scholarly journals Delivering digital health and well-being at scale: lessons learned during the implementation of the dallas program in the United Kingdom

2015 ◽  
Vol 23 (1) ◽  
pp. 48-59 ◽  
Author(s):  
Alison M Devlin ◽  
Marilyn McGee-Lennon ◽  
Catherine A O’Donnell ◽  
Matt-Mouley Bouamrane ◽  
Ruth Agbakoba ◽  
...  
Keyword(s):  
United Kingdom ◽  
Qualitative Data ◽  
Sociological Theory ◽  
Digital Health ◽  
Well Being ◽  
Lessons Learned ◽  
Healthcare Settings ◽  
The United Kingdom ◽  
Prospective Longitudinal ◽  
Health And Well Being

Abstract Objective To identify implementation lessons from the United Kingdom Delivering Assisted Living Lifestyles at Scale (dallas) program—a large-scale, national technology program that aims to deliver a broad range of digital services and products to the public to promote health and well-being. Materials and Methods Prospective, longitudinal qualitative research study investigating implementation processes. Qualitative data collected includes semi-structured e-Health Implementation Toolkit–led interviews at baseline/mid-point ( n = 38), quarterly evaluation, quarterly technical and barrier and solutions reports, observational logs, quarterly evaluation alignment interviews with project leads, observational data collected during meetings, and ethnographic data from dallas events ( n > 200 distinct pieces of qualitative data). Data analysis was guided by Normalization Process Theory, a sociological theory that aids conceptualization of implementation issues in complex healthcare settings. Results Five key challenges were identified: 1) The challenge of establishing and maintaining large heterogeneous, multi-agency partnerships to deliver new models of healthcare; 2) The need for resilience in the face of barriers and set-backs including the backdrop of continually changing external environments; 3) The inherent tension between embracing innovative co-design and achieving delivery at pace and at scale ; 4) The effects of branding and marketing issues in consumer healthcare settings; and 5) The challenge of interoperability and information governance, when commercial proprietary models are dominant. Conclusions The magnitude and ambition of the dallas program provides a unique opportunity to investigate the macro level implementation challenges faced when designing and delivering digital health and wellness services at scale. Flexibility, adaptability, and resilience are key implementation facilitators when shifting to new digitally enabled models of care.

scholarly journals Being a Former Carer: Impacts on Health and Well-Being

2016 ◽  
Vol 26 (4) ◽  
pp. 330-345 ◽  
Author(s):  
Jacqueline H. Watts ◽  
Joyce Cavaye
Keyword(s):  
United Kingdom ◽  
Qualitative Study ◽  
Well Being ◽  
Small Scale ◽  
Significant Issue ◽  
The United Kingdom ◽  
Need For Support ◽  
The Impact ◽  
Health And Well Being

In the United Kingdom, policy has formalized the role of carers through the introduction of new rights and entitlements to support. However, this support is directed only at current carers with the needs of former carers being unacknowledged. Yet, when caregiving comes to an end, the transition to a life as a “former” carer can be challenging. This article reports findings from a small-scale qualitative study about the experiences of former carers conducted in the United Kingdom. Findings highlight the impact of caregiving on the health and well-being of former carers with feelings of loss and distress associated with the end of caregiving. The need for support in the post-caregiving phase emerges as a significant issue with former carers feeling abandoned, lacking purpose and motivation to move forward in their lives. Findings suggest that the needs of former carers are not being met.

scholarly journals What Is the Health and Well-Being Burden for Parents Living With a Child With ADHD in the United Kingdom?

2020 ◽  
pp. 108705472092589 ◽  
Author(s):  
Tessa Peasgood ◽  
Anupam Bhardwaj ◽  
John E. Brazier ◽  
Katie Biggs ◽  
David Coghill ◽  
...  
Keyword(s):  
United Kingdom ◽  
Well Being ◽  
Control Groups ◽  
Childhood Adhd ◽  
The United Kingdom ◽  
The Uk ◽  
The Impact ◽  
Mental Well Being ◽  
Health And Well Being

Objective: To explore the burden associated with childhood ADHD in a large observational study. Methods: We recruited familes with at least one child (6-18 years) with ADHD via 15 NHS trusts in the UK, and collected data from all family members. We made careful adjustments to ensure a like-for-like comparison with two different control groups, and explored the impact of controlling for a positive parental/carer ADHD screen, employment, and relationship status. Results: We found significant negative impacts of childhood ADHD on parents’/carers’ hours and quality of sleep, satisfaction with leisure time, and health-related quality of life (measured by the EuroQol-5D [EQ-5D]). We found a decrement in life satisfaction, mental well-being (as measured by the Short–Warwick Edinburgh Mental Well-Being Scale [S-WEMWBS]), and satisfaction with intimate relationships, but this was not always robust across the different control groups. We did not find any decrement in satisfaction with health, self-reported health status, or satisfaction with income. Conclusion: The study quantifies the impact on the health and well-being of parents living with a child with ADHD using a survey of families attending ADHD clinics in the United Kingdom.

scholarly journals A preliminary investigation of the well-being of visually impaired ex-service personnel in the United Kingdom

2020 ◽  
pp. 026461962097368
Author(s):  
Lauren R Godier-McBard ◽  
Claire L Castle ◽  
Nikki Heinze ◽  
Syeda F Hussain ◽  
Shelby Borowski ◽  
...  
Keyword(s):  
Mental Health ◽  
United Kingdom ◽  
Visual Impairment ◽  
Visually Impaired ◽  
Well Being ◽  
Older Age ◽  
Life Domains ◽  
Service Personnel ◽  
The United Kingdom ◽  
Health And Well Being

Research has shown that visual impairment may impact daily functioning, health, and well-being negatively for adults of all ages. Ex-service personnel (‘veterans’) too may be at risk of poor health and well-being outcomes associated with post-military life, and this may be exacerbated by the presence of visual impairment. Despite this, research considering the experience of blind veterans has been limited and has not yet assessed well-being for these individuals across a broad spectrum of life domains. Rather, it has highlighted poor mental health and psychological well-being in working-age visually impaired veterans. However, the experiences of older visually impaired veterans (who make up the majority of visually impaired veterans in the United Kingdom) have been poorly represented in the literature. This pilot study aimed to provide a preliminary assessment of holistic well-being in an adult sample of 97 UK blind veterans, predominantly composed of older age veterans (majority over 80 years). Cross-sectional well-being data were collected using a validated measure of well-being (the Well-Being Inventory [WBI]). Results suggest that members of Blind Veterans UK are functioning well and are satisfied across four life domains (vocation, finances, health, and social relationships). Lower health satisfaction was identified, particularly in blind veterans with comorbid mental health conditions. Results are discussed in relation to the older age of the sample, the limitations of face-to-face survey administration, and the applicability of the WBI finance domain in this age cohort. Recommendations are made for future research in this population.

scholarly journals Niejednoznaczny wpływ Brexitu na życie młodych Polaków w Wielkiej Brytanii

2020 ◽  
Vol 46 (4 (178)) ◽  
pp. 49-70
Author(s):  
Agnieszka Trąbka ◽  
Iga Wermińska-Wiśnicka
Keyword(s):  
United Kingdom ◽  
Qualitative Data ◽  
Longitudinal Research ◽  
Well Being ◽  
The United Kingdom ◽  
The Social ◽  
The Uk ◽  
The Comparative Study ◽  
The Impact ◽  
Different Sources

Ambiguous impact of Brexit on young Poles living in the United Kingdom The paper aims to analyse the impact of Brexit on the social anchoring of young Poles in the United Kingdom in four spheres of their lives: decision and return plans; application for British citizenship; buying properties; well-being and life satisfaction. The article is based on research conducted within the project „CEEYouth: The comparative study of young migrants from Poland and Lithuania in the context of Brexit”. We also handle statistics data from the Office for National Statistics as well as qualitative data from three waves of Qualitative Longitudinal Research of 41 young (aged 19–34) Polish post-accession migrants in the UK. We find that it is hard to unambiguously assess the impact of Brexit on the mentioned spheres of young Poles’ lives. Firstly, it is caused by the fact that different sources of data show results which are contrasting and secondly, the reactions of people are dynamically changing within the lapse of time. Therefore, it could be surely said that Brexit has impacted the lives of young Polish migrants, but it has caused neither mass return, nor the general willingness to naturalise. Although the results of the Brexit referendum have caused disturbance amid many Poles, it has not impacted their life decisions or, according to statistics, their well-being.

scholarly journals Associations between dimensions of behaviour, personality traits, and mental-health during the COVID-19 pandemic in the United Kingdom

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Adam Hampshire ◽  
Peter J. Hellyer ◽  
Eyal Soreq ◽  
Mitul A. Mehta ◽  
Konstantinos Ioannidis ◽  
...  
Keyword(s):  
Mental Health ◽  
United Kingdom ◽  
Personality Traits ◽  
Technology Use ◽  
Large Scale ◽  
Population Level ◽  
Well Being ◽  
Holistic View ◽  
The United Kingdom ◽  
Health And Well Being

AbstractThe COVID-19 pandemic (including lockdown) is likely to have had profound but diverse implications for mental health and well-being, yet little is known about individual experiences of the pandemic (positive and negative) and how this relates to mental health and well-being, as well as other important contextual variables. Here, we analyse data sampled in a large-scale manner from 379,875 people in the United Kingdom (UK) during 2020 to identify population variables associated with mood and mental health during the COVID-19 pandemic, and to investigate self-perceived pandemic impact in relation to those variables. We report that while there are relatively small population-level differences in mood assessment scores pre- to peak-UK lockdown, the size of the differences is larger for people from specific groups, e.g. older adults and people with lower incomes. Multiple dimensions underlie peoples’ perceptions, both positive and negative, of the pandemic’s impact on daily life. These dimensions explain variance in mental health and can be statistically predicted from age, demographics, home and work circumstances, pre-existing conditions, maladaptive technology use and personality traits (e.g., compulsivity). We conclude that a holistic view, incorporating the broad range of relevant population factors, can better characterise people whose mental health is most at risk during the COVID-19 pandemic.

The Covid-19 lockdown in the United Kingdom and subjective well-being: Have the self-employed suffered more due to hours and income reductions?

2021 ◽  
pp. 026624262098676 ◽  
Author(s):  
Wei Yue ◽  
Marc Cowling
Keyword(s):  
United Kingdom ◽  
Rare Events ◽  
Well Being ◽  
The Self ◽  
Subjective Well Being ◽  
Data Set ◽  
The United Kingdom ◽  
Hours Of Work ◽  
Period Data ◽  
The Uk

It is well documented that the self-employed experience higher levels of happiness than waged employees even when their incomes are lower. Given the UK government’s asymmetric treatment of waged workers and the self-employed, we use a unique Covid-19 period data set which covers the months leading up to the March lockdown and the months just after to assess three aspects of the Covid-19 crisis on the self-employed: hours of work reductions, the associated income reductions and the effects of both on subjective well-being. Our findings show the large and disproportionate reductions in hours and income for the self-employed directly contributed to a deterioration in their levels of subjective well-being compared to waged workers. It appears that their resilience was broken when faced with the reality of dealing with rare events, particularly when the UK welfare support response was asymmetric and favouring waged employees.

scholarly journals The Karen Chemical Dependency Collaboration: Lessons Learned in Using a Collaborative Framework to Promote Refugee Integration

2018 ◽  
Vol 18 (3) ◽  
pp. 911-929
Author(s):  
Jennifer McCleary ◽  
Tonya Horn ◽  
Paw Wah Toe ◽  
Ehtaw Dwee ◽  
Shana Sniffen
Keyword(s):  
Organizational Capacity ◽  
Well Being ◽  
Lessons Learned ◽  
Refugee Community ◽  
Harmful Alcohol ◽  
Refugee Integration ◽  
Cultural Adaption ◽  
Learning And Adaptation ◽  
Being There ◽  
Health And Well Being

While refugee integration is defined as a bidirectional process of mutual learning and adaptation, in practice, the U.S. resettlement program continues to emphasize refugees’ acculturation processes and places little emphasis on cultural or logistical adaptation of existing services. When adaptation does happen, it is often structured around dominant notions of health and well-being. There is a need to explore bidirectional integration processes and existing systems adaptations to accommodate people with refugee backgrounds at the institutional level. This article details a framework to build a sustainable collaboration between a refugee community and existing health and social service systems to reduce harmful alcohol use. The conceptual framework emphasizes three components: 1) adaptation of refugees’ indigenous expertise, networks, systems, and resources; 2) adaptation of existing systems to serve new groups in culturally relevant and effective ways; and 3) the participatory processes through which refugees and existing systems collaborate to achieve mutual goals. This paper describes the application of this framework and concludes with a discussion of lessons to support replication of the framework in other settings. Lessons learned include: equalizing power, paying attention to relationships and roles, engaging in deep cultural adaption of interventions, and building individual and organizational capacity to support partners.

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