Implementation of long-acting cabotegravir and rilpivirine: primary results from the perspective of staff study participants in the Cabotegravir And Rilpivirine Implementation Study in European Locations

Introduction: Cabotegravir plus rilpivirine (CAB + RPV) is the first complete long-acting (LA) regimen recommended for maintaining HIV-1 virological suppression. Cabotegravir And Rilpivirine Implementation Study in European Locations (CARISEL) is an implementation–effectiveness study examining the implementation of CAB+RPV LA administered every 2 months (Q2M) in European HIV centres. We present staff study participant (SSP) perspectives on the administration of CAB+RPV LA over 12 months. Methods: Eighteen clinics were randomized to one of two implementation support packages: standard arm (Arm-S) or enhanced arm (Arm-E). Arm-S included video injection training and provider/patient toolkits. Additionally, Arm-E included skilled wrap-around team meetings, face-to-face injection training and continuous quality improvement (CQI) calls. SSPs completed surveys on the acceptability, appropriateness and feasibility of CAB+RPV LA as an intervention and its implementation into their clinics, as well as barriers and facilitators to implementation. All surveys were completed at Month (M)1 (baseline), M5 and M12; data collection was completed by February 2022. Qualitative data were obtained from semi-structured interviews at M1, M5 and M12. The primary objective was assessed via formal statistical comparisons between study arms of the Acceptability of Implementation Measure, Implementation Appropriateness Measure and Feasibility of Implementation Measure surveys (1–5 Likert scale ranging from 1 = “completely disagree” to 5 = “completely agree”). Equivalent measures anchored to CAB+RPV LA as a therapy were also assessed. Results: Seventy SSPs completed surveys and interviews at M1, 68 at M5 and 62 at M12. Mean acceptability/appropriateness/feasibility scores were ≥3.8 (out of 5) at M12 for implementation- and intervention-based measures. An analysis of covariance showed no significant differences between study arms for these outcomes. Although barriers were noted, most SSPs were not overly concerned that these would impact implementation; concern about these anticipated barriers also decreased over time. At M12, 90.3% (n = 56/62) of SSPs held a positive opinion about CAB+RPV LA implementation. Qualitative interviews and CQI calls highlighted three top practices that supported implementation: implementation planning; education about CAB+RPV LA clinical efficacy; and education around administering injections and managing pain/discomfort after injections. Conclusions: CARISEL demonstrated that CAB+RPV LA dosed Q2M was successfully implemented across a range of European locations, with SSPs finding implementation highly acceptable, appropriate and feasible. ClinicalTrials.gov number: NCT04399551

Writing Mentors and the Writing Centre: producing integrated disciplinary writers

This article reports on an evaluation of the first year of the Student Writing Mentor Scheme, a peer tutoring initiative developed by the Write Now Centre for Excellence in Teaching and Learning (CETL) (see http://www.writenow.ac.uk for details). The Write Now CETL aims to enrich students' learning experiences through the development of innovative, evidence-based provision focused on writing for assessment. It celebrates and promotes student writing in the disciplines, enabling students to develop academic and disciplinary identities as empowered, confident writers

Using wikis to support student writing mentors' reflective practice : a brief overview

Over the past four years, student writing mentors at the London Metropolitan University Writing Centre have provided over 3,000 hours of one-to-one academic writing support to their fellow undergraduate and postgraduate students (Harrington et al., 2007). For the past three years (2007-2010), wikis have been used to support the training and development of student writing mentors. In particular, they have been used to facilitate mentors’ reflective practice, including the benefits and challenges of working with fellow students for improving writing. When we first began using wikis, it was hoped that this virtual space would enable mentors with different working hours in the Centre to continue to reflect on their professional practice as mentors following the initial three-day intensive training programme. We have discovered that the mentors have gone beyond this to build a virtual community based on encouragement and respect for their fellow mentors and which has aided their own writing and learning development. This short article reports on the key aspects of our experience of using wikis to support mentors’ ongoing development

Demographic group differences in the predictors and consequences of Negative Body Image in White and South Asian groups

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Women´s body image and the role of culture: A review of the literature

Body image can be described as a combination of a person’s perceptions, feelings and thoughts about his/her body and their general physical appearance. Self-perceptions are important to examine because they can have implications for a person’s psychological and physical health. Past research has shown that culture plays a significant role in forming appearance ideals and that these vary for women of different cultures. The purpose of this article was to review the present literature on the prevalence of negative body image in women of different ethnic groups living in Western cultures. The similarities and differences between cultures in terms of negative body image in women were discussed followed by an examination of the role of acculturation in the development of negative body image. The findings showed that a significant proportion of women of different ethnicities are dissatisfied with their bodies and many are dieting to lose weight. The similarities between the groups indicated that the effect of non-Western cultures that previously promoted larger, more realistic body ideals is now diminishing. Thinner body ideals are now being reinforced for all women regardless of culture and ethnicity, thereby increasing the vulnerability towards developing a negative body image. The role of individual differences and the implications of this change are also discussed in this article

Women’s body image and the role of culture: A review of the literature

Body image can be described as a combination of a person’s perceptions, feelings and thoughts about his/her body and their general physical appearance. Self-perceptions are important to examine because they can have implications for a person’s psychological and physical health. Past research has shown that culture plays a significant role in forming appearance ideals and that these vary for women of different cultures. The purpose of this article was to review the present literature on the prevalence of negative body image in women of different ethnic groups living in Western cultures. The similarities and differences between cultures in terms of negative body image in women were discussed followed by an examination of the role of acculturation in the development of negative body image. The findings showed that a significant proportion of women of different ethnicities are dissatisfied with their bodies and many are dieting to lose weight. The similarities between the groups indicated that the effect of non-Western cultures that previously promoted larger, more realistic body ideals is now diminishing. Thinner body ideals are now being reinforced for all women regardless of culture and ethnicity, thereby increasing the vulnerability towards developing a negative body image. The role of individual differences and the implications of this change are also discussed in this article

'I think a fair girl would have better marriage prospects than a dark one': British Indian adults’ perceptions of physical appearance ideals

The aim of the present study was to investigate British Indian men and women’s perceptions of Indian physical appearance ideals and related attributes. Eight semi-structured interviews with men and women were conducted, and the data were analysed using Interpretative Phenomenological Analysis. Four themes emerged from the data: 1) Cultural similarities and differences in physical appearance, 2) Gender differences in pressure experienced, 3) Improving physical appearance for marriage, and 4) Factors influencing appearance pressures. The findings indicated that participants perceived few cultural similarities in the Indian and Western standards for physical appearance. Internalisation of Indian body ideals (including fair skin and slimness) were linked to finding a suitable partner for marriage for women, and this pressure was largely perceived to be influenced by maternal encouragement and the media. The results indicate that gender is influential in determining the physical, psychological and social implications of attempting to conform to the cultural physical appearance ideals and related attributes

'I think a fair girl would have better marriage prospects than a dark one': British Indian adults´ perceptions of physical appearance ideals

The aim of the present study was to investigate British Indian men and women’s perceptions of Indian physical appearance ideals and related attributes. Eight semi-structured interviews with men and women were conducted, and the data were analysed using Interpretative Phenomenological Analysis. Four themes emerged from the data: 1) Cultural similarities and differences in physical appearance, 2) Gender differences in pressure experienced, 3) Improving physical appearance for marriage, and 4) Factors influencing appearance pressures. The findings indicated that participants perceived few cultural similarities in the Indian and Western standards for physical appearance. Internalisation of Indian body ideals (including fair skin and slimness) were linked to finding a suitable partner for marriage for women, and this pressure was largely perceived to be influenced by maternal encouragement and the media. The results indicate that gender is influential in determining the physical, psychological and social implications of attempting to conform to the cultural physical appearance ideals and related attributes