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Background and objective: Older adults of a South Asian heritage are predisposed to frailty, yet they remain less likely to access targeted frailty services for support with their health and wellbeing. Little is known about how older South Asian adults and family members perceive and experience frailty. The aim of this study was to examine South Asian families' perspectives and experiences of frailty to inform health services and increase access for families living with frailty. Research design: Hermeneutic phenomenological design. Methods: Eight people living with frailty and eight family carers were purposefully selected from community settings in West Yorkshire, England. Data were collected in July 2021. Semi-structured interviews were audio recorded, transcribed, and thematically analysed. Results: Four themes were identified; a naturally degenerating mind and body, beliefs about frailty causality, impact of frailty, and adapting to living with frailty. Frailty is perceived as degeneration of the mind and body which occurs as a natural part of the ageing process. It is also associated with lifestyle, previous employment, and viewed as God ordained. Frailty profoundly impacts the lives of South Asian families by causing stigma, isolation and loneliness, and negative emotions. However, South Asian people believe it is possible to adapt to living with frailty through making adjustments and using religion as a coping strategy. Discussion and implications: This study identifies a need for educational interventions for South Asian families which raise awareness around frailty to reduce stigma and enable access to appropriate frailty support and services. It is also imperative for health, social care and third sector providers to consider the individual meaning of frailty for this population in relation to their cultural and religious context and beliefs, to understand how this may impede decisions to seek frailty care and support, and their needs in relation to service provision. [ABSTRACT FROM AUTHOR]

Introduction Sepsis is one of the most common causes of mortality in postnatal women globally and many other women who develop sepsis are left with severe morbidity. Women's knowledge of postnatal sepsis and how it can be prevented by simple changes to behaviour is lacking. Methods This paper describes the co-development and feasibility testing of a digital animation intervention called DAISI (digital animation in service improvement). This DAISI is designed to enhance postnatal women's awareness of sepsis and how to reduce their risk of developing the condition. We co-designed the digital animation over a six-month period underpinned by theory, best evidence and key stakeholders, translated it into Urdu then assessed its use, firstly in a focus group with women from different Black, Asian and Minority Ethnic (BAME) groups and secondly with 15 clinical midwives and 15 women (including BAME women). Following exposure to the intervention, midwives completed a questionnaire developed from the COM-B behaviour change model and women participated in individual and focus group interviews using similar questions. Results The animation was considered acceptable, culturally sensitive and simple to implement and follow. Discussion DAISI appears to be an innovative solution for use in maternity care to address difficulties with the postnatal hospital discharge process. We could find no evidence of digital animation being used in this context and recommend a study to test it in practice prior to adopting its use more widely. If effective, the DAISI principle could be used in other maternity contexts and other areas of the NHS to communicate health promotion information., Author(s): Melanie Haith-Cooper [sup.1] , Tomasina Stacey [sup.2] , Fran Bailey [sup.3] , Sarah Broadhead-Croft [sup.4] Author Affiliations: (1) grid.6268.a, 0000 0004 0379 5283, University of Bradford, , Bradford, UK [...]

Objectives Preterm birth (PTB) and small for gestational age (SGA) are major causes of perinatal mortality and morbidity. Previous studies indicated a range of risk factors associated with these poor outcomes, including maternal psychosocial and economic wellbeing. This paper will explore a range of psycho-social and economic factors in an ethnically diverse population. Methods The UK's Born in Bradford cohort study recruited pregnant women attending a routine antenatal appointment at 26-28 weeks' gestation at the Bradford Royal Infirmary (2007-2010). This analysis includes 9680 women with singleton live births who completed the baseline questionnaire. Data regarding maternal socio-demographic and mental health were recorded. Outcome data were collected prospectively, and analysed using multivariate regression models. The primary outcomes measured were: PTB (, Author(s): Tomasina Stacey[sup.1] , Stephanie Prady[sup.2] , Melanie Haith-Cooper[sup.3] , Soo Downe[sup.4] , Nigel Simpson[sup.5] , Kate Pickett[sup.2] Author Affiliations: (1) School of Healthcare, University of Leeds, LS2 9JT, LeedsUK [...]

Part 1 explains a methodology for studying problem-based learning (PBL) in nursing education that combined hermeneutic phenomenology with e-mail sampling and video interviews. Part 2 describes themes identified by 10 tutors related to when and how to intervene in PBL. Part 1 contains 30 references; part 2 contains 41 references. (SK)

UK South Asian women are less likely to engage with cancer screening than the general population and present later with more advanced disease. Tailored interventions are needed to address barriers to these women accessing screening services. 'Wise up to cancer' is a community‐based health intervention designed to increase cancer screening uptake. It has been implemented within the general population and a study was undertaken to implement it within a South Asian female community. This paper explores one workstream of the wider 'Wise up to Cancer' study which involved working out how best to adapt the baseline questionnaire (the first part of the intervention) for South Asian women in an inner‐city location in Northern England. The aim of this workstream was to evaluate what worked well when implementing the adapted 'Wise up to Cancer' with South Asian women. In 2018, we conducted qualitative semi‐structured interviews and focus group with 14 key stakeholders; women who had received the intervention, health champions and community workers to explore their perspectives on how the adapted intervention worked within a South Asian female community. The interviews were audio recorded or (notes taken), data were transcribed verbatim and the dataset was thematically analysed. We found that training peers as community health champions to deliver the intervention to address language and cultural barriers increased participant engagement, was beneficial for the peers and supported participants who revealed difficult social issues they may not have otherwise discussed. Accessing women in established community groups, following planned activities such as English language classes worked but flexibility was needed to meet individual women's needs. Further research is needed to explore the impact of adapting 'Wise up to Cancer' for this community in terms of engaging with cancer screening. [ABSTRACT FROM AUTHOR]

The mental health benefits of physical activity and exercise are well‐documented and asylum seekers who may have poor mental health could benefit from undertaking recommended levels of physical activity or exercise. Digital mobile applications are increasingly seen as feasible to precipitate behaviour change and could be a means to encourage asylum seekers to increase their levels of physical activity and exercise. This paper reports on a study that aimed to assess the feasibility of asylum seekers using the digital animation as a tool to change behaviour and increase their physical activity and exercise levels. A feasibility study underpinned by the principles of the COM‐B behaviour change model was undertaken in West Yorkshire, UK, in 2019. Thirty participants were purposively recruited and interviewed. Peer interpreters were used as necessary. Deductive thematic analysis was undertaken to analyse the data. Overall, participants were positive about the feasibility of asylum seekers using the application as a behaviour change intervention. All expressed the view that it was easy to follow and would motivate them to increase their physical activity levels. Participants identified facilitators to this as the simplicity of the key messages, the cultural neutrality of the graphics and the availability of the mobile application in different languages. Identified barriers related to the dialect and accents in the translations and the over‐simplicity of the application. This study has identified that a targeted digital animation intervention could help asylum seekers change their behaviour and hence improve their health and well‐being. In designing such interventions, however, researchers must strongly consider co‐design from an early stage as this is an important way to ensure that the development of an intervention is fit for purpose for different groups. [ABSTRACT FROM AUTHOR]