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Sex before the sexual revolution : intimate life in England 1918-1963
\"What did sex mean for ordinary people before the sexual revolution of the 1960s and 1970s? Often pitied by later generations as repressed, unfulfilled and full of moral anxiety, this book provides the first rounded, first-hand account of sexuality in marriage in the early and mid twentieth century. Based on vivid, compelling and frank testimonies from a socially and geographically diverse range of individuals, these award-winning authors look beyond the conventions of silence among the respectable majority to challenge stereotypes of ignorance and inhibition. The book explores a spectrum of sexual experiences, from learning about sex and sexual practices in courtship, to attitudes to the body, marital ideals and birth control, demonstrating that whilst the era's emphasis on silence and strict moral codes could for some be a source of inhibition and dissatisfaction, for many the culture of privacy and innocence was central to fulfilling and pleasurable intimate lives\"--Provided by publisher.
Book
A great way to bring up health behaviour topics at playgroup: a qualitative evaluation of the Healthy Conversations @ Playgroup program
Background
The early years is a critical stage to establish optimal nutrition and movement behaviours. Community playgroups are a relaxed environment for parents with a focus on social connection and supporting parents in their role as ‘First Teachers’. Playgroups are therefore an opportunistic setting to promote health behaviours in the early years. To support parents with young children around healthy lifestyle behaviours, the
Healthy Conversations @ Playgroup
program was delivered in urban and regional areas, across three Australian jurisdictions between 2021–2023.
Objective
This qualitative evaluation aimed to understand how the
Healthy Conversations @ Playgroup
program was experienced by parents, playgroup coordinators and peer facilitators.
Design
Semi-structured virtual interviews and focus groups were conducted with parents, playgroup coordinators (i.e., person responsible for coordinating the playgroup) and peer facilitators (i.e., trained facilitator for the program) that participated in the
Healthy Conversations @ Playgroup
study. Transcripts were analysed following a thematic analysis approach.
Results
Twenty-eight playgroup parents, coordinators or peer facilitators participated in one of 8 focus groups or 5 interviews. Four themes were developed: Program strengths and challenges; Setting strengths and challenges; Factors that impact program delivery; Participant’s suggestions for future program delivery.
Conclusions
The
Healthy Conversations @ Playgroup
program was valued by parents, providing validation and normalisation of parenting practices, and fostering a shared experience of parenting. Playgroups are a convenient setting for families to attend. The dynamic and distracting nature of the playgroup setting were carefully considered when designing the program. Strategies to further enhance program engagement could include use of coordinator or parent champions, tailored delivery, and extending the reach to other family members.
Trial registration
Australian New Zealand Clinical Trials Registry ACTRN12621000055808, registered 22 January 2021,
https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380890
Journal Article
Study protocol for Healthy Conversations @ Playgroup: a multi-site cluster randomized controlled trial of an intervention to promote healthy lifestyle behaviours in young children attending community playgroups
Background
Early childhood is a critical window for preventing obesity and chronic disease. Yet, 1 in 4 Australian children aged 5 years and under are affected by overweight or obesity; and significant proportions of children under 5 years fail to meet guidelines for diet quality, physical activity (PA), screen time, and sleep. Consequently, effective interventions to promote healthy lifestyle behaviors and prevent obesity during early childhood are needed. Community playgroups provide an opportunity for parents, carers, and children to meet in a safe and relaxed environment to play and share information. The structure, low cost and reach of playgroups provide a unique platform to engage parents in a scalable program to promote healthful lifestyle behaviors and prevent childhood obesity. However, the evidence base for the effectiveness of health promotion programs delivered in community playgroup settings is limited and lacking credible evidence from rigorously conducted randomized controlled trials.
Methods
The Healthy Conversations @ Playgroup randomized controlled trial (RCT) aims to address the underlying behavioral risk factors for obesity by helping parents take effective steps to improve their child’s dietary, PA, screen time, and sleep behaviors. The intervention program comprises 10 “healthy conversations” led by a trained peer facilitator, designed to increase parents’ behavioral capability and self-efficacy to implement autonomy-supportive parenting practices. The program will be delivered biweekly during regularly scheduled playgroup sessions over 10-weeks. Effectiveness will be tested in a 2-arm cluster RCT involving 60 community playgroups in three states across Australia. After baseline assessments, participating playgroups will be randomly allocated to either intervention or wait-list control conditions. Primary outcomes (vegetable intake, discretionary foods, daily PA, screen time, sleep duration, and body mass index [BMI] z-score) will be assessed at baseline, immediately post-intervention (10-weeks; T2) and 6-months post-intervention (T3). Outcomes will be assessed for differential change at T2 and T3.
Discussion
The Healthy Conversations @ Playgroup trial will rigorously evaluate a novel peer-led intervention program to promote healthful lifestyle behaviors and prevent obesity in children and families attending community playgroups. If effective, the program could be immediately scaled-up and delivered in community playgroups across Australia.
Trial registration
Trial registered 22nd January 2021 with the Australian and New Zealand Clinical Trials Registry (
ACTRN12621000055808
).
Journal Article
Behaviour Change Process in the Healthy Conversations @ Playgroup Program
Background: Parents/caregivers play a crucial role in supporting positive development of nutrition and movement behaviours in young children. Many programs have been designed to equip parents with strategies to change their children's behaviours. The behaviour change process underpinning such programs is complex. Mapping behaviour change techniques (BCTs) used in interventions is one approach to unpacking this complexity. Research Objective: To explore the use of BCTs by actors in 'Healthy Conversations @ Playgroup', a parent-focussed behaviour change intervention. Methods: A novel mapping design was used to identify, map and compare BCTs across 4 actors in an intervention behaviour change process. Specifically, 1) researcher intended techniques, 2) techniques delivered by facilitators, 3) techniques received by parents, and 4) techniques enacted by parents to their children. Data sources included intervention materials, and interview and focus group transcripts conducted with facilitators (n=5) and parents (n=17) who participated in 'Healthy Conversations @ Playgroup'. Data were coded using the BCT Taxonomy vl. Results: A total of 28 out of 93 BCTs were identified by one or more actor. The intervention intended to implement 8 unique BCTs targeting parents. Of BCTs targeting parents, 3 BCTs (1.5, 3.1, 4.1) were described by three actors (researchers, facilitators, parents). A further 11 BCTs were described by 2 of 3 actors, most frequently by facilitators and parents. Key differences in BCTs received versus intended were monitoring BCTs related to data collection evaluating the intervention. Parents described enacting 10 BCTs targeting their child. Discussion: Identifying consistent usc/rcceipt of several BCTs throughout the 'Healthy Conversations @ Playgroup' intervention process provides insight into why the intervention may or may not change behaviour. This study and future examination of BCT fidelity and dose, will help inform the design of effective interventions and targeted training of facilitators.
Journal Article
The Royal Rabbits of London
When shy, quiet Shylo overhears the plan of a band of ratzis to embarrass the Queen, he must travel to Buckingham Palace and convince the Royal Rabbits of London to stop them.
Book
Extent of investigation and management of cases of ‘unexplained’ mismatch repair deficiency (u-dMMR): a UK Cancer Genetics Group consensus
BackgroundMismatch repair deficiency (dMMR) is a characteristic feature of cancers linked to Lynch syndrome. However, in most cases, it results from sporadic somatic events rather than hereditary factors. The term ‘Lynch-like syndrome’ (LLS) has been used to guide colorectal cancer surveillance for relatives of individuals with a dMMR tumour when somatic and germline genomic testing is uninformative. As the assessment of mismatch repair through immunohistochemistry and/or microsatellite instability is increasingly applied across various tumour types for treatment planning, dMMR is increasingly detected in tumours where suspicion of hereditary aetiology is low. Our objective was to establish current practices and develop national guidance for investigating, and managing relatives of, patients with cancers demonstrating unexplained dMMR.MethodsThis was achieved through a virtual consensus meeting involving key stakeholders from the UK, through premeeting surveys, structured discussions and in-meeting polling to formulate best practice guidance.ResultsWe identified variability in the availability of diagnostic technologies across specialist centres. It was agreed that equitable access to baseline testing is required, acknowledging the need for a pragmatic approach to investigating dMMR cancers not traditionally associated with Lynch syndrome. Factors such as family history, age, tumour type, protein loss pattern and extent of the investigation were deemed crucial in guiding family management. The term ‘unexplained dMMR’ was recommended over LLS.ConclusionDecisions regarding investigations and future cancer risk management in patients and relatives should be nuanced, considering factors like clinical suspicion of hereditary predisposition to allocate limited resources efficiently and avoid unnecessary investigations in low-suspicion families.
Journal Article
Japan : top sights, authentic experiences
\"Lonely Planet Best of Japan is your passport to the most relevant, up-to-date advice on what to see and skip, and what hidden discoveries await you. See traditional geisha in Kyoto, hike up Mt Fuji, or shop around the clock in Tokyo; all with your trusted travel companion.\"--Publisher.
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