Debra Salmon

The Impact of Participation in Performing Arts on Adolescent Health and Behaviour A Systematic Review of the Literature

This article reports a systematic review of literature published between 1994 and 2004 on the effects of performing arts for health in young people aged 11—18. The review includes research on music, performance, drama and dance in community settings and non-curricular mainstream education. A total of 17 electronic databases were searched and 3670 papers identified, 104 of which met relevance criteria. Full text scrutiny of 85 papers was undertaken and 14 of these were identified for review. The research was heterogeneous, making overall synthesis of results inappropriate. The review demonstrates that research on the impact of the performing arts on young people is at a relatively early stage.

Food sustainability education as a route to healthier eating: evaluation of a multi-component school programme in English primary schools

Promising approaches to the promotion of healthier eating among children in primary school settings include the opportunity to practise practical cooking and growing, promoting the take up of healthier school meals and nutritional education. However, less is known about the potential for strategies that integrate approaches through a focus on food sustainability issues--such as the promotion of awareness about local, seasonal, organic, fair trade and higher animal welfare foods. This paper presents an evaluation of the Food for Life Partnership, a multi-component programme that sought to address both the health and sustainability aspects of food. The study consisted of a two-stage cross-sectional survey of Years 5 and 6 students (ages 9-11) in 30 primary schools at enrolment and after 18-24 months, combined with an analysis of programme delivery. Higher self-reported fruit and vegetable consumption in the second stage survey was associated with a range of indicators of school participation in the programme. These included the reform of school meal procurement and preparation; experiential food growing, cooking and farm-based education and improved opportunities for stakeholder engagement. The study therefore develops a case for multilevel programmes that incorporate sustainability issues alongside experiential food education in primary school settings.

Lesbian, gay and bisexual experiences within critical care nursing, 1988-1998: a survey of the literature

The aim of this paper is to provide an analysis of the extent to which gay, lesbian and bisexual service user experiences are represented within the critical care literature. A survey of five well established critical care journals, covering the period 1988-1998, was conducted in order to reveal the range of themes addressed within them. The findings suggest that these groups are invisible in this field of practice and consequently their particular concerns have remained marginalised. The implications of this absence are far reaching, potentially inhibiting nurses from establishing effective caring relationships with either lesbians, gays or bisexuals and from identifying and developing appropriate interventions for the care of these patients and their families.

A five year follow-up study of the Bristol pregnancy domestic violence programme to promote routine enquiry

OBJECTIVE a follow-up study to evaluate the degree to which practice changes identified in the 2004/2005 evaluation of the Bristol Pregnancy Domestic Violence Programme (BPDVP) for routine enquiry for domestic abuse have been maintained. METHODS a multimethod approach was adopted, using a follow-up survey and focus groups. SETTING an acute Trust within the South West of England. PARTICIPANTS 58 midwives completed the survey, 73% (n=36) of whom had taken part in the original study in 2004/2005. Eleven of those surveyed also participated in focus group interviews. MEASUREMENTS participating midwives completed a 54-item questionnaire, where possible the questions were the same as those utilised in the original follow-up questionnaire. Similar to the previous study, the questionnaire was divided into a number of sections, including view of professional education, knowledge of domestic violence and abuse, attitudes and efficacy beliefs, barriers and support. The aim of the focus groups discussion was to obtain the overall views of midwives with the regard to the on-going implementation of routine enquiry. Frequency distributions for midwife responses in 2010 were compared with the corresponding frequency distributions in 2004/2005 and a statistical assessment of differences was performed using the χ(2) test of association. RESULTS midwives have to feel confident in their abilities to ask about abuse and the findings from this study demonstrate that across the cohort there was a tendency to have an increase in confidence in asking about domestic violence. Midwives have to feel confident in their abilities to ask about abuse. The findings from this study demonstrate that across the cohort there was a statistically significant increase in self-reported confidence in asking women about domestic abuse. In addition, there was a statistically significant increase in the degree of self-reported knowledge of how to deal with a disclosure of domestic violence when comparing the 2010 data with 2005 data. CONCLUSIONS results suggest that improvements in antenatal enquiry for domestic violence and abuse developed through the 2004/2005 BPDVP have improved over time, with the support of mandatory training. Nevertheless, barriers continue to exist, which include presence of a male partner and lack of face to face interpreting services, both these obstacles need to be addressed if all women and, in particular those who are most at risk of abuse are to be identified and supported.

Young people’s use and views of a school-based sexual health drop-in service in areas of high deprivation

Objective: To describe patterns and reasons of attendance and young people’s views of the drop-in service. Design: Analysis of a prospective database, questionnaire survey and qualitative interviews and discussions. Setting: Sexual health drop-in clinics in 16 secondary schools (including three pupil-referral units) in deprived areas of a city in South West England Methods: Nurse-completed consultations with young people; self-report questionnaires distributed by youth workers at the clinics; and interviews with young people in personal, social and health education (PSHE) lessons and at lunchtimes. Results: 515 young people made 1,303 visits over 15 months for nurse consultations (mean age 14.7 years). The mean age of first sex was 13.8 years (range 10 to 16 years). The service attracted ‘hard-to-reach’ young people, including boys, those less academically able, and those engaging in sexual intercourse at younger ages. A wide range of services were taken up including contraception, emergency contraception, sexually transmitted infections (STIs) testing and treatment, pregnancy tests, and referral to other services. Young people reported high levels of satisfaction with staff attitudes and clinic environment. Youth workers saw a younger age group than nurses, giving advice prior to sexual activity, about relationships, ‘safer sex’ and delaying sex. Barriers to use included: worries about embarrassment, cultural issues, and confidentiality. Conclusions: Locating sexual health drop-in clinics in schools within deprived communities makes them accessible to many vulnerable young people. Those having sex early attended, often before they had sex, and a large number of boys came for advice and condoms.

Implementing the Rock Challenge: Young people's perspectives on a drug-prevention and performing-arts programme

This paper presents the qualitative process findings from an evaluation of a school-based performing arts programme, ‘Rock Challenge’. Rock Challenge aims to promote healthy life styles ‘by building resilience amongst young people involved’. The research aimed to capture the experiences and perceptions of young people’s involvement in the programme, particularly in relation to the concept of the ‘drug-free high’, support offered throughout the programme and participants’ response to Rock Challenge as a drug-prevention initiative. Findings from the study suggest young people felt very positive about their involvement and, in particular, valued the skills and experiences associated with organising a performance, team-working, developing confidence, friendship, fun and excitement. The excitement felt during dance rehearsals and the live performance was associated with the concept of a ‘drug-free high’, feeling good in the absence of drugs and alcohol, and was seen as a key benefit of the programme. While support from teachers and families was perceived as high, difficulties were identified in the recruitment of males and students vulnerable to substance misuse and recommendations are made for improvement. The health promotion opportunities for school nurses and other public health practitioners and personal, social and health education co-ordinators are highlighted.

Child protection drama in primary school – an effective educational approach?

“Hello, Craig”, a child protection drama, was targeted at five‐ and six‐year olds in 28 primary schools in England. It aimed to encourage pupils to develop strategies to deal with appropriate and inappropriate touch in a variety of social settings. It also enabled teachers to introduce the sensitive issue of personal safety in a safe and stimulating way. The evidence from this evaluation suggests that innovative drama can be an effective medium for communicating the issues surrounding child protection. The project resulted in an increase in the children’s knowledge and skills about appropriate/inappropriate touch in a variety of contexts. Follow‐up work with photographs indicated that children had retained many of the main messages from the drama and were able to model strategies in playground situations. Areas for further development include embedding the project further within personal, social and health education (PSHE) programmes and staff development for teachers in the field of child protection.

Women's views and experiences of antenatal enquiry for domestic abuse during pregnancy

The aim of this study was to explore the acceptability of antenatal enquiry for domestic abuse from the perspective of women using maternity services. It also sought to understand the experiences of referral and support offered to women who had positively disclosed abuse.

‘You likes your way, we got our own way’: Gypsies and Travellers’ views on infant feeding and health professional support

Gypsies and Travellers are known to have poor health status and access to health services, even in comparison with other ethnic minority groups. People from this stigmatized ethnic group are rarely consulted about their health needs or health service provision. Optimal infant feeding in the first year of life has the potential to improve lifelong health.

A process evaluation of student participation in a whole school food programme

Purpose – Health promotion programmes are widely held to be more effective when the subjects of them actively participate in the process of change. The purpose of this paper is to report on an evaluation of the Food for Life Partnership programme, a multi‐level initiative in England promoting healthier nutrition and food sustainability awareness for students and their families through involvement in cooking, growing, farm visits and School Nutrition Action Groups (SNAGs).Design/methodology/approach – The study adopted a mixed methods approach, drawing upon quantitative and qualitative data sources. The data sources included quantitative data on school level programme related activities, qualitative data collected through focus groups with children and reports from teachers and other staff involved in the delivery of the programme.Findings – The paper concludes that the pivotal role of SNAGs in catalysing and embracing a whole school approach must be seen as an important mechanism for any health promotion ...