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Mental ill‐health in the workplace is estimated to cost UK employers £6.2b each year in lost working days. This concern to employers and employees alike was recently highlighted by the Health Education Board for Scotland (HEBS) needs assessment study of workplace health promotion, which identified stress as a major issue. A Health and Safety Executive review (1993) of the stress literature proposed the incorporation of stress within the framework of the assessment and control cycle already introduced to minimise physical health and safety risks. This was supported by the HEBS study that identified health and safety as the predominant health‐related culture in Scottish workplaces. It is therefore appropriate to include stress control with other health and safety issues. The Institute of Occupational Medicine (IOM) had already developed a risk assessment approach, entitled the Organisational Stress Health Audit (OSHA), and the feasibility of this was tested in the pilot study commissioned by HEBS. This paper presents the background to this organisational approach, its feasibility in controlling stress across different types of organisation and future plans for development of the approach. The views presented are those of the researchers and not the commissioning body.

Following the Health and Safety Executive's (HSE) proposal that the assessment and control cycle approach, already applied to physical health and safety risks, be adopted to manage stress at work, the Institute of Occupational Medicine (IOM) developed an Organisational Stress Health Audit (OSHA). The OSHA has three tiers: stage one involves the identification of sources of stress and opportunities for risk reduction; stage two investigates areas of major concern and generates further recommendations for risk reduction; and stage three evaluates the effectiveness of the recommendations in reducing risk. This paper presents the application of the OSHA in three organisations in a study commissioned by the Health Education Board for Scotland (HEBS) and outlines the aims of the study, the methods used and the main results and conclusions of the work.

The chapter estimates the cost of maintaining a child, at different ages, the cost of being single, and the cost of additional adults present in a family, with the aim of making comparable the income levels of different households. The study investigates the issue of econometric identification of equivalence scales within a demand system modified to include demographic characteristics consistently with economic theory. It shows that a robust estimation of equivalence scales must take into formal consideration the problem of econometric identification. The estimate also puts forward all-encompassing demographic specifications to identify costs due to differences in needs, household lifestyles, and economies of scale.

Finding a balance between the provision of quality individualized care and the ongoing education of junior doctors had been flagged as a concern at a large National Health Service (NHS) teaching hospital in the north of England. In response to this, the organization introduced an intervention designed to improve educational culture by providing support to educators, leaders and clinical staff.

This paper features themed results from eight in-depth interviews with educators, consultants and junior doctors to describe and evaluate the process and impact.

Factors that contributed to a positive educational environment included trainees and educators feeling valued, the presence of supportive leaders and the provision of a safe space for learning. Perceived barriers included time constraints, differing motivation and the generic format of formal education. Participants reflected on how the Wrap Around project helped improve the workplace educational culture and offered suggestions for further improvement including the provision of ongoing feedback to learners about their performance.

Research aimed at recognizing and resolving the perceived tensions between the priorities of education and health-care delivery has been flagged as a gap in the literature. The authors argue that developing and enhancing collaborative leadership and educational culture within an organization can reduce these tensions for those working on the front line. Future work should focus on addressing the perceived distinction between the two within services.

Distinguishing between autism characteristics and trauma-related symptoms may be clinically challenging, particularly in individuals who have experienced early traumatisation. Previous studies have described a risk that trauma-related symptoms are misinterpreted and/or misattributed to autism. This study aims to describe and explore assessment strategies to distinguish autism and early traumatisation in the case of a young woman with mild intellectual disability.

A clinical case study outlining assessment strategies, diagnostic decision-making and initial intervention.

A multi-informant interdisciplinary assessment using multiple assessment tools, together with a comprehensive review of records from previous assessments and contacts with various services, was helpful in distinguishing between autism and trauma. This included specific assessment tools for autism and trauma. Autism characteristics and trauma-related symptoms appeared to interact, not merely co-occur.

The current case demonstrates that diagnostic overshadowing may occur for autism in the context of early trauma. The case further highlights the importance of not ascribing trauma-related symptoms to autism, as service provision and treatment need to take account of both. Overlooking autism in individuals who have experienced early traumatisation may result in a risk that intervention and care are not appropriately adapted, which may involve a risk of exacerbating trauma symptoms.

This paper aims to elucidate instances whereby celebrity endorsements by social media influencers (SMIs) embedded within online consumption communities are perceived as transgressive by their fellow community members. In doing so, this study provides insights into the new challenges and considerations that such community contexts present for celebrity endorsement.

The research team conducted a longitudinal, netnographic study of the YouTube beauty community, involving an initial phase of netnographic immersion followed by an investigative netnography that examined community members’ response to celebrity endorsements by 12 SMIs within the community.

This study identifies five recurring celebrity endorsement transgressions, each violating an established moral responsibility within the community. The paper explores how community members attribute responsibility for transgressive endorsements and identifies consequences for both the SMI and the endorsed brand.

This study focused on a single consumption community, developing a deep understanding of the distinct moral responsibilities that shape the reception of celebrity endorsements within this context.

The paper presents managerial recommendations that will aid both SMIs and brands in implementing celebrity endorsements that avoid communal perceptions of transgression.

The analysis extends prior study on celebrity endorsement by SMIs by explaining when and why SMI endorsements are likely to be perceived as transgressive by the community and providing new insights into community member responses to transgressive SMI endorsements. It also extends wider theories of celebrity endorsement by highlighting the influence of consumption community contexts upon endorsement reception and examining consumer responses to celebrity endorsements perceived as transgressive in and of themselves.

This paper aims to explore the parental role in children’s food socialization. More specifically, it explores how the legacy of the past (i.e. experiences from the participant’s own childhood) works to inform how parents, in turn, socialize their own children within the context of food, drawing on theories of consumer socialization, intergenerational influence and emotional reflexivity.

To seek further understanding of how temporal elements of intergenerational influence persist (through the lens of emotional reflexivity), the authors collected qualitative and interpretative data from 30 parents from the UK using a combination of existential–phenomenological interviews, photo-elicitation techniques and accompanied grocery shopping trips (observational interviews).

Through intergenerational reflexivity, parents are found to make a conscious effort to either “sustain” or “disregard” particular food practices learnt from the previous generation with their children (abandoning or mimicking the behaviours of their own parents within the context of food socialization). Factors contributing to the disregarding of food behaviours (new influencer, self-learning and resistance to parental power) emerge. A continuum of parents is identified, ranging from the “traditionalist” to “improver” and the “revisionist”.

By adopting a unique approach in exploring the dynamic of intergenerational influence through the lens of emotional reflexivity, this study highlights the importance of the parental role in socializing children about food, and how intergenerational reflexivity helps inform parental food socialization practices. The intergenerational reflexivity of parents is, thus, deemed to be crucial in the socialization process.

Despite the importance of plantains in food security, nutrition and socioeconomic development, their production over the years has not matched up with demand, simply because of their highly perishable nature and high post-harvest losses. Current attempts at increasing production levels have targeted converting plantains into forms that may help to increase their shelf life. One of such forms is a ripped plantain powder mix for ease of preparing ripped plantain fritters (kaklo). As part of product development and introduction, this study aimed at examining consumer preferences for the ripped plantain powder mix for kaklo using advanced discrete choice modelling techniques.

We employed random utility maximization and random regret minimization methods in both utility space and willingness to pay (WTP) space to analyse choice data on 198 sampled consumers in Cape Coast, Ghana.

Our econometric modelling revealed that consumers attached high value to the proposed ripped plantain powder mix for preparing kaklo. They prefer a formulation that would have the traditional reddish-brown colour, sweet and spicy, certified but also affordable.

This implies that to improve marketability of the product, it should be cheap, Food and Drugs Authority certified and must have a sweet and spicy taste.

This paper is one of the first to apply the random utility maximization and random regret minimization models in the utility space and WTP space to examine consumer preferences for ripped plantain powder mix for plantain fritters preparation.