Ministry of Health Library
Health Improvement and Innovation Digest
Issue 191 - 23 May 2019
Welcome to the fortnightly Health Improvement and Innovation Digest (formerly the HIIRC digest). The Digest has links to key evidence of interest, with access to new content arranged by topic.
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Have you heard about Grey Matter?
We'd like to introduce you to another newsletter that the Ministry of Health Library prepares. The Grey Matter newsletter provides monthly access to a selection of recent NGO, Think Tank, and International Government reports related to health. Information is arranged by topic, allowing readers to quickly find their areas of interest. If you'd like to subscribe to Grey Matter, email library@moh.govt.nz.
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Article access
For articles that aren't open access, contact your DHB library, or organisational or local library for assistance in accessing the full text. If your organisation has a subscription, you may be able to use the icon under full text links in PubMed to access the full article.
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Quality Improvement (New Zealand)
ITUI – a novel app improving paediatric assessments
Child assessments following child abuse are frequently difficult. Verbal interviews are problematic for several reasons (child distress, confusion, cognitive issues). The drawing‐ based iTui App has been designed to aid Paediatric assessments following child abuse. The aim of the study, published in the Journal of Paediatrics and Child Health, was to evaluate the usefulness and acceptance of the iTui App in Paediatric Gateway assessments in Waitemata DHB.
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Cardiovascular Disease and Diabetes (New Zealand)
He Pikinga Waiora: supporting Māori health organisations to respond to pre-diabetes
The purpose of this study, published in the International Journal for Equity in Health, was to explore the questions of how the strengths of Māori heath organisations may be leveraged, and how the barriers and constraints experienced by Māori health organisations may be negotiated, for the benefit of Māori; and from a systems perspective, to identify strategic opportunities that may be considered and applied by Māori health organisations, funders and policy makers to respond more effectively to pre-diabetes and reduce health inequities between Māori and non-Māori.
Trends in cardiovascular management of people with diabetes by primary healthcare nurses in Auckland, New Zealand
Published in Diabetic Medicine, this study's aim was to re-examine current work practices and evaluate time trends in the cardiovascular management of people with diabetes consulted by primary healthcare nurses in New Zealand.
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Better Help for Smokers to Quit (New Zealand)
Mass media promotion of a smartphone smoking cessation app: modelled health and cost-saving impacts
Smartphones are increasingly available and some high quality apps are available for smoking cessation. However, the cost-effectiveness of promoting such apps has never been studied. This study, published in BMC Public Health, aimed to estimate the health gain, inequality impacts and cost-utility from a five-year promotion campaign of a smoking cessation smartphone app compared to business-as-usual (no app use for quitting).
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Weight Management (International)
Weight loss for children and adults with obesity and asthma. A systematic review of randomized controlled trials
Asthma and obesity are major public health problems, affecting hundreds of millions of people worldwide. Obesity is associated with increased asthma risk and severity, and lower asthma-related quality of life. In this systematic review, published in the Annals of the American Thoracic Society, the authors aimed to evaluate whether weight loss in subjects with obesity and asthma leads to improvement in asthma-related outcomes.
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Child Obesity (New Zealand)
The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children
Obesity in children is a global health concern. In New Zealand, one in three school entrant children are overweight or obese. Māori, the indigenous people, are disproportionately represented among the lowest economic group and have a disproportionately high incidence of obesity. Published in Nutrients, this study explored Māori parents'; and caregivers' views of the relative importance of weight to health, and the facilitators and barriers to a healthy weight in children aged 6 months to 5 years.
Whānau Pakari: a multi-disciplinary assessment and intervention programme for children and adolescents with obesity
Multi‐disciplinary interventions remain recommended best practice for the management of childhood obesity. The purpose of this research, published in the Journal of Paediatrics and Child Health, was to create and assess a multi‐disciplinary assessment and intervention programme for children and adolescents with obesity in Taranaki, Aotearoa/New Zealand, using a mixed methods approach, incorporating a randomised clinical trial.
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Childhood Obesity (International)
Physical activity and health in children younger than 6 years: a systematic review
Physical activity is known to provide important health benefits in school-age youth. However, until recently, few studies have examined associations between physical activity and health in young children. The purpose of this study, published in Medicine & Science in Sports & Exercise, was to conduct a systematic review of the relationship between physical activity and selected health outcomes in children younger than 6 years old.
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Oral Health (International)
Interventions to reduce socio-economic inequalities in dental service utilisation - a systematic review
A gradient exists where people with lower socio-economic status (SES) use dental services less regularly than others. Evidence suggests these SES differences may contribute to inequalities in oral health. A variety of approaches have been tried to increase regular dental service use, although it is possible that some are ineffective or may even widen SES inequalities. This study, published in Community Dental Health, aimed to undertake a systematic review of interventions to reduce SES differences in dental visiting.
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Key Ministry of Health Publications
National SUDI Prevention Programme: Needs Assessment and Care Planning Guide
Approximately 60,000 babies are born each year in Aotearoa New Zealand. The current sudden unexpected death in infancy (SUDI) rate in Aotearoa New Zealand is approximately 0.7 in every 1,000 babies born. Most of these deaths are preventable and most occur among Māori and Pacific babies. The needs assessment and care planning guide contains recommended strategies and advice for protecting babies from SUDI.
Medication Guidelines for the Home and Community Support Services Sector
The Medication Guidelines for the Home and Community Support Services Sector aim to guide HCSS providers in providing medication support for people at home. The Guidelines reflect the Home and Community Support Sector Standard (NZS 8158:2012), and are based on current evidence of best practice and relevant legislation. They should serve as a reference tool for HCSS providers, to support safe medication practice, policies and processes.
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The information available on or through this newsletter does not represent Ministry of Health policy. It is intended to provide general information to the health sector and the public, and is not intended to address specific circumstances of any particular individual or entity.
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