Search

People living with stroke and neurological conditions access rehabilitation at different times but self-management is often viewed as what happens post-discharge. Personalised models that integrate self-management support within everyday care are now advocated but this may require practitioners to change their behaviour to adopt and sustain new ways of working. The People1st project evaluated integration of an existing Supported Self-Management programme ("Bridges") across varied stroke and neurorehabilitation service contexts. Mixed-method evaluation of training for groups of healthcare practitioners across 24 UK National Health Service (NHS) Trusts, exploring how learning from Bridges was assimilated and enacted in practice, on an individual and collective basis. Staff growth in confidence and skill around supported self-management was demonstrated. Transformations to practice included changes to: the structure of, and language used in, patient interactions; induction/training processes to increase potential for sustainability; and sharing of successes. Bridges helped practitioners make changes that brought them closer to their professional ideals. Engaged leadership was considered important for successful integration. Bridges was successfully integrated within a wide range of stroke and neurorehabilitation service contexts, enabled by an approach in line with practitioners' values-based motivations. Further work is required to explore sustainability and impact on service users. Personalised models of care and support for self-management are advocated for people living with stroke and neurological conditions; this requires practitioners to be supported to change behaviour and practices to adopt and sustain new ways of working. Staff from a wide variety of backgrounds in neurorehabilitation and stroke can learn collaboratively about self-management practices via the Bridges programme and can integrate those practices into their service contexts. Bridges can take practitioners closer to their professional ideals of caring and making a difference and empowers them to initiate change. Organisational commitment and engaged leadership are required to facilitate a culture of support for self-management in practice. [ABSTRACT FROM AUTHOR]

Rates of peanut allergy in the Western world have increased over the last 30 years, although it is unclear why. While eating behaviours are likely to be connected to allergy prevalence, the precise relevant factors are uncertain. This study aimed to investigate dietary differences and changes in dietary habits in peanut consumption (in apparent and hidden forms) in four different countries (Bulgaria, Poland, Spain, UK), specifically chosen because of their different ‘peanut experiences’. Focus groups revealed a common perception that dietary habits have become less healthy, with more consumption of processed foods and an increase in snacking. In addition, ethnic cuisine was perceived to have had an important impact on European eating habits, while participants identified an increase in consumption of more ‘exotic’ forms of peanuts and their products. These findings point to an increase in exposure to peanuts, particularly in hidden forms, that superficially parallels increased prevalence rates. However, it was also clear that participants lacked knowledge about the composition of food and non-food products. The dietary trends identified here thus warrant further quantitative investigation, particularly in the context of differential national patterns of allergy prevalence – data on which is currently being gathered within the EC-funded EuroPrevall project. [ABSTRACT FROM AUTHOR]

In February 2007, avian influenza arrived in the UK. Following evidence of illness at a turkey farm in Suffolk, around 160,000 birds were slaughtered and poultry movement controls were imposed. Given past food crises (e.g. BSE), it was clearly important to predict UK public response: for example, was mass panic imminent, or would the public respond calmly? Unfortunately, there is currently no theory that enables accurate prediction of public response to novel hazards or to novel manifestations of old hazards (Hawkes and Rowe in press). Furthermore, the speed of the outbreak, and the lack of academic preparedness, undermined social scientists' ability to acquire significant timely data on public perceptions in order to aid theory development or inform policy making. Analysis of initial public opinion is, however, possible, thanks to the recording of responses to open questions about this incident posted on the British Broadcasting Corporation's (BBC) website. In this paper we: (a) justify the relevance and importance of this data, irrespective of deficiencies in its 'representativeness'; (b) provide a content analysis of the more than 3,000 responses, and; (c) summarize initial opinion. Results suggest that 'the public's' initial response largely comprised discontent in how government was managing matters and concern about current farming practices. Indeed, for many, past food scares served as a reference point for understanding the present crisis, providing lessons on issues such as industry greed and governmental/scientific incompetence and misinformation. It is, however, important to recognize that there are data limitations, which need validation through more controlled research processes. [ABSTRACT FROM AUTHOR]