CSP2023: 212 NHS Early Rehabilitation Gym Strength Class: MSK-HQ Changes, Patient Satisfaction and Ongoing Self-Management for Mixed Ages and Musculoskeletal Conditions

Part of special issue: Abstracts from the Chartered Society of Physiotherapy (CSP) 2023 Annual Conferenc

“Oh … that Mommy needs a bit of help as well”: why every school needs a health and wellbeing lead

Purpose This research explored the impact that the relatively new role of the Health and Wellbeing Lead upon the health and wellbeing of children and their families at this school. Design/methodology/approach This case study took place in a primary school (children aged 4–11) in the South-West of England. Data was collected through activities with children, semi-structured interviews with senior staff and parents and a “learning walk”. Findings Our data suggested that this role provided compassion, unconditional positive regard and respect for parents, factors that are frequently absent from research into parent partnerships in education. The role presented as invaluable in tackling the many mental and physical challenges that parents faced in rearing their children, and in providing their children with the best possible chance of success. Research limitations/implications This is a single Case Study and, as such, may or may not be representative of similar schools. We also question to what extent the findings demonstrated the strength of this role per se, or whether the impact could simply be the result of a uniquely caring and passionate individual. Practical implications We concluded that this was a role needed in all schools, recognising the key role that parents play in their child’s wellbeing, and the indirect impact that parent mental health can have upon their child’s success. Social implications It is vital that this role is not used as an excuse by the government to further reduce the already denuded Social Services landscape within communities. It is also important that this responsibility does not become yet another burden added to already overstretched teaching staff. Originality/value This research presents a fresh perspective on the multiple pressures that parents face and how these can impact upon their child's education

Increasing inter‐word spacing reduces migration errors and improves reading comprehension in students with dyslexia

We report a small study in which we explored the effects of manipulating narrative text on levels of comprehension for students with and without dyslexia. Using two pieces of standardised narrative text deemed to be of similar difficulty and length, we manipulated the texts such that we could present two texts to each participant, one in each condition. The first condition was text using standard inter‐word spacing; the second condition used increased inter‐word spacing. Scores on standardised comprehension questions were significantly improved for participants with dyslexia. Additionally, given that there is evidence of delayed visual attention disengagement in individuals with specific forms of dyslexia, we hypothesised that the phenomena of migration of letters and words for some readers might be mitigated by increasing inter‐word spacing. We did indeed find that incidence of migration was significantly reduced in this condition for all participants

Pilot study to evaluate the use of remote patient monitoring to guide the timing of valve intervention in patients with severe asymptomatic aortic stenosis (APRAISE-AS): study protocol for a randomised controlled trial delivered in two tertiary cardiac centres in the UK.

Aortic stenosis (AS) is common affecting >13% of adults over the age of 75 years. In people who develop symptoms, without valve replacement, prognosis is dismal with mortality as high as 50% at 1 year. In asymptomatic patients, the timing of valve intervention is less well defined and a strategy of watchful waiting is recommended. Many, however, may develop symptoms and attribute this to age related decline, rather than worsening AS. Timely intervention in asymptomatic severe AS is critical, since delayed intervention often results in poor outcomes. Proactive surveillance of symptoms, quality of life and functional capacity should enable timely identification of people who will benefit from aortic valve replacement. There are no data however, to support the clinical and cost effectiveness of such an approach in a healthcare setting in the UK. The aim of this pilot trial is to test the feasibility of a full-scale randomised controlled trial (RCT) to determine the utility of proactive surveillance in people with asymptomatic severe AS to guide the timing of intervention. APRAISE-AS is a multi-centre, non-blinded, two-arm, parallel group randomised controlled trial of up to 66 participants aged >18 years with asymptomatic severe AS. Participants will be randomised to either standard care or standard care supplemented with the APRAISE-AS intervention. Primary outcomes will capture; adherence to and participant acceptability of the intervention, recruitment and retention rates, and completeness of data collection. The findings will be used to inform the sample size and most appropriate outcome measure(s) for a full-scale RCT and health economic evaluation. Ethical approval was granted by the Black Country REC, reference: 22/WM/0214. Results will be submitted for publication in peer-reviewed journals and disseminated at local, regional and national meetings where appropriate. ISRCTN19413194 registered on 14.07.2023. [Abstract copyright: © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.

‘That so Ancient a City Should Have Elected a Woman as Mayor Is a Sign of the times’: Women and Local Government in Worcester before 1939

This article explores women’s experiences of local government in Worcester between 1907 and 1939. The city saw a limited suffrage movement, and to date has never elected a female MP. Yet while women in Worcester arguably played little role in ‘national’ politics, they were active in local government, first through wartime local authority committees, and then, in the interwar years, when seeking election as Labour, Liberal, Conservative or Independent candidates, with Conservative women being most successful. Drawing on city council records and local newspaper reporting, the article considers the ways in which women made an impact on Worcester’s government, particularly as elected councillors. Some women were also involved with more ceremonial – and consequently more visible – roles in local government, though these were generally the preserve of elite women. As such, the article contributes to wider debates about the changing nature of women’s political activism post-enfranchisement

Territories: The Claiming of Space (3rd Edition)

Territories are more than simply bounded spaces; they reflect the ways in which we think of geographic space. Territoriality, or laying claim to territory, can be seen as the spatial expression of power, with borders dividing those inside from those outside. The book provides an introduction to the concept of territory, the ways in which ideologies and social practices are manifested in space, the deployment of territorial strategies and the geographical outcomes of these. This revised and updated third edition focuses on both macro-scale examples and those less obvious micro-scale ones, and it explores how territorial strategies are used in the maintaining of power, or as a means of resistance. Throughout the book, key questions emerge concerning geographic space. Who is "allowed" to be in particular spaces and who is excluded or discouraged from being there? How are territorial practices utilised in conflicts concerned with socio-political power and identity and how are ideologies transposed onto space? Written from a geographical perspective, the book is interdisciplinary, drawing on ideas and material from a range of academic disciplines including history, political science, sociology, international relations, and cultural studies. Theoretical underpinnings are supported by a variety of historical and contemporary examples, drawn from a range of geographic contexts

Collective responsibility, collective action to prevent student suicide

Jo Smith and Simon Merrywest introduce new guidance on working as a whole community to reduce student suicid