http://bura.brunel.ac.uk/handle/2438/244 2026-04-14T06:36:33Z 2026-04-14T06:36:33Z Rocca, CH Krishnan, S Barrett, G Wilson, M http://bura.brunel.ac.uk/handle/2438/8154 2014-11-01T12:41:01Z 2010-01-01T00:00:00Z

Title: Measuring pregnancy planning: An assessment of the London Measure of Unplanned Pregnancy among urban, south Indian women Authors: Rocca, CH; Krishnan, S; Barrett, G; Wilson, M Abstract: We evaluated the psychometric properties of the London Measure of Unplanned Pregnancy among Indian women using classical methods and Item Response Modeling. The scale exhibited good internal consistency and internal structure, with overall scores correlating well with each item’s response categories. Items performed similarly for pregnant and non-pregnant women, and scores decreased with increasing parity, providing evidence for validity. Analyses detected small disadvantages, including low endorsement of middle response categories and some evidence of differential item functioning by parity. We conclude that the LMUP is suitable for use in India and recommend steps for improving scale performance for this cultural context. Description: Copyright © 2010 Corinne H. Rocca et al. This open-access work is published under the terms of the Creative Commons Attribution NonCommercial License 2.0 Germany, which permits use, reproduction & distribution in any medium for non-commercial purposes, provided the original author(s) and source are given credit. See http:// creativecommons.org/licenses/by-nc/2.0/de/.

2010-01-01T00:00:00Z Banning, M Hafeez, H Faisal, S Hassan, M Zafar, A http://bura.brunel.ac.uk/handle/2438/8147 2014-11-01T13:15:20Z 2009-01-01T00:00:00Z

Title: The impact of culture and sociological and psychological issues on Muslim patients with breast cancer in Pakistan Authors: Banning, M; Hafeez, H; Faisal, S; Hassan, M; Zafar, A Abstract: Breast cancer is the most common form of cancer in Muslim women in Pakistan. The impact of the initial diagnosis, culture, religion, and psychosocial and psychological aspects of the disease is not well established. This qualitative study examined the experience and coping strategies used by patients with breast cancer in relation to its impact on their physical, mental health, religious, and family issues. Thirty patients with breast cancer were interviewed. Data were analyzed using thematic analysis. The patient's experience of breast cancer focused on the range of emotions felt throughout the illness trajectory, the importance of religion and family support on coping strategies used to manage the adverse effects of chemotherapy, and also the financial concerns. This is the first study to examine Pakistani Muslim women's views on the lived experience of breast cancer. This article provides clarification of the voiced experiences of women with breast cancer. The data not only highlight the role of religion and family support as essential coping strategies but also emphasize the issues of isolation, aggression, and anger as common responses to chemotherapy. Unique features of this study are women's need to seek spiritual support for their illness and the overriding innate characteristic of maternal responsibility. These cultural features require further analysis and research. Description: This is a non-final version of an article published in final form in Cancer Nursing, 32(4), 2009. The final published article is available from the link below.

2009-01-01T00:00:00Z Richardson, A Shia, N http://bura.brunel.ac.uk/handle/2438/8024 2014-11-01T13:15:42Z 2013-01-01T00:00:00Z

Title: Preventing suicide with a new risk assessment tool Authors: Richardson, A; Shia, N Abstract: Sussex Community NHS Trust has been trialling a suicide risk assessment tool. Andrea Richardson and Nessie Shia describe the system and look at the findings. Description: This article was originally published as 'Testing time for risk tool' in Occupational Health magazine, August 2013, pp. 20-22. Copyright @ 2013 Reed Business Information Ltd.

2013-01-01T00:00:00Z Wakhisi, Anthony Simiyu http://bura.brunel.ac.uk/handle/2438/7355 2014-11-01T11:57:18Z 2013-01-01T00:00:00Z

Title: A social marketing perspective of young people’s sexual health Authors: Wakhisi, Anthony Simiyu Abstract: BACGROUND:Unintended pregnancy and sexually transmitted infections among young people are priority public health issues in the UK. Social marketing is the preferred Government approach to intervention despite limited evidence on efficacy. There is need to understand its applicability and effectiveness in addressing the specified sexual health issues.METHODS:Three studies were carried out, of which the first was a systematic review of 12 studies assessing the effectiveness of social marketing in reducing unintended teenage pregnancies. The second and third were consumer research applications examining factors associated with Long Acting Reversible Contraceptive (LARC) use and Chlamydia screening respectively. The second study involved analysing five ONS Contraception survey datasets while the third involved analysing Havering PCT Chlamydia screening records and qualitative data from 28 participants. Data were analysed using Stata.10 and Framework statistical packages and maps drawn using MapInfo.10.5. RESULTS:The systematic review showed that nine studies achieved significant effects on at least one of the specified outcomes (reduced pregnancy rates and related behaviour changes). The second study showed that the NICE guidelines published in 2005 successfully addressed the disparity in LARC uptake previously experienced by women aged below 20. The third study identified females and non-white participants as more likely to take Chlamydia tests. Motivating factors for testing included convenient access to kits and fear of infertility, while barriers included ignorance and fear of results. CONCLUSIONS:Social marketing appears to be effective in reducing unintended teenage pregnancies but evidence is limited to particular outcomes and context. Consumer research provides vital intelligence about target populations necessary for designing effective interventions and addressing inequalities. However to assess its influence on outcomes, studies that feature all social marketing components are required. Overall there is need for more studies that specifically utilize social marketing principles to enable more robust evaluations. Description: This thesis was submitted for the degree of Doctor of Philosophy and was awarded by Brunel University

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