20 research outputs found
Social scientists have a real opportunity to influence what politicians say in the run-up to the General Election.
Academic researchers – not just media pundits – should have their say in holding policy promises to account. Jonathan Breckon charts the various activities around the country aimed at providing a rigorous evidence-base in the run-up to the UK’s General Election. A whole range of economists, statisticians, social scientists and others are fact-checking what politicians and pundits say so that they don’t get away with iffy promises or sound-bites. But the challenge in the boom of fact-checkers is getting the quality right
Quick, but not dirty – can rapid evidence reviews reliably inform policy?
The COVID-19 pandemic created an unprecedented and time critical demand for policy relevant evidence syntheses and in so doing demonstrated how timely evidence reviews can shape policymaking. As the policy crisis of COVID-19 recedes, research is underway to assess how these methods could be applied to other policy areas. In this post, Jonathan Breckon considers how rapid evidence reviews have been used, the potential pitfalls in adopting rapid research methods and invites readers to contribute to work being carried out by the Parliamentary Office for Science and Technology, International Public Policy Observatory, and Capabilities in Academic Policy Engagement, into how rapid reviews can be deployed in future
Beyond Randomised Controlled Trials - expanding the horizon for experimental research techniques in the social sciences
Experimental research methods have become mainstream across many disciplines in the social and behavioural sciences. Highlighting, the application of new experimental methods that employ innovations in digital technology, machine learning and theory, Jonathan Breckon and Alex Sutherland argue that social scientists should be encouraged to add a wider variety of experimental techniques to their methodological repertoire
Geography in the United Kingdom
Geography in school education A useful litmus test of the state of geography in formal education in England, Scotland, Northern Ireland and Wales is the examination results in recent years. The picture of declining interest in geography, as seen in the numbers opting to study it post 14, is worrying but there are some encouraging new initiatives by Government agencies and subject bodies that may help to stabilise the trend over the next five years or so. Almost all pupils are required to stud..
Bodies of evidence: how professional organisations in health, education and policing champion the use of research
Following the signing of the 2017 Evidence Declaration, this report examines the role of the royal colleges, faculties and other professional bodies in mobilising evidence. With a wealth of examples provided by the declaration signatories themselves, we offer nine practical recommendations for getting research used in practice
Bodies of evidence: how professional organisations in health, education and policing champion the use of research
Following the signing of the 2017 Evidence Declaration, this report examines the role of the royal colleges, faculties and other professional bodies in mobilising evidence. With a wealth of examples provided by the declaration signatories themselves, we offer nine practical recommendations for getting research used in practice
A randomised controlled trial and cost-effectiveness evaluation of 'booster' interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods
Background: More evidence is needed on the potential role of 'booster' interventions in the maintenance of increases in physical activity levels after a brief intervention in relatively sedentary populations.
Objectives: To determine whether objectively measured physical activity, 6 months after a brief intervention, is increased in those receiving physical activity 'booster' consultations delivered in a motivational interviewing (MI) style, either face to face or by telephone.
Design: Three-arm, parallel-group, pragmatic, superiority randomised controlled trial with nested qualitative research fidelity and geographical information systems and health economic substudies. Treatment allocation was carried out using a web-based simple randomisation procedure with equal allocation probabilities. Principal investigators and study statisticians were blinded to treatment allocation until after the final analysis only.
Setting: Deprived areas of Sheffield, UK.
Participants: Previously sedentary people, aged 40-64 years, living in deprived areas of Sheffield, UK, who had increased their physical activity levels after receiving a brief intervention.
Interventions: Participants were randomised to the control group (no further intervention) or to two sessions of MI, either face to face ('full booster') or by telephone ('mini booster'). Sessions were delivered 1 and 2 months post-randomisation.
Main outcome measures: The primary outcome was total energy expenditure (TEE) per day in kcal from 7-day accelerometry, measured using an Actiheart device (CamNtech Ltd, Cambridge, UK). Independent evaluation of practitioner competence was carried out using the Motivational Interviewing Treatment Integrity assessment. An estimate of the per-participant intervention costs, resource use data collected by questionnaire and health-related quality of life data were analysed to produce a range of economic models from a short-term NHS perspective. An additional series of models were developed that used TEE values to estimate the long-term cost-effectiveness.
Results: In total, 282 people were randomised (control = 96; mini booster = 92, full booster = 94) of whom 160 had a minimum of 4 out of 7 days' accelerometry data at 3 months (control = 61, mini booster = 47, full booster = 52). The mean difference in TEE per day between baseline and 3 months favoured the control arm over the combined booster arm but this was not statistically significant (-39 kcal, 95% confidence interval -173 to 95, p = 0.57). The autonomy-enabled MI communication style was generally acceptable, although some participants wanted a more paternalistic approach and most expressed enthusiasm for monitoring and feedback components of the intervention and research. Full boosters were more popular than mini boosters. Practitioners achieved and maintained a consistent level of MI competence. Walking distance to the nearest municipal green space or leisure facilities was not associated with physical activity levels. Two alternative modelling approaches both suggested that neither intervention was likely to be cost-effective.
Conclusions: Although some individuals do find a community-based, brief MI 'booster' intervention supportive, the low levels of recruitment and retention and the lack of impact on objectively measured physical activity levels in those with adequate outcome data suggest that it is unlikely to represent a clinically effective or cost-effective intervention for the maintenance of recently acquired physical activity increases in deprived middle-aged urban populations. Future research with middle-aged and relatively deprived populations should explore interventions to promote physical activity that require less proactive engagement from individuals, including environmental interventions
The Lantern Vol. 59, No. 2, Summer 1992
• Mr. Foley\u27s Toboggan • I Close the Door to the Bathroom • Insomniac Scribbles • And Then There Were Four • Goodbye, Ace • Silicone\u27s a Manmade Matter • The Nineteenth Hole • Upon Visiting Manor Care • Little Boys • Obsessed • Life • Shakespearean Shakedown • Violets and Morning Glories • Mr. Cope Takes His Secretary to Lunch • Winter Eyes • Triptych • These Hot, Humid Nights • The Car\u27s Place in His Heart • Saturday Night • The Windows of a Clean House • An Harmonious Thunk • Nomads • My Watch at Mass • Dave\u27s Fine Print • K.P. Duty • Serendipityhttps://digitalcommons.ursinus.edu/lantern/1141/thumbnail.jp
A Mediterranean Diet and Walking Intervention to Reduce Cognitive Decline and Dementia Risk in Independently Living Older Australians:The MedWalk Randomized Controlled Trial Experimental Protocol, Including COVID-19 Related Modifications and Baseline Characteristics.
Background:Several clinical trials have examined diet and physical activity lifestyle changes as mitigation strategies for risk factors linked to cognitive decline and dementias such as Alzheimer’s disease. However, the ability to modify these behaviors longer term, to impact cognitive health has remained elusive.Objective:The MedWalk trial’s primary aim is to investigate whether longer-term adherence to a Mediterranean-style diet and regular walking, delivered through motivational interviewing and cognitive-behavioral therapy (MI-CBT), can reduce age-associated cognitive decline and other dementia risk factors in older, independently living individuals without cognitive impairment.Methods:MedWalk, a one-year cluster-randomized controlled trial across two Australian states, recruited 60–90-year-old people from independent living retirement villages and the wider community. Participants were assigned to either the MedWalk intervention or a control group (maintaining their usual diet and physical activity). The primary outcome is 12-month change in visual memory and learning assessed from errors on the Paired Associates Learning Task of the Cambridge Neuropsychological Test Automated Battery. Secondary outcomes include cognition, mood, cardiovascular function, biomarkers related to nutrient status and cognitive decline, MI-CBT effectiveness, Mediterranean diet adherence, physical activity, quality of life, cost-effectiveness, and health economic evaluation.Progress and Discussion:Although COVID-19 impacts over two years necessitated a reduced timeline and sample size, MedWalk retains sufficient power to address its aims and hypotheses. Baseline testing has been completed with 157 participants, who will be followed over 12 months. If successful, MedWalk will inform interventions that could substantially reduce dementia incidence and ameliorate cognitive decline in the community.<br/