The THET (Tropical Health & Education Trust)-funded project ‘Mental Health Training for Rural Community-based Maternity Care Workers in Nepal‘ , led by Bournemouth University, has been showcased on the webpages of Public Health England (PHE). PHE hosts the WHO (World Health Organization) Collaborating Centre for Public Health Nursing and Midwifery. A WHO collaborating centre is an institution designated by the Director-General of the WHO to form part of an international collaborative network set up by WHO in support of its programme at the country, intercountry, regional, interregional and global levels. In line with the WHO policy and strategy of technical cooperation, a WHO collaborating centre also participates in the strengthening of country resources, in terms of information, services, research and training, in support of national health development.
This THET project was organised by Tribhuvan University in collaboration with Bournemouth University and Liverpool John Moores University (LJMU). Mental health is high on the global agenda and this project raised the importance of the issue in Nepal. The three universities collaborated on an education intervention training Auxiliary Nurse Midwives in Nawalparasi on mental health issues and mental health promotion. The project was supported by Green Tara Nepal, an Non-Governmental Organisation (NGO) with whom BU has been working for over a decade. More details on this exciting project can be found in previous BU Research Blogs written in 2016 (see here) and 2017 (see here) and 2018 (see here)! The project has resulted in several academic publications including Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Dr. Catherine Angell (CMMPH), Dr. Bibha Simkhada (formerly BU lecturer in Nursing) and FHSS Visiting Faculty Prof. Padam Simkhada and Jillian Ireland. Jillian is Professional Midwifery Advocate at University Hospitals Dorset NHS Foundation Trust. [2-6].
- Mackay, S. (2021) Maternal mental health training in rural Nepal, World Health Organisation Collaborating Centre – Evidence Based Public Health Nursing, Midwifery and Allied Health Professions into Practice, Public Health England
- Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
- Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
- van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007
- 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. http://www.nurseeducationtoday.com/article/S0260-6917(18)30150-3/abstract
- Ireland, J., Havelock, D., Lawrie, A., Ghimire, S. (2021) Facilitating Learning for Auxiliary Nurse Midwives around Maternal Mental Health in Southern Nepal, Journal of Midwifery Association of Nepal (JMAN) 2(1): 105-108.
Congratulations to Denyse King, who is currently attending the Future Technologies Conference, FTC 2018; Vancouver, BC; Canada (15-16 November). Her conference paper ‘NoObesity apps – From approach to finished app’ has been published in Advances in Intelligent Systems and Computing . Denyse is part of the Centre for Midwifery, Maternal & Perinatal Health (CMMHP) where she is a Lecturer (Academic) in Midwifery based at BU’s campus in Portsmouth ,
Obesity is still a growing public health problem in the UK and many healthcare workers find it challenging to have a discussion with service users about this sensitive topic. They also feel they are not competent to provide the relevant heath advice and are seeking easily accessible, evidence-based, mobile health learning (mHealth). mHealth applications (apps) such as the Professional NoObesity and Family NoObesity (due for release late 2018), have been designed to: support families with making sustainable positive behaviour changes to their health and well-being, ease pressure on practitioners’ overweight and obesity care related workloads, as well as to support the education of professionals, students and service users. This paper describes the process of designing the apps from the inception of the idea, through the stages of research, app builds and testing. The processes of collaborative working to design and develop the apps to meet the needs of both service users and health professionals will also be reflected upon. Childhood obesity is an complex problem and whilst it is recognised that the NoObesity apps cannot singlehandedly resolve this health crisis, it is proposed that they can support families to identify and reduce the barriers that prevent them from living healthier, happier lives.
King D., Rahman E., Potter A., van Teijlingen E. (2019) NoObesity Apps – From Approach to Finished App. In: Arai K., Bhatia R., Kapoor S. (eds) Proceedings of the Future Technologies Conference (FTC) 2018. FTC 2018. Advances in Intelligent Systems and Computing, vol 881. Springer, Cham, pp. 1145-1157.
OER18 conference ‘Virtual Reality: the implications for open educational resources’ presentation by BU staff. A conference presentation by Liz Falconer and Denyse King explored the meaning of open educational resources (OER) in relation to virtual reality (VR) technologies used for education. They argued that VR has been overlooked in the OER debate to date, and that the growth of educational VR platforms will require consideration of the many of the issues that arise from the more traditional concerns of open resources.
Liz and Denyse discussed Virtual Avebury and Virtual Urinalysis as two case examples that illustrate the issues that might arise, sharing their experiences of creating these learning environments in collaboration with university colleagues, commercial developers, and other interested parties such as Health Education England and patient representatives. The audience enthusiastically received their presentation and there were a number of interesting questions asked. The OER18 conference was also a valuable networking experience for Liz and Denyse, who met in person with delegates who had travelled from many different countries including America, South Africa and Brazil.
Following on from this successful experience they are hoping to be invited to present at the Future Technologies Conference in November 2018 to present Denyse’s virtual reality learning environments (VRLE) doctorate project – the Collaborative Immersive Learning Virtual Reality Series (CILVRS).
Prof. Edwin van Teijlingen
The government’s key priority of reducing childhood obesity through adult education (as announced by Jeremy Hunt in Sept 2015), prompted BU’s Denyse King to write a proposal to Health Education England. Denyse is a Midwifery Lecturer / Public Health Practitioner in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) at Bournemouth University. The proposal outlined her wish to develop a stand-alone mobile learning resource for health workers who care for families of overweight or obese children, and for families who need to identify individual needs to facilitate behavioural changes.
The development of this project pivoted on putting patients and the public in the centre of the process. Patients and the public were engaged through focus groups where insights were gathered to identify the challenges and issues to the problem. A series of online focus groups were undertaken with service users and professionals to understand the key challenges and issues respondents came across when trying to prevent/manage overweight and obesity. Key themes from the focus groups were:
- Empowering – the solution needs to recognise the experiences people bring and therefore the tools need to be empowering in supporting families to address obesity.
- Parenting tips – to address challenges with encouraging positive health behaviours with children.
- Responding to barriers – from parent/carers who are being supported by health professionals.
- Obesity isn’t a quick fix – recognising that sustained behaviour change takes time and support to overcoming barriers is vital.
- Healthy snacks and activities – provide easy and simple ideas to support parents/carers and professionals to identify quick ways to support healthier eating and increase activity.
- Portion size – understanding that portion size is important in addition to eating healthily.
Topic experts were identified and invited to join the project steering group where they provided the governance and steer of the overall development of this project whilst Denyse King wrote the content. The following Apps have been developed as a result and will be available to all as free download in IOS and Android platforms from late September 2017:
- NoObesity Family Focused App – After consultation with a healthcare worker, families set health goals, identify potential barriers and strategies to overcome them, record their progress towards their goals, earning points and awards as they go. Families are encouraged to link accounts to healthcare professional accounts (see below). The tool also includes parenting tips, games and useful links.
- NoObesity Professional Focused App– Healthcare professionals can see the goals, barriers, strategies, progress, points and awards of linked families, making them better able to provide tailored advice to the families, to help them achieve their goals. This is based on research findings that ‘one-size- fits-all’ health advice simply doesn’t work for most families. The tool also includes the Wessex MECC-based guidance on how to best support families, how to handle common objections, games and useful links.
Denyse would like to thank Dr. Joanne Newton project proposal support, Felicity Hargreaves and Helen Bingham for approval of the final project proposall. Thanks to all those who contributed to answering the research questions, as well as those who tested and fed back on the prototype, and also to Bournemouth University, University of Southampton, and NHS England for their support of this project.
List of the members of the steering group
||Steering Group Role
||Head of Public Health Workforce Development Programmes
||Health Education England (Wessex)
||Steering Group Chair
||Technology Enhanced Learning Lead (South)
||Health Education England (South)
|Dr. Jenny Godson (MBE)
||National Lead for Oral Health Improvement
||Public Health England
||Dental and dental aspects of nutrition
|Prof. Edwin van Teijingen
||Professor – Centre for Midwifery, Maternal & Perinatal Health
||Research supervision and education governance
|Dr. Juliet McGrattan
||Cumbria Medical Chambers
||GP role governance
||Health and Wellbeing Programme Lead
||Public Health England (South East)
||Intervention Manager and behaviour change specialist
||School staff role governance
|Dr. Jo Walker
||Portsmouth Hospitals Trust
||Consultant doctors role governance
|Dr. Wendy Marsh
||Lead Midwife for Safeguarding
||Portsmouth Hospitals Trust
||Consultant in Public Health and Dietitian
||Lees & Latouze
||Lecturer in Midwifery and Public Health Practitioner
||Content author and governance
ESRC, AHRC and Public Health England, together with other partners, are investing in a new three-year programme to progress the understanding and application of wellbeing evidence. Four evidence-based programmes relating to wellbeing will be commissioned, these being:
- work and learning
- culture and sport
- cross-cutting capabilities
Guidance for the call will be released on 29th October 2014, the deadline will be 2nd December, and a workshop for potential applicants will be held on 5th November in Birmingham.
Further information is available at http://www.esrc.ac.uk/funding-and-guidance/funding-opportunities/32283/what-works-wellbeing.aspx