Tagged / social sciences

Good week for FHSS publications!

Hundley Cochrane 2016This first week of March has been a good week for FHSS publications.  On March 1st CMMPH Prof. Vanora Hundley published her collaborative paper  ‘Do Cochrane summaries help student midwives understand the findings of Cochrane systematic reviews: the BRIEF randomised trial’.[1]  With colleagues based across the UK and Ireland she surveyed over 800 midwifery students at nine universities.  This results of the study can be found in the journal Systematic Reviews. This is a Gold Open Access journals, hence the paper is freely available for anybody to read across the globe.  To read this paper click here!

PH curious 2016The second FHSS publication is a chapter in a Kindle book on the Importance of public health in low- and middle- income countries, written by Dr. Puspa Raj Pant,CMMPH’s Prof. Edwin van Teijlingen, and BU Visiting Faculty Prof. Padam Simkhada.[2]  Padam Simkhada is Professor of International Public Health and Associate Dean (Global Engagement) for the Faculty of Education, Health and Community at Liverpool John Moores University.  The chapter is part of the Kindle book  with the long title: Public Health for the Curious: Why Study Public Health? (A Decision-Making Guide to College Major, Research & Scholarships, and Career Success for the College Students and Their Parents) edited by Richard Lee Skolnik from Yale University, USA.

The third paper is by FHSS PhD student Clare Farrance with her supervisors Dr. Fotini Tsofliou and Dr. Carol Clark.  This systematic review ‘Adherence to community based group exercise interventions for older people: A mixed-methods systematic review’ assessed the views and adherence of older participants attending community-based exercise programmes of over six-months duration.  Reporting that evidence is still very limited, although the preliminary limited evidence is positive regarding long-term adherence rates.  This paper is also Open Access, funded by BU’s Open Access fund.Farrance 2016

 

Prof. Edwin van Teijlingen

CMMPH

 

 

References:

  1. Alderdice, F., McNeill, J., Lasserson, T.,Beller, E., Carrol, M., Hundley, V., et al. (2016) Do Cochrane summaries help student midwives understand the findings of Cochrane systematic reviews: the BRIEF randomised trial. Systematic Reviews 5:40 http://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0214-8
  2. Pant, P.R., van Teijlingen, E., Simkhada, P. (2016)  Importance of public health in low- and middle- income countries, In:  Skolnik, R.L. (ed.) Public Health for the Curious: Why Study Public Health? (A Decision-Making Guide to College Major, Research & Scholarships, and Career Success for the College Students and Their Parents) Kindle Edition (for more details click here!) 
  3. Farrance, C., Tsofliou, F., Clark, C. (2016) Adherence to community based group exercise interventions for older people: A mixed-methods systematic review To be published. Preventive Medicine (forthcoming)

New BU multidisciplinary media & health paper out today!

media childbirth

Today saw the publication “Is it realistic?” the portrayal of pregnancy and childbirth in the media, a paper which is truly interdisciplinary, both in terms of its authorship as well as its topics[1]. The lead-author, Dr. Ann Luce is based in the Faculty of Media & Communication, whilst her BU co-authors Dr. Catherine Angell, Prof. Vanora Hundley, Prof. Edwin van Teijlingen and Dr. Marylin Cash are all associated with the Faculty of Health & Social Sciences. Prof. Helen Cheyne, the only non-BU co-author, is based at the University of Stirling.

The paper is a scoping review to assess the influence media have on pregnant women. Much of the academic literature discusses the influence of (reality) television, which often portrays birth as risky, dramatic and painful.  Although many claim that the portrayal of childbirth has a negative effect on society, there is little research evidence to support this claim. It has been suggested that women seek out such programmes to help understand what could happen during the birth because there is a cultural void through the increasing anticipation of negative outcomes. However the impact that has on normal birth has not been explored.  Our paper highlighted three key themes: (a) the medicalisation of childbirth; (b) women using media to learn about childbirth; and (c) birth as a missing everyday life event.  The key conclusions are the media appear to influence how women engage with childbirth. The dramatic television portrayal of birth may perpetuate the medicalisation of childbirth, and last, but not least, portrayals of normal birth are often missing in the popular media. Hence midwives need to engage with television producers to improve the representation of midwifery and maternity in the media.

BMC cover media

BMC Pregnancy and Childbirth is an Open Access journal so our paper is freely available to researchers, journalists, childbirth activists as well as pregnant women anywhere in the world.  This paper builds on a growing number of academic papers published by staff in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the role the media play in health and midwifery, both in the UK [2-3] and in Nepal [4-6].

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1.  Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C., (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40
  2. Hundley, V., Duff, E., Dewberry, J., Luce, A., van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.
  3. Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
  4. Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2012) Media use for Health Promotion: Communicating Childhood Immunisation Messages to Parents. Journal of Health Promotion 4(1): 1-9.
  5. Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2013) Childhood Immunisation in Nepal: Parents’ knowledge, attitudes and behaviour & implications for Health Policy. Health Science Journal 7(4):370-383.
  6. Devkota, S., Maharjan, H.M., van Teijlingen, E. (2015) Media and Health. In: Wasti, S.P., Simkhada, P.P. & van Teijlingen, E. (Eds.) The Dynamics of Health in Nepal, Kathmandu, Nepal: Social Science Baha & Himal Books: 169-184.

A series of co-incidents

Over 25 years ago during my PhD research comparing the organisation of midwifery and maternity care in the Netherlands and the Northeast of Scotland I wrote a chapter comparing the history of maternity care in the two countries.  I needed to write this not, as I thought at the time, to improve my thesis, but for myself to help me as a sociologist to help understand these historical developments.

In the process of researching the history of midwifery in the Netherlands I found a commemorative book by Drenth (1998) celebrating the centenary of the Dutch midwifery organisation. In this book is a footnote stating that the first chair of the KNOV (Royal Dutch Organisation of Midwives), Ms Francijntje de Kadt, lived and worked in the town of Vlaardingen in the late 19th to early 20th century (Drenth 1998). This note caught my eyes as I am born and bred in Vlaardingen.

Francijntje de Kadtlaan in Vlaardingen, the Netherlands

Francijntje de Kadtlaan in Vlaardingen, the Netherlands

After a bit more searching and a visit to the archives of the town of Vlaardingen I managed to dig up a little more about Francijntje de Kadt, but not an awful lot. During a family visit to the Netherlands I visited the archives of Vlaardingen to see what information they had about her. The archivist immediately recognised the name of Francijntje de Kadt, since genealogists keep finding her name as the midwife listed on their ancestors’ birth certificates. However, the archivist did not know that Francijntje de Kadt had been the first chair of the Dutch Mmidwifery organisation from its establishment in 1898 till 1926. At that point I decided to apply for a small travel grant in the History of Medicine from the Wellcome Trust. That application was successful, awarding a travel grant of £ 1,050 in 2001. My research in various archives in the Netherlands resulted in two papers (in Dutch) about Francijntje de Kadt, one in a local history journal (van Teijlingen 2003a) and one in the Dutch midwifery journal (2003b) and one about the collapse in 1921 of the midwives’ first pension fund (van Teijlingen 2002). This was for a while the end of my career as an amateur historian due to my busy day job as a health researcher and MSc coordinator at the University of Aberdeen.

Many years later (2010) I ended up talking to the burgomaster of Vlaardingen at the reception organised by the town to celebrate the fact that my father had been awarded the Dutch equivalent of an OBE. Over a drink I asked the burgomaster what the process was for suggesting a new street name in Vlaardingen. He suggested I write to the Street Name Committee with a justification why Francijntje de Kadt deserved a street name. With my recommendation I sent this committee my two Dutch publications. A few months later the secretary to the Street Name Committee wrote to say that my proposal had been accepted and that her name would be given to a street in a new development of the former local hospital grounds.

Then in mid-2015 a Dutch historian Eva Moraal came to Vlaardingen with her partner on a day trip and they ended up walking through the Francijntje de Kadtlaan. She read the subscript on the street sign (see photo) and thought ‘This woman need to have an encyclopaedia entry!’ A few days later she emailed me at Bournemouth University for further information on the live, work and achievements of Francijntje de Kadt to help her write a piece for the encyclopaedia. Two months ago Eva Moraal (2015) published her very nice contribution on Francijntje de Kadt.

So what started as a small historical study as an introduction chapter of a PhD thesis in Medical Sociology ended up with a ‘forgotten’ national midwifery leader having a street named after her in the town she spent most of her working live and her own entry in the encyclopaedia, Digitaal Vrouwenlexicon van Nederland (in Dutch: Online Women’s Lexicon of the Netherlands). What is even more interesting that this otherwise chronologically logical story is based on three major co-incidents: first, spotting a footnote in commemorative book about Vlaardingen. If Francijntje de Kadt had lived and worked anywhere else in the Netherlands other than my birthplace I would not have paid much attention. Secondly, speaking to the burgomaster of Vlaardingen and having a conversation in which street names cropped up, and thirdly, Eva Moraal who just happened to walk through the Francijntje de Kadtlaan, reading the street sign, and thinking this is an historical figure who needs better recognition.

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

Drenth, P. (1998) 1898-1998. Honderd jaar vroedvrouwen verenigd, Bilthoven: KNOV.

Moraal, E. (2015) Kadt, Francijntje de, in: Digitaal Vrouwenlexicon van Nederland. URL: http://resources.huygens.knaw.nl/vrouwenlexicon/lemmata/data/Kadt

van Teijlingen, E. (2002) Ondergang eerste pensioenfonds voor vroedvrouwen (in Dutch: Decline of the first pension fund for midwives), Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 27(12): 684.

van Teijlingen, E.R. (2003a) Berichten – Francijntje de Kadt (1858-1929), Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 28(12): 630-633.

van Teijlingen, E.R. (2003b) Francijntje de Kadt (1858-1929). Vroedvrouw te Vlaardingen en eerste voorzitter van de Nederlandsche vroedvrouwenvereeniging, Tijd-schrift (in Dutch: Time-Magazine) 88: 14-23.

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