Brief Online Self-help Exercises for Postnatal Women to Improve Mood: A Pilot Study

OBJECTIVES: Giving birth and adjusting to a new baby can be difficult and stressful for new mothers. Negative mood may occur during this time and can affect women, their parenting and the infant's development. This pilot study evaluated a brief online self-help intervention designed to promote positive mood in mothers of babies and toddlers. METHODS: Women in the UK who had given birth within the previous 18 months were randomly allocated to the online self-help intervention (n = 40) or active comparison group exercise (n = 40) which was matched for time and structure. Mood was measured before and after the intervention. Acceptability was examined at the end of the trial. RESULTS: The self-help intervention was acceptable to the majority of women and significantly increased positive mood compared to the comparison condition. This effect persisted after controlling for self-esteem, anxiety and depression. These results suggest that a simple self-help intervention focused on changing beliefs about oneself as a mother can have an immediate impact on women's mood. CONCLUSIONS FOR PRACTICE: Further research is need to see whether these improvements continue long-term and what processes underlie these improvements

Responsible Citizens and Accountable Service Providers? Renegotiating the Contract Between Citizen and State

New forms of governance, conditional approaches to public service access, and initiatives to engage citizens in taking on new responsibilities are being developed in the context of the scaling down of the welfare state. We examine the extent to which collaboration and multidirectional accountability can be developed between the state and citizens, with a focus on a case study of Community Contracts in England. These quasi-legal agreements, operationalised at the local level, involve citizens and service providers cooperating in tackling social problems through agreed responsibilities and behaviour. Findings from interviews and focus group research suggest that Community Contracts represent an innovation in governance. Citizens are given a voice and there are new pathways for effective service delivery and accountability; conditionality applies to citizens and service providers. However, although there was evidence of increased service accountability, the impact on civic responsibility and conditionality beyond already active citizens and beyond certain issues was less apparent. Although citizens and service providers were ready to take on new roles, the legal status of the contract was only loosely defined. Challenges remain concerning how contract-based approaches can be fully realised in practice

The Relationship Between Residential Quality of Life and Socioeconomic Status in England

This article explores the quintessential “person–environment” relationship that forms the core of the subdiscipline of social geography within the context of a national accountability shift from state to society in England. Two Audit Commission datasets are mined to establish homogeneous clusters of residential socioeconomic status and quality of life status before being cross-tabulated to detect genuine issues that affect each characteristic locality. In three of the four cross-tabulations, significant differences on economic well-being, life-long learning, and health distinguish correspondences, whereas in the other, less tangible, case, such factors as the use of cultural facilities, community cohesion, and people’s access to work seem to matter. The implications for research, policy, and practice are duly considered

Sure start local programmes: Implications of case study data from the national evaluation of sure start

This paper is based on case study data on Sure Start Local Programmes collected within the Implementation Module of the Department for Education and Skills commissioned National Evaluation of Sure Start, between 2002 and 2004. Part one describes and discusses some key challenges for programme stakeholders which are associated with the optimum delivery of services for children and families, including managing partnerships; meeting the needs of a diverse community; and targeting. Part two explores the relevance of these findings for future government policy for children and families; and concludes by highlighting the value of an emphasis on 'building knowledge'. Copyright © 2005 John Wiley and Sons, Ltd