Co-production of social experiments to promote health and well-being among disadvantaged groups together with key stakeholders

Author(s):  
Tomi Mäki-Opas ◽  
Janet Carter Anand ◽  
Csilla Veszteg ◽  
Marja Vaarama
BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e006536 ◽  
Author(s):  
H Elsey ◽  
R Bragg ◽  
M Elings ◽  
J E Cade ◽  
C Brennan ◽  
...  

IntroductionCare farms, where all or part of the farm is used for therapeutic purposes, show much potential for improving the health and well-being of a range of disadvantaged groups. Studies to date have been qualitative or observational, with limited empirical evidence of the effectiveness of care farms in improving health and well-being. Understanding the underlying mechanisms that lead to improvements for different disadvantaged groups is a further gap in the evidence. Participants in this study are offenders serving community orders. Their low socioeconomic status and poor health outcomes relative to the general population exemplifies disadvantage.Methods and analysisThis paper describes the protocol of a study to understand the impacts of care farms and to pilot the design and tools for a study to assess cost-effectiveness of care farms in improving the quality of life of offenders. As a pilot study, no power calculation has been conducted. However, 150 offenders serving community sentences on care farms and 150 on other probation locations (eg, litter picking, painting) will be recruited over a 1-year period. Changes in quality of life, measured by Clinical Outcome in Routine Evaluation–Outcome Measure, health and reconvictions of offenders at care farms compared to other probation locations will be analysed to inform the sample size calculation for the follow on study. The feasibility of recruitment, retention, collecting cost data and modelling cost-effectiveness will also be assessed. The study will use qualitative methods to explore the experiences of offenders attending care farms and perceptions of probation and care farm staff on the processes and impacts of the intervention.Ethics and disseminationFindings will be published and inform development of a natural experiment and will be disseminated to probation services, care farms and academics. University of Leeds Ethical Review Board approved: SoMREC/13/014. National Offender Management Service (NOMS) approved: 2013-257.


2021 ◽  
Author(s):  
Ponn P Mahayosnand ◽  
Samiha Ahmed ◽  
ZM Sabra

This special report presents the medicinal use of black seed (Nigella sativa) for coronavirus 2019 (COVID-19). The authors analyze current COVID-19-specific black seed studies in the Middle East, South Asia, and the Far East. While black seed has benefits far beyond its antiviral and immunity-enhancing effects, the authors focus on the properties relating specifically to COVID-19. Since some of the countries discussed have fewer financial and human resources than the US, the successful ingestion or inhalation of black seed or black seed oil deserves worthy attention. This report is split into two sections, which explore (1) the Islamic, historical, botanical, and scientific significance of black seed; and (2) the chemical composition, nutritional values, and current use of black seed as a prophylactic and COVID-19 treatment. The authors intend to introduce black seed, a common ancient natural medicine that can be used to improve overall health and well-being, to key stakeholders in the Americas. Key stakeholders include researchers, policymakers, public health and preventive medicine clinicians and practitioners, and other persons concerned about a more equitable, economical, and accessible alternative, all-natural option for preventing and treating COVID-19. Black seed also serves as an introduction to Prophetic Medicine, a complementary practice used throughout the Muslim world alongside allopathic medicine. Implemented into one’s daily life, black seed has proven health implications surpassing the current COVID-19 pandemic.


Author(s):  
Susan E. Peters ◽  
Harrison Grogan ◽  
Gesele M. Henderson ◽  
María Andrée López Gómez ◽  
Marta Martínez Maldonado ◽  
...  

The conditions of work for professional drivers can contribute to adverse health and well-being outcomes. Fatigue can result from irregular shift scheduling, stress may arise due to the intense job demands, back pain may be due to prolonged sitting and exposure to vibration, and a poor diet can be attributed to limited time for breaks and rest. This study aimed to identify working conditions and health outcomes in a bussing company by conducting focus groups and key informant interviews to inform a Total Worker Health® organizational intervention. Our thematic analysis identified three primary themes: lack of trust between drivers and supervisors, the scheduling of shifts and routes, and difficulty performing positive health behaviors. These findings demonstrate the value of using participatory methods with key stakeholders to determine the unique working conditions and pathways that may be most critical to impacting safety, health, and well-being in an organization.


2012 ◽  
Vol 82 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Ibrahim Elmadfa ◽  
Alexa L. Meyer

A high-quality diet is one of the foundations of health and well-being. For a long time in human history, diet was chiefly a source of energy and macronutrients meant to still hunger and give the strength for work and activities that were in general much harder than nowadays. Only few persons could afford to emphasize enjoyment. In the assessment of quality, organoleptic properties were major criteria to detect spoilage and oxidative deterioration of food. Today, food hygiene is a quality aspect that is often taken for granted by consumers, despite its lack being at the origin of most food-borne diseases. The discovery of micronutrients entailed fundamental changes of the concept of diet quality. However, non-essential food components with additional health functions were still barely known or not considered important until recently. With the high burden of obesity and its associated diseases on the rise, affluent, industrialized countries have developed an increased interest in these substances, which has led to the development of functional foods to optimize special body functions, reduce disease risk, or even contribute to therapeutic approaches. Indeed, nowadays, high contents of energy, fat, and sugar are factors associated with a lower quality of food, and products with reduced amounts of these components are valued by many consumers. At the same time, enjoyment and convenience are important quality factors, presenting food manufacturers with the dilemma of reconciling low fat content and applicability with good taste and appealing appearance. Functional foods offer an approach to address this challenge. Deeper insights into nutrient-gene interactions may enable personalized nutrition adapted to the special needs of individuals. However, so far, a varied healthy diet remains the best basis for health and well-being.


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