scholarly journals Evaluating a research capacity strengthening program for Aboriginal community-controlled health organisations

2019 ◽  
Vol 25 (1) ◽  
pp. 72
Author(s):  
Janet Stajic ◽  
Stephen Harfield ◽  
Alex Brown ◽  
Anna Dawson ◽  
Carol Davy ◽  
...  
Keyword(s):  
Impact Evaluation ◽  
Online Survey ◽  
Research Evaluation ◽  
Research Training ◽  
Research Capacity ◽  
Willingness To Participate ◽  
Structured Interviews ◽  
Aboriginal Community ◽  
Research Engagement ◽  
The Impact

A Masterclass Program was developed to strengthen the research capacity of staff within Aboriginal Community-Controlled Health Organisations (ACCHOs) and featured three Masterclasses delivered across Australia, including Understanding Research, Undertaking Research and Research Evaluation. A mixed-method process and impact evaluation of the Masterclass Program was undertaken. The process evaluation examined the reach of the Program and the impact evaluation comprised an online survey (n=45) and semi-structured interviews (n=21) with Masterclass participants. During 2014–17, 27 Masterclasses were delivered to 260 people, including predominantly ACCHO personnel but also Indigenous doctors and research institute staff who work closely with the ACCHO sector. Most survey respondents felt the Masterclasses improved their understanding of research and their willingness to participate in and undertake research. The qualitative analysis confirmed this and suggested that Masterclasses were implemented in a supportive learning environment which led to increased research capacity (increased research awareness, changed perceptions, increased understanding, critical thinking and new confidence) and ultimately enhanced research engagement (willingness to participate, motivating others, empowered critique of research partners and proposals, interest in further research training). Barriers to research engagement and areas for improvement of the Masterclass Program before, during and after Masterclasses were also identified.

scholarly journals Service-user efforts to maintain their wellbeing during and after successful withdrawal from antipsychotic medication

2021 ◽  
Vol 11 ◽  
pp. 204512532198913
Author(s):  
Miriam Larsen-Barr ◽  
Fred Seymour
Keyword(s):  
Antipsychotic Medication ◽  
Online Survey ◽  
Structured Interviews ◽  
Obsessive Compulsive ◽  
Convenience Sample ◽  
Internal Resources ◽  
Compulsive Disorder ◽  
What Works ◽  
Systemic Factors ◽  
The Impact

Background: It is well-known that attempting antipsychotic withdrawal can be a fraught process, with a high risk of relapse that often leads people to resume the medication. Nonetheless, there is a group of people who appear to be able to discontinue successfully. Relatively little is known about how people do this. Methods: A convenience sample of adults who had stopped taking antipsychotic medication for more than a year were recruited to participate in semi-structured interviews through an anonymous online survey that investigated antipsychotic medication experiences in New Zealand. Thematic analysis explored participant descriptions of their efforts to maintain their wellbeing during and after the withdrawal process. Results: Of the seven women who volunteered to participate, six reported bipolar disorder diagnoses and one reported diagnoses of obsessive compulsive disorder and depression. The women reported successfully discontinuing antipsychotics for 1.25–25 years; six followed a gradual withdrawal method and had support to prepare for and manage this. Participants defined wellbeing in terms of their ability to manage the impact of any difficulties faced rather than their ability to prevent them entirely, and saw this as something that evolved over time. They described managing the process and maintaining their wellbeing afterwards by ‘understanding myself and my needs’, ‘finding what works for me’ and ‘connecting with support’. Sub-themes expand on the way in which they did this. For example, ‘finding what works for me’ included using a tool-box of strategies to flexibly meet their needs, practicing acceptance, drawing on persistence and curiosity and creating positive life experiences. Conclusion: This is a small, qualitative study and results should be interpreted with caution. This sample shows it is possible for people who experience mania and psychosis to successfully discontinue antipsychotics and safely manage the impact of any symptoms that emerge as a result of the withdrawal process or other life stressors that arise afterwards. Findings suggest internal resources and systemic factors play a role in the outcomes observed among people who attempt to stop taking antipsychotics and a preoccupation with avoiding relapse may be counterproductive to these efforts. Professionals can play a valuable role in facilitating change.

scholarly journals The contribution of Primary Health Care Research, Evaluation and Development-supported research to primary health care policy and practice

2014 ◽  
Vol 20 (1) ◽  
pp. 47 ◽  
Author(s):  
Lynsey J. Brown ◽  
Ellen L. McIntyre
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Research Evaluation ◽  
Health Care Research ◽  
Research Capacity ◽  
Policy And Practice ◽  
Care Research ◽  
Primary Health ◽  
Diverse Field ◽  
The Impact

The importance of primary health care (PHC) research is well understood yet conducting this research can be challenging. Barriers include a lack of funding, support and opportunity. In 2000 the Australian government introduced the Primary Health Care Research, Evaluation and Development (PHCRED) Strategy to address the gap in high-quality research. One component of the strategy, the Research Capacity Building Initiative, provided funding to university departments of general practice and rural health, allowing them to expand their pool of researchers and produce more research relevant to policy and practice. This study investigates the impact of phase two of the PHCRED Strategy by analysing peer-reviewed publications from PHCRED-supported departments. Research output was recorded from 2006 to 2010 incorporating 661 publications in 212 journals. Rural departments often had fewer resources than urban departments yet demonstrated steady research contributions focusing on issues relevant to their community. Since its inception the PHCRED Strategy has enabled development of research capacity and contributed to the body of PHC knowledge. While PHC is a diverse field, reflected in the publications produced, the themes underlying much of this work were representative of current health reform and the priority areas and building blocks of the National PHC Strategy.

scholarly journals Vietnamese Academics' Research Capacity in Tertiary Contexts

2021 ◽  
Author(s):  
◽  
Tien Huynh
Keyword(s):  
Higher Education ◽  
Research Productivity ◽  
Ecological Model ◽  
Geographical Location ◽  
National Development ◽  
Research Capacity ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Research Engagement ◽  
Different Levels

<p>Research carried out by academics at higher education institutions (HEIs) has substantially contributed to nations’ development, particularly in a time of globalisation and internationalisation of higher education (HE). A range of studies on academics’ research have been undertaken in western contexts. Those studies can be classified into studies of academics’ research perceptions and studies of factors affecting academics’ research productivity. However, there has been a very limited number of studies on academics’ research capacity and HEIs’ research capacities in Vietnam. Meanwhile, the Vietnamese Government has attempted to develop its HE system to contribute to the success of its national development. Over the past ten years, the Vietnamese Government has issued a series of research related policies and has had a greater investment into the development of its HE system. However, the research capacity of Vietnamese HEIs has been lower than that of its neighbouring countries in the region. Therefore, this study was conducted with the hope that it might provide an in-depth understanding of the research capacities of Vietnamese HEIs and their academics and how they can be better fostered in the Vietnamese HE system.  The study was conducted in three public HEIs at different levels in southern Vietnam: provincial, regional, and national. The study employed an interpretive case study approach with a lens of historical and sociocultural theory. Three key tools used for data collecting were surveys, individual semi-structured interviews, and document analysis. The research participants were purposefully selected from the three institutions. For data analysis, the study utilised a combined framework adapted from the predictive model department research productivity of Bland, Center, Finstad, Risbey, and Staples (2005), the model of factors affecting academics’ research productivity of Chen, Gupta, and Hoshower (2006), and Moore’s (2015) social-ecological model: Looking beyond the individual. The study’s findings indicated that the research capacities of Vietnamese HEIs and their academics were influenced by various factors at different levels. At societal level, they include socioeconomic, sociocultural, and political factors. At community level, they comprise resources, research orientation, research networks, professional development practices. At institutional level, they consist of establishment history, geographical location, and organisation. Additionally, the study identified that institutional contexts affected the academics’ research motivation and research engagement at this level. Finally, this study suggested some recommendations for both academic leaders and academics from the three HEIs and Vietnamese HE policy makers to consider so that they may find ways to enhance the research capacities of the Vietnamese HEIs and their academics’ research engagement.</p>

scholarly journals An Impact Evaluation protocol for the rapid design and delivery of an experience-based co-designed mobile app to support the mental health needs of healthcare workers impacted by COVID-19. (Preprint)

2020 ◽  
Author(s):  
Matthew Lewis ◽  
Victoria J Palmer ◽  
Aneta Kotevski ◽  
Konstancja Densley ◽  
Meaghan L O'Donnell ◽  
...  
Keyword(s):  
Mental Health ◽  
Impact Evaluation ◽  
Qualitative Data ◽  
Outcome Data ◽  
Mobile App ◽  
Design Development ◽  
Structured Interviews ◽  
Rapid Design ◽  
Patient Health ◽  
The Impact

BACKGROUND The COVID-19 pandemic has highlighted the central importance of health care workers’ (HCWs) mental health and wellbeing for the successful function of the health care system. Few targeted digital tools exist to support HCWs’ mental health and none appear to have been co-designed with end users. OBJECTIVE RMHive is being developed as a mobile app to support the mental health challenges being posed by COVID-19 to HCWs using experience-based co-design (EBCD) processes. We present the Impact Evaluation protocol for the rapid design and delivery of the RMHive mobile app. METHODS The Impact Evaluation will adopt a mixed-methods approach. Qualitative data from photo interviews undertaken with HCWs exploring needs and experiences, and semi-structured interviews conducted with governance stakeholders during design development and implementation will be integrated with quantitative user analytics data and user generated demographic and mental health data entered into the app. Analyses will address three evaluation questions related to: (1) engagement with and use of the mobile app; (2) implementation and integration; and (3) the quantifiable and qualitative impacts on individual mental health. The mobile app design and development will be described using the mobile health (mHealth) evidence reporting and assessment (mERA) guidelines. Implementation of the app will be evaluated using Normalisation Process Theory (NPT) as a framework to analyse qualitative data combined with text and video analysis from semi-structured interviews. Mental health impacts will be assessed using the Patient Health Questionnaire (PHQ4) total score and subscale scores for the Patient Health Questionnaire (PHQ2) for depression and Generalised Anxiety Scale (GAD2) for anxiety. The PHQ4 will be completed at download (baseline), then at 14 and 28 days. RESULTS The anticipated use period of the app is an average of 30 days. The rapid design will occur over four months using EBCD approaches to collect qualitative data and develop app content. The Impact Evaluation will monitor outcome data for up to 12 weeks following the Minimal Viable Product release. The study received funding and institutional ethics approvals in June, 2020. Outcome data is expected to be available in March, 2021 and the Impact Evaluation published mid 2021. CONCLUSIONS The Impact Evaluation will examine the rapid design, development and implementation of the RMHive app and the mental health and wellbeing outcomes for HCWs. Evaluation outcomes will provide guidance for the integration of EBCD in rapid design and implementation processes. Outcomes will inform future development and roll out of the app programmatically to support the mental health needs of HCWs more widely.

Child-Perpetrated Family Violence in Kinship Care in Victoria

2018 ◽  
Vol 43 (3) ◽  
pp. 192-197
Author(s):  
Rachel Breman ◽  
Ann MacRae ◽  
Dave Vicary
Keyword(s):  
Family Violence ◽  
Online Survey ◽  
Physical Violence ◽  
Kinship Care ◽  
Placement Stability ◽  
Psychological Violence ◽  
Children And Families ◽  
Structured Interviews ◽  
Adolescent Violence ◽  
The Impact

There is growing evidence to support our understanding of adolescent violence in the home, however, there is a paucity of research about child-perpetrated violence that occurs within the context of kinship care. In 2017, Baptcare commenced research with 101 kinship carers in Victoria to gain a better understanding of how family violence was impacting on children and families. This research included a focus on child-perpetrated violence directed towards carers once the kinship placement commenced. In this context, family violence means any act of physical violence, emotional/psychological violence, verbal abuse and property damage caused by the child. This study utilised an online survey and semi-structured interviews that specifically targeted kinship carers who had direct experience of family violence. Findings demonstrated the disturbing types of child-perpetrated violent and aggressive behaviours kinship carers experienced. The data indicates that incidents of violence occurred early in the placement, they occurred frequently, and carers experienced multiple acts of violence from the child. The impact of the violence on the carer's household is significant in terms of the carer's health, wellbeing and placement stability. Further, the findings highlight the transgenerational nature of family violence in the context of kinship care in Victoria. The study described in this paper is the first step in understanding and exposing this complex issue and draws attention to some of the significant issues confronting Victorian kinship families experiencing family violence. This paper will describe the approach that Baptcare is taking to address family violence in its kinship-care programs.

scholarly journals Mentoring for employability: a state-level impact study

2019 ◽  
Vol 10 (3) ◽  
pp. 180-188
Author(s):  
Claire Jackson ◽  
Dani Milos ◽  
Monica Kerr
Keyword(s):  
Impact Evaluation ◽  
Research Training ◽  
South Australia ◽  
State Level ◽  
Evidence Base ◽  
Evaluation Instrument ◽  
The South ◽  
Content Type ◽  
Published Evidence ◽  
The Impact

Purpose Industry mentoring has been repeatedly called out in sector reports on research training in Australian Universities as an effective way to develop PhD capacity and capabilities during research degrees (ACOLA, 2016; NOUS, 2017). Despite the understood importance of this type of experiential development, there is little published evidence on how effective mentoring is to develop the capabilities linked to improved employability. The University of South Australia developed the industry mentoring network in STEM (IMNIS) Impact Evaluation Instrument (IIEI) to capture advanced self-assessed data from mentees and demonstrate what impact the IMNIS program has on developing industry-relevant knowledge and skills in PhD participants. In 2017, the three universities in South Australia implemented a state-wide study using the IIEI to understand the impact of the national IMNIS scheme on the South Australian cohort. Design/methodology/approach This paper presents a case study on the impact of mentoring on PhD students during the IMNIS program. A self-assessed, competency-based study design has been used to collect pre, mid and post experience data, which measures the extent to which objectives of the IMNIS program are met. The evaluation of the results, using the Vitae Impact Framework (Vitae, 2012), seeks to understand the development of mentees’ skills and knowledge as a result of their mentoring experience to support program development and build an evidence base of impact. Findings This paper presents the 2017/2018 results from the South Australian IMNIS impact evaluation. Through analysis of the three data sets, findings show that skills and knowledge have been developed in mentees as a result of the program. Originality/value This study provides an extended approach to the existing evaluation undertaken in the national IMNIS program. The IIEI is now available for other universities to use as a method for extended evaluation of their IMNIS program or potentially other WIL opportunities, providing an opportunity for institutional and national benchmarking.

The Impact of the Red Lotus Critical Health Promotion Model on Graduates’ Health Promotion Practice

2020 ◽  
Author(s):  
Lily O'Hara ◽  
Jane Taylo
Keyword(s):  
Health Promotion ◽  
Online Survey ◽  
Public Health Practice ◽  
Holistic Health ◽  
Interview Data ◽  
Structured Interviews ◽  
Health Promotion Model ◽  
Ongoing Support ◽  
The Impact ◽  
Health Promotion Practice

The Red Lotus Critical Health Promotion Model (RLCHPM) is used in health promotion teaching, research and practice in multiple countries. The model is designed to support critical health promotion as a public health practice, and responds to calls to move practice away from biomedical-behavioural approaches to health promotion. The RLCHPM includes of a system of values and principles for critical practice including health equity, holistic health paradigm, strengths-based salutogenic approaches, socioecological science, non-maleficence, and empowering engagement processes. The objective of this study was to investigate the impact of the RLCHPM on the practice of graduates from health promotion programs from a university in Australia. Methods: We conducted a mixed methods study involving an online survey of graduates from 2008 to 2016, followed by semi-structured interviews with a subset of self-nominated respondents. We used descriptive analyses for survey data and thematic analysis for interview data. Results: There was a total of 95 respondents (49% response rate) and 10 of these were interviewed. Participants felt knowledgeable about the model, and confident about their ability to use it. The model was understandable, easy to use, and important, relevant and useful in practice. More than half felt that the model had an impact on their health promotion practice, however less than a quarter felt that the model had an impact on institutional policies in their workplace. Interview data revealed the need for a step-by-step guide for implementing the model in multiple sectors, access to ongoing support for model implementation, and clearer links to other relevant models. Conclusions: The RLCHPM is well understood and considered to be important, relevant and useful to the practice of graduates. The study has implications for the use of the model in health promotion degree programs, and in professional development programs for health promotion practitioners.

Evaluation of the Cradle to Kinder programme for Aboriginal mothers and their children: perspectives from the women and their workers

2020 ◽  
Vol 45 (4) ◽  
pp. 305-311
Author(s):  
Renée O’Donnell ◽  
Muriel Bamblett ◽  
Gabrielle Johnson ◽  
Sue-Anne Hunter ◽  
Kerry Stringer ◽  
...  
Keyword(s):  
Child Protection ◽  
Interpretative Phenomenological Analysis ◽  
Home Visiting ◽  
Well Being ◽  
Parenting Skills ◽  
Structured Interviews ◽  
Aboriginal Community ◽  
Connection System ◽  
Generous Contribution ◽  
The Impact

AbstractThis research was undertaken on the lands of the Wurundjeri people of the Kulin nation. We pay our respects to Elders of the past, present and emerging, and also acknowledge the generous contribution to this research made by women and their families and Victorian Aboriginal Child Care Agency (VACCA) staff. Aboriginal Cradle to Kinder (AC2K) is a home-visiting and advocacy programme focussed on promoting Aboriginal maternal and child health during both pre- and postnatal stages of parenthood which was delivered by VACCA, an Aboriginal Community Controlled Organisation. While there have been some feasibility assessments conducted on AC2K, no study to date has evaluated the impact of this programme from the perspective of neither the women nor the staff who deliver the programme. The aim of this study, therefore, was to evaluate how both the women and the staff evaluated the AC2K programme, namely the strengths, limitations and recommendations of the programme. Through consultation with VACCA, this study used a qualitative approach using interpretative phenomenological analysis to explore the processes underpinning the programme coupled with participants’ experiences of the programme. A co-design process was used in the development of interview questions, and a total of seven women and six workers participated in semi-structured interviews. The results revealed three superordinate themes across both participant groups: cultural connection (i.e. how well the programme facilitates cultural connection), system complexities (i.e. caseloads, staff turnover and child protection [CP] difficulties) and programme features (i.e. parenting enhancement and unique programme benefits). The processes, and the programme more broadly, were evaluated positively by both the women and staff who supported its delivery. Specifically, a greater connection to culture, increased parenting skills and unique programme benefits were reported. However, there were recommendations on how the programme could be further strengthened, including negotiable caseloads with the Department and improved partnership with CP. These changes can help to further improve the experiences of both the women and their workers when engaging in Aboriginal specific maternal health and well-being supports.

scholarly journals How does the outcome of research training fellowships funded via the NHS compare with that from competitively funded fellowships from the MRC and other charities: a cross-sectional retrospective survey of trainees undertaking research training in the West Midlands

BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e019630
Author(s):  
Charlotte Maybury ◽  
Matthew David Morgan ◽  
Russell Smith ◽  
Lorraine Harper
Keyword(s):  
Clinical Training ◽  
Online Survey ◽  
Research Training ◽  
Clinical Care ◽  
Clinical Work ◽  
Research Experience ◽  
The West ◽  
Cross Sectional ◽  
West Midlands ◽  
The Impact

ObjectivesThis study aimed to investigate the impact of research training funded via the National Health Service (NHS) on medical trainees compared with traditional clinical research training fellowships (CRTFs).Design, setting and participantsOnline survey of 221 clinical trainees who had completed a period of research during their clinical training between 2009 and 2015 in the West Midlands.Main outcome measuresResearch outcomes.ResultsOverall response rate was 59%, of whom 72 participants were funded by CRTFs and 51 funded by the NHS. Although participants with CRTFs were more likely to be awarded a higher degree compared with those on NHS-administered funding (66/72 CRTFs and 37/51 NHS, P=0.005), similar proportions of NHS-funded and CRTF-funded participants entered clinical lecturer posts on completing initial research training (8/51 NHS and 16/72 CRTF, P=0.37). 77% of participants had three or more publications (CRTF 57 and NHS 39, P=0.72). 57 participants had completed clinical training; similar proportions of CRTF-funded and NHS-funded trainees had research included in their consultant contract (12/22 NHS and 14/26 CRTF, P=0.96) or were appointed to academic posts (3 of 25 NHS funded and 6 of 32 CRTF, P>0.05). 95% of participants would recommend to colleagues and 82% of participants felt the research experience improved their provision of clinical care with no difference between CRTF-funded and NHS-funded participants (P=0.49). Continuing to participate in clinical work during the research reduced reports of trainee difficulty on returning to clinical work (23/108 continued clinical work vs 12/22 no clinical work, P=0.001).ConclusionResearch training funded by the NHS provides a quality experience and contributes to the clinical academic capacity within the UK. More needs to be done to support NHS participants to successfully achieve a higher degree.

scholarly journals Experiences of renal healthcare practitioners during the COVID-19 pandemic: a multi-methods approach

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Clare Mc Keaveney ◽  
Joanne Reid ◽  
Claire Carswell ◽  
Ann Bonner ◽  
Ilaria de Barbieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Online Survey ◽  
General Health Questionnaire ◽  
Maslach Burnout Inventory ◽  
Future Research ◽  
Structured Interviews ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Abstract Background Globally, renal healthcare practitioners provide intensive and protracted support to a highly complex multi-morbid patient population however knowledge about the impact of COVID-19 on these practitioners is extremely limited. Objective This study aimed to explore the experiences of COVID-19 with renal healthcare practitioners during the first global lockdown between June 2020 and September 2020. Methods A multi-methods approach was carried out including a quantitative survey and qualitative interviews. This was a multinational study of renal healthcare practitioners from 29 countries. Quantitative: A self-designed survey on COVID-19 experiences and standardised questionnaires (General Health Questionnaire-12; Maslach Burnout Inventory). Descriptive statistics were generated for numerical data. Qualitative: Online semi-structured interviews were conducted. Data was subjected to thematic analysis. Renal healthcare practitioners (n = 251) completed an online survey. Thirteen renal healthcare practitioners took part in semi-structured interviews (12 nurses and 1 dietician). Results The majority of participants surveyed were female (86.9 %; n = 218), nurses (86.9 %; n = 218) with an average 21.5 (SD = 11.1) years’ experience since professional qualification, and 16.3 years (SD = 9.3) working in renal healthcare. Survey responses indicated a level of preparedness, training and satisfactory personal protective equipment during the pandemic however approximately 40.3 % experienced fear about attending work, and 49.8 % experienced mental health distress. The highest prevalence of burnout was emotional exhaustion (35.9 %). Three themes emerged from the qualitative analysis highlighting the holistic complexities in managing renal healthcare, a neglected specialist workforce, and the need for appropriate support at work during a pandemic. Conclusions Results have highlighted the psychological impact, in terms of emotional exhaustion and mental health distress in our sample of renal healthcare practitioners. As the pandemic has continued, it is important to consider the long-term impact on an already stretched workforce including the risk of developing mental health disorders. Future research and interventions are required to understand and improve the provision of psychological support for specialist medical and nursing personnel.

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