The evidence-policy divide: a 'critical computational linguistics' approach to the language of 18 health agency CEOs from 9 countries

What Is Nutritious Snack Food? A Comparison of Expert and Layperson Assessments

The term “nutritious” is being increasingly used by product manufacturers but the term is not currently regulated as a nutrition claim. It is unclear how lay consumers and experts define and interpret the term or how they evaluate the “nutritiousness” of various foods. To address this evidence gap, a mixed methods design was applied and both nutrition experts (n = 206) and lay participants (n = 269) provided definitions of the term “nutritious” and evaluated the “nutritiousness” of 20 different snack foods in a cross-sectional survey. Definitions were analysed using Leximancer and snack evaluations were compared both between groups and with nutrient profile scores (UK Ofcom and Australian Health Star Rating). Expert and lay definitions differed considerably, with experts using terms such as nutrient-density, macro- and micronutrients, kilojoules/Calories, while lay consumers used descriptions such as fuel, fresh, natural, body needs, and functioning. Snack evaluations were highly correlated between groups (R_s > 0.89, p < 0.001) and between nutrient profile scores (R_s > 0.75, p < 0.001). However, mean perceptions significantly differed for 18 out of 20 foods with the largest difference for yoghurts (p < 0.05). There are discrepancies between expert and lay perceptions of snack foods and the definition of the term “nutritious”. The results highlight the need for an agreed definition and the potential regulation of the term “nutritious” in food marketing.

Mainstreaming gender and promoting intersectionality in Papua New Guinea's health policy: a triangulated analysis applying data-mining and content analytic techniques

Background

Gender mainstreaming is an approach to policy and planning that emphasizes equality between the sexes. It is the stated policy for gender equity in Papua New Guinea’s (PNG) health sector, as well as all other sectors, and is enshrined in the policies of its biggest aid givers. However, there is criticism that gender mainstreaming’s application has too often been technocratic and lacking in conceptual clarity not only in PNG but elsewhere. In the health sector this is further exacerbated by a traditional bio-medical approach, which is often paternalistic and insufficiently patient- and family-centered.

Methods

This study analyses the policy attitudes toward gender in PNG’s health sector using both data-mining and a traditional, summative content analysis.

Results

Our results show that gender is rarely mentioned. When it is, it is most often mentioned in relation to programs such as maternity and childcare for women, and elsewhere is applied technocratically.

Conclusion

For PNG to promote greater levels of equity, the focus should first be on conceptualizing gender in a way that is meaningful for Papuans, taking into account the diversity of experiences and setting. Second, there should be greater focus on activists and civil society groups as the stakeholders most likely to make a difference in gender equity.

Decision-making experiences of public library CEOs

Purpose

– The purpose of this paper is to explore and describe the decision-making practices of public library managers in the context of interpersonal influence and evidence-based information sources, and to investigate the relationship between models of evidence-based practice and interpersonal influence in the decision-making process of public library managers.

Design/methodology/approach

– Data were collected through short audio blog posts participants made about their everyday decisions and coded considering the facets of three existing evidence-based library and information practice (EBLIP) models as well as the facets of interpersonal influence.

Findings

– The findings show that public library CEOs decision-making behaviours reflect the use of a variety of practices from analytical to intuitive as is expected of managers in any sector; however, a stronger reliance on gathering objective information may be present than in other sectors. Seeking multiple sources of information and a tendency towards rationalism may indicate a more sophisticated approach to decision making, but be less indicative of the practices employed more broadly. A possible outcome of these tendencies may result in discordance with external partners and collaborators.

Practical implications

– The findings from this study may inform the work of associations, library and information science (LIS) educators, and library managers in developing strategic directions and instructional strategies within their organisations. It is also the first study to jointly examine models of interpersonal influence and evidence-based decision-making practices in any field.

Originality/value

– While the study of the decision-making practices of various groups is growing, little previous research has been conducted with public library managers, and none has been undertaken in Canada.

Understanding the research-policy divide for oral health inequality

BACKGROUND

No studies exist of the congruence of research in oral health to policy. This study aimed to examine the broad congruence of oral health research to policy, and implications for developing oral health research that is more policy relevant, particularly for the wider challenge of addressing unequal oral health outcomes, rather than specific policy translation issues.

METHODS

Bayesian-based software was used in a multi-layered method to compare the conceptual content of 127,193 oral health research abstracts published between 2000-2012 with eight current oral health policy documents from Organisation for Economic Co-operation and Development countries.

FINDINGS

Fifty-five concepts defined the research abstracts, of which only eight were policy-relevant, and six of which were minor research concepts.

CONCLUSIONS

The degree of disconnection between clinical concepts and healthcare system and workforce development concepts was striking. This study shows that, far from being "lost in translation," oral health research and policy are so different as to raise doubts about the extent to which research is policy-relevant and policy is research-based. The notion of policy relevance encompasses the lack of willingness of policy makers to embrace research, and the need for researchers to develop research that is, and is seen to be, policy-relevant.

Do written mandatory accreditation standards for residential care positively model learning organizations? Textual and critical discourse analysis

BACKGROUND

Unprecedented global population ageing accompanied by increasing complexity of aged care present major challenges of quality in aged care. In the business literature, Senge's theory of adaptive learning organisations offers a model of organisational quality. However, while accreditation of national standards is an increasing mechanism for achieving quality in aged care, there are anecdotal concerns it creates a 'minimum standards compliance mentality' and no evidence about whether it reinforces learning organisations.

OBJECTIVE

The research question was 'Do mandatory national accreditation standards for residential aged care, as they are written, positively model learning organisations?'.

METHOD

Automatic text analysis was combined with critical discourse analysis to analyse the presence of learning concepts from Senge's learning organisation theory in an exhaustive sample of national accreditation standards from 7 countries. The two stages of analysis were: (1) quantitative mapping of the presence of learning organisation concepts in standards using Bayesian-based textual analytics software and (2) qualitative critical discourse analysis to further examine how the language of standards so identified may be modelling learning organisation concepts.

RESULTS

The learning concepts 'training', 'development', 'knowledge', and 'systems' are present with relative frequencies of 19%, 11%, 10%, and 10% respectively in the 1944 instances, in paragraph-sized text blocks, considered. Concepts such as 'team', 'integration', 'learning', 'change' and 'innovation' occur with 7%, 6%, 5%, 5%, and 1% relative frequencies respectively. Learning concepts tend to co-occur with negative rather than positive sentiment language in the 3176 instances in text blocks containing sentiment language. Critical discourse analysis suggested that standards generally use the language of organisational change and learning in limited ways that appear to model 'learning averse' communities of practice and organisational cultures.

CONCLUSION

The aged care quality challenge and the role of standards need rethinking. All standards implicitly or explicitly model an organisation of some type. If standards can model a limited and negative learning organisation language, they could model a well-developed and positive learning organisation language. In the context of the global aged care crisis, the modelling of learning organisations is probably critical for minimal competence in residential aged care and certainly achievable in the language of standards.