scholarly journals Assessing the Acceptability of a Co-produced Long COVID Intervention in an Underserved Community in the UK

2021 ◽  
Author(s):  
Sally Fowler-Davis ◽  
Rachel Young ◽  
Tom Maden-Wilkinson ◽  
Waqas Hameed ◽  
Elizabeth Dracas ◽  
...  
Keyword(s):  
Public Involvement ◽  
Advisory Group ◽  
Functional Rehabilitation ◽  
Health And Wellbeing ◽  
Exercise Medicine ◽  
Part Time ◽  
Sport And Exercise ◽  
Professional Practitioners ◽  
The Individual ◽  
The Uk

Background: The COVID-19 pandemic has disproportionately affected people from more deprived communities. The experience of Long Covid is similarly distributed but very few investigations have concentrated on the needs of this population. The aim of this project was to co-produce an acceptable intervention for people with Long Covid, living in communities recognised as more deprived. Methods: The intervention was based on a multi-disciplinary team using approaches from sport and exercise medicine and functional rehabilitation. The co-production process was undertaken with a stakeholder advisory group and patient public involvement representation. This study identified participants by postcode and the indices of multiple deprivation (IMD); recruitment and engagement were supported by an existing health and wellbeing service. A virtual ‘clinic’ was offered with a team of professional practitioners who met participants three times each; to directly consider their needs and offer structured advice. The acceptability of the intervention was based on the individual’s participation and their completion of the intervention. Results: Ten participants were recruited with eight completing the intervention. The partnership with an existing community health and wellbeing service was deemed to be an important way of reaching participants. Two men and six women ages ranging from 38 to 73 were involved and their needs were commonly associated with fatigue, anxiety and depression with overall de-conditioning. None reported serious hardship associated with the pandemic although most were in self-employment/part-time employment or were not working due to retirement or ill-health. Two older participants lived alone, and others were single parents and had considerable challenges associated with managing a household alongside their Long Covid difficulties. Conclusions: This paper presents the needs and perspectives of eight individuals involved in the process and discusses the needs and preferences of the group in relation to their support for self- managed recovery from Long Covid.

scholarly journals Assessing the Acceptability of a Co-Produced Long COVID Intervention in an Underserved Community in the UK

2021 ◽  
Vol 18 (24) ◽  
pp. 13191
Author(s):  
Sally Fowler-Davis ◽  
Rachel Young ◽  
Tom Maden-Wilkinson ◽  
Waqas Hameed ◽  
Elizabeth Dracas ◽  
...  
Keyword(s):  
Public Involvement ◽  
Advisory Group ◽  
Functional Rehabilitation ◽  
Health And Wellbeing ◽  
Exercise Medicine ◽  
Self Employment ◽  
Part Time ◽  
Sport And Exercise ◽  
Professional Practitioners ◽  
The Uk

Background: The COVID-19 pandemic has disproportionately affected people from more deprived communities. The experience of Long COVID is similarly distributed but very few investigations have concentrated on the needs of this population. The aim of this project was to co-produce an acceptable intervention for people with Long COVID living in communities recognised as more deprived. Methods: The intervention was based on a multi-disciplinary team using approaches from sport and exercise medicine and functional rehabilitation. The co-production process was undertaken with a stakeholder advisory group and patient public involvement representation. This study identified participants by postcode and the indices of multiple deprivation (IMD); recruitment and engagement were supported by an existing health and wellbeing service. A virtual ‘clinic’ was offered with a team of professional practitioners who met participants three times each; to directly consider their needs and offer structured advice. The acceptability of the intervention was based on the individual’s participation and their completion of the intervention. Results: Ten participants were recruited with eight completing the intervention. The partnership with an existing community health and wellbeing service was deemed to be an important way of reaching participants. Two men and six women ages ranging from 38 to 73 were involved and their needs were commonly associated with fatigue, anxiety and depression with overall de-conditioning. None reported serious hardship associated with the pandemic although most were in self-employment/part-time employment or were not working due to retirement or ill-health. Two older participants lived alone, and others were single parents and had considerable challenges associated with managing a household alongside their Long COVID difficulties. Conclusions: This paper presents the needs and perspectives of eight individuals involved in the process and discusses the needs and preferences of the group in relation to their support for self- managed recovery from Long COVID.

scholarly journals A Delphi developed syllabus for the medical specialty of sport and exercise medicine

2017 ◽  
Vol 52 (8) ◽  
pp. 490-492 ◽  
Author(s):  
David Humphries ◽  
Rod Jaques ◽  
Hendrik Paulus Dijkstra
Keyword(s):  
South Africa ◽  
The Netherlands ◽  
Potential Barrier ◽  
Medical Specialty ◽  
Specialist Training ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
The Uk

Training in the medical specialty of sport and exercise medicine is now available in many, but not all countries. Lack of resources may be a barrier to the development of this important specialty field and the International Syllabus in Sport and Exercise Medicine Group was convened to reduce one potential barrier, the need to develop a syllabus. The group is composed of 17 sport and exercise medicine specialists residing in 12 countries (Australia, Canada, India, Ireland, Malaysia, the Netherlands, Qatar, South Africa, Sweden, Switzerland, the UK and USA). This paper presents the first phase of this project covering the domains and general learning areas of a specialist training syllabus in sport and exercise medicine.

scholarly journals The Move More Plan - A framework for increasing physical activity in Sheffield 2015-2020.

2020 ◽  
Author(s):  
Robert J. Copeland
Keyword(s):  
Physical Activity ◽  
Systems Approach ◽  
Emotional Health ◽  
Population Level ◽  
City Council ◽  
Economic Consequences ◽  
Main Body ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
The Uk

There is compelling and indisputable evidence that physical activity performed on a regular basis, is good for individuals, for society, for the environment and the economy. Yet, the physical activity of the population in the UK is low. The dominant position that physical inactivity currently assumes at city-level in Sheffield, means that the majority of society and particularly the least affluent are experiencing negative physical and emotional health with huge medical, psycho-social and economic consequences. The Move More plan sets out a framework for a systems approach to the promotion of physical activity in Sheffield. Under the banner of ‘Move More’, the plan is owned by the Board of the Olympic Legacy programme: The National Centre for Sport and Exercise Medicine in Sheffield. Move More is supported by all the major city partners, including; the Voluntary Sector, the NHS, both Universities, Sheffield City Council, Sheffield Chamber of Commerce, and Sheffield International Venues (SIV). The aim of the Move More plan is to provide the overall direction for increasing physical activity in Sheffield and to secure and align stakeholder commitment to that direction. Increasing physical activity at a population level is a system challenge and requires the input of numerous organisations, sectors and champions. The Move More plan is therefore intended to be inclusive of, and integral to the strategic and implementation plans of these stakeholders. The Move More plan is split into distinct sections with the main body of the plan focusing on the Vision and Mission of Move More, the challenge of increasing physical activity at population level and the outcomes to be achieved through the application of this framework. The principles that underpin the framework and the proposed programmes of work (ambitions) that are designed to deliver the outcomes are also outlined.

scholarly journals The National ReferAll Database: An Open Dataset of Exercise Referral Schemes Across the UK

2021 ◽  
Vol 18 (9) ◽  
pp. 4831
Author(s):  
James Steele ◽  
Matthew Wade ◽  
Robert J. Copeland ◽  
Stuart Stokes ◽  
Rachel Stokes ◽  
...  
Keyword(s):  
Public Health ◽  
Outcome Measures ◽  
Research Community ◽  
Research Centre ◽  
Policy And Practice ◽  
Local Data ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
The Uk ◽  
Exercise Referral

In 2014, The National Institute for Health and Care Excellence (NICE) called for the development of a system to collate local data on exercise referral schemes (ERS). This database would be used to facilitate continued evaluation of ERS. The use of health databases can spur scientific investigation and the generation of evidence regarding healthcare practice. NICE’s recommendation has not yet been met by public health bodies. Through collaboration between ukactive, ReferAll, a specialist in software solutions for exercise referral, and the National Centre for Sport and Exercise Medicine, which has its research hub at the Advanced Wellbeing Research Centre, in Sheffield, data has been collated from multiple UK-based ERS to generate one of the largest databases of its kind. This database moves the research community towards meeting NICEs recommendation. This paper describes the formation and open sharing of The National ReferAll Database, data-cleaning processes, and its structure, including outcome measures. Collating data from 123 ERSs on 39,283 individuals, a database has been created containing both scheme and referral level characteristics in addition to outcome measures over time. The National ReferAll Database is openly available for researchers to interrogate. The National ReferAll Database represents a potentially valuable resource for the wider research community, as well as policy makers and practitioners in this area, which will facilitate a better understanding of ERS and other physical-activity-related social prescribing pathways to help inform public health policy and practice.

Maternal Employment: Enabling Factors in Context

2017 ◽  
Vol 32 (1) ◽  
pp. 75-92 ◽  
Author(s):  
Giulia M Dotti Sani ◽  
Stefani Scherer
Keyword(s):  
Maternal Employment ◽  
Comparative Approach ◽  
Full Time ◽  
Welfare Regimes ◽  
Enabling Factors ◽  
Part Time ◽  
Time Part ◽  
Individual Household ◽  
The Individual ◽  
The Uk

Maternal employment is still below the overall EU recommended level of 60% in many European countries. Understanding the individual, household and contextual circumstances under which mothers of children of different ages are likely to be employed is crucial to develop strategies capable of increasing maternal employment. This article takes a comparative approach to investigating the characteristics associated with maternal employment in the presence of children aged 0–2, 3–5, 6–9 and 10–12 years. We model the probability of being employed full-time, part-time or being a homemaker using EU-SILC data (2004 to 2007) from Germany, Italy, Norway and the United Kingdom – four countries belonging to different gender and welfare regimes. The results indicate that individual and household characteristics are more relevant in determining mothers’ employment in countries where the state is less supportive towards maternal employment: Italy and to a lesser extent Germany and the UK – for the period observed.

scholarly journals Evaluation of the Public Health England and Sport England Funded Sport and Exercise Medicine Pilot in Secondary Care

2020 ◽  
Author(s):  
Robert J. Copeland ◽  
Anna Myers ◽  
Helen Quirk ◽  
Helen Crank ◽  
David Broom ◽  
...  
Keyword(s):  
Public Health ◽  
Clinical Pathways ◽  
University Hospital ◽  
Face To Face ◽  
Telephone Interviews ◽  
Care Plans ◽  
Exercise Medicine ◽  
Independent Evaluation ◽  
Sport And Exercise ◽  
The Uk

In 2014 Public Health England (PHE) launched the national physical activity (PA) framework ‘Everybody Active, Everyday’. The framework included a key domain for action called ‘Moving Professionals’. The Moving Professionals Programme aimed to build expertise and leadership across key professional sectors and to raise awareness and understanding of the health benefits of PA among professionals and the wider public. The Moving Professionals Programme comprised a number of innovative work packages that are described elsewhere (See Brannan et al., 2019). The Sport and Exercise Medicine (SEM) pilot was one element of the Moving Professionals Programme, and aimed to embed an SEM consultant led PA service within an NHS Trust to integrate PA in to the care plans of patients. This was termed creating an 'Active Hospital'.PHE and Sport England invited expressions of interest (EoIs) from NHS Trusts with the capacity to deliver the SEM pilot through a competitive process. Three Trusts were invited to interview and Oxford University Hospital NHS Foundation Trust (OUHFT) were selected to deliver the pilot. The successful Trust was tasked with developing an SEM pilot that strengthened existing core resources and expanded existing capacity to integrate specialist PA advice into the care pathways for adults in-patient care. This was tested across five clinical pathways within OUHFT where PA had not previously been targeted as a treatment intervention.Two lead SEM consultants were responsible for developing and implementing the SEM pilot, which targeted five clinical pathways and was underpinned by the COM-B model. These were; Maternity, Enablement, Renal, Complex Medical Unit (originally Critical Care), and Cardiology.As part of the National Centre for Sport and Exercise Medicine (NCSEM) network, academics at Sheffield Hallam University (SHU) were commissioned to conduct an independent evaluation of the SEM pilot. The NCSEM were not responsible for the implementation or delivery of the SEM pilot. The evaluation aimed to explore the acceptability and feasibility of the SEM pilot and followed a mixed methods approach. Data was collected from patients and healthcare professionals (HCPs) using surveys, face-to-face and telephone interviews and audits between June 2018 and March 2019. This report details the evaluation findings and provides implications for ongoing implementation of the pilot in OUHFT and for sharing learning with other Trusts across the UK.

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