The economic evaluation of a Participatory Ergonomics programme to prevent low back and neck pain

This study was an economic evaluation conducted alongside a cluster randomised controlled trial with a follow-up of 12 months. The aim was to evaluate the cost-effectiveness and cost-benefit of the Stay@Work Participatory Ergonomics programme (PE) compared to a control group (no PE). In total, 37 departments (n=3047 workers) were randomised into either the intervention (PE) or control group (no PE). During a meeting, working groups followed the steps of PE, and composed and prioritized ergonomic measures aimed to prevent low back pain (LBP) and neck pain (NP). Working groups had to implement the ergonomic measures within three months in their department. Cost data included those directly related to LBP and NP. Cost-effectiveness analyses (CEA) and cost-benefit analyses (CBA) were performed. After 12 months, health care costs and costs of productivity losses were higher in the intervention group than in the control group (the mean total cost difference was $/euro$127; 95% CI $/euro$-164 - $/euro$418). From a societal perspective, the CEA showed that PE was not cost-effective compared to control for LBP and NP prevalence, work performance, and sick leave. The CBA from a company perspective showed a monetary loss of $/euro$78 per worker. The PE programme was neither cost-effective nor cost-beneficial on any of the effect measures.     

Patient-perceived effectiveness and impact on quality of life of solifenacin in combination with an α-blocker in men with overactive bladder in Sweden: a non-interventional study

Treating male lower urinary tract symptoms (LUTS) by targeting the prostate would have limited effect on overactive bladder (OAB) symptoms. This study assessed perceived symptoms and quality of life (QoL) of male patients with OAB treated with an α-blocker plus solifenacin in daily clinical practice. Male patients aged ≥40 years were included after the decision was made to initiate treatment with an α-blocker for LUTS plus solifenacin for OAB symptoms. The primary endpoint was change in patient perception of bladder condition (PPBC) questionnaire score over 6?months. Other assessments included the OAB-questionnaire short form (OAB-q SF) and International Prostate Symptom Score (IPSS). Interpretation of the study data was hindered by not meeting the enrollment target and a high dropout rate. In 36 evaluable patients, mean (SD) PPBC score improved from 4.3 (0.93) at baseline (“moderate” to “severe” problems) to 3.5 (1.06) at month 6 (“minor” to “moderate” problems). OAB-q SF scores and total IPSS also improved. In this patient population, treatment with solifenacin and an α-blocker resulted in improvements in male patient perception of their LUTS and QoL, although the results should be interpreted with caution due to the low number of patients with complete data.     

Contextualizing Potential Factors Impacting on Behaviors of Primary School Adolescents in Northern Uganda

Our study contextualized empirical factors influencing adolescent behaviors. An assessment using focus group discussion (FGD) was done with randomly selected adolescents in primary schools in Northern Uganda to explore the influence of child poverty and parenting among other factors on adolescents' behaviors. A semi-structured interview guide and in-depth interviews were also conducted for parents/guardians and teachers, respectively. Adolescents expressed desirable developmental outcomes contrary to teachers' concerns regarding achieving them. Parenting and places of residence had a significant positive impact on adolescent behaviors, with the village residence having a much earlier influence compared to parenting. Our findings revealed a scanty understanding of child poverty, parenting, and adolescent development among parents/guardians. Any action-oriented toward awareness would promote adolescent behavioral development.     

Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations

Despite strong indications of elevated risk of suicidal behavior in lesbian, gay, bisexual, and transgender people, limited attention has been given to research, interventions or suicide prevention programs targeting these populations. This article is a culmination of a three-year effort by an expert panel to address the need for better understanding of suicidal behavior and suicide risk in sexual minority populations, and stimulate the development of needed prevention strategies, interventions and policy changes. This article summarizes existing research findings, and makes recommendations for addressing knowledge gaps and applying current knowledge to relevant areas of suicide prevention practice.     

Why engage?

Foundations, consultants, and nonprofit managers have become interested in learning more about how to create effective strategies and interventions to strengthen nonprofit management and organizational capacity. In this article, we examine the extent to which organizational theory can explain the motivation to engage in different types of capacity‐building efforts. Using data gathered from focus groups and interviews with nonprofit executives, foundation executives, and capacity‐building professionals, we illustrate that while different organizational theories can explain the incentive to engage in capacity building, no single theory can truly capture the complexity of the decision‐making process. We show how a multitheoretical approach not only allows us to explain the evolution of capacity‐building efforts over time, but also helps us to identify and explain the problems that can be created by misinterpreting the incentive to engage in building individual and institutional capacity.     

The impact of child support on cognitive outcomes of young children

We use the National Longitudinal Survey of Youth-Child data to address three questions. First, does the receipt of child support have beneficial effects for children with absent fathers apart from increasing income? Second, do the effects of child support differ when child-support awards and payments are made cooperatively as opposed to being court ordered? Third, are any positive effects of child support solely a product of unmeasured differences among fathers and families? Controlling for the socioeconomic characteristics of the child and family, we find some evidence that receipt of child support has a positive impact on children’s cognitive test scores over and above its contribution to total income. However, the effects vary by test, by race, and by reason for Father’s absence. Our results also indicate that the distinction between cooperative and noncooperative awards is important. Finally, our instrumental variables estimates show that the effects of child support persist after we control for unobserved characteristics of fathers and families.     

The Long‐Term Consequences of Relationship Formation for Subjective Well‐Being

This study examines how relationship transitions affect subjective well‐being (SWB) and how this effect changes over time. We used prospective data containing information about 18 years of young adults' lives (PSIN, N = 5, 514). SWB was measured with the Satisfaction with Life Scale. Within‐person multilevel regression analyses showed that dating, unmarried cohabitation, and marriage had additional well‐being enhancing effects. After entry into a union, well‐being slowly decreased. A large SWB decrease was found after union dissolution, but through adaptation or repartnering well‐being increased again. Well‐being of never‐married and never‐cohabiting young adults decreased slowly over time. These effects were independent of parenthood and employment. Our results confirm expectations from the resources theory but contradict some assumptions of the set‐point theory.     

Uncertainty and forecasting local health professional shortages

We used a utilization-based scenario-forecasting model toassess the evidence for current and future imbalances between health professional supply and demand in Memphis-Shelby County, Tennessee. The scenario-forecasting model, based on qualitativeinformation collected from local health industry leaders, was shaped and limited by the types of current local area data available. This paper discusses methods that may prove useful to applied demographers making forecasts, given uncertain system change and poor data.