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Ministry of Health Library

Health Improvement and Innovation Digest

Issue 207 - 16 January 2020

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@health.govt.nz.

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.

Māori Innovation

Reaching out to reduce health inequities for Māori youth
This paper, published in International Nursing Review, describes an initiative facilitating comprehensive assessment and delivery of brief interventions for Māori youth in Northland, New Zealand.

Quality Improvement (New Zealand)

Saving 20 000 Days and Beyond: a realist evaluation of two quality improvement campaigns to manage hospital demand in a New Zealand District Health Board
The current paper, published in BMJ Open Quality, reports on a realist evaluation of two consecutive quality improvement campaigns based on the Institute for Healthcare Improvement’s Breakthrough Series. The campaigns were implemented by a District Health Board to manage hospital demand in South Auckland, New Zealand. A realist evaluation design was adopted to investigate what worked in the two campaigns and under what conditions.

Quality Improvement (International)

Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis
Teamwork and communication are recognised as key contributors to safe and high-quality patient care. Interventions targeting process and relational aspects of care may therefore provide patient safety solutions that reflect the complex nature of healthcare. Team reflexivity is one such approach with the potential to support improvements in communication and teamwork, where reflexivity is defined as the ability to pay critical attention to individual and team practices with reference to social and contextual information. The objective of this study, published in BMJ Quality and Safety, was to systematically review articles that describe the use of team reflexivity in interprofessional hospital-based healthcare teams.

Shorter Stays In Emergency Departments (International)

Costs and effects of interventions targeting frequent presenters to the emergency department: a systematic and narrative review
Previous systematic reviews have examined the effectiveness of interventions for frequent presenters to the Emergency Department (ED). This systematic review, published in BMC Emergency Medicine, examines the costs and cost-effectiveness of such interventions.

Cardiovascular Disease and Diabetes (New Zealand)

Impact of the national public ‘FAST’ campaigns
The aim of this study, published in the New Zealand Medical Journal, was to report the impact of the New Zealand FAST campaigns on behaviour change and public awareness.

Cardiovascular Disease and Diabetes (International)

Utilising clinical settings to identify and respond to the social determinants of health of individuals with type 2 diabetes—A review of the literature
Type 2 diabetes (T2DM) is increasing in global prevalence. It is more common among people with poor social determinants of health (SDoH). Social determinants of health are typically considered at a population and community level; however, identifying and addressing the barriers related to SDoH at an individual and clinical level, could improve the self‐management of T2DM. This literature review, published in Health and Social Care in the Community, aimed to explore the methods and strategies used in clinical settings to identify and address the SDoH in individuals with T2DM.

Primary Health Care (New Zealand)

Providing care to refugees through mainstream general practice in the southern health region of New Zealand: a qualitative study of primary healthcare professionals’ perspective
The objective of this study, published in BMJ Open, was to explore the perspectives of primary healthcare (PHC) professionals providing care to refugees through mainstream general practice.

Primary Mental Health (New Zealand)

A Systematic Scoping Review of the Resilience Intervention Literature for Indigenous Adolescents in CANZUS Nations
The concept of resilience offers a strengths-based framework for interventions to enhance Indigenous adolescent social and emotional well-being. Resilience interventions in or with schools encompass individual, social, and environmental factors that encourage health-promoting behaviours and assist adolescents in navigating toward resources that can sustain their health and well-being in times of adversity. This scoping review, published in Frontiers in Public Health, examined the literature on resilience-enhancing interventions for Indigenous adolescent students in Canada, Australia, New Zealand, and the United States (CANZUS nations). Intervention strategies, adherence to theoretical constructs, and outcomes were analysed.

Primary Mental Health (International)

Pharmacy‐based management for depression in adults
The objective of this Cochrane Review, was to examine the effects of pharmacy‐based management interventions compared with active control (e.g. patient information materials or any other active intervention delivered by someone other than the pharmacist or the pharmacy team), waiting list, or treatment as usual (e.g. standard pharmacist advice or antidepressant education, signposting to support available in primary care services, brief medication counselling, and/or (self‐)monitoring of medication adherence offered by a healthcare professional outside the pharmacy team) at improving depression outcomes in adults.

Pharmacological interventions for treatment‐resistant depression in adults
Although antidepressants are often a first‐line treatment for adults with moderate to severe depression, many people do not respond adequately to medication, and are said to have treatment‐resistant depression (TRD). Little evidence exists to inform the most appropriate 'next step' treatment for these people. The objective of this Cochrane Review was to assess the effectiveness of standard pharmacological treatments for adults with TRD.

Increased Immunisation (New Zealand)

Impact of rotavirus vaccine on paediatric rotavirus hospitalisation and intussusception in New Zealand: A retrospective cohort study
Rotavirus results in a significant burden of hospitalisations and deaths globally. Rotavirus vaccine has been used in New Zealand since July 2014. The aim of this study, published in Vaccine, was to assess the safety and effectiveness of RotaTeq® vaccine in New Zealand between 2006 and 2016.

Increased Immunisation (International)

The effectiveness of influenza vaccination in pregnancy in relation to child health outcomes: Systematic review and meta-analysis
The objective of this study, published in Vaccine, was to determine the effectiveness of influenza vaccination during pregnancy on child health outcomes. This systematic review supports maternal influenza vaccination as a strategy to reduce laboratory confirmed influenza and influenza-related hospitalisations in young infants. Communicating these benefits to pregnant women may support their decision to accept influenza vaccination in pregnancy and increase vaccine coverage in pregnant women.

Better Help for smokers to Quit (International)

Keeping It Fresh With Hip-Hop Teens: Promising Targeting Strategies for Delivering Public Health Messages to Hard-to-Reach Audiences
Despite overall declines in youth cigarette use, tobacco use inequities exist by race/ethnicity. Health communication campaigns can be effective in changing tobacco-related attitudes, intentions, and behaviours and can be used to address tobacco use inequities by targeting young people who are at high risk for tobacco use. In 2015, the U.S. Food and Drug Administration launched Fresh Empire, the first tobacco public education campaign designed to reach primarily African American, Hispanic, and/or Asian American/Pacific Islander youth ages 12 to 17 years who identify with the Hip-Hop peer crowd. This article, published in Health Promotion Practice, presents an overview of two targeting strategies— influencers on social media and paid digital and social media advertisements—that Fresh Empire uses to reach its audience and increase message credibility that can inform future campaigns targeting hard-to-reach populations.

Weight Management (International)

Lifestyle interventions to maternal weight loss after birth: a systematic review
Over the past decades, there has been an increase in overweight and obesity in women of childbearing age, as well as the general population. Overweight and obesity are related to a later, increased risk of type 2 diabetes and cardiovascular diseases. Increasing weight between pregnancies has a negative impact on the development of the fetus in a subsequent pregnancy. It is also related to long-term obesity and overweight for the woman. Accordingly, weight control in women of the childbearing age is important for both women and their offspring. Information and communication technology (ICT) has become an integrated part of many peoples’ lives, and it has the potential to prevent disease. This systematic review, published in Systematic Reviews, summarises the evidence from randomized controlled trials to compare effects of different ICT-based interventions to support postpartum women to achieve weight loss.

Childhood Obesity (International)

School-Based Intervention Programs for Preventing Obesity and Promoting Physical Activity and Fitness: A Systematic Review
With the significant decrease in physical activity rates, the importance of intervention programs in the schools, where children spend a significant part of the day, has become indisputable. The purpose of this review, published in the International Journal of Environmental Research and Public Health, is to systematically examine the possibility of school-based interventions on promoting physical activity and physical fitness as well as preventing obesity.

Caregiver involvement in interventions for improving children's dietary intake and physical activity behaviors
Poor diet and insufficient physical activity are major risk factors for non‐communicable diseases. Developing healthy diet and physical activity behaviours early in life is important as these behaviours track between childhood and adulthood. Parents and other adult caregivers have important influences on children's health behaviours. The objective of this Cochrane Review, is to assess effects of caregiver involvement in interventions for improving children's dietary intake and physical activity behaviours, including those intended to prevent overweight and obesity.

Oral Health (International)

Interventions for managing halitosis
Halitosis or bad breath is a symptom in which a noticeably unpleasant breath odour is present due to an underlying oral or systemic disease. 50% to 60% of the world population has experienced this problem which can lead to social stigma and loss of self‐confidence. Multiple interventions have been tried to control halitosis ranging from mouthwashes and toothpastes to lasers. This new Cochrane Review incorporates Cochrane Reviews previously published on tongue scraping and mouth rinses for halitosis. The objectives of this review were to assess the effects of various interventions used to control halitosis due to oral diseases only.

District Health Board Initiatives

Emergency Q brings wait times to screens
Deciding where to go for treatment for your urgent but non-life threatening illness or injury has just got much easier in Hawke’s Bay. As well as helping with decision-making, the new, free Emergency Q app can tell you how long the total treatment time in the Emergency Department (ED) is for non-emergency cases, and the total treatment time and cost at a general practice walk-in urgent care clinic. The app has been introduced to the region by the Hawke’s Bay District Health Board, in the wake of successful implementation at other New Zealand hospitals.

Hospital initiative gives family place in care team
A new initiative that encourages patients’ whānau and friends to assist in their hospital care is thriving at MidCentral DHB, with seven wards running the programme. Mahi Tahi - Better Together was introduced at Palmerston North Hospital’s Ward 26 late 2018 as a pilot designed to offer a people-centred, whanau-inclusive approach that acknowledges the important role loved ones play in a person’s healthcare journey.

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.

Ministry of Health - Manatū Hauora
133 Molesworth Street
Wellington, 6011
New Zealand

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