Research to the layman usually implies either search after new abstract knowledge, or knowledge leading to the production of new matter. This, however, is only one aspect of…
Abstract
Research to the layman usually implies either search after new abstract knowledge, or knowledge leading to the production of new matter. This, however, is only one aspect of research and there are many others covering all facets of human endeavour. One form of research, only relatively recently appreciated as such, is utilization research or use‐development.
Stephanie Dugdale, Heather Semper, Rachel Povey, Sarah Elison-Davies, Glyn Davies and Jonathan Ward
Despite overall reductions in levels of smoking in the UK, rates of offender smoking remain high. In 2016, it was announced that prisons in England and Wales would gradually…
Abstract
Purpose
Despite overall reductions in levels of smoking in the UK, rates of offender smoking remain high. In 2016, it was announced that prisons in England and Wales would gradually introduce a smoking ban. The purpose of this paper is to explore offenders’ perceptions around the upcoming smoking ban.
Design/methodology/approach
A total of eight focus groups were conducted in four prisons across the North of England. Both smoking and non-smoking offenders participated in the focus groups, and thematic analysis was used to explore the findings.
Findings
Themes generated from the data were “freedom and rights”, “the prison environment” and “guiding support”. Participants discussed how the smoking ban was viewed as a punishment and restricted their freedom, with perceptions as to why the ban was being implemented centring around others trying to control them. Participants expressed concerns around the financial implications of the smoking ban on already stretched prison resources. Participants also recommended improving the nicotine replacement therapy on offer, and increasing the range of leisure activities within the prison to prepare for the smoking ban.
Originality/value
Overall, it was apparent that participants’ awareness of the smoking ban was generally poor. It is recommended that offenders need to be made more aware of the smoking cessation support they will receive and given the opportunity to ask questions about the smoking ban. Increasing offenders’ awareness of the ban may reduce stress associated with a perceived lack of choice around their smoking behaviours.
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Ashley Brown, Douglas Eadie, Richard Purves, Andrea Mohan and Kate Hunt
This paper aims to explore smokefree prison policy, from the perspective of people in custody in Scotland.
Abstract
Purpose
This paper aims to explore smokefree prison policy, from the perspective of people in custody in Scotland.
Design/methodology/approach
In total, 77 people in custody in Scotland were interviewed in the period leading up to implementation of a nationwide prison smokefree policy. Data were thematically analysed to identify the diversity of views and experiences.
Findings
Participants described a widespread awareness in prisons of plans to implement a smokefree policy from 30 November 2018. Opinions about smokefree prisons varied among participants based on perceptions of the fairness, and anticipated positive and negative consequences of removing tobacco from prisons. At the time of the interviews, people in custody were responding to the impending smokefree policy, either by proactively preparing for the smokefree rule change or by deploying avoidance strategies. Participants described opportunities and challenges for implementing smokefree policy in prisons across three main themes: the role of smoking in prison, prison smoking cessation services and motivations for quitting smoking among people in custody.
Originality/value
This study exploring smokefree prisons from the perspectives of people in custody has several novel features which extend the evidence base. The findings highlight measures for jurisdictions to consider when planning to prohibit smoking in their prisons in the future. These include the need for evidence-based smoking cessation support in advance of smokefree policy, effective communication campaigns, consideration of broader structural determinants of health in prison and ongoing measures to reduce rates of return to smoking post release.
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Standard Mortality Ratios (SMR) for certain diseases from which death is considered avoidable can be used as outcome indicators, measuring the effectiveness of health service…
Abstract
Standard Mortality Ratios (SMR) for certain diseases from which death is considered avoidable can be used as outcome indicators, measuring the effectiveness of health service intervention. The interpretation of SMRs for diseases such as stroke, asthma and cancer of the bladder will be discussed. The responsibility of health service managers and clinicians in the investigation of avoidable deaths is outlined in order that district health authorities (DHAs) can begin to reduce the number of unnecessary deaths from these diseases.
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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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Although textiles is one of the oldest crafts and goes back to prehistory—it is believed that weaving grew up in the neolithic or later stone age—our modern civilization is…
Abstract
Although textiles is one of the oldest crafts and goes back to prehistory—it is believed that weaving grew up in the neolithic or later stone age—our modern civilization is producing such rapid and numerous developments in so many aspects of the subject that the individual is hard put to keep up with only a fraction of them.
This issue of Aslib Proceedings contains papers given at Branch meetings in 1951, two items under ‘Members' Forum’, and a number of reports from other organizations with which…
Abstract
This issue of Aslib Proceedings contains papers given at Branch meetings in 1951, two items under ‘Members' Forum’, and a number of reports from other organizations with which Aslib has had close association.
Eva Pilman, Anna Ovanfors, Johan Brun, Göran Karlsson, Christin Prütz and Anders Westlund
Examines the relationships between different aspects involved in asthma treatment. Analyses each aspect's impact on overall patient satisfaction with asthma treatment. Also…
Abstract
Examines the relationships between different aspects involved in asthma treatment. Analyses each aspect's impact on overall patient satisfaction with asthma treatment. Also studies how outcome variables such as compliance with physician's recommendations, health‐related quality of life and resource use are affected by the degree of patient satisfaction. The results refer to asthma patients as a group but not necessarily to each patient as an individual. The statistical technique applied for this analysis is partial least squares. Tests the suggested generic model on 599 respondents from a questionnaire survey. The structure of the suggested model is well supported by the data.