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A Systematic Review on the applications of Borderline-Symptom List (BSL-23) a self-report measure for adults with Borderline Personality Disorder
Full text linkObjective: The Borderline Symptom List (BSL-23) was developed to provide a relatively brief and objective measure of BPD symptomatology. This review aims to provide a synthesis of how the measure has been used in practice, with what populations, research questions and methodologies, and to review its known reliability across these populations. Methods: A systematic review was conducted by searching relevant databases for studies which had used the BSL-23 with an adult BPD sample. Results were analysed narratively, and a meta-analysis of reported reliability coefficients was conducted. Results: 29 studies comprising 3,492 participants were included. Most studies were conducted in Germany or Spain. Results indicated an overrepresentation of younger women. Notably, there is no evidence of a published validation of an English language version. Meta-analysis of Cronbach’s alpha suggests very high reliability, possibly hinting at a narrow conceptualisation of assessed symptoms. Discussion: The BSL-23 remains a versatile tool. It has been applied in diverse settings for various purposes in a range of study designs. Clinicians and researchers need to be aware of the settings in which the BSL-23 has been used less frequently, with the current review making a number of recommendations for future research to fill the most important gaps
Realist Review on Just Transition Towards Low Emission, Climate Resilient and More Inclusive Societies in Developing Countries
Full text linkJust transition describes the transformation towards greener, more inclusive, and more resilient economies and societies. This realist review provides a rigorous summary of global evidence on interventions targeting outcomes contributing towards a just transition in developing countries, spanning energy, agriculture and food, infrastructure, and ecosystem services. We found common enablers for just transition interventions across all or most sectors, including robust funding and financing mechanisms, strong alignment with needs and priorities, political will and ownership, social dialogue and stakeholder engagement. Hard and soft enablers differed across sectors. We also found common barriers to successful just transition across all sectors, including bureaucratic and legal barriers, exclusion and unequal distribution of benefits
Book Review: Polls, Pollsters, and Public Opinion: A Guide for Decision-Makers By Clifford Young and Kathryn Ziemer.
No full textTobacco dependence support during and following an acute mental health inpatient admission: a cross-sectional survey of care provision in England
No full textIntroduction: Although significant efforts have been made to promote smoking cessation, people with mental health conditions continue to be more likely to smoke and to consume more tobacco than those without mental illness. This survey aimed to describe the provision of tobacco dependence support offered during admission and following discharge from NHS acute adult mental health wards across England. Methods: A cross-sectional online descriptive questionnaire survey was conducted between August and September 2024 in National Health Service (NHS) Mental Health Trusts in England. Questions included identifying the Trust and role of the person responding, and characteristics of tobacco dependence support offered to patients when admitted to acute mental health wards and at discharge. Results: Of the 50 Trusts approached, a response rate of 44% (n=22) was achieved. Almost all of the respondent Trusts reported offering behavioral support (n=22; 100%), nicotine replacement therapy (n=21; 95.45%), and e-cigarettes (n=21; 95.45%) during participants’ time in hospital. Tobacco dependence support offered post-discharge was reported to be in place less frequently (n=13; 59.09%); variations in the duration of support were reported. Tobacco dependence support was delivered by healthcare professionals who had completed National Centre for Smoking Cessation and Training (NCSCT) Practitioner training in all Trusts, with most Trusts also offering the NCSCT specialist Mental Health module training and/or in-house training. Conclusions: Inpatient tobacco dependence support within NHS mental health settings in England is relatively consistent; however, post-discharge care varies, presenting an opportunity to enhance smoking cessation outcomes
Randomised controlled trial of a very brief nurse-delivered intervention followed by a digital intervention to support medication adherence and reduce blood pressure in people prescribed treatment for hypertension in primary care: protocol for the Programme on Adherence to Medication (PAM) trial
No full textIntroduction: Hypertension is a global health challenge accounting for 8.5 million deaths worldwide despite the availability of low-cost pharmaceutical treatment. About 14.9% of people (9.9 million) registered with primary care practices in England and Wales are prescribed medication for hypertension. However, many patients with hypertension and associated conditions do not take their medications as prescribed. Non-adherence to antihypertensive medication is associated with increased risk of suboptimal blood pressure (BP) control, complications and all-cause mortality, and increased healthcare costs. The Programme on Adherence to Medication (PAM) trial will estimate the effectiveness and cost-effectiveness of a medication adherence intervention in patients prescribed medication for hypertension with poorly controlled blood pressure in primary care. Methods: A two-arm multicentre individually randomised controlled parallel group superiority trial recruiting patients prescribed medication for hypertension with poorly controlled BP in primary care practices in England and Wales. The target sample size is 542. Participants in the Intervention group will receive a very brief intervention delivered remotely (by telephone or video call) by a practice nurse or healthcare assistant followed by a digital intervention (text messaging or smartphone app) in addition to usual care; control group participants will receive usual care alone. The primary outcome is systolic BP measured at 12 months. Medication adherence will be measured by chemical adherence testing of urine samples and self-report. An economic evaluation and a process evaluation will be undertaken. Ethics and dissemination: The Cambridge East Independent Research Ethics Committee (REC reference 19/EE/0354), the Health Research Authority (HRA) and Health and Care Research Wales (HCRW) approved the trial. The findings will be disseminated to the scientific community, participating practitioners and patients, relevant patient groups and the public using a range of methods, including journal articles, conference presentations, newsletters and the Programme website. Trial registration number: The UK’s Clinical Trial Registry ISRCTN8201365
A Sustainable and Intelligent Unified LPWAN-as-a-Service Framework for 6G IoT Using RedCap
No full text5G Reduced Capability (RedCap) is a promising technology introduced to bridge the gap between legacy LPWAN technologies (i.e., NB-IoT, LTE-M, URLLC) and full 5G NR. However, 5G RedCap operates with fixed radio parameters and cannot dynamically adapt to changing service requirements. This paper proposes a Unified LPWAN-as-a-Service (ULaaS) framework that leverages existing provision of 5G NR to optimize the RRC parameters, such as bandwidth part, power class, antenna configuration, and modulation scheme, to support legacy LPWAN technologies-inspired operational behaviours within a Single 5G RedCap device and policy-driven network architecture. The framework enables multi-persona operation by dynamically changing configurations through standard 5G management entities—specifically the Network Exposure Function (NEF), Policy Control Function (PCF), and Session Management Function (SMF). This software-driven approach aligns well with the 6G design principles of intelligent control, hardware reuse, and resource-efficient networking, enabling the sustainable and intelligent Green Internet of Things. The implementation of ULaaS is realized on MATLAB-based waveform-assisted evaluation to demonstrate that the adaptive RedCap parameter tuning can effectively approximate the latency, throughput, and energy efficiency behavior of legacy LPWAN technologies. The results show that ULaaS can serve as a unified layer that enhances RedCap’s flexibility for heterogeneous IoT deployments. Index Terms—5G RedCap, LPWAN-as-a-Service, NB-IoT, LTE-M, URLLC, 6G-IoT connectivity
Engaging adults with severe mental illness in research: Considerations and practical recommendations for meaningful patient and public involvement
No full textBackground: Patient and public involvement (PPI) in mental health research is essential but presents unique challenges, particularly when engaging adults with severe mental illness (SMI). This report focusses on the process, benefits, and challenges of involving adults with lived experience of SMI as active partners within a five-year research programme aimed at co-producing a new evidence- and theory-based intervention to support smoking behaviour change following mental health inpatient care. It summarises our PPI strategy, the lived experience insight provided, and practical recommendations for facilitating meaningful involvement of people with SMI throughout the research process. Methods: We reflect on our approach to PPI within the research programme. Involvement spanned the entire research programme, from intervention design to dissemination. The research team reflected on the PPI participants’ experience via informal feedback, meeting notes, and reflective team discussions. These reflections informed the identification of practical considerations and recommendations. Results: PPI was crucial to the research and had a powerful, meaningful impact, with group members playing a key role in shaping participant-facing materials and intervention resources. Success was supported by early planning, dedicated facilitation, sustained relationship-building, and clear communication. Challenges included balancing meaningful input with accessibility, accommodating individual needs and preferences, and supporting varying levels of engagement due to participants’ ongoing mental health experience. Conclusion: Involving adults with SMI in research is both feasible and valuable, and requires careful planning, flexibility, and support. This report highlights the importance of relational approaches and tailored support to enable meaningful contributions, offering practical guidance for researchers developing inclusive PPI strategies in mental health trials involving complex populations
Meeting of minds: imagining the future of child and youth mental health research from an early career perspective
No full textChild and youth mental health is an international public health and research priority. We are an interdisciplinary and cross-sectoral network of UK-based early career researchers (ECRs) with an interest in child and youth mental health research. In this paper, we reflect on ongoing challenges and areas for growth, offering recommendations for key stakeholders in our field, including researchers, institutions and funders. We present a vision from an ECR perspective of what future child and youth mental health research could look like and we explore how the research infrastructure can support ECRs and the wider research field in making this vision a reality. We focus specifically on: (a) embracing complexity; (b) centring diverse voices; and (c) facilitating sustainable research environments and funding systems. We present recommendations for all key partners to consider alongside their local contexts and communities to actively and collaboratively drive progress and transformative change
Moving Amateur Movies:The International Amateur Cinema Network in the 1930s
No full textDuring the 1930s the 16mm format enabled amateur filmmakers around the world to create new opportunities for films to circulate outside commercial channels. The Institute of Amateur Cinematographers (IAC) World Tour began in 1934 and circulated amateur films through four continents. This essay describes the films that made up this program and traces their movement from the UK through Europe and Asia, simultaneous with parallel international film circulation in the USA. The essay investigates how amateur film organizations in UK, USA, Italy, and Japan mediated the connection among particular national film cultures and international networks, how these connections were articulated in local amateur discourse, and how the circulation of 16mm amateur films reinforced these articulations. 16mm film was the facilitating format for the global amateur network and this chapter investigates how it functioned and was understood during this period. The format’s capacity for both standardization and adaptability proved crucial as it performed a crucial infrastructural role in the amateur distribution apparatus. By the mid-1930s 16mm film was the lingua franca of international amateur film and the connecting thread of filmmakers in different countries and across radically different geo-political contexts
Unpacking advising: Boundaries as a key resource in academic supervision
No full textSupervisory advice giving is a dynamic yet delicate activity that helps to build boundaries of thinking and acting within which students acquire and articulate their academic knowledge. While research has examined features of advice giving in academic contexts, it remains unclear how participants co-construct different boundaries to reshape knowledge through advice exchanges. Drawing on detailed case studies using observations, interviews, and discourse analyses of supervisions offered to two master's students, this study explores how multi-layered boundaries (cognitive, epistemic, role, practice, and knowledge) help convey supervisors’ and students’ authority and independence. Findings show students balance the supervisors’ epistemic authority with their own knowledge claims. Negotiating this tension helps to recreate an interactional space where both parties introduce or exclude resources to diminish the knowledge imbalance and shape writing decisions