FINAL CALL: Have your say about evidence-based implementation! c/o HIFA

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[content removed as not supported by HIFA]

English Do you work on improving health outcomes around the world?

Have your say! Why? To accelerate evidence-based implementation, with equity, for better health worldwide.

Who? People involved in any aspect of health service implementation and strengthening at any level of the system (e.g. health care provider, data analyst, policy maker).

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Evidence-based Implementation: Many life-saving interventions are not implemented effectively, with wide gaps between what is known and what is done, especially in low- and middle-income countries.

We are keen to hear perspectives and realities from implementers in all low- and middle-income contexts. 

We are seeking your insights to help close the gap from evidence to implementation!

We hope you will take a few minutes to complete this brief survey.<https://newborntoolkit.us5.list-manage.com/track/click?u=7a4ba8643fabeb1b06801b973&id=422f1a8283&e=f1722a9293>

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This survey is being conducted as part of the Lancet Commission on Evidence-Based Implementation in Global Health<https://newborntoolkit.us5.list-manage.com/track/click?u=7a4ba8643fabeb1b06801b973&id=ef480cd254&e=f1722a9293>. This study was funded by the Children’s Investment Fund Foundation.

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[content removed as not supported by HIFA - and my source.]

From Harriet Ruysen - Harriet.Ruysen AT lshtm.ac.uk

When a bomb goes off, ...^

INDIVIDUAL

|

INTERPERSONAL : SCIENCES              

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

|

GROUP

	.. whatever's     around .. "WHEN A BOMB GOES OFF, .. gets      weaponised"
	donate.redcross.org.uk msf.org.uk ideals.org.uk map.org.uk uk-med.org

Rosanna Dodds, Operation Gaza, HTSI, FTWeekend, December 9th, 2024. p.37-38.

Victoria Rose, Plastic Surgeon: https://www.youtube.com/watch?v=AzZjmG791Dk

^anywhere ...

'Emperor' - Aphasia

individual

|

INTERPERSONAL : SCIENCES              

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

|

group

	'Physical Reality'
Social Reality	'Political Reality'?!

See also:
Mammary Mountain

Impulse

Faber, T. Lessons in empathy, Life&Arts, FT Weekend, October 5-6, 2024, p.13.

Spontaneity - have we lost something?

. . . asking for a friend … of course . . . 

Creative therapy

'Moreno states that in the evolution of man, spontaneıty  appeared 'before libido, memory and intelligence .. .. In effect it is generally discouraged and thwarted by our cultural  mechanisms. Many of the problems of the psyche and social difficulties suffered by humanity are attributable to an insufficient development of spontaneity. For this reason the art of teaching people to use their spontaneity is the most beneficial thing to be learned in any of our educational institutions.' He also pointed out that anxiety indicates a loss of spontaneity.

A 'cultural conserve' (Moreno) is the end product of a cultural endeavour, the fixed conserve or preserve of culture  the contents of all the libraries, the teaching in all the schools, the knowledge acquired by a child in the home or at school, what is given by radio, television, the theatre, the  cinema, books, lectures - all the 'conserves' of the past creativity of others offered to the intellect.' p.142.

Jennings, S. (1983) Creative therapy. Banbury: Kemble Press edition. (Image: c/o Amazon)

#ChildDevelopment #Attention #Cognition #Play #Adolescence #Curiosity #Innovation #Life #Serendipity #Literacy #Media #DigitalTechnology

PHT-2 Obesity paper - Chance is still up. Please help us WIN the @Nutrients_MDPI "Nutrients 2023 Best Paper Award"

Dear Professors and Colleagues,

https://doi.org/10.3390/nu13041200

the chance is still up to win the @Nutrients_MDPI "Nutrients 2023 Best Paper Award" for our Childhood Obesity paper from the School Study.

Nutrients Editorial Office prepared for us this banner (above) to use for social media etc.

Motevalli, Mohamad, Clemens Drenowatz, Derrick R. Tanous, Naim Akhtar Khan, and Katharina Wirnitzer. 2021. "Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies" Nutrients 13, no. 4: 1200.
https://doi.org/10.3390/nu13041200

Pls help us with your continuous support to WIN, kindly asking 2^nd time now to POST & SHARE widely the prepared text-blocs below with the attached grafic, thx so much!

Best Katharina

Like, Post, share and recommend at/via:

• Researchgate – pls. recommend these 4 papers, thx
• https://www.mdpi.com/2072-6643/13/4/1200 = Grafic No. 1
• https://www.mdpi.com/2072-6643/13/8/2741
• https://www.mdpi.com/2072-6643/13/10/3521
• https://www.mdpi.com/2072-6643/13/8/2776
• Twitter – attention: extra text blocs due to word limit!
• https://twitter.com/NurmiStudy/status/1639980527674351618
• Facebook
• https://www.facebook.com/nurmistudy/posts/pfbid0vCxsxbFGBH8eDeWtP2qNqRe5qT7G3RyqSfMBHvzWwp2zuMuoexiftKFvwqMfzmBPl
• https://www.facebook.com/nurmistudy/posts/pfbid031TssHDZrkcUDiZpNDxAqYS6NTq3q8LcibmJdcJMuzgYmnuNMGf58kv64VYiqe9obl
• Instagram
• TikTok, LinkedIn, Mendeley, etc.

Int. Congress on Evidence-based Parenting Support (6-8 June 2023)

CALL FOR ABSTRACTS

Abstract submissions date for the International Congress on Evidence-based Parenting Support (6-8 June 2023) has been extended to 23 December 2022. This global initiative will focus on effective evidence-based parenting support. It will bring together academics, policymakers, practitioners, consumers and service providers to advance research, policy and practice in the field of parenting and family intervention. This international collaboration aims to create global impact that will benefit parents and children now and for the next generation.

We welcome your insights from research, policy and practice that address a wide range of themes. See more on the themes: https://www.i-ceps.pafra.org/submission

Exciting news for submissions from low- and middle-income countries. The organising committee is pleased to offer free registration for the 20 top ranking abstracts from these countries.

Submissions close: 23 December 2022

More guidelines on abstracts: https://www.i-ceps.pafra.org/submission

Regards, Maria Battaglia

BEd, GradDip Ed&Pub, MComms Communications Officer Institute of Child Protection Studies Australian Catholic University Pronouns: she/her

Level 1, 232 Victoria Parade East Melbourne VIC 3002 Monday to Friday P: 03 9230 8732 E: Maria.Battaglia AT acu.edu.au W: www.acu.edu.au/icps W: safeguardingchildren AT acu.edu.au T: @ACU_ICPS L: Institute of Child Protection Studies

I-CEPS Congress (hosted by PAFRA) W: https://www.i-ceps.pafra.org/ Twitter: @PAFRA_Official LinkedIn: ICEPS2023 Facebook: https://www.facebook.com/ICEPS2023

I acknowledge the Traditional Owners of the lands on which I live and work, and their continuing connection to land, sea and community. I pay my respects to Elders past, present and emerging.

HIFA profile: Maria Battaglia is Communications Officer at the Institute of Child Protection Studies, Australian Catholic University. https://www.i-ceps.pafra.org/ E: Maria.Battaglia AT acu.edu.au 

My source: https://hifa.org/

Invitation: Int. Congress on Evidence-based Parenting Support 2023

Hello HIFA Forums and CHIFA,

Neil Pakenham-Walsh (based in the UK neil.pakenham-walsh AT ghi-net.org) suggested I contact you about a call for abstracts for the inaugural International Congress on Evidence-based Parenting Support 2023

https://www.i-ceps.pafra.org/

The online event will be held on 6-8 June 2023 and will address the theme: Promoting wellbeing and health globally through effective parenting support. We would very much welcome your organisations’ insights on child health and how parenting support can benefit families and children. We are calling for abstracts from members of your organisations.

CALL FOR ABSTRACTS

The Congress will connect academics, policymakers, practitioners, consumers and service providers with international leaders in parenting. Keynote speakers have already been announced. It aims to bring the evidence-based parenting support community together. An innovative program of online events will reach for global impact that will benefit parents and families around the world now and in the next generation.

Abstract submissions are open. We welcome your contribution by 18 November 2022.

This is a fantastic opportunity to share your research, policy and practice expertise in parenting, family intervention and parenting support with a global audience. Participants will be part of a global collective action to improve access for all parents to high-quality evidence-based parenting support.

We invite you to submit an abstract that addresses any of the sub-themes that reflect your expertise of the research, practice areas or public policy focus of your organisation:

Read more https://i-ceps.pafra.org/submission

Please feel free to share with your colleagues. And if appropriate, perhaps you can also share the invitation in your organisational newsletter or group email.

And we also welcome you to follow us on our social pages to keep up to date with the latest announcements:

Twitter: https://twitter.com/PAFRA_Official Facebook: https://www.facebook.com/ICEPS2023 LinkedIn: ICEPS2023

We sincerely hope to hear from you, and do feel free to get in touch if you have any questions.

Regards, Maria Battaglia

Communications Officer Institute of Child Protection Studies Australian Catholic University 

P: + 61 3 9230 8732 E: Maria.Battaglia AT acu.edu.au Website: https://www.i-ceps.pafra.org/ Twitter: https://twitter.com/PAFRA_Official #ICEPS2023 Facebook: https://www.facebook.com/ICEPS2023 LinkedIn: ICEPS2023

I acknowledge the Traditional Owners of the lands on which I live and work in Australia, and their continuing connection to land, sea and community. I pay my respects to Elders past, present and emerging.

My source: https://hifa.org/

Mechanisms, Individuals and Collective

Last week I joined a webinar:

 

https://www.biokoinos.org/events

BioKoinos Research Seminar

Saúl Pérez González & Elena Rocca - 

Evidence-based and patient-centred clinical practice. The bridging role of evidence of mechanism.

  

I have mapped some of the concepts to Hodges' model. A link to the paper is included below. The session was very helpful, especially with ongoing developments in genomics and personalised medicine.

 

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

patient-centred evidence safety of a certain intervention for a particular patient safety efficacy	individual - epidemiology - population patient-centred evidence safety of a certain intervention for a particular patient biology pathophysiological mechanism prediction ... confirming and disconfirming - depending on whether or not it supports that certain epidemiological results apply to the single patient.
evidence safety efficacy	evidence safety efficacy

Pérez-González, S., & Rocca, E. (2022). Evidence of Biological Mechanisms and Health Predictions: An Insight into Clinical Reasoning. Perspectives in Biology and Medicine 65(1), 89-105.  

http://philsci-archive.pitt.edu/20364/1/Postprint%20Evidence%20of%20biological%20mechanisms%20and%20health%20predictions.pdf

 

Webinar: WHO Classification of Self-Care Interventions for Health - Feb 14th

Webinar to present the WHO Classification of self-care interventions 

 09:00 Washington / 15:00 Geneva

This classification aligns with a people-centred approach to health and well-being outlined in the WHO global Guideline on Self-Care Interventions for Health and Well-being. This classification has a health system focus and aims to promote an accessible and bridging language for researchers, policymakers, donors and health programme managers working on self-care. 

Please register here:

https://attendee.gotowebinar.com/register/7796921047088796688

WHO resources on self-care interventions: 

 https://www.who.int/health-topics/self-care#tab=tab_1

WHO Classification of self-care interventions: 

https://www.who.int/publications/i/item/9789240039469

We look forward to your participation! 

Ados V. May, MPA | WHO/IBP Network

Senior Technical Advisor

email: ados.may AT phi.org

 

  Self - Individual - Person
|

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

|

Community - Group - Population

Classification of Self-Care Interventions for Health	Classification of Self-Care Interventions for Health
Service planning and development Public engagement Informal carers Social care Care Givers Accountability Value for Money Population Health Users Patient - Self - Citizen Research?	Health For All Human Rights Health Services Reporting, Statistics and Planning, Standards Information Systems Infrastructure Governance, Regulation Population Health Finance, Value for Money Outcomes - Policy: National - International Sustainability

 

My source: IBP Network

£62.5k Funding opportunity for researchers interested in healthy ageing

UKRI and Zinc have announced the 3rd funding round for the Healthy Ageing Catalyst Awards. Researchers are encouraged to apply for this £62,500 (fEC) grant from UKRI and 9-month structured programme of support from Zinc, to translate their research into impactful and scalable products, services, and interventions that add quality to later life.

The call for expressions of interest opens on 1st February and closes on 22nd February 2022. You can access the expression of interest guidance, plus further resources here. If you have any questions, please visit zinc.vc/catalyst or email the team at catalyst AT zinc.vc

My source:

Wendy Zhou, CHAIN Manager

CHAIN - Contact, Help, Advice and Information Network – is an online international network for people working in health and social care. For more information on CHAIN and joining the network please visit website: www.chain-network.org.uk

 

The poly-pill approach to health care ...

"A "polypill" packed with four different medications to treat high blood pressure and cholesterol can cut the risk of heart attacks and strokes by up to 40 per cent when taken with aspirin, a study has suggested." 

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

	aspirin (75 mg), for thinning the blood lisinopril (10 mg), for reducing blood pressure hydrochlorothiazide (12.5 mg), also for reducing blood pressure simvastatin (20 mg), for reducing “bad” LDL cholesterol

 

Does it follow then (triage aside) that in our health and social care interventions we should not restrict ourselves to a single care domain?

 

My source: 

News: 'Polypill' with aspirin offers hope of fewer heart attacks, The Times, 14 November, 2020, p.28.

 

See also:

https://blogs.bmj.com/bmj/2020/11/16/richard-smith-a-new-important-study-supports-wider-use-of-the-polypill/

2020 Clear Vision - 4 - Clear Care

Care concept ink *

To highlight Care - Assessment, Plan, Intervention, Evaluation, Co-Production through
improved engagement and formulation

Care concept ink

(enhance)

Vs.

Non-Care concept ink

(reduce)

*A definition of collaborative care, co-production and health literacy ... could involve assurance as to whether a particular concept has significance for the patient/carer/guardian.


My source:
https://youtu.be/B2FDbGUzNRI

In a series of videos from BMJ, Prof. Maarten Boers will show you how to choose and design better graphs and tables.

https://www.youtube.com/playlist?list=PLXU14EQbU_V9JpmolAKsaCC0VjJzbxzAN

Word use & implications for research - 'Population health' by Canales, Drevdahl & Kneipp (2019)

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - POPULATION

individual health a. INTERVENTION in Individual behaviour 4Ps - PURPOSE My word use - (contribution to and affected by a community of practice)    scale Begin: Planetary Health End:	interventions   Length and quality of life  academia - evidence-base b. INTERVENTION in a healthcare sector Public Health as a discipline - word use SMALL-scale:  health promotion and disease prevention FROM: individual CLINICAL - sub-groups TO: group - population  A data dictionary? 4Ps - PROCESS
language use - 'pop. health' meaning? Social and Society Does the community have a role in local health population management? a. and b. insufficient to address - social determinants and health inequities root - societal and structural levels History Community activists for Social Determinants of Health 4Ps - PRACTICE SOCIO-	TOTAL POP. [health systems Pop.] population health management 4Ps - POLICY political & economic systems low-income LARGE-scale: community initiatives that attempt to reduce inequities by challenging poverty and racism SDOH - inc: food supply, housing, economic and social relationships, transportation, education, and health care -ECONOMIC

Canales, M.K., Drevdahl, D.J., Kneipp, S.M., (2019) Moving Words, Moving Meanings: The Discourse of Population Health, Journal of Professional Nursing, 35, 2, 71-73, ISSN 8755-7223,
https://doi.org/10.1016/j.profnurs.2019.02.007
(http://www.sciencedirect.com/science/article/pii/S8755722319300201)

c/o The King's Fund: Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England

When I see a 'model' I ask myself; what does this mean in itself? What is its purpose? I also (invariably) ask how does it relate to, or how might it support the theory and application that might underpin h2cm?

In February 2018 The King's Fund posted this item on integrated care systems. It wasn't just the 2x2 figure that caught my eye, but the axes and the additional amber tab (figure 1). Pondering for a time I have transposed this to Hodges' model below figure 1. Beneath that, I've provided an explanation for the altered schematic; recognising that as with h2cm such models are idealised representations.

c/o The King's Fund

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Individual care management Care for patients presenting with illness or for those at high risk of requiring care services	Population Health (systems) Improving health outcomes across whole populations including the distribution of health outcomes [Improving population health outcomes requires multiple interventions across systems]
'Making every contact count' Active health promotion when individuals come into contact with health and care services	Integrated care models Co-ordination of care services for defined groups of people (eg. older people and those with complex needs)

INTRA- INTERPERSONAL:
Individual care management has been changed from care services and individuals to this domain, which conceptually preserves the original placement. In h2cm as can be seen the interpersonal domain combines the individual and humanistic. In the 4Ps this domain also includes 'purpose'. Whenever possible it here (individual motivation) that self-care and self-efficacy and staying as well as possible relies on the patient's awareness and education about their condition and level of health literacy. There is recognition now that children need some awareness of mental health issues and the law needs to protect what images and content youngsters are exposed to on social media. So, ultimately 'how I manage myself' has a major bearing on the 'whole care management enterprise.' The focus on 'high risk' also denotes a need for an assessment and one that is part of the move to parity of esteem in respect of physical and mental health.

SCIENCES:
I have shifted Population Health (systems)from population to this (physical) individual domain, on the basis that our research, as in, quantitative and qualitative, needs to be synthesized and then ultimately generalised - across populations. While complex systems cannot be taken apart it is from the sciences (including social sciences) that evidence-based practice flows. There should be a feedback loop here, research that also takes into account the multiple interventions across systems (the amber tab in figure 1) and the outcomes achieved.

POLITICAL:
The King's Fund's figure 1 stands as it is of course, but I have 'moved' Integrated care models most radically. If there is no organisation, rules, order, policy, procedures ... then things will NOT happen (as they should). Agreement is also needed on definitions for reasons of standards, measures and accountability. Such matters are political (even if ignored - kicked in the long-grass). For services that are evidence-based (as just mentioned in SCIENCES) we need when possible for health and social care policies to also be evidence-based (for reasons of efficiency, equity, effectiveness and equality). While we cannot 'break' complex systems we can break models; 'health care systems' need to break ("be broken whilst still in flight") in order to be transformed for the 21st century.

SOCIOLOGY:
Making every contact count I have placed in the h2cm's Sociology domain. To me this initiative remains with care services, but I have switched this from individual to group-population within h2cm. Health care education places constant emphasis (research, CPD, mandatory training) upon interpersonal - communication skills and this is where clinical and social care interactions and interactions ultimately count. It is here that trust, the 6Cs, unconditional positive regard ... are 'counted' in qualitative terms. If the psychological represents the theory of psych-social intervention, it is in the social outcomes and benefits were the practice is (truly) delivered. It is also here that partnerships are forged and social capital found.

In social care as an example, the integrated care model should politically permit - allow for a sufficiently skilled and remunerated work-force (socially valued?) with sufficient time to ensure that every contact really does count.

<>

Forty years in the NHS suggests that when ever 'integrated care' is being written and even spoken about, then the context should be indicated at the same time; so at least - integrated care^1-5 as above?

'integrated' as in -

• philosophy (ethics, morality, values)
• spiritual (values) (and part-whole of 1-5)
• political - policy, government funding
• economically - commissioning (models of care, sustainability)
• management
• care delivery
• team organisation
• community involvement
• patient involvement
• health literacy, health promoting

...?

Accessibility: apologies that there is no equivalent text to figure 1.

My source: https://twitter.com/TheKingsFund/status/1093556280248147969

Medicine and Art: (Steady) Eye & Hand

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Barbara Hepworth, Reconstruction, 1947 © BownessHepworth Estate / Arts Council Collection, Southbank Centre, London

"In 2012, the NHS is threatened, its future uncertain. ... Hepworth was a Labour voter - of course she was. In these drawings, she reveals her egalitarian values. Work is goodness: she sees her own work as a sculptor reflected in the steady eye and hand of the surgeon. In one drawing he even seems to wield a hammer and chisel. But this is not mere artistic self-consciousness. The work being done in these pictures saves lives; Hepworth believes her art, too, can heal souls." p.18.

My source:
Jonathan Jones (2012) A cut above, The Guardian, Arts. 25.10.12, p.18.

Hammers and chisels are found in operating theatres and wielded by female surgeons too. The exhibition long finished, I can't believe* that I have held onto to this page from The Guardian for almost six years. I must visit Wakefield.

*others can...

Digital health interventions: How might we measure “meaningful engagement”?

How might we measure “meaningful engagement”? Is a lack of usage of a #digitalhealth intervention a sign of disengaging or a lesson learned? This week's Digi-Hub blog post by @kathleen_ryan33 @UCC on designing for "meaningful engagement" https://t.co/TdNvDuMmUr pic.twitter.com/Zmx0MNlgAt

— UCL Behaviour Change (@UCLBehaveChange) April 20, 2018

I admit I am struggling to stop blogging, even as the pull of Drupal and a new site will (must) win-out. The above tweet prompts these thoughts ...

A key point from Kathleen Ryan's blog post reads:

"The design process* needs to be reflective..."

I wholeheartedly agree - it is the way that we reflect to achieve a socio-technical synergy that counts. Even with the socio-technical bases covered there are other factors too:

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Person-related issues (e.g. their beliefs, cognitions and values). What 'x' means to me. "... attention, interest and how the person feels and thinks about the intervention (where more attention / affect / enjoyment = more engagement)." Patient (Person?) Activation measures? Yes - 'person-centredness' is 'up-here' according to the axes of the model, BUT we must take into account the social and political milieu of the individual concerned. *design purposes subjective

diseases Technology-related issues "No matter how well-crafted and evidence-based the intervention, active ingredients proven to effect health behaviour change simply cannot work if the technological components that house them are not accessed by participants. As such, lack of adequate engagement with DHIs poses a barrier to evaluating the effectiveness of these interventions." *design process ‘Law of Attrition’ Usage metrics: statistics, logs, frequency, totals e-health and m-health objective

prevention & treatment of - 'lifestyle diseases' social incentives socialisation 'health seeking behaviour' Health literacy  "human contacts can allow for “supportive accountability” via remotely delivered prompts, social support and encouragement." *design practices

National use of 'Patient activation'? (Forms of profiling) Incentives - health policy Nudge - behaviour change? Health insurance/credits HEALTH meaning within? SYSTEMS  paternalistic--'degrees of freedom'?--autonomy ADVERTISING 'The Market' *design policy

Perhaps, future measures need to simultaneously combine analysis AND synthesis - the subjective AND objective... a job for AI ..?

Thanks to Kathleen Ryan
https://twitter.com/kathleen_ryan33

Ack. This week learned of 'Patient activation' attending a Best Practice Meeting.

 *The 4Ps within Hodges' model. 

What is meant by 'universal' design?

Yes, there is an ironic element to this post and recent others in respect of 'meaningful engagement' and 'the meaning of evidence'? Do people recognise 'evidence'?

Three Billboards (Some of us are more Alone than others...)

individual

|

INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

"500,000 dead in Syria"	"And still no action?"
"How come, Security Council?"

care - Medical and Humanitarian Organizations use Three Billboards to Call on UN to Stop Violence in Syria

Logical Levels Behavioural Model - mapped to Hodges' model

individual

|

INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Identity Beliefs & Values (Interpersonal) Skills Environment (cognitive access)	Environment (physical access) Identity (Body image) Practical Skills & Capabilities
(Social) Environment Identity (Social Roles) (Cultural) Values	Identity (Work, Political status - Citizenry) Environment (Accessibility)

My source: HIFA forum

Dear HIFA Colleagues

I would like to share with you what I have found to be a simple and practical behavioural model which can be used as a framework for designing, reviewing and enhancing health promotion interventions.

The “Logical Levels” model proposes that the change or maintenance of a particular behaviour must be supported at various ‘neurological levels’: “Environment”, “Skills and Capabilities”, “Beliefs and Values” and “Identity”. All levels must be appropriately and effectively addressed and failure to address any one of the levels can undermine the impact of a health promotion intervention.

For example, relating the model to condom use: Even if someone can get condoms easily (Environment), can use them properly and negotiate their use with a sexual partner (Skills and Capabilities) and believes they are highly effective at preventing HIV, other STIs and unintended pregnancy (Beliefs and Values), Identities such as “I am useless and worthless” or “I am a macho stud” may still prevent them from actually using condoms. In such cases, a shift at the level of Identity is also needed to support condom use.

This article (http://www.boht.org/key-concepts.aspx/#LogicalLevels) presents the Logical Levels model and how it can be used to enhance health promotion interventions, with the illustrative example of how it has informed the development of a training kit which addresses condom use at all the different logical levels.

Best Regards
Peter

Peter Labouchere
BRIDGES OF HOPE TRAINING - Transformational Training for Healthy Lives
E-mail: peter AT boht.org
Skype: peterlabouchere
Website: www.boht.org

HIFA profile: Peter Labouchere is a Training Consultant / Executive Director at Bridges of Hope Training, South Africa. Professional interests: Developing innovative training materials and engaging participatory training methodologies to address (throughout Africa and beyond) a spectrum of health and behaviour change issues including HIV-prevention, testing, treatment, stigma, positive living, PMTCT and Medical Male Circumcision. peter AT boht.org

Book: In Therapy - Intra- Interpersonal

individual

|

INTERPERSONAL : SCIENCES

humanistic -------------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

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group-population

In Therapy, Susie Orbach

In Therapy, Susie Orbach BBC Radio 4 (My source)

Book review: In Therapy - The Guardian & The Observer

Book cover: Google

Dementia & Sleep: What the Papers Say

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INTERPERSONAL : SCIENCES

humanistic -------------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

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group-population

Sleep disturbance
Sleep disturbance 2

Just recently I came across a gentleman who in living with dementia and supported by his wife at home has been struggling with his sleep. Waking in the early hours 0330, 0400 in the summer is not too bad accompanied by the dawn chorus, but if it happens most days? And then in Winter: that is another matter.

Also fairly recently there are increasing instances of this man not being sure that the lady-  who is in their / his house and is taking him shopping - is his wife. She looks like my wife...? She knows what to buy and then she pays for the shopping.

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INTERPERSONAL : SCIENCES

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Who are you?	Have the doctor consider  prescribing a sleeping tablet
"Oh OK! Hello Sandra."	Arrange a medical review

This gent is up early anyway as there is a newspaper to collect which involves a walk. The problem is he leaves too early and is then outside waiting. His wife was struggling with all this so we discussed the need for a care review by the community mental health team. A sleep diary was provided to obtain some data upon which to base decisions. While I was in the garden with Mr. my student (thanks Katie) suggested to Mrs Y that this 'imposter' be passed as a friend. This has since proved very effective at reducing anxiety, social tension and distress.

Whilst we constantly strive for truth, honesty and respecting autonomy and dignity, sometimes sadly, 'truth' is compromised. It becomes less clear when it is being cognitively undermined.

We also want to maximise independence and support what are the usual daily activities of living: collecting the newspaper included. Risks were becoming evident however. So, Mrs Y came up with a strategic decision which has seen this gentleman adjust very quickly. Sleeping in until 8 o'clock is quite a surprise for the rest of the family to hear. And for us too. It is as if the (subscription) token for the newspaper was not only sitting waiting in a pocket or wallet. It also had slot in memory, where it had to be kept on constant refresh, whirring away; of such importance that it was proving quite disruptive introducing new risks, disturbing sleep. There are still many other activities and walks to be enjoyed. Nice call Mrs Y:

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INTERPERSONAL : SCIENCES

humanistic -------------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

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	Cancel the newspaper