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Background: With increased emphasis on self-management in healthcare, clinicians need outstanding skills in offering advice and empowering patients to attain an optimal outcome. Objectives: This study explores how undergraduate physiotherapists acquire knowledge, skills, and confidence to offer advice to patients in clinical practice. Methods: Convenience sampling was used to recruit 50 BSc and MSc pre-registration physiotherapy students across all years of study in one university in southern England, UK. Semi-structured interviews were conducted for first year BSc students (n = 13). Six focus groups of mixed BSc and MSc students were conducted, three groups (n = 15 students) were mid-training, and three groups (n = 22 students) were in their final year. Results: Thematic analysis identified 6 themes: advice content; a patient-centered approach; delivery; acquisitions; perceptions; and uptake of advice. Students placed high value on advice-giving, drawing upon multiple learning opportunities, however they felt under-prepared to deliver this skill in practice. Furthermore, perceptions of their student status, and pressures to perform on graded placements were reported to influence the advice they offered to patients. Conclusions: Developing high-level skills in promoting self-management is essential in physiotherapy, this study highlights the challenges for students to develop these skills. Academic and practice educators must explicitly enable and support students to develop the knowledge and skills to confidently offer high-quality advice to patients. [ABSTRACT FROM AUTHOR]

Objectives Telephone advice lines are a key component of rheumatology services. A national survey of telephone advice line providers was undertaken to explore how this service is currently delivered and the impact on those delivering it to inform providers, policymakers and patients. Methods We conducted an online survey between March and September 2023 collecting data on demographics, how advice lines function, governance and the impact on nurses' well-being. Data were analysed using descriptive statistics. Results A total of 123 health professionals completed the survey. The majority were rheumatology nurses [ n  = 118 (96%)], >45 years of age [ n  = 112 (91%)], band ≥7 [ n  = 92 (76%)], with 77 (65%) reporting >10 years of experience within rheumatology. Most advice lines operated weekdays only [ n  = 93 (79%)], with most calls returned within 2 days [ n  = 81 (66%)], although some callers waited >7 days [ n  = 19 (15%)]. The number of calls received monthly ranged from 100 to >800, with 46 (37%) responders reporting >500 calls/month. The most common reasons for contacting advice lines were disease activity, pain and medication concerns. For most responders, governance arrangements were unclear [ n  = 72 (61%)]. Providing advice lines impacted on the well-being of nurses providing the service: 89 (72%) felt anxious 'sometimes to mostly' and 79 (64%) found it 'mostly–always' stressful. A total of 85 (69%) nurses had not received any training to manage advice lines. Conclusion Although telephone advice lines are provided by experienced rheumatology nurses, high demand is impacting on well-being. Having designated training could equip nurses with additional skills to manage increased capacity and monitor their own well-being. [ABSTRACT FROM AUTHOR]

Miss Samantha Tross discusses her career, being the first Black woman to become a consultant orthopaedic surgeon in the UK and what advice she would give to future trainees. [ABSTRACT FROM AUTHOR]

This article examines the impact of the withdrawal from Afghanistan in 2020–2021 on Anglo-American relations using a chronological approach. It argues that this period represented a deviation from the transactional norm in the relationship—an exchange of support and advice for capability. In the case of the withdrawal from Afghanistan, from the initial American deal with the Taliban to the evacuations, London and Washington clashed over what to do and how best to do it due to differing interests, yet the overall relationship survived. There are three implications. First, the special relationship is transactional, but when the exchange of benefits ceases due to diverging interests, disputes occur until the exchange is restored. Second, the relationship survived despite the claims to the contrary. Third, the relationship appears to be more important to London than Washington. [ABSTRACT FROM AUTHOR]

Providing strategic advice to the Senior Investigating Officer is a key element of the role of the Interview Manager in high-stakes crime investigations. However, no actual evaluation of such strategies has been undertaken. This exploratory study examined 15 interview strategies from three UK police forces in connection with high-stakes crime investigations. Overall, the analysis illustrated that the strategies were poorly designed, vague and lacked a cohesive structure. The study has provided an invaluable first insight into strategy design and implementation in the investigative interviewing arena. More research is required to focus on design and implementation of interview strategies. [ABSTRACT FROM AUTHOR]

Although considerable efforts have been made in many countries to raise the financial literacy of those from disadvantaged backgrounds, it is unclear whether these are having an effect. This is particularly the case for those of ethnic minority background, who may suffer from other disadvantages. This study examines the financial literacy of students from two universities in the East Midlands region of the UK. It considers the role played by ethnic background. It is found that significant differences in financial literacy remain between the White majority and particular ethnic groups. In part, this appears to reflect their perceptions of the types of decision they see financial literacy relating to. Some ethnic groups saw financial literacy as being of more relevance for larger, less frequent financial decisions, but saw less connection, and relevance, to the day to day choices they had to make. Ethnicity also potentially has an indirect effect, as informal sources of advice, and those that promote a financial market perspective, tend to be valued more highly. The implications are worrying given that the respondents are the more highly educated independent young members of the population. Current attempts to assist the development of financial literacy therefore appear to be failing those from some ethnic minority groups. This will leave them at a continuing disadvantage, unless interventions can highlight the day to day importance and value of financial literacy. [ABSTRACT FROM AUTHOR]

There is widespread recognition of the need for new homes to feature only low or zero-carbon (LZC) heating. However, residential developers continue to choose conventional high-carbon options such as natural gas boilers over net-zero compatible alternatives. This study explores how UK local authorities (LAs) within the English planning systemcan encourage residential developers to deploy LZC heating systems within their projects. We adopt an embedded case study design and analyse 30 residential project proposals within two LA areas. Our study examines local planning policies and interactions between developers and LA officers, along with the resultant outcomes, through documentary analysis and expert interviews with local stakeholders. We find that LAs can encourage developers to adopt LZC heating technologies above and beyond what is required nationally. The conditions for this to occur are (1) a planning policy which restricts allowable heating technology options, (2) empowering LA officers to enforce policies, (3) advice and support for developers to consider alternatives, and where necessary, (4) political backing to challenge unwilling developers. Study findings highlight the important role of LAs in creating the conditions for the transition to LZC heating, which show how they can use powers within the planning system to encourage developers to make low carbon choices without the need for direct investment. [ABSTRACT FROM AUTHOR]

Background: Remote forms of breastfeeding support, such as helplines and social media, offer a flexible and convenient form of support to offer help at critical points, e.g., when the risk of breastfeeding cessation is high. Currently, there is little known about who accesses different forms of remote breastfeeding support and what factors impact overall satisfaction. As part of an evaluation of the UK National Breastfeeding Helpline (NBH) (which offers breastfeeding support via a helpline and online media), we aimed to (a) understand who accesses different forms of NBH support, and (b) identify key factors associated with overall satisfaction for helpline and online media support. Methods: All service users who contacted the NBH between November 2021 and March 2022 were invited to participate in the evaluation via an online survey. Survey questions explored the type and timing of support, reasons for the contact, attitudes towards the help and support received, impact of the support on breastfeeding experiences and demographic factors. Chi-squared and Mann–Whitney tests explored variations in who accessed the helpline or online media. Multiple linear regression models were fitted to explore the factors related to the service users' 'overall satisfaction'. The quantitive data were combined with qualitative comments into descriptive themes. Results: Overall, online media users were significantly more likely to be younger, White, multiparous, less educated and have English as a first language compared to those who contact the helpline. Similar factors that significantly influenced overall satisfaction for both support models were the service being easy to access, receiving helpful information that met expectations, resolving breastfeeding issues, and feeling reassured and more confident. Significant factors for the helpline were callers feeling understood and more knowledgeable about breastfeeding following the call, being able to put into practice the information provided, feeling encouraged to continue breastfeeding, feeling that the volunteer gave the support that was needed, and seeking out additional support. Conclusions: Online and helpline forms of breastfeeding support suit different demographics and call purposes. While optimal breastfeeding support needs to be accessible, flexible and instrumental, helpline users need real-time relational support to deal with more complex challenges. [ABSTRACT FROM AUTHOR]

Shifts in welfare policy over the last forty years towards a greater neo-liberal stance have resulted in citizens needing to take greater responsibility for their finances (Rowlingson 2000; Strauss 2008; Sherraden and Ansong 2016). This coupled with low levels of financial capability across the UK population and consumers trying to make informed decisions from this low knowledge base (Sandler 2002; FSA 2004, 2006; Thoreson 2007, 2008; Arthur 2016; Stillwell 2016) suggests a growing need to understand the barriers that consumers face regarding access to financial advice. This paper argues that barriers preventing access to financial advice are not yet adequately understood. To build understanding three variables are explored, namely knowledge, trust and affordability/cost that are shown to affect consumers' ability to access regulated financial advice. From these variables emerged the ideas that financial advice needed to be considered the 'subjective norm' and that 'trust heuristics', as a route to advice had certain embedded risks. As part of the research process a 'Financial Advice Belief Model' was developed as a tool to explore these variables more deeply and help interested stakeholders better understand factors that create barriers and may prevent consumers from seeking effective financial advice. Addressing these factors, we use the case of the UK to illustrate possible ways forward and argue that the findings could apply in other developed country settings. Further, these three key variables affecting access to needed financial services should be a key consideration for the UK's Money and Pensions Service as it looks to develop a wider focus on financial well-being as the core of its strategy for UK citizens in need of financial guidance. [ABSTRACT FROM AUTHOR]

Background Guidelines recommend general practitioners (GPs) take every opportunity to talk to people living with obesity about their weight, and evidence shows even very brief advice is associated with weight loss. However, little is known about what GPs say when giving brief behavioural advice, and if it reflects evidence-based recommendations for people living with obesity. To understand what behavioural advice GPs give, we categorized the content and delivery of GPs' advice during brief interventions. Methods Qualitative content analysis was applied to 159 audio recordings of consultations from the Brief Interventions for Weight Loss (BWeL) trial, where GPs gave brief weight-loss advice to patients with a body mass index ≥30 kg/m2 (or ≥25 kg/m2 if Asian) in 137 UK surgeries. Similar content was grouped into descriptive clusters. Results The results comprised 4 clusters, illuminating different aspects of the advice given: (i) Content of diet and physical activity advice, showing this was highly varied; (ii) Content of "implementation tips" given to support changes, e.g. using smaller plates; (iii) Content of signposting support, either towards further clinician support, or other resources, e.g. information booklets; (iv) Style of advice delivery, showing GPs rarely gave personalized advice, or reasons for their advice. Conclusions and implications Weight-loss advice from GPs to patients with obesity rarely included effective methods, mostly communicating a general "eat less, do more" approach. Advice was mostly generic, and rarely tailored to patients' existing knowledge and behaviours. Effectiveness of brief weight-loss advice could be improved if GPs were given clearer guidance on evidence-based recommendations. [ABSTRACT FROM AUTHOR]

This article analyzes the "politics of experts"--or the struggle between scientific advisers to gain visibility and influence--in the early months of the COVID-19 pandemic in Italy and the UK. Modifying classic studies of policy communities of interest groups and civil servants, we classify relevant policy experts in the two countries into the following categories: "core insiders," "specialist insiders," "peripheral insiders," and "outsiders." Within these categories, we distinguish between "high-profile" and "low-profile" experts, depending on media exposure. The comparison between the UK and Italian cases helps to identify how actors interpret and follow formal and informal "rules of the game." We identify a contest between experts to influence policy with reference to two competing "rules of the game." The first set of rules comes from government, while the second comes from science advice principles. These rules collide, such as when governments require secrecy and nonconfrontation and scientists expect transparency and independent criticism. Therefore, experts face dilemmas regarding which rules to favor: some accept the limits to their behavior to ensure insider access; others are free to criticize the policies that they struggle to influence. [ABSTRACT FROM AUTHOR]

In this contribution, I present emergent analysis of a preoccupation with managing COVID-19 through border control, among non-Governmental public health actors and commentators. Through a reading of statements, tweets, and interviews from the 'Independent Sage' group – individually and collectively – I show how the language of border control, and of maintaining immunity within the national boundaries of the UK, has been a notable theme in the group's analysis. To theorize this emphasis, I draw comparison with the phenomenon of 'green nationalism', in which the urgency of climate action has been turned to overtly nationalistic ends; I sketch the outlines of what I call 'viral nationalism,' a political ecology that understands the pandemic as an event occurring differentially between nation states, and thus sees pandemic management as, inter alia, a work of involuntary detention at securitized borders. I conclude with some general remarks on the relationship between public health, immunity, and national feeling in the UK. [ABSTRACT FROM AUTHOR]

Smoking remains a significant preventable cause of serious chronic diseases. Smokers should be advised about quitting at every opportunity, using very brief advice as a quick and reliable method to instigate empathetic support and understanding, which encourages smokers to consider quitting. Nicotine replacement therapy, especially combining a long-release and short-release formulae, should be the first step in the use of pharmaceutical aids. Ideally, heavily dependent smokers should also be prescribed varenicline, but this is currently unavailable in the UK. An alternative is bupropion, which should be a consideration. However, it is less effective, with more side effects. Electronic cigarettes have been recommended as a suitable quitting aid, and also for harm reduction in those who are not yet ready to stop smoking. [ABSTRACT FROM AUTHOR]

In a modern democracy, a public health system includes mechanisms for the provision of expert scientific advice to elected officials. The decisions of elected officials generally will be degraded by expert failure, that is, the provision of bad advice. The theory of expert failure suggests that competition among experts generally is the best safeguard against expert failure. Monopoly power of experts increases the chance of expert failure. The risk of expert failure also is greater when scientific advice is provided by only one or a few disciplines. A national government can simulate a competitive market for expert advice by structuring the scientific advice it receives to ensure the production of multiple perspectives from multiple disciplines. I apply these general principles to the United Kingdom's Scientific Advisory Group for Emergencies (SAGE). [ABSTRACT FROM AUTHOR]

This paper investigates advice offered on closure signs displayed on businesses in Greece and the UK during the first lockdown of the Covid-19 pandemic. By scrutinising signs photographed in London and in Athens, as well as speeches delivered by the British and Greek prime ministers at the time of the closures, our analysis shows how business owners pass on government instructions to their customers. The study thus makes an original contribution to research on the effectiveness of risk communication, revealing that while businesses in both countries supported the implementation of containment measures, the Greek signs replicated governmental messages more closely. At the same time, the analysis of advice offered by business owners to their customers in an unprecedented context of a global health crisis provides new insights into research on this speech act. [ABSTRACT FROM AUTHOR]

Background: The UK Department for Work and Pensions (DWP) administers Universal Credit (UC) – the main UK benefit for people in- and out-of-work. UC is being rolled out nationally from 2013 to 2024. Citizens Advice (CA) is an independent charity that provides advice and support to people making a claim for UC. The aim of this study is to understand who is seeking advice from CA when making a UC claim and how the types of people seeking advice are changing as the rollout of UC continues. Methods: Co-developed with Citizens Advice Newcastle and Citizens Advice Northumberland we performed longitudinal analysis of national data from Citizens Advice for England and Wales on the health (mental health and limiting long term conditions) and socio-demographic of 1,003,411 observations for people seeking advice with claiming UC over four financial years (2017/18 to 2020/21). We summarised population characteristics and estimated the differences between the four financial years using population-weighted t-tests. Findings were discussed with three people with lived experience of seeking advice to claim UC to help frame our interpretation and policy recommendations. Results: When comparing 2017/18 to 2018/19, there was a significantly higher proportion of people with limiting long term conditions seeking advice with claiming UC than those without (+ 2.40%, 95%CI: 1.31-3.50%). However, as the rollout continued between 2018/29 and 2019/20 (-6.75%, 95%CI: -9.62%--3.88%) and between 2019/20 and 2020/21 (-2.09%, 95%CI: -2.54%--1.64%), there were significantly higher proportions of those without a limiting long term condition seeking advice than with. When comparing 2018/19 to 2019/20 and 2019/20 to 2020/21, there was a significant increase in the proportion of self-employed compared to unemployed people seeking advice with claiming UC (5.64%, 95%CI: 3.79-7.49%) and (2.26%, 95%CI: 1.29-3.23%) respectively. Conclusion: As the rollout for UC continues, it is important to understand how changes in eligibility for UC may impact on those who need help with applying for UC. Ensuring that the advice process and application process is responsive to a range of people with different needs can help to reduce the likelihood that the process of claiming UC will exacerbate health inequalities. [ABSTRACT FROM AUTHOR]

Crowded places have long been identified by the UK Government as terrorist targets. It is therefore crucial that security professionals responsible for the security of crowded places are provided with the relevant support and security awareness training to enable them to enhance protection. This research sets out to gain a better understanding of whether current protective security advice and training meets the needs of security managers. This study shows there are a range of challenges stemming from the received security advice; and in some cases, advice hinders the enhancement of protective security at some crowded places. Whilst significant efforts have been made by policymakers and Counter-Terrorism (CT) Policing to enhance security to protect against terrorist attacks, greater efforts are still needed to promote CT security. [ABSTRACT FROM AUTHOR]

Open banking (OB) creates an opportunity for financial institutions to offer more personalised services by better differentiating between a specific customer (reference subject) and similar customers (comparison group). We propose the time-varying comparative mean value as a statistical method that learns about the dynamics governing how the response of a reference subject differs from that of a comparison group, defined via covariate truncation. The proposed model can be regarded as a time-varying truncated covariate regression model of which a smooth version is devised by resorting to local polynomial regression. The simulation study suggests that our estimators accurately recover the true time-varying comparative mean value in a variety of scenarios. We showcase our methods using OB-type data from a financial service provider in the UK, with the dataset containing detailed information on customers' accounts across 70 UK financial institutions. By contrasting a specific customer against similar customers, our method offers interesting diagnostics that can be used by financial institutions to recommend personalised services. [ABSTRACT FROM AUTHOR]

Background: Selecting footwear with appropriate fit in children is challenging due the changes with foot size and dimensions which occur throughout childhood. Access to appropriate footwear is important but recent challenges with the COVID-19 pandemic resulted in closure of retail stores for prolonged periods where parents/carers could not physically purchase footwear for their children and the footwear industry suffered disruption to their supply chain, and falls in retail sales. Simultaneously increased use of social media platforms for health information seeking throughout the pandemic have been documented. This likely would have included parents/carers seeking information online to support footwear purchases for their children. The primary aim of this work was to explore how searches for online fitting information for children changed throughout the COVID-19 pandemic lockdown periods. A secondary aim was to identify how searches were influenced by footwear style. Methods: We employed Google Trends to obtain search engine traffic related to footwear fitting information for children. We collected data spanning the three years pre, during and post the main national lockdown for three eight-week windows: (1) first eight weeks of the U.K. national lockdown; (2) the first eight weeks of the calendaryear; (3) the eight weeks leading up to children going back-to-school for the new academic year in the U.K. The search terms reflected parents/carers searching for footwear fit information relating to children and were grouped by style of footwear: children, infants, babies and toddlers as well as school shoes. Results: We identified increased searching for footwear fit information for children during the pandemic, which reduced following post pandemic in all except the searches which related to school shoes. We saw reductions in searching related to fit of school shoes as schools closed indefinitely and an increase in online searches with the pandemic. This was also maintained post-pandemic despite shops reopening, suggesting that some of these changes in information reflect new consumer behaviours which may continue. Conclusions: Increased searches for online resources regarding footwear fit highlights the importance of ensuring high quality accessible online information on footwear fit is available to support those buying footwear for their children. [ABSTRACT FROM AUTHOR]

To address the paucity of research on patient perspectives regarding return to driving after Total Hip and Total Knee arthroplasty (THA; TKA), and how this impacts on return-to-work. Employed participants, who had undergone THA or TKA, took part in semi-structured telephone interviews. They were asked about support received regarding driving, who provided this information, and the impact of this on their return to driving and consequently work. Thirty-eight people were interviewed. Although sources of information and advice were available, patients struggled to know who to approach. Interviewees reported variations and contradictions in the advice given on when they could safely return to driving after surgery. Of note, there was little difference in the advice given to those who had undergone THA compared to TKA. Many participants devised their own plan for returning to driving There is inconsistency in driving advice provided after THA and TKA. Consequently, patients make their own decisions about how and when to drive, and develop strategies to accelerate the process. Greater clarity is required from healthcare professionals on time frames for driving post-surgery and for advising patients on their responsibilities around informing the DVLA and insurance companies of their surgery. Healthcare professionals should be aware of medico-legal requirements when advising patients about their legal responsibilities regarding driving after joint arthroplasty. Given the pivotal role of driving in the resumption of work after joint arthroplasty, there needs to be greater importance placed on the provision of explicit advice and support on driving for those undergoing orthopaedic surgery. As driving is a complex skill, the advice given to patients should be individualised. Factors to be considered should be the type of vehicle driven e.g., automatic/manual transmission; height of the vehicle from the ground; the side of the surgery; any medication prescribed which might impact on driving, and consideration of any comorbidities. [ABSTRACT FROM AUTHOR]

Public relations (PR) agencies often win work by responding to competitive tenders for new business in the form of a presentation known as a 'pitch'. PR pitches are bound by few rules and there is often little or no transparency. Contracts can be awarded on intangibles such as 'chemistry'. PR practitioners may put many hours of unpaid work into pitches and not receive any useful feedback if unsuccessful. This article researches the practice of pitching through interviews with regional UK public relations agencies and an analysis of textbook advice. It views the process via the lens of ceremonial values to understand why a flawed business arrangement thrives in an occupation striving to be seen as a profession. The study demonstrates that the imbalance of power in the pitching process works in favour of the client. Agency leaders cited the human cost of pitching, the lack of transparency in the pitching process and the lack of feedback after a pitch as the main issues with the process. Textbook advice stresses the value of 'chemistry' and puts responsibility on the PR agency for making the relationship work which immediately puts the agency in a subservient position. [ABSTRACT FROM AUTHOR]

Despite strong expertise and a sophisticated scientific advisory system, the UK's response to the Covid-19 pandemic has been, and continues to be, weak in terms of preventing death and illness, and damage to the economy. This article argues that an important reason for this failure has been that the policies of the UK government have at critical times failed to take adequate account of scientific evidence, while at the same time attempts have been made to blame scientists for resulting policy failures. This paper analyses the role of scientific advice in addressing Covid-19 in the UK and draws three lessons for how such expertise can be better deployed in the future. It argues that: (1) Government scientific advisors and advisory bodies should be more independent of political influence and interference; (2) Government scientific advisors should be empowered to challenge misrepresentation and misuse by decision-makers of the scientific evidence, and undermining of public-health policies; and (3) Government scientific advice should be more transparent and advisors should engage more proactively with the public. Acting on these lessons will be important for ongoing handling of the current crisis, for the current UK Covid-19 Public Inquiry, and for the UK's preparedness for future crises. [ABSTRACT FROM AUTHOR]

Personalised dietary advice has become increasingly popular, currently however most approaches are based on an individual's genetic and phenotypic profile whilst largely ignoring other determinants such as socio economic and cognitive variables. This paper provides novel insights by testing the effectiveness of personalised healthy eating advice concurrently tailored to an individual's socio-demographic group, cognitive characteristics, and sensory preferences. We first used existing data to build a synthetic dataset based on information from 3654 households (Study 1a), and then developed a cluster model to identify individuals characterised by similar socio-demographic, cognitive, and sensory aspects (Study 1b). Finally, in Study 2 we used the characteristics of 8 clusters to build 8 separate personalised food choice advice and assess their ability to motivate the increased consumption of fruit and vegetables and decreased intakes of saturated fat and sugar. We presented 218 participants with either generic UK Government "EatWell" advice, advice that was tailored to their allocated cluster (matched personalised), or advice tailored to a different cluster (unmatched personalised). Results showed that, when compared to generic advice, participants that received matched personalised advice were significantly more likely to indicate they would change their diet. Participants were similarly motivated to increase vegetable consumption and decrease saturated fat intake when they received unmatched personalised advice, potentially highlighting the power of providing alternative food choices. Overall, this study demonstrated that the power of personalizing food choice advice, based on a combination of individual characteristics, can be more effective than current approaches in motivating dietary change. Our study also emphasizes the viability of addressing population health through automatically delivered web-based personalised advice., Competing Interests: Declaration of competing interest None., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Simple Summary: Owners of dogs, cats, and other companion animals increasingly make use of the internet to find out how to best care for their animals. This may affect owners' relations with veterinarians in both positive and negative ways. A positive consequence could be that owners are better informed when they approach a veterinarian. However, there can also be challenging situations in which the owners may question veterinarians' professional advice based on online information. Using a questionnaire, we found that a majority of Austrian, Danish, and UK veterinarians (n = 641) surveyed were occasionally confronted with clients who question their medical advice based on information obtained from the internet. In addition, the veterinarians were concerned about the potential for clients to misunderstand information found on the internet, or to develop unrealistic expectations of what is possible in small animal practices. As internet use becomes ever more widespread, we suggest that the types of resources that are available and used by animal owners should be further explored. Veterinary medicine is increasingly affected by animal owners having the opportunity to become better informed on pet health issues by using various internet resources. Using an online questionnaire including a section on clients' use of internet resources to obtain medical information, this study aimed to investigate veterinarians' estimates of the percentage of clients using internet resources, how often clients question veterinarians' professional medical advice based on online information, and veterinarians' attitudes towards clients' use of internet resources, across Austrian, Danish, and UK veterinarians (n = 641). The results show that 48.8% of respondents estimated that 40–79% of their clients use internet resources to find medical information. Further, 70–80% of respondents stated that they are occasionally challenged by clients questioning their advice based on online information. Although veterinarians recognized the potential advantages related to clients' use of internet resources, such as an increased acceptance of advanced diagnostics and treatments, they also highlighted clients' increased expectations or false impressions of small animal practices as potentially negative aspects in this context. As internet use increases, it seems likely that these issues will become increasingly important in the future. [ABSTRACT FROM AUTHOR]

Technological advancement is seen as one way of sustainably intensifying agriculture. Scholars argue that innovation needs to be responsible, but it is difficult to anticipate the consequences of the 'fourth agricultural revolution' without a clear sense of which technologies are included and excluded. The major aims of this article were to investigate which technologies are being associated with the fourth agricultural revolution, as well as to understand how this revolution is being perceived, whether positive or negative consequences are given equal attention, and what type of impacts are anticipated. To this end, we undertook a content analysis of UK media and policy documents alongside interviews of farmers and advisers. We found that the fourth agricultural revolution is associated with emergent, game‐changing technologies, at least in media and policy documents. In these sources, the benefits to productivity and the environment were prioritised with less attention to social consequences, but impacts were overwhelmingly presented positively. Farmers and advisers experienced many benefits of technologies and some predicted higher‐tech futures. It was clear, however, that technologies create a number of negative consequences. We reflect on these findings and provide advice to policy‐makers about how to interrogate the benefits, opportunities, and risks afforded by agricultural technologies. [ABSTRACT FROM AUTHOR]

Debt advice, as a neoliberal variant of social welfare in the UK, highlights the introduction and repercussions of approaches to welfare that encourage, and/or rely on, financial speculation. Since the 1990s, senior managers in the debt advice sector have anticipated funding cuts by advocating co-operation with the financial industry, implying a financialised concept of social welfare that valorises the redistribution of opportunities to speculate, rather than that of wealth. Yet following cuts, 'front-line' debt advisers complain they are unable to provide the required level of care and compassion, leading to an increase in church-based, volunteer-run advice, aimed at the poorest and most vulnerable. Rather than some pre-determined political modality, the ethical concepts of welfare that caught on, and the moral qualities consequently ascribed to its beneficiaries, emerged at the interface of managers' assessments of the viability of particular funding models with the political-economic conditions in which those models were implemented. [ABSTRACT FROM AUTHOR]

Under UK austerity, people are obliged to pay up: either to the market (those with debt to commercial creditors) or the state (for those receiving welfare benefits – a person may owe the local council or tax office because she is in arrears or was 'overpaid'). Seeking clarification or counsel from advisers means entering a world where payments often seem to be automated and where the state is 'giving with one hand and taking away with the other'. Yet payments have a human, even moral/ethical aspect and must be negotiated. The adviser helps the debtor to close the flood gates through which these payments flow, or temporarily to reduce the cascade to a trickle. Under austerity, with legal aid and other funding withdrawn, the advice sector is performing the government's work of care. Agencies must identify new wellsprings of care and concern, or intensify the demands placed upon existing ones. [ABSTRACT FROM AUTHOR]

This article presents a preliminary analysis of the advice provided by the UK government's Scientific Advisory Group for Emergencies (SAGE) held between 22 January and 23 March 2020 in response to the emerging coronavirus pandemic. Drawing on the published minutes of the group's meetings, the article examines what was known and not known, the assumptions and working practices that shaped their work, and how this knowledge was reflected in the decisions made by the government. In doing so, the article critically examines what it means for policy making to be 'led by the science' when the best available science is provisional and uncertain. Using ideas of 'externality' and 'evidential significance', the article argues that the apparent desire for high levels of certainty by both scientists and political decision-makers made early action impossible as the data needed were not, and could not be, available in time. This leads to an argument for changes to the institutions that provide scientific advice based on sociologically informed expectations of science in which expert judgement plays a more significant role. [ABSTRACT FROM AUTHOR]

Background General anaesthesia is used for exodontia in young children. Caries is the most common reason for tooth extraction in children in the UK. Aims The purpose of this service evaluation was to assess paediatric dental general anaesthesia (DGA); the delivery of prevention advice and safeguarding concerns in a Maxillofacial Unit. Methods Records of children that had a DGA for extraction of deciduous teeth and first permanent molars (FPM) in a secondary care setting between June - August 2019 were analysed. Clinicians completed a questionnaire about the questions asked at the pre-operative assessment in relation to prevention and safeguarding concerns. Results Carious deciduous teeth were extracted for 53 patients; FPM molars for 22 patients, and deciduous and FPM extracted for 10 patients. Average age was 8 years. Four patients were already known to the safeguarding team and two children previously had a DGA. Nine out of 12 clinicians in the Maxillofacial Unit asked parents about their child's diet; 11 delivered prevention advice and felt confident in raising safeguarding concerns. Conclusion This service evaluation brought a change in the delivery of services by improving the knowledge of clinicians in delivering preventive advice and providing parents with an information sheet on the importance of good oral health to prevent a repeat DGA. [ABSTRACT FROM AUTHOR]

Are social science, cross-border research projects, where recruitment and data collection are carried out remotely (e.g. through social media and online platforms), required to follow similar ethical and data-sharing procedures as 'on-the-ground' studies that use traditional means of recruitment and participant engagement? This article reflects on our experience of dealing with this question when we (multi-national but UK based researchers) had to switch to online data collection due to the restrictions posed by the COVID-19 pandemic, such as the inability to travel or work in person with local communities and collaborators. Using social media platforms and online data collection when conducting research brings many advantages, such as being able to communicate remotely but directly with gatekeepers and collaborators, and in reaching potential participants on a global scale. However, neither the guidelines and advice for conducting ethically sound internet-based research, nor the academic literature focussed on building equitable research partnerships between the Global North and the Global South, offer much information regarding the ethical concerns, or address the grey areas, posed by this type of digital and distanced transnational research. In our experience, conducting research remotely made negotiations of access very challenging due to the politics of positionality between Global North and South researchers, lack of clarity on ethical processes and (mis)perceptions of gatekeepers who we could not meet in person. We hope the reflections on, and discussion of, our experience encourage deliberation on the present ethical challenges posed by online and social-media-disseminated data collection, particularly in cross-border circumstances. [ABSTRACT FROM AUTHOR]

Recruitment to oral and maxillofacial Surgical (OMFS) specialty training was centralised in 2010. The 'flexibility' for OMFS to respond to specialty specific recruitment issues is reducing and many Specialty Trainees' (ST) posts are left unfilled. The National Institute for Health and Care Research (NIHR) appointment process designed to address the problem of recruiting and appointing academic surgeons with local selection with national benchmarking has worked. Using a database of all UK OMFS consultants/trainees, an electronic questionnaire was shared by e-mail, WhatsApp, and other social media. Of 306 replies, 125 (41%) were Consultants/post-certificate of completion training (CCT) individuals, 66 (22%) ST, 61 (20%) second degree students, 27 (9%) pre-second degree, 26 (9%) dual degree pre-ST trainees, and one did not indicate their status. A total of 249 (76%) studied dentistry first and 230 (75%) were male. Of those replying, 147 (48%) had no direct experience of national selection. 120 (39%) had experience as a candidate, 20 (7%) as a selector only, 17 (6%) as a candidate and selector, and two did not record their experience. Of 250 expressing an opinion, 156 (62%) supported local selection with 140 (56%) supporting local selection and national benchmarking, which is a process used for research training posts by the NIHR. Geographical continuity was most important for 78% of pre-second-degree trainees, 45% of STs, and 54% of second-degree students. A total of 57 respondents completed free text comments. There is support for changes in OMFS ST selection including creating OMFS posts which include Foundation and second-degree training in NIHR style locally recruited nationally benchmarked posts., (Copyright © 2024 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)

Purpose: This study explored cancer survivors' views and experiences of receiving physical activity advice post-diagnosis. We also determined the influence of sociodemographic characteristics on the recall of physical activity advice and whether receiving advice was associated with meeting physical activity guidelines. Methods: An anonymised, mixed-methods, 27-item survey was distributed to cancer survivors via online cancer communities in the UK. Results: Of the 242 respondents, 52% recalled receiving physical activity advice. Of those who recalled receiving advice, only 30% received guidance on type of physical activity and 14% were referred to another source of information or exercise specialist. Advice was most often given after treatment cessation, with only 19% of respondents receiving advice during active treatment. Most respondents (56%) expressed a need for further information. There was no evidence of associations between sociodemographic characteristics and recall of physical activity advice. However, cancer survivors who perceived the physical activity advice they received as being appropriate (odds ratio [OR] 3.8, 95% confidence interval [95% CI]: 1.4–10.7) and those with a higher level of education (OR 3.2, 95% CI: 1.8–5.8) were more likely to meet aerobic exercise guidelines. Females were less likely to meet resistance exercise guidelines than males (OR 0.44, 95% CI: 0.21–0.90). Conclusion: There is scope to improve the provision of physical activity advice in cancer care by providing advice in a timely manner after diagnosis, referring patients to a suitable exercise or rehabilitation specialist when indicated, and using a tailored approach to ensure the advice is appropriate for specific sociodemographic groups. [ABSTRACT FROM AUTHOR]

Women were excluded from both branches of the legal profession before the Sex Discrimination (Removal) Act 1919. Whilst campaigning for women's entry to the law was also part of wider efforts to make the law more accessible. Before and after the 1919 Act, middle-class women were able to offer legal support to working-class women, through feminist and trade unionist networks and the professions that were open to them—factory inspection and social work. By examining key women's organisations between the 1890s and 1930s, we trace the development of work to both educate women and girls on their legal rights and to directly tackle problems and breaches of the law. We argue that, by looking at the legal activism of women in the factory inspectorate, social work, trade union and women's organisations, fresh insight into the development and 'mainstreaming' of working-class claims on citizenship in the early twentieth century can be found. [ABSTRACT FROM AUTHOR]

While contemporary welfare processes have widely been analysed through the concepts of governmentality and pastoral power, this article diagnoses the dimension of confession or avowal within unemployment, job seeking and CV writing. This argument draws together the threads of Foucault's work on confession within disciplinary institutions, around sexuality and genealogies of monasticism, adding the insights of writers in 'economic theology'. Empirically the focus is on UK JobCentrePlus, whose governmentality is traced from laws and regulations, street-level forms, websites and CV advice. From the requirement of avowals of unemployment as a personal fault in interviews to professions of faith in oneself and the labour market, a distinctly confessional practice emerges - with the welfare officer as 'pastor' but with the market as the ultimate 'test' of worth. Furthermore, the pressure to transform the self through 'telling the truth' about oneself is taken as a normalising pressure which extends from the institutions of welfare across the labour market as a whole. In conclusion, the demand for selftransformation and the insistence on tests within modernity is problematised. [ABSTRACT FROM AUTHOR]

What kind of phenomenon is it when ordinary people in the United Kingdom unexpectedly abide by government advice on social distancing in response to the COVID-19 pandemic, even anticipating constraints on their activities? These happenings demand that we engage anthropologically with compliance – acts or activities that conform, submit or adapt to rules or to the demands of others. At present, there is no 'anthropology of compliance'. Rather, the discipline has inherited traditions of thought about compliance – as a necessary aspect of sociability or a morally suspect complicity, demanding resistance. These assumptions remain unexamined, but profoundly shape anthropological scholarship. This introduction aims to show how and why compliance might be a useful heuristic for anthropology. We define compliance as that set of means by which actors strive to accommodate themselves to others in their collective life. We argue that this conception of compliance allows us to multiply the kinds of phenomena we can call 'political'. It allows us to think about the political constitution of 'radical' difference, but to avoid making people identical with their cultural or conceptual worlds. By showing what compliance is and how it operates in and on social life, we ought therefore to be able to recover both specific forms of suffering and inequality and the ways in which social lives are constitutively different. [ABSTRACT FROM AUTHOR]

Drinking milk-like fluids made from plant-based materials, such as soya, nuts and peas, is an increasing trend within the population, and regular consumption of these non-dairy alternatives may increase the risk of developing caries. This article focuses on current research relating to caries risk and consumption of milk-like products, and also investigates the sugar content of milk alternatives available in the UK. CPD/Clinical Relevance: Frequent sugar attacks causes caries. Dentists need to be aware of milk and milk alternatives for some may contribute to the development of caries, and this should form part of their caries risk assessment. [ABSTRACT FROM AUTHOR]

Although literature on postdiagnostic support for people affected by young onset dementia acknowledges financial concerns, this topic has remained underresearched. The aim of this study was to explore the financial impact of a diagnosis of young onset dementia on individuals and families. An online survey, comprising binary yes/no, multiple‐response and open‐ended questions, was codesigned with people living with young onset dementia. The survey was promoted via networks and online platforms. Data were collected from August to October 2019. Survey respondents across the United Kingdom (n = 55) who had received a diagnosis of young onset dementia were aged between 45 and 64, were at different stages of dementia and had been diagnosed with thirteen different types of dementia. Of the 55 respondents, 71% (n = 39) had received assistance from family members when completing the survey. The main financial impact of a diagnosis of young onset dementia resulted from premature loss of income and reduced and often deferred pension entitlements. In some cases, care‐costs became unaffordable. Lack of clarity of processes and procedures around needs assessments, carers' assessments and financial assessments by different organisations resulted in some families having to ask for legal advice and, in some cases, involved lengthy appeal processes. Future research needs to involve Adult Social Care and Third Sector organisations to help codesign and test financial management interventions to support people affected by this progressive health condition. [ABSTRACT FROM AUTHOR]

Purpose: People living with and beyond cancer often experience nutrition-related issues and should receive appropriate advice on nutrition that is consistent and evidence based. The aim of this study was to investigate current practice for the provision of nutritional care by healthcare professionals (HCPs) from a UK national survey produced by the National Institute for Health Research (NIHR) Cancer and Nutrition Collaboration. Methods: An online survey sent to professional groups and networks included questions on discussing nutrition, providing information, awareness of guidelines, confidence in providing nutritional advice, training and strategies for improving nutritional management. Results: There were 610 HCPs who responded including nurses (31%), dietitians (25%), doctors (31%) and speech and language therapists (9%). The majority of HCPs discusses nutrition (94%) and provides information on nutrition (77%). However, only 39% of HCPs reported being aware of nutritional guidelines, and just 20% were completely confident in providing nutritional advice. Awareness of guidelines varied between the different professional groups with most but not all dietitians reporting the greatest awareness of guidelines and GPs the least (p = 0.001). Those HCPs with a greater awareness of guidelines had received training (p = 0.001) and were more likely to report complete confidence in providing nutritional advice (p = 0.001). Conclusion: Whilst HCPs discuss nutrition with cancer patients and may provide information, many lack an awareness of guidelines and confidence in providing nutritional advice. To ensure consistency of practice and improvements in patient care, there is scope for enhancing the provision of appropriate nutrition education and training. [ABSTRACT FROM AUTHOR]

Background: The present study assessed the quantity and quality of nutritional advice and support given to colorectal cancer survivors in the UK. Methods: A descriptive cross‐sectional survey was completed by 75 colorectal cancer survivors recruited through social media and bowel cancer support groups in the UK. The survey consisted of open‐ended and closed questions that aimed to explore the nutritional needs, nutritional advice given and other sources of information accessed by colorectal cancer survivors. Results: Sixty‐nine percent of respondents reported that they did not receive any nutritional advice or support from their healthcare team throughout diagnosis, treatment and post‐treatment. Colorectal cancer survivors accessed nutritional advice from a variety of sources, mainly cancer charity websites. Respondents expressed their desire for individualised advice relating to their nutritional problems. Conclusions: The results obtained in the present study indicate that a high proportion of colorectal cancer patients are not receiving the nutritional support that they need to overcome nutritional difficulties. There is an urgent need to improve clinical practice to ensure colorectal patients receive nutritional advice that is both consistent between healthcare professionals and personalised throughout each stage of diagnosis, treatment and post‐treatment. [ABSTRACT FROM AUTHOR]

Aim: The aim was to explore whether people with an ileostomy in the UK and Ireland receive the dietary advice they require. Method: An online survey with multiple‐choice questions asked people with an ileostomy about the dietary advice they received and would have preferred to receive. Participants were recruited via websites of the Ileostomy and Internal Pouch Association and Crohn's and Colitis UK and via social media. People with a current ileostomy, age 16 years or over, and living in the UK or Ireland were eligible for inclusion. Responses were analysed using descriptive statistics. Results: In all, 291 eligible responses were received and included in the analysis; 201 (69%) received advice on diet for their ileostomy from a healthcare professional or the internet. Of the 90 who did not receive dietary advice, 82 (91%) would have liked advice. Stoma nurses were the most common source of dietary advice (55%), but many other sources were frequently reported. Most (62%) felt that at least some dietary advice they received was conflicting. Over half (55%) felt anxious about managing their diet with a new ileostomy, 39% were confused, and 31% frustrated. Of 291 respondents, 29% received advice from a dietitian compared to 60% who would have preferred advice from a dietitian. Conclusion: Many people undergoing ileostomy surgery do not receive the dietary advice and support they require. Healthcare professionals working with people with an ileostomy should be mindful they are often anxious about their diet and require clear and consistent dietary advice and support. [ABSTRACT FROM AUTHOR]

The aim of the study was to assess the accuracy and readability of Internet prenatal nutrition advice. Between August and December 2018, 130 Internet pages returned from Google searches on foods to avoid, foods to eat and supplements use were compared with UK government advice for pregnant women. Readability was assessed using the Flesch Readability Ease (FRE) tool. Descriptive and non-parametric tests were used. Spearman's correlation explored associations between accuracy and readability. Kruskal–Wallis tests with Bonferroni correction were used for multiple pairwise tests and Mann–Whitney U tests for two-sample differences in medians. A total of 130 Internet pages were examined: 48 % from publishers, 27 % from other commercial organisations, 22 % from charities and 3 % from governments. Eighty-three (64 %) pages contained inaccurate and accurate advice, twenty-three (18 %) were accurate and complete, twenty-one (16 %) were inaccurate, and three (2 %) lacked any relevant advice. The median percentage accuracy of all advice was 83 (lower quartile, upper quartile: 48, 100). Median FRE was 55 (46, 61) 'fairly difficult'. Eighty-seven pages (67 %) scored below the recommended FRE for public Internet pages. There was a weak positive correlation between accuracy and readability of Internet pages (rho = 0·241, P = 0·006). Accuracy of Internet pages did not differ by dietary theme. Pages on supplements were the most difficult to read. Internet pages from publishers and other commercial organisations were significantly less accurate than those from not-for-profit organisations (median percentage difference –8 (–29, 0·00), P = 0·019). Much pregnancy-related dietary advice online is inaccurate and difficult to read. Advice should be developed in consultation with qualified nutritionists and dietitians. [ABSTRACT FROM AUTHOR]

Brands and brand management in commercial organisations have been studied for decades. Research has led to highly developed models and practices, with many studies recognising brand management as an important driver of competitive advantage (Aaker, 2010; de Chernatony, 2001). Similar theoretical and practical studies have been carried out amongst SMEs (Small and Medium Enterprises) (e.g., Krake, 2005) and UK nonprofits (e.g., Frumkin & Kim, 2001) also demonstrating positive connections between brand management and organisational performance. However, the focus of research in UK nonprofits has been on the largest organisations by income, typically the very largest (e.g., Hankinson & Lomax, 2006; Stride & Lee, 2007). By comparison, there are no leading journal published studies into small UK charity brands and brand management. The small charity brand study set out to address this gap in research. One hundred and thirty-seven charities with annual turnovers of £1million or less and a focus group of eight small charity practitioners participated. The study investigated whether small charities are managing their brands and, if so, whether they experienced the performance benefits evidenced in extant research from other sectors. It investigated whether management strategies in small nonprofits made a difference to realising operational advantages. The goal was to develop practical Information, Advice, and Guidance (IAG). The study found that it was necessary to adapt existing models of brand management to make them relevant to small charities and indicated that, when the brand is managed by a team of people across different managerial levels, the longerterm benefits (outcomes) of branding practices are better realised. From participants' contributions, it was possible to draw up models of branding specific to small nonprofits and identify the IAG required to manage brands across the areas studied; brand benefits, measured in outputs and outcomes. [ABSTRACT FROM AUTHOR]

This paper explores linguistic and cultural complexity within immigration legal advice communication. Drawing from a linguistic ethnographic study, ethnographic and interactional data from two linked advice meetings about UK refugee family reunion processes are subject to deductive analysis using Risager's model of the language-culture nexus, within which the intersection of language(s) and culture(s) in a communicative event is conceptualised as a nexus of linguistic, languacultural, discursive, and other (non-linguistic) cultural resources and practices. The paper operationalises this intercultural communication theory in a new and exploratory way to investigate how cultural complexity is manifest, and interactionally managed, at different levels of meaning. The substantive analysis shows how a range of divergent resources, brought in by the different participants, are drawn upon and externalised as communicative practices in both legal advice meetings. Understanding is negotiated interculturally at different levels of meaning – the linguistic, the languacultural, and the discursive – in contrasting ways in each meeting. Methodologically, the paper argues that a strength of Risager's framework is that it supports a methodical and structured analysis of communicative events characterised by linguistic and cultural complexity, which can be linked to other discourse analytical approaches. The model's complexity, and its foregrounding of verbal over other semiotic modes, are highlighted as challenges for the analyst. [ABSTRACT FROM AUTHOR]

Background: Healthcare professionals (HCPs), largely doctors, paediatricians, health visitors, midwives, and practice nurses, are in a good position to provide information, help, advice, or guidance to parents for child sleep. However, evidence suggests that there is a gap between the number of parents who desire assistance from HCPs and those that make use of these sources, yet very little is known about the reason for this apparent disparity. The aim of this study was to understand the barriers reported by parents to consulting HCPs about child sleep. Methods: In this study, 266 U.K.‐based parents of children aged 6–36 months old completed an online questionnaire (between October 2015 and October 2016) about their help‐seeking behaviours in relation to child sleep. This included reporting perceived barriers to consulting HCPs for child sleep information and advice about problems. Results: Thematic analysis highlighted five themes, which parents reported acted as barriers to them consulting HCPs. Specifically, parents perceived HCPs to have a lack of knowledge or training around the topic of child sleep and that advice would be limited in terms of breadth of information or management options that would be offered. Parents were also concerned about wasting their own or HCPs' time, perceived there was a lack of continuity in the information they received, and held concerns about possible negative consequences for their family if they shared details about any child sleep difficulties. Conclusions: Possible practical approaches to address the barriers reported by parents are highlighted. This includes improving training around the topic of child sleep for HCPs and adapting the content or manner in which the topic of child sleep and any associated issues are addressed with parents. [ABSTRACT FROM AUTHOR]

Background: There are increasing numbers of total hip replacements (THR) and total knee replacements (TKR) being performed in patients of working age. Providing patients undergoing TKR and THR with return to work advice might facilitate return to work. The aim of this paper is to report on the process used to systematically develop an occupational advice intervention to be delivered in hospital for those undergoing arthroplasty.Methods: The six-step Intervention Mapping (IM) approach to development, implementation and evaluation of a theory and evidence-based interventions was followed. This paper reports on the development of the intervention covered by steps 1 to 4 of the IM process. Steps 1-3 gathered data on current practice and barriers to change using a mixed methods approach (cohort study of patients undergoing THR or TKR, stakeholder interviews, survey of practice, evidence synthesis) and provided a theoretical framework for intervention development. Step 4 used information from steps 1-3 in combination with a Delphi consensus process to develop the intervention and the associated tools and materials to facilitate its delivery.Results: The final intervention identified included a number of core principles including: early patient identification; delivery of key information to patients and their employers; assessment and support by a member of the orthopaedic team; procedures for escalation based on patient need; mechanisms to support communication; and training and support for the clinical teams delivering care. A total of 13 patient and 20 staff performance objectives as delivery requirements, were supported by a range of tools, roles and training resources. The intervention addressed outcomes based at the individual and interpersonal levels of the ecological model.Conclusions: Following the IM approach resulted in a structured and justified occupational intervention for delivery in secondary care for patients undergoing total hip and knee replacement. The feasibility of the intervention will subsequently be tested alongside further investigation to establish its effectiveness and cost-effectiveness. [ABSTRACT FROM AUTHOR]

We use data from Small and Medium Sized Enterprises (SMEs) in the UK to examine the link between the presence of women directors and exporting activity. To do this, we build on resource-based view (RBV) and resource dependence theory (RDT) and show that SMEs with women on the board of directors are less likely to be involved in exporting activity compared to SMEs without women directors. Nevertheless, this negative relationship may be moderated by seeking network advice, which can be explained through the social network theory (SNT). [ABSTRACT FROM AUTHOR]

Callers to telephone helplines often seek advice beyond the authorisation of those staffing the service. On health helplines, this poses a problem to the call‐taker. How do they manage the dilemma between, on the one hand, exceeding their competence and authority to give medical advice, and, on the other, leaving the caller unsatisfied with the service? We offer a framework in which to set newly identified practices along with those identified in previous studies. Using a set of calls to a medical helpline run by Parkinson's United Kingdom, we show that the call‐taker manages the problem by (i) only suggesting courses of action highly marked for impersonality or contingency (displaying a 'low deontic stance', Stevanovic and Peräkylä 2012), and (ii) limiting the interactional risks of tailoring the advice to callers' personal circumstances. We show how our suggested framework of 'advising without personalising' may guide research into the difficult job of delivering advice where the service provider must observe a limit on what they can say. [ABSTRACT FROM AUTHOR]

Shrinking state spending in the UK has been accompanied by a profound restructuring of the welfare system, leading to financial insecurity for many people, culminating in extreme stress and serious deterioration of physical and mental health. Theory surrounding the impact of welfare advice on stress is lacking; this paper undertakes an in depth exploration of the experiences of stress among welfare advice seekers, considering these in light of existing substantive theories of stress and coping to generate new insight. A thematic analysis explored the experiences of stress in welfare advice seekers. Four overarching themes and twelve subthemes emerged. They are further understood utilising traditional theories of stress (Transactional Model of Stress and Coping and the Conservation of Resources theory), which then underpin the development of a 'Stress Support Matrix' and a holistic theory related specifically to welfare, stress and coping. [ABSTRACT FROM AUTHOR]