Xingzhong Jin, Stuart Alistair Kinner, Robyn Hopkins, Emily Stockings, Ryan James Courtney, Anthony Shakeshaft, Dennis Petrie, Timothy Dobbins, Cheneal Puljevic, Shuai Chang and Kate Dolan
This paper aims to determine whether a single session of a motivational interview (MI) reduces smoking relapse amongst people released from smoke-free prisons.
Abstract
Purpose
This paper aims to determine whether a single session of a motivational interview (MI) reduces smoking relapse amongst people released from smoke-free prisons.
Design/methodology/approach
This study sought to recruit 824 ex-smokers from 2 smoke-free prisons in the Northern Territory, Australia. Participants were randomised to receive either one session (45–60 min) face-to-face MI intervention 4–6 weeks prior to release or usual care (UC) without smoking advice. The primary outcome was continuous smoking abstinence verified by exhaled carbon monoxide test (<5 ppm) at three months post-release. Secondary outcomes included seven-day point-prevalence, time to the first cigarette and the daily number of cigarettes smoked after release.
Findings
From April 2017 to March 2018, a total of 557 participants were randomised to receive the MI (n = 266) or UC (n = 291), with 75% and 77% being followed up, respectively. There was no significant between-group difference in continuous abstinence (MI 8.6% vs UC 7.4%, risk ratio = 1.16, 95%CI 0.67∼2.03). Of all participants, 66.9% relapsed on the day of release and 90.2% relapsed within three months. On average, participants in the MI group smoked one less cigarette daily than those in the UC within the three months after release (p < 0.01).
Research limitations/implications
A single-session of MI is insufficient to reduce relapse after release from a smoke-free prison. However, prison release remains an appealing time window to build on the public health benefit of smoke-free prisons. Further research is needed to develop both pre- and post-release interventions that provide continuity of care for relapse prevention.
Originality/value
This study is the first Australian randomised controlled trial to evaluate a pre-release MI intervention on smoking relapse prevention amongst people released from smoke-free prisons.
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Michael Francis Doyle, Megan Williams, Tony Butler, Anthony Shakeshaft, Katherine Conigrave and Jill Guthrie
The purpose of this study is to describe what a sample of men in prison believe works well for the delivery of prison-based group alcohol and other drug (AoD) treatment programs…
Abstract
Purpose
The purpose of this study is to describe what a sample of men in prison believe works well for the delivery of prison-based group alcohol and other drug (AoD) treatment programs. The authors hope the findings will help inform future practise in AoD program delivery in prison.
Design/methodology/approach
A qualitative research paper reporting on a thematic analysis of in-depth interviews with 30 male prisoners on their perspectives on AoD group treatment approaches.
Findings
Results indicate that matching readiness and motivation to start treatment is important for group success. Program content must be relevant and delivered by empathic facilitators who maintain confidentiality. It would be advantageous if one of the program facilitators was a peer with personal experience of overcoming an AoD use disorder.
Originality/value
According to the authors’ knowledge, this is one of few qualitative studies into the delivery of AoD treatment for men in prison and the only study of its kind in Australia. The consumer perspective is an important element in improving quality of treatment provision.
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Anthony Shakeshaft, Julia Fawcett, Richard P. Mattick, Robyn Richmond, Alex Wodak, Mark F. Harris and Christopher M. Doran
The purpose of this research is to explore the feasibility of using patient‐driven, hand‐held computers in primary care settings, in order to address the apparent failure to…
Abstract
Purpose
The purpose of this research is to explore the feasibility of using patient‐driven, hand‐held computers in primary care settings, in order to address the apparent failure to implement prevention initiatives into the routine delivery of health care services.
Design/methodology/approach
During an eight‐day period, patients of an English primary care practice who were at least 16 years of age were asked to complete a health‐related survey using a hand‐held computer. They received tailored, on‐screen feedback.
Findings
A total of 143 patients (approximately 55 per cent of all patients) began using a hand‐held computer, of whom 115 (80 per cent) answered all questions. Of these, 24 per cent reported being smokers, 7 per cent and 19 per cent were at‐risk of alcohol harm in the long and short term respectively and 14 per cent rated their overall health as poor or very poor. Most patients rated their level of satisfaction with the hand‐helds as excellent (36 per cent), very good (29 per cent) or good (24 per cent), while 89 per cent agreed to their primary care physician seeing a summary of their feedback.
Originality/value
This is the first study to evaluate the feasibility of using hand‐held computers to conduct patient screening and feedback in primary care settings.
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Cristina Trinidad and Anthony H. Normore
The purpose of this paper is to review the extant literature on the ways women lead in organizations with a focus on the fields of business and education. A secondary purpose is…
Abstract
Purpose
The purpose of this paper is to review the extant literature on the ways women lead in organizations with a focus on the fields of business and education. A secondary purpose is to identify implications of the literature for leadership and gender issues in the worlds of business and education.
Design/methodology/approach
A review of the extant literature was conducted to collect data through professional and academic journals of business and education, pertinent web sites, and textbooks. Once these data were collected, they were placed in categories according to common themes and patterns that emerged from the literature on the leadership styles of women in business and education.
Findings
Research findings show that women adopt democratic and participative leadership styles in the corporate world and in education. Transformational leadership is the preferred leadership style used by women. The characteristics of transformational leadership relate to female values developed through socialization processes that include building relationships, communication, consensus building, power as influence, and working together for a common purpose.
Originality/value
This paper provides a theoretical perspective on women's leadership behaviours as an approach to equity in organizations by capitalizing on female contributions to organizations and the importance of those contributions in an increasingly diverse workforce world‐wide. Women leadership styles are presented as alternatives to traditional leadership models.
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Gaëtane Jean-Marie, Anthony “Tony” H. Normore and Katherine Cumings Mansfield
Building on earlier research and discourse on women in educational leadership, we conducted a qualitative secondary analysis on conceptual and empirical research. A permeating…
Abstract
Building on earlier research and discourse on women in educational leadership, we conducted a qualitative secondary analysis on conceptual and empirical research. A permeating theme throughout literature was women’s ability to negotiate gender and race in a historically marginalizing working environment. A key assertion made by authors is that by incorporating this dimension to their leadership can be helpful for those who search for life-sustaining contexts while simultaneously empowering themselves as agents of transformative change (Shields, 2010) who align everyday practice with core values. Implications and recommendation are offered that capture the impact of how women leadership behaviors interplay with race and gender.
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Anthony H. Normore and Gaetane Jean‐Marie
The purpose of this study is to explore the leadership experiences of four female secondary principals (two Black, two White) in one south‐western state to create significant…
Abstract
Purpose
The purpose of this study is to explore the leadership experiences of four female secondary principals (two Black, two White) in one south‐western state to create significant discourse for understanding school leadership nested in complex social, political and cultural contexts. These women confronted education challenges of social justice, democracy, and equity in their schools.
Design/methodology/approach
The philosophical tradition of phenomenology was chosen as the qualitative methodology for this study “which is understood to be a concern for human meaning and ultimately for interpreting those meanings so that they inform our practice and our science”. As a secondary analysis of a specific finding (i.e. female leaders who exemplified a values‐orientation around issues of social justice in their leadership practices) from the original study the lived experiences of four female secondary school leaders were further explored.
Findings
All four women engaged in leadership praxis by: transforming school practices to promote equity and access for all students and embracing diversity of their student populations; connecting the world of research and practice; adopting democratic and participative leadership styles that relate to female values developed through socialization processes including building relationships, consensus building, power as influence, and working together for a common purpose.
Practical implications
While the focus is secondary school female leaders and educational leadership in a North American context, the implications have a broader transnational focus, exploring themes and issues that may span national boundaries and cultures.
Originality/value
For purposes of this article, the original data were revisited to conduct secondary analyses of the experiences of four women. Research contends that this approach can be used to generate new knowledge, new hypotheses, or support for existing theories; and that it allows wider use of data from rare or inaccessible respondents.
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Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).