This new edition of Ann Bowling's well-known and highly respected text has been thoroughly revised and updated to reflect key methodological developments in health research. It is a comprehensive, easy to read, guide to the range of methods used to study and evaluate health and health services. It describes the concepts and methods used by the main disciplines involved in health research, including: demography, epidemiology, health economics, psychology and sociology.The research methods described cover the assessment of health needs, morbidity and mortality trends and rates, costing health services, sampling for survey research, cross-sectional and longitudinal survey design, experimental methods and techniques of group assignment, questionnaire design, interviewing techniques, coding and analysis of quantitative data, methods and analysis of qualitative observational studies, and types of unstructured interviewing. With new material on topics such as cluster randomization, utility analyses, patients' preferences, and perception of risk, the text is aimed at students and researchers of health and health services. It has also been designed for health professionals and policy makers who have responsibility for applying research findings in practice, and who need to know how to judge the value of that research.

Research Methods in Health. Investigating health and health services

https://www.commed.vcu.edu/Chronic_Disease/2012/cochranrvwrschbias.pdf

The Cochrane Collaboration's tool for assessing risk of bias in randomised trials

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Research Design: Qualitative, Quantitative, and Mixed Methods Approaches

https://brainmap.org/pubs/RottschyNI12.pdf

Modelling neural correlates of working memory: a coordinate-based meta-analysis.

https://schererstefan.net/assets/files/papers/1-s2.0-S0167639315000369-main.pdf

A review of depression and suicide risk assessment using speech analysis

Introduction. Both Channon, Baker, and Robertson (1993) and Hartlage, Alloy, Vazquez, and Dykman (1993) claim that working memory impairment in depressed patients is limited to Baddeley's (1996) central executive and does not affect either the phonological loop or the visuospatial scratchpad. Our key questions were: (1) is there an impairment of working memory in depression and which elements does it effect; (2) is another major clinical group also affected and in what ways, and finally, (3) how do these groups vary when compared with each other and with normals? Thus we sought to locate a depression-specific effect and define its extent. Methods. We tested 35 depressed patients, using both 24 anxiety patients and 29 normal controls as comparisons. Several tasks were used so that we could differentiate between the three key aspects of working memory. Results. Contrary to Channon et al., we found that depression affects the allocation of attention and all elements of working memory. The depression group sh...

The impact of clinical depression on working memory.

Evidence for behavioural effects of caffeine is well documented in the literature. It is associated with increased subjective alertness, improved reaction time and enhanced encoding of new information. These effects are most prominent in low arousal situations. However, there is an ongoing debate as to whether such changes are in fact improvements or merely a reversal of the negative effects of a period of caffeine withdrawal (e.g. overnight abstinence). To avoid such a confound this study included multiple doses of caffeine which were administered under double-blind conditions to participants who had ingested their normal daily quota of caffeine. In the present study participants were fatigued by carrying out a prolonged testing schedule in the evening. Sixty volunteers, all regular caffeine consumers, took part in the study. They attended for three sessions on separate days. They were instructed to consume normal amounts of caffeinated beverages. Consumption was measured by a diary and saliva samples were taken and caffeine assays conducted. A baseline test session was carried out at 18.00h and following this a double blind placebo controlled caffeine challenge (1.5mg/kg) conducted. The test battery was repeated twice approximately 30 minutes after the caffeine challenge. Following this another drink was administered and the test battery repeated twice more. On one test session volunteers had placebo in both drinks, in another they had caffeine in both drinks and another caffeine in the first and placebo in the second. Order of conditions was balanced across subjects. The results showed that caffeine led to a more positive mood and improved performance on a number of tasks. Different effects of caffeine were seen depending on the person’s level of arousal. Linear effects of caffeine dose were also observed. This is evidence against the argument that behavioural changes due to caffeine are merely the reversal of negative effects of a long period of caffeine abstinence. The findings are discussed in relation to both noradrenergic and cholinergic neurotransmitter systems.

Effects of repeated doses of caffeine on mood and performance of alert and fatigued volunteers

Body dissatisfaction can be significantly detrimental to wellbeing. Little is known about older adults’ body image, despite the fact that ageing causes unique bodily changes and that sociocultural pressures to resist these changes abound. We conducted six focus groups with a UK community sample of White British and South Asian older adults aged 65–92 years. Thematic analysis highlighted four themes: appearance indicates capability and identity; physical ability trumps appearance; felt pressures to age ‘gracefully’ while resisting appearance changes; and gender and cultural differences. These findings suggest that older adults’ body image can have important implications for their wellbeing and merits researchers’ attention.

/pdf/looking-age-appropriate-while-growing-old-gracefully-a-48vd6ba51d.pdf

Looking age-appropriate while growing old gracefully: A qualitative study of ageing and body image among older adults

Rationale
Evidence for the behavioural effects of caffeine is prevalent in the literature. It is associated with increased subjective alertness, improved reaction time and enhanced encoding of new information. However, there is an on-going debate as to whether such changes are in fact improvements or merely a reversal of the negative effects of caffeine withdrawal. Using participants who had consumed their normal daily quota of caffeine this study alleviated this potential confound as all participants were not withdrawn at the time of testing.
Objectives
To determine whether caffeine influenced the mood and performance of non-withdrawn volunteers.
Methods
Sixty eight volunteers, all of whom were regular caffeine consumers, consumed their normal amount of caffeine over the course of the day. Baseline measures of mood and performance were then carried out followed by double-blind administration of caffeine (2 mg/kg) or placebo. The test battery was repeated again 30 min after ingestion of the drink.
Results
Our findings showed improvements comparable to previous research. Mood was improved and performance on a number of cognitive measures was improved. The findings are discussed in relation to both noradrenergic and cholinergic neurotransmitter systems.
Conclusions
This study provided evidence against the argument that behavioural changes due to caffeine are merely the reversal of negative withdrawal effects.

Effects of caffeine in non-withdrawn volunteers

Rationale: A number of recent studies have suggested that caffeine only improves mood and cognitive performance in regular caffeine consumers who are caffeine withdrawn at test (the withdrawal hypothesis). This can be tested by investigating the effects of caffeine in non-consumers of caffeine. 

Objectives: To compare the effects of 2 mg/kg caffeine on mood and cognitive performance in overnight-withdrawn consumers and non-consumers of caffeine. 

Methods: Twenty-five overnight-withdrawn consumers and twenty-five non-consumers of caffeine were tested in a within-subjects design where they were given a drink containing 2 mg/kg caffeine on one test day and placebo on another test day. The order of conditions (caffeine/placebo) was counterbalanced. Mood and performance measures were taken before and after each drink, and pre-drink measures were used as covariates in the analysis of post-drink measures. 

Results: Analysis of baseline scores revealed no significant effects of caffeine withdrawal. Caffeine generally improved mood and cognitive performance, relative to placebo, in both subjects groups. These effects did not differ significantly between groups apart from three measures (fewer lapses of attention and ratings of alertness and anxiety) where the effects of caffeine were larger in the non-consumers. 

Conclusions: The present study revealed no negative effects of caffeine withdrawal. Beneficial effects of caffeine were observed in both withdrawn consumers and in non-consumers. Therefore, the withdrawal hypothesis is not an adequate explanation for the effects of caffeine.

Gary Christopher

Papers

The impact of clinical depression on working memory.

Effects of repeated doses of caffeine on mood and performance of alert and fatigued volunteers

Looking age-appropriate while growing old gracefully: A qualitative study of ageing and body image among older adults

Effects of caffeine in non-withdrawn volunteers

Effects of caffeine in overnight-withdrawn consumers and non-consumers