Video Feedback for Improving Parental Sensitivity and Attachment (Protocol)

This is the protocol for a review and there is no abstract. The objectives are as follows: To evaluate the effectiveness of video feedback for improving parental sensitivity and promoting attachment security

Safe at Home? Narratives of Reintegrated Victims of Child Trafficking from Lake Volta, Ghana

Abstract Trafficking in persons; especially children, have been a major concern in the fields of medicine, early childhood development, and social welfare among others. The impact of trafficking on victims of all ages is devastating. However, after their rescue, intervention processes have been rehabilitation and reintegration into societies of origin in most instances. The current study investigated the experiences of child victims rescued from fishing on Lake Volta, Ghana and reunited with their families in communities from where they were once trafficked. The study explored (a) whether or not reintegrated trafficked victims of school going age were placed in school; (b) whether or not reintegration connotes the absence of exploitative work and (c) if reintegrated children are free from other abuses aside exploitative work. Taking a qualitative approach of enquiry, the study purposively selected 24 participants with whom data was generated through in-depth interviews using an interview guide. It was found that how each participant experienced the core themes – education, exploitative work and other abuses - was dependent on the condition of the home the child was returned to. While some homes supported participants to escape work and abuse, others could not do so given the poor prevailing conditions in some instances. The study therefore recommends a holistic intervention package to make for a safe haven

The challenges of joint working: lessons from the Supporting People Health Pilot evaluation

Purpose: This paper reports the findings of the evaluation of the Supporting People Health Pilots programme which was established to demonstrate the policy links between housing support services and health and social care services by encouraging the development of integrated services. The paper highlights the challenges of working across housing, health and social care boundaries. <br><br> Method: The evaluation of the 6 health pilots rested on two main sources of data collection: Quarterly Project Evaluation Reports collected process data as well as reporting progress against aims and objectives. Semi-structured interviews - conducted across all key professional stakeholder groups and agencies and with people who used services - explored their experiences of these new services. <br><br> Results: The ability of pilots to work across organisational boundaries to achieve their aims and objectives was associated not only with agencies sharing an understanding of the purpose of the joint venture, a history of joint working and clear and efficient governance arrangements but on two other characteristics: the extent and nature of statutory sector participation and, whether or not the service is defined by a history of voluntary sector involvement. In particular the pilots demonstrated how voluntary sector agencies appeared to be less constrained by organisational priorities and professional agenda and more able to respond flexibly to meet the complex needs of individuals. <br><br> Conclusion and discussion: The pilots demonstrate that integrating services to support people with complex needs works best when the service is determined by the characteristics of those who use the service rather than pre-existing organisational structures

Advancing Adult Education: Shifting, Producing, Advocating, & Embracing

This symposium activates participants and presenters as we engage in dialogue, debate, and discernment about how we are advancing adult education. We explore adult education in diverse practice sites such as post secondary education, the entertainment industry, and sites of ecological reframing in homes, workplaces and faith communities. We debate the key concerns of adult education as envisioned by the presenters and participants and seek to uncover the places and spaces where adult education is shifting, exploring, and creating meaning, justice, and peace in our personal, social, and spiritual worlds. The symposium is guided by social constructivism and transformational learning theories. Shifting Expectations: Designing Effective Educational Technology fo

Considerations of complexity in rating certainty of evidence in systematic reviews:a primer on using the GRADE approach in global health

Public health interventions and health technologies are commonly described as 'complex', as they involve multiple interacting components and outcomes, and their effects are largely influenced by contextual interactions and system-level processes. Systematic reviewers and guideline developers evaluating the effects of these complex interventions and technologies report difficulties in using existing methods and frameworks, such as the Grading of Recommendations Assessment, Development and Evaluation (GRADE). As part of a special series of papers on implications of complexity in the WHO guideline development, this paper serves as a primer on how to consider sources of complexity when using the GRADE approach to rate certainty of evidence. Relevant sources of complexity in systematic reviews, health technology assessments and guidelines of public health are outlined and mapped onto the reported difficulties in rating the estimates of the effect of these interventions. Recommendations on how to address these difficulties are further outlined, and the need for an integrated use of GRADE from the beginning of the review or guideline development is emphasised. The content of this paper is informed by the existing GRADE guidance, an ongoing research project on considering sources of complexity when applying the GRADE approach to rate certainty of evidence in systematic reviews and the review authors' own experiences with using GRADE