PP70 Evaluation of user-perceived impact of edinburgh access practice keep well interventions on the health and wellbeing of gypsy/traveller and homeless service users: a mixed methods approach

2015 ◽  
Vol 69 (Suppl 1) ◽  
pp. A82.2-A82 ◽  
Author(s):  
C Mitchell ◽  
S Platt
2020 ◽  
Vol 3 (2) ◽  
pp. 291-302 ◽  
Author(s):  
Anthea Lacchia ◽  
Geertje Schuitema ◽  
Fergus McAuliffe

Abstract. Geoscientists and non-geoscientists often struggle to communicate with each other. In this paper we aim to understand how geoscientists and non-geoscientists perceive geological concepts and activities, that is, how they think (cognitive responses) and feel (affective responses) about them. To this effect, using a mixed-methods approach, we compare mental models – people's representation of a phenomenon – of the subsurface, mining/quarrying, and drilling, between geoscientists (n=24) and non-geoscientists (n=38) recruited in Ireland. We identify four dominant themes which underlie their mental models: (1) degree of knowledge and familiarity, (2) presence of humans, (3) affective beliefs, and (4) beliefs about perceived impact of the activities. While the mental models of the non-geoscientists focused more on the perceived negative environmental and economic impacts of geoscience, as well as providing evidence of lay expertise, those of the geoscientists focused more on human interactions. We argue that mental models of geoscientists and non-geoscientists are the result of beliefs, including both cognitive and affective components, and that both components need to be acknowledged for effective dialogue between the two groups to take place.


2021 ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J. Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.


2016 ◽  
Vol 76 (2) ◽  
pp. 244-256 ◽  
Author(s):  
Louise Doyle ◽  
Jan de Vries ◽  
Agnes Higgins ◽  
Brian Keogh ◽  
Padraig McBennett ◽  
...  

Objectives: This study evaluated the impact of a one-day mental health Wellness Workshop on participants’ mental health and attitudes towards mental health. Design: Convergent, longitudinal mixed-methods approach. Setting: The study evaluated Wellness Workshops which took place throughout the Republic of Ireland. Method: Questionnaires measuring hope, mental health self-efficacy, attitudes towards mental health and perceived impact on wellbeing were administered to participants before the workshop ( n = 415), 1 week after ( n = 221) and 3 months after ( n = 110). Semi-structured interviews were carried out with 24 participants to generate a more in-depth understanding of the impact of the workshop. Results: Quantitative findings relating to hope, mental health self-efficacy and attitudes towards mental health did not identify statistically significant changes; however, participants’ perceptions of the effect of the workshop on wellbeing suggested a positive impact which was maintained over time. Qualitative findings, however, suggested that hope and self-efficacy were improved and the simplicity and utility of the wellness strategies disseminated in the workshop, in addition to the warmth and openness of the narrative approach used by the facilitators, were central to the perceived positive impact. Conclusion: This evaluation demonstrates the potential for wellness interventions to have a subjective improvement in wellbeing in members of the general public.


2019 ◽  
Author(s):  
Anthea Lacchia ◽  
Geertje Schuitema ◽  
Fergus McAuliffe

Abstract. Geoscientists and non-geoscientists often struggle to communicate with each other. In this paper we aim to understand how geoscientists and non-geoscientists perceive geological concepts and processes, that is, how they think (cognitive responses) and feel (affective responses) about them. To this effect, using a mixed-methods approach, we compare mental models – people's representation of a phenomenon – of the subsurface, mining/quarrying, drilling, and flooding between geoscientists (n = 24) and non-geoscientists (n = 38). We identify four dominant themes which underlie their mental models: (1) degree of knowledge and familiarity, (2) beliefs about human interactions, (3) affective beliefs, and (4) beliefs about perceived impact of the processes. While the mental models of non-geoscientists focus more on the perceived negative environmental and economic impacts of geoscience, those of geoscientists focus more on human interactions. We argue that mental models are the result of beliefs, including both cognitive and affective components, and that both need to be acknowledged for effective dialogue between the two groups to take place.


2019 ◽  
Vol 70 (691) ◽  
pp. e111-e119 ◽  
Author(s):  
Lauren J Scott ◽  
Joanna M Kesten ◽  
Kevin Bache ◽  
Matthew Hickman ◽  
Rona Campbell ◽  
...  

BackgroundOpioid prescribing to treat chronic non-cancer pain has rapidly increased, despite a lack of evidence for long-term safety and effectiveness. A pain review service was developed to work with patients taking opioids long-term to explore opioid use, encourage non-drug-based alternatives, and, where appropriate, support dose reduction.AimTo evaluate the service and its potential impact on opioid use, health and wellbeing outcomes, and quality of life (QoL).Design and settingMixed-methods evaluation of a one-to-one service based in two GP practices in South Gloucestershire, England, which took place from September 2016 to December 2017.MethodQuantitative data were collected on baseline demographics; data on opioid use, misuse, and dose, health, wellbeing, QoL, and pain and interference with life measures were collected at baseline and follow-up. Twenty-five semi-structured interviews (n = 18 service users, n = 7 service providers) explored experiences of the service including perceived impacts and benefits.ResultsOf 59 patients who were invited, 34 (57.6%) enrolled in the service. The median prescribed opioid dose reduced from 90 mg (average daily morphine equivalent; interquartile range [IQR] 60 to 240) at baseline to 72 mg (IQR 30 to 160) at follow-up (P<0.001); three service users stopped using opioids altogether. On average, service users showed improvement on most health, wellbeing, and QoL outcomes. Perceived benefits were related to wellbeing, for example, improved confidence and self-esteem, use of pain management strategies, changes in medication use, and reductions in dose.ConclusionThe service was well received, and health and wellbeing outcomes suggest a potential benefit. Following further service development, a randomised controlled trial to test this type of care pathway is warranted.


SAGE Open ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 215824401769872 ◽  
Author(s):  
Katrina A. Rast ◽  
Daniel J. Herman ◽  
Tony G. Rousmaniere ◽  
Jason L. Whipple ◽  
Joshua K. Swift

Clinical supervision is considered to be an essential component of psychotherapy training. However, research on supervisors’ ability to affect client outcome has been mixed. This investigation aims to answer two questions: (a) What is the perceived impact of supervision on client outcome, and (b) how important is it to supervisors and supervisees that supervision affects client outcome? A mixed-methods approach was used to examine the perspectives of both supervisors and supervisees. The survey consisted of survey questions and one open-ended qualitative question. Findings suggest that both supervisors and supervisees perceive supervision as beneficial and important for impacting client outcome. Supervisees perceive supervision as more important in impacting outcome than supervisors. Existing literature suggests that supervision may not have as significant an impact on client outcome as previously believed; however, supervisors and supervisees perceive the supervision process as essential for psychotherapy training. Implications and future directions are discussed.


2012 ◽  
Author(s):  
Adena T. Rottenstein ◽  
Ryan J. Dougherty ◽  
Alexis Strouse ◽  
Lily Hashemi ◽  
Hilary Baruch

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