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The purpose of this paper is to explore implementation and development of step-down intermediate care (IC) in Glasgow City from the perspective of staff.

The study used qualitative methods. Nine key members of staff were interviewed and three focus groups were run for social work, rehabilitation and care home staff. Framework analysis was used to identify common themes.

The proposed benefits of IC were supported anecdotally by staff. Perceived enablers included: having a range of engaged stakeholders, strong leadership and a risk management system in place, good relationships, trust and communication between agencies, a discharge target, training of staff, changing perception of risk and risk aversion, the right infrastructure and staffing, an accommodation-based strategy for patients discharged from IC, the right context of political priorities, funding and ongoing adaptation of the model in discussion with frontline staff. Potential improvements included a common recording system shared across all agencies, improving transition of patients from hospital to IC, development of a tool for identifying suitable candidates for IC, overcoming placement issues on discharge from IC, ensuring appropriate rehabilitation facilities within IC units, attachment of social work staff to IC units and finding solutions to issues related to variation in health and social care systems between sectors and hospitals.

The findings of this study help the ongoing refinement of the IC service. Some of the recommendations have already been implemented and will be of value to similar services being developed elsewhere.

The aim of this paper is to examine the impact of the health promoting school (HPS) on adolescent well‐being.

Data from the 2006 Health Behaviour in School‐aged Children: WHO‐collaborative Study in Scotland were analysed using multilevel linear regression analyses for outcome measures: happiness, confidence, life satisfaction, feeling left out, helplessness, multiple health complaints (MHC) and self‐rated health.

Particularly high proportions of both boys and girls reported high life satisfaction and no MHC. For the majority of outcomes, mean proportions of young people reporting positive well‐being were greater for schools that had or were working towards HPS status compared with those that did not. The odds of young people in a HPS never feeling left out were significantly greater than those in a school with no HPS status (OR=1.54, with 95 per cent CI (1.03, 2.29) for boys, OR=1.60 (1.03, 2.50) for girls). Similarly, among girls, the odds of never feeling helpless were also significantly greater (OR=1.57 (1.07, 2.16)). However, the odds of excellent health were lower for girls in a HPS (OR=0.60 (0.38, 0.95)).

The findings suggest that while achieving an atmosphere of inclusion in schools, the HPS may also have increased awareness of health among girls, but may not have had much influence on life satisfaction, confidence or happiness.

The mental well‐being of children and adolescents is a priority area for the World Health Organisation and the Scottish Government. This is a relatively new field with little research undertaken to date looking at the impact of HPS on mental well‐being.

The purpose of this paper is to investigate the association between mother‐child and father‐child communication and children's life satisfaction, and the moderating effect of communication with stepparents.

Data from the 2006 Health Behaviour in School‐aged Children: WHO‐collaborative Study in Scotland (n=4,959) were analysed using multilevel linear regression analyses.

There was an association between both mother‐child and father‐child communication and young people's life satisfaction. Relationship with mother was particularly important, especially among girls. Among boys, not living in a traditional two‐parent family was a predictor of low life satisfaction, even when communication with one or more parents was easy. This effect was independent of economic disadvantage. The quality of the relationship with stepparents moderated these associations very slightly and in single father families only.

Strategies at the population level are recommended to enhance an open atmosphere in the home where young people feel they are able to talk to their parents about things that are bothering them. Further work is needed to understand the needs of high risk groups such as boys living in single father households and girls living in single mother and step families.

The mental well‐being of children and adolescents is a priority area for the World Health Organization and the Scottish Government but is a relatively new field with little known and no measures as yet identified. This study considered the impact of determinants related to the family on adolescent life satisfaction. The context of lone father families, an often missed category, was considered, as was the moderating effect of step‐parents.

The purpose of this study is to calculate gender and socioeconomic status (SES) inequalities in chronic obstructive pulmonary disease (COPD) in Greater Glasgow and Clyde and measure the proportion of inequalities explained by smoking.

Medical records until May 2016 were linked to mortality data to measure COPD prevalence. Population estimates for smoking status were calculated by merging three (2013–2015) Scottish Household Survey rounds. Poisson regression was carried out to analyse the relationship between SES and gender inequalities in COPD, and smoking.

Crude COPD prevalence for ages 16+ years was 3.29% and for ages 45 years+ was 6.26%, and higher in females than males. Adjusting for age and sex, prevalence of COPD in the most deprived quintile was 4.5 times of that in the least deprived. Adjustment for smoking explains almost half of the relative difference between Scottish Indicator for Multiple Deprivation (SIMD) 1 (least affluent quintile of deprivation) and SIMD 5 (most affluent quintile) and a fifth of the absolute difference. There is a higher risk of COPD among male non-smokers than female, but among smokers the risk is greater for females than males.

Risk factors specific to respiratory health beyond smoking and common risk factors of morbidity more generally should be considered in understanding inequalities in COPD.

Prevalence of COPD is higher than previously thought. Smoking explains less than half of inequalities in COPD. Gender inequalities in COPD are dependent on smoking status and the smoking indicator used.

The purpose of this paper is to examine three interpretations of post-diagnostic support (PDS) for dementia, to understand how best to support people recently diagnosed with dementia.

A sequential mixed-method approach was used which included analysis of the data collected by each sector, a focus group and interviews with PDS linkworkers and other staff.

All three sectors used a mix of supported self-management workshops and one-to-one PDS, however sectors varied by linkworker’s affiliation, caseload management and client group. Caseload varied greatly between sectors. Stage of disease and socioeconomic make-up of the local population were raised as factors determining the form of PDS offered. Some pillars appeared to be more easily achieved than others. There was a general agreement among all staff that “caseload” was misleading and that a measurement of workload would be preferable. Agile/mobile working was preferred by linkworkers. Even within teams there was variation in perceptions of PDS; some felt the linkworker role to be one of signposting, while others felt more involved with their client group, and for longer than 12 months.

Guidance at the outset of the PDS programme was sparse. The findings of this study should inform future development of the PDS model and a supporting guidance framework.

There is a growing interest in PDS for dementia. However, little is known about what a model of PDS should look like. This study attempts to capture the most important aspects of PDS delivery.

The shift to the fourth industrial revolution presents new sustainable development challenges. The externalities of the second and third industrial revolutions were related to the degradation of the biosphere. It is suggested that the externalities of the fourth industrial revolution, underpinned by artificial intelligence, are extending the repertoire of externalities to include the degradation and manipulation of cognition and by extension the fabric of society. The implications for South Africa’s transformation within the fourth industrial revolution are highlighted. It is shown that digital nudging and choice architecture are tools that are capable of maximising profit while externalising social value through the algorithmic manipulation of our decision-making processes. The case for an alternative explanatory framework is presented because the limitations of the prevailing conception of physical reality appear unable to adequately resolve these super-wicked problems. Constructor theory is introduced as an alternative explanatory framework, and the constructor-theoretic conception is suggested as an ontological framework that will provide better explanations. Some principles of the theory are introduced.

The last decade has seen much soul‐searching within the Marketing Academy as it struggles to address what Brown has described as the discipline’s “mid‐life crisis”. Magee terms this tendency “metanoia” and observes that no less a work than “Dante’s Inferno begins with lines that refer to it”. He notes how people reaching this point often “turn in on themselves, and perhaps turn towards religion”. It is with this “metanoid” perspective on marketing theory that the authors of this piece present two possible paths to epistemological paradise; one route representing an inward re‐evaluation and the other more of an outward exploration. Two of the authors combine to take an axiomatic approach to rediscovering the celestial citadel, whereas the third has forsaken the fundamentalist fortress. In his, the second, sermon Brother Nick implores you to reject the foregoing calls to get back to basics, and instead, to embrace a more contemporary, critical orientation to “dat ole time marketing religion”.

The purpose of this paper is to research lesbian fashion consumption in order to draw conclusions on the attractiveness of the lesbian target segment for the fashion industry. So far, lesbians’ fashion consumption behaviour has hardly been researched. However, an evinced lesbian stereotype exists which describes doctrinal feminists with an antipathy against consumption in general and fashion shopping in particular. In contrast, gay men have been identified quite contrary as an attractive market segment and marketers have started to particularly target this so-called “dream market”.

First, qualitative semi-structured interviews (n=18) were conducted to gain first insights into fashion consumption behaviour of lesbians. Second, a quantitative online survey (n=879) was carried out to generate more detailed findings. Due to the difficult reachability of the homosexual consumer target group, the segment’s high online media affinity was used and data collection was conducted through popular German homepages targeted to homosexuals (esp. “queer.de” and “lesarion.de”). The research investigated fashion-consciousness, willingness to pay, brand-affinity, and openness to homosexual marketing. In addition, influencing factors – such as the affinity towards the homosexual scene, career orientation, income, age, status of coming out, and number of inhabitants of the city of residence – have been researched.

Results prove that lesbians are an equally attractive and financially interesting market segment for fashion marketers as gays. Lesbians have a similarly high fashion-consciousness and willingness to pay, and an even higher brand-affinity – but a lower openness to homosexual marketing than gays. Especially scene-affine femme lesbians with a high-paid professional career are a highly attractive market segment. The study proves the attractiveness of the lesbian target segment for fashion marketing and debunks the myth of the consumption-averse lesbian stereotype.

This paper provides evidence on the attractiveness of the lesbian market segment for the fashion industry. Due to its size and financial attractiveness, the question whether to target lesbians with a specifically adopted marketing mix should be raised.

Research on lesbians’ fashion consumption behaviour in general is very scarce and on fashion consumption behaviour in particular is almost non-existent. This study is a first attempt to analyse the major areas of fashion consumption for the German market.

Sociologists have documented how women in male-dominated occupations experience subtle and overt forms of discrimination based on gender stereotypes. This study examines women professional chefs to understand how they perceive and respond to stereotypes claiming women are not good leaders, are too emotional, and are not “cut out” for male-dominated work. Many of our participants resist these stereotypes and believe that their gender has benefited them in their jobs. Using in-depth interviews with women chefs, we show that they utilize essentialist gendered rhetoric to describe how women chefs are better than their male counterparts. While such rhetoric appears to support stereotypes emphasizing “natural” differences between men and women in the workplace, we suggest that women are reframing these discourses into a rhetoric of “feminine strength” wherein women draw from gender differences in ways that benefit them in their workplaces and their careers. Our conclusion discusses the implications of our findings for gender inequality at work.