120,765 research outputs found
The ins and outs of participation in a weather information system
In this paper our aim is to show even though access to technology, information or data holds the potential for improved participation, participation is wired into a larger network of actors, artefacts and information practices. We draw on a case study of a weather information system developed and implemented by a non-profit organisation to both describe the configuration of participation, but also critically assess inclusion and exclusion. We present a set of four questions - a basic, practical toolkit - by which we together with the organisation made sense of and evaluated participation in the system
Working in lawâs borderlands: translation and the work of an advice office
Increasing
ly people in the UK
are
turning to voluntary sector advice organisations for
help and support in dealing with everyday problems
. Here w
e argue that
advice
organisations, who work in the borderlands of law
, are nevertheless key players in
legal arenas
, focusin
g on
local Citizens Advice offices supporting clients with
employment problems. We look at the making of
advisers as
border-
workers
through
programmes
which
turn volunteers into employment advisers; and the paid advisers
who inhabit spaces on the edges of the profession. We examine the social practices
of these advisers, the ways in which law
-work becomes translation and advice
-work
becomes a process of co
-production between adviser and client. In concluding, we
consider
how
far into the legal arena it is p
ossible to go
with limited resources
; and
what happens when translating the technicalities of law no longer works. Translation
comes to mean advisers turning to their activist
-selves and adopting political tactics
Volunteer support for mothers with new babies: perceptions of need and support received
Semi-structured interviews were conducted with 55 mothers of infants. Some had received Home-Start during their infantâs first year, others were offered the support but declined and the remainder were not offered Home-Start. Most of their support had come from informal sources, such as family and friends with less from professionals. Mothers who received Home-Start described beneficial aspects, in particular, the extent of practical support provided, preferable to calling on close relatives or friends. Difficulties related to volunteer characteristics and administrative problems. Overall volunteer support can be important to complement informal and formal support, but needs careful management
UK Breastfeeding Helpline support: An investigation of influences upon satisfaction
Background
Incentive or reward schemes are becoming increasingly popular to motivate healthy lifestyle behaviours. In this paper, insights from a qualitative and descriptive study to investigate the uptake, impact and meanings of a breastfeeding incentive intervention integrated into an existing peer support programme (Star Buddies) are reported. The Star Buddies service employs breastfeeding peer supporters to support women across the ante-natal, intra-partum and post-partum period.
Methods
In a disadvantaged area of North West England, women initiating breastfeeding were recruited by peer supporters on the postnatal ward or soon after hospital discharge to participate in an 8 week incentive (gifts and vouchers) and breastfeeding peer supporter intervention. In-depth interviews were conducted with 26 women participants who engaged with the incentive intervention, and a focus group was held with the 4 community peer supporters who delivered the intervention. Descriptive analysis of routinely collected data for peer supporter contacts and breastfeeding outcomes before and after the incentive intervention triangulated and retrospectively provided the context for the qualitative thematic analysis.
Results
A global theme emerged of 'incentives as connectors', with two sub-themes of 'facilitating connections' and 'facilitating relationships and wellbeing'. The incentives were linked to discussion themes and gift giving facilitated peer supporter access for proactive weekly home visits to support women. Regular face to face contacts enabled meaningful relationships and new connections within and between the women, families, peer supporters and care providers to be formed and sustained. Participants in the incentive scheme received more home visits and total contact time with peer supporters compared to women before the incentive intervention. Full participation levels and breastfeeding rates at 6-8 weeks were similar for women before and after the incentive intervention.
Conclusion
The findings suggest that whilst the provision of incentives might not influence women's intentions or motivations to breastfeed, the connections forged provided psycho-social benefits for both programme users and peer supporters
Public involvement in health research: a case study of one NHS project over 5 years
Background: Public involvement, both in the National Health Service (NHS) and in clinical research, is promoted as an important democratic principle. The declared aims are to reduce professional autocracy and allow a broader ownership of the research agenda; also to improve the design of, and recruitment and retention of patients to, clinical studies. There have been a number of national initiatives in the UK to improve public input to clinical research activities, but very few reports of effective and sustainable partnerships over time. This study reports the evaluation of one example, which is embedded in the NHS and university partnerships in the Norfolk area of England. Objectives Evaluate: ⢠Putting principles into practice of public involvement in research over a 5 year period for one specific project (Patient and Public Involvement in Research). ⢠How the model contributes to, and impacts upon, all stages of the research process. ⢠Attitudes of the research community and lay volunteers to their mutual experiences of public involvement. ⢠Key factors and strengths of this project, and areas for improvement. Methods: A mixed methods approach related to the 5 years from start of 2003 to end of 2007. This used descriptive statistics of volunteer activity, interviews with key stakeholders (13), questionnaires (53% response rate), and focus group with 10 volunteers to explore emergent themes. We analysed findings using a policy framework approach. Results: About 47 of the original 55 volunteers remained on the panel after 5 years. All have undertaken training, 38% have been involved in the full range of research activities offered, and 75% have attended at least one research project meeting. Some are active in governance, ethics, and advisory committees. Both the research community and the volunteers are very positive about the project. The researchers find it provides well prepared personnel, and gives a speedy and efficient way of fulfilling the expectations of funders for lay input. The volunteers find it gives them important opportunities to influence the quality of research and thus support improvements in patient care. Areas for improvement include increasing social diversity among the volunteers, and improving feedback on input from volunteers, without which volunteers tend to lose confidence and motivation. Conclusion: Long-term sustainable and valuable public input to research is possible. Key factors are committing resources, embedding the service in the infrastructure of a research consortium, and ongoing responsiveness by NHS staff and researchers. Additional activity to recruit and support access may be needed to attract people from a broad range of sociodemographic backgrounds. Some volunteers want more involvement than this model currently offers
Fulfilling Lives: Supporting people with multiple needs, Evaluation Report, Year 1
This report is prepared for the Big Lottery Fund (the Fund) by the national evaluationteam and provides emerging findings and lessons learned from the first year of thenational evaluation of the Fulfilling Lives: Supporting people with multiple needsinitiative hereafter referred to as Fulfilling Lives (multiple needs).The national evaluation has been designed to determine the degree to which the initiativeis successfully achieving its aims and how they are being achieved. The evaluation will beboth formative and summative in nature, in that, it will inform the ongoing design and delivery of Fulfilling Lives (multiple needs) and its component projects as well as assessoverall achievements and value for money to inform future decision and policy making.Within this context, the evaluation has a number of objectives:â To track and assess the achievements of the initiative and to estimate the extent to whichthese are attributable to the projects and interventions delivered.â To calculate the costs of the projects and the corresponding value of benefits to theexchequer and wider society. This will enable an assessment of value for money of theprogramme and for individual interventions.â To identify what interventions and approaches work well, for which people, families andcommunities and in which circumstances and contexts.â To assess the extent to which the Big Lottery Fund's principles are incorporated into projectdesign and delivery and to determine the degree to which these principles affect successfuldelivery and outcomes.â To explore project implementation, understand problems faced and to facilitate theidentification of solutions and lessons learned
Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach
This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review which identified cancer survivorsâ needs, including barriers and facilitators to intervention success. Review evidence (N=49 papers) informed the interventionâs Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N=96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N=31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions
Social justice on the margins: the future of the not for profit sector as providers of legal advice in England and Wales
The Legal Aid, Sentencing and Punishment of Offenders Act (LASPO) has been described by many commentators as a dramatic curtailment of access to justice which is likely to impact disproportionately on marginalised groups and individuals. This paper seeks to set LASPO in its historical context - as a radical development, but nevertheless one that is consistent with the policy discourses of responsibilization and consumerism dominant from the 1990s. It uses research into the experience of the Not For Profit sectorâs involvement in legally aided welfare advice to frame this perspective. Key findings include the extent to which respondents (both managers and front line workers) felt that Legal Services Commission funding had transformed organizational practices and ethos but that the implementation of LASPO and the austerity programme represented a critical watershed for the sector and its capacity to fulfil what front line workers in particular felt was their âmissionâ
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