MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health and Social Care in the Community' source. Thu, 09 Feb 2012 10:12:53 +0100 http://www.medworm.com/index.php?rid=5672481&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01055.x This study identifies the factors associated with the successful integration of ambulance volunteers and first responders into major ambulance services in Australia and New Zealand and then proposes a model of volunteer management for ambulance services. All ten members of the Australasian Council of Ambulance Authorities completed a questionnaire describing their volunteer and first‐responder staff, their numbers and deployment, and the management and integration of volunteers within their respective organisations. Eight senior managers responsible for ambulance volunteers and first responders from six States of Australia and one region of New Zealand subsequently participated in semistructured interviews. Analysis of interview transcripts and publicly available data revealed facilitati... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5672481 Thu, 09 Feb 2012 14:50:15 +0100 5672481 http://www.medworm.com/index.php?rid=5615737&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01050.x AbstractThe Dutch home‐care system is embedded in a universalistic and comparatively generous long‐term care (LTC) scheme that was introduced in the late 1960s. The tension between guaranteeing access to good‐quality care and controlling costs has been a key issue since the inception of the LTC scheme. The article addresses the question of how these two distinct objectives have been dealt with in the political debate and by policy‐making in the past 20 years. It does so by looking at existing studies, official statistics and policy documents. First, the analysis shows that home care – the development of which results from the de‐institutionalisation policies pursued since the 1980s – has shifted from being considered a cost‐containment measure to representing a battlefiel... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5615737 Sun, 01 Jan 2012 05:00:00 +0100 5615737 http://www.medworm.com/index.php?rid=5575579&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01051.x This article investigates the impact of policy measures on the organisation of home‐based care for older people in France, by examining the balance between formal and informal care and the redefinition of the initial familialist model. It focuses on the specific cash for care scheme (the Allocation personnalisée d’autonomie – Personalised allowance for autonomy) which is at the core of the French home‐based care policy. The author argues that in a redefined context of ‘welfare mix’, the French public strategy for supporting home‐based care in France is articulated around two major objectives, which can appear contradictory. It aims to formalise a professional care sector, with respect to the employment policy while allowing the development of new forms of informal care, whic... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5575579 Sun, 01 Jan 2012 05:00:00 +0100 5575579 http://www.medworm.com/index.php?rid=5556167&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01049.x This article discusses the development of the home care sector in Austria. It analyses what impacts the interplay of the traditional family orientation to care, a universal cash‐for‐care scheme (reaching about 5% of the population) and a growing migrant care sector have on formal home care in Austria. The article is based on an analysis of research papers, policy documents and statistical data covering the period from the introduction of the cash‐for‐care scheme in 1993 up to 2011. Some authors have argued that generous cash benefits with no direct link to service use – as in the case of Austria – limit the development of home care, particularly in countries with a traditionally strong family orientation towards long‐term care. Additionally, a tradition of family care and an ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5556167 Sun, 01 Jan 2012 05:00:00 +0100 5556167 http://www.medworm.com/index.php?rid=5510820&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01048.x This article argues that home‐care policy in Ireland was ambiguous throughout the first decade of the 21st century: policy‐makers expanded home care, but failed to develop policies to govern this expanded provision. As a result, home care became more widely available in the absence of a framework to govern access to services and to regulate care providers. We analysed official policy documents, statistics and policy critiques published between 2000 and 2010 in order to understand this incongruity between the expansion of home‐care services and the failure to develop policies to govern access to and quality of services. The key factors that motivated home‐care expansion in the Irish case were: (1) problems in the acute hospital sector and the perception of home care as a partial sol... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5510820 Sat, 17 Dec 2011 03:17:06 +0100 5510820 http://www.medworm.com/index.php?rid=5491508&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01047.x AbstractThis paper analyses the trends and changes that home care services for older people have undergone during the last two decades in Finland. The data used come from national social care statistics, covering the time period from 1990–2010. The results show that, in contrast to many other European nations that have expanded their home care provisions, the coverage levels in Finland have dropped dramatically during this period. Those with the highest needs do receive increased amounts of support, but others have become excluded from publicly funded home care provisions and often need to rely on family members. In most localities, public service provision is focused on personal care, and no longer covers household tasks. This major change of the character of the service is connected to... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5491508 Sun, 11 Dec 2011 04:16:14 +0100 5491508 http://www.medworm.com/index.php?rid=5436269&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01039.x In conclusion, a restorative home care service may be of benefit to older people, and improves home care service efficacy. (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5436269 Tue, 22 Nov 2011 05:00:00 +0100 5436269 http://www.medworm.com/index.php?rid=5394668&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01036.x This study aims to identify and describe the literature on issues around antenatal screening and prenatal diagnostic testing for genetic disorders among women of Asian descent in western countries. The Medline, CINAHL, ASSIA and PsycInfo databases were searched for the period of 1995 and 2010. Twenty‐one studies met the inclusion criteria and were therefore reviewed. In general, Asian women were found to hold favourable attitudes towards testing. However, they reported a poorer understanding of testing than white women and not being offered a test, and were less able to make informed choices. Asian women in the UK and Australia were found to be less likely than their white counterparts to have undergone prenatal diagnosis, while such differences were not found in the USA and Canada. The ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5394668 Tue, 08 Nov 2011 05:00:00 +0100 5394668 http://www.medworm.com/index.php?rid=5481752&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01046.x This article identifies two trends in home care for older people in Sweden: a decline in the coverage of publicly funded services and their increasing marketisation. We explore the mechanisms behind these trends by reviewing policy documents and official reports, and discuss the distributional consequences of the changes by analysing two data sets from Statistics Sweden: the Swedish Level of Living surveys from 1988/1989 and 2004/2005 and a database on all users of tax deductions on household and care services in 2009. The analysis shows that the decline of tax‐funded home care is not the result of changing eldercare legislation and was not intended by national policy‐makers. Rather the decline was caused by a complex interplay of decision‐making at central and local levels, resultin... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5481752 Tue, 01 Nov 2011 04:00:00 +0100 5481752 http://www.medworm.com/index.php?rid=5453159&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01044.x AbstractHigh rates of both illicit drug use and depression are consistently reported among gay men. However, little is known about how beliefs about drug use shape clinical encounters between gay men and health professionals, and that in turn affect clinical communication and care, particularly in relation to depression. We compared ‘doctor’ and ‘patient’ beliefs about the role of illicit drug use in gay men’s depression. Semi‐structured interviews were conducted during August–December 2006 with 16 general medical practitioners working in seven ‘gay‐friendly’ practices in Sydney, Adelaide and a rural‐coastal city in New South Wales, and during February–May 2008 with 40 gay men with depression recruited through four Sydney and Adelaide practices. A thematic analysis ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5453159 Tue, 01 Nov 2011 04:00:00 +0100 5453159 http://www.medworm.com/index.php?rid=5436268&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01040.x AbstractThe planning and delivery of care systems require knowledge on the ways in which individuals access available services that are funded by a range of health and community services. The aims of this study were to identify distinct groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and to understand the health and social needs and resources of client groups that access different mixes of services. Multiple data sets linked at the individual level – including the 45 and Up Study community survey, the HACC Minimum Data Set and the Admitted Patient Data Collection for hospitals – provide an innovative basis to investigate the complexity of access to service use. Data were collected between 2006 and 2008. A cluster ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5436268 Tue, 01 Nov 2011 04:00:00 +0100 5436268 http://www.medworm.com/index.php?rid=5415757&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01043.x AbstractStroke is the most common cause of complex disability in the community. Physical fitness is often reduced after stroke, but training can improve fitness and function. UK and international stroke clinical guidelines recommend long‐term exercise participation for stroke survivors. However, there has been no previous research into what services are available to support this. In 2009, we conducted the first European survey of community Exercise after Stroke services. A link to our web‐based survey was emailed to health, leisure service and stroke charity contacts in Scotland with email and telephone follow‐up to non‐respondents. The overall response rate was 64% (230/361). A total of 14 Exercise after Stroke services were identified, the majority of which were run by charity co... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5415757 Tue, 01 Nov 2011 04:00:00 +0100 5415757 http://www.medworm.com/index.php?rid=5394667&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01037.x AbstractRecent policy pronouncements emphasise the importance of engaging fathers with preventive primary care services. However, in England, there is a paucity of literature which examines African and African‐Caribbean fathers’ experiences of service provision. This paper reports a study that investigated African and African‐Caribbean fathers’ beliefs about fatherhood, health and preventive primary care services, with the aim of addressing the deficit in the literature. Nine focus groups involving 46 African and African‐Caribbean fathers, recruited using purposive sampling, were undertaken between October 2008–January 2009. Fatherhood was seen as a core aspect of the participants’ identities. The fathers enacted these identities in a number of ways, such as caring for and pr... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5394667 Tue, 01 Nov 2011 04:00:00 +0100 5394667 http://www.medworm.com/index.php?rid=5353821&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01035.x This study explored issues around children’s exposure to SHS. Focus group discussions (FGDs) and in‐depth interviews (IDI) were conducted among 31 Chinese households in urban Shanghai, China. All FGDs/IDIs were audio recorded and analysed thematically. The findings suggest that there are gaps in knowledge of the health consequences of smoking and SHS among the participants. Although there was a lack of knowledge about the health risk of exposure to SHS, most were willing to protect their child from the SHS exposure. In 16/31 households, families had partial home‐smoking restrictions; there were no complete restrictions in any of the smokers’ homes. Many families do not openly discuss smoking or smoking restrictions at home. Barriers to adopting a smoke‐free home included the soci... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5353821 Thu, 27 Oct 2011 17:21:07 +0100 5353821 http://www.medworm.com/index.php?rid=5353822&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01034.x AbstractIntervening in domestic violence in the health care and social service settings is a complex and contested issue. In this qualitative, multidisciplinary study, the barriers to but also the possibilities for health care professionals in encountering victims of violence were scrutinised. The focus was on omissions in service structure and practices. The data consisted of six focus group interviews with nurses, physicians, social workers and psychologists in specialist health care (n = 30) conducted in Finland in 2009. The aim was to explore professionals’ processes of making sense of violence interventions and the organisational practices of violence interventions. Four types of framing of the domestic violence issue were identified: (i) practical frame, (ii) medical frame, (ii... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5353822 Thu, 27 Oct 2011 04:00:00 +0100 5353822 http://www.medworm.com/index.php?rid=5320204&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01032.x AbstractTransitions between various healthcare services are potential points for fragmented care and can be confusing and complicated for patients, formal and informal caregivers. These challenges are compounded for older adults with chronic disease, as they receive care from many providers in multiple care settings. System navigation has been suggested as an innovative strategy to address these challenges. While a number of navigation models have been developed, there is a lack of consensus on the desired characteristics and effectiveness of this role. We conducted a systematic literature review to describe existing navigator models relevant to chronic disease management for older adults and to investigate the potential impact of each model. Relevant literature was identified using five e... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5320204 Sun, 16 Oct 2011 05:35:42 +0100 5320204 http://www.medworm.com/index.php?rid=5309549&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01041.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5309549 Thu, 13 Oct 2011 04:40:48 +0100 5309549 http://www.medworm.com/index.php?rid=5309548&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01038.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5309548 Thu, 13 Oct 2011 04:40:46 +0100 5309548 http://www.medworm.com/index.php?rid=5309547&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01033.x AbstractIn the UK and Europe, malnutrition in older people is a significant and continuing problem. Malnutrition predisposes to disease, impedes recovery from illness, increases mortality and is costly to society. Despite the high number of older people potentially at risk, malnutrition in care homes has been under explored. There is concern that national guidelines regarding the nutritional care of older people in residential care homes are not always implemented. This qualitative study explored the factors that influence the nutritional care provided to residents in two different types of local authority residential care homes (providing personal care) in Wales. One home had communal dining rooms; the other had eight bedded units with their own kitchen and dining facilities. The sample o... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5309547 Thu, 13 Oct 2011 04:39:53 +0100 5309547 http://www.medworm.com/index.php?rid=5231419&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01028.x We present the findings of 57 interviews conducted in 2007–2008 with Canadians who have cared for a dying family member to examine their ideal expectations of the Compassionate Care Benefit (CCB) – a social programme providing job security and income support for workers caring for a dying person. Our aims are to (1) appreciate how intended users and other family caregivers view the programme’s very nature; (2) identify programme challenges and improvements that emerge from considering family caregivers’ ideal expectations; and (3) contribute to a larger evaluative study designed to make policy‐relevant recommendations for CCB improvement. Review of transcripts across three respondent groups reveals four categories of ideal expectations: (1) eligibility, (2) informational, (3) tim... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5231419 Thu, 15 Sep 2011 04:00:00 +0100 5231419 http://www.medworm.com/index.php?rid=5291506&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01030.x AbstractDrawing on the results of community‐based research with a local hospice organisation, this article addresses the need to enhance social support for caregivers of people with life‐threatening illnesses. The goal of the research was to involve palliative care stakeholders in the identification, prioritisation and implementation of social support interventions for caregivers who provide palliative care support as hospice volunteers and as family members of those at end‐of‐life. Guided by a community‐based participatory research approach, primary data were collected from 39 volunteer and family member caregivers through four focus groups and nine personal diaries in July 2008. Content analysis and modified constant comparison techniques resulted in emergent themes and priorit... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5291506 Thu, 01 Sep 2011 04:00:00 +0100 5291506 http://www.medworm.com/index.php?rid=5266965&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01031.x This article discusses a research partnership framework based on a collaborative relationship that was initially established between a carers’ organisation and a university with the aim of maximising the efficacy and cost‐effectiveness of health and social care research in an era of public spending cuts. As each partner gradually formed several similar partnerships, it was developed into a framework for research partnerships between third sector organisations and academic institutions. The framework is contextualised within the concepts of collaboration and partnership working more generally and then within the development of third sector and university partnerships specifically. This is followed by a description and discussion of the framework together with a critical reflection on ho... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5266965 Thu, 01 Sep 2011 04:00:00 +0100 5266965 http://www.medworm.com/index.php?rid=5231418&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01029.x This article begins to address this gap. Using 168 semi‐structured, qualitative interviews with young service users, this paper explores the extent to which the Australian National Youth Mental Health Foundation, also called headspace, applied the WHO’s youth‐friendly framework which emphasises accessibility, acceptability and appropriateness (AAA). It argues that headspace was largely successful in implementing an AAA youth‐friendly service and provides evidence of the importance of tailoring services to ensure they are accessible, acceptable and appropriate for young people. However, it also raises questions about what youth‐friendly service provision means for different young people at different times. The findings suggest that youth friendliness should be applied across diffe... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5231418 Thu, 01 Sep 2011 04:00:00 +0100 5231418 http://www.medworm.com/index.php?rid=5178672&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01016.x This study investigated the alcohol consumption of secondary education students and their relationship to school life and leisure time use with peers. A cross‐sectional survey was conducted in March 2007, and the study population consisted of 14‐ to 19‐year‐old students living in an agricultural area of Crete. The final sample consisted of 117 individuals (response rate 90.0%). A short previously validated self‐completion questionnaire was used collecting information on: personal and family characteristics; school progress; leisure time activities and relations with other adolescents; and alcohol consumption. Alcohol consumption differed significantly between male (75.5%) and female (25.8%) students (P < 0.001). Almost half of the participants (48.3%) reported alcohol cons... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5178672 Wed, 31 Aug 2011 00:36:35 +0100 5178672 http://www.medworm.com/index.php?rid=5173435&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01027.x AbstractDiabetes is a chronic condition requiring lifelong self‐management. Patients are encouraged to access appropriate services to facilitate optimum management of diabetes. Although equitable access to healthcare in the United Kingdom is a legal right, not all groups and individuals in the community experience equity. Despite various equality laws and numerous efforts to minimise health inequalities related to access, particular community groups are more likely to experience inequitable access than others. The Bangladeshi community are one such community who experience some of the worst diabetes‐related health outcomes in the United Kingdom. Little is known about their experiences and preferences in accessing diabetes healthcare information and services. Consequently, we undertook ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5173435 Tue, 30 Aug 2011 00:40:19 +0100 5173435 http://www.medworm.com/index.php?rid=5153570&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01025.x AbstractAfter more than a decade of concerted effort by policy‐makers in Canada and elsewhere to encourage older adults to age at home, there is recognition that the ageing‐in‐place movement has had unintended negative consequences for family members who care for seniors. This paper outlines findings of a qualitative descriptive study to investigate the health and wellness and support needs of family caregivers to persons with dementia in the Canadian policy environment. Focus groups were conducted in 2010 with 23 caregivers and the health professionals who support them in three communities in the Southern Interior of British Columbia. Thematic analysis guided by the constant comparison technique revealed two overarching themes: (1) forgotten: abandoned to care alone and indefinitely... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5153570 Thu, 25 Aug 2011 00:51:27 +0100 5153570 http://www.medworm.com/index.php?rid=5153571&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01021.x AbstractShortages of primary care doctors are occurring globally; one means of meeting this demand has been the use of physician assistants (PAs). Introduced in the United States in the late 1960s to address doctor shortages, the PA movement has grown to over 75 000 providers in 2011 and spread to Australia, Canada, Great Britain, the Netherlands, Germany, Ghana and South Africa. A purposeful literature review was undertaken to assess the contribution of PAs to primary care systems. Contemporary studies suggest that PAs can contribute to the successful attainment of primary care functions, particularly the provision of comprehensive care, accessibility and accountability. Employing PAs seems a reasonable strategy for providing primary care for diverse populations. (Source: Health and Soc... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5153571 Wed, 17 Aug 2011 23:00:00 +0100 5153571 http://www.medworm.com/index.php?rid=5136818&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01026.x AbstractOur research focuses on the complexity of needs associated with distress in people with advanced cancer. We have recently completed a large longitudinal survey exploring the interplay between a number of components of distress, including depression, demoralisation, debility and spirituality, amongst a cohort of people living with terminal cancer. Participants were recruited from 25 hospices across the Northwest of England between 2007–2009. A purposive subsample of 27 people was invited to take part in a qualitative interview to explore in greater depth their personal experiences of living with illness and related distress. Holistic‐content analysis revealed two emerging themes: ‘personal or personalised care’ and ‘expectations of truth and certainty’. We discuss these ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5136818 Wed, 17 Aug 2011 14:48:23 +0100 5136818 http://www.medworm.com/index.php?rid=5136820&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01023.x This article aims to demonstrate the perceptions of patients with chronic renal disease in Hong Kong towards the new vaccine for influenza A (H1N1), as well as the main disincentives. Little is known about the views of chronically ill patients on the H1N1 vaccine and even less about the underlying factors that motivate its low acceptance by this group. To explore these issues, this study adopted a qualitative approach by conducting in‐depth, semi‐structured interviews with 40 chronic renal disease patients in Hong Kong from December 2009 to March 2010. The participants were selected by purposive sampling from a patient with renal disease self‐help alliance, which has over 4000 members with chronic renal diseases coming from nine public hospitals. Data were analysed using thematic con... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5136820 Mon, 15 Aug 2011 23:00:00 +0100 5136820 http://www.medworm.com/index.php?rid=5136819&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01024.x AbstractThere is an increasing demand for acute care services due in part to rising proportions of older people and increasing rates of chronic diseases. To reduce pressure and costs in the hospital system, community‐based post‐acute care discharge services for older people have evolved as one method of reducing length of stay in hospital and preventing readmissions. However, it is unclear whether they reduce overall episode cost or expenditure in the health system at a more general level. In this paper, we review the current evidence on the likely costs and benefits of these services and consider whether they are potentially cost‐effective from a health services perspective, using the Australian Transition Care Programme as a case study. Evaluations of community‐based post‐acute... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5136819 Mon, 15 Aug 2011 23:00:00 +0100 5136819 http://www.medworm.com/index.php?rid=5101798&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01022.x AbstractExtra care housing aims to meet the housing, care and support needs of older people, while helping them to maintain their independence in their own private accommodation. It has been viewed as a possible alternative, or even a replacement for residential care. In 2003, the Department of Health announced capital funding to support the development of extra care housing and made the receipt of funding conditional on participating in an evaluative study. This paper presents findings on the characteristics of the residents at the time of moving in, drawing on information collected from the 19 schemes in the evaluation, and a recent comparable study of residents who moved into care homes providing personal care. Overall, the people who moved into extra care were younger and much less phy... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5101798 Sun, 07 Aug 2011 02:59:25 +0100 5101798 http://www.medworm.com/index.php?rid=5101799&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01020.x This article primarily focuses on the qualitative data extracted from a large randomised controlled trial in New Zealand and is supported by some quantitative findings. The aim was to explore paid caregiver perceptions of a restorative home care intervention in comparison with usual home care. The purpose of the qualitative exploration was to gather rich descriptive data that highlight differences between the two services with an emphasis on the workforce viewpoint. Four focus groups were undertaken with paid caregivers, two at baseline (4 and 5 participants in the control and intervention groups, respectively) and two at 14 months (eight participants in each focus group). Focus group data were collected in December 2005 and February 2007. A general inductive approach was used to analyse... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5101799 Thu, 04 Aug 2011 23:00:00 +0100 5101799 http://www.medworm.com/index.php?rid=5075106&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01019.x AbstractA considerable proportion of Taiwanese people believe that Chinese medicine is superior for treating the cause of disease (curative therapy) whereas western medicine is mostly concerned with treating symptoms (symptomatic therapy). As a result, when illness arises, the combined use of both Chinese and western medicine is a common practice and referred to as pluralistic health‐seeking behaviour. The purpose of this cross‐sectional study was to explore the relationship between beliefs of superiority of western or Chinese medicine, utilisation of therapy and glycaemic control in patients with diabetes from outpatient departments. The study was conducted between 20 December 2005 and 20 January 2006. We approached 176 patients consecutively, and 151 (85.8%) completed the survey. Sev... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5075106 Fri, 29 Jul 2011 23:24:42 +0100 5075106 http://www.medworm.com/index.php?rid=5025788&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01014.x AbstractSelf‐care is an important approach to the management of long‐term health conditions and in preventing ill‐health by living a healthy lifestyle. The concept has been used to a limited extent in relation to mental health, but it overlaps with the related concepts of recovery, self‐management and self‐help. These related concepts all entail individuals having more choice and control over treatment and a greater role in recovery and maintaining their health and well‐being. This paper reviews qualitative empirical research that provides information on the nature of self‐care in mental health from the perspective of people experiencing mental health problems. Twenty qualitative studies were identified from a systematic search of the literature. The methods used in these stu... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5025788 Tue, 12 Jul 2011 23:00:00 +0100 5025788 http://www.medworm.com/index.php?rid=5046645&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01018.x AbstractAs a part of the national carers’ strategy, the Department of Health commissioned six pilot workshops spread across England for General Practitioners (GPs) and other primary healthcare workers. The six workshops were held during September and October 2009, arranged by the Royal College of General Practitioners and planned in consultation with the Princess Royal Trust for Carers. The workshops were delivered by one of two GPs and by a carer. The Department of Health commissioned an evaluation of the workshop programme. This paper reports on the attitudes towards and knowledge of carers by GPs and other primary care workers, such as community matrons, practice nurses, healthcare assistants, practice managers and receptionists. It also tracks changes over time from the questionnaire... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5046645 Thu, 30 Jun 2011 23:00:00 +0100 5046645 http://www.medworm.com/index.php?rid=5025787&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01017.x AbstractA higher risk of diabetes mellitus in South Asian and Black African populations combined with lower reported access and self‐management‐related health outcomes informed the aims of this study. Our aims were to synthesise and evaluate evidence relating to patient self‐management and access to healthcare services for ethnic minority groups living with diabetes. A comprehensive search strategy was developed capturing a full range of study types from 1995–2010, including relevant hand‐searched literature pre‐dating 1995. Systematic database searches of MEDLINE, Cochrane, DARE, HTA and NHSEED, the British Nursing Index, CAB abstracts, EMBASE, Global Health, Health Management Information Consortium and PsychInfo were conducted, yielding 21 288 abstracts. Following search st... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5025787 Thu, 30 Jun 2011 23:00:00 +0100 5025787 http://www.medworm.com/index.php?rid=5016083&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01015.x This study aimed to explore the reasons why older people with depression may not present to primary care. Secondary analysis was carried out, of qualitative data collected in two previous studies in North‐West England. Older people are reluctant to recognise and name ‘depression’ as a set of symptoms that legitimises attending their general practitioner (GP). They do not consider themselves candidates for help for their distress. This is partly due to perceptions of the role of the GP but also to previous negative experiences of help seeking. In addition, treatments offered, which are predominantly biomedical, may not be acceptable to older people. Interventions offered to older people need to encourage social engagement, such as befriending, and enhancement of creative, physical and... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5016083 Thu, 30 Jun 2011 23:00:00 +0100 5016083 http://www.medworm.com/index.php?rid=5004770&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01012.x AbstractSocioeconomic inequalities and lack of private health insurance have been viewed as significant contributors to health disparities in the United States. However, few studies have examined their impact on physical functioning over time, especially in later life. The current study investigated the impact of socioeconomic inequalities and lack of private health insurance on individuals’ growth trajectories in physical functioning, as measured by activities of daily living. Data from the Health and Retirement Study (1994–2006) were used for this study, 6519 black and white adults who provided in‐depth information about health, socioeconomic, financial and health insurance information were analysed. Latent growth curve modelling was used to estimate the initial level of physical f... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=5004770 Thu, 30 Jun 2011 23:00:00 +0100 5004770 http://www.medworm.com/index.php?rid=4990403&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01011.x AbstractThere is limited knowledge on the relationship between the living conditions of community‐dwelling older people and their quality of life (QOL) considered in all its specific domains. The purpose of this study was to determine (1) which dimensions of QOL were independently associated with living alone and (2) the independent correlates of these dimensions of QOL amongst older outpatients. We conducted a cross‐sectional survey of 239 community‐dwelling outpatients aged 65+ (mean age 81.5 years) consecutively referred to a geriatric medicine clinic in Italy between June and November 2009 (response rate 93%). Subjects underwent a comprehensive geriatric assessment including QOL, which was evaluated by using the Older People’s QOL questionnaire. In multivariate logistic regre... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4990403 Thu, 30 Jun 2011 23:00:00 +0100 4990403 http://www.medworm.com/index.php?rid=4990402&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01001.x AbstractHealth and social care systems experience difficulty in delivering the continuity of care that service users want. Lack of clarity about what continuity means hinders service organisation and delivery. The NIHR Service Delivery and Organisation programme funded a series of research projects to tackle this conceptual confusion, and subsequently commissioned a review of the projects’ outputs. The aim was to assess how the projects had progressed conceptualisation and measurement of continuity, and increased knowledge about what influenced it. This paper concentrates on two questions: what is continuity of care, and what influences it? We reviewed the projects’ outputs and extracted data using techniques adapted from systematic reviewing methods. We treated the outputs as ‘trans... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4990402 Thu, 30 Jun 2011 23:00:00 +0100 4990402 http://www.medworm.com/index.php?rid=4990401&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01013.x This study addresses the extent to which awareness of CSSs is structured by the social determinants of health. In a telephone interview conducted in February–March 2006, 1152 community‐dwelling older adults (response rate 12.4%) from Hamilton, Ontario, Canada were made to read a series of four vignettes and were asked whether they were able to identify a CSS they may turn to in that situation. Across the four vignettes, 40% of participants did name a CSS as a possible source of assistance. Logistic regression was used to determine factors related to awareness of CSSs. Respondents most likely to have awareness of CSS include the middle‐aged and higher‐income groups. Being knowledgeable about where to look for information about CSSs, having social support and being a member of a club... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4990401 Thu, 30 Jun 2011 23:00:00 +0100 4990401 http://www.medworm.com/index.php?rid=4909419&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01006.x AbstractPersonal assistance is a type of home care common to many countries even though entitlement and legislative framework may vary from country to country. At present, there exists no knowledge about the family members’ experiences of such assistance; therefore, the aim of this study was to investigate family members’ experiences of personal assistance given to a relative of working age with a functional disability. Twenty‐five family members who had a relative with a severe neurological disease in Sweden were interviewed about the significance of personal assistance, and the qualitative interviews were subjected to qualitative latent content analysis. The overall findings verify the close connection between the family members’ experiences and their perception of the quality of... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4909419 Tue, 07 Jun 2011 23:00:00 +0100 4909419 http://www.medworm.com/index.php?rid=4909418&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01009.x In conclusion, self‐medication was found to be an important and common health‐seeking behaviour driven by multiple factors. A sound and comprehensive public health system should systematically attend to these behaviours and the pharmacies, where much of the behaviour occurs. (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4909418 Tue, 07 Jun 2011 23:00:00 +0100 4909418 http://www.medworm.com/index.php?rid=4882228&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01008.x AbstractCurrent health policy in England regarding the management of childhood illness advocates for care to be delivered as close to home as possible. The aim of this article is to report findings from a qualitative component of a larger study evaluating models of care closer to home (CCTH) for children and young people who are ill. The focus is on parents’ psychosocial experience of receiving CCTH for their ill child. A qualitative case study design was used, with four Primary Care Trusts in England as the case study sites. In‐depth, semi‐structured interviews were conducted with 27 parents and one extended family caregiver of children using CCTH services within the case study sites. Interviews were conducted face‐to‐face and audio‐recorded with permission. Data were collecte... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4882228 Sun, 29 May 2011 23:00:00 +0100 4882228 http://www.medworm.com/index.php?rid=4882227&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01000.x AbstractCommunity capacity building (CCB) is held up as a benchmark for sustainable health promotion, reflecting the empowering discourse of the Ottawa Charter (WHO 1986). In light of concerns that this language may be that of the presiding bureaucratic elite rather than the realities of those working directly with communities (Laverack & Labonte 2000), we question whether CCB reflects the work of New Zealand health promoters. The aim of this study is to assess what CCB means to health promoters and how relevant it is to their work in New Zealand. Focus groups and interviews were carried out with 64 health promoters between January 2008 and March 2009. The results of this qualitative study indicated that, while the terminology of CCB is poorly established in New Zealand, the overwhelmi... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4882227 Sun, 29 May 2011 23:00:00 +0100 4882227 http://www.medworm.com/index.php?rid=4838223&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00999.x This article reviews the literature to find possible moderating variables which may buffer the effects of the social determinants of health at the local level, and allow social determinants to be addressed within the purview of local health departments. The systematic approach employed for this article entailed searches of electronic academic databases (PubMed, EBSCO and Medline) and additional searches using Internet search engines and relevant websites for articles published between 1975 and May 2010. The search revealed 2554 articles, and 36 were determined appropriate for inclusion. The purpose of the search was to identify published articles relating to social determinants of health, social capital and effective approaches for addressing both at the level of the local health departmen... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4838223 Wed, 18 May 2011 23:00:00 +0100 4838223 http://www.medworm.com/index.php?rid=4838225&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01005.x AbstractThis paper explores the daily experiences and occupational needs of family carers of people who were dying, with particular reference to their daily routines and ability to undertake other varied activities during the period of care. The impact of the caring experience on these occupations was then examined to determine how, and if, these occupational needs were addressed in the community using potential and available services. An exploratory approach using grounded theory was employed to examine these experiences. Participants were recruited from metropolitan (n = 10) and rural (n = 4) locations across Western Australia between February and June 2009, using a purposive sampling method. A semi‐structured interview guide was developed following consultation with the litera... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4838225 Mon, 16 May 2011 23:00:00 +0100 4838225 http://www.medworm.com/index.php?rid=4838224&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00996.x This study aimed to investigate healthcare‐seeking patterns among immigrants in Portugal and identify factors associated with utilisation of health services. A cross‐sectional study was conducted between October 2008 and May 2009 with a sample of 1375 immigrants residing in the Lisbon region. Data were collected through a structured questionnaire applied by trained interviewers. Two stepwise logistic regressions were conducted to identify which factors were associated with utilisation of the National Health Service (NHS) and with healthcare seeking for the first time in Portugal at the Primary Health Care service, estimated by calculating odds ratios and 95% confidence intervals. Among participants, around 77% reported having used the NHS; 50% sought health‐care for the first time at... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4838224 Mon, 16 May 2011 23:00:00 +0100 4838224 http://www.medworm.com/index.php?rid=4787199&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01002.x AbstractThe shortage of healthcare workers caring for South Africa’s 5–6 million persons living with HIV/AIDS (PLHA) calls for inquiry into workers’ challenges and experiences. This exploratory study examines one little‐studied challenge: stigmatisation of HIV/AIDS healthcare workers based on their association with PLHA. The authors tested the hypotheses that HIV/AIDS healthcare workers experience stigmatisation due to their association with PLHA, and that such association stigma is correlated with thoughts of leaving the HIV/AIDS field. A sample of 100 participants who provided direct care to PLHA was recruited from a variety of public and private HIV/AIDS care centres in Eastern Cape province, South Africa. Participants attended one of 12 focus groups held between June and August... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4787199 Tue, 03 May 2011 23:00:00 +0100 4787199 http://www.medworm.com/index.php?rid=4787198&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00998.x This article explores the role of organisational culture in barriers and facilitators to person‐centred dementia care. As part of a mixed‐methods study of respite care and short breaks for people with dementia and their carers, 49 telephone semi‐structured interviews, two focus groups (N = 16) and five face‐to‐face in‐depth interviews involving front‐line staff and operational and strategic managers were completed in 2006–2007. Qualitative thematic analysis of transcripts identified five themes on aspects of organisational culture that are perceived to influence person‐centred care: understandings of person‐centred care, attitudes to service development, service priorities, valuing staff and solution‐focused approaches. Views of person‐centred care expressed by ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4787198 Tue, 03 May 2011 23:00:00 +0100 4787198 http://www.medworm.com/index.php?rid=4909417&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01010.x AbstractHome‐care re‐ablement or ‘restorative’ services are a cornerstone of preventive service initiatives in many countries. Many English local authorities are transforming their former in‐house home‐care services to provide intensive, short‐term re‐ablement instead. The focus of this paper is on the organisation and content of re‐ablement services and the features of their organisation and delivery that have the potential to enhance or detract from their effectiveness. Qualitative data were collected from five sites with well‐established re‐ablement services. Data included semi‐structured interviews with senior service managers in each site; observation of 26 re‐ablement visits to service users across the five sites (four to six in each site) and a focus group ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4909417 Sat, 30 Apr 2011 23:00:00 +0100 4909417 http://www.medworm.com/index.php?rid=4882226&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00997.x AbstractNew contractual frameworks for community pharmacy are believed to have increased workload for pharmacists; too much work has been implicated in high profile cases of dispensing errors leading to patient harm, and concerns about pharmacists’ well‐being. A review was undertaken to ascertain whether community pharmacists’ workload has increased and whether links between workload and patient safety and pharmacists’ well‐being have been established. We searched Scopus; EMBASE; MEDLINE; PubMed; CINAHL; PsychINFO; ASSIA; E‐pic, and International Pharmaceutical Abstracts for research published between 1989 and 2010 containing data on UK community pharmacy workload, and on its consequences when workload was found to be a determinant of either patient or pharmacist outcomes. Rese... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4882226 Sat, 30 Apr 2011 23:00:00 +0100 4882226 http://www.medworm.com/index.php?rid=4846577&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01004.x This study explored breast cancer and screening information needs and preferred methods of communication among Iranian immigrant women. A convenience sample of 50 women was recruited and interviewed over a 4‐month period (June–September 2008); all resided in Toronto Canada, and had no history of breast cancer. Tape‐recorded interviews were transcribed and analysed using a thematic analysis technique. While generic breast health communication focusing on physiological risk information meets some of the needs of Iranian immigrant women, results showed that the needs of this group go beyond this basic information. This group is influenced by historical, sociopolitical, and cultural experiences pre‐ and post‐immigration. Their experiences with chemical war, unsafe physical environmen... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4846577 Sat, 30 Apr 2011 23:00:00 +0100 4846577 http://www.medworm.com/index.php?rid=4838222&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01007.x AbstractGiven an Australian national and state policy agenda that continues to promote collaborative work, many community organisations are attempting to engage in partnerships with mixed results. This paper reports on a qualitative study conducted to explore the experiences of existing partnerships between organisations and small community groups who deliver community based support services to older people from culturally diverse backgrounds. In particular, this study sought to identify the key factors that facilitate and hinder the formation, maintenance and effectiveness of partnerships within the ethnic and multicultural community aged care (EMCAC) sector. Fourteen participants representing nine community and health service organisations located in the Melbourne metropolitan area took ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4838222 Sat, 30 Apr 2011 23:00:00 +0100 4838222 http://www.medworm.com/index.php?rid=4787197&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.01003.x This study utilised an action research strategy to involve stakeholders in developing and extending breastfeeding promotion and support within three Children’s Centres in Bristol. A total of 10 focus groups were conducted with Children’s Centre staff and local parents between July 2008 and May 2009. Stakeholders’ views were explored on current breastfeeding promotion and how Children’s Centres could better support breastfeeding to meet local needs. Barriers to breastfeeding promotion were identified as latent hostility in the local community towards breastfeeding, and lack of knowledge about infant feeding among staff. Following implementation of the proposed changes, staff, parents and researchers shared their views on what had been achieved and on possible future initiatives. Whi... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4787197 Sat, 30 Apr 2011 23:00:00 +0100 4787197 http://www.medworm.com/index.php?rid=4675300&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00995_2.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4675300 Tue, 05 Apr 2011 03:30:21 +0100 4675300 http://www.medworm.com/index.php?rid=4675299&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00995_1.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4675299 Tue, 05 Apr 2011 03:30:20 +0100 4675299 http://www.medworm.com/index.php?rid=4675296&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00994.x In this study, a random sample of 10 000 members of National Seniors Australia, stratified by age and state of residence, were surveyed by post between August and September 2009 and asked about their chronic illnesses along with their age at diagnosis. In addition, participants were asked about their need for assistance with everyday household tasks and personal care. Responses were received from 4574 respondents, a response rate of 45.7%. Of those responding, 82.2% reported having at least one chronic illness at the time of the survey. The study confirms that ill health leads to earlier retirement from the workforce, and those who are sickest require more assistance with their household tasks and personal care. Each additional chronic illness present at age 50 reduced working life by a ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4675296 Tue, 05 Apr 2011 03:29:56 +0100 4675296 http://www.medworm.com/index.php?rid=4599323&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00990.x This study aimed to fill that gap using a qualitative methodology to explore the experiences of treatment workers from their perspective. A purposive sample of four Drugs Action Teams or Drug and Alcohol Teams was selected and, in total, 32 front line treatment workers were interviewed across a range of services. Participants indicated that the influences on treatment delivery occurred at three levels. The first level was structural impacts. These included the degree to which services were resourced, the role of targets and a competitive tendering environment, and challenges to partnership working between criminal justice services and community‐based services. At the second level, participants identified the influence of the local organisation of services, in particular, the importance o... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4599323 Wed, 16 Mar 2011 00:00:00 +0100 4599323 http://www.medworm.com/index.php?rid=4599322&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00992.x AbstractThis paper explores the effects of kin, social network and the neighbourhood on an individual’s well‐being. The material is drawn from a community‐based qualitative study that explored the attitudes and experiences of African‐Caribbean adolescents and their families in the north of England towards healthy lifestyles. A convenience sample of 10 African‐Caribbean households units comprising 24 adolescents (12–18 years of age) and 18 adults (22–60 years of age) participated in the study with interviews conducted in their homes. The paper focuses on the adult participants’ perception of the role of social support networks and neighbourhood effects on well‐being. An in‐depth interview schedule was used to explore participants’ perceptions on barriers to health ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4599322 Wed, 16 Mar 2011 00:00:00 +0100 4599322 http://www.medworm.com/index.php?rid=4599321&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00993.x AbstractApproximately 1500 young immigrant women living in Sweden sought help from various public organisations during 2004 due to problems related to Protection of Family Honour (PFH). Often they seek help from school nurses and counsellors. Information on how the school nurses and counsellors manage this complex PFH phenomenon is limited in Sweden. The aim was to generate a theoretical model that illuminates the experiences of school counsellors and school nurses counselling teenage girls, who worry about problems related to protection of family honour. Data were collected through individual interviews of the school welfare staff. The study subjects included welfare staff from six upper‐secondary schools consisting of four nurses and six counsellors. Grounded theory methods were used t... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4599321 Tue, 01 Mar 2011 00:00:00 +0100 4599321 http://www.medworm.com/index.php?rid=4543916&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00991.x This study used a mixed methodology with young offenders attending a Youth Offending Service to identify, with regard to mental health problems, perceptions of level of need, experiences of and views on support and perceptions of barriers in accessing services. Between May and September 2008, 44 young offenders completed a questionnaire about their self‐reported levels of mental health need, and their behaviour, preferences and evaluation regarding different sources of support and advice for mental health issues. Six young people were interviewed about their experiences and these data were analysed using thematic analysis. Findings showed that these vulnerable young people had a high level of mental health need, and were most likely to seek support from people with whom they had a confid... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4543916 Tue, 01 Mar 2011 00:00:00 +0100 4543916 http://www.medworm.com/index.php?rid=4516147&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00989.x This article reports on empirical data examining the potential of refugee communities to work in social care in England. The analysis is based primarily on 20 interviews with refugees and asylum seekers and five representatives of refugee support groups, conducted in 2008–2009. The findings of this sub‐study are set within results obtained from other interviews as part of a multi‐methods study examining the contribution of migrants to the English care sector. In‐depth interviews were analysed thematically, guided by a theoretical framework linking employment, migration and the nature of care work. The findings highlight a general willingness of refugee participants to join the care workforce. Individual and structural barriers to increased employability were identified, as well as ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4516147 Thu, 24 Feb 2011 23:34:09 +0100 4516147 http://www.medworm.com/index.php?rid=4516148&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2011.00988.x This study, carried out between September 2007 and April 2008, was the first UK national survey of social care initiatives based in EDs and aimed to determine the objectives, organisation, extent, functions, funding and evidence on outcomes of such interventions. Eighty‐three per cent of UK Type I and II EDs responded to the survey. Approximately, one‐third of EDs had embedded social care teams, with two‐thirds relying on referrals to external social care services. These teams varied in their focus, size and composition, leadership, availability, funding and permanence. As a result, the unintended effect has been to increase inequities in access to social care services through EDs. Three further conclusions are drawn about policy led, locally‐based service development. This survey ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4516148 Thu, 24 Feb 2011 00:00:00 +0100 4516148 http://www.medworm.com/index.php?rid=4488084&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00984.x AbstractThe aim of the study was to identify the time experiences of older patients and general practitioners (GPs). Secondary analysis of qualitative data collected from two longitudinal studies, one in the United Kingdom (UK) and the other in New Zealand (NZ), was carried out. The UK study involved interviews with 44 older people with heart failure and nine focus group discussions with primary health professionals during 2004–2005. The NZ study involved 79 interviews with 25 older people with heart failure and 30 telephone interviews with GPs during 2008–2009. Temporal reference frameworks function as background expectations and influence how patients and GPs experienced time and act as time controls. The key themes identified were: clock time was evident in how it structured the con... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4488084 Thu, 17 Feb 2011 23:44:04 +0100 4488084 http://www.medworm.com/index.php?rid=4488085&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00986.x AbstractAfrican Caribbean women are under‐represented within mental health services in the United Kingdom, despite sociocontextual vulnerabilities which may increase emotional distress. This qualitative study aimed to explore individual explanatory models of experiences of distress, coping and help‐seeking choices, with a view to improving cultural relevance of services. Participants were recruited following their self‐referral to self‐help community wellbeing workshops. Interpretative phenomenological analysis was carried out following semi‐structured interviews with seven African Caribbean women in central London, who reported previously experiencing emotional distress. The study was conducted during 2009. Five super‐ordinate themes emerged from the data: explanations of dist... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4488085 Mon, 14 Feb 2011 00:00:00 +0100 4488085 http://www.medworm.com/index.php?rid=4417986&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00981.x AbstractDiabetes is a common metabolic disorder with increasing burden in Thailand. The chronic nature along with associated complications makes the disease very costly. In Thailand, there exist some studies on cost of diabetes; however, those studies estimated the cost either from provider or from patient perspective. In order to capture the complete picture of economic burden caused by diabetes, using prevalence‐based approach; the present study estimated the cost of illness of diabetes from societal perspective, the broadest viewpoint covering all costs irrespective of who incur them. Data were collected from 475 randomly selected diabetic patients who received treatment from Waritchaphum hospital in Sakhon Nakhon province of Thailand during 2007–2008 with a response rate of 98%. A ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4417986 Sat, 29 Jan 2011 00:00:00 +0100 4417986 http://www.medworm.com/index.php?rid=4417985&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00983.x AbstractResearch within the disciplines of Social Work and Education has for sometime acknowledged the tragedy, trauma, conflict and misery that can be experienced by workers in their associated professions. More recently, there has been an aligned interest in the role of passion, emotion and energy in sustaining these professionals through such experiences. This paper contributes to the growing literature in this area by reporting on a study conducted with five social workers and six teachers who work in Australian lower socioeconomic, urban‐fringe and communities. It also engages the concept of the ‘personal domain’ to explore how these social workers and teachers cannot only survive, but can actually thrive in demanding work contexts. The methodology adopted for the study was an a... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4417985 Sat, 29 Jan 2011 00:00:00 +0100 4417985 http://www.medworm.com/index.php?rid=4427963&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00987.x AbstractThere is an increasing interest in the use of stories in healthcare practice and education. However, there are few stories from young people concerning health and little is known about their views on sharing such stories on the Internet. The aim of this study was to explore young people’s perspectives in this area. A qualitative method was used and a project website was purposely built to facilitate data collection. An online focus group with 13 young people was carried out in an asynchronous format. Participants valued highly the therapeutic effect of storytelling and the use of digital stories to share feelings and experiences with a wide range of audiences, suggesting that well‐produced stories could be a useful learning resource. A number of concerns were also raised, inclu... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4427963 Sat, 01 Jan 2011 00:00:00 +0100 4427963 http://www.medworm.com/index.php?rid=4417984&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00985.x This study looks at the delivery of the Family–Nurse Partnership (FNP) in England with interpreters. This home‐visiting programme for vulnerable, young first‐time mothers is known in the USA as the Nurse–Family Partnership (NFP). FNP is manualised with a number of fidelity targets and stretch objectives. This study covers the first two phases, pregnancy and infancy (up to 12 months). The programme relies on the development of a close nurse–client relationship. Interpreters can be a barrier for therapeutic work with vulnerable groups. The aims are to determine from quantitative and qualitative data whether the FNP programme can be delivered with fidelity in the presence of an interpreter and to explore issues concerned with the impact of interpreters on relationships. Statistica... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4417984 Sat, 01 Jan 2011 00:00:00 +0100 4417984 http://www.medworm.com/index.php?rid=4348632&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00980.x The objective of this study was to establish whether people of black ethnic origin had equal access to home treatment in a mental health crisis. Using a case–control design, we selected a random sample of 240 inpatient episodes and compared them with a sample of 77 home treatment episodes over a 12‐month period (1 April 2008–31 March 2009). We found no difference in the proportion of people of black ethnic origin being home treated in comparison to receiving an inpatient admission, although they experienced longer hospital admissions than people of other ethnic origin. Diagnosis, housing status and source of referral were found to be significant in influencing the choice of intervention in our multivariate analysis. People of black ethnic origin were found to use home treatment to th... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4348632 Sat, 01 Jan 2011 00:00:00 +0100 4348632 http://www.medworm.com/index.php?rid=4341807&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00982.x The objective of this qualitative study was to explore the perceptions and experiences of problem recognition, and the process of obtaining a diagnosis among individuals with early‐stage dementia and their primary carers. From 2006–2009, six Anglo‐Canadians with dementia and seven of their carers were recruited from the Alzheimer’s Society of Calgary to participate in semi‐structured interviews. Using an inductive, thematic approach to the analysis, five major themes were identified: becoming aware of memory problems, attributing meanings to symptoms, initiating help‐seeking, acknowledging the severity of cognitive changes and finally obtaining a definitive diagnosis. Individuals with dementia reported noticing memory difficulties earlier than their carers. However, initial sym... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4341807 Sat, 01 Jan 2011 00:00:00 +0100 4341807 http://www.medworm.com/index.php?rid=4317245&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00972.x AbstractCulturally and linguistically diverse (CALD) communities in Australia experience both significant health disparities and a lack of access to services. Consequently, there have been calls for culturally appropriate services for people with chronic disease in CALD populations. This paper presents a systematic review of the literature on the effectiveness of culturally appropriate interventions to manage or prevent chronic disease in CALD communities. Evidence was sought from randomized controlled trials and controlled studies that examined strategies for promoting cultural competence in health service delivery to CALD communities. The outcomes examined included changes in consumer health behaviours, utilisation/satisfaction with the service, and the cultural competence of health‐ca... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4317245 Sat, 01 Jan 2011 00:00:00 +0100 4317245 http://www.medworm.com/index.php?rid=4280220&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00977.x AbstractThere are widespread assumptions about the potential impacts of short breaks on family carers and disabled children. This review aims to evaluate the existing international research evidence concerning the impacts of short breaks on families with a disabled child. Electronic literature searches were conducted using ASSIA, PsycInfo, CINAHL, and Web of Science, and requests for information were sent to selected email lists. Of 60 articles or reports identified for inclusion in the review, the vast majority of studies were cross‐sectional, with only eight studies using quasi‐experimental pre‐post designs or longitudinal designs. Nonetheless, the consistency with which some findings have been reported suggests that short breaks appear to have the potential to positively impact on... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4280220 Thu, 23 Dec 2010 00:32:53 +0100 4280220 http://www.medworm.com/index.php?rid=4263112&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00979.x AbstractThis paper explores how disabled adults and older people find and use information to help make choices about services. It presents findings from a qualitative longitudinal study in England. Thirty participants had support needs that fluctuated, meaning that additional services might be needed on a temporary basis; and 20 had the sudden onset of support needs resulting from an accident or rapid deterioration in health. Each disabled adult or older person was interviewed three times between 2007 and 2009, using a semi‐structured topic guide. They were asked to discuss a recent choice about services, focussing, amongst other things, on their use of information. Interviews were transcribed and coded, then charted according to emergent themes. A wide range of choices and sources of in... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4263112 Thu, 16 Dec 2010 13:54:13 +0100 4263112 http://www.medworm.com/index.php?rid=4263113&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00975.x AbstractSelf‐care has the potential to make a significant contribution to vascular conditions, but engagement with self‐care support has been limited. Lack of relevant information is highlighted by patients and policy‐makers as an important barrier to effective self‐care, and information provides a potentially efficient platform for changing behaviour. However, work within the social sciences has generally seen information as a necessary but insufficient driver of health behaviours. Furthermore, some groups (such as the socially disadvantaged) are expected to be less amenable to information interventions. We conducted an integrated conceptual and empirical review on information‐based interventions for people with vascular disease (diabetes, heart disease and kidney disease). We r... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4263113 Wed, 15 Dec 2010 00:00:00 +0100 4263113 http://www.medworm.com/index.php?rid=4252333&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00978.x In conclusion, different views exist on what makes a team effective in youth care. These views correspond with the different types of teams active in youth care as well as in other social care settings. (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4252333 Mon, 13 Dec 2010 10:08:25 +0100 4252333 http://www.medworm.com/index.php?rid=4248089&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00974_7.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248089 Sat, 11 Dec 2010 00:18:01 +0100 4248089 http://www.medworm.com/index.php?rid=4248088&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00974_6.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248088 Sat, 11 Dec 2010 00:18:00 +0100 4248088 http://www.medworm.com/index.php?rid=4248087&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00974_5.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248087 Sat, 11 Dec 2010 00:18:00 +0100 4248087 http://www.medworm.com/index.php?rid=4248086&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00974_4.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248086 Sat, 11 Dec 2010 00:17:59 +0100 4248086 http://www.medworm.com/index.php?rid=4248085&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00974_3.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248085 Sat, 11 Dec 2010 00:17:59 +0100 4248085 http://www.medworm.com/index.php?rid=4248084&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00974_2.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248084 Sat, 11 Dec 2010 00:17:58 +0100 4248084 http://www.medworm.com/index.php?rid=4248083&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00974_1.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248083 Sat, 11 Dec 2010 00:17:58 +0100 4248083 http://www.medworm.com/index.php?rid=4248082&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00969.x AbstractMany European mental health systems are undergoing change as community‐centred care replaces large‐scale institutions. We review empirical evidence from three countries (UK, Germany, Italy) that have made good progress with this rebalancing of care. We focus particularly on the economic consequences of deinstitutionalisation. A systematic literature review was conducted using a broad search strategy in accordance with established guidelines. We searched the International Bibliography of the Social Sciences, Health Management Information Consortium, British Nursing Index and PUBMED/Medline to 2008. The on‐line search was supplemented by advice and assistance from contacts with government departments, European Commission, professional networks and known local experts. Community... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4248082 Sat, 11 Dec 2010 00:17:46 +0100 4248082 http://www.medworm.com/index.php?rid=4244152&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00968.x AbstractFrom December 2005 through August 2008, we provided community‐based accompaniment with supervised antiretroviral therapy (CASA) to impoverished individuals starting highly active antiretroviral therapy. Adherence support was provided for 18 months by a community‐based team comprised of several nurses and two types of community health workers: field supervisors and directly observed therapy (DOT) volunteers. To complement our quantitative data collection in 2008 using purposive sampling, we conducted two gender‐mixed focus group discussions with 13 CASA patient participants and 13 DOT volunteers from Lima, Peru to identify the mediating mechanisms by which CASA improved well‐being, and to understand the benefits of the intervention, as perceived by these individuals. Using... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4244152 Wed, 08 Dec 2010 00:00:00 +0100 4244152 http://www.medworm.com/index.php?rid=4240713&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00973.x This study explored stress in relation to smoking and how non‐smokers (never‐smoked and ex‐smokers) are ‘resilient’ to smoking in a population where there is a high prevalence of smoking (people diagnosed with depression). In‐depth oral history interviews were conducted with 34 adult participants from metropolitan Adelaide, and who were medically diagnosed with depression. Participants were recruited according to their smoking status (currently smoking, ex‐smoker, and never‐smoked). Smoking was taken‐up and maintained for a number of reasons that included perceived high levels of stress. Resilience to stress in relation to smoking was also a major theme. Non‐smoking participants tended to be more resilient to stress. Ex‐smokers were able to quit for a number of varied... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4240713 Wed, 08 Dec 2010 00:00:00 +0100 4240713 http://www.medworm.com/index.php?rid=4240714&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00970.x We described the knowledge and attitudes regarding tobacco control and smoking cessation among these affiliates in Hong Kong and identified factors associated with the practices of cessation interventions. Eight of 14 women’s organisations joining the Women Against Tobacco Taskforce agreed to participate. All staff, volunteers, and members of the eight organisations were invited to complete a self‐administered anonymous questionnaire during July and August 2006. A total of 623 out of 771 (80.8%) affiliates responded. Their knowledge on smoking and health (mean = 3.91, SD = 1.44 on a range of 0–7), smoking related diseases (mean = 2.91, SD = 0.97 on a range of 0–4), and women‐specific diseases (mean = 2.93, SD = 1.87 on a range of 0–6), was considered to ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4240714 Sun, 05 Dec 2010 00:00:00 +0100 4240714 http://www.medworm.com/index.php?rid=4244151&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00971.x AbstractHealthcare systems have a vested interest in employing work‐ready graduates. The challenge for universities is to find ways to provide workplace learning that incorporates student education and high quality patient care. Inland areas of Australia, similar to other rural locations globally, experience additional challenges including a relatively high incidence of ill health, increasing demand for health services, chronic workforce shortages and ageing of the existing rural health workforce. In this paper, we conceptualise and describe the research findings related to context from a consultative enquiry into university clinics conducted in 2008. Interview participants were drawn from twenty university clinics in Australia and New Zealand. A consistent theme throughout the interview... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4244151 Mon, 01 Nov 2010 00:00:00 +0100 4244151 http://www.medworm.com/index.php?rid=4240712&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00976.x AbstractCommunity engagement is central to strategies to promote health and well‐being and reduce health inequalities in many countries, particularly interventions which focus on improving health in disadvantaged populations. Despite the widespread use of community engagement approaches, however, there have been relatively few attempts to review the evidence on the impact that participation has on the lives of individuals involved. Drawing on a wider review of evidence carried out on behalf of the National Institute for Health and Clinical Excellence (NICE), this article reports on a rapid review of evidence of the effectiveness of initiatives which seek to engage communities in action to address the wider social determinants of health, to explore individuals’ subjective experiences of... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4240712 Mon, 01 Nov 2010 00:00:00 +0100 4240712 http://www.medworm.com/index.php?rid=4211897&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00967.x In conclusion, the findings present in‐depth qualitative evidence of the impact of telephone befriending on older people’s well‐being. Befriending schemes provide low‐cost means for socially isolated older people to become more confident and independent and develop a sense of self‐respect potentially leading to increased participation and meaningful relationships. (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4211897 Mon, 01 Nov 2010 00:00:00 +0100 4211897 http://www.medworm.com/index.php?rid=4103989&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00961.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4103989 Tue, 26 Oct 2010 09:02:56 +0100 4103989 http://www.medworm.com/index.php?rid=4058992&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00964.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4058992 Tue, 12 Oct 2010 23:23:49 +0100 4058992 http://www.medworm.com/index.php?rid=4034945&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00965.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4034945 Wed, 06 Oct 2010 20:26:06 +0100 4034945 http://www.medworm.com/index.php?rid=4034944&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00966.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4034944 Wed, 06 Oct 2010 20:26:05 +0100 4034944 http://www.medworm.com/index.php?rid=4034943&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00960.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4034943 Wed, 06 Oct 2010 20:26:00 +0100 4034943 http://www.medworm.com/index.php?rid=4058993&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00963.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4058993 Thu, 30 Sep 2010 23:00:00 +0100 4058993 http://www.medworm.com/index.php?rid=4058994&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00956.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4058994 Tue, 31 Aug 2010 23:00:00 +0100 4058994 http://www.medworm.com/index.php?rid=4010352&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00955.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010352 Tue, 31 Aug 2010 23:00:00 +0100 4010352 http://www.medworm.com/index.php?rid=4010351&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00957.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010351 Tue, 31 Aug 2010 23:00:00 +0100 4010351 http://www.medworm.com/index.php?rid=4010350&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00959.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010350 Tue, 31 Aug 2010 23:00:00 +0100 4010350 http://www.medworm.com/index.php?rid=4010349&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00947.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010349 Tue, 31 Aug 2010 23:00:00 +0100 4010349 http://www.medworm.com/index.php?rid=4010348&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00953.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010348 Tue, 31 Aug 2010 23:00:00 +0100 4010348 http://www.medworm.com/index.php?rid=4010347&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00954.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010347 Tue, 31 Aug 2010 23:00:00 +0100 4010347 http://www.medworm.com/index.php?rid=4010346&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00956.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010346 Tue, 31 Aug 2010 23:00:00 +0100 4010346 http://www.medworm.com/index.php?rid=4010345&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00958.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=4010345 Tue, 31 Aug 2010 23:00:00 +0100 4010345 http://www.medworm.com/index.php?rid=3972008&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00948.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3972008 Tue, 31 Aug 2010 23:00:00 +0100 3972008 http://www.medworm.com/index.php?rid=3945103&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00942.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3945103 Tue, 31 Aug 2010 23:00:00 +0100 3945103 http://www.medworm.com/index.php?rid=3945102&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00944.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3945102 Tue, 31 Aug 2010 23:00:00 +0100 3945102 http://www.medworm.com/index.php?rid=3945101&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00946.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3945101 Tue, 31 Aug 2010 23:00:00 +0100 3945101 http://www.medworm.com/index.php?rid=3945100&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00949.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3945100 Tue, 31 Aug 2010 23:00:00 +0100 3945100 http://www.medworm.com/index.php?rid=3945099&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00950.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3945099 Tue, 31 Aug 2010 23:00:00 +0100 3945099 http://www.medworm.com/index.php?rid=3945098&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00951.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3945098 Tue, 31 Aug 2010 23:00:00 +0100 3945098 http://www.medworm.com/index.php?rid=3945097&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00952.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3945097 Tue, 31 Aug 2010 23:00:00 +0100 3945097 http://www.medworm.com/index.php?rid=3864348&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_14.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864348 Sat, 14 Aug 2010 08:07:31 +0100 3864348 http://www.medworm.com/index.php?rid=3864347&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_13.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864347 Sat, 14 Aug 2010 08:07:30 +0100 3864347 http://www.medworm.com/index.php?rid=3864346&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_12.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864346 Sat, 14 Aug 2010 08:07:30 +0100 3864346 http://www.medworm.com/index.php?rid=3864345&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_11.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864345 Sat, 14 Aug 2010 08:07:30 +0100 3864345 http://www.medworm.com/index.php?rid=3864344&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_10.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864344 Sat, 14 Aug 2010 08:07:29 +0100 3864344 http://www.medworm.com/index.php?rid=3864343&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_9.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864343 Sat, 14 Aug 2010 08:07:29 +0100 3864343 http://www.medworm.com/index.php?rid=3864342&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_8.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864342 Sat, 14 Aug 2010 08:07:29 +0100 3864342 http://www.medworm.com/index.php?rid=3864341&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_7.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864341 Sat, 14 Aug 2010 08:07:28 +0100 3864341 http://www.medworm.com/index.php?rid=3864340&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_6.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864340 Sat, 14 Aug 2010 08:07:28 +0100 3864340 http://www.medworm.com/index.php?rid=3864339&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_5.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864339 Sat, 14 Aug 2010 08:07:27 +0100 3864339 http://www.medworm.com/index.php?rid=3864338&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_4.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864338 Sat, 14 Aug 2010 08:07:27 +0100 3864338 http://www.medworm.com/index.php?rid=3864337&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_3.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864337 Sat, 14 Aug 2010 08:07:27 +0100 3864337 http://www.medworm.com/index.php?rid=3864336&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_2.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864336 Sat, 14 Aug 2010 08:07:26 +0100 3864336 http://www.medworm.com/index.php?rid=3864335&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00945_1.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3864335 Sat, 14 Aug 2010 08:07:26 +0100 3864335 http://www.medworm.com/index.php?rid=3840897&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00922.x Abstract (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3840897 Mon, 09 Aug 2010 12:27:31 +0100 3840897 http://www.medworm.com/index.php?rid=3840889&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00927.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3840889 Mon, 09 Aug 2010 12:27:24 +0100 3840889 http://www.medworm.com/index.php?rid=3771023&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00943.x Routine screening of women for intimate partner violence (IPV) has been introduced in many health settings to improve identification and responsiveness to hidden abuse. This cross-sectional study aimed to understand more about how women use screening programmes to disclose and access information and services. It follows women screened in ten Australian health care settings, covering antenatal, drug and alcohol and mental health services. Two samples of women were surveyed between March 2007 and July 2008; those who reported abuse during screening 6 months previously (122) and those who did not report abuse at that time (241). Twenty-three per cent (27/120) of women who reported abuse on screening were revealing this for the first time to any other person. Of those who screened negative, 14... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3771023 Tue, 20 Jul 2010 23:00:00 +0100 3771023 http://www.medworm.com/index.php?rid=3766499&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00941.x Since 1998 all municipalities in Denmark have been required by law to offer two annual preventive home visits to all home-dwelling citizens aged 75 or over. The influence of invitational procedures on acceptance rates has not been investigated. The aim of this study was to describe and investigate whether different invitational procedures were associated with first preventive home visit acceptance rates. The study was based on secondary analyses of data from the Danish Intervention Study on Preventive Home Visits. Data were collected from 1998 to 2002. Of the 4060 participants in the main study, 3245 reported receiving an offer for an identifiable preventive home visit, of whom 2399 (73.9%) provided complete data for the main analyses in the present study. Invitational procedures were cate... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3766499 Mon, 19 Jul 2010 23:00:00 +0100 3766499 http://www.medworm.com/index.php?rid=3766500&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00940.x Within the UK, there is growing recognition that individuals will need to take increased responsibility for managing their own health for there to be improvements in population health. The current evidence base on self care interventions reflects an interest in enhancing self care knowledge, skills and behaviour in relation to the management of long-term conditions. In contrast, this paper reports on a community-based self care initiative that was designed to promote self care approaches in the general population. The principal component was a self care skills training course delivered to groups of lay people in community and workplace settings. Self Care for People was piloted in three primary care trusts and a process evaluation was undertaken. The aim of this paper is to examine the fea... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3766500 Sun, 18 Jul 2010 23:00:00 +0100 3766500 http://www.medworm.com/index.php?rid=3840891&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00941.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3840891 Wed, 30 Jun 2010 23:00:00 +0100 3840891 http://www.medworm.com/index.php?rid=3840890&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00940.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3840890 Wed, 30 Jun 2010 23:00:00 +0100 3840890 http://www.medworm.com/index.php?rid=3689892&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00939.x The issue of self-care is becoming increasingly central to both policy and practice in health and social care in the community. It is imperative therefore that research in this important area is drawn together and presented coherently so as to ensure that change can be informed by evidence and implemented sensitively. As cystic fibrosis (CF) has until recently been regarded as a paediatric condition, there is relatively little research that focuses on the self-care of adults. Although not entirely uncritical of traditional biomedicine, these studies focus on individual patient deficits and are directed primarily at facilitating their 'compliance'. After discussing some important methodological, evidential and theoretical limitations of this research, other recent CF literature will be cons... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3689892 Wed, 23 Jun 2010 23:00:00 +0100 3689892 http://www.medworm.com/index.php?rid=3689894&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00925.x Previous research investigating the risks of female street sex work has tended to focus on the most tangible risks to physical health and safety. This is reflected in the provision of support services for sex workers, where these aspects are prioritised. There is little research focusing solely on the psychological risks of sex work. This qualitative study aimed to explore the perceived psychological impact of street sex work and factors that affected support seeking. Interviews were carried out with a sample of UK female street sex workers (n = 7) who attended a drop-in clinic and health professionals (n = 5) who provided input to the drop-in service. The analytic process, which drew from an interpretative phenomenological approach, revealed four main themes that work together to describe... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3689894 Tue, 22 Jun 2010 23:00:00 +0100 3689894 http://www.medworm.com/index.php?rid=3689893&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00937.x Recognising their valuable role as key informants, this study examines the perspectives of front-line palliative care providers (FLPCP) regarding a social benefit programme in Canada designed to support family caregivers at end-of-life, namely the Compassionate Care Benefit (CCB). The CCB's purpose is to provide income assistance and job security to family caregivers who take temporary leave from employment to care for a dying family member. Contributing to an evaluative study that aims to provide policy-relevant recommendations about the CCB, this analysis draws on semi-structured interviews undertaken in 2007/2008 with FLPCPs (n = 50) from across Canada. Although participants were not explicitly asked during interviews about their expectations of the CCB, thematic content analysis reveal... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3689893 Tue, 22 Jun 2010 23:00:00 +0100 3689893 http://www.medworm.com/index.php?rid=3675460&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00935.x Despite the love that exists between children with disabilities and their parents and the positive contribution that children with a disability make to families and communities, caring for a child with a disability can be difficult and demanding for parents, carers and the family. Their interaction with the many and varied health professionals they encounter can serve to either ameliorate or exacerbate these difficulties. In this paper we report on a qualitative needs analysis undertaken as part of a project to develop disability awareness resources for generic health professionals (GHP). Data were collected through focus groups (n = 5) and individual interviews (n = 7) with 34 parents/carers and was analysed using a process of thematic analysis. 'Partnership' was identified as the overarc... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3675460 Fri, 18 Jun 2010 23:00:00 +0100 3675460 http://www.medworm.com/index.php?rid=3675462&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00931.x The purpose of this study was to explore how persons with severe mental illness (SMI) experience oral health problems (especially dry mouth), and weigh the support they received in this regard from professionals and staff at community-based congregate housing through a controlled intervention programme. Oral health problems and dry mouth are found in association with apathy and indifference, cognitive deficits, and long-term medication with psycho-pharmacological drugs. The present study describes the results from one part of a longitudinal intervention programme, which sought effective ways of mitigating dry mouth through increased support with oral health problems. This part consists of 67 informal interviews with ten participants in two community-based urban housing projects between Nov... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3675462 Thu, 17 Jun 2010 23:00:00 +0100 3675462 http://www.medworm.com/index.php?rid=3675461&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00934.x The study compares the characteristics of children assessed as neglected, physically abused, or accident victims by a hospital child protection team (CPT) and identifies the information on which the CPT based its assessments. The comparison is based on content analysis of records of 414 children examined by the CPT in a major hospital in Israel between 1991 and 2006, of whom 130 (31.4%) were neglected, 54 (13.0%) were physically abused, and 230 (55.6%) were accident victims. Findings of three hierarchical logistic regressions show that the children classified as neglected had the most early development problems, but were the least likely to have received psychological treatment, and that that their families were the most likely to be receiving state financial support and to have had prior ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3675461 Thu, 17 Jun 2010 23:00:00 +0100 3675461 http://www.medworm.com/index.php?rid=3670190&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00933.x In this study, we gathered both quantitative and spatial [ndash] or geographical [ndash] data to develop a composite picture that captures the extent, composition and depth of palliative care in the Canadian province of British Columbia (BC). The province is intensely urban in the southwest and is rural or remote in most of the remainder. For this study, we conducted a detailed telephone survey of all palliative care home care teams and facilities hosting designated beds in BC. We used geographic information systems to geocode locations of all hospice and hospital facilities. In-home care data was obtained individually from each of five BC regional health authorities. In addition, we purchased accurate road travel time data to determine service areas around palliative facilities and to det... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3670190 Thu, 17 Jun 2010 23:00:00 +0100 3670190 http://www.medworm.com/index.php?rid=3670196&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00928.x This paper discusses whether current UK social policy promotes the human rights of people with dementia living in England. The author focuses on the role of recent legal reforms and key developments in social care policy [ndash] notably the Mental Capacity Act 2005 and the 2009 National Dementia Strategy [ndash] in facilitating their human rights to liberty and self-determination, particularly a right to choose to live at home. The extent to which the National Dementia Strategy provides access to services and support which provide an alternative to institutional care is critiqued. Whilst recent legislative change has endorsed the rights of people with dementia to liberty and self-determination, it is suggested there is a lack of commitment in government policy more generally to providing a... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3670196 Tue, 15 Jun 2010 23:00:00 +0100 3670196 http://www.medworm.com/index.php?rid=3670195&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00932.x The purpose of this qualitative study was to investigate the lived experience of older men taking part in community-based shed programmes. Five men, aged 65 and over, who attended two different community sheds participated in semi-structured in-depth interviews in 2007. Data were analysed thematically with six main themes emerging as follows: 'company of fellas'; 'everybody's got a story to tell'; 'still got some kick'; 'passing on your experiences'; 'get on your goat' and; 'nobody's boss'. Participation in community-based men's sheds positively influences the health and well-being of older Australian men through provision of a 'men's space' in which meaningful activities occur. Provision of community-based men's shed programmes as among a range of activity options in the community may con... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3670195 Tue, 15 Jun 2010 23:00:00 +0100 3670195 http://www.medworm.com/index.php?rid=3670194&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00936.x Humour research in healthcare has tended to focus on rehearsed as opposed to spontaneous humour. This paper reports an empirical example of spontaneous humour in healthcare interactions: a negative case analysis from a constructivist grounded theory study. Twenty Clinical Nurse Specialist (CNS)[ndash]patient interactions and CNS pre- and postinteraction audio diaries provided the baseline data corpus. Follow-up interviews, field notes, focus groups and observations serviced theory generation with a constant comparison approach to data collection and analyses. Interpretative and illustrative frameworks incorporating humour theories, non-laughter humour support, discursive features and prosodical features of speech were applied to all data. This paper is based upon the negative case comprisi... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3670194 Tue, 15 Jun 2010 23:00:00 +0100 3670194 http://www.medworm.com/index.php?rid=3670193&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00926.x This research compared pregnant quitters' and non-quitters' accounts of how partners, family and friends influenced their smoking cessation attempts. Qualitative secondary data analysis was carried out on a purposive sample of motivational interview transcripts undertaken by research midwives with pregnant women as part of SmokeChange, a smoking cessation intervention. Interviews with all quitters in the intervention group (n = 12) were analysed comparatively with interviews from a matched sample of non-quitters (n = 12).The discourses of both revealed similarity in how their partners, family and friends influenced their cessation efforts: salient others were simultaneously perceived by both groups of women as providing drivers and barriers to quit attempts; close associates who smoked wer... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3670193 Tue, 15 Jun 2010 23:00:00 +0100 3670193 http://www.medworm.com/index.php?rid=3670192&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00916.x This study investigated whether physically demanding workloads among homecare workers are related to MSDs, especially in neck, shoulder and back pain. Data were taken from two waves of a random sample (June to December 2003 and December 2003 to February 2004). The sample included 1643 homecare workers at Wave 1 and 1198 homecare workers at Wave 2, respectively. A basic telephone interview and 30 minutes computer-assisted interview were performed for homecare workers in Wave 1 and Wave 2. The prevalence of neck, shoulder and back MSDs was assessed at Wave 1 and Wave 2 using the Nordic questionnaire of musculoskeletal symptoms. The incidence of MSDs at 6 months was estimated at Wave 2 using only those who were in the asymptomatic reference group at Wave 1 as the denominator. At Wave 1, back ... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3670192 Tue, 15 Jun 2010 23:00:00 +0100 3670192 http://www.medworm.com/index.php?rid=3670191&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00930.x Duchenne/Becker muscular dystrophy (DBMD) is a disorder of progressive muscle weakness that causes an increasing need for assistance with activities of daily living. Our objective was to assess the psychosocial health and contributing factors among female caregivers in families with DBMD. We conducted a survey of adult women among families with DBMD in the United States (US) from June 2006 through January 2007, collecting data related to the care recipient, perception of caregiving demands, personal factors, and socio-ecologic factors. Life satisfaction, stress, and distress were assessed as outcomes. Existing validated instruments were used when available. We received responses from 1238 women who were caring for someone with DBMD, 24.2% of whom were caring for two or more people with DBM... Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3670191 Tue, 15 Jun 2010 23:00:00 +0100 3670191 http://www.medworm.com/index.php?rid=3840896&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00926.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3840896 Mon, 31 May 2010 23:00:00 +0100 3840896 http://www.medworm.com/index.php?rid=3840895&cid=s_31300_51_f&fid=31300&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2524.2010.00932.x (Source: Health and Social Care in the Community) Health and Social Care in the Community journals http://www.medworm.com/rss/comments.php?id=3840895 Mon, 31 May 2010 23:00:00 +0100 3840895