1,379 research outputs found

    Peer models in hepatitis C healthcare service delivery: underlying mechanisms and implementation

    No full text
    Background: the impact of peer-led work among marginalised populations with very limited access to healthcare is a key recommendation within the WHO Global Health Sector Strategies on blood borne viruses (including hepatitis C (HCV)). The benefits of peer models, i.e., people with lived experience in healthcare service delivery, are increasingly accepted. Yet, an in-depth understanding of how these models work, what influences their effectiveness, and how they are best integrated into existing healthcare settings for HCV and beyond is lacking. Objective: (1) To examine HCV peer models and outcomes in the literature, and (2) to systematically describe and evaluate a national peer service in community HCV healthcare services in the UK.Methods: we conducted a scoping review examining the peer-reviewed HCV literature on peer models (2012-2022), in OECD countries, and published in English. We included all studies that described, designed and evaluated HCV peer models and interventions. We then conducted a qualitative process evaluation (PEERs study) of the Hepatitis C Trust peer model in the UK. We interviewed 45 peer workers, service users and healthcare professionals in diverse community healthcare settings across three research sites. All data were thematically analysed through a complex intervention framework lens.Results: based on 29 included peer-reviewed studies, we identified the perceived benefits and impacts of lived experience in HCV services. However, key findings on ‘how’ peer models work in practice were often poorly or not at all documented, thus affecting the scalability and transferability of peer models. In response, our qualitative study presents key elements underpinning the mechanisms, processes and impacts of HCV peer models. Facilitators supporting HCV peer models included the importance of lived experience for service users and peer workers, and the incremental benefit of a peer organisation co-ordinating the peer model. Underlying mechanisms include social influence, professional roles and transitional identities, and beliefs about capabilities and consequences. Conclusion: peer models and how they work as a complex intervention are poorly described in the HCV literature. Our qualitative study demonstrates that peer-enhanced healthcare service delivery is valuable when embedded within healthcare systems. In the absence of practical guidance in the literature, the lessons learned from our study provide recommendations and rationales for other services intending to implement peer models in HCV and beyond to optimise engagement and healthcare provision for marginalised populations

    Why and how do peer models work? Findings from ‘Peer models in hepatitis c healthcare service delivery: underlying mechanisms and implementation (PEERs)’

    No full text
    Background: The impact of peer-led work among marginalised populations with very limited access to healthcare is a key recommendation within the WHO Global Health Sector Strategies on blood borne viruses including viral hepatitis (WHO, 2022). While benefits of peer models are increasingly accepted, an in-depth understanding of how these models work, what influences their effectiveness, and how they are best integrated into existing healthcare settings for hepatitis C (HCV) and beyond is lacking. This study systematically describes and evaluates a national peer service embedded in UK community HCV healthcare. Methods: We conducted a qualitative study with 45 participants (peer workers, service users and healthcare professionals) in diverse community healthcare settings in three research sites. We conducted semi-structured focus groups and interviews, in person and remotely. All data were pooled and analysed thematically. Results: Key elements of the peer model surrounded definitions of peers (what makes a peer a peer), and identified initial implementation barriers in terms of trust, hierarchy of professionalism, undefined roles and responsibilities as well as an evolving peer pathway in diverse settings. Facilitators highlighted the importance of lived experience for service users, the perseverance of peer workers in engaging, testing and treating marginalised individuals, and the incremental benefit of a peer organisation co-ordinating the peer model. Underlying mechanisms include social influence, professional roles and transitional identities, and beliefs about capabilities and consequences. Conclusion: Peer-enhanced healthcare service delivery is valuable alongside as well as embedded within the NHS. Lessons learned from this study provide recommendations for other services intending to implement peer models in HCV and beyond to optimise engagement and healthcare provision for marginalised populations

    First person – Jamie Whitelaw

    No full text
    First Person is a series of interviews with the first authors of a selection of papers published in Journal of Cell Science, helping researchers promote themselves alongside their papers. Jamie Whitelaw is first author on ‘ CYRI-B loss promotes enlarged mature focal adhesions and restricts microtubule and ERC1 access to the cell leading edge’, published in JCS. Jamie conducted the research described in this article while a post-doctoral researcher in Prof. Laura Machesky's lab at CRUK Scotland Institute, Glasgow, UK. He is now a Lecturer at University of the West of Scotland, Blantyre, investigating host–pathogen interactions with a focus on the role of the host cytoskeleton

    Kathleen Jamie, Chitra Ramaswamy & Amanda Thomson: Antlers of Water - Live Event

    No full text
    ‘When we read and write, when we love our fellow creatures, when we walk on the beach, when we just listen and notice, we are not little cogs in the machine, but part of the remedy.’ These luminous words by Kathleen Jamie form part of the introduction to Antlers of Water, an outstanding collection of contemporary Scottish writing about nature and landscape. The generosity of Jamie’s approach as editor of the collection goes beyond the stellar selection of contributors such as Amy Liptrot, Karine Polwart and Malachy Tallack: she also invokes the agency of readers to make a difference. ‘If, by reading, you are encouraged or confirmed in your love of the natural world, if you’re inspired simply to… look outside, then our job is done.’ In a discussion led by the BBC's Clare English, Jamie is joined by award-winning journalist Chitra Ramaswamy as well as visual artist and writer Amanda Thomson – both contributors to the anthology – to discuss Scotland, landscape and the more-than-human world around us. This is a live event, with an author Q&A. Part of the Edinburgh International Book Festival Making Climate Change Personal festival theme

    Jamie Whitten.

    No full text
    client file of Jamie Whittenhttps://egrove.olemiss.edu/miles/1178/thumbnail.jp

    Jamie Whitten with bags.

    No full text
    client file of Jamie Whitten; Corresponding Negative, folder 49https://egrove.olemiss.edu/miles/1184/thumbnail.jp

    Jamie Whitten with unidentified people.

    No full text
    client file of Jamie Whitten; Corresponding Negative, folder 49https://egrove.olemiss.edu/miles/1185/thumbnail.jp

    The modernization of the Gothic heroine: from Ann Radcliffe to Stephenie Meyer, a feminist perspective

    No full text
    A comparative look at the Gothic heroine of Ann Radcliffe's "The Italian" versus the modern Gothic heroine portrayed in Stephenie Meyer's "Twilight" series.M.A.Includes bibliographical references (p. 32-33)Jamie T. Corso

    Mississippi Salutes Jamie Whitten

    No full text
    Slide show on U.S. Represenatives Jamie L. Whitten\u27s life and service to Mississippi. Discusses soil conservation; flood control; harbors at Pascagoula and Greenville; Appalachian Regional Council; rural services; extension services; 4-H Club; Tennessee-Tombigbee Waterway
    corecore