Parents may inadvertently promote excess weight gain in childhood by using inappropriate child-feeding behaviours. We recommend the development of interventions to increase awareness of the possible consequences of inappropriate child-feeding behaviours. Parents who are concerned about their child's weight will also require guidance and support in order to adopt more appropriate child-feeding behaviours.
Introduction Poor mental health is responsible for a large percentage of long term work absence, and only 50% of those who are off work for 6 months or more return to work. Method We aimed to describe the factors which predict or restrict return to work for people suffering episodes of poor mental health. A literature review was conducted to identify all papers relating to long term mental illness absence. Results Fourteen papers of varying methodological quality considered mental health in relation to psychiatric morbidity, depression, stress, and body weight. Successful return to work is predicted by factors related to work, family history, health risk behaviours, social status, and medical condition. Conclusions This study identifies a range of factors which are important in preventing return to work for people with mental health conditions. The factors affecting RTW after a period of sickness absence due to poor mental health are wide ranging and in some cases studies have produced opposing results (particularly in the case of demographic factors). Further research is required to describe the factors which delay return to work for people experiencing episodes of poor mental health.
Telephone triage services can offer appropriate decisions and decisions that callers comply with. However, the association between the appropriateness of a decision and subsequent compliance requires further investigation and further consideration needs to be given to the minority of calls which are inappropriately managed. We suggest that a definition of appropriateness incorporating both accuracy and adequacy of triage decision should be encouraged.
BackgroundThe growing range of available treatment options for people who
stutter presents a challenge for clinicians, service managers and commissioners,
who need to have access to the best available treatment evidence to guide them in
providing the most appropriate interventions. While a number of reviews of
interventions for specific populations or a specific type of intervention have
been carried out, a broad‐based systematic review across all forms of intervention
for adults and children was needed to provide evidence to underpin future
guidelines, inform the implementation of effective treatments and identify future
research priorities.AimsTo identify and synthesize the published research evidence on the
clinical effectiveness of the broad range of non‐pharmacological interventions for
the management of developmental stuttering.Methods & ProceduresA systematic review of the literature reporting interventions for
developmental stuttering was carried out between August 2013 and April 2014.
Searches were not limited by language or location, but were restricted by date to
studies published from 1990 onwards. Methods for the identification of relevant
studies included electronic database searching, reference list checking, citation
searching and hand searching of key journals. Appraisal of study quality was
performed using a tool based on established criteria for considering risk of bias.
Due to heterogeneity in intervention content and outcomes, a narrative synthesis
was completed.Main ContributionThe review included all available types of intervention and found
that most may be of benefit to at least some people who stutter. There was
evidence, however, of considerable individual variation in response to these
interventions. The review indicated that effects could be maintained following all
types of interventions (although this was weakest with regard to feedback and
technology interventions).ConclusionsThis review highlights a need for greater consensus with regard to
the key outcomes used to evaluate stuttering interventions, and also a need for
enhanced understanding of the process whereby interventions effect change. Further
analysis of the variation in effectiveness for different individuals or groups is
needed in order to identify who may benefit most from which intervention.
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