Health for all Children

This book provides an evidence-based review of the child health programme (CHP) in the UK, for children from pregnancy to the age of 7 years. The book takes account of different government policies and different models of delivery of the CHP in the four UK administrations. It utilizes research from all over the world, but references the evidence to UK policy and practice. The aim is to summarize evidence about ‘why’ and ‘what works’ in health promotion and health surveillance with children and families, and where possible give guidance on ‘how’ to implement and quality assure a programme—but it does not conclude on ‘who’ should provide the service. The review starts in pregnancy, and considers evidence of how environmental exposures and maternal stress during pregnancy affect the developing fetus, and summarizes evidence of effectiveness for interventions during pregnancy and the perinatal period. The growing body of evidence for effectiveness in health promotion and primary prevention is appraised, and recommendations made to support services based on the principle of proportionate universalism. Evidence supporting secondary prevention, screening, and case identification through opportunistic surveillance is reviewed, together with the arguments for delivery of enhanced support to families with extra assessed needs and targeted services for families with specific risk factors. To conclude, evidence-based recommendations are made for the organization and quality assurance of the CHP, and areas highlighted where more research evidence is needed to support practice. Learning links to online training and resources are provided for each chapter.

2013 ◽  
Vol 16 (2) ◽  
pp. 20-36
Author(s):  
Mike Fisher

This paper concerns the impact of social work research, particularly on practice and practitioners. It explores the politics of research and how this affects practice, the way that university-based research understands practice, and some recent developments in establishing practice research as an integral and permanent part of the research landscape. While focusing on implications for the UK, it draws on developments in research across Europe, North America and Australasia to explore how we can improve the relationship between research and practice.


2012 ◽  
Vol 219 ◽  
pp. R41-R52 ◽  
Author(s):  
Philip Davies

This paper argues that evidence-based policy has clearly made a worldwide impact, at least at the rhetorical and institutional levels, and in terms of analytical activity. The paper then addresses whether or not evidence-based policy evaluation has had an impact on policy formation and public service delivery. The paper uses a model of research-use that suggests that evidence can be used in instrumental, conceptual and symbolic ways. Taking four examples of the use of evidence in the UK over the past decade, this paper argues that evidence can be used instrumentally, conceptually and symbolically in complementary ways at different stages of the policy cycle and under different policy and political circumstances. The fact that evidence is not always used instrumentally, in the sense of “acting on research results in specific, direct ways” (Lavis et al., 2003, p. 228), does not mean that it has little or no influence. The paper ends by considering some of the obstacles to getting research evidence into policy and practice, and how these obstacles might be overcome.


2017 ◽  
Vol 12 (2-3) ◽  
pp. 72-84 ◽  
Author(s):  
Roger Bullock ◽  
Roy Parker

Purpose The purpose of this paper is to chart the history of personal social services for children and families in the UK and examine the factors that have influenced it. Special attention is given to changing perceptions of rights, the impact of scandals and the contribution of child development research. Design/methodology/approach Analysis of historical documents and research reports using four methods: a timeline of milestones, demarcation of distinct developmental periods, trends in policy and practice and comparisons of children’s needs and experiences at different times. Findings The evolution of services has not been linear. In policy, there have been reform and retrenchment, amalgamation and differentiation. Practice has been shaped by the emergence of new problems and the disappearance of old ones as well as by legislation, extreme events, research and finance, all occurring in specific political, moral and economic contexts. Originality/value An analysis of developments in children’s services in their political, economic, moral and research contexts.


2019 ◽  
Vol 7 (8) ◽  
pp. 394-398
Author(s):  
Laura Warrilow ◽  
Roshni Dave ◽  
Sheridan McDonald

Dental decay is one of the most common conditions affecting children in the UK; but it can be prevented with a balanced diet and good oral hygiene. Often, this advice comes too late, with many families only registering with a dentist when problems have occurred. Research has shown that health visitors who provide appropriate dental advice can have a huge impact on children's dental and overall health. This article aims to provide evidence-based preventive advice to support health visitors with dental interventions.


Author(s):  
David Devins ◽  
Alex Watson ◽  
Paul Turner

This reflective case history reflects on the experiences of a UK City Authority as it responds to the challenge of policy making for inclusive economic growth. It tells how the authority, in responding to a long-term vision, used change management processes to articulate and then implement change. The approach is characterized by the use of evidence to promote change within and between organizations. This is complemented by an adaptive strategy based on the design, development, implementation, and monitoring of interventions. Change is achieved in relatively small steps through minor innovations in practice and ongoing consideration of what works and what more can be done.


2020 ◽  
Vol 5 ◽  
Author(s):  
Philip M. Newton ◽  
Ana Da Silva ◽  
Sam Berry

Arguments for and against the idea of evidence-based education have occupied the academic literature for decades. Those arguing in favor plead for greater rigor and clarity to determine “what works.” Those arguing against protest that education is a complex, social endeavor and that for epistemological, theoretical and political reasons it is not possible to state, with any useful degree of generalizable certainty, “what works.” While academics argue, policy and practice in Higher Education are beset with problems. Ineffective methods such as “Learning Styles” persist. Teaching quality and teacher performance are measured using subjective and potentially biased feedback. University educators have limited access to professional development, particularly for practical teaching skills. There is a huge volume of higher education research, but it is disconnected from educational practice. Change is needed. We propose a pragmatic model of Evidence-Based Higher Education, empowering educators and others to make judgements about the application of the most useful evidence, in a particular context, including pragmatic considerations of cost and other resources. Implications of the model include a need to emphasize pragmatic approaches to research in higher education, delivering results that are more obviously useful, and a pragmatic focus on practical teaching skills for the development of educators in Higher Education.


Author(s):  
Tamara Schloemer ◽  
Freia De Bock ◽  
Peter Schröder-Bäck

AbstractEvidence-based health promotion and disease prevention require incorporating evidence of the effectiveness of interventions into policy and practice. With the entry into force of the German Act to Strengthen Health Promotion and Prevention (PrävG), interventions that take place in people’s everyday living environments have gained in importance. Decision-makers need to assess whether an evidence-based intervention is transferable to their specific target context. The Federal Centre for Health Education (BZgA) recommends that transferability of an intervention should be clarified before any decision to implement it. Furthermore, transferability needs to be finally determined after an evaluation in the target context. In this article, we elaborate on theoretical and practical implications of the concept of transferability for health promotion and disease prevention based on the Population–Intervention–Environment–Transfer Models of Transferability (PIET-T). We discuss how decision-makers can anticipate transferability prior to the intervention transfer with the help of transferability criteria and how they can take transferability into account in the further process. This includes the steps of the analysis of a health problem and identification of effective interventions, the steps of the initial transferability assessment and identification of the need for adaptation, and the steps of the implementation and evaluation. Considering transferability is a complex task that comes with challenges. But it offers opportunities to select a suitable intervention for a target context and, in the transfer process, to understand the conditions under which the intervention works in this context. This knowledge helps to establish an evidence base, which is practically relevant.


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