Judy Orme

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.

Peer drug education: The way forward?

The development of drug education for young people in the UK has been the subject of various policy statements in recent years. With the publication of the Government White Papers research has drawn attention to the potential benefits of peer education as a method of drug prevention due mainly to the credibility of young people with their peers. This credibility might be based on age alone, or may also involve credibility stemming from the young person’s own drug use, past or present. This paper discusses issues relating to the effectiveness of peer drug education with particular reference to two evaluations carried out recently in South West England; brings together the most recent literature on peer education; and considers the appropriateness of different approaches in schools and youth work settings. This paper contributes significantly to the debate on the use of peer education as a health education approach.

Young people’s views on drug education in schools: implications for health promotion and health education

Government policy places strong emphasis on the value of school‐based drug education, and offers guidelines around the development of appropriate drug education. This paper is based on research conducted with 575 young people via a questionnaire survey which sought to obtain their views on what constitutes effective drug education. Findings included strong support from young people for school‐based drug education; suggested roles for parents, ex‐drug users, friends and youth workers in drug education; a desire for clear facts about drugs and drug use in order to enable young people to make informed decisions; support for the use of interactive teaching methods; and the need for drug education to start in primary school. These findings highlight the potential value of involving young people in the development of drug education in order to ensure maximum engagement in and learning from school‐based drug education programmes.

Alcohol, young people and the media: A study of radio output in six radio stations in England

BACKGROUND This research investigated the representation of alcohol in radio output. The study was prompted by concerns that media output might be part of a developing culture of excessive drinking among young people. METHODS Alcohol comments were examined across six radio stations in England. 1200 h of weekend output was screened and the sampling frame included periods when references to alcohol would be expected, such as the Christmas period. Statistical analysis identified the volume and proportion of comments, whereas qualitative analysis explored these in more depth, focusing on the themes and discourses surrounding alcohol talk. RESULTS Of 703 alcohol comments identified, 244 involved presenters. The volume of comments about alcohol varied between stations, being lower on BBC than on commercial stations and being influenced by music genre. Seventy-three percent of comments initiated by presenters, compared with 45% of comments from all sources, encouraged drinking. The majority of comments by presenters support drinking in relation to partying and socializing. Alcohol comments seem to create identity for programmes and forge connections between presenters and audiences, although some presenters achieve this without mentioning drinking. The assumption that alcohol is necessary to have a good time is seldom directly challenged. CONCLUSIONS While it may be unsurprising that much of this content reflected themes of weekend drinking and partying, the study suggests that alcohol comments play a particular role in marketing and branding of radio output. Comments about alcohol are shaped by broadcasting conventions that make it difficult to challenge discourses surrounding excessive drinking. Further research is needed on the influence that radio output may have on drinking behaviour among young people.

Promoting integration of the health and built environment agendas through a workforce development initiative

There is a renewed and growing recognition of the links between public health and the built environment, which has underlined the need for improved joint working between public health and built environment professionals. However, currently there is little engagement between these two sectors. This paper outlines a workforce development initiative that aims to increase capacity for such joint working, through shared learning and reflection between professionals from the built environment sector and those from the specialist public health workforce. This paper demonstrates how shared learning through facilitated learning sets and other activities has identified issues that both hinder and potentially help the greater integration of health into built environment thinking. It documents a number of responses to the issues that have arisen, as well as suggesting ways forward and future work that can help to bring public health and built environment professionals closer together for the benefit of society.

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.

Primary care professionals and social marketing of health in neighbourhoods: a case study approach to identify, target and communicate with 'at risk' populations

Aim: In this article the authors illustrate using a case study approach how primary care professionals can use the combination of geodemographic data with hospital episode statistics (HES) to predict the location of people ‘at risk’ of diabetes mellitus (Type 2 diabetes) in the population of England. This approach facilitates social marketing of those ‘at risk’. Method: Geodemographic segmentation data for all households was combined with HES for 2001‐2002, to predict population groups ‘at risk’ of Type 2 diabetes. Using a case study approach and quantitative data analysis techniques, a profile of the undiagnosed and ‘at risk’ population of Slough Primary Care Trust was created at town, ward and street levels. Recent literature on social marketing was applied to predicate a discussion of the theory and practice of social marketing that was most likely to succeed in dealing with the prevention of Type 2 diabetes, via the reduction of obesity and overweight in the population. Discussion: The increase in lifestyle-related diseases, such as, Type 2 diabetes that are linked with the rise in overweight and obesity and create large disease management costs for the National Health Service (NHS) are of great concern to primary healthcare professionals and governments throughout the westernized world. Until recently, public and government responses have been very reactive in respect of population groups most in need of lifestyle change. Approaches to the identification of ‘sub-populations’ most at risk of Type 2 diabetes and targeting of these is of direct relevance to the preventive work of primary care professionals. Conclusion: Geodemographic data overlaid onto official NHS and other routinely collected data, can aid the identification and targeting of groups most vulnerable to overweight and obesity, through social marketing approaches including direct mail, telephone canvassing and door-to-door communication channels.

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 ...