Assessing the impact of care farms on quality of life and offending:a pilot study among probation service users in England
| Autor: | Jenni Murray, Cathy Brennan, Darren Shickle, Tracey M Farragher, Nyantara Wickramasekera, Janet E Cade, Rachel Bragg, Marjolein Elings, Sandy Tubeuf, Zoe Richardson, Rochelle Gold, Helen Elsey |
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| Přispěvatelé: | UCL - SSS/IRSS - Institut de recherche santé et société |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Land Use and Food Security medicine.medical_treatment Cost-Benefit Analysis Health Behavior Pilot Projects social medicine 0302 clinical medicine Recidivism/prevention & control Social medicine Medicine 030212 general & internal medicine Cost–benefit analysis 030503 health policy & services Behavior Control/methods public health Agriculture General Medicine PE&RC England Female Crime 0305 other medical science mental health Behavior Control medicine.medical_specialty Anger management Crime/prevention & control 03 medical and health sciences Young Adult Quality of life (healthcare) Humans Life Style Service (business) Criminals/psychology business.industry Research Public health substance misuse Landgebruik en Voedselzekerheid Criminals Mental health Recidivism Family medicine Propensity score matching Quality of Life business |
| Zdroj: | Elsey, H, Farragher, T, Tubeuf, S, Bragg, R, Elings, M, Brennan, C, Gold, R, Shickle, D, Wickramasekera, N, Richardson, Z, Cade, J & Murray, J 2018, ' Assessing the impact of care farms on quality of life and offending : a pilot study among probation service users in England ', BMJ Open, vol. 8, no. 3, pp. e019296 . https://doi.org/10.1136/bmjopen-2017-019296 BMJ Open, 8(3) BMJ Open BMJ open, Vol. 8, no. 3, p. e019296 (2018) BMJ Open 8 (2018) 3 |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesTo assess the feasibility of conducting a cost-effectiveness study of using care farms (CFs) to improve quality of life and reduce reoffending among offenders undertaking community orders (COs). To pilot questionnaires to assess quality of life, connection to nature, lifestyle behaviours, health and social-care use. To assess recruitment and retention at 6 months and feasibility of data linkage to Police National Computer (PNC) reconvictions data and data held by probation services.DesignPilot study using questionnaires to assess quality of life, individually linked to police and probation data.SettingThe pilot study was conducted in three probation service regions in England. Each site included a CF and at least one comparator CO project. CFs are working farms used with a range of clients, including offenders, for therapeutic purposes. The three CFs included one aquaponics and horticulture social enterprise, a religious charity focusing on horticulture and a family-run cattle farm. Comparator projects included sorting secondhand clothes and activities to address alcohol misuse and anger management.ParticipantsWe recruited 134 adults (over 18) serving COs in England, 29% female.Results52% of participants completed follow-up questionnaires. Privatisation of UK probation trusts in 2014 negatively impacted on recruitment and retention. Linkage to PNC data was a more successful means of follow-up, with 90% consenting to access their probation and PNC data. Collection of health and social-care costs and quality-adjusted life year derivation were feasible. Propensity score adjustment provided a viable comparison method despite differences between comparators. We found worse health and higher reoffending risk among CF participants due to allocation of challenging offenders to CFs, making risk of reoffending a confounder.ConclusionsRecruitment would be feasible in a more stable probation environment. Follow-up was challenging; however, assessing reconvictions from PNC data is feasible and a potential primary outcome for future studies. |
| Databáze: | OpenAIRE |
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