Tagged / social sciences

New Public Health paper on Christmas Eve

Douglas 2015 Men healthOur latest paper and the last one for 2015, published the day before Christmas.  The paper ‘Implementing Health Policy: Lessons from the Scottish Well Men’s Policy Initiative’ appeared in AIMS Public Health [1].  The paper draws on evaluation research led by Dr. Flora Douglas (University of Aberdeen).  This was a set of evaluations of the Well Men’s Health projects which were part of an initiative running in many health regions (or health boards as they are called in Scotland).

 

The focus of this particular paper centres around the fact that little is known about how health professionals translate government health policy into action [2]. Our paper examines that process using the  Scottish Well Men’s Services policy initiative as a ‘real world’ case study [1]. These Well Men’s Services were launched by the Scottish Government to address men’s health inequalities. Our analysis aimed to develop a deeper understanding of policy implementation as it naturally occurred.  We used an analytical framework that was developed to reflect the ‘rational planning’ principles health professionals are commonly encouraged to use for implementation purposes.

Our analysis revealed four key themes: (1) ambiguity regarding the policy problem and means of intervention; (2) behavioral framing of the policy problem and intervention; (3) uncertainty about the policy evidence base and outcomes, and; (4) a focus on intervention as outcome. This study found that mechanistic planning heuristics (as a means of supporting implementation) fails to grapple with the indeterminate nature of population health problems. A new approach to planning and implementing public health interventions is required that recognises the complex and political nature of health problems; the inevitability of imperfect and contested evidence regarding intervention, and, future associated uncertainties.

 

The paper is published in an Open Access journal, so it is easily and freely available to public health professionals, policy-makers and health workers across the globe.

Prof. Edwin van Teijlingen 

CMMPH

 

Reference:

  1. Douglas, F., van Teijlingen, E., Smith, W.C.S., Moffat, M. (2015) Implementing Health Policy: Lessons from the Scottish Well Men’s Policy Initiative, AIMS Public Health 2 (4): 887-905. http://www.aimspress.com/article/10.3934/publichealth.2015.4.887/fulltext.html
  2. Killoran, A., Kelly, M. (2004) Towards an evidence-based approach to tackling health inequalities: The English experience. Health Education Journal;63: 7-14.

Congratulations to FHSS staff on latest KPI publication

Five RiversCongratulations to FHSS Celia Beckett and Jaqui Hewitt-Taylor and colleagues Richard Cross and Pam McConnell based at Five Rivers Child Care, Salisbury. Their first paper describes the exciting process of a Knowledge Transfer Partnership (KTP) project between BU and Five Rivers Child Care which started in 2012 and finished recently in 2015.[1]    The project was established to develop a stepped assessment package that would help to identify the emotional and behavioural needs of children who are looked after to ensure the right services are accessed and to monitor their progress.

 

Congratulations,

Professor Edwin van Teijlingen

CMMPH

 

Reference:

  1. Celia Beckett , Richard Cross , Jaqui Hewitt-Taylor , Pam McConnell (2015) Developing a process for assessment of the emotional and behavioural needs of “looked after” children: the Five Rivers model Journal of Children’s Services, 10(4):  324-38.

Connecting histories of welfare

Profs Jonathan Parker and Sara Ashencaen Crabtree undertook their annual field trip to Sherborne Abbey and St Johns’ Almshouse (Yes! The apostrophe’s in the right place, it refers to two Johns.) on Monday. The trip is held for Sociology & Social Policy students studying the histories of social welfare.

This year was particularly valuable as the students are producing group narratives concerning a range of characters and scenarios from history involving research into policy, legislation and practices to contextualise their stories. Seeing at least six hundred years of active community welfare and care through the almshouses, and tracing back Sherborne’s history to the time of Alfred the Great – who initiated a precursor to the poor laws for his people – the students were able to see the lived experiences and histories written about in their own research. This was brought sharply into the present day when it was revealed that the Sherborne foodbank programme serving a population of little over 10,000 people is delivering in excess of 1,000 food parcels each year! Students gained great insight into the connecting strands of welfare at formal and informal, state and charitable/third sector levels.

Sherborne

Suicide in India: Modelling data

The latest BU research publication used a modelling approach to suicide in India [1].  The paper ‘Time Trend of the Suicide Incidence in India: a Statistical Modelling’ is now online and freely available as it was published in an Open Access journal.  The first author of this paper is BU Visiting Faculty Dr. Brijesh Sathian.  The modelling resulted in some useful predictions of future risk of suicide at a population level, see for example: 10.12691.ajphr-3-5A-17.fig_1

 

Prof. Edwin van Teijlingen

Reference:

Sathian, B. , De, A. , Teijlingen, E. V. , Simkhada, P. et al. (2015). Time Trend of the Suicide Incidence in India: a Statistical Modelling. American Journal of Public Health Research, 3(5A), 80-87.  Online at:  http://pubs.sciepub.com/ajphr/3/5A/17/

Sociology meets Archaeology – Stonehenge as a site of multiplicities

Sociology students at StonehengeSara Ashencaen Crabtree, Stewart Davidson, Alexandra Jarrett, Georgia Larkins, Ana Paixao Pancada, Charles Scovell-Burfutt, Seval Fleming

Recently FHSS Sociology+ and SciTech students undertaking the final year sociology unit ‘Seekers, Believers & Iconoclasts: Sociology of Thought’, joined up with BSc Archaeology students for a joint Faculty trip to Stonehenge, led by Professor Tim Darvill and Professor Sara Ashencaen Crabtree, Dr Eileen Wilkes and Professor Jonathan Parker. The field trip provided a very important exploration of the overlapping domains of belief, from the prehistoric to the contemporary world, exemplified by Stonehenge, one of the most visited ancient sites in the world.

The day started inauspiciously being dark with rain. After visiting the considerably improved new information site with its excellent exhibits, including an appealingly nostalgic one of historical tourism to Stonehenge, we visited the monument itself. Always impressive and endlessly enigmatic, windswept Stonehenge offers endless variation of vista, where the scale and positioning of the stones appear to change immensely from different viewpoints. From there we followed the processional route in reverse away from Stonehenge negotiating mud and sheep dung on our cheerful march. Tim, charisma totally undampened by the rain, led us on a mobile lecture tour around much of the great prehistoric landscape of Neolithic and Bronze Age monuments studded with a bewildering range of burial barrows, dented with ditched enclosures and crossed by great processional avenues.

It was a privilege to visit Stonehenge with our two BU archaeologists on hand to properly explain the relevance of the landscape that would otherwise have been trodden with little appreciation of the incredible importance of what lay underfoot and what it meant, where Stonehenge sits at the centre of a vast metropolis of monuments.

Later the sociology students reflected on what they had learned. Alex, taking BA Sociology & Anthropology, spoke of the epiphanic moment of drawing essential connections between the generic theoretical and specific social phenomena that lay around her. Georgia on BA Sociology & Social Policy (BASSP) thought about material culture, and how the ancient and modern participant engages in the drama of performance. As sociologists we learned from our archaeological colleagues that Neolithic Britons with great subtlety and vast ingenuity orchestrated this physical pilgrimage over the landscape, drawing ancient pilgrims from huge distances, through the construction of an approach where Stonehenge is dramatically obscured and revealed successively en route – thus channeling both physical approach, perception and therefore experience.

Stewart on BASSP wrote a lengthy analysis: ‘My time throughout BU has given me a much broader perspective on this academic discipline, all too often other social sciences are intertwined. However, when Tim conceptualised this idea of Scienti, the merging of ideas that contributes to a new way of understanding, I challenged my own perception and it’s given me an alternative way to examine things.

I did not hesitate to sign-up for this field trip… I mean it’s not every day one gets an opportunity to have a reconnaissance guide (Tim Darvill) take you around the landscape to expand our understanding of our pre-historic ancestors’ rich history and an opportunity to see it through Stone-age eyes! I have gained transferable skills and drawn comparison to even another unit! My understanding is clearer now on what Bourdieu is suggesting in terms of habitus: we become a structured structure. This even has links with labelling theory and the fluidity/structures flows in everyday practice. This is from observing these momentous structures encountered on the day and the assimilation of these ancient societies.’

To conclude, the success of this trip, where sociology meets archaeology in a synergistic appreciation of the multiplicities of meanings in belief systems, has inspired us as an academic group to explore more opportunities for cross-Faculty engagement, in terms of both research as well as teaching – and where the Stonehenge landscape is now clearly on our sociological map.

 

 

 

New CMMPH paper published from COST collaboration

BMC Health Serv Res
This week saw publication of a new CMMPH paper in BMC Health Services Research.  This methodological paper ‘Assessing the performance of maternity care in Europe: a critical exploration of tools and indicators‘ is a collaboration between several European maternity-care researchers based in Spain (Ramón Escuriet, Fatima Leon-Larios), Belgium (Katrien Beeckman), Northern Ireland (Marlene Sinclair), the UK (Lucy Firth, Edwin van Teijlingen), Switzerland ( Christine Loytved, Ans Luyben) and Portugal (Joanna White).  Dr. Ans Luyben is also Visiting Faculty in the Faculty of Health & Social Sciences at Bournemouth University.  The underlying work was supported by the European Union through a COST Action called Childbirth Cultures, Concerns, and Consequences headed by Prof. Soo Downe at the University of Central Lancashire.  COST is seen by the EU as an important tool in building and supporting the European Research Area (ERA).

Cost ActionThis paper critically reviews published tools and indicators currently used to measure maternity care performance within Europe, focusing particularly on whether and how current approaches enable systematic appraisal of processes of minimal (or non-) intervention in support of physiological or “normal birth”.

The authors conclude: “The review identified an emphasis on technical aspects of maternity, particularly intrapartum care in Europe, rather than a consideration of the systematic or comprehensive measurement of care processes contributing to non-intervention and physiological (normal) birth. It was also found that the links between care processes and outcomes related to a normal mode of birth are not being measured.”

 

Professor Edwin van Teijlingen

CMMPH

Open Access publishing does not have to be expensive!

Nepal J Epid Open AccessAs it is Open Access Week I would like to clarify one of the Open Access publishing myths.  One of the common replies I receive from academics colleagues when raising Open Access publishing is that it is (too) expensive. This is, of course, true for many academic journals, but not all are expensive.  Some don’t even charge a processing fee at all.  Infamously, The Lancet Global Health charges an article processing fee of US $4750 upon acceptance of submitted research articles.  More moderately priced scientific journals still charge anything up to about £1,500 per article.

Open-Access-logoAcademic publishing has been big business for decades, and Open Access has rapidly become part of that business.  While traditional book and magazine publishers struggle to stay afloat, research publishing houses have typical profit margins of nearly 40%, according CBCNEWS who quote Vincent Larivière from the University of Montreal’s School of Library & Information Science.

At the same time we see a sharp increase in so-called Predatory Publishers who have set up business for the sole reason to make money from Open Access publishing.  They have not established or taken over academic journal for the greater good of the discipline or the dissemination of research findings to the widest possible audience.  Unscrupulous publishers jump on the Open-Access bandwagon BU librarian Jean Harris recently shared an interesting article about Predatory Publishers (click here to read this!).

J Asian MidwHowever, there are other format of Open Access. One of our more recent papers on research ethics was published in the Nepal Journal of Epidemiology which is an online Open Access journal that does not charge authors for publishing!  Also the Journal of Asian Midwives, where FHSS PhD student Preeti Mahato recently had her article accepted, is hosted in Pakistan by Aga Khan University through its institutional repository eCommons.  Publishing in this Open Access online journal is also free of charge.  In other words, Open Access publishing does not have to be expensive!

 

Prof. Edwin van Teijlingen

CMMPH