Tagged / Health

Obesity prevention in men, findings from a recent HTA Report

Publishing

Media coverage HTA Report June 2014

HSC Open Seminar

 

“Obesity Prevention in Men” with Professor Edwin van Teijlingen

Wednesday 2nd July 2014

 

13.00 – 13.50pm

 

Bournemouth House, B126

 

 

On July 2nd Prof. Edwin van Teijlingen will present findings from a HTA report published this month.  Researchers from the University of Aberdeen, Bournemouth University and the University of Stirling examined the evidence for managing obesity in men and investigated how to engage men with obesity services. The evidence came from trials, interviews with men, reports of studies from the UK, and economic studies.

 

The research found that men are more likely than women to benefit if physical activity is part of a weight-loss programme.   Also eating less produces more weight loss than physical activity on its own.  However, the type of reducing diet did not appear to affect long-term weight loss.

 

Prof. van Teijlingen will highlight some of the key messages for Public Health policy and practice.  For example, that although fewer men than women joined weight-loss programmes, once recruited they were less likely to drop out than women.   The perception of having a health problem, the impact of weight loss on health problems, and the desire to improve personal appearance without looking too thin were motivators for weight loss amongst men.

This work has been funded as part of the ROMEO project (Review Of Men and Obesity) by the National Institute for Health Research, Health Technology Assessment Programme (NIHR HTA Project 09/127/01).

The full report can be downloaded here: http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf

–xx–

We hope you can make it and we look forward to seeing you there.

Beckie Freeman

Academic Community Administrator| Health & Wellbeing Community

01202 962184 | rfreeman@bournemouth.ac.uk

Changing diet and exercise, offering men-only groups, and humour may be the recipe for tackling male obesity

Publishing

Fewer men join weight loss programmes but are more likely than women to stick with them, according to analysis of international obesity studies by researchers from the Universities of Aberdeen, Bournemouth and Stirling.

Men also prefer the use of simple ‘business-like’ language, welcome humour used sensitively, and benefit from the moral support of other men in strategies to tackle obesity. The researchers suggest that obese men might be helped better if weight loss programmes were specifically designed for men.

Researchers from the Universities of Aberdeen, Bournemouth and Stirling analysed evidence from around the world, gathered from weight loss trials and studies that have also taken men’s views. The team particularly investigated what would make services more appealing for men.

From their systematic review (see: http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf ) of the evidence on obesity management published by the NHS National Institute for Health Research Health Technology Assessment Programme, researchers also found:

 

  • Cutting calories together with exercise and following advice on changing behaviour are the best way for obese men to shed pounds. This can also help reduce the risk of type 2 diabetes and can help improve erectile dysfunction for some men.
  • Obese men who eat less lose more weight than those who take more exercise but don’t eat less.
  • In the long term, one calorie-reducing diet has not yet been found to better than another for weight loss for men.
  • Middle-aged men are motivated to lose weight once they perceive they have a health problem they want to tackle.
  • A desire to improve personal appearance without looking too thin is also a motivator for weight loss in men.
  • Men are likely to prefer weight-loss programmes delivered by the NHS rather than those run commercially.
  • Group-based weight management programmes run only for men provide moral support.
  • Obesity interventions in sports clubs, such as football clubs, have been very effective, with low dropout rates and very positive responses from men.

 

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Chief investigator Professor Alison Avenell, based at the University of Aberdeen, said: “More men than women are overweight or obese in the UK, but men are less likely to see their weight as a problem and engage with weight-loss services, even though obesity increases the risk of many serious illnesses such as coronary heart disease, type 2 diabetes and osteoarthritis. This could be because dieting and weight-loss programmes are perceived as being feminine activities.”

“We looked at the outcomes of obesity management trials and interventions as well as interviews with men in order to find out more about how to design services and inform health policy. While more research is needed into the effectiveness of new approaches to engage men with weight-loss, our findings suggest that men should be offered the opportunity to attend weight loss programmes that are different to programmes which are mainly attended by women.”

 

Dr Flora Douglas, from the Rowett Institute of Nutrition and Health, said: “Men prefer more factual information on how to lose weight and more emphasis on physical activity in weight loss programmes. Interventions delivered in social settings were preferred to those delivered in health-care settings.   Group-based programmes showed benefits by facilitating support for men with similar health problems, and some individual tailoring of advice helped men.  Programmes which were situated in a sporting venue, where participants had a strong sense of affiliation, showed low drop-out rates and high satisfaction.”

University of Stirling Professor Pat Hoddinott said: “Men are much less likely to enrol in commercial weight loss schemes. Some men preferred weight loss programmes delivered in an NHS context. The difference between weight loss for men from NHS and commercial programmes is presently unclear”.

 

Professor Edwin van Teijlingen from Bournemouth University added: “This research project has benefited throughout from the input and insights offered by the Men’s Health Forum in Ireland, the Men’s Health Forum Scotland and the Men’s Health Forum England and Wales.”

This project was funded by the National Institute for Health Research, Health Technology Assessment Programme (NIHR HTA Project 09/127/01; Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men http://www.nets.nihr.ac.uk/projects/hta/0912701).  The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the Department of Health.

 

Prof. Edwin van Teijlingen

CMMPH

 

Successful BU Festival of Learning debate of media and fear in childbirth!

Festival of Learning

Yesterday saw the lively debate organised by Prof. Vanora Hundley on the motion: ‘The media is responsible for creating fear in childbirth.’

 

Elizabeth Duff from the NCT and HSC Prof. Edwin van Teijlingen affiliated with the Centre for Midwifery, Maternal & Perinatal Health and against the motion argued Joanne Dewberry (http://joannedewberry.co.uk/about-joanne/ ), independent blogger, journalist and successful business woman and Dr. Ann Luce from BU’s  Journalism and Communication Academic Group. 

The debate was part of BU’s Festival of Learning event to explore the role of the mass media in shaping such beliefs and identify whether media portrayals are responsible for rising rates of intervention.  The audience voted in favour of the motion, but the media team managed to get some people to reconsider their views on the impact of the mass media on women’s view of childbirth.

Professors Vanora Hundley and Edwin van Teijlingen

CMMPH

BU student Jib Acharya presents poster in Ethiopia

PG research

HSC Ph.D. student Mr. Jib Acharya presented a poster in Ethiopia on his thesis research.  His poster accepted by the scientific committee of the Micronutrient Forum Global Conference in Addis Adeba, the capital of Ethiopia.

 

Jib Acharya reported on his Ph.D. research which involves a mixed-methods study of to assess knowledge, attitudes and beliefs about nutritious food amongst rural and urban mothers in one district of Nepal.  The poster highlighted that both knowledge of and attitudes towards nutritious food of rural and urban mothers are still poor in both rural and urban populations.

Jib’s supervisors in the School of Health & Social Care are: Dr. Jane Murphy, Dr. Martin Hind and Prof. Edwin van Teijlingen.

 

Reference:

Acharya, J., van Teijlingen E., Murphy, J., Hind, M. (2014) A Comparative Study on Nutritional Problems in Preschool Aged Children of Nepal, poster presented at the Micronutrient Forum Global Conference in Addis Adeba, Ethiopia, June 2014.

 

 

Well done!

 

Prof. Edwin van Teijlingen, CMMPH

Strong CMMPH presence at ICM conference in Prague!

PG research, Publishing, Training

Dr. Carol Wilkins

In the first week of June members of the Centre for Midwifery, Maternal and Perinatal Health presented BU’s midwifery research and education at the 30th ICM (International Confederation of Midwives) Congress in Prague (Czech Republic).

There were four oral presentations in total, one workshop and three poster presentations.  The oral presentations comprised:

  1. Dr. Carol Wilkins (see picture) presented from her Ph.D. work ‘Emotional processing in childbirth study: exploration of the relationship between maternal emotions in pregnancy and risk of postnatal depression’.
  2. HSC Professor Vanora Hundley presented her international work on clean birth kits.
  3. Senior Lecturer in Midwifery Alison Taylor gave a paper under the title ‘Letting off steam! Video diaries to share breastfeeding experiences.  Her Ph.D. thesis research uses a novel approach of giving hand-held cameras to make home video diaries about their ‘realities’ of breastfeeding.
  4. HSC student Sheetal Sharma presented her Ph.D. research ‘Getting women to care: mixed–methods evaluation of maternity care intervention in rural Nepal’.

Dr Susan Way led a workshop on escalating concerns in relation to poor clinical practice and disrespectful care.

 

 

 

 

 

 

 

Furthermore, three HSC posters were displayed as part of a special session on Midwifery in South Asia, all three related to different CMMPH maternity care studies conducted in Nepal.

  1. Sharma, S.  Sicuri, E., Belizan, JM., van Teijlingen, E., Simkhada, P., Stephens J.,  Hundley, V., Angell, C.,  Getting women to care in Nepal: A Difference in Difference analysis of a health promotion intervention
  2. Milne, L, Hundley, V, van Teijlingen, E, Ireland, J, Simkhada, P, Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study,
  3. Sharma, S., van Teijlingen, E., Hundley, V. Simkhada, P., Angell, C. Pregnant & Dirty?

 

Prof. Edwin van Teijlingen

CMMPH

BU Nepal health research at international midwifery conference

PG research

Yesterday HSC Ph.D. student Sheetal Sharma presented her key research findings under the title ‘Getting women to care: mixed–methods evaluation of maternity care intervention in rural Nepal’ at the 30th congress of the ICM (International Confederation of Midwives) in Prague.   Sheetal’s Ph.D. evaluates the effectiveness of a health promotion intervention aiming antenatal care attendance in rural Nepal.  Her evaluation suggests that practice should be socio-culturally appropriate and inclusive not only of women but also their families.

This afternoon three HSC posters were displayed as part of a special session on Midwifery in South Asia.  All three posters featured aspects of maternity care research conducted in the Centre for Midwifery, Maternal and Perinatal Health in Nepal.

Poster 1:        Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study

Milne, L, Hundley, V, van Teijlingen, E, Ireland, J, Simkhada, P,

Poster 2:        Pregnant & Dirty?

Sharma, S., van Teijlingen, E., Hundley, V. Simkhada, P., Angell, C.

Poster 3:        Getting women to care in Nepal: A Difference in Difference analysis of a health promotion intervention

Sharma, S.  Sicuri, E., Belizan, JM., van Teijlingen, E., Simkhada, P., Stephens J., Hundley, V., Angell, C.

 

Prof. Edwin van Teijlingen

CMMPH

Übersetzen: Translation of the MGI in German

Publishing

 

The Mother-Generated Index (MGI) is a validated tool to assess postnatal quality of life.  It was originally designed and tested by Dr. Andrew Symon (http://nursingmidwifery.dundee.ac.uk/staff-member/dr-andrew-symon) at the University of Dundee.    This instrument is usually administered several weeks or months after birth and correlates with indices of postpartum mood states and physical complaints. The instrument had not been translated into German before or validated for use among German-speaking women, nor have the results of the tool been assessed specifically for the administration directly after birth.  Our recent paper (Susanne Grylka-Baeschlin, Edwin van Teijlingen, Kathrin Stoll and Mechthild Gross) in Midwifery describes the systematic translation process of the MGI into German and to assess the convergent validity of the German version of the instrument directly after birth and seven weeks postpartum

Susanne Grylka-Baeschlin, as part of a European COST Action, has spent time at Bournemouth University’s Centre for Midwifery, Maternal and Perinatal Health.  Susanne Grylka-Bäschlin is a Swiss midwife based at the Hannover Medical School, Germany, who studies cultural differences in postnatal quality of life among German-speaking women in Switzerland and Germany.

 

Prof. Edwin van Teijlingen

 

CMMPH

Latest HSC paper in Birth

Publishing

The international journal Birth published our latest paper:

Whitford, H., Entwistle V.A., van Teijlingen, E., Aitchison, P., Davidson, T., Humphrey, T., Tucker, J. (2014) Use of a birth plan within woman-held maternity records: A qualitative study with women and staff in northeast Scotland, Birth (Epub ahead of print).

The co-authors of BU Professor Edwin van Teijlingen are affiliated with a wide-range of Scottish institutions: the University of Dundee; the University of Aberdeen, the University of Stirling, the Robert Gordon University, Aberdeen and NHS Grampian, Aberdeen.

 

This latest paper considers the use of a birth plan section within a national woman-held maternity record.  Unlike England, Scotland has a national women-held maternity record. In Poole, for example, a midwife needs to complete another maternity record for women who want to deliver in the Poole area than those who want to delivery in Bournemouth Hospital and another form for those might want to go to the New Forest Birth Centre, and again another one for the Dorchester area.   In Scotland a pregnant women receiving antenatal care in one health area and delivering in another can take her same record/notes along.  As midwives (and other staff) only have to be familiar with one set of records, this reduces the chance of errors and avoiding duplication.

This qualitative study comprised interviews with women and maternity service staff in Northeast Scotland. In our study staff and women were generally positive about the provision of the birth plan section within the record. Perceived benefits included the opportunity to highlight preferences, enhance communication, stimulate discussions and address anxieties. However, some women were unaware of the opportunity or could not access the support they needed from staff to discuss or be confident about their options. Some were reluctant to plan too much. Staff recognised the need to support women with birth plan completion but noted practical challenges to this.

 

Prof. Edwin van Teijlingen

CMMPH

Delivering healthcare in prisons

PG research, Research Ethics

A special event has been arranged at BU that will focus on health care within prisons. The session to be held on 28th May will be led by Jane Senior from the University of Manchester. Jane is a clinician-researcher and Research Project Manager for the Offender Health Research Network. Jane is a qualified mental health nurse with over 20 years of post qualification experience of working in prison and secure mental health settings.

Jane’s session will be of great value to anyone :

  • thinking about undertaking research within UK prisons
  • wanting to know more about health care delivery in prisons
  • thinking of working with or in a prison health care team

During the session Jane will outline findings from her recent prison research projects. These include studies into how to manage the health and wellbeing of older prisoners and her recent work in developing the Older Prisoner Health and Social Care Assessment and Plan (OHSCAP). She will also highlight some of the specific issues that can arise when undertaking research within a prison environment.

Staff and students are welcome to attend the session. If you would like to attend please email Holly Crossen-White (hcrossen@Bournemouth.ac.uk).

More about academic writing

Publishing

Earlier this year (13th Jan. 2014) we wrote a BU Research Blog under the title ‘Writing about academic publishing’.  We can now add two further contributions this body of work.  The first article in Nepal Journal of Epidemiology offers some advice on how to construct a title for an academic article.  The authors (BU Professors Edwin van Teijlingen and Vanora Hundley; BU Visiting Faculty Ms. Jillian Ireland and Dr. Padam Simkhada and international collaborator Dr. Brijesh Sathian) have a wealth of experience reviewing papers and all have experience as editor board members and/or editors.  The authors are associated the editorial boards of the many journals, including: Birth, BMC Pregnancy & Childbirth, Medical Science, Nepal Journal of Epidemiology, Essentially MIDIRS, Sociological Research Online, Hellenic Journal of Nursing Science, Midwifery and Asian Journal of Health Sciences.  In our joint capacity as reviewers and editors we have seen some great and some awful titles.  The paper in Nepal Journal of Epidemiology is an attempt to improve the appropriateness and usefulness of titles chosen by budding authors.

Editorial Midwifery 2014

Editorial Midwifery 2014

The second addition is an editorial in the international journal Midwifery published by Elsevier.  Together with HSC Visiting Faculty Prof. Debra Bick we address the question: ‘Who should be an author on your academic paper?’   Still too often we hear about worrying stories from fellow academic s and postgraduate students about inappropriate behaviour related to authorship of academic journal papers.  The Midwifery Editorial advises academics to discuss authorship and authorship order early on in the writing process.  At the same time, it highlights that authorship ‘rules’ or ‘traditions’ can vary between different academic disciplines.  Thus when working in a multidisciplinary team, issues of authorship of any papers which arise out of the study should be discussed before problems or concerns arise.

 

We would like to take this opportunity point our readers to another interesting and useful BU Research Blog written by Shelly Maskell under the title: ‘How to design a completely uninformative title’ (7th Feb. 2014).

 

Prof. Edwin van Teijlingen & Prof. Vanora Hundley

Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University

 

References:

  1. van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal Journal of Epidemiology 4(1): 344-347.
  2. van Teijlingen, E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.

 

Highest marks for International Fellowship for Midwives research in Nepal

 

In 2013 Wellbeing of Women joined the Royal College of Midwives (RCM) to offer the International Fellowship for Midwives (worth £20,000).  Their first ever recipient was BU Lesley Milne with her supporting team.  Lesley is a Senior Lecturer in Midwifery based at BU’s Portsmouth Branch Campus and her proposal set out to undertake a research project to explore barriers to facility birth in Nepal.

 

Delivery bed small hospital Nepal

Apart from Lesley herself the BU team comprises Vanora Hundley, Professor in Midwifery, Edwin van Teijlingen, Professor of Reproductive Health Research, and two HSC Visiting Faculty members, namely Dr. Padam Simkhada, Senior Lecturer at the University of Sheffield, and Ms. Jillian Ireland, Community Midwife NHS Poole Hospitals.

 

Small commercial pharmacy outside local hospital (Nepal)

Small commercial pharmacy outside local hospital (Nepal)

At the end of March 2014 we submitted the final report on the research to Well-Being of Women and the RCM and this report gained an ‘A’ in their scoring system.  Last week at the feedback meeting in Well-Being of Women’s office in London Lesley presented some of her key findings which she illustrated with some of her photographs.  The comments from those round the table were that the topic was well researched and that the qualitative research findings could help focus the funders in their future work.

 

Having reached the dissemination stage, we are planning scientific papers as well as a feedback session in Kathmandu (in September this year). Currently we are working on two academic papers, one is in an advanced stage approaching submission and the other is just passed its draft stage.

 

 

Lesley Milne, Vanora Hundley, Jillian Ireland (Visiting Faculty),Edwin van Teijlingen & Padam Simkhada (Visiting Faculty)

 

Centre for Midwifery, Maternal & Perinatal Health

School of Health & Social Care

 


HSC Writing Retreat: Freedom to write

Publishing

Today saw the first of two Writing Retreat workshops organised by HSC.  The intensive writing day was led by Ms. Caroline Brimblecombe.  Caroline is a Norwich-based training consultant and project manager, who leads workshops in the technique of freewriting, as well as on academic writing.  She holds an MA in Public Policy from the Humphrey Institute of Public Affairs at the University of Minnesota, and spent many years as a public sector manager and policy analyst.  She used a combination of exercises based on notions of creative writing and free writing.  The Writing Retreat offered advice and a dedicated space and time to practice academic writing.  Today’s intensive session was attended by the first cohort of HSC academics, who considered some of their challenges to writing and some of the rewards.  Not surprisingly there were more challenges than rewards, and the former included lack of time, high workload and interruptions.   Personal satisfaction and a sense of achievement scored high on the list of rewards.

Caroline suggested the participants considered ‘Serial Writing’.  This is the notion that you write regularly, hence the ‘serial’.  The idea is to create a flow of writing to help you generate content as well as a habit of writing. This will be a valuable tool for workshop participants who have committed to working with a mentor to produce a manuscript for submission by the end of July.

For those motivated staff members who would like to have a go at this.  The next session is planned for the 28th of May and there are still a few free places available.  Please contact Jo Temple if you would like to sign up.

We both participated ourselves and we would highly recommend this Writing Retreat!

 

Edwin van Teijlingen & Vanora Hundley

CMMPH

Congratulations to Dr. Joyce Miller (PhD by Publication)

PG research, Publishing

Congratulations to HSC postgraduate student Joyce Miller who has just completed her PhD by Publication.  Joyce Miller is a chiropractic practitioner and lecturer with over 25 years private practice experience. She is Associate Professor at Anglo-European Chiropractic College in Bournemouth.  Her thesis Effects of Musculoskeletal Dysfunction in Excessive Crying Syndromes of Infancy presents research spanning more than a decade.  Joyce studied the relevance of chiropractic manual therapy to excessive crying in infancy through a unique series of eight clinical academic papers.

 

The eight separate studies used a range of different research methods:

  1. a demographic survey of paediatric patients attending a chiropractic clinic;
  2. a record study to determine the prevalence of side effects or adverse events;
  3. a cohort study to substantiate sub-groups of excessively crying infants;
  4. a prospective observational study to develop a predictive model using likelihood ratios to forecast the presence of infant colic in a clinical population;
  5. validation of a one-page instrument to assess clinical outcomes against the gold standard crying diary;
  6. a randomised comparison trial of two types of chiropractic manual therapy for infant colic;
  7. a randomised controlled single blind trial to determine efficacy of blinding as well as chiropractic manual therapy in management of infant colic;
  8. a case-control study to investigate  long-term effects of chiropractic manual therapy into toddlerhood.

Well done!

Prof. Edwin van Teijlingen

HSC

Successful Fusion Investment Fund Award – Study Leave Strand

Awarded & submitted bids, Fusion

Caroline Belchamber, a part-time physiotherapy lecturer, Doctor of Professional Practice (DProf) student and private practitioner has successfully been awarded Fusion Investment Funding for six months study leave enabling her to finalise her doctorate.

Caroline currently has a contract with a local hospice developing a breathlessness clinic for people with chronic lung conditions. She also holds an honorary contract with another local hospice, where her research is being carried out. Caroline identified the need for further research following her MSc research in 2002 on rehabilitation in the context of palliative cancer care. She observed the need to determine service users and health care professionals’ understanding of the benefits of physiotherapy and whether the profession is meeting National Standards and best practice recommendations in the area of supportive and palliative cancer care. Caroline’s case study research uses a mixed qualitative methods approach to identify the extent to which physiotherapy palliative cancer care service provision meets best practice recommendations. Caroline’s research has been funded by the Chartered Society of Physiotherapy (CSP) Charitable Trust and the Association of Physiotherapists in Oncology and Palliative Care (ACPOPC).  It was also given the support of the Dorset Cancer Network Service Improvement Facilitator in 2009. It is anticipated that Caroline’s work will place BU at the forefront of this evolving area of practice.

Caroline is supervised by Professor Elizabeth Rosser and Dr. Caroline Ellis-Hill

Highly Commended Paper by Lorraine Brown, John Edwards & Heather Hartwell.

Delicious links, Publishing

Congratulations to BU academics Dr. Lorraine Brown, Prof. John Edwards and Prof. Heather Hartwell.  Their recent paper “Eating and emotion: focusing on the lunchtime meal” published in the British Food Journal has been selected by the journal’s Editorial Team as a Highly Commended Paper of 2013.

“Eating and emotion: focusing on the lunchtime meal” was chosen as a Highly Commended Paper winner as it is one of the most impressive pieces of work the British Food Journal has seen throughout 2013.

The three winners will be presented with a certificate by the journal!  The authors are all based in the School of Tourism whilst Prof. Hartwell also has appointment in the School of Health & Social Care.

Details of the paper are listed at the following web site: http://www.emeraldinsight.com/journals.htm?issn=0007-070X&volume=115&issue=2&articleid=17077382&show=html

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health, School of Health & Social Care

Congratulations to Jon Williams: Associate Editorship

Publishing

Dr Jonathan Williams have just been invited to become an Associate Editor for the journal BMC Sports Science, Medicine and Rehabilitation  (http://www.biomedcentral.com/bmcsportsscimedrehabil/about/edboard).

 

Whilst last week Prof. Edwin van Teijlingen has been invited to join the editorial board of Health Prospect (http://nepjol.info/index.php/HPROSPECT)