areas of expertise
Dr Lindsay Eckley is a Research Officer in the School of Social Sciences, Bangor University. Her role is linked with the National Centre for Population Health and Wellbeing Research (NCPHWR) funded by Heath and Care Research Wales. The aim of NCPHWR is to make a significant impact upon the health and wellbeing of the population of Wales through applied research. Working with Professor Jane Noyes at Bangor University, her remit is to coordinate and integrate social care perspectives into healthcare research. Previously Lindsay was a researcher in the Applied Health and Wellbeing Partnership at Public Health Institute (PHI), conducting evaluations on a range of public health issues. She lead on the Institute’s social value research; providing evaluation expertise for partners from community, public- and third-sector organisations. Lindsay explored and applied the Social Return on Investment framework to evaluate health and wellbeing interventions, an initiative which is ongoing with PHI and which Lindsay continues to contribute to.
Befriending at the Quays: A Social Return on Investment Analysis
The Quays is a peer-led drug and alcohol recovery project in Wirral. The project offers a befriending scheme, which provides peer support for people struggling to attend medical assessment appointments. A forecast social return on investment (SROI) analysis has been undertaken to measure the potential social impact of the befriending scheme. SROI offers a framework to gather and value the wider, softer outcomes as perceived by the stakeholders who invest in the project and those who experience a change as a result of the project’s activities. The overall result is expressed as the social value that is created or destroyed by the project’s activities in relation to the value of the total investment.
Evaluation of The Quays project, Wirral, Merseyside
Drug and alcohol misuse is a key public health issue, with evidence regarding the associated health risks well documented. Support services during recovery have been identified as key to the maintenance of abstinence and a healthy and productive life. The Quays is completely service user led project, providing peer support and alcohol and drug recovery information under one roof, with a management committee in place to oversee the development and delivery of the project. The authors were requested by The Quays Management Committee to conduct an evaluation of the project. The evaluation framework included triangulation of various quantitative and qualitative tools to provide a broad measure of the effectiveness of the project’s processes and the impact on a range of stakeholders. Here, we present the final evaluation findings and recommendations for project development.
Speke: Making WAVES. Final Evaluation Report
The Speke Making WAVES project was implemented to help alleviate intimidation and anti social behaviour issues by acting as a neutral and confidential route for reporting crime and providing access to support services. The Centre for Public Health at Liverpool John Moores University was commissioned to conduct a process and outcome evaluation of the project. This report summarises the overall evaluation.
Prevalence and risk of violence against adults with disabilities: a systematic review and meta-analysis of observational studies.
The Lancet, 379, 1621-1629, 2012, doi:10.1016/S0410-6736(11)61851-5..
Abstract: Background: About 15% of adults worldwide have a disability. These individuals are frequently reported to be at increased risk of violence, yet quantitative syntheses of studies of this issue are scarce. We aimed to quantify violence against adults with disabilities. Methods: In this systematic review and meta-analysis, we searched 12 electronic databases to identify primary research studies published between Jan 1, 1990, and Aug 17, 2010, reporting prevalence estimates of violence against adults (aged mainly ≥18 years) with disabilities, or their risk of violence compared with non-disabled adults. We included only studies reporting violence occurring within the 12 months before the study. We assessed studies with six core quality criteria, and pooled data for analysis. Findings: Of 10 663 references initially identified, 26 were eligible for inclusion, with data for 21 557 individuals with disabilities. 21 studies provided data suitable for meta-analysis of prevalence of violence, and ten for meta-analysis of risks of violence. Pooled prevalence of any (physical, sexual, or intimate partner) recent violence was 24·3% (95% CI 18·3—31·0) in people with mental illnesses, 6·1% (2·5—11·1) in those with intellectual impairments, and 3·2% (2·5—4·1) in those with non-specific impairments. We identified substantial heterogeneity in most prevalence estimates (I2 >75%). We noted large uncertainty around pooled risk estimates. Pooled crude odds ratios for the risk of violence in disabled compared with non-disabled individuals were 1·50 (95% CI 1·09—2·05) for all studies combined, 1·31 (0·93—1·84) for people with non-specific impairments, 1·60 (1·05—2·45) for people with intellectual impairments, and 3·86 (0·91—16·43) for those with mental illnesses. Interpretation: Adults with disabilities are at a higher risk of violence than are non-disabled adults, and those with mental illnesses could be particularly vulnerable. However, available studies have methodological weaknesses and gaps exist in the types of disability and violence they address. Robust studies are absent for most regions of the world, particularly low-income and middle-income countries. Funding: WHO Department of Violence and Injury Prevention and Disability.
Prevalence and risk of violence against children with disabilities: a systematic review and meta-analysis of observational studies
Lancet, 380, 899-907, 2012.
Abstract: Background: Globally, at least 93 million children have moderate or severe disability. Children with disabilities are thought to have a substantially greater risk of being victims of violence than are their non-disabled peers. Establishment of reliable estimates of the scale of the problem is an essential first step in the development of effective prevention programmes. We therefore undertook a systematic review and meta-analysis to synthesise evidence for the prevalence and risk of violence against children with disabilities. Methods: For this systematic review and meta-analysis, we searched 12 electronic databases to identify cross-sectional, case-control, or cohort studies reported between Jan 1, 1990, and Aug 17, 2010, with estimates of prevalence of violence against children (aged ≤18 years) with disabilities or their risk of being victims of violence compared with children without disabilities. Findings: 17 studies were selected from 10 663 references. Reports of 16 studies provided data suitable for meta-analysis of prevalence and 11 for risk. Pooled prevalence estimates were 26·7% (95% CI 13·8—42·1) for combined violence measures, 20·4% (13·4—28·5) for physical violence, and 13·7% (9·2—18·9) for sexual violence. Odds ratios for pooled risk estimates were 3·68 (2·56—5·29) for combined violence measures, 3·56 (2·80—4·52) for physical violence, and 2·88 (2·24—3·69) for sexual violence. Huge heterogeneity was identified across most estimates (I2>75%). Variations were not consistently explained with meta-regression analysis of the characteristics of the studies. Interpretation: The results of this systematic review confirm that children with disabilities are more likely to be victims of violence than are their peers who are not disabled. However, the continued scarcity of robust evidence, due to a lack of well designed research studies, poor standards of measurement of disability and violence, and insufficient assessment of whether violence precedes the development of disability, leaves gaps in knowledge that need to be addressed. Funding: WHO Department of Violence and Injury Prevention and Disability.