Public health and prevention: acting to make longer lives healthier

2016 ◽  
Vol 20 (2) ◽  
pp. 110-120 ◽  
Author(s):  
Charles Alessi ◽  
Elaine Rashbrook

Purpose – The purpose of this paper is to outline the action that can be taken to ensure longer and healthier lives. Design/methodology/approach – The paper draws on the relevant recommendations set out by the National Institute for Clinical Excellence to delay or prevent the onset of ill health in later years, followed by a number of recommended approaches to promote healthy behaviours in older adults as well as those in midlife. Findings – There is a clear need for public health and the prevention agenda to help ensure that later years are not just longer, but healthier. Practical implications – The paper identifies how, when and where the health risks associated with the majority of years lost to ill health can be addressed, and advocates the importance of taking an asset-based approach to promoting good health in older people. Originality/value – The paper is a comprehensive review of the key public health actions that can be taken to ensure longer and healthier lives.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Khudejah Ali ◽  
Cong Li ◽  
Khawaja Zain-ul-abdin ◽  
Muhammad Adeel Zaffar

PurposeAs the epidemic of online fake news is causing major concerns in contexts such as politics and public health, the current study aimed to elucidate the effect of certain “heuristic cues,” or key contextual features, which may increase belief in the credibility and the subsequent sharing of online fake news.Design/methodology/approachThis study employed a 2 (news veracity: real vs fake) × 2 (social endorsements: low Facebook “likes” vs high Facebook “likes”) between-subjects experimental design (N = 239).FindingsThe analysis revealed that a high number of Facebook “likes” accompanying fake news increased the perceived credibility of the material compared to a low number of “likes.” In addition, the mediation results indicated that increased perceptions of news credibility may create a situation in which readers feel that it is necessary to cognitively elaborate on the information present in the news, and this active processing finally leads to sharing.Practical implicationsThe results from this study help explicate what drives increased belief and sharing of fake news and can aid in refining interventions aimed at combating fake news for both communities and organizations.Originality/valueThe current study expands upon existing literature, linking the use of social endorsements to perceived credibility of fake news and information, and sheds light on the causal mechanisms through which people make the decision to share news articles on social media.


2018 ◽  
Vol 19 (4) ◽  
pp. 273-285 ◽  
Author(s):  
Charles Musselwhite

Purpose The purpose of this paper is to examine how older people who are almost entirely housebound use a view from their window to make sense of the world and stay connected to the outside space that they cannot physically inhabit. Design/methodology/approach Semi-structured interviews with 42 individuals were carried out who were living at home, were relatively immobile and had an interesting view outside they liked from one or more of their windows. Findings The findings suggest that immobile older people enjoy watching a motion-full, changing, world going on outside of their own mobility and interact and create meaning and sense, relating themselves to the outside world. Practical implications Findings suggest that those working in health and social care must realise the importance of older people observing the outdoors and create situations where that is enabled and maintained through improving vantage points and potentially using technology. Originality/value This study builds and updates work by Rowles (1981) showing that preference for views from the window involves the immediate surveillance zone but also further afield. The view can be rural or urban but should include a human element from which older people can interact through storytelling. The view often contains different flows, between mundane and mystery and intrigue, and between expected and random.


2017 ◽  
Vol 19 (2) ◽  
pp. 78-91 ◽  
Author(s):  
Sarah P. Lonbay ◽  
Toby Brandon

Purpose The increased involvement of adults at risk in the safeguarding process has become a prominent issue within English safeguarding policy. However, there is evidence to suggest that actual levels of involvement are still low. The purpose of this paper is to present findings from a PhD study in relation to the benefits of advocacy in supporting this involvement in adult safeguarding for older people. Design/methodology/approach Participants in the study included advocates and social workers who had experience of working with older people through the safeguarding process within two North East England local authorities. A critical realist approach through in-depth interviews was taken with all the participants. Findings The research findings in relation to the benefits of advocacy in supporting older people going through safeguarding processes are reported. The practical limitations and factors which help and hinder advocacy support within the process are also considered. The theoretical implications for power, empowerment, and advocacy are also explored. Research limitations/implications A key limitation of this research is that it did not include older people who had been through safeguarding amongst the participants. Practical implications Key implications for practice and policy are discussed. Originality/value The paper provides an overview and critique of empowerment in adult safeguarding and the role that advocates play in promoting this key principle.


2018 ◽  
Vol 19 (3) ◽  
pp. 205-216
Author(s):  
Anna Horton ◽  
Simon Horton

Purpose The purpose of this paper is to explore how discourse theories can contribute to the concept of identity formation within a patient- or person-centered care (PCC) orientation, to enable more critical engagement with PCC in older people. Design/methodology/approach This is a conceptual paper. Findings This paper concludes that the discourse literature has important insights for understanding identity formation in older people as operationalized in the context of PCC in three particular ways: accounting for multiplicity in patients’ identity; exploring “the devolution of responsibility” to address shifts in performing identities in clinical encounters; and attending to a “crisis of positioning” to engage empowerment discourse within a PCC philosophy. Originality/value Whilst a notion of patient identity is at the heart of PCC, the concept remains inconsistent and underdeveloped. This is particularly problematic for the quality of care in older adults, as PCC has become increasingly synonymous with care of older people. Discourse theories of identity formation can be used to critically engage with identity within the context of PCC, so as to develop more nuanced understandings of “the person” or “the patient,” with the potential to improve research into care for aging and older adults.


2016 ◽  
Vol 24 (1) ◽  
pp. 13-15

Purpose – This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design/methodology/approach – This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings – Few women of child-bearing age go into an interview without being aware that, for the people on the other side of the table, there is an elephant in the room. That creature is, of course, the question of whether that interviewee plans at any time soon to start a family. Employers might find a glittering prospect snatched away from them at any moment because of the calls of motherhood. When public health discourses are held in Anglo-American cultures, pregnancy and motherhood are put on a pedestal. But this is not the way things appear to those organizations that stand to lose, temporarily or permanently, the services of these paragons. For them, motherhood is a messy, inconvenient and even disgusting and monstrous business. Practical implications – The paper provides strategic insights and practical thinking that have influenced some of the world’s leading organizations. Originality/value – The briefing saves busy executives and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.


2017 ◽  
Vol 19 (6) ◽  
pp. 418-430 ◽  
Author(s):  
Steve Moore

Purpose The purpose of this paper is to present a review of some of the fundamental theoretical and contextual components of commissioning and regulatory processes as applied to care home services, revisiting and examining how they impact on the potential prevention of abuse. Design/methodology/approach By revisiting a number of the theoretical bases of commissioning activity, some of which may also be applied to regulatory functions, the reasons for the apparent limited impact on the prevention of the abuse that occurs in care homes by these agencies are analysed. Findings The paper demonstrates how the application of commissioning and regulatory theory may be applied to the oversight of care homes to inform proposed preventative strategies. Practical implications The paper offers strategies to improve the prevention of abuse in care homes for older people. Originality/value A factual and “back to basics” approach is taken to demonstrate why current strategies that should contribute to tackling abuse in care homes are of limited efficacy.


2015 ◽  
Vol 16 (1) ◽  
pp. 65-68
Author(s):  
Raphael Malek

Purpose – The issues of concern to older people and likely to shape their voting behaviour need to be understood and appreciated. The paper aims to discuss these issues. Design/methodology/approach – This policy-oriented review draws on recent research, including surveys, focus groups and ethnographic interviews to identify such issues in the UK older population. Findings – Older people are more likely to vote and to prioritise policy issues relating to immigration, the NHS and the economy–but the outcome of their vote is more likely to be determined by affinity with a party’s broader ideological position than with the specific policies contained in their manifesto?. Practical implications – Older people appear more likely to support Conservative party values and priorities, but their potential growing support for UKIP may be underestimated as several major surveys do not prompt for this party. The less certain standing of both Conservative and Labour may therefore be further undermined by unappreciated shifts in the “grey vote”. Originality/value – This commentary highlights the increasing importance of the “grey vote” at a time of increasing unpredictability in support for mainstream parties.


2014 ◽  
Vol 15 (4) ◽  
pp. 187-196 ◽  
Author(s):  
Anthea Tinker ◽  
Nesar Gilani ◽  
Isabella Luthra ◽  
Olivia Richardson ◽  
Alexander Howells ◽  
...  

Purpose – The purpose of this paper is to start a debate about older people who are in groups that are not readily visible to policy makers and practitioners. Design/methodology/approach – The paper is based on information obtained from academic literature, government statistics and other publications from relevant organisations. The authors investigated one “invisible” group each and comparisons and conclusions were then made collaboratively. Findings – Many groups of older people seem to be absent from statistics and from policy making. The paper suggests that there needs to be more research to identify the scale of any problems and how they may be solved. Research limitations/implications – This is not a systematic review but a preliminary account of the problem. Practical implications – There are practical implications for health and social care professionals if they do not recognise that there are groups in society about whom little is known. Lack of knowledge and empathy may affect their approach to these groups. Social implications – There are implications for society if these groups are not taken into account in decision making and especially over the allocation of resources. Originality/value – There is little written which brings together the lack of attention paid to these groups as a whole.


2014 ◽  
Vol 116 (4) ◽  
pp. 570-584 ◽  
Author(s):  
Tino Bech-Larsen ◽  
Laura Kazbare

Purpose – Although adolescents and older adults are often targets for nutritional change interventions, little has been done to explore how people in these transitional life phases perceive the matter themselves. The aim of this paper is to explore and compare adolescents' and older adults' own perceptions of the barriers and facilitators of a change towards healthier eating. Design/methodology/approach – This study design consisted of four focus groups that were conducted with adolescents and older adults to identify their health orientations, and their expected and experienced outcomes and self-efficacies in implementing approach and avoidance behaviours in relation to healthy eating, i.e. increasing consumption of fruit and vegetables and decreasing consumption of soft drinks and red meat. Findings – The study resulted in a number of interesting insights, e.g. that older and younger participants alike: were keen not to seem “overly healthy” to their important others, had a demonstratively detached orientation towards healthy eating and felt that their diets were generally healthy (although this was generally disproved by their self-reported intake data). Originality/value – The study and findings reported in this article contribute by providing the first steps towards a better understanding of how social cognition and self-efficacy perceptions related to healthy eating develop in the transitional phases of adolescence and older adulthood. In order to complement and validate the findings of the study; and with the aim of facilitating efficient nutritional change interventions directed at adolescents and older people, further studies should be conducted.


2015 ◽  
Vol 27 (4) ◽  
pp. 382-396 ◽  
Author(s):  
Seyed Amir Bolboli ◽  
Markus Reiche

Purpose – The purpose of this paper is to propose a roadmap for operationalizing EFQM excellence model based on the RADAR logic and in parallel develop a new concept for selecting the firm-specific EFQM measures based on the level of maturity and the prevailing corporate culture. Design/methodology/approach – A comprehensive review of literature leads to a clarification of the relation between EFQM measures and RADAR logic and also identification of the requirements for assessment of culture and determination of maturity level in the context of EFQM excellence model. Based on these requirements, existing culture assessment approaches and maturity assessment methods have been evaluated. Findings – The main outcome of this research is a new concept for efficient design of EFQM excellence model. This concept consist of three main parts: assessment of culture types in context of EFQM; assessment of maturity level; and design of EFQM measures based on RADAR logic. The findings are expected to reduce the effort for implementation of EFQM by designing tailored measures that fit to the existing culture and maturity level. Practical implications – The findings of this study are relevant to multinational large firms that deal with EFQM or similar excellence models. Originality/value – This paper presents a new concept for designing EFQM in the light of prevailing corporate culture and maturity level, which in one hand needs fewer resources and on the other hand it is more effective in implementation.


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