Tagged / Health

Join us for an NIHR Information Session – 27 April 2022

 

 

 

Bournemouth University and the NIHR Research Design Service South West are jointly hosting an online NIHR Information Session, on Weds 27 April at 10am.

This NIHR Information Session will provide an overview of the NIHR as a funder, the NIHR funding programmes with specific focus on Research for Patient Benefit (RfPB), Health and Social Care Delivery Research (HSDR), Invention for Innovation (i4i), and NIHR Fellowship opportunities.

This session will online, via Zoom. Please register via Eventbrite here: https://www.eventbrite.co.uk/e/300827682697

A link to join the meeting will be sent to you after registration.

This session is part of the Bournemouth University Research and Knowledge Exchange Development Framework.

 

Speaking to a journalist

In late 2021 I was contacted by an Indonesian science journalist, Dyna Rochmyaningsih, who was investigating the ethics around international studies on human population genetics to build expand genomic libraries of people in the Global South.  She highlights that “these international studies, often led by Western scientists, have contributed to a more global understanding of ancient patterns of human migration and evolution. But on some occasions, they’ve also sidestepped local regulatory agencies in the developing world, and ventured into murky research ethics terrain as a result”.   The reason for contacting me was because we had published several papers here at Bournemouth University about the need for applying for ethical approval for research in developing countries [1-3].  I had a long Skype conversation with her about the various perspectives on the matter she was investigating.

Today she emailed me that her piece ‘Opinion: Genomics’ Ethical Gray Areas Are Harming the Developing World. A recent controversy in the Philippines illustrates the pitfalls and pressure points of international genomics research‘ has been published online.  In the email she made a really nice comment: “It was nice talking to you even though you might see that I disagree at some of your points. However, the discussion gave me insights that there is a wide disagreement on what considers ethical research.”  I think that is what science should be all about, disagreements, discussions, disputes, etc. and, at the same time, learning from these disputes and gaining greater insight.

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. van Teijlingen E.R., Simkhada P.P. (2012)    Ethical approval in developing countries is not optional. Journal of Medical Ethics 38(7):428-30. doi: 10.1136/medethics-2011-100123. Epub 2012 Feb 16.PMID: 22345548 
  2. van Teijlingen, E., Simkhada, P. (2015). Failure to Apply for Ethical Approval for Health Studies in Low-Income Countries. Nepal Journal of Epidemiology5(3), 511–515. https://doi.org/10.3126/nje.v5i3.13609
  3. Regmi, P. R., Aryal, N., Kurmi, O., Pant, P. R., van Teijlingen, E., & Wasti, S. P. (2017). Informed Consent in Health Research: Challenges and Barriers in Low-and Middle-Income Countries with Specific Reference to NepalDeveloping World Bioethics17(2), 84–89. https://doi.org/10.1111/dewb.12123

Hard to reach or hard to engage?

Congratulations to FHSS PhD students Aniebiet Ekong and Nurudeen Adesina on the acceptance of their paper by MIDIRS Midwifery Digest [1]. This methodological paper reflects on their data collection approaches as part of their PhD involving African pregnant women in the UK.

This paper provides a snapshot of some of the challenges encountered during the recruitment of pregnant Black African women living in the UK for their research. Though there are several strategies documented to access/invite/recruit these ‘hard-to-reach population’ these recruitment strategies however were found to be unsuitable to properly engage members of this community. Furthermore, ethical guidelines around informed consent and gatekeeping seem to impede the successful engagement of the members of this community. It is believed that an insight into the experience and perceptions of ethnic minorities researchers will enhance pragmatic strategies that will increase future participation and retention of Black African women across different areas of health and social care research. This paper is co-authored with their BU PhD supervisors: Dr Jaqui-Hewitt Taylor, Dr Juliet Wood, Dr Pramod Regmi and Dr Fotini Tsofliou.

Well done !

Pramod Regmi

  1. Ekong, A., Adesina, N., Regmi, P., Tsofliou, F., Wood, J. and Taylor, J., 2022. Barriers and Facilitators to the recruitment of Black African women for research in the UK: Hard to engage and not hard to reach. MIDIRS Midwifery Digest (accepted).

Request for feedback – MHRA clinical trials consultation

The Medicines & Healthcare products Regulatory Agency (the MHRA) have launched a public consultation into clinical trials.

The aim of the consultation is to streamline approvals, enable innovation, enhance clinical trials transparency, enable greater risk proportionality, and promote patient and public involvement.

There will be a 1 hour meeting on Monday 14th February at 1pm until 2pm, where you can offer your thoughts and feedback for BU’s institutional response.

If you wish to attend the meeting, please get in touch to be added to the invitation.

If you are unable to make the above time but wish to offer your thoughts, please email clinicalresearch@bournemouth.ac.uk to ensure your feedback is included.

Request for feedback – MHRA clinical trials consultation

The Medicines & Healthcare products Regulatory Agency (the MHRA) have launched a public consultation into clinical trials.

The aim of the consultation is to streamline approvals, enable innovation, enhance clinical trials transparency, enable greater risk proportionality, and promote patient and public involvement.

There will be a 1 hour meeting on Monday 14th February at 1pm until 2pm, where you can offer your thoughts and feedback for BU’s institutional response.

If you wish to attend the meeting, please get in touch to be added to the invitation.

If you are unable to make the above time but wish to offer your thoughts, please email clinicalresearch@bournemouth.ac.uk to ensure your feedback is included.

Another BU Impact Case Study

In 2018 BU researchers Dr. Jenny Hall and Prof. Vanora Hundley in the Centre for Midwifery, Maternal & Perinal Health (CMMPH) published a paper on disabled women and maternity care.  This scientific paper was co-authored with Ms. Jillian Ireland, Professional Midwifery Advocate in University Hospitals Dorset NHS Foundation Trust and BU Visiting Faculty, and Dr. Bethan Collins at the University of Liverpool (and former BU staff member).  Their paper ‘Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women’ appeared in the Open Access journal BMC Pregnancy & Childbirth and was commissioned by the charity Birthrights.   The study shows that disabled women are generally not receiving the individualised care and support they that they need to make choices about their maternity care.   At the time of publication this BU paper was picked up by various media, including in South Africa.

The study resulted in change in St Mary’s Maternity Hospital in Poole (as part of maternity care provision by University Hospitals Dorset NHS Foundation Trust).  One of the innovations at Poole Maternity Hospital was  supporting a woman to give birth in hospital with her assistance dog by her side to help ease her anxiety.

This story was picked up by several newspapers including the local Bournemouth Echo under the heading ‘Dog to accompany Poole dog handler as she gives birth‘, and by several national newspapers last week when the The Guardian published ‘UK woman has baby in hospital with ‘birth dog’ by her side‘, The Times printed Baby safely delivered, with a little help from woman’s best friend‘, whilst the online news website Big World Tale used the headline: ‘Woman, 24, gives birth in hospital with a DOG as ‘medical aid”.

 

Universities are always on the look out for impact generated by its research.  This seems a clear example of joint research between BU and University Hospitals Dorset NHS Foundation Trust staff resulting in innovations in practice.

 

Congratulations to all involved!

Prof. Edwin van Teijlingen

CMMPH

Updated HRA amendment tool now live

Please see below and note that from now any amendment made should be using version 1.6 of the document.

‘What: An updated amendment tool has been released for use when submitting amendments for health research studies

Who: All researchers and sponsors

When: Released 6 December

We’ve also made some other changes to the amendment tool to make it easier to use including:

  • improved guidance in the submission tab
  • changes to the radio selection buttons to make it clearer to complete and view once converted to a pdf
  • changes to help users avoid common mistakes

You can get all details on the changes we’ve made in the Change Record in General Guidance tab on the tool. Please start to use the new version (1.6) for all new amendments from 6 December 2021. We will continue to accept amendments using version 1.5 for two weeks. We will not accept amendments submitted on V1.5 after 20 December 2021.’

Please see this link for further information.

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.

This Sunday is a midwifery day

Today Sunday 21st November was a midwifery dominated day today.  This lunchtime a interdisciplinary team from CMMPH (Centre for Midwifery, Maternal & Perinatal Health) at BU and the University of Exeter submitted a research proposal to the ICM (International Confederation of Midwives) on Midwife-Led Birthing Centres in Low- and Middle-Income  Countries.   As a personal observation: whoever thought that setting the submission deadline for a Sunday was a good idea has no respect for researchers’ work-life balance!

This afternoon many of us attended the  March with Midwives vigils which were held nationwide in the UK to highlight issues with midwifery staffing and working conditions.  The March with Midwives vigil took place in 50 towns and cities, as a vigil to make the general public and politicians aware about the maternity crisis.  In Poole Park it attracted over fifty people.

Prof. Edwin van Teijlingen
CMMPH

The future of mental health research in Wessex – online meeting

Date: 9 December 2021

Time: 12:30-14:00

Location: OnlineChaired by Professor Chris Kipps, in this meeting attendees will learn about the new mental health network in Wessex and explore opportunities to collaborate and discuss the mental health research landscape across Wessex. Register for a place here.

Free training sessions for dementia researchers

Bournemouth University is involved in a wider collaboration which organises the Advanced Dementia Research Conference (ADRC 2021).  The conference is delivered online today and tomorrow (19th-20th November).  ADRC 2021 is led by Dr. Brijesh Sathian, BU Visiting Faculty, based in the Geriatric Medicine Department, Rumailah Hospital, in Doha, Qatar.  Saturday morning Prof. Edwin van Teijlingen will be delivering a session on qualitative research, preceded by a session on mixed-methods research from Prof. Padam Simkhada, also BU Visiting Faculty, from the University of Huddersfield.

The programme shown is for Day 2 tomorrow.   All sessions today and tomorrow are free to attend!  You can register here! Please, note that advertised times a Qatar times which three hours ahead of the UK at the moment.  

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

 

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].