384 research outputs found
Complex valuation:applying ideas from the complex intervention framework to valuation for a new measure for end of life care
Older Adults’ Consumption of Fake News – An Interoceptive Perspective
In an era dominated by social media, the spread of fake news and disinformation presents a distinct peril for those aged 50 and above, who are active and more likely to share it on platforms like Twitter and Facebook. This misinformation could jeopardize the mental and physical well-being of those older adults who are most likely to share health-related fake news. While cognitive decline has traditionally been blamed for older adults\u27 vulnerability to fake news, recent research underscores the role of accumulated knowledge, suggesting cognitive deficits alone cannot fully explain their susceptibility. This research investigates how emotional appeals contained in fake news influence older adults through socio-emotional processing, particularly as older individuals increasingly rely on surface-level analytical reasoning. As such, we may be in a better position to understand how these factors ultimately affect older adults consumption behavior of health-related information
The Food Standards Agency: making a difference?
The governance of food in Britain has been in a state of flux in recent years. For over a decade, from the mid 1980s to the late 1990s, the then Ministry of Agriculture, Fisheries and Food (MAFF) found itself mired in a series of food controversies. Eventually, partly overwhelmed by its inability to reassure consumers or the food industry on the safety of food in Britain the Ministry was replaced by the Food Standards Agency (FSA). In this paper, we briefly review the background to the formation of the FSA and its formal role. We then describe how the creation of the FSA has changed the interrelationships between organisations and how these patterns have shifted the nature of food governance in Britain. To analyse the changing nature of food governance two models are outlined; one coercive and the other partnership based. An assessment of the extent to which the FSA works with one or other of these models is then made by exploring how key FSAs activities, especially its approach to enforcement, are shaping its relationships with other organisations and its policy outcomes. The paper draws heavily on material made available by the FSA through its website and a set of key person interviews with those with an interest along the whole food supply chain
Co-Orienting Community Engagement In Hospital System Planning: Understanding Internal and External Perspectives
This study explored the relationship between a large health care institution in Canada
and its stakeholders as a means of understanding how “the community” wants to be
engaged in ongoing hospital restructuring and system planning. A mixed-methods
research design (focus groups, depth interviews and Q-methodology) was used to
assess stakeholders’ perceptions of effective community engagement strategies and
frameworks for sustainable community and organizational outreach. Findings show that
the community members expect health care organizations to engage in mutually
beneficial, two-way symmetrical communication and dialogue. Results provide scholars,
public relations practitioners and organizational leaders with insights on the
community’s expectations and willingness to engage
A comparison of adolescent and adult health state values for the Child Health Utility-9D using profile case best worst scaling
The main objective of this study was to compare and contrast adolescent and adult values for
the Child Health Utility-9D (CHU9D), a new generic preference based measure of health
related quality of life designed for application in the economic evaluation of treatment and
preventive programmes for children and adolescents. Previous studies have indicated that
there may be systematic differences in adolescent and adult values for identical health states
but have failed to use a common valuation technique. An on-line survey including a series of
best worst scaling discrete choice experiment questions for health states defined by the
CHU9D, was administered to two general population samples comprising adults and
adolescents respectively. The results highlight potentially important age related differences
in the values attached to CHU9D dimensions. Adults, in general, placed less weight upon
impairments in mental health (worried, sad, annoyed) and more weight upon moderate to
severe levels of pain relative to adolescents. The source of values (adults or adolescents) has
important implications for economic evaluation and may impact significantly upon health
care policy. Profile case best worst scaling offers a promising approach for the elicitation and
comparison of health state values across population groups.Financial support from a Flinders University
seeding grant and an Australian NHMRC Project Grant 1021899 entitled 'Adolescent values
for the economic evaluation of adolescent health care treatment and preventive programs' is
gratefully acknowledged
Scoring the ICECAP-A capability instrument. Estimation of a UK general population tariff
This paper reports the results of a best–worst scaling (BWS) study to value the Investigating Choice Experiments Capability Measure for Adults (ICECAP-A), a new capability measure among adults, in a UK setting. A main effects plan plus its foldover was used to estimate weights for each of the four levels of all five attributes. The BWS study was administered to 413 randomly sampled individuals, together with sociodemographic and other questions. Scale-adjusted latent class analyses identified two preference and two (variance) scale classes. Ability to characterize preference and scale heterogene-ity was limited, but data quality was good, and the final model exhibited a high pseudo-r-squared. After adjusting for heterogeneity, a population tariff was estimated. This showed that ‘attachment ’ and ‘stability ’ each account for around 22 % of the space, and ‘autonomy’, ‘achievement ’ and ‘enjoyment ’ account for around 18 % each. Across all attributes, greater value was placed on the difference between the lowest levels of capability than between the highest. This tariff will enable ICECAP-A to be used in economic evaluation both within the field of health and across public policy generally. © 2013 The Authors. Health Economics published by John Wiley & Sons Ltd
The battle for the consumers: building relationships in a new phase of contested accountability in the UK food chain
This paper presents a brief history of the changing food policy governance in the UK and highlights the gradual Europeanisation and Consumerisation of UK food policies. The paper discusses the complexities of the private interest model of food regulation and the role played by retailers in the food sector in trying to influence consumers. The impact of the establishment of the Food Standards Agency on the context and implementation of food regulation in the UK also forms the theme of discussion in this communiqué. The paper identifies five significant recent developments by way of which the State, corporate and private interests, consumers and social interest groups build relationships in response to the need for accountability within the UK agri-food chain, symbolising the development of a complex public/private set of associations, that is evolving as a result of the private, institutional and consumer pressures on food regulation
Development of a self-report measure of capability wellbeing for adults: the ICECAP-A
Purpose The benefits of health and social care are not confined to patient health alone and therefore broader measures of wellbeing may be useful for economic evaluation.\ud
This paper reports the development of a simple measure of capability wellbeing for adults (ICECAP-A).\ud
Methods In-depth, informant-led, interviews to identify the attributes of capability wellbeing were conducted with 36 adults in the UK. Eighteen semi-structured, repeat interviews were carried out to develop a capability-based descriptive system for the measure. Informants were purposively selected to ensure variation in socio-economic status, age, sex, ethnicity and health. Data analysis was carried out inductively and iteratively alongside interviews, and findings were used to shape the questions in later interviews.\ud
Results Five over-arching attributes of capability wellbeing were identified for the measure: ‘‘stability’’,‘‘attachment’’, ‘‘achievement’’, ‘‘autonomy’’ and ‘‘enjoyment’’. One item, with four response categories, was developed for each attribute for the ICECAP-A descriptive system.\ud
Conclusions The ICECAP-A capability measure represents a departure from traditional health economics outcome measures, by treating health status as an influence over broader attributes of capability wellbeing. Further work is required to value and validate the attributes and test the sensitivity of the ICECAP-A to healthcare interventions
The Food Standards Agency: making a difference?
The governance of food in Britain has been in a state of flux in recent years. For over a decade, from the mid 1980s to the late 1990s, the then Ministry of Agriculture, Fisheries and Food (MAFF) found itself mired in a series of food controversies. Eventually, partly overwhelmed by its inability to reassure consumers or the food industry on the safety of food in Britain the Ministry was replaced by the Food Standards Agency (FSA). In this paper, we briefly review the background to the formation of the FSA and its formal role. We then describe how the creation of the FSA has changed the interrelationships between organisations and how these patterns have shifted the nature of food governance in Britain. To analyse the changing nature of food governance two models are outlined; one coercive and the other partnership based. An assessment of the extent to which the FSA works with one or other of these models is then made by exploring how key FSAs activities, especially its approach to enforcement, are shaping its relationships with other organisations and its policy outcomes. The paper draws heavily on material made available by the FSA through its website and a set of key person interviews with those with an interest along the whole food supply chain
- …