171 research outputs found

    Structural inequalities and dying at home during COVID-19

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    Report by the RECOVEU Consortium (December 2016). RECOVEU: A participative approach to curriculum development for adults in addiction recovery across the European Union. Report for Deliverable 7.1: Pilot Delivery Review (Final). EU Lifelong Learning Project. Project No. 538955-LLP-1-2013-UK-GRUNDTVIG-GMP.

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    The RECOVEU project is aimed at developing a coherent EU approach to adult learning in addiction recovery. Social reintegration is a key factor in addiction recovery. Alongside housing and employment, adult education is a critical measure in supporting social reintegration. However, while there are many programmes focusing on the target group across Europe, many national social inclusion plans do not specifically address the educational needs of drug users (EMCDDA, 2012). The RECOVEU project is aimed at producing a set of ‘Access to Learning’ resources for people in recovery from addiction, together with a Draft Facilitation Pack to be used to support piloting of the materials. This Review presents qualitative feedback from trainers on the Pilot Phase process. It forms a part of a series of three reviews (the two others being Del. 7.2: Qualitative Feedback Review and Del 7.3: Evaluation Toolkit Feedback Review) which together give an overview of the effectiveness and impact of the pilot. The findings from these reviews will be used to revise the course materials, Evaluation Tools and Facilitation Pack

    Report by the RECOVEU Consortium. RECOVEU: A participative approach to curriculum development for adults in addiction recovery across the European Union. Report for Deliverable 4.4: Focus Group Overview. EU Lifelong Learning Project. Project No. 538955-LLP-1-2013-UK-GRUNDTVIG-GMP.

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    Work Package 4 – Focus Group Phase has supported an understanding of the part played by adult education in an individual’s recovery process and provides a way in which people in recovery could be supported to engage in adult education opportunities. The aim of this specific WP was to obtain feedback from service users and providers on what they require from an Access to Learning course and identify key aspects for developing such a course. The Objectives were: 1. To develop the Focus Group Plan to provide guidelines for organising and delivering the research by each partner involving service users and service providers/trainers (i.e. practitioners working in the field of drug recovery/education who are directly involved with delivering learning related activities to the target group). 2. Each partner to hold a series of focus groups for services users and service providers/trainers to identify barriers and enablers to participation in learning. 3. Collect and summarise the focus group data to produce a Focus Group Overview. The main criterion for inclusion of service users was to target adults in recovery who are capable of moving towards Higher Education. Some of the partners had direct access to potential adult learners in the target group, and their own workers/trainers both participated in the focus groups and set the parameters for which service users to target

    Report by the RECOVEU Consortium (December 2016). RECOVEU: A participative approach to curriculum development for adults in addiction recovery across the European Union. Report for Deliverable 7.2: Qualitative Feedback Review (Final). EU Lifelong Learning Project. Project No. 538955-LLP-1-2013-UK-GRUNDTVIG-GMP.

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    The RECOVEU project is aimed at developing a coherent EU approach to adult learning in addiction recovery. Social reintegration is a key factor in addiction recovery. Alongside housing and employment, adult education is a critical measure in supporting social reintegration. However, while there are many programmes focusing on the target group across Europe, many national social inclusion plans do not specifically address the educational needs of drug users (EMCDDA , 2012). The RECOVEU project was aimed at producing a set of ‘Access to Learning’ resources for people in recovery from addiction, together with a Draft Facilitation Pack to be used to support piloting of the materials: This Review presents qualitative feedback from service users on the Pilot Phase process. It forms a part of a series of three reviews (the two others being Del. 7.1: Pilot Delivery Review and Del 7.3: Evaluation Toolkit Feedback Review) which together give an overview of the effectiveness and impact of the pilot. The findings from these reviews will be used to revise the course materials, Evaluation Tools and Facilitation Pack

    Report by the RECOVEU Consortium. RECOVEU: A participative approach to curriculum development for adults in addiction recovery across the European Union. Report for Deliverable 3.4: Final Policy and Practice Review. EU Lifelong Learning Project. Project No. 538955-LLP-1-2013-UK-GRUNDTVIG-GMP.

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    The RECOVEU project brings together partners from the United Kingdom, Cyprus, Romania, Italy and Ireland with the aim of developing access to learning resources for people in recovery from addiction . This policy and practice review seeks to support project partners to develop a more nuanced understanding of the impact of drug policy and EU strategy in each of the partner countries, with a particular emphasis on how this influences practice in drug treatment. The aim was not to replicate the existing evidence base but use it as a foundation to develop a thematic approach to the overall project. With this in mind, RECOVEU partners have completed individual reviews of current drug policy and reflected on practice in their own country. In order to reflect on similar issues a structured questionnaire was developed which drew on the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) Structured Questionnaire 28 on Social Reintegration and Reduction of Social Exclusion of Drug Users (EMCDDA, 2012). The review draws, therefore, on both existing data (for example, National Focal Point data ) and the experiential knowledge of the partners working in the field of addiction. This process has facilitated the development of a thematic framework to inform future work and, most importantly, gain a shared understanding of some of the contextual and structural issues affecting each partner. As we complete this review (October 2014) the EU Commission on Narcotic Drugs (EUCND) met in Vienna to discuss their input into the United Nations General Assembly special session. The consensus was to support an increased focus on the international drug control framework . In the RECOVEU project the partner countries do not have forced labour in place of drug treatment or the death penalty but this is not the case around the world. As such, we are fortunate to be developing resources with people in recovery that aid their access to adult education and an opportunity to make positive changes in their lives

    Dedication To Malcolm Warner

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    Organizational justice in Chinese banks: understanding the variable influence of guanxi on perceptions of fairness in performance appraisal

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    Drawing on survey (n = 308) and interview (n = 22) data from three different types of banks in China, we found significant differences in perceptions of organizational justice in performance appraisal processes. The state-owned bank was perceived as significantly less fair in its appraisal procedures than both its city-commercial and foreign owned counterparts. These differences could be explained, in part, by variations in the influence of guanxi on supervisor decision-making. This, in turn, was linked to differences between the banks in their organizational objectives, as well as to intra-organizational differences at the departmental level. These findings question the common assumption that national culture variables, such as guanxi, are extremely stable and have universal explanatory value in all organizational contexts

    The impact of poverty and deprivation at the end of life: a critical review

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    This critical review interrogates what we know about how poverty and deprivation impact people at the end of life and what more we need to uncover. While we know that people in economically resource-rich countries who experience poverty and deprivation over the life course are likely to die younger, with increased co-morbidities, palliative care researchers are beginning to establish a full picture of the disproportionate impact of poverty on how, when and where we die. This is something the Covid-19 pandemic has further illustrated. Our article uses a critical social science lens to investigate an eclectic range of literature addressing health inequities and is focused on poverty and deprivation at the end of life. Our aim was to see if we could shed new light on the myriad ways in which experiences of poverty shape the end of people’s lives. We start by exploring the definitions and language of poverty while acknowledging the multiple intersecting identities that produce privilege. We then discuss poverty and deprivation as a context for the nature of palliative care need and overall end-of-life circumstances. In particular, we explore: total pain; choice at the end of life; access to palliative care; and family caregiving. Overall, we argue that in addressing the effects of poverty and deprivation on end-of-life experiences, there is a need to recognise not just socio-economic injustice but also cultural and symbolic injustice. Too often, a deficit-based approach is adopted which both ‘Others’ those living with poverty and renders invisible the strategies and resilience they develop to support themselves, their families and communities. We conclude with some recommendations for future research, highlighting in particular the need to amplify the voices of people with lived experience of poverty regarding palliative and end-of-life care

    Trends and Predictors of Syphilis Prevalence in the General Population: Global Pooled Analyses of 1103 Prevalence Measures Including 136 Million Syphilis Tests.

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    Background: This study assessed levels, trends, and associations of observed syphilis prevalence in the general adult population using global pooled analyses. Methods: A standardized database of syphilis prevalence was compiled by pooling systematically gathered data. Random-effects meta-analyses and meta-regressions were conducted using data from the period 1990-2016 to estimate pooled measures and assess predictors and trends. Countries were classified by World Health Organization region. Sensitivity analyses were conducted. Results: The database included 1103 prevalence measures from 136 million syphilis tests across 154 countries (85% from women in antenatal care). Global pooled mean prevalence (weighted by region population size) was 1.11% (95% confidence interval [CI], .99-1.22). Prevalence predictors were region, diagnostic assay, sample size, and calendar year interacting with region. Compared to the African Region, the adjusted odds ratio (AOR) was 0.42 (95% CI, .33-.54) for the Region of the Americas, 0.13 (95% CI, .09-.19) for the Eastern Mediterranean Region, 0.05 (95% CI, .03-.07) for the European Region, 0.21 (95% CI, .16-.28) for the South-East Asia Region, and 0.41 (95% CI, .32-.53) for the Western Pacific Region. Treponema pallidum hemagglutination assay (TPHA) only or rapid plasma reagin (RPR) only, compared with dual RPR/TPHA diagnosis, produced higher prevalence (AOR >1.26), as did smaller sample-size studies (2.16). Prevalence declined in all regions; the annual AORs ranged from 0.84 (95% CI, .79-.90) in the Eastern Mediterranean to 0.97 (95% CI, .97-1.01) in the Western Pacific. The pooled mean male-to-female prevalence ratio was 1.00 (95% CI, .89-1.13). Sensitivity analyses confirmed robustness of results. Conclusions: Syphilis prevalence has declined globally over the past 3 decades. Large differences in prevalence persist among regions, with the African Region consistently the most affected
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