Obesity is still a growing public health problem in the UK and many healthcare workers find it challenging to have a discussion with service users about this sensitive topic. They also feel they are not competent to provide the relevant heath advice and are seeking easily accessible, evidence-based, mobile health learning (mHealth). mHealth applications (apps) such as the Professional NoObesity and Family NoObesity (due for release late 2018), have been designed to: support families with making sustainable positive behaviour changes to their health and well-being, ease pressure on practitioners' overweight and obesity care related workloads, as well as to support the education of professionals, students and service users. This paper describes the process of designing the apps from the inception of the idea, through the stages of research, app builds and testing. The processes of collaborative working to design and develop the apps to meet the needs of both service users and health professionals will also be reflected upon. Childhood obesity is an complex problem and whilst it is recognised that the NoObesity apps cannot singlehandedly resolve this health crisis, it is proposed that they can support families to identify and reduce the barriers that prevent them from living healthier, happier lives.
Fibromyalgia is a condition for which information is not readily accessible in midwifery or obstetric text books. This 'invisible disability' can have detrimental implications for all aspects of maternity care. From the physiology and psychology of fibromyalgia during the antenatal through to the postnatal period, this article highlights key issues which can have a hidden but significant impact on the maternity experience of w om en w ith fibro these issues and suggests ways in which midwives can improve the quality of the care given to women affected with this condition. Key points• Fibromyalgia is a physiological and psychosocial affective condition • Facilitating informed decision making for women with cognitive • dysfuntion is an ongoing challenge • Midwives caring for women with fibromyalgia should remember that these women requires a multi-dimensional intraprofessional approach to improve their experiences of maternity care. IntroductionFibromyalgia is a non-inflammatory rheumatologic disorder characterized by chronic widespread musculoskeletal pain, fatigue, depression, cognitive dysfunction and non-restorative sleep (Starlanyl and Copeland, 2001). Rheumatologic disorders include clinical problems which involve joints, soft tissues and allied conditions of connective tissues. Fibromyalgia is thought to amplify pain causing the body to exaggerate light, vibration, smells and to interpret these sensations anywhere along the spectrum from discomfort to unbearable pain ( Table 1). As with rheumatoid arthritis and systemic lupus erythematosus, fibromyalgia is classed as a syndrome rather than a disease.The World Health Organization (2008) estimated the prevalence of fibromyalgia to be between 3-6% of the world's population, while Arthritis Care UK (2010) stated that fibromyalgia will affect 1 in 50 people at some point in their lives, although it is most likely to occur during the ages of 25-55 years and affects Denyse King Lecturer in Midwifery dking@ bournemouth.ac.uk
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