Background: Many interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services researchers recognize the need to evaluate not only summative outcomes but also formative outcomes to assess the extent to which implementation is effective in a specific setting, prolongs sustainability, and promotes dissemination into other settings. Many implementation theories have been published to help promote effective implementation. However, they overlap considerably in the constructs included in individual theories, and a comparison of theories reveals that each is missing important constructs included in other theories. In addition, terminology and definitions are not consistent across theories. We describe the Consolidated Framework For Implementation Research (CFIR) that offers an overarching typology to promote implementation theory development and verification about what works where and why across multiple contexts.
Background & Aims-Data on secular trends and outcomes of eosinophilic esophagitis (EE) are scarce. We performed a population-based study to assess the epidemiology and outcomes of EE in Olmsted County, Minnesota, over the last 3 decades.
Children's experiences and voices are underrepresented in academic literature and professional practice around domestic violence and abuse. The project 'Understanding Agency and Resistance Strategies' addresses this absence, through direct engagement with children. We present an analysis from interviews with 21 children in the United Kingdom (12 girls and 9 boys, aged 8-18 years), about their experiences of domestic violence and abuse, and their responses to this violence. These interviews were analysed using interpretive interactionism. Three themes from this analysis are presented: a) 'Children's experiences of abusive control', which explores children's awareness of controlling behaviour by the adult perpetrator, their experience of that control, and its impact on them; b) 'Constraint', which explores how children experience the constraint associated with coercive control in situations of domestic violence, and c) 'Children as agents' which explores children's strategies for managing controlling behaviour in their home and in family relationships. The paper argues that, in situations where violence and abuse occurs between adult intimate partners, children are significantly impacted, and can be reasonably described as victims of abusive control. Recognising children as direct victims of domestic violence and abuse would produce significant changes in the way professionals respond to them, by 1) recognising children's experience of the impact of domestic violence and abuse; 2) recognising children's agency, undermining the perception of them as passive 'witnesses' or 'collateral damage' in adult abusive encounters; and 3) strengthening professional responses to them as direct victims, not as passive witnesses to violence.
Midesophageal biopsies from normal-appearing mucosa should be obtained in all patients with unexplained solid food dysphagia; this may diagnose EE in about one in 10 cases.
The creative research method 'draw and write' has been used in health, social care and education research for several decades. A literature search of studies utilising this method was conducted during the planning stages of a study exploring primary school children's perceptions of infant feeding. A review of this literature noted a range of benefits of 'draw and write' in enabling child participation. However, it also identified that the method has been used inconsistently, and found that there are issues for researchers in relation to interpretation of creative work and analysis of data. As a result of this an improvement on this method, entitled 'draw, write and tell', was developed in an attempt to provide a more child orientated and consistent approach to data collection, interpretation and analysis. This article identifies the issues relating to 'draw and write' and describes the development and application of 'draw, write and tell' as a case study, noting its limitations and benefits.
KeywordsChildren, draw and write, draw write and tell, creative methods, infant feeding, breastfeeding 2 of 26The creative research method known as 'draw and write' has been widely used by researchers working with children to explore a range of social and health related subjects. A literature review of studies in the United Kingdom, which have used 'draw and write', was undertaken recently as part of research exploring children's perceptions of infant feeding. This article reports the findings of this literature review and comments on the use of the method across a range of studies. It also describes and discusses the rationale for 'draw, write and tell', which was developed for the research study (Author 2011a) in an attempt to resolve some of the issues relating to 'draw and write' identified during the literature review.
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