scholarly journals The long-term impact of community mobilisation through participatory women's groups on women's agency in the household: A follow-up study to the Makwanpur trial

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0197426 ◽  
Author(s):  
Lu Gram ◽  
Jolene Skordis-Worrall ◽  
Dharma S. Manandhar ◽  
Daniel Strachan ◽  
Joanna Morrison ◽  
...  
2011 ◽  
Vol 23 (8) ◽  
pp. 1260-1269 ◽  
Author(s):  
Juanita Westbury ◽  
Lisette Tichelaar ◽  
Gregory Peterson ◽  
Peter Gee ◽  
Shane Jackson

ABSTRACTBackground: To assess the long-term impact of the “Reducing Use of Sedatives” (RedUSe) trial on antipsychotic and benzodiazepine prevalence and dosage.Methods: RedUSe was a six-month controlled trial conducted in 25 Tasmanian nursing homes in 2008–9 which led to significant reductions in benzodiazepine and antipsychotic use and a doubling of dose reductions of these agents. In a follow-up study, data on psychotropic use was collected from all nursing homes a year after the final RedUSe measure. Mean daily doses for each home were calculated by converting antipsychotic and benzodiazepine doses to chlorpromazine and diazepam equivalents, respectively. To determine the long-term impact of the project, 6-month and initial baseline data were compared to the 18-month follow-up data.Results: 1578 residents were audited for the follow-up measure. In the 18 months since the RedUSe project was instigated, benzodiazepine prevalence fell by 25% in intervention nursing homes. Similarly, the mean daily diazepam equivalence in these homes had fallen by 24%. In contrast, after a significant reduction during the RedUSe trial, antipsychotic prevalence returned to baseline levels in intervention nursing homes, with mean chlorpromazine equivalence remaining relatively constant with time. There was a delayed reduction in benzodiazepine and antipsychotic use in the control homes.Conclusions: Both benzodiazepine usage and mean daily diazepam equivalence continued to decline in intervention nursing homes in the year following the RedUSe trial. However, the effect of the RedUSe intervention on antipsychotic prevalence and dosage was not sustained.


2020 ◽  
Vol 12 (2) ◽  
pp. 131-137 ◽  
Author(s):  
Ruth Pat-Horenczyk ◽  
Osnat Zamir ◽  
Aviva Yochman ◽  
Miriam Schiff ◽  
Sophie Brickman ◽  
...  

2018 ◽  
Vol 3 (6) ◽  
pp. e001024
Author(s):  
Michelle Heys ◽  
Lu Gram ◽  
Angie Wade ◽  
Edward James Norman Haworth ◽  
David Osrin ◽  
...  

BackgroundCommunity-based women’s groups practising participatory learning and action (PLA) can reduce maternal and neonatal mortality in low-income countries. However, it is not clear whether these reductions are associated with subsequent increased or decreased rates of childhood death and disability. We assessed the impact on child deaths and disability beyond the perinatal period among participants in the earliest trial in Nepal 2001–2003.MethodsHousehold interviews were conducted with mothers or household heads. At cluster and individual levels, we analysed disability using pairwise log relative risks and survival using multilevel logistic models.FindingsFrom 6075 children and 6117 mothers alive at 4 weeks post partum, 44 419 children (73%) were available for interview a mean 11.5 years later. Rates of child deaths beyond the perinatal period were 36.6 and 52.0 per 1000 children in the intervention and control arms respectively. Rates of disability were 62.7 and 85.5 per 1000 children in the intervention and control arms respectively. Individual-level analysis, including random effects for cluster pairing and adjusted for baseline maternal literacy, socioeconomic status and maternal age, showed lower, statistically non-significant, odds of child deaths (OR 0.70 (95% CI 0.43 to 1.18) and disability (0.64 (0.39 to 1.06)) in the intervention arm.ConclusionCommunity-level exposure to women’s groups practising PLA did not significantly impact childhood death or disability or death beyond the perinatal period. Follow-up of other trials with larger sample sizes is warranted in order to explore the possibility of potential long-term survival and disability benefits with greater precision.


2021 ◽  
Vol 28 (1) ◽  
pp. 1-45
Author(s):  
Verena Zimmermann ◽  
Karen Renaud

Nudging is a promising approach, in terms of influencing people to make advisable choices in a range of domains, including cybersecurity. However, the processes underlying the concept and the nudge’s effectiveness in different contexts, and in the long term, are still poorly understood. Our research thus first reviewed the nudge concept and differentiated it from other interventions before applying it to the cybersecurity area. We then carried out an empirical study to assess the effectiveness of three different nudge-related interventions on four types of cybersecurity-specific decisions. Our study demonstrated that the combination of a simple nudge and information provision, termed a “hybrid nudge,” was at least as, and in some decision contexts even more effective in encouraging secure choices as the simple nudge on its own. This indicates that the inclusion of information when deploying a nudge, thereby increasing the intervention’s transparency, does not necessarily diminish its effectiveness. A follow-up study explored the educational and long-term impact of our tested nudge interventions to encourage secure choices. The results indicate that the impact of the initial nudges, of all kinds, did not endure. We conclude by discussing our findings and their implications for research and practice.


2011 ◽  
Vol 12 ◽  
pp. S7-S8
Author(s):  
Jihui Zhang ◽  
Siu-Ping Lam ◽  
Shirley Xin Li ◽  
Mandy Wai-Man Yu ◽  
Albert Martin Li ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document