scholarly journals Adaptation of an evidence‐based intervention for family carers of people living with dementia for delivery to UK‐based South Asian carers: Widening access to START (Strategies for Relatives)

2020 ◽  
Vol 16 (S7) ◽  
Author(s):  
Andrew Sommerlad ◽  
Sarah Amador ◽  
Naaheed Mukadam ◽  
Penny Rapaport ◽  
Iain A Lang ◽  
...  
Keyword(s):  
South Asian ◽  
Evidence Based ◽  
Family Carers ◽  
Widening Access

scholarly journals Hidden hunger in South Asia: a review of recent trends and persistent challenges

2017 ◽  
Vol 21 (4) ◽  
pp. 785-795 ◽  
Author(s):  
Kassandra L Harding ◽  
Víctor M Aguayo ◽  
Patrick Webb
Keyword(s):  
Economic Growth ◽  
South Asia ◽  
South Asian ◽  
Social Protection ◽  
Economic Consequences ◽  
Evidence Based ◽  
Micronutrient Deficiencies ◽  
Policy Makers ◽  
Hidden Hunger ◽  
Recent Trends

Abstract‘Hidden hunger’ is a term used to describe human deficiencies of key vitamins and minerals, also known as micronutrients. While global in scale, the prevalence of micronutrient deficiencies is particularly high in South Asia despite recent successes in economic growth, agricultural output and health care. The present paper reviews the most recent evidence on patterns and trends of hidden hunger across the region, with a focus on the most significant deficiencies – iodine, Fe, vitamin A and Zn – and interprets these in terms of health and economic consequences. The challenge for South Asian policy makers is to invest in actions that can cost-effectively resolve chronic nutrient gaps facing millions of households. Appropriate solutions are available today, so governments should build on evidence-based successes that combine targeted health system delivery of quality services with carefully designed multisector actions that help promote healthier diets, reduce poverty and ensure social protection simultaneously.

Delivering a community intervention on Type 2 Diabetes with UK Punjabi South Asians via radio

2020 ◽  
Author(s):  
Kiran Kaur Bains
Keyword(s):  
Type 2 Diabetes ◽  
South Asian ◽  
Diabetes Prevention ◽  
Culturally Relevant ◽  
Community Intervention ◽  
South Asians ◽  
Psychological Aspects ◽  
Evidence Based ◽  
Type 2 Diabetes Prevention

• To devise evidence-based talks about Type 2 diabetes prevention and management for a Punjabi speaking UK South Asian audience • To focus on the psychological aspects of diabetes prevention and management, as well as coping with the illness • To deliver these talks in Punjabi using accessible and culturally relevant communication

scholarly journals ‘It’s like trying to ice a cake that’s not been baked’: a qualitative exploration of the contextual factors associated with implementing an evidence-based information intervention for family carers at the end of life

2020 ◽  
Vol 21 ◽  
Author(s):  
Amy Mathieson ◽  
Karen Luker ◽  
Gunn Grande
Keyword(s):  
Home Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Evidence Based ◽  
Management Support ◽  
Life Care ◽  
Care Providers ◽  
Family Carers ◽  
Structured Interviews ◽  
Practice Development

Abstract Aim: To explore the introduction of an evidence-based information intervention – the ‘Caring for Someone with Cancer’ booklet – within home care and end-of-life care, to inform future implementation and practice development within this setting. Background: Family carers’ contribution is crucial to enable care and death of people at home. The ‘Caring for Someone with Cancer’ booklet received positive responses from family carers and District Nurses and is an evidence-based intervention designed to support carers to deliver basic nursing tasks. Further feasibility work was required to establish how it should be implemented. Little is known about how to successfully translate interventions into practice, particularly within home care settings and end-of-life care. Methods: Implementation of the ‘Caring for Someone with Cancer’ booklet, utilising a qualitative case study approach, in four home care sites. Semi-structured interviews, informed by Normalization Process Theory (NPT), were undertaken at implementation sites in May 2016–June 2017. Participants were generalist and specialist nurses, managers, and Healthcare Assistants (HCAs). A framework approach to analysis was adopted. Findings: Forty-five members of staff participated. Failed implementation was associated with organisational-level characteristics and conditions, including workforce composition and predictability of processes. Unstable work environments meant home care providers focused on short-term rather than long-term goals, precluding practice development. Staff’s perceptions of the time available to engage with and implement the intervention inhibited adoption, as many participants were “just getting through the day”. Implementation was successful in sites with explicit management support, including proactive implementation attempts by managers, which legitimatised the change process, and if all staff groups were engaged. To encourage uptake of evidence-based interventions in home care settings, practitioners should be given opportunities to critically reflect upon taken-for-granted practices. Future implementation should focus on work pertaining to the NPT construct ‘Collective Action’, including how staff interact and build confidence in new practices.

scholarly journals Clinical Anesthesia, South Asian Edition: A Book Review

2021 ◽  
Vol 59 (243) ◽  
pp. 1207-1208
Author(s):  
Pawan Kumar Hamal
Keyword(s):  
South Asian ◽  
Evidence Based ◽  
The South ◽  
Local Practices ◽  
Clinical Anesthesia

Local practices, contextual issues and the therapeutic challenges of South Asian perspectives are generally overlooked in standard Clinical Anesthesia textbooks with more relevance to western scenarios. The South Asian Editors of this book, have made a tremendous painstaking effort to consider these issues and present the content as per the need of the local scenarios in an evidence-based manner.

The Carers' Alert Thermometer (CAT): supporting family carers of people living with motor neurone disease

2019 ◽  
Vol 15 (3) ◽  
pp. 114-124
Author(s):  
Mary R O'Brien ◽  
Barbara A Jack ◽  
Karen Kinloch ◽  
Oliver Clabburn ◽  
Katherine Knighting
Keyword(s):  
Online Survey ◽  
Telephone Interview ◽  
Motor Neurone ◽  
Screening Tools ◽  
Motor Neurone Disease ◽  
Evidence Based ◽  
Family Carers ◽  
Change Over Time ◽  
Need For Support ◽  
Over Time

Background: Burden and distress among family carers of people living with motor neurone disease (MND) are reported widely. Evidence-based screening tools to help identify these carers' needs and plan appropriate support are urgently needed. Aim: To pilot the Carers' Alert Thermometer (CAT), a triage tool developed to identify carers' needs, with family carers of people living with MND to determine its usefulness in identifying their need for support. Methods: Training workshops with MND Association visitors (AVs) and staff in southwest and northwest England, followed by implementation of the CAT. A self-completed online survey and semi-structured telephone interview evaluated use of the CAT. Findings: Sixteen participants completed the online survey with 11 volunteering to be interviewed. The CAT has potential to map change over time, help to focus on carers' needs and improve communication with carers. Conclusion: The CAT provides a structure enabling AVs to engage in a meaningful process with family carers to identify and discuss their needs.

scholarly journals Developing the delirium care pathways

2016 ◽  
Vol 21 (8) ◽  
pp. 582-596 ◽  
Author(s):  
Victoria Traynor ◽  
Nicole Britten ◽  
Pippa Burns
Keyword(s):  
Best Practice ◽  
Qualitative Approach ◽  
Nursing Home Care ◽  
Clinical Settings ◽  
Evidence Based ◽  
Care Pathways ◽  
Family Carers ◽  
Policy Documents ◽  
Clinical Nurse ◽  
Care For Older People

The aim of this study was to develop delirium care pathways (DCPs) useable and relevant for registered practitioners in all care settings: community; acute; and nursing homes. A qualitative approach was adopted to develop the pathways inductively. Focus groups and one-to-one interviews with registered practitioners ( n = 45) working as managers, practitioners and clinical nurse consultants were undertaken to develop draft versions of the pathways, which was pilot trialled across 19 clinical settings. The publication of the DCPs was a concise and easily readable document for registered practitioners who required immediate guidance on how to implement evidence-based delirium care for older people and their family carers, including three patient journeys explaining best-practice delirium care in community, acute and nursing home care settings, a webpage resource and printable posters of the pathways' patient journeys to promote the use of the pathways in clinical settings. The work undertaken to develop the pathways was further developed through new policy documents, state-wide initiatives to improve delirium care in hospitals, development of educational resources on delirium care and other knowledge translation projects on this topic.

scholarly journals Explanatory style in youth self-harm: an Indian qualitative study to inform intervention design

2020 ◽  
Vol 23 (3) ◽  
pp. 100-106 ◽  
Author(s):  
Shilpa Aggarwal ◽  
George Patton ◽  
Deepika Bahl ◽  
Nilesh Shah ◽  
Michael Berk ◽  
...  
Keyword(s):  
South Asian ◽  
Explanatory Style ◽  
Qualitative Interviews ◽  
Tertiary Hospital ◽  
Evidence Based ◽  
Middle Income ◽  
Self Harm ◽  
Asian Context ◽  
Gender Based ◽  
Explanatory Styles

BackgroundThere are very few studies that have examined the effectiveness of psychological interventions (PIs) that have been developed and tested in high-income countries to reduce self-harm in low and middle-income countries.ObjectiveTo evaluate the perspectives and explanatory styles of youth with self-harm and their caregivers to inform the design of an evidence based PI in a non-Western cultural setting. An additional objective was to suggest ways of integrating local practices and traditions to enhance its acceptability.MethodsWe conducted 15 in-depth qualitative interviews with youth with self-harm and four interviews with the caregivers in the psychiatry department of a tertiary hospital located in Mumbai, India. Data were analysed using phenomenological thematic analysis.FindingsFive themes were uncovered: (i) contextual factors related to self-harm including interpersonal factors, intrapersonal factors and socio-cultural factors; (ii) formulation and current feelings about the attempt (iii) family members and friends as the perceived supports and deterrents for future self-harm attempts; (iv) treatment related experiences with counselling, in-patient and outpatient treatment and barriers to treatment; and (v) coping strategies. Recommendations for key areas of adaptation include therapist adaptation, content adaptation to accommodate for cultural considerations and broader social context. Gender based socio-cultural norms, beliefs and stigma attached to self-harm need to be specifically addressed in South Asian setting. Interpersonal conflicts are the most common triggers.Conclusion and clinical implicationsTo our knowledge this is the first study in the South Asian context evaluating explanatory styles of youth with self-harm and their caregivers to inform the design of an intervention to ensure its cultural congruence. Cultural adaptation of an evidence based PI results in competent delivery and ensures best results in diverse ethno-cultural populations.

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