Tagged / epidemiology

Pregnancy & COVID-19 in UK: New study published

NHS, Women's Academic Network, writing

This morning the editor of the Frontiers in Psychiatry emailed us that the paper reporting the findings of the baseline data of a large-scale epidemiological study into pregnancy during COVID-19 in the UK has been published [1].  The interdisciplinary research team includes researchers from University Hospitals Dorset NHS Foundation Trust (Dr. Latha Vinayakarao & Prof. Minesh Khashu) and Bournemouth University (Prof. Edwin van Teijlingen). 

This longitudinal study explores how the SARS-CoV-2 [COVID-19] pandemic affected the mental health of pregnant people in the UK.  In mid-to-late 2020, we recruited 3666 individuals in the UK for the EPPOCH pregnancy cohort (Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes and Childhood Health). Participants were assessed for depression, anxiety, anger and pregnancy-related anxiety using validated scales. Additionally, physical activity, social support, individualized support and personal coping ability of the respondents were assessed as potential resilience factors.

Participants reported high levels of depression (57.05%), anxiety (58.04%) and anger (58.05%). Higher levels of social and individualized support and personal coping ability were associated with lower mental health challenges. Additionally, pregnant individuals in the UK experienced higher depression during the pandemic than that reported in Canada. Finally, qualitative analysis revealed that restrictions for partners and support persons during medical appointments as well as poor public health communication led to increased mental health adversities and hindered ability to make medical decisions.

The study highlights the increased mental health challenges among pregnant individuals in the UK during pandemic. These results highlight the need for reassessing the mental health support measures available to pregnant people in the UK, both during times of crisis and in general.

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, 15 https://doi.org/10.3389/fpsyt.2024.1411761

The importance of understanding mixed methods

international

Earlier this week ResearchGate alerted us that the paper ‘The Growing Importance of Mixed-Methods Research in Health‘ has been read 900 times on that platform [1].  This methods paper focuses on  the growing importance of mixed-methods research to a wide range of health disciplines ranging from nursing to epidemiology.

Mixed-methods approaches requires not only the skills of the individual quantitative and qualitative methods but also a skill set to bring two methods/datasets/findings together in the most appropriate way. Health researchers need to pay careful attention to the ‘best’ approach to designing, implementing, analysing, integrating both quantitative (number) and qualitative (word) information and writing this up in a way that enhances its applicability and broadens the evidence-based practice. This paper highlights the strengths and weaknesses of mixed-methods approaches as well as some of the common mistakes made by researchers applying mixed-methods for the first time.

Our team in the Centre for Midwifery & Women’s Health (CMWH) has written several other methods papers on the importance of mixed-methods research in community-based health studies [2-5].  We have, of course, conducted and published many mixed-methods studies over the past two decades [see for example 6-10].

 

Prof. Edwin van Teijlingen

 

 

References:

  1. Wasti, S. P., Simkhada, P., van Teijlingen, E., Sathian, B., & Banerjee, I. (2022). The Growing Importance of Mixed-Methods Research in Health . Nepal Journal of Epidemiology, 12(1), 1175–1178.
  2. Simkhada, P., van Teijlingen, E., Wasti, S.P., Sathian, B. (2014) Mixed-methods approaches in health research in Nepal, Nepal Journal of Epidemiology 4(5): 415-416.
  3. Mahato, P., Angell, C., van Teijlingen, E., Simkhada, P. (2018) Using Mixed-methods Research in Health & Education in Nepal, Journal of Health Promotion 6: 45-8.
  4. Harvey, O., van Teijlingen, E., Parrish, M. (2022) Mixed-methods research on androgen abuse – a review, Current Opinion in Endocrinology & Diabetes 29(6):586-593.
  5. MacKenzie Bryers, H., van Teijlingen, E. Pitchforth, E. (2014) Advocating mixed-methods approaches in health research, Nepal Journal of Epidemiology 4(5): 417-422. http://www.nepjol.info/index.php/NJE/article/view/12018/9768
  6. Pitchforth, E, Watson, V, Tucker, J, Ryan, M, van Teijlingen E, Farmer, J, Ireland, J, Thomson, E, Kiger, A , Bryers, H. (2008) Models of intrapartum care and women’s trade-offs in remote and rural Scotland: A mixed-methods study BJOG: An International Journal of Obstetrics & Gynaecology, 115(5): 560-569.
  7. Wasti, SP, Simkhada, P., Randall, J, van Teijlingen, E, Freeman, J. (2012) Factors influencing adherence to antiretroviral treatment in Nepal: a mixed-methods study. PLoS ONE 7(5): e35547. doi:10.1371/journal.pone.0035547.
  8. Simkhada, P., van Teijlingen, E., Devkota, B., Pathak, RS, Sathian, B. (2014) Accessing research literature: A mixed-method study of academics in Higher Education Institutions in Nepal, Nepal Journal of Epidemiology 4(4): 405-14.
  9. Dost, S., Arnold, R., van Teijlingen, E. (2023) Management capacity in the Afghan Ministry of Public Health pre-Taliban: A mixed-methods study of political and socio-cultural issues, Razi International Medical Journal, 3(1): 9–18
  10. Sharma, S., van Teijlingen, E, Hundley, V., Stephens J., Simkhada, P., Angell, C., Sicuri, E., Belizan, J.M. (2013) Mixed-methods evaluation of maternity care intervention in rural Nepal: measuring what works, Poster P.2.3.004(A), Tropical Medicine & International Health 18(Suppl. 1): 183-184.

The last BU blog of 2023

international, open access, Publishing, writing

First of all: Happy New Year!

One of the first message I received this morning was that our editorial ‘Addressing the inequalities in global genetic studies for the advancement of Genetic Epidemiology’ [1] had been published yesterday.  If I had know this in time it would have been the proper last Bournemouth University Research Blog of 2023 published yesterday.  Interestingly, we only submitted the draft editorial on Christmas Day, got it back for revisions on Boxing Day and resubmitted it and had it accepted on December 28th.   It dis, of course, help that both editors-in-chief of the Nepal Journal of Epidemiology are co-authors on this editorial!

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health (CMWH)

 

 

Reference:

  1. Sathian, B., van Teijlingen, E., Roy., B., Kabir, R., Banerjee, I., Simkhada, P., Al Hamad, H. (2023) Addressing the
    inequalities in global genetic studies for the advancement of Genetic Epidemiology. Nepal Journal of Epidemiology, 13(4):1292-1293.
    DOI: 10.3126/nje.v13i4.61271

Future of Complex Innovative Trial Design

international

The latest Faculty of Health & Social Sciences (FHSS) publication on the last day of March is an editorial in the Nepal Journal of  Epidemiology.  This editorial ‘The Promising Future for Complex Innovative Trial Design in Clinical Research’ has as its lead author, FHSS’s Visiting Faculty Dr. Brijesh Sathian.

 

Reference:

  1. Sathian, B., van Teijlingen, E., Banerjee, I., Asim, M., Kabir, R. (2023) The Promising Future for Complex Innovative Trial Design in Clinical Research. Nepal Journal of  Epidemiology, 13(1):1256-1257.

 

Risk of kidney problems in migrant workers

international, open access, writing

Congratulations to Dr. Pramod Regmi, Lecturer in International Health & Global Engagement Lead, Department of Nursing Sciences, and Dr. Nirmal Aryal, formerly of the Centre of Midwifery, Maternal & Perinatal Health (CMMPH), whose editorial “Kidney health risk of migrant workers: An issue we can no longer overlook” has been published today in Health Prospect [1].  Further co-authors (Arun Sedhain, Radheshyam Krishna KC, Erwin Martinez Faller, Aney Rijal, and Edwin van Teijlingen) work in India, Nepal, the Philippines and at BU.  The study was funded by GCRF.

This editorial highlights that low-skilled migrant workers in the countries of the Gulf and Malaysia are at a disproportionately higher risk of kidney health 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.  

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 overlook. Health Prospect 21(1): 15-17.

Research Capacity Building in Nepal: 600 reads

Centre for Excellence in Learning, international, Knowledge Exchange, open access, Publishing, Training, writing

A few times a month ResearchGate alerts me that another paper has reached a miles stone of so having been read some many times.   Today the ResearchGate message is about 600 reads for our paper ‘Research Methods Coverage in Medical and Health Science Curricula in Nepal’. [1]  This paper was a report  on research methods teaching in health-related Higher Education (HE) courses in the health and medical field in Nepal.  This paper originates from a DelPHE (Round 4), British Council award.  Our study ‘Partnership on Improving Access to Research Literature for HE Institutions in Nepal’ (PARI Initiative) was a collaboration between the oldest university in Nepal, namely Tribhuvan University and two UK university of which BU was one.    A further paper from the PARI Initiative was published a year later.  [2]   The lead author of both papers in BU Visiting Faculty Prof Padam Simkhada, who is Professor of International Public Health at the Public Health Institute at Liverpool John Moores University.

The Nepal Journal of Epidemiology is a full Open Access journal which means anybody across the globe can access it for free.  The Nepal Journal of Epidemiology is part of  Nepal Journals Online (NepJOL) a service established by INASP in 2007,  which provides online publication of Nepali journals.

 

Prof. Edwin van Teijlingen

References:

  1. Simkhada, P., van Teijlingen, E., Pokharel, T., Devkota, B., Pathak, R.S. (2013) Research Methods Coverage in Medical & Health Science Curricula in Nepal, Nepal Journal Epidemiology 3(3): 253-258. www.nepjol.info/index.php/NJE/article/view/9185
  2. Simkhada, P., van Teijlingen, E., Devkota, B., Pathak, R.S., Sathian, B. (2014) Accessing research literature: A mixed-method study of academics in Higher Education Institutions in Nepal, Nepal Journal of Epidemiology 4(4): 405-14. http://www.nepjol.info/index.php/NJE/article/view/11375