Improving health in prisons – from evidence to policy to implementation – experiences from the UK

2017 ◽  
Vol 13 (3/4) ◽  
pp. 139-167 ◽  
Author(s):  
Jane Leaman ◽  
Anna Amelia Richards ◽  
Lynn Emslie ◽  
Eamonn Joseph O’Moore
Keyword(s):  
Systematic Review ◽  
English Language ◽  
World Health ◽  
Limited Resources ◽  
Framework Analysis ◽  
Content Type ◽  
Key Informants ◽  
Evidence Review ◽  
The Impact

Purpose The purpose of this paper is to understand the components of a high-quality prison healthcare system and the impact, ten-years on, of the transfer of accountability in England, from a justice ministry to a health ministry. Design/methodology/approach A rapid evidence review was undertaken, which included a review of 82 papers and qualitative interviews with key informants. The concepts and themes identified were summarised and analysed through a framework analysis, designed to improve population outcomes and address health inequalities. The use of a rapid evidence assessment, rather than a systematic review methodology, the use of abstracts (rather than full-text articles) to extract the data, and limiting the search strategy to articles published in the English language only might mean that some relevant research papers and themes were not identified. The need for the evidence to be produced within a limited time frame and with limited resources determined these pragmatic approaches. Findings The review found that English prison healthcare has undergone “transformation” during this period, leading to increased quality of care through organisational engagement, professionalisation of the healthcare workforce, transparency, use of evidence-based guidance and responsiveness of services. The review also highlighted that there is still room for improvement, for example, relating to the prison regime and the lack of focus on early/preventive interventions, as well as specific challenges from limited resources. Research limitations/implications Time and resource constraints meant a rapid evidence review of papers in the English language was undertaken, rather than a systematic review. This might mean relevant papers have been missed. The review also only covered a small number of countries, which may limit the transferability of findings. The lack of quantitative data necessitated the use of qualitative data gathered from key informants. However, this enabled a good understanding of current practice. Practical implications The review findings support the World Health Organisation position on the value of integrated prison and public health systems in improving quality of healthcare. It also recommends future policy needs to take account of the “whole prison approach” recognising that healthcare in prisons cannot operate in isolation from the prison regime or the community. Originality/value This is unique research which has great value in supporting prison reform in England. It will also be of interest internationally due to the paucity of data in the published peer-reviewed literature on the impact of commissioning models on healthcare or health outcomes.

A systematic review of adverse childhood experiences (ACEs) with people with intellectual disabilities: an unsafe gap in the literature

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chloe Crompton ◽  
Bethany Duncan ◽  
Graham Simpson-Adkins
Keyword(s):  
Systematic Review ◽  
Intellectual Disabilities ◽  
Adverse Childhood Experiences ◽  
World Health ◽  
Inclusion Criteria ◽  
Childhood Experiences ◽  
Content Type ◽  
Adverse Childhood ◽  
People With Intellectual Disabilities ◽  
The Impact

Purpose This paper aims to systematically review the available evidence that explores adverse childhood experiences (ACEs) in people with intellectual disabilities (PwID). It is important to systematically review this literature as, to date, there is little known about the number of studies in this area, despite the World Health Organization declaring ACE prevention and support as a global public health priority. Design/methodology/approach Published studies were identified from electronic database searches. Key journals and reference lists were also hand searched. Findings Two studies met the inclusion criteria and the prevalence and frequency of ACEs experienced by participants of these studies analysed. Overall, due to the small number of studies meeting the inclusion criteria, it is difficult to establish any meaningful conclusions. Originality/value This appears to be the first systematic review to try and identify a research base looking at the prevalence of ACEs within a PwID population. Findings suggest that this is a highly neglected area of research, and the authors hope to have identified that further evidence is required to draw clearer conclusions about the impact of ACEs on PwID.

scholarly journals A Systematic Review of the Impact of Patient–Physician Non-English Language Concordance on Quality of Care and Outcomes

2019 ◽  
Vol 34 (8) ◽  
pp. 1591-1606 ◽  
Author(s):  
Lisa Diamond ◽  
Karen Izquierdo ◽  
Dana Canfield ◽  
Konstantina Matsoukas ◽  
Francesca Gany
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
English Language ◽  
Language Concordance ◽  
The Impact

scholarly journals Changes in health-related quality of life scores in patients with depression in the Thai health care delivery system

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kenika Jiratchayaporn ◽  
Siriorn Sindhu ◽  
Acharaporn Seeherunwong ◽  
Rungnapa Panitrat ◽  
Chukiat Viwatwongkasem
Keyword(s):  
Quality Of Life ◽  
Regional Hospital ◽  
World Health ◽  
Health Related Quality ◽  
Content Type ◽  
Different Types ◽  
Related Quality ◽  
Health Related ◽  
The Impact

PurposeAlthough health-related quality of life (HRQOL) has become an important outcome, specifically in regard to the impact of illness and treatment in patients with depression, few studies have explored the HRQOL of patients from different types of hospitals. This study aimed at examining a change in HRQOL of patients from various types of hospitalsDesign/methodology/approachA repeated measure was used in this study. Thirty participants in psychiatric outpatient units per center from the different types of hospitals, including a psychiatric hospital, regional hospital, general hospital and community hospital, were assessed with the Thai version of the World Health Organization Quality of Life Brief (WHOQOL-BREF-THAI) questionnaire at the first visit, and after the 6th and 12th weeks of the treatment course.FindingsThe HRQOL scores for the participants were increased in each type of hospital from their first visit to the 6th week and 12th week (p < 0.001; except for the 6th week in the regional hospital, p < 0.01).Originality/valueThe findings reflected HRQOL in patients with depression in terms of the resources available in different types of hospitals that could be used as baseline data for the development of Thai mental health service systems.

Collaborative planning, forecasting and replenishment: a literature review

2015 ◽  
Vol 64 (7) ◽  
pp. 971-993 ◽  
Author(s):  
Roberto Luis Hollmann ◽  
Luiz Felipe Scavarda ◽  
Antônio Márcio Tavares Thomé
Keyword(s):  
Systematic Review ◽  
Supply Chain ◽  
Literature Review ◽  
Collaborative Planning ◽  
Supply Chain Collaboration ◽  
Information Communication ◽  
Content Type ◽  
The Impact

Purpose – The purpose of this paper is to provide a systematic review of the literature on Collaborative Planning, Forecasting and Replenishment (CPFR). The review emphasises the descriptors of CPFR implementation and models, as well as the impact of CPFR and other supply chain collaboration (SCC) initiatives on supply chain (SC) performance. Design/methodology/approach – The systematic review includes 50 full-text papers retrieved from four databases: Emerald, EBSCO, ScienceDirect and Wiley. Rigorous and verifiable keywords, review steps and selection criteria were applied to the database and inter-coders agreement was systematically checked. Findings – There is no consensus regarding the breadth and scope of CPFR configurations. CPFR is context-dependent and varies according to the configuration of the SC. Trust, information-communication technology and the quality of information sharing are main enablers and inhibitors of implementation. Practical implications – Practitioners will benefit from insights related to the choice of SCC configurations (e.g. number of partners, nature of products and spatial complexity), the importance of trust and empowerment for SCC and the need to outweigh carefully the costs and benefits of specific SCC before implementation. Originality/value – CPFR, which is considered by many to be the most advanced and the most comprehensive SCC process and has a direct impact upon SC performance. Nonetheless, efforts to synthesise the overall state of the art in CPFR have been rather limited to date. As an effort to fill this gap, this paper provides a better understanding of the role of CPFR as a determinant of SC performance. As an effort to contribute to complete the cycle of theory building based on the literature review, seven propositions for CPFR research are put forward.

Impact of Comorbidity on Chemotherapy Use and Outcomes in Solid Tumors: A Systematic Review

2011 ◽  
Vol 29 (1) ◽  
pp. 106-117 ◽  
Author(s):  
Linda Lee ◽  
Winson Y. Cheung ◽  
Esther Atkinson ◽  
Monika K. Krzyzanowska
Keyword(s):  
Systematic Review ◽  
Solid Tumors ◽  
English Language ◽  
Current Data ◽  
Future Research ◽  
Severe Toxicity ◽  
Quality Of Reporting ◽  
Treatment Delays ◽  
The Impact

Background The treatment of cancer in patients with comorbidities can be challenging as these individuals are underrepresented in clinical trials. We conducted a systematic review to determine the impact of comorbidity on chemotherapy use, delivery, tolerability, and survival among patients with solid tumors to summarize current data and provide recommendations for future research. Methods All English-language articles from 1990 to 2009 that explored the association between comorbidity and chemotherapy were identified from MEDLINE and EMBASE. Abstracts were reviewed for eligibility, and data on study design and results were extracted. Results Thirty-four articles met the inclusion criteria. Study populations and design were heterogeneous, and the quality of reporting was generally poor. Most studies were retrospective (76%), were based on a cancer registry linked with administrative data (47%), and assessed the overall effect of comorbidity using an index score (76%). Sixteen studies (47%) investigated chemotherapy use, and 29 (85%) addressed survival. The majority reported decreased chemotherapy use (75%) and inferior survival (69%) for patients with comorbidities compared to those without. In 11 of 14 studies, inferior survival was independent of treatment. Of the few studies that addressed chemotherapy tolerability, seven of 10 reported an increased rate of severe toxicity, and three of five reported increased treatment delays for patients with comorbidity. Conclusion Chemotherapy use and outcomes among cancer patients with comorbidities are generally inferior, but the existing evidence is limited and of insufficient quality to determine the relationship between decreased use and inferior survival. Further studies that are prospective and site and stage specific are warranted.

scholarly journals The Impact of Non-Price In-premise Marketing on Food and Beverage Purchasing and Consumer Behaviour: A Systematic Review

2021 ◽  
Author(s):  
Ross Whitehead ◽  
Stefania Greci ◽  
Hilary Thomson ◽  
Gillian Armour ◽  
Kathryn Angus ◽  
...  
Keyword(s):  
Systematic Review ◽  
Public Policy ◽  
English Language ◽  
Consumer Behaviour ◽  
Future Research ◽  
Inclusion Criteria ◽  
Online Purchase ◽  
Food And Beverage ◽  
The Impact

In-premise marketing is commonly used to promote foods that are high in fat, sugar or salt. In order to inform development of public policy in this area, this systematic review sought to determine the quantity and quality of English-language evidence which examines the role and impact of in-premise advertising (e.g., signage, posters) and positional promotions (e.g., checkout displays) on consumer behaviour and diet-related outcomes in retail, out-of-home (i.e., cafes, restaurants, takeaways) and online purchasing environments. Sixty-two studies met inclusion criteria, of which 69% (n=42) were identified as being methodologically weak. The best-available evidence constitutes findings from four methodologically strong studies, and ten moderate studies which are not confounded by additional promotions such as price or availability. These studies predominantly found evidence that in-premise marketing is likely to be successful in influencing consumer behaviour towards targeted items, across retail and out-of-home settings. These findings provide a basis for authorities to consider acting to restrict in-premise marketing of unhealthy foods and encouraging the in-premise marketing of healthier products. This review identified gaps in the evidence available on non-sales outcomes, and on online purchase environments. These gaps, and identified methodological limitations of the extant evidence remain to be addressed by future research.

scholarly journals Evaluating Wellness Interventions for Resident Physicians: A Systematic Review

2020 ◽  
Vol 13 (1) ◽  
pp. 58-69
Author(s):  
Jessica Eskander ◽  
Praveen P. Rajaguru ◽  
Paul B. Greenberg
Keyword(s):  
Systematic Review ◽  
English Language ◽  
Educational Theory ◽  
Well Being ◽  
Validity Evidence ◽  
Resident Physicians ◽  
Resident Wellness ◽  
The Impact ◽  
Wellness Initiatives

ABSTRACT Background Wellness initiatives implemented by graduate medical education programs can help mitigate burnout in resident physicians. Objective This systematic review seeks to identify factors that impact the effectiveness of resident wellness interventions and to provide a conceptual framework to guide future interventions. Methods Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 6 electronic databases were searched in November 2019 using variations of the keywords “resident physicians,” “wellness,” and “intervention.” Peer-reviewed full-text English-language articles on controlled studies were considered for inclusion. The quality of the studies was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guidelines. Results The initial search disclosed 1196 articles, of which 18 studies enrolling 666 resident physicians met inclusion criteria for qualitative review. Interventions using peer support and individual meditation enhanced well-being. Effective wellness interventions also used educational theory to guide program development, surveyed participants to guide intervention design, incorporated programming into existing didactic curricula, and recruited voluntary participants. The quality of most of the included studies was poor (13 of 18, 72%) and could be improved by using standardized wellness assessments supported by validity evidence. Conclusions This systematic review suggests that future resident wellness initiatives should focus on grounding interventions in educational theory, forging consensus on wellness instruments with validity evidence, and examining the impact of initiatives on patient outcomes. A logic model can provide a framework for designing and implementing effective wellness interventions.

Insomnia and quality of life of prisoners at a Nigerian maximum-security prison

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Omokehinde Olubunmi Fakorede ◽  
Peter Olutunde Onifade ◽  
Oluyinka Emmanuel Majekodunmi ◽  
Adegboyega Ogunwale ◽  
Adefunke Omosefe DadeMatthews
Keyword(s):  
Quality Of Life ◽  
Psychiatric Morbidity ◽  
Stress Disorders ◽  
World Health ◽  
Life Questionnaire ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Content Type ◽  
The Impact

Purpose This study aims to determine the prevalence of insomnia as well as its association with the quality of life of the inmates in a Nigerian prison. Prisoners are a disadvantaged group of people whose needs are often unmet. Many authors have focussed on investigating the prevalence and pattern of psychiatric morbidity, as well as substance use among prisoners. However, sleep disorders, which can predispose or precipitate psychiatric disorders, have been largely neglected in research. The relationship between insomnia and quality of life (QoL) among the general population has been documented but similar investigations have yet to be conducted among the prisoner population. Design/methodology/approach This was a cross-sectional study with 300 male prisoners at the Ibara prison, Abeokuta, Nigeria who were not diagnosed with depressive, generalized anxiety or post-traumatic stress disorders. Each respondent was interviewed with a sociodemographic proforma, Insomnia module of the Schedule for Clinical Assessment in Neuropsychiatry and the brief World Health Organisation Quality of Life questionnaire. Findings About half of the respondents (45.7%) met diagnostic criteria for insomnia. A diagnosis of insomnia and some sleep-related variables were significantly associated with QoL. Research limitations/implications All the possible correlates of insomnia could not be investigated. Further research should be conducted to identify more correlates and investigate the impact of insomnia on prisoners’ lives. Practical implications Improvement of prison climate (relationships in prison, safety and order, contact with the outside world, facilities, meaningful activities and autonomy) may mitigate insomnia among prisoners. Prison psychiatry in Nigerian correctional centres should be made a priority. Social implications The findings have brought to light the need to address the current social welfare system in place for Nigerian correctional centres. Originality/value The study provided information on the prevalence of insomnia and poor QoL among prisoners in a Nigerian correctional facility.

scholarly journals Exercise efficacy and prescription during treatment for pancreatic ductal adenocarcinoma: a systematic review

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dominic O’Connor ◽  
Malcolm Brown ◽  
Martin Eatock ◽  
Richard C. Turkington ◽  
Gillian Prue
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Pancreatic Cancer ◽  
Adjuvant Therapy ◽  
Physical Function ◽  
Meta Analysis ◽  
Ductal Adenocarcinoma ◽  
Key Stakeholders ◽  
The Impact

Abstract Background Surgical resection remains the only curative treatment for pancreatic cancer and is associated with significant post-operative morbidity and mortality. Patients eligible for surgery, increasingly receive neo-adjuvant therapy before surgery or adjuvant therapy afterward, inherently exposing them to toxicity. As such, optimizing physical function through exercise during treatment remains imperative to optimize quality of life either before surgery or during rehabilitation. However, current exercise efficacy and prescription in pancreatic cancer is unknown. Therefore, this study aims to summarise the published literature on exercise studies conducted in patients with pancreatic cancer undergoing treatment with a focus on determining the current prescription and progression patterns being used in this population. Methods A systematic review of four databases identified studies evaluating the effects of exercise on aerobic fitness, muscle strength, physical function, body composition, fatigue and quality of life in participants with pancreatic cancer undergoing treatment, published up to 24 July 2020. Two reviewers independently reviewed and appraised the methodological quality of each study. Results Twelve studies with a total of 300 participants were included. Heterogeneity of the literature prevented meta-analysis. Exercise was associated with improvements in outcomes; however, study quality was variable with the majority of studies receiving a weak rating. Conclusions High quality evidence regarding the efficacy and prescription of exercise in pancreatic cancer is lacking. Well-designed trials, which have received feedback and input from key stakeholders prior to implementation, are required to examine the impact of exercise in pancreatic cancer on key cancer related health outcomes.

scholarly journals The Impact of COVID-19 Pandemic and Lockdown Measures on Quality of Life among Italian General Population

2021 ◽  
Vol 10 (2) ◽  
pp. 289 ◽  
Author(s):  
Maria Stella Epifanio ◽  
Federica Andrei ◽  
Giacomo Mancini ◽  
Francesca Agostini ◽  
Marco Andrea Piombo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Online Survey ◽  
Physical Space ◽  
Sampling Strategy ◽  
World Health ◽  
Snowball Sampling ◽  
World Health Organization Quality ◽  
The World ◽  
The Impact

The COVID-19 pandemic that has hit the world in the year 2020 has put a strain on our ability to cope with events and revolutionized our daily habits. On 9 March, Italy was forced to lockdown to prevent the spread of the infection, with measures including the mandatory closure of schools and nonessential activities, travel restrictions, and the obligation to spend entire weeks in the same physical space. The aim of this study was to assess the impact of the COVID-19 pandemic and lockdown measures on quality of life (QoL) in a large Italian sample, in order to investigate possible differences in QoL levels related to both demographic and pandemic-specific variables. A total of 2251 Italian adults (1665 women, mainly young and middle adults) were recruited via a snowball sampling strategy. Participants were requested to answer to an online survey, which included demographic and COVID-related information items, and the World Health Organization Quality of Life BREF questionnaire (WHOQOL-BREF). The results showed statistically significant differences in QoL depending on a number of variables, including sex, area of residence in Italy, and being diagnosed with a medical/psychiatric condition. To our knowledge, this is the first study to assess QoL during COVID-19 pandemic in Italy, therefore the present findings can offer guidelines regarding which social groups are more vulnerable of a decline in QoL and would benefit of psychological interventions.

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