480 research outputs found

    Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis

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    Purpose: A number of studies, including systematic reviews, show beneficial effects of psychosocial interventions for people with diabetes mellitus; however, they have not been assessed using meta-analysis. The purpose of this meta-analysis of randomized controlled trials is to investigate the effects of psychosocial interventions on depressive and anxiety symptoms, quality of life and self-efficacy in individuals with diabetes mellitus. Methods: The databases Pubmed, MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science and SocINDEX were searched with no year restriction. Eligible studies were randomized controlled trials published in English that included individuals diagnosed with diabetes mellitus, aged 18 years or above, who engaged in a psychosocial intervention, with outcome measures addressing depressive or anxiety symptomology, quality of life or self-efficacy. Eligible studies needed to compare the intervention to usual care. Study selection was completed using Covidence and meta-analysis was undertaken using Comprehensive Meta-Analysis software. Results: Seven studies were included in the meta-analysis. Five studies investigated the effects of psychosocial interventions and showed a medium to large benefit for depressive symptoms (SMD: -0.70; CI: -1.27, -0.13) which persisted at follow up (SMD: -1.54, CI: -2.97, -0.12). Similar results were not seen immediately post-intervention in the three studies that assessed anxiety symptoms (SMD: -0.30; CI: -0.69, 0.10); however, a medium beneficial effect was seen at follow up (SMD = -0.61, CI = -0.92 to -0.31). Small benefits were seen in the three studies assessing quality of life outcomes (SMD: 0.30, CI: 0.06, 0.55). No benefit was seen in the two studies assessing self-efficacy (SMD: 0.23, CI: -0.11, 0.57). Conclusions: The results of the current study provide preliminary evidence that psychosocial interventions, compared to usual care, reduce depressive symptoms, and may improve quality of life in individuals with diabetes. However, only a few studies were included and the clinical significance of these findings is unknown

    Consumer Perceptions of Blended Hydrogen in the Home: Learning from HyDeploy

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    This report presents the results of research into consumer perceptions and the subsequent degree of acceptance of blended hydrogen in domestic properties. Evidence from two trial sites of the HyDeploy programme: i) a private site trial at Keele University, North Staffordshire; ii) and a public site trial at Winlaton, Gateshead are discussed

    Serious Organised Crime Early Intervention Service: Interim Evaluation Report

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    The Serious Organised Crime Early Intervention Service is a pioneering service from Action for Children aimed at 11-18 year olds who are on the cusp of involvement in Serious and Organised Crime or are at risk of future involvement. The Service model was established in Glasgow in 2013. Following its success, Action for Children secured funding from the National Lottery Community to test the model in four sites across three nations: Cardiff, Dundee, Edinburgh and Newcastle. An independent evaluation was commissioned by Action for Children to examine the implementation, delivery and impact of the Serious Organised Crime Early Intervention Service. In doing so, the evaluation had four objectives: 1. To capture information relating to the key components of the Service 2. To provide insight into young people’s entry and journey through the Service 3. To examine the views of young people, parents, partners, practitioners and peer mentors of ‘what works’ 4. To explore the feasibility of using police data to assess Service outcomes This interim report presents findings from year one of the two-year evaluation. Due to the phased implementation of the Service, the evaluation includes data from three of the four sites (Cardiff, Edinburgh and Newcastle). Findings from Dundee will be presented in the final report

    Geographic information system for improving maternal and newborn health: recommendations for policy and programs

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    This correspondence argues and offers recommendations for how Geographic Information System (GIS) applied to maternal and newborn health data could potentially be used as part of the broader efforts for ending preventable maternal and newborn mortality. These recommendations were generated from a technical consultation on reporting and mapping maternal deaths that was held in Washington, DC from January 12 to 13, 2015 and hosted by the United States Agency for International Development’s (USAID) global Maternal and Child Survival Program (MCSP). Approximately 72 participants from over 25 global health organizations, government agencies, donors, universities, and other groups participated in the meeting.The meeting placed emphases on how improved use of mapping could contribute to the post-2015 United Nation’s Sustainable Development Goals (SDGs), agenda in general and to contribute to better maternal and neonatal health outcomes in particular. Researchers and policy makers have been calling for more equitable improvement in Maternal and Newborn Health (MNH), specifically addressing hard-to-reach populations at sub-national levels. Data visualization using mapping and geospatial analyses play a significant role in addressing the emerging need for improved spatial investigation at subnational scale. This correspondence identifies key challenges and recommendations so GIS may be better applied to maternal health programs in resource poor settings. The challenges and recommendations are broadly grouped into three categories: ancillary geospatial and MNH data sources, technical and human resources needs and community participation
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