Ministry of Health Library Health Improvement and Innovation Digest Issue 167 - 10 May 2018

on 10 May

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.

You can forward this newsletter to others who may be interested in receiving it. They can register and subscribe here. You can also access other recent issues of the digest here.

If you have any queries, please email us at library@moh.govt.nz.

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

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.

Quality Improvement (International)

A systematic review to evaluate the evidence base for the World Health Organization's adopted hand hygiene technique for reducing the microbial load on the hands of healthcare workers
Effective hand hygiene prevents healthcare-associated infections. This systematic review, published in the American Journal of Infection Control, evaluates the evidence for the World Health Organization's (WHO) technique in reducing the microbial load on the hands of healthcare workers (HCWs).

Shorter Waits for Cancer Treatment (New Zealand)

The characteristics, management and outcomes of older women with breast cancer in New Zealand
The aim of this study, published in Maturitas, was to understand the characteristics of older women with breast cancer in New Zealand and to describe the current patterns of treatment and outcomes.

Shorter Waits for Cancer Treatment (International)

Patient Navigation to Improve Cancer Screening in Underserved Populations: Reported Experiences, Opportunities, and Challenges
The goal of this article, published in the Journal of the American College of Radiology, was to define patient navigation for an imaging audience, present a focused selection of published experiences with navigation programs for breast and colorectal cancer screening, and expose principal barriers to the success of such programs.

Cardiovascular Disease and Diabetes (New Zealand)

Lifestyle Interventions for People with, and at Risk of Type 2 Diabetes in Polynesian Communities: A Systematic Review and Meta-Analysis
There is evidence that lifestyle intervention among Polynesian people can reduce diabetes incidence and complications, but this evidence has not been systematically reviewed. The aim of this study, published in the International Journal of Environmental Research and Public Health, was to systematically review the efficacy of lifestyle interventions, targeting the prevention and management of type 2 diabetes among Polynesian people.

Increasing incidence of type 2 diabetes in New Zealand children <15 years of age in a regional-based diabetes service, Auckland, New Zealand
It is important to understand whether type 2 diabetes mellitus (T2DM) is increasing in childhood for health-care planning and clinical management. The aim of this study, published in the Journal of Paediatrics and Child Health, is to examine the incidence of T2DM in New Zealand children, aged <15 years from a paediatric diabetes centre, Auckland, New Zealand.

Cardiovascular Disease and Diabetes (International)

Economic Evaluation of Quality Improvement Interventions Designed to Improve Glycemic Control in Diabetes: A Systematic Review and Weighted Regression Analysis
Quality improvement (QI) interventions can improve glycaemic control, but little is known about their value. This study, published in Diabetes Care, systematically reviewed economic evaluations of QI interventions for glycaemic control among adults with type 1 or type 2 diabetes.

Primary Mental Health (International)

Antidepressants for the treatment of people with co-occurring depression and alcohol dependence
Alcohol dependence is a major public health problem characterized by recidivism, and medical and psychosocial complications. The co-occurrence of major depression in people entering treatment for alcohol dependence is common, and represents a risk factor for morbidity and mortality, which negatively influences treatment outcomes. The objective of this Cochrane Review was to assess the benefits and risks of antidepressants for the treatment of people with co-occurring depression and alcohol dependence.

Antidepressants for the treatment of depression in people with cancer
Major depression and other depressive conditions are common in people with cancer. These conditions are not easily detectable in clinical practice, due to the overlap between medical and psychiatric symptoms. The objective of this Cochrane Review was to assess the efficacy, tolerability and acceptability of antidepressants for treating depressive symptoms in adults (aged 18 years or older) with cancer (any site and stage).

Antidepressants for preventing postnatal depression
Depression is common in the postnatal period and can lead to adverse effects on the infant and wider family, in addition to the morbidity for the mother. It is not clear whether antidepressants are effective for the prevention of postnatal depression and little is known about possible adverse effects for the mother and infant, particularly during breastfeeding. The objective of this Cochrane Review was to assess the effectiveness of antidepressant medication for the prevention of postnatal depression, in comparison with any other treatment, placebo or standard care.

Better Help for smokers to Quit (New Zealand)

Impact of five tobacco endgame strategies on future smoking prevalence, population health and health system costs: two modelling studies to inform the tobacco endgame
There is growing international interest in advancing ‘the tobacco endgame’. This study, published in Tobacco Control, uses New Zealand (Smokefree goal for 2025) as a case study to model the impacts on smoking prevalence (SP), health gains (quality-adjusted life-years (QALYs)) and cost savings of (1) 10% annual tobacco tax increases, (2) a tobacco-free generation (TFG), (3) a substantial outlet reduction strategy, (4) a sinking lid on tobacco supply and (5) a combination of 1, 2 and 3.

Weight Management (International)

Long-Term Effectiveness of a Smartphone App for Improving Healthy Lifestyles in General Population in Primary Care: Randomized Controlled Trial (Evident II Study)
Information and communication technologies are currently among the supporting elements that may contribute to improving health and changing lifestyles. The aim of this study, published in JMIR Mhealth Uhealth, was to evaluate the long-term effectiveness of adding an app to standardized counselling in order to increase physical activity (PA) and adherence to the Mediterranean diet and to analyse the effects of app adherence in lifestyle changes.

Childhood Obesity (International)

Early Childhood Obesity Risk Factors: Socioeconomic Adversity, Family Dysfunction, Offspring Distress, and Junk Food Self-Medication
The purpose of this review, published in Current Obesity Reports, was to explore the sequence and interaction of infancy and early childhood risk factors, particularly relating to disturbances in the social environment, and how the consequences of such exposures can promote weight gain and obesity.

Parental Translation into Practice of Healthy Eating and Active Play Messages and the Impact on Childhood Obesity: A Mixed Methods Study
Childhood obesity is a significant health issue worldwide. Modifiable risk factors in early childhood relate to child healthy eating and active play, and are influenced by parents. The aim of the study, published in Nutrients, was two-fold. Firstly, to determine the weight status of children aged between birth and 3.5 years in a rural and remote area of Australia. Secondly, to explore the relationship between child weight status and translation of advice on healthy eating and active play provided to parents by local, nurse-led, Maternal Child Health (MCH) services.

Impact evaluation of "Have Fun - Be Healthy" program: A community based health promotion intervention to prevent childhood obesity
Childhood obesity is rising in prevalence in Australia. This study, published in the Health Promotion Journal of Australia, aimed to evaluate the impact of the "Have Fun-Be Healthy" (HFBH) intervention, delivered in the Playgroup setting, to generate short term changes in dietary, physical activity and sedentary behaviours of children under 5 years and self-efficacy of parents and primary carers.

Key Ministry of Health Publications

Mental Health and Addiction Workforce Action Plan 2017–2021
The Mental Health and Addiction Workforce Action Plan is part of an outcomes approach. It contributes to achieving the vision of the New Zealand Health Strategy. For mental health and addiction, this means enabling people to thrive and experience wellbeing wherever they live and whatever their circumstances.

Cancer: Historical summary 1948–2015
These tables contain cancer registration and death data for selected cancers by sex, from 1948–2015. Data is presented as numbers and age-standardised rates, for male, female and total population.

Selected Cancers 2014, 2015, 2016
These tables present registration data for 10 selected cancers in New Zealand for 2014, 2015 and 2016. Numbers and rates of cancer registrations are presented by ethnic group, age group and sex.

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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