Applying a knowledge translation model to the uptake of the Baby Friendly Health Initiative in the Australian health care system

BackgroundThe Baby Friendly Hospital Initiative is a global, evidence-based, public health initiative. The evidence underpinning the Initiative supports practices promoting the initiation and maintenance of breastfeeding and encourages women's informed infant feeding decisions. In Australia, where the Initiative is known as the Baby Friendly Health Initiative (BFHI) the translation of evidence into practice has not been uniform, as demonstrated by a varying number of maternity facilities in each State and Territory currently accredited as ‘baby friendly’. This variance has persisted regardless of BFHI implementation in Australia gaining ‘in principle’ support at a national and governmental level as well as inclusion in health policy in several states. There are many stakeholders that exert an influence on policy development and health care practices.AimIdentify a theory and model to examine where and how barriers occur in the gap between evidence and practice in the uptake of the BFHI in Australia.ResultsKnowledge translation theory and the research to practice pipeline model are used to examine the identified barriers to BFHI implementation and accreditation in Australia.ConclusionAustralian and international studies have identified similar issues that have either enabled implementation of the BFHI or acted as a barrier. Knowledge translation theory and the research to practice pipeline model is of practical value to examine barriers. Recommendations in the form of specific targeted strategies to facilitate knowledge transfer and supportive practices into the Australian health care system and current midwifery practice are included.     

The impact of state-level restrictions on abortion

This research examines 23 different laws passed by state governments in an effort to restrict the number of abortions. It assesses both laws passed and laws actually enforced after the Supreme Court permitted states to restrict access to abortion in 1989. None of the policy actions by state governments has had a significant impact on the incidence of abortion from 1982 to 1992. Abortion rates continue to reflect past abortion rates, the number of abortion providers, whether the state funds abortions for Medicaid-eligible women, urbanism, and racial composition of the population. Recent restrictive policies have not affected these trends.     

Twelve-Month Prevalence of DSM-5 Gambling Disorder and Associated Gambling Behaviors Among Those Receiving Methadone Maintenance

This study sought to: (1) determine the prevalence of gambling disorder using the Diagnostic and Statistical Manual of Mental Disorders Version 5 (DSM-5; American Psychiatric Association in Diagnostic and statistical manual of mental disorders, American Psychiatric Publishing, Arlington, 2013) criteria; (2) identify the frequency and amount of money spent on gambling behaviors; and (3) determine demographic and treatment related predictors associated with gambling disorder in a substance using population. People receiving methadone maintenance treatment (N = 185) in an urban medical center consented to participate in the study. We used DSM-5 criteria to assess the 12-month prevalence of gambling disorder. Questions adapted from a previously developed measure were used to identify, describe and quantify the frequency of use and amount of money spent on gambling behaviors. Most participants were African-American (71.4 %), male (54.1 %), unmarried (76.8 %), unemployed (88.1 %) and had an income of <$20,000 (88.5 %). On average, participants were receiving 81.0 mg of methadone (SD: 22.8) daily. Nearly half (46.2 %) of participants met DSM-5 criteria for gambling disorder. Compared to those without gambling disorder, those with gambling disorder did not differ significantly with respect to demographic characteristics nor methadone dose. However, those with gambling disorder had been in methadone maintenance treatment for significantly less time. Those with gambling disorder were significantly more likely to report engaging in a variety of gambling behaviors. Given that the 12-month prevalence of DSM-5 defined gambling disorder was nearly 50 % future efforts to screen and treat gambling disorder in the context of methadone maintenance treatment are clearly warranted.     

Participation and enjoyment in Out-of-School activities during adolescence as predictors of activities in adulthood

This study examined associations between adolescents' participation in out-of-school activities and their participation in activities at age 26 (N = 1041, 50% girls, 77% White). More frequent adolescent participation in sports, arts, volunteer/community service, and religious activities increased the odds of participating in the same type of activity at age 26. Adolescents' enjoyment of activities partially explained the developmental continuity in activity participation. There was limited evidence that individuals' participation across different types of activities was associated. Finally, the diversity or breadth of adolescents' activity participation was associated with larger activity breadth at age 26. These findings suggest that adolescents' out-of-school activities help set the stage for participating in similar, but not different activities during young adulthood.     

The subcontracting of cleaning work: a case in the casualisation of labour*

Casual labour is defined in this article as labour lacking security of income and employment. It is argued that such labour has remained an integral type of labour organization in modern capitalist economies, and has even been expanding both in advanced and declining sectors. The article studies in detail one specific process of casualisation-the transition to subcontracting in the case of cleaning work, as it took place in Israel. The major considerations leading to such a transition are specified - the desire to cut costs and to find new sources of labour. The basic differences between subcontracted labour and direct wage labour are discussed, focusing on the intensification of labour, the deterioration of wages and benefits and the obstacles to workers organization. The relation is then examined between subcontracted labour and the composition of the labour force, primarily the displacement of Jewish by Arab women workers and the differentiation which has developed between groups of subcontracted workers on the basis of gender, nationality and citizenship. The role of the state and the labour movement in this process of casualisation is highlighted throughout the discussion. Concluding with some final comments of the more general significance of casual labour for the highly organized Israeli labour force and working class.     

Styling the worker: Gender and the commodification of language in the globalized service economy

This paper discusses some sociolinguistic characteristics of the speech style prescribed to workers for interacting with customers in service contexts, focusing in particular on the linguistic and vocal 'styling' prescribed for operators in telephone call centres in the U.K. Attention is drawn to the similarities between the preferred style of speech and what is popularly thought of as 'women's language'. The intensive regulation of service workers' speech and the valorization of 'feminine' communication styles are analysed in relation to changes occurring as a consequence of economic globalization.     

Correction to: Investigating demographic processesusing innovative combinations of remotelysensed and demographic data

Population and Environment - The original version of this article unfortunately contained a mistake. The name “Kluger” in the second paragraph should be changed to “Kugler”.     

Functional Assessment and Intervention for Organizational Behavior Change: Improving the Timeliness of Staff Meetings at a Human Services Organization

We implemented functional behavioral assessment (FBA) at a human services organization to reduce the tardiness of scheduled staff meetings. Following baseline, FBA focused on antecedent and consequence conditions that affected staff arriving on time to scheduled meetings. These data were subsequently presented at a staff meeting in which staff planned an intervention to improve the timeliness of meetings. The intervention, composed of premeeting reminders, positive reinforcement for arriving on time, and meeting termination criteria (to facilitate meeting-to-meeting transitions), was implemented in a multiple baseline design across 3 types of meetings. As a result of the intervention, the number of minutes late that meetings started decreased. We discuss FBA within organizational behavior management that targets performance improvement objectives.     

Stability and Change in Private and Public Ethnic Regard Among African American,Puerto Rican,Dominican, and Chinese American Early Adolescents

Over the past 20 years, researchers have demonstrated that ethnic identity in adolescence is multifaceted and dynamic, encompassing a number of aspects of content and self‐definition. The present study examines private regard (i.e., youths' positive evaluations of their ethnic group) as well as public regard, which refers to their perceptions of others' evaluations of the group. The primary objective of the present study was to examine stability versus change in private and public regard among an ethnically diverse sample of early adolescents as they progressed through middle school. Using data from a longitudinal investigation of 6th graders, we found that private regard was stable over time and quite positive for all groups. In addition, while Chinese American youths' public regard tended to increase over time, African American, Puerto Rican, and Dominican youths' public regard decreased across the middle school years. Implications for ethnic identity theory are discussed.