scholarly journals Tikanga Hauora. The Hauora Homies: An evaluation of a Kaupapa Māori Weight Loss and Lifestyle Change Model

2021 ◽  
Author(s):  
◽  
Nicola Grace
Keyword(s):  
Weight Loss ◽  
Positive Impact ◽  
National Level ◽  
Lifestyle Change ◽  
Change Model ◽  
Nutritional Knowledge ◽  
Main Mode ◽  
Kaupapa Māori ◽  
Maori Health ◽  
Insight Into

<p>Tikanga Hauora – The Hauora Homies: An evaluation of a Kaupapa Māori Weight Loss and Lifestyle Change Model provides an understanding about how tikanga was practised during the implementation of the Hauora Homies and Kick in the Butt programmes, specifically the cultural principles of whanaungatanga (relationship, kinship, sense of family connection) and manaakitanga (kindness, generosity, support, hospitality). The thesis looks at how participants understood tikanga and if they believed the programmes were kaupapa Māori in approach. The thesis then examines how these principles supported participants to achieve programme outcomes and the immediate impact of the programmes. Finally, this thesis explores the use of Facebook as the main mode of communication during the programmes to provide insight into how tikanga is transformed into an online space.  The evaluation is positioned within a kaupapa Māori framework, since the Hauora Homies programmes was initiated by Māori, benefited Māori, and represented and legitimised Māori experiences and worldviews on the issue. Both the programmes and the evaluation are accountable to Māori participants. Continuous engagement with the participants of the programmes and the support of a whānau network were key aspects during the thesis process.  In total there are 31 participants in this sample, 26 females and five males. Thirty participants identified themselves as Māori and one participant as Samoan. Interviews were conducted with 10 participants and one administrator. Facebook data representing 31 participants was utilised and personal observation notes provided further insight into the programmes.  Interpretive analysis and descriptive statistics analysis, with an underlying ethnographic approach, were used to analyse the collected data. A kaupapa Māori approach facilitated an analysis from a Māori standpoint and Te Pae Mahutonga provided a Māori health framework to identify the health promotion outcomes of the Hauora Homies model.  The evaluation found that tikanga played a significant role within the programmes and was a critical component which provided a whānau approach and platform for participants to express themselves as Māori where Māori culture and values were the social norm. Whanaungatanga and manaakitanga were found to be fundamental and were embedded and practised in the model and programmes by creating, maintaining and strengthening relationships by actively engaging with participants online and offline.  The evaluation also found the programmes had a positive impact on participants’ knowledge, attitudes, behaviour and awareness, which supported them in reaching their weight loss and lifestyle change goals. The changes included increased nutritional knowledge, increased fitness, and confidence and leadership skills amongst others.  This evaluation will contribute towards evidence-based research into what works and what does not for Māori in a tikanga Māori, kaupapa Māori setting. This can contribute towards the design and implementation of lifestyle programmes at a whānau (family), hapū (sub-tribe), iwi (tribe) and national level, as well as open a forum for indigenous people from other areas in the world.</p>

scholarly journals Tikanga Hauora. The Hauora Homies: An evaluation of a Kaupapa Māori Weight Loss and Lifestyle Change Model

2021 ◽  
Author(s):  
◽  
Nicola Grace
Keyword(s):  
Weight Loss ◽  
Positive Impact ◽  
National Level ◽  
Lifestyle Change ◽  
Change Model ◽  
Nutritional Knowledge ◽  
Main Mode ◽  
Kaupapa Māori ◽  
Maori Health ◽  
Insight Into

<p>Tikanga Hauora – The Hauora Homies: An evaluation of a Kaupapa Māori Weight Loss and Lifestyle Change Model provides an understanding about how tikanga was practised during the implementation of the Hauora Homies and Kick in the Butt programmes, specifically the cultural principles of whanaungatanga (relationship, kinship, sense of family connection) and manaakitanga (kindness, generosity, support, hospitality). The thesis looks at how participants understood tikanga and if they believed the programmes were kaupapa Māori in approach. The thesis then examines how these principles supported participants to achieve programme outcomes and the immediate impact of the programmes. Finally, this thesis explores the use of Facebook as the main mode of communication during the programmes to provide insight into how tikanga is transformed into an online space.  The evaluation is positioned within a kaupapa Māori framework, since the Hauora Homies programmes was initiated by Māori, benefited Māori, and represented and legitimised Māori experiences and worldviews on the issue. Both the programmes and the evaluation are accountable to Māori participants. Continuous engagement with the participants of the programmes and the support of a whānau network were key aspects during the thesis process.  In total there are 31 participants in this sample, 26 females and five males. Thirty participants identified themselves as Māori and one participant as Samoan. Interviews were conducted with 10 participants and one administrator. Facebook data representing 31 participants was utilised and personal observation notes provided further insight into the programmes.  Interpretive analysis and descriptive statistics analysis, with an underlying ethnographic approach, were used to analyse the collected data. A kaupapa Māori approach facilitated an analysis from a Māori standpoint and Te Pae Mahutonga provided a Māori health framework to identify the health promotion outcomes of the Hauora Homies model.  The evaluation found that tikanga played a significant role within the programmes and was a critical component which provided a whānau approach and platform for participants to express themselves as Māori where Māori culture and values were the social norm. Whanaungatanga and manaakitanga were found to be fundamental and were embedded and practised in the model and programmes by creating, maintaining and strengthening relationships by actively engaging with participants online and offline.  The evaluation also found the programmes had a positive impact on participants’ knowledge, attitudes, behaviour and awareness, which supported them in reaching their weight loss and lifestyle change goals. The changes included increased nutritional knowledge, increased fitness, and confidence and leadership skills amongst others.  This evaluation will contribute towards evidence-based research into what works and what does not for Māori in a tikanga Māori, kaupapa Māori setting. This can contribute towards the design and implementation of lifestyle programmes at a whānau (family), hapū (sub-tribe), iwi (tribe) and national level, as well as open a forum for indigenous people from other areas in the world.</p>

scholarly journals Baby (Not So) Friendly: Implementation of the Baby-Friendly Hospital Initiative in Serbia

2022 ◽  
pp. 17-35
Author(s):  
Ljiljana Pantović
Keyword(s):  
Healthcare System ◽  
Healthcare Workers ◽  
Health Workers ◽  
Positive Impact ◽  
National Level ◽  
Economic Conditions ◽  
Baby Friendly Hospital Initiative ◽  
Frontline Health Workers ◽  
Document Review ◽  
Insight Into

AbstractThe WHO and UNICEF launched The Baby-Friendly Hospital Initiative (BFHI) in 1991 with the goal of promoting breastfeeding. Four years later, this initiative was adopted in Serbia (then Yugoslavia). Although Serbia has officially been a part of the BFHI for over 26 years, less than 13% of children are currently exclusively breastfed for the first 6 months of life. Drawing on interviews, observations and document review, this chapter offers ethnographic insight into why the BFHI in Serbia has met with little success. I argue that the principles and practices of the initiative to promote breastfeeding have been both thinly learned and thinly applied by healthcare workers and therefore have had little positive impact on women’s empowerment to breastfeed or the rates of breastfeeding in the country. I show how the global Baby-Friendly Hospital Initiative implemented in Serbia in the early 1990s and the national level policies which renewed it in 2018 were severely constrained by social, political and economic conditions that hindered the uptake of the program by frontline health workers – namely the devastating effects of the civil war and international sanctions in the 1990s, and the deleterious effects of IMF policies on the Serbian healthcare system since the 2000s. The pressure of time due to high workloads, and understaffed hospitals, in combination with unsustainable national funds for implementation may contribute to the reality of the thin implementation of BFHI.

Randomized Trial for Weight Loss Using a Digital Therapeutic Application

2021 ◽  
pp. 193229682110008
Author(s):  
Tryggvi Thorgeirsson ◽  
Johanna E. Torfadottir ◽  
Erlendur Egilsson ◽  
Saemundur Oddsson ◽  
Thrudur Gunnarsdottir ◽  
...  
Keyword(s):  
Weight Loss ◽  
Mobile Application ◽  
Intervention Group ◽  
Lifestyle Change ◽  
Noncommunicable Diseases ◽  
Control Group ◽  
Intention To Treat ◽  
Protocol Group ◽  
Lifestyle Program ◽  
Program Intervention

Background: Smartphones present a near-ubiquitous channel through which structured lifestyle change can reduce risk or progression of the most common noncommunicable diseases. We explored whether a digital structured lifestyle program enhances weight loss. Methods: We randomized overweight and obese participants attending a four-month lifestyle change program to either standard weekly coaching sessions (controls), or standard treatment supplemented with a digital therapeutic mobile application (intervention). Changes in body mass index after four months were the main outcome measure. Odds ratios of achieving 5% weight loss were estimated with unconditional logistic regression. Results: Of 234 eligible persons, 146 (62%) agreed to participate, were block-randomized, showed up for the baseline measures, and constituted the intention-to-treat (ITT) sample ( n = 95 intervention group, n = 51 control group). In the intervention group, 70 (74%) downloaded the mobile application and completed the program (intervention per-protocol). Significant weight loss and BMI reduction were observed for both the intention-to-treat intervention group ( P < 0.05, P = 0.01) and the per-protocol intervention group ( P < 0.0001, P < 0.0001). For the intervention per-protocol group, the odds ratio of achieving 5% weight loss, compared to not treated per-protocol, was 3.3 (95% CI 1.3-8.2), adjusting for age and weight at baseline.Attendance to weekly coaching sessions decreased by 18% during the program in the control group while it increased by 3% amongst the per-protocol group ( P = 0.004). Conclusions: These preliminary findings support the benefit of a digital therapeutic to enhance weight reduction and attendance in a structured lifestyle change program. Larger trials of longer duration are needed to confirm these findings.

scholarly journals Functional Food—Consumer Motivations and Expectations

2021 ◽  
Vol 18 (10) ◽  
pp. 5327
Author(s):  
Kinga Topolska ◽  
Adam Florkiewicz ◽  
Agnieszka Filipiak-Florkiewicz
Keyword(s):  
Functional Food ◽  
Consumer Attitudes ◽  
Evidence Based ◽  
Nutritional Knowledge ◽  
Future Perspectives ◽  
Research Papers ◽  
Adequate Knowledge ◽  
Food Market ◽  
And Behavior ◽  
Insight Into

This review provides insight into consumer attitudes toward functional food (FF), with the purpose of better understanding the needs and behavior regarding this kind of product. A total of 47 articles were selected for this paper. The available studies from last 20 years differ according to the focus (awareness, attitudes, motivations, willingness, acceptance by consumers) and methodologies used. Several factors, including socio-demographic, cognitive and attitudinal ones, seem to be serve as the basis for the acceptance of functional products. The research papers showed that nutritional knowledge is the most important of these. Older people are more interested in functional products than younger consumers, because of their stronger belief in the health benefits of FF. Moreover, women are more open to compromise between taste and health properties. Claims concerning the disease preventative properties of FF are the most attractive for consumers. This review focuses also on future perspectives for the functional food market. Adequate knowledge and evidence-based communication seem to be the most promising ways to increase consumers’ interest in these kinds of products.

scholarly journals Shooting from the ‘Scrip: Scope of Practice Laws and Access to Immunizations in the Pharmacy Setting

Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 444
Author(s):  
Charles Stoecker
Keyword(s):  
Positive Impact ◽  
National Level ◽  
State Level ◽  
The United States ◽  
Scope Of Practice ◽  
Patient Specific ◽  
Behavioral Risk ◽  
Influenza Immunization ◽  
Immunization Rates ◽  
The Impact

In the past two decades, most states in the United States have added authorization for pharmacists to administer some vaccinations. Expansions of this authority have also come with prescription requirements or other regulatory burdens. The objective of this study was to evaluate the impact of these expansions on influenza immunization rates in adults age 65 and over. A panel data, differences-in-differences regression framework to control for state-level unobserved confounders and shocks at the national level was used on a combination of a dataset of state-level statute and regulatory changes and influenza immunization data from the Behavioral Risk Factor Surveillance System. Giving pharmacists permission to vaccinate had a positive impact on adult influenza immunization rates of 1.4 percentage points for adults age 65 and over. This effect was diminished by the presence of laws requiring pharmacists to obtain patient-specific prescriptions. There was no evidence that allowing pharmacists to administer vaccinations led patients to have fewer annual check-ups with physicians or not have a usual source of health care. Expanding pharmacists’ scope of practice laws to include administering the influenza vaccine had a positive impact on influenza shot uptake. This may have implications for relaxing restrictions on other forms of care that could be provided by pharmacists.

scholarly journals Mapping Buildings’ Energy-Related Features at Urban Level toward Energy Planning

Buildings ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 322
Author(s):  
Simone Ferrari ◽  
Federica Zagarella ◽  
Paola Caputo ◽  
Giuliano Dall’O’
Keyword(s):  
Energy Demand ◽  
National Level ◽  
Energy Planning ◽  
Urban Context ◽  
Existing Building ◽  
Urban Buildings ◽  
Usage Patterns ◽  
Urban Level ◽  
The City ◽  
Insight Into

To boost energy efficiency in the building sector at urban and district scales, the use of a Geographic Information System (GIS) for data collection and energy spatial analysis is relevant. As highlighted in many studies on this topic reported in literature, the correlation among available databases is complex due to the different levels of information. As the first part of a wide research aimed at estimating the energy demand of urban buildings, we present in this article a focus on the details of the GIS-based procedure developed to assess the main energy-related features of existing building stocks. The procedure is based on the elaboration of data from the Italian Topographic Databases, under provision at the national level according to the INSPIRE European Directive and the national General Census of Population and Houses. It enables one to calculate and map the urban built volume characterized by mostly diffuse use categories in an urban context (residential and offices), to which different equipment and building usage patterns can be associated, and by construction periods, featuring different technological solutions. The method has been applied to the city of Milan (Italy). An insight into the outcomes from the overall method of the wider research is also reported.

OBJECTIVES OF DEVELOPING ANALYTICAL ACTIVITY IN THE INVESTIGATION OF CORRUPTION CRIMES

2021 ◽  
pp. 21-31
Author(s):  
Francisco Talmaci ◽  
◽  
◽  
Keyword(s):  
Science Education ◽  
Positive Impact ◽  
National Level ◽  
Republic Of Moldova ◽  
Criminal Offenses ◽  
Analytical Work ◽  
The Republic

This article sets out the objectives of developing analytical work in investigating criminal offenses, with particular reference to preventing and combating corruption offenses in the Republic of Moldova. Also, were analyzed the changes in legislation, which had a positive impact on the analytical activity carried out by the National Anticorruption Center, and it proposes new measures for the development of this activity in terms of science, education and institutions. The results of the research outline the need to develop guidelines for the training of future intelligence analysts, the approval of a model of criminal analysis at the national level and the introduction of a new discipline of study in police faculties - criminal analysis.

scholarly journals Is Customer Satisfaction Driving Revenue A Longitudinal Analysis With Evidence From The Banking Industry

2011 ◽  
Vol 2 (1) ◽  
Author(s):  
Gerhard Winkler ◽  
Markus S. Schwaiger
Keyword(s):  
Customer Satisfaction ◽  
Banking Industry ◽  
Positive Impact ◽  
Time Lag ◽  
Retail Banking ◽  
Long Run ◽  
Long Term Impact ◽  
Insight Into ◽  
Longitudinal Dataset

The connection between customer satisfaction and the financial performance of companies has been under academic scrutiny for quite some time. Evidence regarding the long term impact of customer satisfaction is however relatively scarce. Furthermore, research has so far often neglected potential industry idiosyncrasies in estimating the consequences of changes in customer satisfaction. We provide an insight into the overall long run impact of customer satisfaction on operating revenues based on a longitudinal dataset for the Austrian retail banking industry. Our results corroborate the intuition of a positive long run effect of satisfaction on revenues. We can show, that a time lag of 1,5 years has to elapse for satisfaction to have a positive impact on sales.

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