scholarly journals Course and outcome of patients with alcohol use disorders following an alcohol intervention during hospital attendance: mixed method study

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Sophia E. Chambers ◽  
David S. Baldwin ◽  
Julia M. A. Sinclair
Keyword(s):  
Alcohol Use ◽  
Mixed Method ◽  
Clinical Characteristics ◽  
Qualitative Interviews ◽  
Community Services ◽  
Alcohol Intervention ◽  
Coordinated Care ◽  
Acute Hospitals ◽  
The Uk ◽  
The Impact

Background Alcohol-related presentations to acute hospitals in the UK are increasing, but little is known of the clinical characteristics or natural history of this patient group. Aims To describe the clinical characteristics, drinking profile and trajectory of a cohort of patients with alcohol use disorder (AUD) attending hospital, and explore participant perspectives of the impact of hospital attendance on their relationship with alcohol. Method We conducted a mixed method, prospective, observational cohort study of patients with AUD seen in an acute hospital. Participants were interviewed with a range of questionnaires at baseline and followed up on at 6 months. A subsample also completed in-depth qualitative interviews. Results We recruited 141 patients; 132 (93.6%) were followed up at 6 months and 26 completed qualitative interviews. Of the 141 patients, 60 (42.6%) stated the index hospital episode included the first discussion of their alcohol use in a secondary care setting. Most rated discussion of their alcohol use in hospital as ‘very positive’ or ‘positive’ (102/141, 72.3%), but lack of coordinated care with community services undermined efforts to sustain change. At 6 months, 11 (7.8%) patients had died, but in those who survived and completed assessment (n = 121), significant and clinically meaningful improvements were seen across a range of outcomes, with 55 patients (45.5%) showing a favourable drinking outcome at 6 months. Conclusions Patients with AUD have high levels of morbidity and mortality, yet many made substantial changes following intervention in hospital for their alcohol use. Prospective trials need to identify the effect of alcohol care teams in optimising this ‘teachable moment’ for patients.

scholarly journals Protocol for a Mixed-Method Investigation of the Impact of the COVID-19 Pandemic and Gambling Practices, Experiences and Marketing in the UK: The “Betting and Gaming COVID-19 Impact Study”

2020 ◽  
Vol 17 (22) ◽  
pp. 8449
Author(s):  
Kate Hunt ◽  
Nathan Critchlow ◽  
Ashley Brown ◽  
Christopher Bunn ◽  
Fiona Dobbie ◽  
...  
Keyword(s):  
Young Adults ◽  
Mixed Method ◽  
Qualitative Interviews ◽  
Risk Groups ◽  
Third Wave ◽  
Policy Makers ◽  
Treatment Providers ◽  
Sports Events ◽  
The Uk ◽  
The Impact

The COVID-19 pandemic led to unprecedented restrictions on people’s movements and interactions, as well as the cancellation of major sports events and social activities, directly altering the gambling landscape. There is urgent need to provide regulators, policy makers and treatment providers with evidence on the patterns and context of gambling during COVID-19 and its aftermath. This protocol describes a study addressing the following three questions: (1) How has COVID-19 changed gambling practices and the risk factors for, and experience of, gambling harms? (2) What is the effect of COVID-19 on gambling marketing? (3) How has COVID-19 changed high risk groups’ gambling experiences and practices? This mixed-method study focuses on two groups, namely young adults and sports bettors. In workpackage-1, we will extend an existing longitudinal survey of gambling in young adults (aged 16–24 years) (first wave conducted June–August 2019), adding COVID-19-related questions to the second wave (July–August 2020) and extending to a third wave in 2021; and undertake a survey of sports bettors in the UK (baseline n = 4000, ~July–August 2020), with follow-ups in ~October–November 2020 and ~February-March 2021. In workpackage-2, we will examine changes in expenditure on paid-for gambling advertising from January 2019 to July 2021 and undertake a mixed-method content analysis of a random sample of paid-for gambling advertising (n ~ 200) and social media marketing (n ~ 100) during the initial COVID-19 “lockdown”. Workpackage-3 will involve qualitative interviews with a purposive sample of (a) young adults (aged 18–24 years) and (b) sports bettors.

scholarly journals Migration infrastructures and the production of migrants’ irregularity in Japan and the United Kingdom

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nando Sigona ◽  
Jotaro Kato ◽  
Irina Kuznetsova
Keyword(s):  
Legal Status ◽  
Qualitative Interviews ◽  
Legal Violence ◽  
The United Kingdom ◽  
The Social ◽  
Access And Quality ◽  
The Uk ◽  
The Impact

AbstractThe article examines the migration infrastructures and pathways through which migrants move into, through and out of irregular status in Japan and the UK and how these infrastructures uniquely shape their migrant experiences of irregularity at key stages of their migration projects.Our analysis brings together two bodies of migration scholarship, namely critical work on the social and legal production of illegality and the impact of legal violence on the lives of immigrants with precarious legal status, and on the role of migration infrastructures in shaping mobility pathways.Drawing upon in-depth qualitative interviews with irregular and precarious migrants in Japan and the UK collected over a ten-year period, this article develops a three-pronged analysis of the infrastructures of irregularity, focusing on infrastructures of entry, settlement and exit, casting a comparative light on the mechanisms that produce precarious and expendable migrant lives in relation to access to labour and labour conditions, access and quality of housing and law enforcement, and how migrants adapt, cope, resist or eventually are overpowered by them.

scholarly journals International Students’ Perceptions and Experiences of British Drinking Cultures

2018 ◽  
Vol 23 (3) ◽  
pp. 572-588 ◽  
Author(s):  
Thomas Thurnell-Read ◽  
Lorraine Brown ◽  
Philip Long
Keyword(s):  
International Students ◽  
International Student ◽  
Social Space ◽  
Qualitative Interviews ◽  
Heavy Drinking ◽  
Well Being ◽  
Drinking Habits ◽  
Public House ◽  
The Uk ◽  
The Impact

While the increased scale and importance of international students to the UK Higher Education sector is now well established, little is known about the ways in which students from non-UK countries experience and interact with the heavy drinking culture that predominates on and near many British universities. Drawing on qualitative interviews, this article analyses the perceptions, attitudes, and experiences of British drinking cultures held by international students studying on postgraduate courses at a UK university. Students report prior awareness of alcohol consumption being important to British culture and recount both positive and negative experiences of witnessing and, for many, participating in drinking alcohol. Students make ready comparisons with the drinking habits and attitudes of their own culture. Further still, many made a distinction between the public house, or ‘pub’, as a welcoming and friendly social space, and bars and nightclubs, where a far greater risk of exposure to violence and harassment was perceived. The article provides theoretical insights to support future and more wide-ranging research into mobile drinking cultures and also suggests practical implications to inform stakeholders with interests in the welfare of international students in the UK in relation to the provision of effective and proactive policies which address the impact of British drinking cultures on international student integration and well-being.

scholarly journals Reducing pressure ulcers across multiple care settings using a collaborative approach

2019 ◽  
Vol 8 (3) ◽  
pp. e000409 ◽  
Author(s):  
Julia Wood ◽  
Bob Brown ◽  
Annette Bartley ◽  
Andreia Margarida Batista Custódio Cavaco ◽  
Anthony Paul Roberts ◽  
...  
Keyword(s):  
Pressure Ulcers ◽  
Length Of Hospital Stay ◽  
Community Services ◽  
Care Community ◽  
North East ◽  
The North ◽  
Healthcare Improvement ◽  
The Uk ◽  
Breakthrough Series Collaborative ◽  
The Impact

In the UK, over 700 000 patients are affected by pressure ulcers each year, and 180 000 of those are newly acquired each year. The occurrence of pressure ulcers costs the National Health Service (NHS) more than 3.8 million every day. In 2004, pressure ulcers were estimated to cost the NHS £1.4–£2.4 billion per year, which was 4% of the total NHS expenditure.The impact on patients can be considerable, due to increased pain, length of hospital stay and decreased quality of life. However, it is acknowledged that a significant number of these are avoidable.In early 2015, it was identified that for the North East and North Cumbria region the incidence of pressure ulcers was higher than the national average. Because of this, a 2-year Pressure Ulcer Collaborative was implemented, involving secondary care, community services, care homes and the ambulance service, with the aim of reducing the percentage of pressure ulcers developed by patients within their care.The Breakthrough Series Collaborative Model from the Institute for Healthcare Improvement provided the framework for this Collaborative.In year 1, pressure ulcers were reduced by 36%, and in year 2 by 33%, demonstrating an estimated cost saving during the lifespan of the Collaborative of £513 000, and a reduction in the number of bed days between 220 and 352.

scholarly journals Negotiating the Joint Career: Couples Adapting to Alzheimer's and Aging in Place

2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Renée L. Beard ◽  
Sasha Sakhtah ◽  
Vanessa Imse ◽  
James E. Galvin
Keyword(s):  
Population Aging ◽  
Qualitative Interviews ◽  
Aging In Place ◽  
Memory Loss ◽  
Community Services ◽  
Cognitive Status ◽  
Care Practices ◽  
The Impact ◽  
With Memory ◽  
Analyze Data

To understand the impact of memory loss on aging in place, this paper investigated dyads where one spouse had been diagnosed with memory loss. In-depth qualitative interviews were conducted with ten couples (N=20). Grounded theory methods were used to collect, code, and analyze data into themes. Data revealed consensus among and between dyads that it was best to focus on living, rather than what had been or might someday be lost. Nonetheless, differences according to gender and cognitive status (e.g., diagnosed or spouse) were reported. Given population aging, identifying the impact of gender roles and social norms on the potential for aging in place with memory loss is critical. Community services and care practices must be sensitive to the ways that couples prioritized and organized their relationship prior to diagnosis in order to encourage positive patterns of care between couples, foster successful adaptation to changing needs, and support in-home arrangements as long as possible.

scholarly journals Certifying Gender Equality in Research: Lessons Learnt From Athena SWAN and Total E-Quality Award Schemes

2021 ◽  
Vol 6 ◽  
Author(s):  
Charikleia Tzanakou ◽  
Kate Clayton-Hathway ◽  
Anne Laure Humbert
Keyword(s):  
Higher Education ◽  
Gender Equality ◽  
Qualitative Interviews ◽  
Horizon 2020 ◽  
Diversity And Inclusion ◽  
Quality Award ◽  
Research Organisations ◽  
The Uk ◽  
The Impact ◽  
Athena Swan

In the past 2 decades, many Certification and Award schemes (CAS) related to gender equality, diversity and inclusion have emerged in the higher education, research and industry sectors. According to a recent report, there are as many as 113 CAS which have been identified across Europe and beyond. These CAS aim at addressing inequalities in relation to the grounds of sex, gender, race, sexual orientation, and disability among others. The high number of CAS, and their continued growth, has taken place in parallel to the shift of policies and efforts from “fixing individuals” to “fixing the system.” In these schemes, gender equality is often understood as a structural, systemic challenge, with a recognition that advancing gender equality is complex and requires drivers and interventions at micro, meso and macro level. Studies focused on analysing and evaluating gender equality initiatives in higher education have been scarce, and often limited to specific schemes. This paper aims to fill this gap by providing a better understanding of the CAS landscape through comparing two of the main gender equality schemes used by research-performing organisations in Europe Athena SWAN (in the UK) and Total E-Quality Award (in Germany). Based on qualitative interviews with stakeholders across Europe and document analysis, this paper focuses on strengths, challenges faced by and the impact of these CAS. This comparative exercise highlights particular learning points that can inform potential reviews of existing schemes and/or the development of new schemes such as a Europe-wide scheme. The latter is the focus of a Horizon 2020 project entitled CASPER (Certification-Award Systems to Promote Gender Equality in Research), which aims at making recommendations to the European Commission as to the feasibility of a Europe-wide CAS for gender equality in research organisations.

scholarly journals “You’re just there, alone in your room with your thoughts” A qualitative study about the impact of lockdown among young people during the COVID-19 pandemic

2021 ◽  
Author(s):  
Alison R. McKinlay ◽  
Tom May ◽  
Joanna Dawes ◽  
Daisy Fancourt ◽  
Alexandra Burton
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Young People ◽  
Social Life ◽  
Qualitative Interviews ◽  
Social Contact ◽  
Adolescents And Young Adults ◽  
Quantitative Evidence ◽  
The Uk ◽  
The Impact

AbstractBackgroundAdolescents and young adults have been greatly affected by quarantine measures during the coronavirus-19 pandemic. Quantitative evidence suggests that many young people have struggled with their mental health throughout “lockdown”, but little is understood about the qualitative impact of social distancing restrictions on mental health, wellbeing and social life. We therefore sought to elicit the views and experiences of adolescents and young adults living in the UK during the pandemic.MethodsSemi-structured qualitative interviews were undertaken with 37 participants aged 13-24.ResultsWe identified 4 superordinate themes most commonly described by participants about their experiences during the pandemic, including: a) missing social contact during lockdown, b) disruption to education, c) changes to social relationships, and d) improved wellbeing during lockdown. Although we identified some positive experiences during the pandemic, including an increased awareness of mental health and stronger relationship ties, many said they struggled with loneliness, a decline in mental health, and anxiety about socialising after the pandemic.ConclusionsFindings suggest that some young people may have felt less stigma talking about their mental health now compared to before the COVID-19 pandemic. However, many are worried about how the pandemic has affected their education and social connections and may require additional psychological, practical and social support. Our findings highlight the important role that education providers play in providing a source of information and support to adolescents and young adults during times of uncertainty.

scholarly journals Paralympic Broadcasting and Social Change: An Integrated Mixed Method Approach to Understanding the Paralympic Audience in the UK

2021 ◽  
pp. 152747642110044
Author(s):  
Emma Pullen ◽  
Daniel Jackson ◽  
Michael Silk
Keyword(s):  
Social Change ◽  
Focus Group ◽  
Empirical Analysis ◽  
Mixed Method ◽  
Methodological Approach ◽  
Disabled People ◽  
The Uk ◽  
Mega Event ◽  
The Impact ◽  
Method Approach

Despite the successful transition of the Paralympics from relative obscurity to global mega-event, we still know little about how it is consumed by audiences. Using a methodological approach that draws on survey ( n = 2008) and focus group ( n = 216) data from Paralympic audiences across the UK, this study provides the first mixed method and integrated empirical analysis of Paralympic audiences to date. We attempt to identify who the UK Paralympic audience is, before examining audience perceptions of Paralympic coverage, and the impact of watching the Paralympics on audience sentiments toward disabled people in sporting and everyday contexts.

scholarly journals The impact of COVID-19 social distancing and isolation recommendations for Muslim communities in North West England

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shaima M. Hassan ◽  
Adele Ring ◽  
Naheed Tahir ◽  
Mark Gabbay
Keyword(s):  
Psychological Distress ◽  
Qualitative Interviews ◽  
Muslim Community ◽  
North West ◽  
Low Mood ◽  
The North ◽  
Negative Impacts ◽  
Muslim Communities ◽  
The Uk ◽  
The Impact

Abstract Introduction People from Minority Ethnic backgrounds living in the UK are at greater risk of not only contracting COVID-19, but also experiencing serious consequences of the virus. These emerging health inequalities mirror those already evident in UK society. Aim The aim of this study was to understand how COVID-19 and the associated imposed restrictions affected the lives of people from the Muslim community living in the North West of England. Method Twenty-five in-depth qualitative interviews and four focus groups (n = 22) explored individual experiences of COVID-19 and imposed restrictions. Data were analysed thematically. Findings The virus and associated imposed restrictions had negative impacts on the psychological wellbeing of participants, their families and the wider community. Worry and low mood were particular features of participant’s pandemic stories. Main concerns were those of contracting and transmitting the virus to others and employment-related difficulties. Low mood was particularly linked to the impact of restrictions on fundamental interactions embedded within cultural and religious practices. These practices are central to feelings of belonging and connectedness within the Muslim community. Religious beliefs were important in helping to mitigate psychological distress for some participants. Conclusion Psychological distress was associated with COVID-19 virus and impact of COVID-19 restrictions on livelihoods and fundamental human interactions. Better provision of culturally appropriate information, improving local channels of communication and practical support are important during times of pandemic when usual support systems may be disrupted.

scholarly journals The Sourcing of Stories on Sugar and the Supermarket Industry in the British Press

2020 ◽  
Author(s):  
Martina Topić
Keyword(s):  
Mixed Method ◽  
Qualitative Interviews ◽  
Press Coverage ◽  
The Press ◽  
Self Interest ◽  
Supermarket Industry ◽  
British Press ◽  
Business In Society ◽  
The Uk ◽  
The Mind

This paper looked at the nature of sourcing stories in the press coverage of the anti-sugar debate and the supermarket industry in the UK. The research design was a mixed-method study founded in an interpretivist epistemology. Content analysis has been conducted on 454 articles from national and regional press and this analysis provided an answer on who influences the news agenda. Qualitative interviews with journalists explored what sources journalists use when selecting and sourcing stories. The findings show that NGOs are regularly used as a source for stories in the British press, while the news agenda is largely driven by the self-interest of journalists, which corresponds with agenda of the NGO Action on Sugar. Journalists also largely rely on contacts when sourcing stories, but NGOs are present in the mind of journalists when deciding how to source stories. In addition, views of journalists correspond with views of NGOs on the role and position of the business in society.

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