scholarly journals Addressing complex pharmacy consultations: methods used to develop a person-centred intervention to highlight alcohol within pharmacist reviews of medications

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jim McCambridge ◽  
Karl Atkin ◽  
Ranjita Dhital ◽  
Brent Foster ◽  
Brendan Gough ◽  
...  
Keyword(s):  
Research Team ◽  
Intervention Development ◽  
Original Research ◽  
Intervention Design ◽  
Second Stage ◽  
Advisory Groups ◽  
Alcohol Interventions ◽  
Pharmacy Profession ◽  
Interview Studies ◽  
Over Time

Abstract Background Alcohol is challenging to discuss, and patients may be reluctant to disclose drinking partly because of concern about being judged. This report presents an overview of the development of a medications review intervention co-produced with the pharmacy profession and with patients, which breaks new ground by seeking to give appropriate attention to alcohol within these consultations. Methods This intervention was developed in a series of stages and refined through conceptual discussion, literature review, observational and interview studies, and consultations with advisory groups. In this study we reflect on this process, paying particular attention to the methods used, where lessons may inform innovations in other complex clinical consultations. Results Early work with patients and pharmacists infused the entire process with a heightened sense of the complexity of consultations in everyday practice, prompting careful deliberation on the implications for intervention development. This required the research team to be highly responsive to both co-production inputs and data gathered in formally conducted studies, and to be committed to working through the implications for intervention design. The intervention thus evolved significantly over time, with the greatest transformations resulting from patient and pharmacist co-design workshops in the second stage of the process, where pharmacists elaborated on the nature of the need for training in particular. The original research plans provided a helpful structure, and unanticipated issues for investigation emerged throughout the process. This underscored the need to engage dynamically with changing contexts and contents and to avoid rigid adherence to any early prescribed plan. Conclusions Alcohol interventions are complex and require careful developmental research. This can be a messy enterprise, which can nonetheless shed new insights into the challenges involved in optimising interventions, and how to meet them, if embraced with an attitude of openness to learning. We found that exposing our own research plans to scrutiny resulted in changes to the intervention design that gained the confidence of different stakeholders. Our understanding of the methods used, and their consequences, may be bounded by the person-centred nature of this particular intervention.

scholarly journals Are We Closer to International Consensus on the Term ‘Food Literacy’?: A Systematic Scoping Review of Its Use in the Academic Literature (1998–2019)

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2006
Author(s):  
Courtney Thompson ◽  
Jean Adams ◽  
Helen Anna Vidgen
Keyword(s):  
Scoping Review ◽  
International Agency ◽  
Original Research ◽  
International Consensus ◽  
Food Literacy ◽  
Academic Literature ◽  
Review Articles ◽  
Article Type ◽  
Definition Of ◽  
Over Time

(1) Background: The term ‘food literacy’ has gained momentum globally; however, a lack of clarity around its definition has resulted in inconsistencies in use of the term. Therefore, the objective was to conduct a systematic scoping review to describe the use, reach, application and definitions of the term ‘food literacy’ over time. (2) Methods: A search was conducted using the PRISMA-ScR guidelines in seven research databases without any date limitations up to 31 December 2019, searching simply for use of the term ‘food literacy’. (3) Results: Five hundred and forty-nine studies were included. The term ‘food literacy’ was used once in 243 articles (44%) and mentioned by researchers working in 41 countries. Original research was the most common article type (n = 429, 78%). Food literacy was published across 72 In Cites disciplines, with 456 (83%) articles from the last 5 years. In articles about food literacy (n = 82, 15%), review articles were twice as prevalent compared to the total number of articles (n = 10, 12% vs. n = 32, 6%). Fifty-one different definitions of food literacy were cited. (4) Conclusions: ‘Food literacy’ has been used frequently and broadly across differing article types and disciplines in academic literature internationally. However, agreement on a standardised definition of food literacy endorsed by a peak international agency is needed in order to progress the field.

Confirming Anomalies

2021 ◽  
pp. 2150024
Author(s):  
Peter Chinloy ◽  
Matthew Imes
Keyword(s):  
Capital Structure ◽  
Stock Returns ◽  
Cost Of Capital ◽  
Simultaneous Equations ◽  
Second Stage ◽  
Predicted Values ◽  
The Cost ◽  
Over Time ◽  
Identification Strategy

A procedure confirms whether a return-factor correlation is anomalous or results from endogenous simultaneous-equations bias. The identification strategy sorts the cost of capital components for instruments. In the first stage, the initially found factors are regressed on cost instruments. In the second stage, a confirmed anomaly has predicted value significant in returns and exogenous. Taxes, depreciation and capital structure are strong instruments, affecting 1980–2017 quarterly U.S. stock returns. Size, value and profitability decisions are significant in instruments. Returns increase in fitted profits, but not small size. Actual and predicted values have weaker correlation with returns over time.

scholarly journals Practical actions for fostering cross-disciplinary global health research: lessons from a narrative literature review

2020 ◽  
Vol 5 (4) ◽  
pp. e002293 ◽  
Author(s):  
Yan Ding ◽  
Justin Pulford ◽  
Imelda Bates
Keyword(s):  
Global Health ◽  
Health Research ◽  
Research Team ◽  
Ecological Model ◽  
High Income ◽  
Global Health Research ◽  
Original Research ◽  
Research Approach ◽  
Middle Income ◽  
Design And Implementation

IntroductionGlobal health research involves disciplines within and beyond the health sciences. A cross-disciplinary collaborative research approach enables an interchange of knowledge and experience and stimulates innovative responses to complex health challenges. However, there is little robust evidence to guide the design and implementation of cross-disciplinary research in global health, hampering effective collective action. This review synthesised evidence on practical actions for fostering cross-disciplinary research to provide guidance on the design and implementation of research in global health.MethodsWe searched five electronic databases using key words. The search included original research and research notes articles in English. We used a framework adapted from the socio-ecological model and thematic synthesis for data analysis.ResultsThirty-six original research and 27 research notes articles were included in the review. These were predominantly from high-income countries and indicated that practical actions on fostering cross-disciplinary research are closely linked to leadership and teamwork which should be planned and implemented at research team and institutional levels. The publications also indicated that individual qualities such as being receptive to new ideas and funders’ power and influence have practical implications for conducting cross-disciplinary research. Practical actions that individuals, research team leaders, academic institutions and funders can undertake to foster cross-disciplinary research were identified.ConclusionOur review found evidence from high-income countries, not low-and-middle-income countries, about practices that can improve cross-disciplinary research in global health. Critical knowledge gaps exist around how leadership and teamwork processes can better integrate expertise from different disciplines to make cross-disciplinary research more effective.

Evolution of methodology and reporting of emergency medicine quantitative research over a 20-year period

2020 ◽  
Vol 37 (6) ◽  
pp. 324-329 ◽  
Author(s):  
Jesse Smith ◽  
Patrick Date ◽  
William Spencer ◽  
Erik de Tonnerre ◽  
David McDonald Taylor
Keyword(s):  
Emergency Medicine ◽  
Sample Size ◽  
Research Methodology ◽  
Quantitative Research ◽  
Conflicts Of Interest ◽  
Data Extraction ◽  
Research Literature ◽  
Original Research ◽  
Trends Over Time ◽  
Over Time

ObjectiveWe aimed to determine trends over time in article origin, and article and methodology characteristics.MethodWe examined original research articles published every fifth year over a 20-year period (1997–2017) in six emergency medicine (EM) journals (Ann Emerg Med, Acad Emerg Med, Eur J Emerg Med, Emerg Med J, Am J Emerg Med, Emerg Med Australas). Explicit data extraction of 21 article characteristics was undertaken. These included regional contributions, specific article items and research methodology.Results2152 articles were included. Over the study period, the proportional contributions from the USA and the UK steadily fell while those from Australasia, Europe and ‘other’ countries increased (p<0.001). All specific article items increased (p<0.01). Institutional Review Board/Ethics Committee approval and conflicts of interest were almost universal by 2017. There were substantial increases in the reporting of keywords and authorship contributions. The median (IQR) number of authors increased from 4 (2) in 1997 to 6 (3) in 2017 (p<0.001) and the proportion of female first authors increased from 24.3% to 34.2% (p<0.01). Multicentre and international collaborations, consecutive sampling, sample size calculations, inferential biostatistics and the reporting of CIs and p values all increased (p<0.001). There were decreases in the use of convenience sampling and blinding (p<0.001). The median (IQR) study sample size increased from 148 (470) to 349 (2225) (p<0.001).ConclusionTrends over time are apparent within the EM research literature. The dominance in contributions from the US and UK is being challenged. There is more reporting of research accountability and greater rigour in both research methodology and results presentation.

Knitting Feminist Politics: Exploring a Yarn-Bombing Performance in a Postdisaster City

2018 ◽  
Vol 42 (2) ◽  
pp. 138-165 ◽  
Author(s):  
Manuela Farinosi ◽  
Leopoldina Fortunati
Keyword(s):  
Qualitative Research ◽  
Social Movement ◽  
Original Research ◽  
Knitted Fabric ◽  
Feminist Politics ◽  
Semistructured Interviews ◽  
The City ◽  
Over Time ◽  
Research Studies

The aim of this article is to explore urban knitting as a worldwide social movement, rather than solely a kind of “inoffensive urban graffiti” made with knitted fabric. Building on the available literature and original research, the article argues that this movement weaves together elements from craftivism, domesticity, handicraft, art, and feminism. It then explores a specific urban knitting initiative, called “Mettiamoci una pezza” (“Let’s patch it”), carried out in L’Aquila, Italy, 3 years after the earthquake that devastated the city in 2009. To analyze the sociopolitical aspects of this initiative, a series of qualitative research studies was conducted over time, to which were added semistructured interviews with the initiative’s local organizers. The findings show that the initiative in L’Aquila clearly exhibits the five original features of the urban knitting movement that emerge from the literature as being characteristic of this movement.

In Another World: Five Years Later – A Phenomenological Nursing Inquiry Into Meanings, “Essences” of Mothers’ Lived Experience With Perinatal Death of a Wished-For Baby Unfolding Over Time

2002 ◽  
Vol 6 (1) ◽  
pp. 17-24
Author(s):  
Sarah Steen Lauterbach
Keyword(s):  
Qualitative Research ◽  
Lived Experience ◽  
Perinatal Death ◽  
Human Experience ◽  
Original Research ◽  
Nursing Research ◽  
Over Time

This article discusses the author’s qualitative nursing research, which used M. van Manen’s and P. Munhall’s method of phenomenology to investigate mothers’ experience with the death of a wished-for baby. The findings from the original doctoral inquiry are discussed, along with the findings from the 5-year followup with participants from the original research. Further, this paper articulates the first use of a longitudinal perspective to phenomenology and proposes its use when looking at meanings in human experience over time. In addition, there is a discussion of the balancing of therapeutic and research imperatives and the emergence in qualitative research of a caring imperative into sensitive human phenomena.

scholarly journals Perspectives on mHealth Interventions During and After Gestational Diabetes

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 768-768
Author(s):  
Niamh Kelly-Whyte ◽  
Ciara McNulty ◽  
Sharleen O'Reilly
Keyword(s):  
Gestational Diabetes ◽  
Pregnant Women ◽  
Intervention Development ◽  
Intervention Design ◽  
Cochrane Central Register ◽  
Lifestyle Interventions ◽  
Pregnancy And Postpartum ◽  
Meta Analyses ◽  
The Impact ◽  
In Pregnancy

Abstract Objectives To systematically review the perspectives of women with gestational diabetes (GDM) or a recent history of GDM on mHealth lifestyle interventions during pregnancy and postpartum to inform future intervention development. Methods This systematic review was published according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The research was conducted in PubMed, MEDLINE, EMBASE, CINAHL, PsycInfo, and Cochrane Central Register of Controlled Trials for qualitative studies up until 28 April 2020. Study quality was evaluated using Joanna Briggs Institute critical appraisal checklist for qualitative research and a reflexive thematic synthesis was performed. The COM-B model was used to apply findings to improve future intervention development. Results 14 studies met the inclusion criteria representing the views of 327 women. Differences emerged within the themes identified in pregnancy and postpartum. In pregnancy 3 overarching themes emerged relating to mHealth interventions- support, connectedness and trust. Pregnant women valued the support of healthcare professionals (HCPs) when participating in mHealth interventions, along with information from sources they can trust. The use of self-monitoring was useful in pregnancy as they could see their progress and feel connected to their pregnancy. Using mHealth alongside usual care in pregnancy was seen as beneficial. Postpartum 2 overarching themes emerged- support and connectedness. Postpartum women did not value the input of HCPs as much as pregnant women. They valued connections made with their peers. They indicated more limitations with mHealth interventions than women during pregnancy. They discussed the use of rewards to remain motivated, while in pregnancy the health of the baby appeared to be the main motivator. 7 key recommendations have been made for future intervention design using the COM-B model, most with high or moderate confidence. Conclusions Women's views on mHealth lifestyle interventions differ between pregnancy and the postpartum period, and these needs should be reflected in intervention design. The results also reflect the impact a GDM diagnosis has on women highlighting the need for ongoing support continuing into postpartum. Funding Sources No funding was received for this research.

scholarly journals Spain’s national network of silos and granaries: architectural and technological change over time

2020 ◽  
Vol 18 (3) ◽  
pp. e0205
Author(s):  
Manuel V. Fernández-Fernández ◽  
Victor Marcelo ◽  
José B. Valenciano ◽  
F.-Javier López ◽  
Pablo Pastrana
Keyword(s):  
Reinforced Concrete ◽  
Technological Change ◽  
Grain Storage ◽  
Reinforced Concrete Structures ◽  
National Network ◽  
Second Stage ◽  
Architectural Features ◽  
Sophisticated Equipment ◽  
Over Time

Aim of study: To analyse the 670 silos in Spain’s NNSG (National Network of Silos and Granaries), along with the changes in typologies and degree of mechanisation taking place over time.Area of study: Spain.Material and methods: Research began in 2014, collecting NNSG grain storage data across Spain further to the methodology developed by the authors. In a first stage the information was gathered from the FEGA’s general archives in Madrid and the archives of the departments of agriculture in the 13 regions where silos were built. In the second stage of the study, 665 silos were explored in situ. Photographs were taken and information was gathered on their characteristics (general features; architectural features; technological facilities).Main results: This paper discusses the architectural and typological changes taking place over time, from the earliest small, local, richly adorned brick silos to larger, more modern and austere reinforced concrete structures. The machinery with which they are fitted is also addressed, with the progression from basic grain storage to more sophisticated equipment designed to clean, refrigerate or disinfect the grain. Some facilities were used exclusively to select and condition seed for subsequent sowing. The most modern structures, known as macrosilos, are highly mechanised affairs.Research highlights: Spain’s national network of silos and granaries was 41 years in the building. The inventory of the 665 existing silos identified 20 types or subtypes. Early richly adorned units gradually gave way to more austere, functional structures. The machinery in place in silos varied with type/purpose and period of construction.

scholarly journals Cardiac Point-of-Care Ultrasound Publication Trends

2021 ◽  
Author(s):  
Andrew Pattock ◽  
Michelle Kim ◽  
Cooper Kersey ◽  
Linda Liu ◽  
James Kirkpatrick ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Point Of Care ◽  
Temporal Trends ◽  
Senior Author ◽  
Annual Number ◽  
Original Research ◽  
Point Of Care Ultrasound ◽  
Publication Type ◽  
Over Time

Introduction: Cardiac point-of-care ultrasound (c-POCUS) is an increasingly implemented diagnostic tool with the potential to guide clinical management. We sought to characterize and analyze the existing c-POCUS literature with a focus on the temporal trends and differences across specialties. Methods: A literature search for c-POCUS and related terms was conducted using Ovid (MEDLINE and Embase) and Web of Science databases through 2020. Eligible publications were classified by publication type and topic, author specialty, geographical region of senior author, and journal specialty. Results: The initial search produced 1761 potential publications. A strict definition of c-POCUS yielded a final total of 574 cardiac POCUS manuscripts. A yearly increase in c-POCUS publications was observed. Nearly half of publications were original research (48.8%) followed by case report or series (22.8%). Most publications had an emergency medicine senior author (37.5%), followed by cardiology (20.2%), anesthesiology (12.2%), and critical care (12.2%). The proportion authored by emergency medicine and cardiologists has decreased over time while those by anesthesiology and critical care has generally increased, particularly over the last decade. First authorship demonstrated a similar trend. Articles were published at similar numbers in emergency medicine journals (23.0%) and cardiology journals (19.9%). Conclusion: The annual number of c-POCUS publications has steadily increased over time reflecting the increased recognition and utilization of c-POCUS. This study can help inform clinicians of the current state of c-POCUS and augment the discussion surrounding barriers to continued adoption across all specialties.

BIBLICAL PHRASEOLOGY IN CNN PUBLICATIONS

2020 ◽  
pp. 94-103
Author(s):  
Tatyana Yu. MA ◽  
◽  
SERGEY V. BOBROV ◽  
NATALYA M. ZALESOVA ◽  
◽  
...  
Keyword(s):  
Native Speakers ◽  
Frequency Of Occurrence ◽  
Original Source ◽  
Second Stage ◽  
The Bible ◽  
Associative Connection ◽  
Over Time

This paper presents the results of the study of biblical phraseological units (BPUs) found in CNN publications during the period of 2015-2019 (the total of 1643 articles). At the first stage of the experiment, the analysis of 156 BPUs used in the articles demonstrated different distribution of the tokens in CNN rubrics. It was discovered that BPUs in the rubrics “Politics” and “Entertainment” were characterized by considerably higher frequency of occurrence than those in “Style” and “Sports”. At the second stage, specifically designed questionnaire was given to 30 American native speakers to determine the perceptual boundaries of the Bible words. The obtained data revealed indirect correlation between phraseological units frequency of occurrence and the American speakers’ awareness degree of their associative connection with the original source - the Bible: the higher the awareness, the lower the frequency of occurrence. The obtained results enable to assume that the readers do not always identify these units as part of the Holy Scripture, because some BPUs lose their sacred connotations over time. However, journalists often use such units as stylistic means due to their imaginative stylistic and evaluation potential.

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