Tagged / CMWHblog

Paper with a difference

Last night ResearchGate informed us that our paper ‘Understanding health education, health promotion and public health‘ had reached 6,000 reads [1].  This reflective paper in an Open Access journal tries to bring a little more clarity in the confusion around the difference between the concepts of health education, health promotion and public health. We argue that such confusion does not limit itself to the individual terms but also to how these terms relate to each other. Some authors and public health practitioners use terms such as health education and health promotion interchangeably; others see them clearly as different concepts.

In this theoretical overview paper, we have first of all outlined our understanding of these individual terms. We suggest how the five principles of health promotion as outlined by the World Health Organization (WHO) fit into Andrew Tannahill’s model from 2009 [2] of three overlapping areas: (a) health education; (b) prevention of ill health; and (c) health protection. Our schematic overview places health education within health promotion and health promotion itself in the center of the overarching disciplines of education and public health. We hope our representation helps reduce confusion among all those interested in our discipline, including students, educators, journalists, practitioners, policymakers, politicians, and researchers.

The paper is co-authored by a primary school teacher based in Dorset, and four professors who have a combined experience in the wider public health field of over a century.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. 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.
  2. Tannahill, A. (2009). Health promotion: The Tannahill model revisited. Public Health, 123(5),396-399. doi: https://doi.org/10.1016/j.puhe.2008.05.021

First EPPOCH study paper accepted for publication

This afternoon the editorial office of Frontiers in Psychiatry informed us that our manuscript “Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison” [1] has been accepted for publication in Frontiers in Psychiatry, section Perinatal Psychiatry.   An interdisciplinary team from Germany, Canada and the UK designed and initiated a longitudinal pregnancy cohort in the United Kingdom titled Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes & Childhood Health (EPPOCH).    In the second half of  2020, we recruited 3,600 pregnant individuals via self-enrollment through our website ‘www.eppoch-uk.org’. Our EPPOCH study has since collected a wealth of validated questionnaire data at multiple time points, from mothers (during pregnancy and postpartum) and their children (from birth to age 3), and we are currently distributing our 4-year childhood follow-up questionnaire. This is the first paper from the EPPOCH study.

The UK team is a collaboration between Bournemouth University and University Hospitals Dorset NHS Foundation Trust, the latter through Professor Minesh Khashu and Dr. Latha Vinayakarao based in Poole Maternity Hospital. The German team is led by Dr. Melanie Conrad, previously at Charité University Medicine Berlin, and now associated with the University of Augsburg, and includes Swarali Datye, PhD student at Charité University Medicine Berlin, whilst our Canadian collaborator, Alison MacRae-Miller, is based at the University of British Columbia, Victoria.  This EPPOCH cohort is closely linked with a sister cohort in Canada called the Pregnancy During the Pandemic (PDP) study.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

 

Reference:

  1. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, (accepted).

New midwifery publication

Congratulations to Ph.D. student Joanne Rack on the publication today of her paper ‘Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services’  [1].   Joanne is currently doing a Clinical Doctorate in the Centre for Midwifery & Women’s Health (CMWH) focusing on personalised care for women of advanced maternal age.  Her doctoral study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Profs. Vanora Hundley, Ann Luce and Edwin van Teijlingen at BU and Dr. Latha Vinayakarao in Poole Maternity Hospital.

Well done!

 

Reference:

  1. Rack, J., Hundley, V., van Teijlingen, E., Luce, A., Vinayakarao. L. (2024) Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services, MIDIRS Midwifery Digest, 34(3): 201-204.

An interdisciplinary approach to thinking about pain

Congratulations to Professor Carol Clark, Dr Sujan Marahatta and Professor Vanora Hundley for their new interdisciplinary paper exploring the prevalence of pain catastrophising among women of reproductive age in Nepal.

It is well-acknowledged that there are multiple factors that contribute to constructing perceptions of pain – this paper explores previous pain experiences and the prevalence of pain catastrophising. The team found a high prevalence of pain catastrophising in Nepal, which could contribute rising obstetric intervention, particularly caesarean births, in Nepal.

The work is part of a programme of work looking at how best to support women during the latent phase of labour (early labour). You can hear more about this work by listening to a recent vodcast from Carol and Vanora:

Pain in Childbirth: An Interdisciplinary Approach – By: Prof. Vanora Hundley and Prof. Carol Clark (youtube.com)

New qualitative research methods paper now online

I am delighted to share that our most recent methods paper in the International Journal of Qualitative Methods entitled “Most Significant Change Approach: A Guide to Assess the Programmatic Effects” [1] is now published and is available online (click here!).  This paper is co-authored by Mohan K. Sharma, Shanti P. Khanal and Edwin R.van Teijlingen.

The paper outlines the so-called ‘Most Significant Change’ (MSC) participatory technique to monitor and evaluate programmatic effects. MSC is a form of monitoring that can be applied throughout the programme cycle and it provides information to help manage the programme. Furthermore, MSC as an evaluation method, provides stories from which programmes’ overall impact can be assessed. However, MSC, as a participatory evaluation technique using qualitative approaches, is often neglected by many evaluators.

 

This is the latest in a series of papers describing the strengths and weaknesses of applying specific research approaches.  Other recent methods papers included two on positionality [2-3], a paper on interview methods [4], reflections on conducting participatory policy analysis in Nepal [5], some considerations about the selection of study localities in health research [6], distinguishing between methods and methodology [7], the use of the appreciative inquiry methods [8], reflections on interdisciplinary research [9], and patient and public involvement in research in Bangladesh and Nepal [10].

Whilst older methods papers published Faculty of Health & Social Sciences academics include topics such as focus group discussions, working with translators, conducting pilot studies, the Delphi Method, comparative studies, and qualitative interviews [11-22].

 

Prof. Edwin van Teijlingen

CMWH

 

References:

  1. Sharma, M.K., Khanal, S.P., van Teijlingen E. (2024) Most Significant Change Approach: A Guide to Assess the Programmatic Effects, International Journal of Qualitative Methods, https://journals.sagepub.com/doi/10.1177/16094069241272143
  2. Gurr, H., Oliver, L., Harvey, O., Subedi, M., van Teijlingen, E. (2024) Positionality in Qualitative Research, Dhaulagiri Journal of Sociology & Anthropology 18(1): 48-54. https://doi.org/10.3126/dsaj.v18i01.67553
  3. Thapa, R., Regmi, P., van Teijlingen, E., Heaslip, V. (2023) Researching Dalits and health care: Considering positionality, Health Prospect 21(1): 6-8.
  4. Harvey, O., van Teijlingen, E., Parrish, M. (2024) Using a range of communication tools to interview a hard-to-reach population, Sociological Research Online 29(1): 221–232 https://journals.sagepub.com/doi/pdf/10.1177/13607804221142212
  5. Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti,SP., Karki, JK., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, SB. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22(7) https://doi.org/10.1186/s12961-023-01092-5 .
  6. Wasti, S.P., van Teijlingen, E., Simkhada, P., Rushton, S., Balen, J., Subedi, M., Karki, J., Adhikary, P., Sapkota, S., Gautam, S., Marahatta, S., Panday, S., Bajracharya, B., Vaidya, A. for the Nepal Federal Health System Team (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health
  7. Harvey, O., Regmi, P.R., Mahato, P., Dhakal Adhikari, S., Dhital, R., van Teijlingen E. (2023) Methods or Methodology: Terms That Are Too Often Confused. Journal of Education & Research, 13(2): 94-105. https://doi.org/10.51474/jer.v13i2.716
  8. Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7. https://doi.org/10.18332/ejm/147444
  9. Shanker, S., Wasti, S.P., Ireland, J., Regmi, P., Simkhada, P., van Teijlingen, E. (2021) The Interdisciplinary Team Not the Interdisciplinarist: Reflections on Interdisciplinary Research, Europasian Journal of Medical Sciences 3(2): 1-5. https://doi.org/10.46405/ejms.v3i2.317
  10. Simkhada, B., van Teijlingen, E., Nadeem, A., Green, S., Warren A. (2021) Importance of involving patients and public in health research in Bangladesh and Nepal. International Journal of Technology Assessment in Health Care 37: e10. https://doi.org/10.1017/S0266462320000811
  11. Kirkpatrick, P., van Teijlingen E. (2009) Lost in Translation: Reflecting on a Model to Reduce Translation and Interpretation Bias, The Open Nursing Journal, 3(8): 25-32 web address: bentham.org/open/tonursj/openaccess2.htm
  12. van Teijlingen E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.
  13. van Teijlingen E, Pitchforth E. (2006) Focus Group Research Family Planning & Reproductive Health Care, Journal of Family Planning & Reproductive Health Care 32(1): 30-2
  14. van Teijlingen E, Pitchforth, E., Bishop, C., Russell, E.M. (2006) Delphi method and nominal group techniques in family planning and reproductive health research, Journal of Family Planning & Reproductive Health Care 32(4): 249-252.
  15. Pitchforth, E, van Teijlingen E, Ireland, J. (2007) Focusing the group, RCM Midwives Journal 10(2): 78-80.
  16. Pitchforth, E., van Teijlingen E. (2005) International Public Health Research involving interpreters: a case study approach from Bangladesh, BMC Public Health, 5: 71 Web address: http://www.biomedcentral.com/content/pdf/1471-2458-5-71.pdf
  17. Forrest Keenan, K., Teijlingen van, E., Pitchforth, E. (2005) Analysis of qualitative research data in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(1): 40-43.
  18. Brindle S, Douglas, F, van Teijlingen E., Hundley V. (2005) Midwifery Research: Questionnaire surveys, RCM Midwives Journal 8 (4): 156-158.
  19. Douglas, F, van Teijlingen E, Brindle S, Hundley, V, Bruce, J., Torrance, N. (2005) Designing Questionnaires for Midwifery Research, RCM Midwives Journal 8: 212-215.
  20. van Teijlingen E Ireland, J. (2003) Research interviews in midwifery RCM Midwives Journal 6: 260-63. http://www.midwives.co.uk/default.asp?chid=439&editorial_id=13768
  21. van Teijlingen E, Sandall, J., Wrede, S., Benoit, C., DeVries, R., Bourgeault, I. (2003) Comparative studies in maternity care RCM Midwives Journal 6: 338-40.
  22. van Teijlingen E, Hundley, V. (2002) ‘The importance of pilot studies’ Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf

Drowning prevention meeting for NIHR-funded study

This week our collaborators on the Sonamoni project traveled from Bangladesh and Uganda to Dorset for a set of research planning meetings.  The visitors represented CIPRB (The Centre for Injury Prevention and Research, Bangladesh) and DWB (Design without Borders).  They were hosted by colleagues from Bournemouth University, the RNLI (Royal National Lifeboat Institute) and from the University of Southampton.  Since Monday we managed to have an intensive week of design workshops, reviewing and incorporating local-community prioritised interventions for child drowning prevention (aged <2years) in Bangladesh.  I say ‘we managed’, but I have been at home all week with COVID-19.  The past few days I was beginning to feel quite well again, so I was unpleasantly surprised that I was still positive when I tested yesterday, and even more so this morning.  Consequently, missing the whole week working with our visiting collaborators.

The Sonamoni project recently presented its own video recording on YouTube,which you can watch here!

Sonamoni is a public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.

 

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

FHSS academics’ paper cited 1,000 times

This morning ResearchGate alerted us that our paper published two decades ago ‘The Importance of Pilot Studies’ has now been cited one thousand times [1].  This methods paper in the Nursing Standard is very often used by authors quoting a  paper in their research methods section when they have done pilot or feasibility study for a larger-scale study. This paper is also our second top cited paper with 1,982 citations on Google Scholar and, interestingly enough, on SCOPUS it is not listed at all.

Pilot studies are a crucial element of a good study design. Conducting a pilot study does not guarantee success in the main study, but it does increase the likelihood of success. Pilot studies fulfill a range of important functions and can provide valuable insights for other researchers. There is a need for more discussion among researchers of both the process and outcomes of pilot studies. 

This paper is one of several methods paper focusing on pilot studies we have published over the past 22 years [2-7].

 

Professors Vanora Hundley & Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

 

References:

  1. van Teijlingen E, Hundley, V. (2002) ‘The importance of pilot studies’ Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  2. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.
  3. Simkhada, P, Bhatta, P., van Teijlingen E (2006) Importance of piloting questionnaire on sexual health research (Letter), Wilderness & Environmental Medical Journal, 17(4): 295-96. wemjournal.org/wmsonline/?request=get-document&issn=1080-6032&volume=017&issue=04&page=0295#Ref
  4. van Teijlingen E, Hundley, V. (2001) The importance of pilot studies, Social Research Update Issue 35, (Editor N. Gilbert), Guildford: University of Surrey.  Web:  http://www.soc.surrey.ac.uk/sru/SRU35.html
  5. Hundley, V., van Teijlingen E. (2002) The role of pilot studies in midwifery research RCM Midwives Journal 5(11): 372-74.
  6. van Teijlingen E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.
  7. van Teijlingen E, Hundley, V. (2003) Pilot study, In: Encyclopaedia of Social Science Research Methods, Vol. 2, Lewis-Beck, M., Bryman, A. & Liao, T. (eds.), Orego, Sage: 823-24.