Lokrheim, linked early modern history with childbirth in the 21st century. 

This wonderful session reminded me of my draft chapter I wrote for my PhD thesis three decades ago.  My thesis A social or medical model of childbirth? : comparing the arguments in Grampian (Scotland) and the Netherlands at the University of Aberdeen was supervised by Dr. Peter McCaffery.  Peter wisely said to me: “You really needed to write this chapter to make sense of the history of midwifery in your head, but it does not really fit the thesis.”  He added: “You have too many words already.  You know that it is not going in?” The material of this history chapter was not lost as I used loads of text from it it in the introduction section for a textbook [1].  The section ‘History of Midwifery: Introduction’ became part of our edited volume Midwifery and the Medicalization of Childbirth: Comparative Perspectives (Nova Science Publishers, Inc., Huntington, New York, USA) [2].

It is a message I occasionally repeat to my own PhD students.  Under the circumstances I may fing myself saying things like “This is something you had to get of your chest, or you had to write it to make sense of it, but as it stands do you think it fits your argument?”  Or more subtly in a supervision meeting, tell us: “What does this section add to your overall story in the thesis?”

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. van Teijlingen, E. (2004) History of Midwifery: Introduction, In: van Teijlingen, E. Lowis, G., et al. (eds.), Midwifery & the Medicalization of Childbirth, NY: Nova Sci., pages: 43-52.
  2. van Teijlingen , E., Lowis, G., McCaffery, P. & Porter, M. (eds.) (2004) Midwifery and the Medicalization of Childbirth: Comparative Perspectives, New York: Nova Science. [Paperback ISBN: 1-59454-0314].

Paper published outlining good practice for receiving informed consent

A paper has been published by Hugh Davies (Chair, Oxford A NHS Research Ethics Committee) and the members of Oxford A Research Ethics Committee (REC) which includes a model for what the REC considers to be good practice in terms of consent for research participation. The paper proposes that there are four simple steps which consent processes should be built around:

  • Step 1: Introducing the study and the choices: helping the potential participants get an overview of the proposal and introducing the key issues.
  • Step 2: Explaining all the details of the study using the detailed Participant Information Sheet.
  • Step 3: After a gap, if necessary, reviewing and checking understanding.
  • Step 4: Reaching agreement and recording consent.

The paper outlines common issues such as information provision to participants, inadequate public involvement, and lack of proportionality.

You can access the paper here.

Remember that RDS offers training in informed consent, as does the National Institute for Health Research. If you are interested in accessing this training, please email Research Ethics.

Template documents are also available via the Health Research Authority website.

Reflections on examining a PhD by Publications or hybrid PhD

Writing for publication in peer-reviewed journals is increasingly recognised as important for postgraduate students’ career development.   To encourage PhD students to write and submit during their thesis research, more and more UK universities has formally started to accept PhD theses by publication, or a hybrid model of both academic papers and purposely written chapters in a PhD thesis.  For example, both the University of Bath and Bournemouth University offer a hybrid thesis [1-2], whilst Bournemouth University offers separately the opportunity to submit a PhD by Publication.   The paper included in such theses can be: (1) published; (2) accepted/published online first; (3) submitted; or (4) in final draft form for submission.  Published papers, due to the nature of journal word limits are usually much shorter and less detailed than traditional PhD chapter.  The specifically written chapters, of the Introduction, Discussion, Conclusion and Recommendations chapter, and occasionally a Methods chapter will provide the reader (read ‘the examiner’) with further insights into the background of the research and offer details the student had to omit from published papers due to word limit restrictions.  Students may also opt to offer a short explanatory text before or after individual paper.  The overall Discussion chapter should aim to fully contextualise and integrate all papers into the thesis.

It is easy to see that these new format theses may require some adjustment from UK academics examining them.  Below I have listed some of the key issue a PhD examiner may want to consider in a PhD by Publication, such as the notion of integration and repetition, how the critique published papers, especially in quality peer-reviewed journals, and the nature and content of purposely written chapters.

Integration/duplication

Individual papers are free-standing, i.e. they must give enough information about the research question and methods to make sense to the reader.  This means that four papers from the same study in a thesis may appear as both disjointed and repetitive at the same time.  Moreover, details on background and methods are often minimal in papers presenting results.  This offers the examiner an opportunity to ask questions such as:

  • How do the included papers relate to each other in terms of subject matter or theoretical underpinning?
  • Do the included papers together result in a cohesive narrative?

It is worth looking at difference between the included papers.  One of my former students included two qualitative papers, both originating from the same dataset (i.e. the same interviewees) but each paper presented the data analysed in a different way.  The reviewers of the second paper had suggested a different approach to the analysis and the candidate had decided that it was worth the considerable amount of extra work.  This was obviously a topic for debate in the viva.

Peer-reviewed journal articles

It can be daunting for a less experienced examiner to critique an included paper that has been peer-reviewed and published in a prestigious journal in one’s discipline.  Perhaps a starting point could be to ask the candidate what the peer reviewers said when the manuscript was first submitted.  Did you receive and conflicting comments from reviewers or the editor?  The examiner may want to ask for further details of published paper, e.g.  “I know you probably had word-length issues for paper X, but why didn’t you expand on the detailed analysis in the Discussion chapter you included in the thesis?”  Interestingly, the University of Bath states that “Examiners are entitled to specify corrections to any part of the thesis… including parts submitted for publication, or already published” [1].  The latter does not mean changing the published paper, but perhaps adding a comment or explanation to the Discussion chapter or to the text introducing that particular paper.

In many discipline academic papers as co-authored, hence you would expect co-authored papers in a PhD by Publication.  This offers to examiner the opportunity to ask about the candidate’s unique contribution to that paper.  Occasionally, one of the included papers may not list the candidate as first author.  If this is the case in one of the four or five included papers this is not problem per se, but worth asking the same question to the candidate: “What is your unique contribution to the paper?”

Another potential issue to look out for in a PhD by Publication is so-called salami-slicing [3], especially if the candidate has published several small parts of the thesis study in different small papers where a single paper would have been more appropriate.

Written chapters

The examiner may want to start by focusing on the candidate’s Introduction, Discussion, or Conclusion chapters.  Or the overall Methods chapter if there is one.  Typically, a PhD by Publication has an Introduction, four or more papers, an overarching Discussion perhaps a short Conclusion.  What is often missing is a Methodology and Methods chapter.  Since individual papers have only basic methods section of a few hundred words, there is little detail in each paper, let alone nuance in the methods. Often methodological issues and reflections are missed, as are more subtle aspects of research ethics.  These are key topics to raise in the viva.

 

Professor Edwin van Teijlingen

CMWH (Centre for Midwifery & Women’s Health)

 

Acknowledgements: I would like to thank my colleague Dr. Ann Luce, Associate Professor in Journalism and Communication at Bournemouth University for her encouraging me to write this blog post.

 

References:

  1. University of Bath: https://www.bath.ac.uk/publications/guidelines-for-research-examiners/attachments/Guidelines_for_Examiners_of_Doctoral_Degrees_Nov19.pdf
  2. Bournemouth University (2021-22) 8A Code of Practice for Research Degrees (Policy, Procedure and Guidelines). https://intranetsp.bournemouth.ac.uk/pandptest/8a-code-of-practice-for-research-degrees.pdf
  3. Tolsgaard, M.G., Ellaway, R., Woods, N., Norman, G. (2019) Salami-slicing and plagiarism: How should we respond?. Advance in Health Sciences Education 24: 3–14. https://doi.org/10.1007/s10459-019-09876-7

A small or a large national survey?

Congratulations to Dr. Pramod Regmi and Dr. Nirmal Aryal on the acceptance of their paper ‘Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists’ [1].  This paper has been accepted by the Asian Journal of Medical Sciences, after having been rejected previous by another scientific journal . The reason for rejection was the small sample size of 38 nephrologists (=medical specialists in kidney disease).  We think one of the reasons for acceptance of this research by the Asian Journal of Medical Sciences is the high proportion (74.5%) of all Nepal’s nephrologists who participated in this national study.  Although the absolute number of participants is low there are only 51 kidney experts in the whole country and three-quarters took part in this study!

Dr. Nirmal Aryal was until recently based in the Department of Midwifery and Health Sciences and he will be starting later this month as a Research Associate at Greater Manchester Mental Health NHS Trust.  Dr. Pramod Regmi is Senior Lecturer in International Health in the Department of Nursing Sciences.  This paper was also co-authored with a nephrologist Dr. Arun Sedhai based in Chitwan (Nepal) and a public health expert based at the UN organisation, International Organization for Migration (IOM).

This paper which will be Open Access and hence freely available for any reader across the globe adds to the growing research evidence published by Bournemouth University’s researchers on migration and health, especially of migrants from Nepal [2-21].

 

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

References:

  1. Aryal, N., Sedhain, A., Regmi, P.R., KC, R.K., van Teijlingen, E. (2021) ‘Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists’, Asian Journal of Medical Sciences (accepted).
  2. Simkhada, B., Vahdaninia, M., van Teijlingen, E., Blunt, H. (2021) Cultural issues on accessing mental health services in Nepali and Iranian migrants communities in the UK, International Journal of Mental Health Nursing (accepted).  https://doi.org/10.1111/inm.12913
  3. Adhikary, P., Aryal, N., Dhungana, R.R., KC, R.K., Regmi, P.R., Wickramage, K.P., Duigan, P., Inkochasan, M., Sharma, G.N., Devkota, B., van Teijlingen, E., Simkhada, P. (2020) Accessing health services in India: experiences of seasonal migrants returning to Nepal. BMC Health Services Research 20, 992. https://doi.org/10.1186/s12913-020-05846-7
  4. IOM [International Organization for Migration]. (2019) Health vulnerabilities of cross-border migrants from Nepal. Kathmandu: International Organization for Migration.
  5. Aryal, N., Regmi, P.R., van Teijlingen, E., Trenoweth, S., Adhikary, P., Simkhada, P. (2020) The Impact of Spousal Migration on the Mental Health of Nepali Women: A Cross-Sectional Study, International Journal of Environmental Research & Public Health 17(4), 1292; https://doi.org/10.3390/ijerph1704129
  6. Regmi, P., Aryal, N., van Teijlingen, E., Adhikary, P. (2020) Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study, Journal of Immigrant & Minority Health 22, 973–981.
  7. Adhikary, P. van Teijlingen, E. (2020) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences, International Journal of Occupational Safety & Health (IJOSH), 9(2): 31-35.
  8. Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M., Regmi, P. (2020) Health and Wellbeing of the Nepali population in the UK: Perceptions and experiences of health and social care utilisation, Journal of Immigrant & Minority Health (accepted).
  9. Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Syed Zahiruddin, Q., Gaidhane, A., (2019) The health of Nepali migrants in India: A qualitative study of lifestyles and risks, Journal of Environmental Research & Public Health 16(19), 3655; doi:10.3390/ijerph16193655.
  10. Dhungana, R.R., Aryal, N, Adhikary, P., KC, R., Regmi, P.R., Devkota, B., Sharma, G.N., Wickramage, K., van Teijlingen, E., Simkhada, P. (2019) Psychological morbidity in Nepali cross-border migrants in India: A community-based cross-sectional, BMC Public Health 19:1534 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7881-z
  11. Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Mahato, P. (2019) Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South East Asia Journal of Public Health 8(1): 38-41.
  12. Aryal, N., Regmi, P.R., Faller, E.M,, van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) ‘Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia’ Nepal Journal of Epidemiology 9(3): 755-758. https://www.nepjol.info/index.php/NJE/article/view/25805
  13. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  14. Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro
  15. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052
  16. Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
  17. Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
  18. 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.
  19. Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
  20. Adhikary P, Keen S and van Teijlingen E (2011). Health Issues among Nepalese migrant workers in the Middle East. Health Science Journal.5 (3):169-i75 DOI: 2-s2.0-79960420128.
  21. 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