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Article
Publication date: 20 August 2020

Hannah Iannelli, Camilla Tooley, Grégoire Billon, Sean Cross, James Pathan and Chris Attoe

Individuals health with intellectual disabilities (ID) experience comorbid physical and mental health needs and have poorer outcomes resulting in early mortality. Currently, many…

Abstract

Purpose

Individuals health with intellectual disabilities (ID) experience comorbid physical and mental health needs and have poorer outcomes resulting in early mortality. Currently, many training provisions based on ID exist; however, limited research supports their effectiveness. High-fidelity simulation is an innovative training mechanism with promising preliminary results. This study aims to evaluate the longitudinal impact of simulation training on clinical practice in ID.

Design/methodology/approach

A mixed-method approach was used in this study. A one-day simulation course using actors who had ID was delivered to 39 health-care professionals from across London hospitals. Nine semi-structured interviews were conducted 12–18 months post training.

Findings

High-fidelity simulation training is an effective training modality, which has a sustainable impact on participants, their clinical practice and patients. Core features of the training including debriefing, the use and type of actors, scenario design and the facilitators are crucial learning mechanisms which impacts learning outcomes and changes to behaviour in clinical practice and settings.

Originality/value

To the best of the authors’ knowledge, this study is the first to longitudinally evaluate high-fidelity simulation training designed to improve the physical and mental health needs of those with ID. The research begins to bridge an important gap in the current literature, with a need for more research.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 14 no. 5
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 10 July 2017

Chris Attoe, Gregoire Billon, Samantha Riches, Karina Marshall-Tate, James Wheildon and Sean Cross

People with intellectual disabilities experience poorer health outcomes than the general population, and a significantly increased risk of mental health comorbidity. Their access…

Abstract

Purpose

People with intellectual disabilities experience poorer health outcomes than the general population, and a significantly increased risk of mental health comorbidity. Their access to healthcare has been consistently shown as inadequate, and their access to mental health support is still largely wanting. Adequate training and education should improve these shortcomings but there is limited evidence available as to the best way to achieve this. The paper aims to discuss these issues.

Design/methodology/approach

This paper reports on the co-production and co-delivery of a simulation training course to support healthcare professionals to provide care for people with intellectual disabilities, with a particular focus on their mental health needs. This training was designed with actors with intellectual disabilities, who participated as simulated patients in scenarios during the course and subsequently provided feedback on their experience.

Findings

This paper focusses on the positive experiences of the simulated patients, reporting on and interpreting their direct feedback on their experience of contributing to the development and delivery of the course and being involved as co-educators.

Originality/value

It is highlighted that the co-production and delivery of this simulation training with people with intellectual disabilities has the potential to realise some of the key principles called upon when attempting to improve how they are treated, by illustrating concrete participation, independence, and access to fulfilling lives. The value and benefits of interprofessional education to achieve these educational aims is further highlighted, particularly for the potential to generate a sense of shared responsibility within mainstream services in caring for people with intellectual disabilities.

Details

The Journal of Mental Health Training, Education and Practice, vol. 12 no. 4
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 5 September 2016

Grégoire Billon, Chris Attoe, Karina Marshall-Tate, Samantha Riches, James Wheildon and Sean Cross

The purpose of this paper is to discuss the role of education and training in addressing health inequalities in intellectual disabilities, before examining innovative approaches…

Abstract

Purpose

The purpose of this paper is to discuss the role of education and training in addressing health inequalities in intellectual disabilities, before examining innovative approaches to healthcare education. Preliminary findings of a simulation training course to support healthcare professionals to work with people with intellectual disability are then presented.

Design/methodology/approach

This study employed a mixed methods design to assess the impact of the simulation course. Quantitative data were collected using the Healthcare Skills Questionnaire and a self-report confidence measure; qualitative data were collected using post-course survey with free text responses to open questions.

Findings

Healthcare skills and confidence showed statistical improvements from pre- to post-course. Qualitative analyses demonstrated that participants perceived improvements to: attitudes, communication skills, reasonable adjustments, interprofessional and multi-disciplinary working, knowledge of key issues in working with people with intellectual disabilities.

Practical implications

Encouraging findings imply that simulation training to address health inequalities in intellectual disabilities is a valuable resource that merits further development. This training should be rolled out more widely, along with ongoing longitudinal evaluation via robust methods to gauge the impact on participants, their workplaces, and people with intellectual disabilities.

Originality/value

The authors believe this paper to be the first to assess an interprofessional, high-fidelity simulation course, using actors as simulated patients to address the mental and physical health needs of people with intellectual disabilities. The rigorous use of co-production and co-delivery, alongside promising findings for this training method, represent a useful contribution to the literature.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 10 no. 5
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 31 July 2021

Marta Ortega Vega, Chris Attoe, Hannah Iannelli, Aleks Saunders and Sean Cross

Public mental health training can effectively support well-being at a population level. The application of this type of training is increasingly prevalent, however, training…

Abstract

Purpose

Public mental health training can effectively support well-being at a population level. The application of this type of training is increasingly prevalent, however, training evaluation is currently limited and inconsistent. This paper aims to summarise the characteristics of public mental health training available in England, presents key quality criteria for this training and identifies gaps in training provision.

Design/methodology/approach

This paper uses a pragmatic mixed-methods approach including database and Google Searches, focus groups and survey methods. The data analysis included a structured data extraction template for the training availability scoping and thematic analysis of the survey and focus groups.

Findings

This paper identifies a total of 74 training courses targeting workplace employees, young people and the general population. Most courses were delivered face-to-face (54), followed by e-learning (16) and blended modalities (4). This paper derives four core quality principles, focussing on the training approach, key features of training, trainer attributes and evaluation. There were no significant gaps in training provision, although areas for future development included consistency in public mental health terminology, systems and populations requiring additional training and the logistics of training delivery, etc.

Originality/value

The results contribute to the evidence base of interventions that are currently available, supporting the efforts to evaluate the impact of training provision in this area. This paper provides a novel approach to assessing training quality and discuss areas for development and innovation in this field.

Details

Journal of Public Mental Health, vol. 20 no. 4
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 1 October 2020

Tasnim Uddin, Amina Saadi, Megan Fisher, Sean Cross and Chris Attoe

Emergency services face increasing frontline pressure to support those experiencing mental health crises. Calls have been made for police and ambulance staff to receive training…

Abstract

Purpose

Emergency services face increasing frontline pressure to support those experiencing mental health crises. Calls have been made for police and ambulance staff to receive training on mental health interventions, prevention of risk and inter-professional collaboration. Mental health simulation training, a powerful educational technique that replicates clinical crises for immersive and reflective training, can be used to develop competencies in emergency staff. This study aims to evaluate the effectiveness of mental health simulation training for police and ambulance staff.

Design/methodology/approach

In total, 199 participants from the London Metropolitan Police Service and London Ambulance Service attended a one-day simulation training course designed to promote effective and professional responses to mental health crises. Participants took part in one of six simulated scenarios involving mental health crisis before completing structured debriefs with expert facilitators. Participants’ self-efficacy and attitudes towards mental illness were measured quantitatively using pre- and post-course questionnaires while participants’ perceived influence on clinical practice was measured qualitatively using post-course open-text surveys.

Findings

Statistically significant improvements in self-efficacy and attitudes towards mental illness were found. Thematic analyses of open-text surveys found key themes including improved procedural knowledge, self-efficacy, person-centred care and inter-professional collaboration.

Originality/value

This study demonstrates that mental health simulation is an effective training technique that improves self-efficacy, attitudes and inter-professional collaboration in police and ambulance staff working with people with mental health needs. This technique has potential to improve community-based responses to mental health crises.

Details

The Journal of Mental Health Training, Education and Practice, vol. 15 no. 5
Type: Research Article
ISSN: 1755-6228

Keywords

Abstract

Details

Ethnicity and Inequalities in Health and Social Care, vol. 2 no. 1
Type: Research Article
ISSN: 1757-0980

Article
Publication date: 21 June 2023

Parvin Reisinezhad and Mostafa Fakhrahmad

Questionnaire studies of knowledge, attitude and practice (KAP) are effective research in the field of health, which have many shortcomings. The purpose of this research is to…

Abstract

Purpose

Questionnaire studies of knowledge, attitude and practice (KAP) are effective research in the field of health, which have many shortcomings. The purpose of this research is to propose an automatic questionnaire-free method based on deep learning techniques to address the shortcomings of common methods. Next, the aim of this research is to use the proposed method with public comments on Twitter to get the gaps in KAP of people regarding COVID-19.

Design/methodology/approach

In this paper, two models are proposed to achieve the mentioned purposes, the first one for attitude and the other for people’s knowledge and practice. First, the authors collect some tweets from Twitter and label them. After that, the authors preprocess the collected textual data. Then, the text representation vector for each tweet is extracted using BERT-BiGRU or XLNet-GRU. Finally, for the knowledge and practice problem, a multi-label classifier with 16 classes representing health guidelines is proposed. Also, for the attitude problem, a multi-class classifier with three classes (positive, negative and neutral) is proposed.

Findings

Labeling quality has a direct relationship with the performance of the final model, the authors calculated the inter-rater reliability using the Krippendorf alpha coefficient, which shows the reliability of the assessment in both problems. In the problem of knowledge and practice, 87% and in the problem of people’s attitude, 95% agreement was reached. The high agreement obtained indicates the reliability of the dataset and warrants the assessment. The proposed models in both problems were evaluated with some metrics, which shows that both proposed models perform better than the common methods. Our analyses for KAP are more efficient than questionnaire methods. Our method has solved many shortcomings of questionnaires, the most important of which is increasing the speed of evaluation, increasing the studied population and receiving reliable opinions to get accurate results.

Research limitations/implications

Our research is based on social network datasets. This data cannot provide the possibility to discover the public information of users definitively. Addressing this limitation can have a lot of complexity and little certainty, so in this research, the authors presented our final analysis independent of the public information of users.

Practical implications

Combining recurrent neural networks with methods based on the attention mechanism improves the performance of the model and solves the need for large training data. Also, using these methods is effective in the process of improving the implementation of KAP research and eliminating its shortcomings. These results can be used in other text processing tasks and cause their improvement. The results of the analysis on the attitude, practice and knowledge of people regarding the health guidelines lead to the effective planning and implementation of health decisions and interventions and required training by health institutions. The results of this research show the effective relationship between attitude, practice and knowledge. People are better at following health guidelines than being aware of COVID-19. Despite many tensions during the epidemic, most people still discuss the issue with a positive attitude.

Originality/value

To the best of our knowledge, so far, no text processing-based method has been proposed to perform KAP research. Also, our method benefits from the most valuable data of today’s era (i.e. social networks), which is the expression of people’s experiences, facts and free opinions. Therefore, our final analysis provides more realistic results.

Details

Kybernetes, vol. 52 no. 7
Type: Research Article
ISSN: 0368-492X

Keywords

Article
Publication date: 16 November 2012

Linden Dalecki

This paper seeks to explore a host of straight‐to‐DVD and direct‐download motion picture marketing, production, and distribution strategies deployed by Florida‐based Maverick…

Abstract

Purpose

This paper seeks to explore a host of straight‐to‐DVD and direct‐download motion picture marketing, production, and distribution strategies deployed by Florida‐based Maverick Entertainment. The focus is Maverick's most prominent and successful sub‐genre “urban teen gangsta” films.

Design/methodolgy/approach

The somewhat wide‐ranging and eclectic approach taken in this paper draws from two emergent academic subdisciplines: consumer culture theory (CCT), largely on the business‐school side, and media industry studies (MIS), largely on the communications‐school side. The project thus attempts to bridge the interpretive poetics and eclecticism of CCT with the interpretive aesthetics and eclecticism of MIS and relies on a blend of filmic, marketing, PR, journalistic, trade publication, and academic evidence.

Findings

It is argued that “marketing mimicry” – where Maverick imitates specific successful urban‐teen themed cross‐over film marketing strategies of major and mini‐major Hollywood studio titles – was crucial to the start‐up's success.

Research limitations/implications

Marketers outside the USA will find it somewhat difficult to glean generalizable lessons based on the strategies and principles evaluated here. Future research should be conducted in the area of direct‐download of urban teen filmed content, particularly vis‐à‐vis Maverick's new direct‐download partners such as Hulu, YouTube, Amazon VOD, Facebook Store, and Gigaplex. Future research should also look into the extent to which the somewhat pervasive notion of a “global teen audience” is valid for this sub‐genre of films.

Practical implications

Marketers are advised to thin‐slice the appeals of their teen‐themed product‐lines to maximize the appeal to given sub‐segments. Marketers may beneifit by developing ethical non‐harmful iterations of marketing‐mimicry in their market space.

Social implications

Scholars who analyze teen‐themed marketing strategies often tend to construct some version of the “global teenager”. The current paper focuses largely on African American and Latino American teens.

Originality/value

This is the first paper to analyse how a small firm successfully markets to the urban American teen film audience. It is also the first academic paper to explore the concept of marketing‐mimicry.

Open Access
Article
Publication date: 28 October 2019

Onn Laingoen, Tawatchai Apidechkul, Panupong Upala, Ratipark Tamornpark, Chaleerat Foungnual and Rattakarn Paramee

The purpose of this paper is to estimate the cost-effectiveness of tuberculosis (TB) treatment and care in two Thai hospitals located on the borders with Myanmar and Laos.

1027

Abstract

Purpose

The purpose of this paper is to estimate the cost-effectiveness of tuberculosis (TB) treatment and care in two Thai hospitals located on the borders with Myanmar and Laos.

Design/methodology/approach

A retrospective data collection was conducted to analyze all costs relevant to TB treatment and care from Mae Sai and Chiang Sean Hospitals. The cost related to TB treatment and care and the number of successful TB treatment from January 1 to December 31, 2017 were used for the calculation. The cost-effectiveness ratio (C/E) and the incremental cost-effectiveness ratio (ICER) were the outcomes.

Findings

In 2017, the total cost of the TB treatment and care program at Mae Sai Hospital was 482,728.94 baht for 57 TB patients. The cast per treated case per year was 8,468.93 baht. The C/E was 10,971.11 baht per successful TB treatment (44 successful cases). The total cost of the TB treatment and care program at Chiang Sean Hospital was 330,578.73 baht for 39 TB patients. The cost per treated case per year was 8,476.38 baht. The C/E was 22,038.58 baht per successful TB treatment (15 successful cases). The ICER was 5,246.56 baht. The Mae Sai Hospital model was more cost-effective in terms of the treatment and care provided to Burmese patients with TB than the Chiang Sean Hospital model for Laotian patients with TB.

Originality/value

To improve the cost-effectiveness of TB treatment and care programs for foreign patients in hospitals located on the Thai border, focus should be placed on patient follow-up at the community or village level.

Details

Journal of Health Research, vol. 34 no. 1
Type: Research Article
ISSN: 2586-940X

Keywords

Article
Publication date: 5 August 2020

Isabella Maggioni, Sean James Sands, Carla Renee Ferraro, Jason Ian Pallant, Jessica Leigh Pallant, Lois Shedd and Dewi Tojib

For consumers, cross-channel behaviour is increasingly prevalent. Such behaviour involves consumers actively engaging in (and deriving benefit) from one channel during a product…

1435

Abstract

Purpose

For consumers, cross-channel behaviour is increasingly prevalent. Such behaviour involves consumers actively engaging in (and deriving benefit) from one channel during a product search but switching to another channel when making a purchase. Drawing on multi-attribute utility theory, this study proposes a cross-channel behaviour typology consisting of three key aspects: channel choice behaviour, functional and economic outcomes and consumer-specific psychographic and demographic variables.

Design/methodology/approach

Segmentation analysis conducted via latent class analysis (LCA) was performed on a sample of 400 US consumers collected via an online survey.

Findings

Cross-channel behaviour is not always intentional. We identify a specific segment of consumers that most often engage in unplanned, rather than intentional, cross-channel switching. We find that of all shoppers that engage in cross-channel behaviour, a fifth (20%) are forced to switch channels at the point of purchase.

Practical implications

Cross-channel behaviour can be mitigated by retailers via a deep understanding of the driving factors of different configurations of showrooming and webrooming.

Originality/value

In contrast with existing conceptualisations, this study suggests that cross-channel behaviour often stems from consumers being “forced” by factors outside of their control, but within the retailers' control. This research presents a nuanced approach to decompose consumer cross-channel behaviour from the consumer perspective as planned, forced or opportunistic.

Details

International Journal of Retail & Distribution Management, vol. 48 no. 12
Type: Research Article
ISSN: 0959-0552

Keywords

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