The Experts below are selected from a list of 13152 Experts worldwide ranked by ideXlab platform
Kevin Hollandelliott - One of the best experts on this subject based on the ideXlab platform.
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does having an occupational mental health service make any difference
Occupational Medicine, 2005Co-Authors: Neil Greenberg, Max Henderson, Shazid Karim, Kevin HollandelliottAbstract:Background The effects of mental disorder on UK's workforce are increasing, yet most occupational health (OH) providers have limited expertise in dealing with mental health issues. Aims To examine the effectiveness in terms of organizational and clinical outcomes, of an OH liaison psychiatry service in an Inner City Area. Methods A retrospective survey of case notes from the first 2 years of an OH liaison psychiatry service was carried out. Results Seventy-six cases were identified and 68% were seen within 1 month of referral. After assessment, females were significantly more likely to be given a formal psychiatric diagnosis than males. Overall, 45% of patients had mood disorders, 14% anxiety disorders and two cases of psychosis were identified. Advice was offered to the referring OH practitioner in 80% of cases. Conclusions This study found that liaison psychiatrists were able to fulfil a useful role in an OH department. Most of the cases seen within the department would not be classed as serious mental illness and therefore it is unlikely that community mental health teams would become involved in their routine care. Specialist mental health support from an 'in house' service is likely to be of considerable benefit from both occupational and medical perspectives.
Bick Debra - One of the best experts on this subject based on the ideXlab platform.
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Barriers and facilitators to uptake and retention of Inner-City ethnically diverse women in a postnatal weight management intervention: a mixed-methods process evaluation within a feasibility trial in England
'BMJ', 2020Co-Authors: Taylor Cath, Bhavnani Vanita, Zasada Magdalena, Ussher Michael, Bick DebraAbstract:Objectives To understand the barriers and facilitators to uptake and retention of postnatal women randomised to a commercial group weight management intervention using the COM-B (capability, opportunity, motivation and behaviour) behaviour change model. Design Concurrent mixed-methods (qualitative dominant) process evaluation nested within a feasibility randomised controlled trial, comprising questionnaires and interviews at 6 and 12 months postbirth. Setting One National Health Service maternity unit in an Inner City Area in the south of England. Participants 98 postnatal women with body mass indices>25 kg/m2 (overweight/obese) at pregnancy commencement. Intervention Twelve-week Slimming World (SW) commercial group weight management programme, commencing anytime from 8 to 16 weeks postnatally. Primary and secondary outcome measures Data regarding uptake and retention from questionnaires and interviews conducted 6 and 12 months postbirth analysed thematically and mapped to the COM-B model. Results Barriers to SW uptake mostly concerned opportunity issues (eg, lack of time or childcare support) though some women also lacked motivation, not feeling that weight reduction was a priority, and a few cited capability issues such as lacking confidence. Weight loss aspirations were also a key factor explaining retention, as were social opportunity issues, particularly in relation to factors such as the extent of group identity and relationship with the group consultant; and physical opportunity such as perceived support from and fit with family lifestyle. In addition, barriers relating to beliefs and expectations about the SW programme were identified, including concerns regarding compatibility with breastfeeding and importance of exercise. Women’s understanding of the SW approach, and capability to implement into their lifestyles, appeared related to level of attendance (dose–response effect). Conclusions Uptake and retention in commercial weight management programmes may be enhanced by applying behaviour change techniques to address the barriers impacting on women’s perceived capability, motivation and opportunity to participate
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Barriers and facilitators to uptake and retention of Inner-City ethnically diverse women in a postnatal weight management intervention: a mixed methods process evaluation within a feasibility trial in England.
'BMJ', 2020Co-Authors: Taylor Cath, Bhavnani Vanita, Zasada Magdalena, Ussher Michael, Bick DebraAbstract:Objectives: To understand the barriers and facilitators to uptake and retention of postnatal women randomised to a commercial group weight management intervention using the COM-B (Capability, Opportunity, Motivation - Behaviour) behaviour change model. Design: Concurrent mixed methods (qualitative dominant) process evaluation nested within a feasibility randomised controlled trial, comprising questionnaires and interviews at six and 12 months post-birth. Setting: One National Health Service maternity unit in an Inner City Area in the south of England. Participants: 98 postnatal women with BMIs>25kg/m2 (overweight/obese) at pregnancy commencement. Intervention: Twelve week Slimming World® (SW) commercial group weight management programme, commencing anytime from 8 to 16 weeks postnatally. Primary and secondary outcome measures: Data regarding uptake and retention from questionnaires and interviews conducted six and 12 months post birth, analysed thematically and mapped to the COM-B model. Results: Barriers to SW uptake mostly concerned opportunity issues (e.g., lack of time or childcare support) though some women also lacked motivation, not feeling that weight reduction was a priority, and a few cited capability issues such as lacking confidence. Weight loss aspirations were also a key factor explaining retention, as were social opportunity issues, particularly in relation to factors such as the extent of group identity and relationship with the group consultant; and physical opportunity such as perceived support from and fit with family lifestyle. In addition, barriers relating to beliefs and expectations about the SW programme were identified, including concerns regarding compatibility with breastfeeding and importance of exercise. Women’s understanding of the SW approach, and capability to implement into their lifestyles, appeared related to level of attendance (dose-response effect). Conclusions: Uptake and retention in commercial weight management programmes may be enhanced by applying behaviour change techniques to address the barriers impacting on women’s perceived capability, motivation and opportunity to participate
Moira Doolan - One of the best experts on this subject based on the ideXlab platform.
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impact of a parenting program in a high risk multi ethnic community the pals trial
Journal of Child Psychology and Psychiatry, 2010Co-Authors: Stephen Scott, Jenny Price, Thomas G Oconnor, Carla Matias, Annabel Futh, Moira DoolanAbstract:Background: Parenting programs have been shown to work when delivered to motivated ethnic majority parents in demonstration projects, but comparatively little is known about their impact when delivered to high‐risk, multi‐ethnic populations by routine local services. Methods: The Primary Age Learning Skills (PALS) trial was a randomized controlled trial of an evidence‐based parenting‐group program that targeted the parent–child relationship and child literacy. Parents of 174 children were selected from a population of 672 5‐ and 6‐year‐olds attending four primary schools in a high‐risk, ethnically diverse, Inner‐City Area. Eighty‐eight children were allocated to the Incredible Years preventive program plus a shortened six‐week version of the SPOKES literacy program, delivered by local services; 86 to usual community services; 152/174 (87%) of families were successfully followed up. Parent–child relationship quality and child behavior were measured using direct observation and parent interview; child reading was assessed psychometrically. Results: Two‐thirds (58/89) of those offered the parenting program attended at least one session, with similar enrolment rates across the Black African, African‐Caribbean, White‐British and Other ethnic groups. Mean attendance was four relationship‐building sessions and one literacy‐development session. Satisfaction questionnaires were completed by 43/58 starters; 93% said they were well or extremely satisfied, with equally high rates across ethnic groups. At follow‐up after one year, those allocated to the intervention showed significant improvements in the parent–child relationship on observation and at interview compared to controls; effects were similar across all ethnic groups. However, child behavior problems and reading did not improve. The cost was £1,343 ($2,100) per child. Conclusions: Programs can be organized to be engaging and effective in improving parenting among high‐risk, multi‐ethnic communities, which is of considerable value. To also be cost‐effective in achieving child changes may require a set‐up that enables parents to attend more sessions and/or an exclusive focus on children with clinically significant behavior problems.
Ali Cheshmehzangi - One of the best experts on this subject based on the ideXlab platform.
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impact of floor Area ratio far on energy consumption at meso scale in china case study of ningbo
Energy Procedia, 2017Co-Authors: Ayotunde Dawodu, Ali CheshmehzangiAbstract:In any urban planning and design project, Floor Area Ratio (FAR) of the site is a debatable factor across various stakeholders. China’s increase of FAR for residential Areas is one of the most remarkable cases of change of FAR in recent decades. China’s urban residential projects have shifted away from low storey single-standing residential units to mid-storey mass housing projects and towards contemporary high-rise residential compounds. The changes in FAR are often very significant and is multiplied over the past few decades. In this study, FAR calculation of a meso-scale residential project located in the City of Ningbo (immediate Inner City Area) is put in place to shape the argument of renewable energy production and pathways towards energy use reductions. This study first elaborates on energy and policy implications of FAR. The study will then explore one example of a residential compound, based on four models of FAR (at 1, 2.5, 3 and 4). A comparison study is conducted using Eco-Tect software. All four models are analysed using their differences in heights and density. While FAR 1 is not suitable for the context of China (i.e. very low), FAR 3 and 4 are also considered to be high for energy-use reductions but are current practices. This paper argues these scenarios and concludes with impacts of FAR for energy production and reduction at meso scale.
Neil Greenberg - One of the best experts on this subject based on the ideXlab platform.
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does having an occupational mental health service make any difference
Occupational Medicine, 2005Co-Authors: Neil Greenberg, Max Henderson, Shazid Karim, Kevin HollandelliottAbstract:Background The effects of mental disorder on UK's workforce are increasing, yet most occupational health (OH) providers have limited expertise in dealing with mental health issues. Aims To examine the effectiveness in terms of organizational and clinical outcomes, of an OH liaison psychiatry service in an Inner City Area. Methods A retrospective survey of case notes from the first 2 years of an OH liaison psychiatry service was carried out. Results Seventy-six cases were identified and 68% were seen within 1 month of referral. After assessment, females were significantly more likely to be given a formal psychiatric diagnosis than males. Overall, 45% of patients had mood disorders, 14% anxiety disorders and two cases of psychosis were identified. Advice was offered to the referring OH practitioner in 80% of cases. Conclusions This study found that liaison psychiatrists were able to fulfil a useful role in an OH department. Most of the cases seen within the department would not be classed as serious mental illness and therefore it is unlikely that community mental health teams would become involved in their routine care. Specialist mental health support from an 'in house' service is likely to be of considerable benefit from both occupational and medical perspectives.