scholarly journals Taming the chaos: NHS professionals’ perspective of using video consulting during COVID-19 in Wales

2021 ◽  
Vol 10 (4) ◽  
pp. e001318
Author(s):  
Gemma Johns ◽  
Sara Khalil ◽  
Mike Ogonovsky ◽  
Markus Hesseling ◽  
Allan Wardhaugh ◽  
...  

The use of video consulting (VC) in the UK has expanded rapidly during the COVID-19 pandemic. Technology Enabled Care (TEC) Cymru, the Welsh Government and Local Health boards began implementing the National Health Service (NHS) Wales VC Service in March 2020. This has been robustly evaluated on a large-scale All-Wales basis, across a wide range of NHS Wales specialities.AimsTo understand the early use of VC in Wales from the perspective of NHS professionals using it. NHS professionals were approached by TEC Cymru to provide early data.MethodsUsing an observational study design with descriptive methods including a cross-sectional survey, TEC Cymru captured data on the use, benefits and challenges of VC from NHS professionals in Wales during August and September 2020. This evidence is based on the rapid adoption of VC in Wales, which mirrors that of other nations.ResultsA total of 1256 NHS professionals shared their VC experience. Overall, responses were positive, and professionals expressed optimistic views regarding the use and benefit of VC, even when faced with challenges on occasions.ConclusionsThis study provides evidence of general positivity, acceptance and the success of the VC service in Wales. Future research studies will now be able to explore and evaluate the implementation methods used within this study, and investigate their effectiveness in being able to achieve better outcomes through VC.

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030262 ◽  
Author(s):  
Rachel Stockley ◽  
Rosemary Peel ◽  
Kathryn Jarvis ◽  
Louise Connell

ObjectivesTo survey the reported content, frequency and duration of upper limb treatment provided by occupational and physiotherapists for people after stroke in the UK.DesignA cross-sectional online survey was used. Description and analysis of the data were based on items from the Template for Intervention Description and Replication (Who, Where, What and How much).SettingThe online survey was distributed via professional and social networks to UK-based therapists.ParticipantsRespondents were occupational or physiotherapists currently working clinically in the UK with people after stroke. Over the 6 week data collection period, 156 respondents opened the survey, and 154 completed it. Respondents comprised 85 physiotherapists and 69 occupational therapists.ResultsRespondents reported treating the upper limb a median of three times a week (range: 1 to 7) for a mean of 29 min (SD: 18). Most (n=110) stated this was supplemented by rehabilitation assistants, family and/or carers providing additional therapy a median of three times a week (range 1 to 7). Functional training was the most commonly reported treatment for people with mild and moderate upper limb deficits (>40%). There was much less consistency in treatments reported for people with severe upper limb deficits with less than 20% (n=28) reporting the same treatments.ConclusionsThis study provides a contemporaneous description of reported therapy in the UK for people with upper limb deficits after stroke and a detailed template to inform standard therapy interventions in future research. Several evidence-based therapies were reported to be used by respondents (eg, constraint induced movement therapy), but others were not (eg, mental imagery). The findings also highlight that the current reported provision of upper limb therapy is markedly less than what is likely to be effective. This underlines an urgent need to configure and fund services to empower therapists to deliver greater amounts of evidence-based treatment for people with upper limb deficits after stroke.


2007 ◽  
Vol 36 (1) ◽  
pp. 89-97 ◽  
Author(s):  
Rebeca Martinez ◽  
Graeme Whitfield ◽  
Rebecca Dafters ◽  
Christopher Williams

AbstractSelf help approaches are increasingly being used in healthcare settings through over 100 book prescription schemes in the UK. The use of Cognitive Behavioural Therapy (CBT) self-help materials for depression is advocated as part of stepped care service models. This study assesses how the reading ages of the most recommended self-help books for depression compare to British literacy levels. A cross sectional survey was carried out. The most recommended self-help books for depression were identified; seven CBT based self-help books were included in this study as well as a widely used booklet for depression. Readability scores and reading ages were calculated for a randomly generated selection representing 15% of each selected book using the Readability Studio® software to generate a wide range of key readability and comprehension scores. The reading ages of the selected books were between 12.6 and 15.4. Reading ease varied amongst the texts, and their complexity (percentage of unfamiliar words, range: 14.8% – 22.6%). A significant proportion of the UK population would struggle to use some of the current CBT-based self-help books recommended. For some patient groups, non text based self-help materials as well as shorter and more easily read written materials may be more appropriate. To our knowledge, this is the first study to address this question. Publication of the reading ages of the recommended books within the book prescription schemes may allow for a more accurate match between the book and the reader.


2019 ◽  
Author(s):  
Philip Warren Stirling Newall ◽  
Rebecca Cassidy ◽  
Lukasz Walasek ◽  
Elliot Andrew Ludvig ◽  
Caroline Meyer

Background: The expansion of online gambling in the UK has been accompanied by an increase in the number of novel betting products, particularly for soccer. The present research investigates which types of sports bettors are the most likely to use novel gambling products called ‘custom sports bets’ (CSBs), which allow gamblers to create their own unique bets.Method: A large-scale, cross-sectional survey of online sports/horse racing bettors (N = 789, 32.7% female). The survey collected two measures of CSB usage and four validated gambling measures: the Problem Gambling Severity Index, the Gambling Related Cognition Illusion of Control Scale, the Short Gambling Harm Screen, and the Consumption Screen for Problem Gambling.Results: Overall, 62.0% of participants reported having used a CSB, and those who had used a CSB did so on an average of 29.4 days over the last year. Overall, 16.0% of participants who had used a CSB were current problem gamblers, compared to 6.7% among those who had not. CSB users reported an average of 2.3 out of 10 possible gambling harms, compared to 1.5 harms for those who had not used a CSB. The illusion of control scale was significantly positively correlated with whether participants had ever used a CSB before, but not with past year frequency of CSB usage. The usage of CSB products was most strongly associated with the frequency of gambling consumption.Conclusions: Overall, these findings suggest that CSB products raise distinctive concerns around consumer protection for frequent sports bettors which deserve further investigation.


Author(s):  
Bettina Lynda Bastian ◽  
Christopher L. Tucci

Purpose Entrepreneurs interact with others and, through this, benefit from access to knowledge, resources and skills that enhance their own entrepreneurial and organizational capabilities. This paper aims to contribute to the literature interested in identifying and analyzing important antecedents of entrepreneurs’ choices regarding social relations. The study shows how the venture stage, innovativeness and internationalization of the firm potentially influence entrepreneurial choices regarding their social sources of advice. Design/methodology/approach The analysis is based on cross-sectional survey data for the years 2009 and 2010, involving 13 Middle East and North African (MENA) countries. Respondents include future prospective entrepreneurs, start-ups and owner-managers of operating businesses, a total of 13,251 respondents across all countries for the entire period. Findings Entrepreneurs with innovative ventures draw more on advice sources that are able to give information useful for the commercialization of innovative products, and entrepreneurs of internationally exposed ventures rely on a broad base of advice sources that can connect them with a foreign market. However, the outcomes regarding the impact of “different venture stages” point to social interaction patterns that are strongly influenced by local culture and that do not support the assumption of universal entrepreneurship behavior. This study shows that social interactions decline in quantity the more as the venture progresses in age. However, the type of social interaction (e.g. private or professional sources) that entrepreneurs engage throughout the different venture stages remains essentially the same and does not change across different entrepreneurial phases. In the MENA sample, private relations remain the most important source of advice throughout all phases, and they are not replaced by other contacts. Research limitations/implications Limitations of this paper refer to the use of a large-scale database that cannot address certain issues without more direct observation, such as the quality of different social relations. Future research could address this issue by offering more fine-grained items for the different advice sources. Originality/value The paper contributes to the debate on whether entrepreneurship is universal in nature. It focuses on data from emerging and developing countries in the Arab world, which is has not been studied very much in the entrepreneurship literature.


2020 ◽  
Author(s):  
Philip Warren Stirling Newall ◽  
Rebecca Cassidy ◽  
Lukasz Walasek ◽  
Elliot Andrew Ludvig ◽  
Caroline Meyer

Background: The expansion of online gambling in the UK has been accompanied by an increase in the number of novel betting products, particularly for soccer. The present research investigates which types of sports bettors are the most likely to use novel gambling products called ‘custom sports bets’ (CSBs), which allow gamblers to create their own unique bets.Method: A large-scale, cross-sectional survey of online sports/horse racing bettors (N = 789, 32.7% female). The survey collected two measures of CSB usage and four validated gambling measures: the Problem Gambling Severity Index, the Gambling Related Cognition Illusion of Control Scale, the Short Gambling Harm Screen, and the Consumption Screen for Problem Gambling.Results: Overall, 62.0% of participants reported having used a CSB, and those who had used a CSB did so on an average of 29.4 days over the last year. Overall, 16.0% of participants who had used a CSB were current problem gamblers, compared to 6.7% among those who had not. CSB users reported an average of 2.3 out of 10 possible gambling harms, compared to 1.5 harms for those who had not used a CSB. The illusion of control scale was significantly positively correlated with whether participants had ever used a CSB before, but not with past year frequency of CSB usage. The usage of CSB products was most strongly associated with the frequency of gambling consumption.Conclusions: Overall, these findings suggest that CSB products raise distinctive concerns around consumer protection for frequent sports bettors which deserve further investigation.


2013 ◽  
Vol 31 (4) ◽  
pp. 448-454 ◽  
Author(s):  
C. J. Hill ◽  
C. R. Cardwell ◽  
C. C. Patterson ◽  
A. P. Maxwell ◽  
G. M. Magee ◽  
...  

2020 ◽  
pp. jech-2020-213820 ◽  
Author(s):  
John Holmes ◽  
Emma Beard ◽  
Jamie Brown ◽  
Alan Brennan ◽  
Petra S Meier ◽  
...  

BackgroundIn January 2016, the UK announced and began implementing revised guidelines for low-risk drinking of 14 units (112 g) per week for men and women. This was a reduction from the previous guidelines for men of 3–4 units (24–32 g) per day. There was no large-scale promotion of the revised guidelines beyond the initial media announcement. This paper evaluates the effect of announcing the revised guidelines on alcohol consumption among adults in England.MethodsData come from a monthly repeat cross-sectional survey of approximately 1700 adults living in private households in England collected between March 2014 and October 2017. The primary outcomes are change in level and time trend of participants’ Alcohol Use Disorders Identification Test—Consumption (AUDIT-C) scores.ResultsIn December 2015, the modelled average AUDIT-C score was 2.719 out of 12 and was decreasing by 0.003 each month. After January 2016, AUDIT-C scores increased immediately but non-significantly to 2.720 (β=0.001, CI −0.079 to 0.099) and the trend changed significantly such that scores subsequently increased by 0.005 each month (β=0.008, CI 0.001 to 0.015), equivalent to 0.5% of the population increasing their AUDIT-C score by 1 point each month. Secondary analyses indicated the change in trend began 7 months before the guideline announcement and that AUDIT-C scores reduced significantly but temporarily for 4 months after the announcement (β=−0.087, CI −0.167 to 0.007).ConclusionsAnnouncing new UK drinking guidelines did not lead to a substantial or sustained reduction in drinking or a downturn in the long-term trend in alcohol consumption, but there was evidence of a temporary reduction in consumption.


Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1215
Author(s):  
Jo Hockenhull ◽  
Catherine Bell ◽  
Jo White ◽  
Suzanne Rogers

In the UK, March 2020 was a time of great uncertainty as COVID-19 became increasingly widespread. The government responded by making suggestions about how people could reduce the risk of spread on 16 March, moved swiftly into closing schools on the 18 March before announcing a mandatory lockdown on the 23rd March. This was a challenging time for UK equestrians who had to balance maintaining their equine’s routine and daily care alongside the increasing biosecurity measures. A cross-sectional survey was distributed to UK equestrians via social media over two days (28 and 29 March 2020) to better understand the decisions made by UK horse, pony and donkey owners during this time. Data from 452 respondents were generated across all four countries comprising the UK, although there were no significant differences in owner response to the pandemic between locations. The changes respondents made differed between the 16th and the 18th of March 2020, with an early emphasis on improving yard biosecurity and opting to stop riding, as well as reducing the time spent at the yard. After the 18 March, respondents placed more emphasis on risk reduction by changing the activities they did with their horse, including riding, with common examples including avoiding “high risk” activities such as riding on busy roads, jumping, riding young or nervous horses. Few respondents reported having an emergency plan in place should they become ill or otherwise unable to care for their equine. The findings highlight areas that would significantly benefit from in-depth investigation in future research. Equestrian behaviour and mindset around risk-taking and risk perception have already been researched in relation to equestrian activities and sport but have received little attention in the context of wider health challenges. Understanding the uptake of emergency planning and preparation in the UK equestrian community also warrants consideration. Using this information effectively to promote forward planning is likely to be of great benefit in equestrian responses to future health or climate-related crises.


2020 ◽  
Vol 43 (1) ◽  
pp. 75-80
Author(s):  
Md Zulfekar Ali ◽  
Mohammad Moktader Moula ◽  
Zafar Ahmed Bhuiyan ◽  
Muhammad Tariq Javed

AbstractChicken astroviruses (CAstV) are enteric viruses of poultry causing gastroenteritis, malabsorption, gout and white chick disease commonly known as runting-stunting syndrome (RSS). It can affect the wide range of poultry birds, especially chicken, turkey and duck worldwide. To our best knowledge there is no published report on presence of antibodies against CAstV in Bangladesh. Therefore, the study aimed to detect the presence of CAstV antibodies in broilers and sonali chickens (a cross-bread) in Bangladesh through a cross-sectional survey. A total of 454 blood samples from 66 flocks of broiler (n=343) and sonali chickens (n=111) of different ages were obtained during 2017 from four districts. The birds were healthy but were not vaccinated against CAstV. The samples were tested for specific antibodies against CAstV Group B by using commercially available ELISA kit. Overall, 16.74% (76/454) samples and 34.84% (23/66) flocks were positive for CAstV antibodies. The seroprevalence of CAstV was significantly (p=0.001) higher in sonali chickens (36.96%) than broiler (10.20%), while it was significantly higher (p=0.001) in birds of Bogura district (36.94%) than the other three districts. Regarding the age groups, seroprevalence was insignificantly (p=0.192) higher in sonali chicken before laying age (45%) than during laying age (27.45%). Regarding the seasons, CAstV infection was prevalent significantly (p=0.001) higher in winter season. Thus, the present study indicated the presence of CAstV in poultry in Bangladesh, so further studies are required to find out the magnitude of the problem in the country.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 847-851
Author(s):  
Nithyanandham Masilamani ◽  
Dhanraj Ganapathy

Middle East Respiratory Syndrome (MERS) induced by new ß coronavirus MERS-(CoV) had first been described in Saudi Arabia in September 2012. MERS-CoV communication inside the population is often identified with clustered households and cramped communal spaces. The purpose of the study is to assess the knowledge and awareness of MERS-CoV among dental students in India. This was a questionnaire-based cross-sectional survey of 100 dental college students in Chennai. The self-designed questionnaires contained ten questions focused on the knowledge and awareness of MERS-CoV amongst dental college students. Questionnaires were circulated through an online website survey planet. After the responses were received from 100 participants, data were collected and analyzed, .87% are aware of MERS-CoV through media 13% from professional channels. 84%are aware of the clinical manifestation of MERS-CoV. 81%Are aware of the mode of transmission of MERS-CoV. 76%are aware of the preventive measures against MERS -CoV.68%. Are aware of the incubation period of MERS-CoV. 74%aware of PCR as a diagnostic test for MERS-CoV. This study concluded that dental students had strong awareness and knowledge of MERS. Also, there are a few differences in information and behaviours that require change. Large-scale health educational programs on MERS also should be facilitated by professional organizations to expand their reach and to strengthen knowledge to have a positive impact on their behaviour.


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