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Randomised controlled trials identify causal links between variables but not why an outcome has occurred. This analysis sought to determine how psychological factors assessed at baseline influenced response to personalised nutrition.

Web-based, randomised, controlled trial (RCT) was conducted across seven European countries. Volunteers, both male and female, aged over 18 years were randomised to either a non-personalised (control) or a personalised (treatment) dietary advice condition. Linear mixed model analysis with fixed effects was used to compare associations between internal and external health locus of control (HLoC), nutrition self-efficacy (NS-E) and self-report habit index (S-RHI) at baseline (N = 1444), with healthy eating index (HEI) and Mediterranean diet index (MDI) scores between conditions post-intervention (N = 763).

An increase in MDI scores was observed between baseline and six months in the treatment group which was associated with higher NS-E (p < 0.001), S-RHI (p < 0.001) and external HLoC (p < 0.001). Increase in HEI between baseline and six months in the treatment group was associated with higher NS-E (p < 0.001) and external HLoC (p = 0.009). Interaction between time and condition indicated increased HEI scores (p < 0.001), which were associated with higher S-RHI scores in the treatment than control group (p = 0.032). Internal HLoC had no effect on MDI or HEI.

Psychological factors associated with behaviour change need consideration when tailoring dietary advice. Those with weaker habit strength will require communication focussed upon establishing dietary habits and support in integrating advised changes into daily routine. Information on habit strength can also be used to inform how progress towards dietary goals is monitored and fed back to the individual. Those with stronger habit strength are more likely to benefit from personalised nutrition.

This article notes the growing attractiveness of concepts “borrowed” from chaos theory in organizational studies. Many of these interpretations display sentiments broadly congruent with a “postmodern” approach to organization. Indeed chaos theory itself is presented as part of a similar postmodern shift within natural science. However, these sentiments have been subject to stinging criticism by scientists. Here, the deterministic underpinning of chaos theory is used to show that chaos theory is an entirely modernist enterprise. In this case the indeterministic messages taken by organizational theorists are something of a misunderstanding. Consequently, I discuss whether this is enough to threaten the interdisciplinary status of chaos theory, particularly when it is used in a self-consciously ‘metaphorical’ fashion.

Asylum seekers and refugees experience substantial barriers to successful transition to a new society. The purpose of this paper is to explore the value and meaning of a community drop-in service offering social support for refugees and asylum seekers in the northeast of England and to identify the occupational preferences of the service users.

A qualitative approach using semi-structured interviews was conducted with refugees and asylum seekers using a community drop-in service. In total, 18 people participated from ten countries. Data were analysed using interpretive phenomenological analysis.

The value and meaning of the service was expressed through four key areas: the need to experience a sense of community; being able to make an altruistic contribution within the community; the need for societal integration; and having the opportunity to engage in meaningful and productive occupations.

Community and altruism have profound cultural meaning for asylum seekers and refugees and the need to integrate, belong and contribute is paramount to successful resettlement. Community-based drop-in services can aid this at deep, culturally relevant levels. This study may inform policy and practice development, future service development and highlight potential opportunities for health and social care services provision amongst this growing population.

To date there are no studies that provide empirical evidence on how community-based drop-in services for refugees and asylum seekers are received. This study provides a cultural insight into the deeper value and meaning of such services, and is particularly relevant for professionals in all sectors who are working with asylum seekers and refugees.

Evidence is lacking as to the superiority of dual-focused versus single-focused approaches in treating depression and alcohol use comorbidity. Different people may also value the different features of treatment options differently, necessitating a decision-support tool. This study aims to test the acceptability, feasibility, safety and potential usefulness of the Alcohol and Depression Decision-Aid for Psychological Treatments (ADDAPT).

ADDAPT was developed according to International Patient Decision-Aid Standards and in consultation with potential end users. Adults with depression and alcohol use comorbidity, who were considering/recently considered psychological treatments, were recruited via online advertisements. After clicking on the study URL, participants accessed the ADDAPT e-book and completed validated and purpose-designed questionnaires.

Of the 24 participants, most would recommend ADDAPT to others (79.2% agree) and endorsed it as easy-to-use (75%), useful in decision-making (79.2%), presenting balanced (87.5%), up-to-date (91.7%), easy-to-understand (79.2%) and trustworthy information (83.3%), which did not provoke anxiety (i.e. safety; 75%). Post-use, participants felt well prepared to decide on treatment (M = 3.48/5) and demonstrated good treatment knowledge (M = 65.83%). All but one participant indicated a treatment choice supported by best available evidence, and decisional conflict scores except for the uncertainty subscale were below the threshold for decisional delay (all M < 37.5/100).

ADDAPT is the first decision-aid of its kind, with pilot findings supporting its acceptability, feasibility, safety and potential usefulness for improving decision-making quality among people considering psychological treatment options for depression and alcohol use comorbidity.

The roots of the present human rights regime vis-a-vis children go back to the aftermath of World War I, when Eglantyne Jebb – cofounder of the Save the Children Fund – drafted, as part of her work with refugee children in the Balkans, a Children's Charter. In this document, she argued that there were certain rights for children that should be claimed and universally recognized and indeed that it was the duty of the international community to put such rights to the very forefront of their planning decisions: ‘[i]t is our children’ Jebb argued ‘who pay the heaviest price for our shortsighted economic policies, our political blunders, our wars’ (Hammarberg, 1990, p. 98). What Jebb in fact created was a practical document later used as the basis for the Geneva Declaration of the Rights of the Child that was adopted by the League of Nations in September 1924 and that set out five precepts governing the ‘duties’ that mankind had, ‘beyond and above all considerations of race, nationality or creed’. These included allowing the child to be first in receiving relief in times of distress and providing all manner of support to the ‘needy’ child (defined at the time as being those suffering hunger and sickness, orphans and those who were ‘backward’ or ‘delinquent’). The language of the Declaration may have moved on, but it remains a landmark document in that it set the tone for many of the child's rights initiatives that followed, in particular, in terms of the ‘children first’ ethos that was to become a fundamental element in later child rights campaigns (Hammarberg, 1990, p. 98). Indeed, the 1924 Declaration has been widely depicted as a turning point for international political efforts relating to the child, and too for the advocacy movement that surrounds them, providing inspiration for many of the efforts on their behalf that were to follow. Like many of these subsequent efforts towards putting children first, however, political events overtook political will, and the attempt to improve children's lives at this time stalled as the world moved once again towards war. It would therefore be much later – in the aftermath of World War II, and following the 1948 approval by the UN General Assembly of the Universal Declaration – before the international community turned its attention once more to the welfare of the child, and it is in the work that was done during this time that the roots of the current international legal regime governing children can perhaps most clearly be recognised.

The purpose of this paper is to investigate the everyday life information seeking behaviours of first-time mothers, as they encounter new, significant and pressing information needs which arise alongside their new responsibilities.

A qualitative approach combined narrative interviews with participatory methods to facilitate engagement and remain sensitive to the social context.

Mothers particularly valued the experiential nature of information received from peers or family members. However, fear of judgement influenced their use of interpersonal sources, both on- and off-line. Their accounts of information seeking contained instances of confusion, tension, conflict and information overload. Feeling under pressure to be “good mothers”, they withheld information needs from others, including healthcare professionals.

There was a notable absence of younger ( < 20 year old) and/or less educated mothers in the study. This corresponds to previous findings which report that very young mothers are reluctant to participate in support groups with older mothers. They remain an understudied and potentially marginalised group.

The findings show how social support groups can mitigate for societal pressures which impact upon mothers’ information behaviour, allowing them to connect and share information within a trusted environment. The study highlights the importance of healthcare and information services professionals remaining sensitive to such pressures. Relatedly, the finding that public libraries are used very little has implications for audience engagement and service provision.

Focused upon first-time mothers’ information behaviours during the early stages of parenthood, the study provides insight into how relationships and experiences with others influence information seeking behaviours. It provides evidence that fear of judgement can influence information seeking behaviour, helping us to understand why some information sources, although considered important and useful, can be used very little.

HAS the librarian responsibility for what is in the books he provides for the use of readers; if so, docs he, indeed can he, recognize it or do anything useful about it? We do not mean, as the most important thing, his fear, reasonable or otherwise, of books which have too much sexuality. It is a major problem upon which no authoritative statement for our guidance has ever been made except perhaps the police inhibitions and the Roman Catholic indexes in the subject just mentioned. That we can dispose of in the favourite saying of Stanley Jast “The Bovril of today is the Mellin's Food of tomorrow”, and refer to the general shift of public opinion towards toleration, or a more easy regard for sex in literature. To deny sex is to deny life. The problem is one that does not affect any but public adult libraries, where the reader need not read any book which offends his code but is not privileged to interfere with the choice of others who alone can be responsible for their own reading. Thus the argument goes, but public men are concerned for the unlettered reader who chooses a book in innocence. These can cause much trouble. One of the annual reports before us puts another difficult angle of the question: the readers who invariably demand these books at the public expense and question the librarian's assumption that he can refuse to purchase them. The schoolgirl is also a great concern to many: she is likely to know as much, if she is damaged by any book, as does her gratuitous protector. It would have been unthinkable twenty years ago for a national newspaper to publish the substance of a recent teacher's assertion that after an address on the facts of life to a form of senior girls, one of the girls told her it was interesting but had come too late: all the girls in her form had experienced sex and “would be thought odd if they had not.” This seems an extreme case but it has a definite warning that the trouble does not originate in the library.

Ostomy Awareness Month is an attempt to combat the lack of public knowledge about ostomies and provide forums for the discussion of ostomy‐related issues among families, patients, health care professionals, and others.

Many Black women continue to negotiate their way within higher education institutions, which are influenced by social class, race, and gender biases. Several scholars contend that Black women’s objectification as the “other” and “outsider within” (Collins, 2000; Fitzgerald, 2014; Jean-Marie, 2014) is still apparent in today’s institutions yet many persist to ascend to top leadership positions (Bates, 2007; Epps, 2008; Evans, 2007; Hamilton, 2004; Jean-Marie, 2006, 2008). In particular, the inroads made by Black women administrators in both predominantly white colleges (PWIs) as well as historically black colleges and universities (HBCUs) depict a rich and enduring history of providing leadership to effect social change in the African American community (i.e., uplift the race) and at large (Bates, 2007; Dede & Poats, 2008; Evans, 2007; Hine, 1994; Miller & Vaughn, 1997). There is a growing body of literature exploring Black women’s leadership in higher education, and most research have focused on their experiences in predominantly white institutions (Bower & Wolverton, 2009; Dixon, 2005; Harris, Wright, & Msengi, 2011; Jordan, 1994; Rusher, 1996; Turner, 2008). A review of the literature points to the paucity of research on their experiences and issues of race and gender continue to have an effect on the advancement of Black women in the academy. In this chapter, we examine factors that create hindrance to the transformation of the composition, structure, and power of leadership paradigm with a particular focus on Black women administrators and those at the presidency at HBCUs. From a review of the literature, our synthesis is based on major themes and subthemes that emerged and guide our analysis in this chapter. The chapter concludes with recommendations for identifying and developing Black women leaders to diversify the leadership pipeline at HBCUs and other institutions for the future.