Jones J.,West City Center |
Health Promotion International | Year: 2011
Developing and sustaining partnerships for promoting health has been identified as an important strategy for addressing the health challenges that face society. Trust is one of the most important factors that help partnerships function effectively. In health promotion partnerships, trust is an under-researched and poorly understood phenomenon. This study was designed to identify how trust is conceptualized in health promotion partnerships and to develop a trust measurement tool. Five focus groups were organized with 36 health promotion partners in order to explore how trust is conceptualized in their partnerships. Participants represented health, community, education, arts, sports and youth sectors. A content analysis was carried out on the transcripts and a 14-item, five-point scale, was developed from the findings. This scale was incorporated into an overall questionnaire on partnership functioning which was posted to 469 partners in 40 health promotion partnerships. A response rate of 72% was achieved (n = 337) for the postal survey. The trust scale was subjected to reliability and validity tests. Principal Component Analysis yielded two components, named positive trust and mistrust, explaining 59% of the variance. Coefficients ranged from 0.845 to 0.511 with eigenvalues before rotation of 6.58 and 1.66. Cronbachs alpha was 0.91. Further research is required to establish whether the scale can be used with other types of partnerships. © The Author (2011). Published by Oxford University Press. All rights reserved.
Hogan M.J.,NUI |
Staff R.T.,Royal Infirmary |
Bunting B.P.,University of Ulster |
Murray A.D.,University of Aberdeen |
And 3 more authors.
Cortex | Year: 2011
Introduction: Frontal lobe atrophy is implicated in patterns of age-related cognitive decline. However, other brain areas, including the cerebellum, support the work of the frontal lobes and are also sensitive to the effects of ageing. A relationship between cerebellar brain volume and cognitive function in older adults is reported, but no study has separated variance associated with cerebellar gray matter volume and cerebellar white matter volume; and no study has examined whether or not brain volume in the cerebellum is related to cognitive function in older adults after statistical control for frontal lobe volume of gray and white matter. Method: We used voxel based morphometry (VBM) and structural equation modelling (SEM) to analyse relations between general cognitive ability (G) and volume of GM and WM in frontal areas and cerebellum in a sample of 228 older adults (121 males and 107 females). Results: Results indicate that GM volume in the cerebellum predicts G, even when total intracranial volume (TICV) and GM gray and WM volumes in frontal lobes are statistically controlled. However, results differ for males and females, with males showing a stronger relationship between brain volume in the cerebellum and G. Conclusions: Results are discussed in light of neurological models of cognitive ageing and the significance of the cerebellum in models of cognitive functioning. © 2010 Elsevier Srl.
McGee H.M.,Royal College of Surgeons in Ireland |
BMC Family Practice | Year: 2010
Background: Sexual problems are common among people with coronary heart disease and can adversely affect patients' quality of life. GPs are ideally placed to deal with these problems. Research suggests that GPs are reluctant to address sexual problems but little is known about what currently takes place in practice. The aim of this study was to examine GPs' self-reported behaviour and attitudes to discussing sexual problems with people with coronary heart disease. Method: Design: A cross-sectional survey which administered 230 postal questionnaires to a nationally representative, stratified random sample of GPs in the Republic of Ireland. GPs were asked about current practice, knowledge, awareness and confidence in dealing with sexual problems, barriers to addressing sexual problems, and about improving services in this area. Results: Responses were available for 61 GPs (27% response rate). Seventy percent of GPs reported that they rarely or never discussed sexual problems with coronary patients. While all GPs believed addressing sexual problems was important, many GPs reported lacking awareness, knowledge and confidence in addressing sexual problems. The main barriers were lack of time, feeling the patient wasn't ready and lack of training in the area. GPs wanted more training and guidelines for practice. Conclusions: There is currently no standardised protocol for GPs for dealing with sexual problems among coronary patients. Awareness of these issues appears to be low among GPs. Services could be improved by developing practice guidelines for brief, effective actions or assessments, providing training in the area and improving information resources and support services for referral. © 2010 Byrne et al; licensee BioMed Central Ltd.
Murphy A.W.,NUI |
McGee H.M.,Royal College of Surgeons in Ireland
European Journal of Cardiovascular Nursing | Year: 2011
Background: While a healthy sexual life is regarded as an important aspect of quality of life, sexual counselling from healthcare providers for cardiac patients has received little attention in the literature. Aim: To document current practice and assess the needs of cardiac rehabilitation service providers in Ireland with regard to sexual assessment and management for patients. Methods: Cardiac rehabilitation staff in all relevant centres in Ireland responded to a postal questionnaire. Sexual health management was assessed by a series of questions on current practice, staff attitudes, beliefs and perceived barriers to discussing sexual problems. Results: Staff (N= 60; 61% response rate) reported a lack of assessment and counselling protocols for addressing sexual health problems, with little or no onward referral system available. Results also suggest staff believe that patients do not expect them to ask about their sexual concerns. Barriers reported included an overall lack of confidence (45%), knowledge (58%) and training (85%). Conclusion: Development of guidelines, assessment protocols and training for cardiac rehabilitation staff are essential in the area of sexual health problems in order to improve the quality of services for patients with coronary heart disease. © 2010 European Society of Cardiology.
Jones J.,West City Center |
Health Promotion International | Year: 2011
Intersectoral partnerships have been identified as a useful mechanism for addressing the health challenges that face society. In theory, partnerships achieve synergistic outcomes that amount to more than can be achieved by individual partners working on their own. This study aimed to identify key factors that influence health promotion partnership synergy. Data were collected from 337 partners in 40 health promotion partnerships using a postal survey. The questionnaire incorporated a number of multidimensional scales designed to assess the contribution of factors that influence partnership synergy. New validated scales were developed for synergy, trust, mistrust and power. Pearsons correlations and multiple regression analysis were used to identify the significance of each factor to partnership synergy. Trust, leadership and efficiency were shown to be the most important predictors of partnership synergy. Synergy is predicated on trust and leadership. Trust-building mechanisms need to be built into the partnership forming stage and this trust needs to be sustained throughout the collaborative process. We need to develop systems where the best leaders are put forward for intersectoral partnerships. This should be consistent across all sectors and organizations. © The Author (2011). Published by Oxford University Press. All rights reserved.