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New editorial Journal of Asian Midwives

This weekend a new issue of the Journal of Asian Midwives appeared online [1].  Its latest editorial focuses in part on research ethics.  The editors highlight the new World Health Organization (WHO) guidance for best practices in clinical trials [2].  The new WHO guidance was picked up at the 24th FERCAP International Conference “Maximizing Benefits through Responsible Conduct of Research” held in November 2024 in Nepal.  FERCAP is the Forum for Ethical Review Committees in the Asian and Western Pacific Region.

FERCAP reminded us that research as a social activity should improve health and quality of life for both targeted and general populations.  One notable message from this recent conference was the need for shorter and more comprehensible consent forms to make them user-friendly without sacrificing clarity. The other interesting development is that of so-called “decentralized clinical trials”. Decentralized or point-of-care trials can increase the diversity of clinical trial enrollment by increasing its accessibility, for example where elements of the trial are delivered at home and/or data are collected electronically by trial participants instead of researchers. These are exciting new developments in thinking about research ethics.

The Journal of Asian Midwives is Gold Open Access and hence freely available online.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. van Teijlingen, E., Musaddique, A.,  Jan, R. (2024) Editorial – Dec 2024. Journal of Asian Midwives, 11(2):1–2.
  2. World Health Organization (2024). Guidance for best practices for clinical trials. World Health Organization. https://www.who.int/publications/i/item/9789240097711 (accessed Jan. 2025)

Impact of federalisation on Nepal’s health system

On Boxing Day and the following day (Dec. 27th) a member of our research team, Amshu Dhakal based at Manmohan Memorial Institute of Health Sciences (MMIHSS), presented findings from our Nepal Federal Health System Project in Kathmandu.  The event, Nepal Health Conclave 2024, was organised by the Ministry of Health and Population and supported by WHO (World Health Organization) Nepal and UNFPA.  The event aimed to help strengthen Nepal’s health services.  This year’s conclave, themed “Bridging the Gap Between Global Expertise and National Needs”, brought together Nepalese diaspora health professionals and national stakeholders to foster collaboration and innovation in health systems.

Amshu presented two posters at the event: (1) The Impact of Decentralisation on Health Systems: A Systematic Review of Reviews which systematically reviewed how decentralisation affects health systems globally, highlighting key opportunities and challenges across WHO’s six building blocks; and (2) Transforming the Health System in Nepal: The Impact of Federalisation, which examined how the transition to a federal system reshaped Nepal’s health system, identifying gaps, opportunities, and actionable recommendations for improvement.

Our research team produced policy briefs in collaboration with government officials/stakeholders from all three levels of government.  The policy briefs can be accessed at the website of our Nepal Federal Health System Project.  This study was funded by the UK Health Systems Research Initiative [Grant ref. MR/T023554/1] to study the consequences for the health system of Nepal’s move from a centralised political system to a more federal government structure in 2015.  This joint project was led by the University of Sheffield in collaboration with Bournemouth University, the University of Huddersfield, Canter Bury Christ Church University and two institutions in Nepal, namely MMIHS and PHASE Nepal. 

In late 2022 further funding was awarded by the Medical Research Foundation to Prof. Julie Balen, from Canterbury Christ Church University, to disseminate the findings of our UK Health Systems Research Initiative-funded research in Nepal. In terms of academic dissemination, we have published eight papers from this interdisciplinary project [1-8].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. Sapkota, S., Dhakal, A., Rushton S., et al. (2023) The impact of decentralisation on health systems: a systematic review of reviews. BMJ Global Health 8:e013317. doi:10.1136/bmjgh-2023-013317.
  5. Wasti, S.P., van Teijlingen, E.Rushton, S., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117https://doi.org/10.1186/s12961-023-01033-2
  6. Sapkota, S., Panday, S., Wasti, S.P., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
  7. Adhikary, P., Balen, J., Gautam, S., et al. (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences (3): 1-11.
  8. Rushton, S., Pandey, S., van Teijlingen, E., et al. (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

Two new BU midwifery publications

This past week, as part of her work with McMaster University in Canada, Bournemouth University’s (BU) Centre for Midwifery & Women’s Health (CMWH) postgraduate PhD student Joanne Rack published a paper in BMJ Open.  This Open Access paper explores the strengths and weaknesses of midwifery research in Canada [1].  Joanne is currently doing a Clinical Doctorate in the  specialising in personalised care for women of advanced maternal age.  This PhD study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Professors Vanora Hundley and Edwin van Teijlingen in CMWH, Prof. Ann Luce, deputy dean in BU’s Department of Communication & Journalism as well as Dr. Latha Vinayakarao in Poole Maternity Hospital.

The second midwifery paper ‘Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal‘, which is also Open Access, has a different international focus, this time on Nepal [2].  The paper is co-authored by Dr. Preeti Mahato and Prof. Edwin van Teijlingen.  Dr. Preeti Mahato, formerly in BU’s Faculty of Health & Social Sciences, is currently based at Royal Holloway, University of London.

 

 

 

 

References:

  1. Ruby, E., Brunton, G., Rack, J., et al. (2024). Exploring the landscape of Canadian midwifery research: strengths, gaps and priorities – results of a scoping review. BMJ Open 14:e087698. doi:10.1136/bmjopen-2024-087698
  2. Mahato, P.,  van Teijlingen, E. (2024). Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal. Europasian Journal of Medical Sciences 6(1). https://doi.org/10.46405/ejms.v6i1.537

RKE Pre-Award support over the festive period

The festive break is fast approaching and with that, there will be reduced staffing across the University. To ensure we can maintain comprehensive pre-award support and to help with forward planning, 29th November will be the latest date an ITB can be submitted for any bid with a deadline before 8th January.

For bids due before 8th January for which an ITB is received after 29th November, a Facilitator will work with you to find a suitable alternative call.

In some cases BU’s Fast Track route may be an option. Please check if your activity meets the Fast Track requirements and if it does, you are encouraged to use it.

FHSS academics teaching in Nepal

As part of our long-standing Memorandum of Agreement between Bournemouth University and Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal, Dr. Pramod Regmi taught a postgraduate class in Kathmandu last week.  Pramod, who is Principal Academic in International Health in the Centre for Wellbeing and Long-term Health (CWLTH) in the Faculty of Health & Social Sciences, addressed M.Sc. students about the finer aspects of research methods.  Tomorrow (Sunday 24th November) I have been invited to speak to the same MMIHS postgraduate students about research theories and paradigms.

The process of internationalising higher education institutions through collaborative partnerships like this one between BU and MMIHS, brings benefits to both institutions’ staff and students.  This collaboration has led to many BU staff and students visiting Nepal, and many MMIHS staff and student visiting Bournemouth.  The collaboration has also led to several successful grant applications and nearly twenty academic publications [1-17].

 

 

Prof. Edwin van Teijlingen

 

 

References (BU + MMIHS authors in bold):

  1. Simkhada, P., van Teijlingen E., Winter, RC., Fanning, C., Dhungel, A., Marahatta SB. (2015) Why are so many Nepali women killing themselves? Review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. nepjol.info/index.php/JMMIHS/article/view/12001
  2. Simkhada, P.P., van Teijlingen, E., Marahatta, S.B. (2015) Mental health services in Nepal: Is it too late? Journal of Manmohan Memorial Institute of Health Sciences 1(4): 1-2.
  3. Simkhada, B, Mackay, S, Khatri, R., Sharma, C.K., Pokhrel, T, Marahatta, S, Angell, C, van Teijlingen, E., Simkhada, P (2016) Continual Professional Development (CPD): Improving Quality of Nursing Care in Nepal, Health Prospect 15 (3):1-3 nepjol.info/index.php/HPROSPECT/article/view/16326/13255
  4. van Teijlingen, E., Marahatta, S.B., Simkhada, P., McIver, M., Sharma, J.P. (2017) Developing an international higher education partnerships between high & low-income countries: two case studies, Journal of Manmohan Memorial Institute of Health Sciences, 3(1): 94-100.
  5. Simkhada, P., van Teijlingen, E., Simkhada, B., Regmi, P., Aryal, N., Marahatta, S.B. (2018) Experts warn Nepal Government not to reduce local Public Health spending, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 1-3.
  6. Regmi, P., van Teijlingen, E., Neupane, S., Marahatta, S. (2019) Hormone use among Nepali transgender women: a qualitative study, BMJ Open 9: e030464. doi:10.1136/bmjopen-2019-030464.
  7. Sathian, B., Asim, M., Mekkodathil, A., van Teijlingen, E., Subramanya, S.H., Simkhada, P., Marahatta, S.B., Shrestha, U.M. (2020) Impact of COVID-19 on community health: A systematic review of a population of 82 million, Journal of Advanced Internal Medicine 9(1): 4-11. https://www.nepjol.info/index.php/JAIM/article/view/29159
  8. Adhikary, P., Balen, J., Gautam, S., Ghimire, S., Karki, J., Lee, A.C.K., Marahatta, S.B., Panday, S., Pohl, G., Rushton, S., Sapkota, S., Simkhada, P.P., Subedi, M., van Teijlingen, E. for the Nepal Federal Health System team (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences 3 (3): 1-11.
  9. Khatri, R., van Teijlingen, E., Marahatta, S., Simkhada, P., Mackay, S., Simkhada, B. (2021) Exploring the Challenges and Opportunities for Continuing Professional Development of Nurses: A Qualitative Study with Senior Nurse Leaders in Nepal. Journal of Manmohan Memorial Institute of Health Sciences, 7(1); 15–29. https://doi.org/10.3126/jmmihs.v7i1.43147
  10. Sapkota, S., Panday, S., Wasti, S.P., Lee, A., Balen, J., van Teijlingen, E., Rushton, S., Subedi, M., Gautam, S., Karki., J., Adhikary, P., Marahatta, S., Simkhada, P., for the Nepal Federal Health System Team (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42. https://nepha.org.np/wp-content/uploads/2022/10/5.-Manuscript_Health-System-Strengthening.pdf
  11. van Teijlingen, E., Thapa, D., Marahatta, S.B., Sapkota, J.L., Regmi, P. Sathian, B. (2022) Editors and Reviewers: Roles and Responsibilities, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 32-37.
  12. Mahato P., Adhikari B., Marahatta S.B., Bhusal S., Kunwar K., Yadav R.K., Baral, S., Adhikari, A., van Teijlingen, E. (2023) Perceptions around COVID-19 and vaccine hesitancy: A qualitative study in Kaski district, Western Nepal. PLOS Global Public Health 3(2): e0000564. https://doi.org/10.1371/journal.pgph.0000564
  13. Wasti, S.P., van Teijlingen, E., Simkhada, P., Rushton, S., Balen, J., Subedi, M., Karki, J., Adhikary, P., Sapkota, S., Gautam, S., Marahatta, S., Panday, S., Bajracharya, B., Vaidya, A. for the Nepal Federal Health System Team (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health (accepted).
  14. Sapkota, S., Dhakal, A., Rushton, S., van Teijlingen, E., Marahatta, S.B., Balen, J., Lee, A. for the Nepal Federal Health System Team (2023) The impacts of decentralisation on health systems: a systematic review of reviews, BMJ Global Health 8(12) https://gh.bmj.com/content/8/12/e013317
  15. Marahatta, S., Regmi, P., Knight, A., Kuncova, J., Asbridge, E., Khanal, D., van Teijlingen, E. (2023). Staff-Student Exchange between MMIHS and Bournemouth University (UK). Journal of Manmohan Memorial Institute of Health Sciences, 8(1): 1–5. https://doi.org/10.3126/jmmihs.v8i1.57265
  16. Sapkota, S., Rushton, S., van Teijlingen, E., Subedi, M., Balen, J., Gautam, S., Adhikary, P., Simkhada, P., Wasti,SP., Karki, JK., Panday, S., Karki, A., Rijal, B., Joshi, S., Basnet, S., Marahatta, SB. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems, 22(7) https://doi.org/10.1186/s12961-023-01092-5 .
  17. Clark CJ, Marahatta SB, Hundley VA (2024) The prevalence of pain catastrophising in nulliparous women in Nepal; the importance for childbirth. PLoS ONE 19(8): e0308129. https://doi.org/10.1371/journal.pone.0308129

 

The Leverhulme Trust Visit to BU, 4th December now open for bookings-

Online event – 4 December 13.00-14.30

Join us at our upcoming virtual visit from The Leverhulme Trust, The Trust has been funding research for almost 100 years and has an essential role in the UK research funding landscape via its support for fundamental and higher-risk research, which has become much scarcer in some disciplines in recent years.

We will hear from the Director of Leverhulme about the funding schemes they offer, advice for applicants, Strategy and Looking into the future.

You are all welcome to join us and you will get a chance to raise your questions – to make the process easier can you please sent Eva Papadopoulou your questions in advance so we can coordinate them.

For more information about Leverhulme Trust visit https://www.leverhulme.ac.uk/ and if you have any questions, please contact RDS.

Please book here: The Leverhulme Trust – funding development Tickets, Wed 4 Dec 2024 at 13:00 | Eventbrite

REDCap – Recommended tools for Data Management in Research Projects

Recommended tools for Data Management in Research Projects

4 December 2024, 09:00 -13:00 Book here

Learn about data collection and management best practices in research and why REDCap is better that MS Excel or Qualtrics for almost every type of data collection, either through online surveys or direct entry into a database.

Our REDCap expert (Will Crocombe) will show you why this tool has been used in 2.2 million research projects worldwide to date, and with no prior knowledge, you will learn to use REDCap and be ready to use it in your next investigation at the end of this course.

Attendees on the basic course will learn:

What is REDCap and why is it important?

  • What can REDCap do and who uses it. Data management expectations, data integrity and quality, safety and security.

Data collection forms and data entry – the basics

  • Understand basics of field types and form design, build a simple study and add some data. Review form status and dashboard.

Improving usability

  • Data range checks, action tags, field skipping, option lists, calculated fields.
  • Use of Data Quality Rules, inbuilt and custom, calculations.

Data import and export

  • Data export options and format. Import features and use as data editor.
  • Data Dictionary and metadata.

So why use REDCap?

REDCap (Research Electronic Data Capture) is a secure, web-based software platform designed for building and managing online surveys and databases. Originally developed at Vanderbilt University, it has become widely used all over the world in academic, non-profit, and government institutions, particularly for research and clinical data management.

REDCap is considered better than Microsoft Excel for data collection and management because it is more secure, offers better data quality, and is easier to use.

Qualtrics and REDCap are both easy to use, but REDCap is more customisable and supports data entry workflows, including multiple user roles and permissions, which are particularly useful in collaborative research teams. Additionally, REDCap supports audit trails for data entries and changes, critical for research reproducibility. Qualtrics can be expensive, especially to access advanced features, while all features in REDCap are free.

For further information on this event please contact RKEDF@bournemouth.ac.uk

Book here

REDCap Key Features:

  1. Data Collection: REDCap allows users to easily create and manage data collection forms, which can be used for various purposes like surveys, longitudinal studies, or clinical trials.
  2. User-Friendly Interface: It provides an intuitive, web-based interface for project setup and data entry, allowing non-technical users to create complex projects without needing programming skills.
    1. Easy to Design Forms: REDCap provides a user-friendly interface for creating and designing online surveys and databases without needing advanced programming skills.
    2. Drag-and-Drop Interface: Allows for easy form building and question arrangement.
  3. Secure and Compliant: REDCap supports HIPAA compliance and other data security standards as GDPR and FISMA, making it suitable for handling sensitive or protected health information (PHI).
  4. Customisability: Users can customize forms, surveys, and workflows to suit their project needs, and it supports branching logic, validation, and automated alerts.
    1. Flexible Form Design: You can create complex branching logic, calculated fields, and use piping to personalize questions.
    2. Autonomy for Researchers: Users can independently design and manage their projects without needing IT support.
  5. Collaboration: It enables collaboration across institutions, allowing multiple users with different permission levels to work on the same project.
  6. Longitudinal Data Collection: It supports collecting data over time from the same participants, which is important for research projects that involve repeated measurements.
  7. Shared Library: REDCap’s Shared Library allows users to browse and search for data entry forms that other users have uploaded.
  8. Data Export: Data collected in REDCap can be exported to various statistical software formats (e.g., SPSS, SAS, Stata, R) for analysis

Research committee vacancies – help shape research at BU

We are currently seeking expressions of interest from academics at all career stages to be part of several key research and knowledge exchange committees.  

The positions offer the chance to have your voice heard in an institutional committee at an exciting time while we are developing our BU2035 strategy – helping to shape and deliver research and knowledge exchange activity across BU.  

The available positions are:  

Research and Knowledge Exchange Committee 

There are two vacancies, one for an early career Academic and one for a mid-career Academic. 

This committee is responsible for monitoring and enhancing research and knowledge exchange at BU, helping to support the quality, visibility and impact of Research and Knowledge Exchange (RKE) activities. It reports into Senate and normally meets four times per year.  

Research Degrees Committee: Supervisor representative

There is a vacancy for an academic at any grade who is currently supervising Postgraduate Researchers (PGRs). 

The committee takes responsibility for the strategic direction, nature, quality, development and delivery of the university’s research degree provision. It reports into the Education Committee with strong links to the Research and Knowledge Exchange Committee and normally meets five times per year. 

Research and Knowledge Exchange Concordat Steering Group

There are three vacancies for this steering group, a Researcher (typically a Postdoctoral Research Assistant), an early career Academic, and a mid-career Academic.

The steering group is responsible for overseeing the development and implementation of a coherent and robust action plan to embed the principles of the Research and Knowledge Exchange Concordats that BU has signed up to. It reports into the Research and Knowledge Exchange Committee and normally meets four times a year.  

Research Ethics Committee

There are two vacancies for this committee, Chair (member of the Professoriate) and Deputy Chair (member of the Professoriate).

The committee is responsible for promoting best ethical practice in relation to research activities, including overseeing the Research Ethics Panels and arbitrating in cases of dispute over ethical best practice and misconduct. It reports into Senate and normally meets four times a year.  

If you are interested in any of the roles, please submit an Expression of Interest (no longer than one page of A4) to research@bournemouth.ac.uk outlining which position you are applying for, why you are interested in the role, and the knowledge, skills and experience you think you could bring. This will be followed by an interview process.  

The Terms of Reference for these committees are available on request by emailing research@bournemouth.ac.uk.

The closing date for submitting Expressions of Interest is Friday 15 November.  

Emerging Issues for Research Impact: A Horizon Scan

In early 2024, the Parliamentray Office of Science & Technology (POST) conducted a comprehensive consultation with hundreds of experts from across the UK to identify pressing issues that parliament might need to address within the next five years.

Through this extensive consultation, over 100 significant issues were identified, spanning a wide range of topics, from prison reform and countering extremism to rebuilding trust in public institutions and preventing disease. POST are now in the process of preparing articles on many of these issues to assist parliamentary Select Committees and Govt departments in determining appropriate courses of action.

Emeritus Prof. John Oliver has been advising POSTs Horizon Scanning & Foresight Committee on a range of methodology and policy issues. Indeed, his research into horizon scanning and scenario planning has been used to underpin the methodological process involved in the consultation.

More information can be found on the link below and will provide BU researhcers with a valuable insight into the questions that will guide societal and economic impact from their research. It will also build the ‘Case for Support’ in funding applications.

https://post.parliament.uk/horizon-scan-2024/#heading-1

Good luck!

Emeritus Prof. John Oliver

RKEDF: Introduction to RED – Research and Enterprise Database

Do you need to know about the Research & Enterprise Database? Book now for 13 November!

 

This online session on Wednesday 27 November 2024, 13.00 to 13.30, is aimed at all academics to provide an overview of the Research & Enterprise Database.

Including how to access the system, the information available to view, budget management via RED, and how to use RED to identify your supporting pre and post award officers.

Book your place here

For any queries regarding this workshop, please contact RKE Development Framework

RKEDF: Principal Investigation – Post Award for RKE

Are you a Principal Investigator or planning to be one? Then book now for 6 November.

 

This session on Wednesday 6 November 2024 at 13.00 to 14.30 is for researchers who are or plan to be a Principal Investigator for an externally funded research or knowledge exchange project.

Topics covered include:

• What is post award?
• Roles and responsibilities
• Systems
• Key policies
• Starting your awarded project
• Making changes to your project and reporting
• Hints and tips

By the end of the session, attendees will have a strong foundation of what to expect when being responsible for their awarded projects.

Book your place here.

For any queries regarding this workshop, please contact RKE Development Framework

New nursing paper published

Congratulations to Emeritus Prof. Jonathan Parker, Faculty of Health & Social Sciences Visiting Faculty Prof. Vanessa Heaslip and Dr. Kirsty Marshall, the latter two co-authors are based at the University of Salford, on their latest paper ‘Promoting equity in community nursing’ [1].  This paper links to the Sustainable Development Goals (SDGs) published by the United Nations (UN) in 2015 in order to promote health, well-being and economic security for all. Bournemouth University, of course, is among the best universities worldwide for its sustainability, according to the new Times Higher Education (THE) Impact Rankings. BU was ranked 39th out of 1,963 universities measured against the UN Sustainable Development Goals (UNSDGs) internationally in June 2024.

Heaslip and colleagues remind us that  is worth considering the degree to which these influence one’s professional practice.  They offer a reflective activity on the issue, see Box 1 ‘Community nurses and the SDGs’ .

 

 

Congratulations!

Prof. Edwin van Teijlingen

 

Reference:

Parkr, J., Heaslip, V., Marshall, K. (2024) Promoting equity in community nursing, Clinics in integrated care 26 October , 100229

 

Congratulations to Dr. Karim Khaled and colleagues

Congratulations to Dr Karim Khaled on the recent publication of the article ‘The Association between Psychological Stress and Dietary Quality and Patterns among Women of Childbearing Age in Lebanon‘.
The paper focuses on psychological stress linked to poorer dietary quality can lead to serious diseases. The objective of this study was to examine the association between psychological stress and dietary quality/patterns among childbearing-aged women in Lebanon. Female participants (n = 249) participated in an online survey-questionnaire which included the previously adapted European Prospective into Cancer and Nutrition food frequency questionnaire and stress, depression, anxiety, physical activity, adiposity, and socio-demographic questions.
The a-priori dietary quality was assessed through the Mediterranean Diet (MD) index. The a-posteriori latent dietary-patterns (DPs) were derived through factor analysis. Regression analysis was performed to investigate the predictors of the DPs. Participants mainly had a medium MD adherence (61%). No association was found between stress and MD adherence. Factor analysis revealed four DPs: “potatoes, vegetables, legumes, soups and sauces, and non-alcoholic beverages” (DP1), “cereals, fats and oils, milk and dairy products, and sugars and snacks” (DP2), “alcoholic beverages, fish and seafood, eggs, and meats and meat products” (DP3), and “fruits and nuts and seeds” (DP4). Regression analysis indicated that DP1 was positively associated with monthly income (p = 0.02) and negatively with mother’s educational level (p = 0.03). DP2 was negatively associated with father’s employment status (p = 0.01) and marital status (p = 0.008). DP3 was negatively associated with higher father’s educational level (p = 0.018), but positively with BMI (p < 0.001). DP4 was positively linked with BMI (p = 0.01).
Further studies are needed to investigate the association between psychological stress and dietary quality/patterns among Lebanese childbearing aged women.
Congratulations!
Prof. Edwin van Teijlingen
Reference:
  1. Khaled, K., Hundley, V., Bassil, M., Bazzi, M., Tsofliou, F. (2024) The Association between Psychological Stress and Dietary Quality and Patterns among Women of Childbearing Age in Lebanon. Acta Scientific Nutritional Health 8(9): 8-20.