A5064276834- Obesity, Physical Activity, Diet
- Substance Abuse Treatment and Outcomes
- Health Policy Implementation Science
- Nutritional Studies and Diet
- Primary Care and Health Outcomes
- Stroke Rehabilitation and Recovery
- Homelessness and Social Issues
- Health Systems, Economic Evaluations, Quality of Life
- Acute Ischemic Stroke Management
- Diabetes Management and Education
- Community Health and Development
- Obesity and Health Practices
- Bone health and osteoporosis research
- Health disparities and outcomes
- Clinical practice guidelines implementation
- Cervical Cancer and HPV Research
- Vitamin D Research Studies
- Urban Transport and Accessibility
- Interprofessional Education and Collaboration
- Parathyroid Disorders and Treatments
- Alcohol Consumption and Health Effects
- Cancer and Skin Lesions
- Chronic Disease Management Strategies
- Competency Development and Evaluation
- Workplace Health and Well-being
CJR Propulsion (United Kingdom)
2019-2021
Newcastle University
2011-2020
University of Aberdeen
2012-2013
Clinicians' behaviours require deliberate decision-making in complex contexts and may involve both impulsive (automatic) reflective (motivational volitional) processes. The purpose of this study was to test a dual process model applied clinician their management type 2 diabetes. design used six nested prospective correlational studies. Questionnaires were sent general practitioners nurses 99 UK primary care practices, measuring (intention, action planning coping planning) (automaticity)...
In recent years, alongside the exponential increase in prevalence of overweight and obesity, there has been a change food environment (foodscape). This research focuses on methods used to measure classify foodscape. paper describes foodscape across urban/rural socio-economic divides. It examines validity database outlets obtained from Local Authority sources (secondary level & desk based), divides by conducting fieldwork (ground-truthing). Additionally this tests efficacy using based...
Background Alcohol related hospital attendances are a potentially avoidable burden on emergency departments (EDs). Understanding the number and type of patients attending EDs with alcohol intoxication is important in estimating workload cost implications. We used best practice from previous studies to establish prevalence adult ED estimate costs clinical management subsequent health service use. Methods The setting was large inner city northeast England, UK. Data were collected via (i)...
Objectives To determine the acceptability, efficacy and costs of medical termination pregnancy (MTOP) compared with surgical (STOP) at less than 14 weeks' gestation, to understand women's decision-making processes experiences when accessing service. Design A partially randomised preference trial economic evaluation follow-up 2 weeks 3 months. Setting The Royal Victoria Infirmary, Newcastle upon Tyne, UK. Participants Women accepted for (TOP) under relevant Acts Parliament pregnancies <...
In 2005, the nutritional content of children's school lunches in England was widely criticised, leading to a major policy change 2006. Food and nutrient-based standards were reintroduced requiring primary schools comply by September 2008. We aimed determine effect on at lunchtime total diet. undertook natural experimental evaluation, analysing data from cross-sectional surveys 12 North East England, pre post policy. Dietary collected four consecutive days children aged 4–7 years (n = 385...
Vitamin D insufficiency is common in older people and may lead to increased bone resorption, loss, falls fractures. However, clinical trials assessing the effect of vitamin supplementation on mineral density (BMD) have yielded conflicting results. This study examined BMD at hip, using dual-energy X-ray absorptiometry. A total 379 adults aged ≥70 y (48% women; mean age: 75 y) from northeast England were randomly allocated 1 3 doses D3 [12,000 international units (IU), 24,000 IU, or 48,000 IU]...
Traditional dietary assessment methods, used in the UK, such as weighed food diaries impose a large participant burden, often resulting difficulty recruiting representative samples and underreporting of energy intakes. One approach to reducing burden placed on is use portion size tools obtain an estimate amount consumed, removing need weigh all foods. An age range specific atlas was developed for assessing children's The foods selected sizes depicted were derived from intakes recorded during...
Type 2 diabetes is an increasingly prevalent chronic illness and important cause of avoidable mortality. Patients are managed by the integrated activities clinical non-clinical members primary care teams. This study aimed to: investigate theoretically-based organisational, team, individual factors determining multiple behaviours needed to manage diabetes; identify multilevel determinants different management potential interventions improve them. paper describes instrument development,...
Loss of arm function is a common and distressing consequence stroke. We describe the protocol for pragmatic, multicentre randomised controlled trial to determine whether robot-assisted training improves upper limb following Study design: three-arm, trial, economic analysis process evaluation. Setting: NHS stroke services. Participants: adults with acute or chronic first-ever (1 week 5 years post stroke) causing moderate severe functional limitation. Randomisation groups: 1. Robot-assisted...
To test the feasibility of recruitment, retention, outcome measures and internet delivery dysarthria therapy for young people with cerebral palsy in a randomised controlled trial.
Abstract Background: Few studies have explored both food behaviour and physical activity in an environmental context. Most research this area has focused on adults; the aim of present study was to describe perceptions environment, diet, sedentary patterns 16–20 year olds full‐time education (Newcastle, UK). Methods: Participants ( n = 73) recruited from a college sixth‐form completed UK version Youth Neighbourhood Environment Walkability Survey, which included measures behaviour. A validated...
Background and Purpose— There is limited evidence to guide rehabilitation meet the longer term needs of stroke survivors. The clinical effectiveness cost-effectiveness an extended service (EXTRAS) provided following early supported discharge were determined. Methods— EXTRAS was a pragmatic parallel-group observer-blind randomized controlled trial involving 19 UK centers. Patients with individually receive or usual care at from discharge. Five reviews by team member between one 18 months,...
Since the mid-1990s, there has been a steady decline in coverage rates for cervical screening target age group (25–64 years) across England. This article describes rate of from 1995 to 2005 old health authority areas North East and Yorkshire Humber (NEYH) regions relation group, deprivation, ethnicity religion. The results show that is faster these northern than England as whole, with very strong correlation between change rates. Younger groups experience fastest decline, those over 55 years...
Abstract Spontaneous preterm birth (sPTB, delivery <37 weeks gestation), accounts for approximately 10% of births worldwide; the aetiology is multifactorial with intra-amniotic infection being one contributing factor. This study aimed to determine whether asymptomatic women a history sPTB or cervical surgery have altered levels inflammatory/antimicrobial mediators and/or microflora within fluid at 22–24 gestation. External was collected from previous gestation (n = 135). Cytokine and...
Background There is limited evidence about the effectiveness of rehabilitation in meeting longer-term needs stroke patients and their carers. Objective To determine clinical cost-effectiveness an extended service (EXTRAS). Design A pragmatic, observer-blind, parallel-group, multicentre randomised controlled trial with embedded health economic process evaluations. Participants were (1 : 1) to receive EXTRAS or usual care. Setting Nineteen NHS study centres. Patients a new who received early...
Type 2 diabetes is an increasingly prevalent illness, and there considerable variation in the quality of care provided to patients with primary care. The aim this study was explore whether organizational justice citizenship behaviour are associated behaviours clinical staff when providing for diabetes. data were from ongoing prospective multicenter study, 'improving Quality Diabetes' (iQuaD) study. Participants (N = 467) 99 practices UK. outcome measures six self-reported behaviours:...
Introduction In September 2009, middle and secondary schools in England were required to comply with food nutrient-based standards for school food. We examined the impact of this policy change on children's lunchtime total dietary intake. Methods undertook repeat cross-sectional surveys six Northumberland 1999–2000 2009–10. Dietary data collected from 11–12 y olds (n = 298 1999–2000; n 215 2009–10). Children completed two consecutive 3-day diaries, each followed by an interview. Linear mixed...
Although most people with Type 2 diabetes receive their care in primary care, only a limited amount is known about the quality of this setting. We investigated provision and receipt delivered UK care.Postal surveys all healthcare professionals random sample 100 patients from 99 practices.326/361 (90.3%) doctors, 163/186 (87.6%) nurses 3591 (41.8%) returned questionnaire. Clinicians reported giving advice lifestyle behaviours (e.g. 88% would routinely advise calorie restriction; 99.6%...
Objectives K arasek's job demand‐control model postulates that demand, control, and distress are environmental rather than individual features although these levels often confounded. The objective was to investigate whether demand × control predict in primary care clinicians, the mediating role of relationships between with intention leave absenteeism. Design Predictive national survey. Methods We invited 2,079 staff from 99 general practices United Kingdom (843 GP s nurses, 1,236...
There are no medical interventions for the orphan disease CYLD cutaneous syndrome (CCS). Transcriptomic profiling of CCS skin tumors previously highlighted tropomyosin receptor kinases (TRKs) as candidate therapeutic targets.To investigate if topical targeting TRK with an existing inhibitor, pegcantratinib, 0.5% (wt/wt), is safe and efficacious in CCS.A phase 1b open-label safety study, followed by a 2a within-patient randomized (by tumor), double-blind, placebo-controlled trial (the...
Socioeconomic disadvantage may cause individuals to have lower expectations of longevity and not engage in healthy behaviours because they judge the long-term health benefits these be minimal. We explored demographic, behaviour, socioeconomic correlates subjectively estimated lifespan ('anticipated survival'); ability anticipated survival predict actual survival; whether predictive differed by other variables, particularly position.Data were from wave 1 English Longitudinal Study Ageing....