Tagged / Health

Planning health promotion programmes: an Intervention Mapping approach

For those of you interested in health education, applied psychology or physical activity promotion, read on.

Last week I attended the annual Intervention Mapping course at Maastricht University, which provides a framework for decision-making when planning, conducting and evaluating complex interventions. As a physiologist and early career researcher the course introduced me to using a theory-led, systematic approach when devising multidisciplinary interventions. From my perspective, what to consider when planning an exercise/physical activity programme to improve mobility (and holistically quality of life) for frail older adults living in care home residences. Intervention Mapping comprises the following steps:

  1. Needs assessments (or logic model of the problem)
  2. Specifying the ‘change objectives’
  3. Programme design
  • themes and components
  • theory- and evidence-based methods for change
  • practical application
  1. Programme production
  2. Implementation plan
  3. Evaluation plan

It should be noted that this framework relates mainly to collaborative healthcare projects, involving multidisciplinary team-working with individuals that may include: behavioural scientists, physiologists, Allied health professionals, care home staff and council officials.

As a ‘cog in a wheel’ (i.e. physiologist working within healthcare teams), personally Intervention Mapping has influenced my methodological perspective and will inform my long-term research, but will have little impact in the short-term for laboratory-based studies. For the behavioural scientist or applied psychologist interested in health promotion, the course would be a great benefit. For everyone else considering healthcare projects incorporating behaviour change I wholeheartedly recommend. Plus, Maastricht is a cultural and gastronomical delight.

If you would like further information on the course and framework, let me know.

Dr James Gavin

Department of Sport and Physical Activity

Bournemouth University

Email: jgavin@bournemouth.ac.uk

New publication by CMMPH Visiting Faculty Dr. Luyben

Congratulations to Dr. Ans Luyben on her latest co-authored midwifery publication: ‘Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons’ in the Open Access journal BMC Medical Ethics.  The UK co-authors are linked with Liverpool John Moores University and the University of Liverpool, whilst the third co-author is from Germany.  Ans works in Swtzerland and she is Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Research methods in practice: Learning from the ESRC Research Methods Festival 2018

Ten Bournemouth University academics attended the ESRC Research Methods Festival held at the University of Bath, 3-5 July 2018. The 8th biennial meeting attracted around 800 social science researchers at various stages of their careers, from across the range of disciplines and sectors. The festival content spanned seven parallel sessions for the morning, mid-day and afternoon workshops. This brief account is an attendee’s experience of ‘employing learning’ in Research Methods during the festival.

Day 1

The session ‘Meeting the challenges in teaching Research Methods’ (Professor Nind, NCRM, University of Southampton) was an interactive workshop informed by current pedagogical research. In teams we discussed our experiences of the three challenges in Research Methods education, namely: 1. diversity, 2. developing learning and teaching resources, and 3. online teaching.

This was followed by ‘Recent advances in rural health survey methodology’ (Dr Haenssgen, University of Oxford), which allowed me to appreciate current use of accelerometry (e.g. Fitbit) in assessing energy expenditure in communities for my current research study.

The day concluded with a rapid (downhill) run to Bath town centre, a laborious (uphill) run back, and then a nervous gala dinner served with the England vs. Columbia World Cup nail-biter.

Day 2

Blog like you mean it’ included tips on research communication and impact. The key-points being: make it topical (e.g. informed by current debates, issues or conversations), guide with sub-headings and look out for new policies for ‘research relevance’ (good examples include the Conversation, LSE Impact and Dementia day-to-day blogs).

Bournemouth University’s own Dr Tula Brannelly had strong attendance for her workshop: ‘Ethics of care in the research process’, which focussed on building solidarity with end-users in research, and how we can plan/create change in our own research.

Regardless of whether you are writing a research proposal, journal paper, teaching handbook or thesis, the session ‘Writing creatively for academia’ made me think of the reader: 1. maintain their interest, 2. engage their emotions, 3. activate memories and, 4. scientifically, keep it evidence-based. These aren’t exclusively applicable to all formats, but can help improve our general written communication and help eradicate bias from our writing. Elsewhere, ‘Innovations in teaching statistics and quantitative methods’ was useful for my own Research Methods teaching in the Department of Sport and Physical Activity.

Wednesday evening was more relaxed than the previous, with a guided walk through Bath town centre. Not only did we learn about Bath as a gambling den, yellow front doors, John Wood the elder, but also ex-resident, Nicolas Cage.

Day 3

The final morning involved: ‘Advances in sociogenomics’ (for general interest) and ‘New developments in qualitative evaluation research’ for healthcare research incorporating quantitative and qualitative data evidence. Both were inspiring and relevant, and importantly, led by postgraduates, to practitioners, to professors. Not all conferences/meetings are so inclusive and accessible.

Finally, I would like to thank Emily Cieciura and RKEO staff for supporting the strong attendance of BU academics at the Research Methods Festival. Similarly to myself, of those BU colleagues that I met, they felt equally as enthused and intellectually-overwhelmed…alas, in an academic, inspired way.

 

Many thanks,

Dr James Gavin – Academic, exercise physiology

Accompanied by…Aaron Yankholmes, Miguel Moital, Jae Yeon Choe, Michael O’Reagan (FM), Agata Wezyk (SciTech), and presenter Tula Brannelly (FHSS).

ESRC Research Methods Festival 2018

 

Experiences of an early career researcher: developing international collaborations

Saturday 9th June, 17.00. Standing at Platform 1 in Southampton Central station waiting for the 16.30 to Heathrow Airport. 17.10. Begin to panic and call the UK co-ordinator. 17.28. Begin to panic and call my wife. Taxi number on stand-by. 17.29. My train arrives.

So began my week-long sojourn to Sao Paulo for a British Council international Researcher Links workshop.Two hours later and safely through security, I begin to relax and meet a group of the UK delegates. Sunday arrived at 05.00 with a sense of excitement and exhaustion, as our mini-bus took us to the hotel. 11.10. Arrived at the hotel. It felt like 15.10. The OPAL workshop (a.k.a. ‘Identifying and addressing shared challenges in conducting health and social care research for older people’)  was an international collaborative ECR ‘sandpit’ between the UK and Brazil, with the aim of developing international research projects in ageing healthcare between the countries. OPAL was so much more than this; here is some of what I learnt:

1. Coming to an understanding

Otherwise known as ‘breaking down international barriers’. It is important that as you group-work, particularly with new partners, you listen to what they have to say, their perspectives, and adopt an open-mind. Consider their priorities, current research commitments and their personality. It is a skill in itself to recognise and motivate different individual personalities towards a common goal. But also respect that your colleagues will have other work (and life) commitments outside the project.

2. Identifying the problem

My group comprised a: physiologist, geriatrician, physiotherapist and clinician. Our topic: healthcare in frailty. On larger multidisciplinary projects, put aside your specific research interests and focus on identifying a worthy research question. This will allow you to build the project on current knowledge and challenge a ‘real world’ problem worth answering. ‘The whole is greater than the sum of its parts’. Keep in mind, there will always be ample opportunity for you to flex your specific technical abilities in a project; there may be a sub-study, a related side-study or an opening up of subsequent opportunities.

3. Benefits of teamwork

As always some of the most impactful and lasting partnerships are built after hours. Class-based activities lay foundations in knowledge; group work builds relationships; socialising (or networking) develops understanding and empathy. I’m no socialite, but be present, listen and give your potential partners your undivided attention. Not only is this crucial when building partnerships, but also professionally good etiquette. This may seem difficult with other deadlines/priorities looming, but DO NOT get out your phone/laptop/mobile device in social situations. This shows disinterest and poor manners.

4. Be realistic

…and be patient. ‘He who knows only his side of the case, knows little’ (John Stuart Mill). Appreciate the workload demands of others; by the time Monday comes you will all have a fresh list of priorities. For collaborations beyond your institution think what platforms you can use to keep momentum. For example: Dropbox, webinars, educational partnerships and/or Skype meetings. Also use collaboration-working as an excuse to write travel grant proposals.

5. How to create momentum and impact

Keeping things moving is a must, I think. Commit and schedule time into your diary, as you would for your teaching. Similar to research writing, if you do not prioritise the time, it will quickly be filled with other duties. Our group created a Dropbox folder (containing a new systematic review on our project idea), circulated a Doodle poll, and then arranged for a follow-up Skype call to share our independent reviews and discuss funding opportunities. Relationships are always more important than the project; there will be many opportunities for projects, not always for trusted and like minded research partners. Oh, and understand that each member has the right to withdraw from the group at any point. Our group began the week with seven, and by Friday’s Dragon Den presentation we had four (looking glamorous below). Oh well.

What next?

It’s now one week since I returned, and keeping momentum with the FIBULA project (a.k.a. ‘Frailty in the Brazil and the UK: Learning across Borders’) I have arranged to visit my UK partner and senior researchers at the University of Nottingham in July-August to begin a scoping review. Later in Autumn, through RKEO Acorn funding I will host our other group partner(s) from the University of Sao Paulo at BU to conduct a systematic review and develop our partnership, and proposal further.

These suggestions are based merely on a research neophyte’s experiences in exercise physiology, partnering with the healthcare sciences. Although I impart advice, for everything I have discussed, I am still striving to master these skills. After all, the research process is learning from knowledge of what came before and evaluation of what we find out.

Dr James Gavin

Department of Sport & Physical Activity

Email jgavin@bournemouth.ac.uk

Twitter @JGavin85

LinkedIhttps://www.linkedin.com/in/jgavin1

New BU mental health publication

Congratulations to Faloshade Alloh (PhD student in Faculty of Health and Social Science), Dr. Pramod Regmi (Lecturer in International Health), Abe (Igoche) Onche (BU  graduate MSc in Public Health) and Dr. Stephen Trenoweth (Principal Academic and Leaded for BU iWell Research Centre) on the timely publication of their paper on mental health in developing countries [1]. 

Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in poorer countries. The paper addresses mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector.  This exciting paper has 51 references including several linking to BU publications on research in Africa [2-3] and several papers related to South Asia [4-6], particularly highlighting the recently completed THET project that was led by BU [4-5].

The authors highlight that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. The authors suggest that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal and Perinatal Health (CMMPH)

 

Click here to view the full publication.

 

References:

  1. Alloh, F.T., Regmi, P., Onche, I., van Teijlingen E., Trenoweth, S. (2018) Mental health in low- and middle income countries (LMICs): Going beyond the need for funding, Health Prospect 17 (1): 12-17.
  2. Alloh F, Regmi P, Hemingway A, Turner-Wilson A. (2018) Increasing suicide rates in Nigeria. African Health Journal  [In Press].
  3. Alloh FT, Regmi PR. (2017) Effect of economic and security challenges on the Nigerian health sector. African Health Sciences. 17 (2):591-2.
  4. Acharya DR, Bell JS, Simkhada P, van Teijlingen ER, Regmi PR. (2010) Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health. 7 (1):15.
  5. Simkhada B, Sharma G, Pradhan S, Van Teijlingen E, Ireland J, Simkhada P, et al. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey. Journal of Manmohan Memorial Institute of Health Sciences. 2:20-6.
  6. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Ireland, J. on behalf of THET team (2018) Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal. Nurse Education Today 66: 44-50. https://authors.elsevier.com/c/1Wu2axHa5G~S-
  7. Regmi PR, Alloh F, Pant PR, Simkhada P, van Teijlingen E. (2017) Mental health in BME groups with diabetes: an overlooked issue? The Lancet389 (10072):904-5.

Photo of the Week: The TACIT Trial

The TACIT Trial: TAi ChI for people with demenTia

This week’s photo of the week is Dr Samuel Nyman‘s entry of a Tai Chi class in action. This weekly series features photo entries from our annual Research Photography Competition taken by BU academics, students and professional staff, which gives a glimpse into some of the fantastic research undertaken across the BU community.

The TACIT Trial is all about people. The study is undertaken by a team of researchers led by Dr Samuel Nyman at BU who are looking into the benefits of Tai Chi for people with dementia.  Qualified Tai Chi instructors, such as senior instructor Robert Joyce from Elemental Tai Chi (photographed), lead the classes.  The classes are attended by people with dementia and their informal carers.  The classes involve slow, gentle, fluid body movements and slow breathing that leave you feeling relaxed and yet you have exercised your core muscles.  In this randomised controlled trial, we are following up for six months people who have taken part in the classes and practiced at home and are comparing them to others who have not done Tai Chi.  This will provide initial evidence for the first time in the UK as to the benefits of Tai Chi for the health and well-being of people with dementia and their informal carers.  This photo is taken from a workshop for Solent NHS led the the chief investigator Dr Samuel Nyman and Robert Joyce.

You can find out more about the TACIT Trial here:

Webpage: www.bournemouth.ac.uk/tai-chi/

Facebook: www.facebook.com/TheTACITTrial/

Dr Samuel Nyman is a Principal Academic at Bournemouth University. For more information about this research, please contact Samuel here.

 

BU contribution to Routledge Handbook of Well-Being

Congratulations to current and past academics in the Faculty of Health & Social Sciences and the Faculty of Science & Technology who contributed to the newly published Routledge Handbook of Well-Being.  The editor Prof. Kate Galvin was previously based at Bournemouth University.  She is currently Professor of Nursing Practice in the School of Health Sciences at the University of Brighton.

The following four chapters in the edited collection have been authored or co-authored by BU scholars and students past and present:

  • Dwelling- Mobility: An Existential Theory of Well-being Chapter 8 by Les Todres & Kate Galvin
  • Heritage and Well-being: Therapeutic places, past and present Chapter 11 by Timothy Darvill, Vanessa Heaslip & Kerry Barras
  • Embodied Routes to Well-being: Horses and Young People Chapter 20 by Ann Hemingway
  • Eighteen Kinds of well-being but there may be many more: A conceptual Framework that provides direction for Caring Chapter 30 by Kate Galvin & Les Todres.

 

Congratulations to all!

Prof. Edwin van Teijlingen

Medical Research showcase at CoPMRE’s Spring Visiting Faculty Day

The Centre of Postgraduate Medical Research & Education (CoPMRE) held its Spring Visiting Faculty Day at the Executive Business Centre.  Fourteen posters (VF Programme Spring 2018) were presented showcasing the breadth of collaborative projects being undertaken by BU and local clinicians.  The Best Poster prize was awarded to Dr Paul Whittington, Department of Computing & Informatics, Faculty of Science and Technology, for his presentation entitled Automatic Detection of User Abilities through the SmartAbility Framework.  Professor Tamas Hickish, judge, felt that all the posters were excellent and address important health care issues.  Paul’s poster was chosen as the research was generated by a deep understanding of disability, the use a mobile phone technology and generalisability to significant areas of health care need such as stroke and frailty. As such his work is scalable and feasible.

Visiting Faculty Days are a great opportunity to share innovative ideas and research.  The event was very well received and links for possible further collaboration have already been formed as a result of networking.  Our next Visiting Faculty Day will be held in December.

BU Nutrition students help to transform hospital menus

BSc (Hons) Nutrition students at Bournemouth University have been working with staff at Poole’s Alderney Hospital to produce new menus for hospital patients and staff, which are tasty, nutritious and full of locally-sourced ingredients.

Thanks to the students, Alderney Hospital also expects to see a reduction in its food wastage figures which could lead to significant savings.

Click here to find out more about how the BU students carried out this transformation.

Mike Smith, Geograph.

 

Two reviews by BU academics in the American Anthropologist in 2018

The first review by a Bournemouth University academic  in the prestigious  journal American Anthropologist was published in its February issue.  Dr. Sue Sudbury who is Principal Academic in Media Production reviewed the film ‘The Anthropologist’ [1].  She wrote in this Open Access review that this film raises many interesting issues about the role of the anthropologist and deftly illustrates the divide that exists when different cultures come together.   Her conclusion of the review is that ‘The Anthropologist’ is an intriguing and memorable film about environmental anthropologists and the important work they do collecting and telling the stories of people whose lives are being reshaped by climate change. It is also about the relationship between female anthropologists and their daughters. As such, it does an important job of introducing the subject and will no doubt generate discussion, but it is not an anthropological film and doesn’t claim to be.

The second one, a book review this time, appeared this week in the June issue.    Prof. Edwin van Teijlingen in Bournemouth University’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) reviewed the book Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by the American anthropologist Sheila Cosminsky [2].  He reminds the reader that some of the work in this book work has previously been published in articles, as clearly stated in the acknowledgments (p. xii).  He highlights that “on reading the book I remembered with joy snippets from some of the articles on Doña María I read nearly thirty years ago while working on my PhD thesis.” Cosminsky does a great job of bringing together a lifetime of anthropological (field)work in a comprehensive and easy‐to‐read book.

It is not often that we see reviews written by BU staff in this impressive journal, let alone two in subsequent issues.

 

References:

  1. Sudbury S. (2018) The Anthropologist Seth Kramer, Daniel A. Miller, and Jeremy Newberger, dirs. 81 mins. English, Russian, Sakha, Kiribati, Spanish, and Quechua with English subtitles. New York: Ironbound Films, 2015, American Anthropologist 120(1): 169-170.
  2. van Teijlingen E. (2018) Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by Sheila Cosminsky, American Anthropologist 120(2): 369.

Photo of the Week: All My Meeples

All My Meeples

Our next Photo of the Week is Alexandra Alberda‘s photo of her drawing of  people engaging with Graphic Medicine comics at a museum exhibition. This weekly series features photo entries taken by our academics, students and professional staff for our annual Research Photography Competition, which gives a glimpse into some of the fantastic research undertaken across the BU community.

Alexandra’s work takes Medical Humanities and Graphic Medicine into non-clinical and public settings where health related works are being engaged with presently. Her research furthers Medical Humanities’ engagement with public perceptions of health by expanding the critical vocabulary available to scholars through Comics Studies and curatorial practice. The space of the museum holds a social identity as upholding and defining culture and has a history of exhibiting works that relate to healthcare and the “ill” other/body. How do these bodies and the experiences they illustrate reach our own interpretations of illness, flesh bodies, and lived experiences? Alexandra’s PhD research focuses on these experiences as they are tied to exhibitions and museums, which creates three groups of ‘people’ to the research.

The first group (green) are the people that exist in the museum: viewers, artists, curators, and other museum staff. The second group (pink) are the people represented in the exhibition artwork: both fictional and non-fiction characters in the case of memoirs. Her research focuses on the relationships and engagement that happens between the first and second groups. The third group (orange) involves the relationships between my supervisors, and their expertise, and Alexandra. These relationships will translate into her professional practices and research skills.

Alexandra Alberda is a PhD researcher in the Faculty of Media and Communication at Bournemouth University. Her supervisors are Dr. Sam Goodman, Dr. Julia Round and Professor Michael Wilmore. She received her MA in Art History minoring in Sculptural Painting/Studio Art at the University of Nebraska-Lincoln and BA in English and Art minoring in Honours, Art History and Writing at Briar Cliff University.

Find out more about the role that comics can play in the study and delivery of healthcare on the Graphic Medicine website here.

@ZandraAlberda

New GCRF-funded study in South Asia

A new multidisciplinary project in South Asia, run between two of Bournemouth University’s Faculties, has recently been funded.  The cross-faculty project “Scoping Study to understand the maternal health, ageing and wellness in rural India to develop a grass-root centre addressing these issues” has Dr Shanti Shanker (Psychology) as its principal investigator in collaboration with Prof Edwin van Teijlingen (Human Sciences & Public Health).   These BU lead researchers have been working in India and Nepal for more than a decade.

This project was recently awarded £76k from the HEFCE GCRF (Higher Education Funding Council for England, Global Challenge Research Funds) Call, at Bournemouth University.  The project will be running from 2017 to 2021 between Maharashtra, India, Nepal and the UK.  This important research initiative  aligns closely with Bournemouth University’s strategic plan around South Asia through Connect India.  Connect India is BU’s hub of practice which focuses on the world’s most populated areas and a global region which is developing rapidly in many ways.

New BU mental health paper published

Congratulations to FHSS students Folashade Alloh and Igoche Onche who found out today that their ‘Mental health in low-and-middle-income countries (LMIC): Going beyond the need for funding’ has been accepted for publication by the editors of Health Prospect.  The paper is co-authored by FHSS staff Dr Pramod Regmi, Prof Edwin van Teijlingen and Dr Steven Trenoweth. Health Prospect is an Open Access journal.

More than 70% of the global mental health burden occurs in many low-and middle-income countries (LMIC). The paper discusses mental health issues in LMIC under different themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for mental health sector. The paper highlights that mental health education and health care services in most LMIC is poorly resourced; however, there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMIC, there is a need for effort to address cultural and professional practices that contribute to poor mental health among individuals. The authors argue that mental health should be integrated into primary health care in LMIC. Creating awareness on impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease of discussing mental health issues in these countries which will contribute to reducing stigma faced by mental health patients.