Revealing Casual Pathways to Sustainable Water Service Delivering Using fsQCA

This study aimed to build on theory and practice regarding the combinations of conditions that influence water service sustainability when external partners are involved. The study investigates 26 well projects that have been implemented in developing countries with the assistance of Engineers Without Borders-USA (EWB-USA). Using past literature on sustainable water service delivery in developing communities, emergent coding techniques with project documents, and surveys with EWB-USA team members, this study identifies a set of project conditions to conduct fuzzy-set Qualitative Comparative Analysis (fsQCA). Findings show that the presence of a water committee cannot alone account for project sustainability. Additional conditions, such as technology and construction processes, project governance, and community engagement practices must also be considered for project sustainability. The relationship between construction quality and financial sustainability is also discussed. Overall, the findings from this research contribute to sector theory and reveal distinct pathways towards sustainable water services. These findings informed recommendations for EWB-USA well project implementation and management, and demonstrate the utility of fsQCA as a tool to navigate the complexities of water service delivery by external partners and improve understanding to increase water service sustainability

An investigation of the cognitive processes that contribute to faculty development among selected nursing educators in Michigan

The purpose of this study was to provide insight into the issue of faculty development in nursing education. A qualitative, case-study research method was used to explore cognitive processes nursing faculty engage in for developing their student teaching/learning skills. Groups as well as individuals participated in this study, and data collection involved multiple methods, including group discussions, review of faculty education records at nursing schools, interviews with directors of nursing programs, multiple individual interviews with selected participants over a period of several months, focused journal writing, and electronic discussions. Study participants consisted of 24 faculty and six administrators from six nursing programs across the lower half of Michigan. Four of the nursing programs were in community colleges, and two of the programs were in universities with baccalaureate and graduate-level educational programs that included nursing. The research participants provided rich descriptions of their development activities and their thinking about teaching and learning. The nurse educators reflected on and identified their learning needs regarding the teaching role. A model of faculty development emerged from the data that involves a process of reflection, planning, teaching, and returning to reflection within an environment that includes both supports and constraints. Implications for further research include this reflective process, advancement of the skill of thinking critically, removing barriers to growth for faculty, enhancing supports for that growth, and furthering the understanding of faculty development needs and processes

Working with Complexity: a Participatory Systems-Based Process for Planning and Evaluating Rural Water, Sanitation and Hygiene Services

Individuals working within the water, sanitation and hygiene for development (WASH) sector grapple daily with complex technical, social, economic, and environmental issues that often produce unexpected outcomes that are difficult to plan for and resolve. Here we propose a method we are calling the ‘Participatory Systems-based Planning and Evaluation Process’ (PS-PEP) that combines structural factor analysis and collaborative modeling to guide teams of practitioners, researchers, and other stakeholders through a process of modeling and interpreting how factors systemically and dynamically influence sustained access to WASH services. The use and utility of the PS-PEP is demonstrated with a regional team of water committee members in the municipality of Jalapa, Nicaragua who participated in a two-day modeling workshop. Water committee members left the workshop with a clear set of action items for water service planning and management in Jalapa, informed by the analysis of systemic influences and dependencies between key service factors. In so doing, we find that the PS-PEP provides a powerful tool for WASH project or program planning, evaluation, management and policy, the continued use of which could offer unprecedented growth in understanding of WASH service complexity for a broad spectrum of service contexts

Health and wellbeing promotion strategies for ‘hard to reach’ older people in England: a mapping exercise.

The version of the article that has been accepted for publication. This version may include revisions resulting from peer review but may be subject to further editorial input by Cambridge University Press.Background: Older people from deprived areas, the oldest old and those from ethnic minorities engage less in health promotion interventions and related research, potentially generating inequities. Aim: To explore and map the extent to which such ‘hard to reach’ groups of older people, are the focus of local health and wellbeing strategies in England. Methods: Document analysis of current health and wellbeing promotion strategies in a purposive sample of 10 localities in England with high proportions of some or all of the three hard-to-reach groups. Documents were analysed using an interpretive approach. Findings: A total of 254 documents were retrieved and reviewed. Much of the content of the documents was descriptive and reported the implications for resources/services of population ageing rather than actual initiatives. All localities had an Older People’s Strategy. Strategies to counter deprivation included redistribution of winter fuel payments, income maximisation, debt reduction and social inclusion initiatives, a focus on older owner occupiers and recruitment of village ‘agents’ to counter rural deprivation. The needs of the oldest old were served by integrated services for older people, a community alarm service with total coverage of the 85+ population, and dietary advice. The needs of Black and Ethnic Minority (BME) older people were discussed in all localities and responses included community work with BME groups, attention to housing needs and monitoring of service use by BME older people. Three other themes that emerged were: use of telecare technologies; a challenge to the idea of ‘hard to reach’ groups; and outreach services to those at most risk. Conclusions: Document analysis revealed a range of policy statements that may indicate tailoring of policy and practice to local conditions, the salience of national priorities, some innovative local responses to policy challenges and even dissenting views that seek to redefine the policy problem.Peer reviewe

The Australian digital online farm trials database increases the quality of systematic reviews and meta-analyses in grains crop research

Synthesis and analysis of past cropping research can provide valuable information to direct future decisions around crop management. Systematic reviews and meta-analyses are considered gold standards in the synthesis and analysis of scientific research because they distil large amounts of information about complex issues, provide a summary of knowledge to date, and identify knowledge gaps. However, several issues concerning the methodologies employed to conduct systematic reviews have been identified; among them is the risk of publication bias when a review relies too heavily on 'white' literature from published academic sources and in so doing fails identify relevant 'grey' literature. Grey literature is inherently difficult to identify and collect, but forms a large portion of information available in many fields including agricultural-based research within Australia. The Online Farm Trials (OFT) database is a digital database of crop research field trial data from across Australia that has the potential for use as a discipline-specific source of grey literature to inform systematic reviews and meta-analyses. Using a case study approach to investigate the amount of information available on time of sowing (sowing date) on crop yield across Australia, we demonstrate that the OFT database provides easy access to transparent and reproducible search results similar to other commonly used academic databases. © 2021 Journal Compilatio

Trajectories of housing affordability and mental health problems: a population-based cohort study

PURPOSE: With housing costs increasing faster than incomes and a limited supply of social housing options, many households face unaffordable housing. Housing affordability problems may negatively impact mental health; however, longitudinal evidence is limited. This study investigates the association between trajectories of housing affordability problems and mental health. METHODS: We used data from 30,025 households from Understanding Society, a longitudinal household survey from the UK. Participants spending 30% or more of household income on housing were categorised as facing housing affordability problems. We estimated group-based trajectories of housing affordability problems from 9 waves of data (2009-2019). We used linear regression to calculate the association between the trajectories and mental health problems, as measured by General Health Questionnaire (GHQ) score in Wave 10 (2018-2020). RESULTS: We found six distinct trajectories of housing affordability problems. Those in the 'stable low' group had a consistently low probability of affordability problems, whilst those in 'high falling' group had a sustained high probability in the earlier waves of the study, subsequently decreasing over time. The adjusted analysis showed that trajectory group membership over the first nine waves of data predicted GHQ score in 2018-2020 (Wave 10). Compared to the 'stable low' group, those in the 'high falling' group had a GHQ score that was 1.06 (95% CI 0.53-1.58) points higher. CONCLUSION: This study provides evidence that sustained exposure to housing affordability problems is associated with long-term worse mental health, even in the absence of more recent problems

Using agricultural metadata : a novel investigation of trends in sowing date in on-farm research trials using the online farm trials database

Background: A growing ability to collect data, together with the development and adoption of the FAIR guiding principles, has increased the amount of data available in many disciplines. This has given rise to an urgent need for robust metadata. Within the Australian grains industry, data from thousands of on-farm research trials (Trial Projects) have been made available via the Online Farm Trials (OFT) website. OFT Trial Project metadata were developed as filters to refine front-end database searches, but could also be used as a dataset to investigate trends in metadata elements. Australian grains crops are being sown earlier, but whether on-farm research trials reflect this change is currently unknown. Methods: We investigated whether OFT Trial Project metadata could be used to detect trends in sowing dates of on-farm crop research trials across Australia, testing the hypothesis that research trials are being sown earlier in line with local farming practices. The investigation included 15 autumn-sown, winter crop species listed in the database, with trial records from 1993 to 2019. Results: Our analyses showed that (i) OFT Trial Project metadata can be used as a dataset to detect trends in sowing date; and (ii) cropping research trials are being sown earlier in Victoria and Western Australia, but no trend exists within the other states. Discussion/Conclusion: Our findings show that OFT Trial Project metadata can be used to detect trends in crop sowing date, suggesting that metadata could also be used to detect trends in other elements such as harvest date. Because OFT is a national database of research trials, further assessment of metadata may uncover important agronomic, cultural or economic trends within or across the Australian cropping regions. New information could then be used to lead practice change and increase productivity within the Australian grains industry. © 2021 Walters J et al

The gender dimensions of mental health during the Covid-19 pandemic: A path analysis

BACKGROUND: The Covid-19 pandemic has had a substantial population mental health impact, with evidence indicating that mental health has deteriorated in particular for women. This gender difference could be explained by the distinct experiences of women during the pandemic, including the burden of unpaid domestic labour, changes in economic activity, and experiences of loneliness. This study investigates potential mediators in the relationship between gender and mental health during the first wave of the Covid-19 pandemic in the UK. METHODS: We used data from 9,351 participants of Understanding Society, a longitudinal household survey from the UK. We conducted a mediation analysis using structural equation modelling to estimate the role of four mediators, measured during the first lockdown in April 2020, in the relationship between gender and mental health in May and July 2020. Mental health was measured with the 12-item General Health Questionnaire (GHQ-12). Standardized coefficients for each path were obtained, as well as indirect effects for the role of employment disruption, hours spent on housework, hours spent on childcare, and loneliness. RESULTS: In a model controlling for age, household income and pre-pandemic mental health, we found that gender was associated with all four mediators, but only loneliness was associated with mental health at both time points. The indirect effects showed strong evidence of partial mediation through loneliness for the relationship between gender and mental health problems; loneliness accounted for 83.9% of the total effect in May, and 76.1% in July. No evidence of mediation was found for housework, childcare, or employment disruption. CONCLUSION: The results suggest that the worse mental health found among women during the initial period of the Covid-19 pandemic is partly explained by women reporting more experiences of loneliness. Understanding this mechanism is important for prioritising interventions to address gender-based inequities that have been exacerbated by the pandemic

Engaging ‘hard to reach’ groups in health promotion: the views of older people and professionals from a qualitative study in England

Background Older people living in deprived areas, from black and minority ethnic groups (BME) or aged over 85 years (oldest old) are recognised as ‘hard to reach’. Engaging these groups in health promotion is of particular importance when seeking to target those who may benefit the most and to reduce health inequalities. This study aimed to explore what influences them practicing health promotion and elicit the views of cross-sector professionals with experiences of working with ‘hard to reach’ older people, to help inform best practice on engagement. Methods ‘Hard to reach’ older people were recruited through primary care by approaching those not attending for preventative healthcare, and via day centres. Nineteen participated in an interview (n = 15) or focus group (n = 4); including some overlaps: 17 were from a deprived area, 12 from BME groups, and five were oldest old. Cross-sector health promotion professionals across England with experience of health promotion with older people were identified through online searches and snowball sampling. A total of 31 of these 44 professionals completed an online survey including open questions on barriers and facilitators to uptake in these groups. Thematic analysis was used to develop a framework of higher and lower level themes. Interpretations were discussed and agreed within the team. Results Older people’s motivation to stay healthy and independent reflected their everyday behaviour including practicing activities to feel or stay well, level of social engagement, and enthusiasm for and belief in health promotion. All of the oldest old reported trying to live healthily, often facilitated by others, yet sometimes being restricted due to poor health. Most older people from BME groups reported a strong wish to remain independent which was often positively influenced by their social network. Older people living in deprived areas reported reluctance to undertake health promotion activities, conveyed apathy and reported little social interaction. Cross-sector health professionals consistently reported similar themes as the older people, reinforcing the views of the older people through examples. Conclusions The study shows some shared themes across the three ‘hard-to-reach’ groups but also some distinct differences, suggesting that a carefully outlined strategy should be considered to reach successfully the group targeted.Peer reviewedFinal Published versio