Alternative approaches to researching social capital: A comment on van Deth's measuring social capital

This paper responds to van Deth's overview of empirical research on social capital and the difficulties of measuring the concept. We entirely agree with many of the problems that he identifies with the dominant mode of enquiry to date: namely survey and polling methods of attitudinal data. We are sure there are ways of improving on such quantitative methods although we are of the view that qualitative research is especially helpful for exploring the processes of social capital formation and the relationship between networks and norms so crucial to Putnam's use of the concept. Briefly, we discuss our own qualititive work involving intensive interviews with 120 activists drawn from a Citizens Audit of Britain. We address the importance of pre-existing trust and informal processes of mobilization, the significance of experiences of group involvement for generating norms of trust as well as distrust and the extent to which evaluations of such experiences influence wider views of participation and democracy in Britain. In sum, we totally endorse van Deth's call for the greater use of 'multi-methods and multi-level srategies' in empirical research by extending his plea to consider the valuable role of qualitative methods in the study of social capital.     

Long‐term continuous clients and their needs: a New Zealand analysis

National New Zealand data (2002) indicate that 27% of gambling clients remain in treatment for longer than 12 months. This research retrospectively analysed data from long‐term continuous, re‐admitted and brief therapy clients. The data were obtained from a national database and were analysed quantitatively and qualitatively. Results indicated that relevant differences between long‐term continuous and other clients occurred in ethnicity and clinic location. The latter was confounded by the number of clinics versus clients. The average age of long‐term continuous clients was 43 years; 5–6 years older than other clients; however, this marginally failed to reach a level of statistical significance. The results led to the proposal of two alternative models of therapy for clients with gambling problems: (a) a six‐session capsule model and (b) an inductive, open‐ended model (with regular review component). Further research is required to test the efficacy of these models.     

Saying Something: The Location of Social Movements in the Surveillance Society

Arguing for social movement-based critiques of public surveillance, this article proposes an alternative approach to the established parameters of research on the contemporary surveillance society. As cities become increasingly organized around a logic of insecurity and fear, there has been an eruption of concern and debate about the expansion of urban public surveillance. But most of the research on this subject has paid little attention to the deliberate, collective forms of political critique raised by anti-surveillance activism. Rather, the predominant focus has been on concerns about privacy rights, civil liberties, and the dilemmas of balancing freedom with security. Moreover, the prevailing critical narrative contends that the radical expansion of surveillance has been largely met with consent from the public. Moving beyond such a discourse of consent, this article examines two examples of cultural interventions that seek to contest the growth of public surveillance, not as a problem limited to the violation of privacy rights but as a process that signifies the metastasizing weaponization of everyday life and the authoritarian circulation of fear. I suggest that the significance of contemporary anti-surveillance activism is found in its embeddedness in broader struggles rather than in the opposition to surveillance as an autonomous political aim.     

An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment

BackgroundGestational diabetes mellitus (GDM) affects almost 5% of pregnancies in Australia, and within 15 years, 25% of affected women will go on to develop Type 2 Diabetes Mellitus (T2DM). The adoption of preventive health behaviours may be influenced by women's experiences of GDM.QuestionThis review sought to understand women's beliefs, values, perceptions and experiences following diagnosis of GDM.MethodsPeer reviewed and professional journals were searched for primary research, published between January 1991 and December 2011 that explored the beliefs, values, perceptions and experiences of peripartum or postpartum women with a diagnosis or history of GDM.FindingsNineteen studies met the inclusion criteria and the majority of these studies were qualitative (n = 15). Each study was reviewed and synthesis revealed three emergent themes and core concepts related to each theme: Responses (initial reaction to GDM diagnosis, negative thoughts following diagnosis, struggle to manage GDM, feelings of ‘loss of control’, changes to identity and adapting to change), Focus of Concern (concern for baby's health, mother's concern for her own health, perceived seriousness of GDM, perceived fear of T2DM) and Influencing Factors (cultural roles and beliefs, social stigmas, social support, professional support, adequate and appropriate information, social roles and barriers to self-care).ConclusionThe experiences of women with GDM are unique and personal however this review highlights common experiences evident in the existing research. The proposed framework may be used by midwives in clinical assessment and care of women diagnosed with GDM.     

Development and Validation of a Measure of Living Standards for Older People

Living standards are an effective way to assess socioeconomic status in relation to health but controversy remains about their assessment, particularly for older people. Sen’s capability framework shifts attention from material conditions to opportunities for choice enabled by material resources. To develop this promising approach, this paper reports on the development of a measure of living standards for older people based on Sen’s capability framework. Six living standards domains were established from thematic analysis of 143 interviews with people aged over 65 years in New Zealand. Questionnaire items were developed and tested to assess the extent to which older people had the freedom to pursue these domains. The 73 items were tested for face validity in interviews. Following this, a revised version was posted to 2,000 people aged over 65 years randomly selected from the New Zealand electoral roll and 1,064 completed questionnaires were returned. Item screening for response rates and spread reduced the items to 34. Confirmatory factor analysis of these 34 items suggested that the six theoretical domains were supported. Following model development, 25 items assessing the six domains were selected. Results to date show that this measure of living standards (LS-Cap) is a promising instrument to assess living standards as the freedom to access valued needs.     

Reverse exchange of healthcare devices: the case of hearing aid equipment in the UK

Abstract

Reverse exchange (RE) in dealing with the return, recycle and reuse of products is receiving a growing focus. When properly handled, RE in healthcare can deliver an economic benefit of cost minimisation and has extensive positive impacts on both human health and the environment (Li and Olorunniwo 2008 Li, X., and F. Olorunniwo. 2008. “An Exploration of Reverse Logistics Practices in Three Companies.” Supply Chain Management: An International Journal 13 (5): 381–386. doi:10.1108/13598540810894979[Crossref], [Web of Science ®] , [Google Scholar]) but to date, RE research is mostly limited to pharmaceutical return. This paper investigates the potential for RE benefits in the UK National Health Service (NHS) supply chain for medical devices. Hearing aids supplied to adults with hearing loss are used as an illustrative example. This research applied a consensus approach through the use of dispersed nominal groups in order to obtain qualitative data on information, barriers, solutions and priorities to support findings. Findings illustrate that the end user behaviour of returning the device, and the requirement by NHS Procurement for manufacturers to meet RE targets are secondary to the importance of audiology departments who have the autonomy to design RE processes and successfully implement initiatives. A schematic highlighting the information and materials flow of the supply chain and the barriers and facilitators to RE is presented for hearing aid devices with potential for transferability to other small medical device supply chains.     

Lay representations of workplace stress: What do people really mean when they say they are stressed?

An individual's beliefs in relation to stress are likely to affect their perceptions, and hence their work-related actions (such as absenteeism). In this paper, lay representations of work stress were investigated utilising semi-structured interviews with 45 individuals from a range of occupations. The meaning of occupational stress, its antecedents and outcomes, and ways by which it may be managed were examined. Dominant factors were established through the use of thematic content analysis. Similarities and differences were found between lay and professional discourses on work stress. Results indicate that lay representations of occupational stress are multi-faceted. Little consensus was found in how participants interpreted the concept: a diverse range of personal, environmental, and societal factors was highlighted. A different (and arguably more complex) range of definitions of job stress and the manner in which it impacts on individuals was revealed than has been reported in previous studies. The causes of stress at work were perceived as being predominantly organisational, but the impact of stress on the employee was more salient than organisational outcomes. Paradoxically, secondary and tertiary stress management techniques were thought to be more effective than interventions designed to prevent stress at work. Interviewees with line management responsibility were more likely to emphasise individual responsibility for managing stress, most others maintained that the individual and the organisation are equally responsible. The potential value of examining lay representations of job stress to the discipline of Occupational Health Psychology is discussed and suggestions for future research are made.