A realist review of interventions and strategies to promote evidence-informed healthcare: a focus on change agency

Background
Change agency in its various forms is one intervention aimed at improving the effectiveness of the uptake of evidence. Facilitators, knowledge brokers and opinion leaders are examples of change agency strategies used to promote knowledge utilization. This review adopts a realist approach and addresses the following question: What change agency characteristics work, for whom do they work, in what circumstances and why?

Methods
The literature reviewed spanned the period 1997-2007. Change agency was operationalized as roles that are aimed at effecting successful change in individuals and organizations. A theoretical framework, developed through stakeholder consultation formed the basis for a search for relevant literature. Team members, working in sub groups, independently themed the data and developed chains of inference to form a series of hypotheses regarding change agency and the role of change agency in knowledge use.

Results
24, 478 electronic references were initially returned from search strategies. Preliminary screening of the article titles reduced the list of potentially relevant papers to 196. A review of full document versions of potentially relevant papers resulted in a final list of 52 papers. The findings add to the knowledge of change agency as they raise issues pertaining to how change agents’ function, how individual change agent characteristics effect evidence-informed health care, the influence of interaction between the change agent and the setting and the overall effect of change agency on knowledge utilization. Particular issues are raised such as how accessibility of the change agent, their cultural compatibility and their attitude mediate overall effectiveness. Findings also indicate the importance of promoting reflection on practice and role modeling. The findings of this study are limited by the complexity and diversity of the change agency literature, poor indexing of literature and a lack of theory-driven approaches.

Conclusion
This is the first realist review of change agency. Though effectiveness evidence is weak, change agent roles are evolving, as is the literature, which requires more detailed description of interventions, outcomes measures, the context, intensity, and levels at which interventions are implemented in order to understand how change agent interventions effect evidence-informed health care.

Towards global benchmarking of food environments and policies to reduce obesity and diet-related non-communicable diseases : design and methods for nation-wide surveys

Introduction: 

Qualitative and historiometric methods in leadership research: a review of the first 25 years of the leadership quarterly

In the spirit of the 25th anniversary edition of The Leadership Quarterly, as the world's premier outlet for leadership research, we have reviewed qualitative and historiometric research across those 25. years. Qualitative research is a complex and cluttered area of scholarship. This is not because there is an inherent confusion about it. Rather, it is because 'qualitative' research is a cover-all term for a wide range of research strategies, paradigms, parent disciplines, sources of data, and methods of analysis for them. More so than in previous journal review articles, we explored variation in qualitative analysis as well as variety in qualitative data. In terms of methodologies, our efforts concentrated on case study, content analysis, grounded theory and historiometrics. We also examined trends toward post-positivism, post-modernity and liquid modernity, and their resultant benefits for researching leadership. Future directions for leadership research are posited. © 2013 Elsevier Inc.

Self-reported access to and quality of healthcare for diabetes : Do the severely obese experience equal access?

Background: Given reported pejorative views that health professionals have about patients who are severely obese, we examined the self-reported views of the quality and availability of diabetes care from the perspective of adults with type 2 diabetes (T2DM), stratified by body mass index (BMI). Methods: 1795 respondents to the Diabetes MILES - Australia national survey had T2DM. Of these, 530 (30%) were severely obese (BMI ≥35 kg/m2) and these participants were matched with 530 controls (BMI <35 kg/m2). Data regarding participants' self-reported interactions with health practitioners and services were compared. Results: Over 70% of participants reported that their general practitioner was the professional they relied on most for diabetes care. There were no betweengroup differences in patient-reported availability of health services, quality of interaction with health practitioners, resources and support for selfmanagement, or access to almost all diabetes services. Discussion: Participants who were severely obese did not generally report greater difficulty in accessing diabetes care.

The development of the private equity industry since the 2008 financial crisis

The private equity industry was experiencing a phenomenal boom at the turn of the century but collapsed abruptly in 2008 with the onset of the financial crisis. Considered one of the worst crises since the Great Depression of the 1930s, it had sent ripples around the world threatening the collapse of financial institutions and provoking a liquidity crunch followed by a huge downturn in economic activity and recession. Furthermore, the physiognomy of the financial landscape had considerably altered with banks retracting from the lending space, accompanied by a hardening of financial regulation that sought to better contain systemic risk. Given the new set of changes and challenges that had arisen from this period of financial turmoil, private equity found itself having to question current practices and methods of operation in order to adjust to the harsh realities of a new post-apocalyptic world. Consequently, this paper goes on to explore how the private equity business, management and operation model has evolved since the credit crunch with a specific focus on mature markets such as the United States and Europe. More specifically, this paper will aim to gather insights on the development of the industry since the crisis in Western Europe through a case study approach using as a base interviews with professionals working in the industry and those external to the sector but who have/have had considerable interaction with PE players from 2007 to the present.

Subdosages of Bacillus thuringiensis on Plutella xylostella) (Lepepidoptera: plutellidae) and Trichogramma pretiosum (Hymenoptera: trichogrammatidae)

The aim of this paper was to evaluate the biological aspects of Plutella xylostella and Trichogramma pretiosum in eggs of the F2 generation of P. xylostella under the influence of Bacillus thuringiensis in laboratory conditions. The experiment was conducted in the Laboratorio de Biologia and Criacao de Insetos of Faculdade de Ciencias Agrarias e Veterinarias de Jaboticabal - UNESP reen collars contaminated with strains and commercial product based on B. thuringiensis in the laboratory. The eggs obtained from the F2 generation of P. xylostella evaluated the biological parameters of T. pretiosum. It was observed that some biological characteristics of P. xylostella showed changes by the treatment with B. thuringiensis. The viability of the larvae and pupae stages, pupae weight were the biological parameters more influenced by treatments, with values significantly reduced when compared to control. However, the larvae length and pupae stages and sex ratio were similar in all treatments, with no significant biological variations. Thus, this bacterium isolated from this behavior may provide greater exposure of larvae to other natural enemies as well as generation of adults less viable, which makes them potential programs in pest control, since the interaction of the methods of control is one of the main ways to enhance the biological control of insect pests. It was observed sublethal effects on P. xylostella biology, and B. thuringiensis negative influence on the parasitism capacity and emergency of T. pretiosum.