A5063173467- Blood Pressure and Hypertension Studies
- Medication Adherence and Compliance
- Mobile Health and mHealth Applications
- Physical Activity and Health
- Global Health Workforce Issues
- Primary Care and Health Outcomes
- Behavioral Health and Interventions
- Cardiac Health and Mental Health
- Health disparities and outcomes
- Obesity, Physical Activity, Diet
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Global Health Care Issues
- Healthcare Systems and Technology
- COVID-19 and Mental Health
- Health Sciences Research and Education
- Digital Mental Health Interventions
- Innovations in Medical Education
- Telemedicine and Telehealth Implementation
- Global Health and Surgery
- Context-Aware Activity Recognition Systems
- Health and Well-being Studies
- Healthcare professionals’ stress and burnout
- Healthcare Policy and Management
- Diversity and Career in Medicine
Ollscoil na Gaillimhe – University of Galway
2013-2024
University of Limerick
2018-2024
Trials Methodology Research Network
2022-2024
Indiana University School of Medicine
2021
<h3>Background</h3> Physical inactivity is a major, potentially modifiable, risk factor for cardiovascular disease, cancer, and other chronic diseases. Effective, simple, generalisable interventions that will increase physical activity in populations are needed. <h3>Aim</h3> To evaluate the effectiveness of smartphone application (app) to primary care. <h3>Design setting</h3> An 8-week, open-label, randomised controlled trial rural, care west Ireland. <h3>Method</h3> Android users >16...
Regular physical activity is known to help prevent and treat numerous non-communicable diseases. Smartphone applications (apps) have been shown increase in primary care but little regarding the views of patients using such technology or how may change behaviour.To explore patients' experiences smartphones promote care.This qualitative study was embedded within SMART MOVE randomised controlled trial, which used an app (Accupedo-Pro Pedometer) three centres west Ireland.Taped transcribed...
Purpose: Digital interventions, such as smartphone applications (apps), are becoming an increasingly common way to support medication adherence and self-management in chronic conditions. It is important investigate how patients feel about engage with these technologies. The aim of this study was explore patients’ perspectives on apps improve hypertension. Methods: This a qualitative based the West Ireland. Twenty-four hypertension were purposively sampled engaged focus groups. Thematic...
Sedentary lifestyles are now becoming a major concern for governments of developed and developing countries with physical inactivity related to increased all-cause mortality, lower quality life, risk obesity, diabetes, hypertension many other chronic diseases. The powerful onboard computing capacity smartphones, along the unique relationship individuals have their mobile phones, suggests that devices potential influence behavior. However, no previous trials been conducted using smartphone...
Platelet-rich plasma (PRP) is a concentrate of autologous blood growth factors which has been shown to provide some symptomatic relief in early osteoarthritis (OA) the knee. The objective this study was test feasibility and efficacy potential platelet rich primary care.Feasibility assess safety intervention procedures secondary outcome measures. Consecutive patients presenting with knee OA were recruited care setting Ireland. All participants received three injections PRP 4 weeks apart....
Objectives This study examined theoretical predictors of long‐term medication adherence (i.e., treatment‐related beliefs, coherence beliefs from experience with medication, habit strength, and pill burden) for patients apparent treatment‐resistant hypertension in primary care, using a composite score derived direct indirect measures prescription refill, self‐report, bioanalytical assays urine). Design Cross‐sectional study. Methods Individual patient records were screened refill adherence....
This is the first article in a Series on collaborative projects between European countries, relevant for general practice/family medicine and primary healthcare.Telemedicine, particular use of Internet, videoconferencing handheld devices such as smartphones, holds potential further strides application technology delivery healthcare, particularly to communities rural remote areas within without Union where this study taking place. The Northern Periphery Programme has funded 'Implementing...
Patients with hypertension in the community frequently fail to meet treatment goals. The optimal way organize and deliver care hypertensive patients has not been clearly identified. powerful on-board computing capacity of mobile devices, along unique relationship individuals have newer technologies, suggests that they potential influence behaviour. However, little is known regarding views experiences using such technology self-manage their associated lifestyle behaviours. aim this study was...
Abstract Background A well-functioning general practice sector that has a strong research component is recognised as key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in if they part an established network. The primary aims this study describe Ireland’s newest practice-based network and analyse the perspectives network’s members on engagement. Method survey was sent all GPs participating order document characteristics so profile could be...
Digital health interventions, such as those that can be delivered via smartphone applications (apps) or wireless blood pressure monitors, offer a new, scalable and potentially cost-effective way to improve hypertension self-management. In Ireland, is common in the UK, majority of management occurs general practice. Therefore, it crucial investigate how practitioners (GPs) feel about engage with growth these new methods self-management pressure.To explore GPs' perspectives technology support...
To confirm treatment-resistant hypertension (TRH), ambulatory blood pressure measurement (ABPM) must exclude white-coat (WCH), three or more medications should be prescribed at the optimal doses tolerated, and non-adherence lifestyle examined. Most previous studies have not adequately considered pseudo-resistance merely provide an apparent TRH (aTRH) prevalence figure.To conduct a cross-sectional study of aTRH in general practice, then consider morbidity.With support, 16 practices ran...
Abstract Background Timely and accurate communication between primary secondary care is essential for delivering high-quality patient care. Objective The aim of this study to evaluate the content contained in both referral response letters measure against recommended national guidelines. Methods Using an observational design, senior medical students their general practice supervisors applied management software identify 100 randomly selected adults, aged greater than 50 years, from a...
Abstract Background Medical School programme workloads challenge the physical and mental health of students particularly in compressed graduate entry programmes. There is evidence that activity (PA) can improve holistic care help maintain wellness among medical students. We tested feasibility introducing an exercise to school curriculum which would educate promote well-being its Methods This study was conducted a single at University Limerick (UL). The ‘MED-WELL’ six-week 1 hour-long weekly...
Physical inactivity among adults aged 50 years and over is a worldwide health concern. The objectives of the study were to investigate perspectives those involved with existing physical activity programmes on optimising recruitment, sustainability scalability for over.The was conducted in Ireland's Midwest region, where community-based are delivered groups by state-funded Local Sports Partnerships. Programme attendees, professionals community advocates recruited. One-to-one interviews focus...
Background Apparent treatment-resistant hypertension (aTRH) is defined as uncontrolled blood pressure (BP) in patients taking three or more antihypertensive medications. Some will have true hypertension, some undiagnosed secondary while others pseudo-resistance. Pseudo-resistance occurs when non-adherence to medication, white-coat (WCH), lifestyle, and inadequate drug dosing are responsible for the poorly controlled BP. Aim To examine feasibility of establishing first time primary care,...
Problematic translational gaps continue to exist between demonstrating the positive impact of healthcare interventions in research settings and their implementation into routine daily practice. The aim this qualitative evaluation SMART MOVE trial was conduct a theoretically informed analysis, using normalisation process theory, potential barriers levers mhealth intervention promote physical activity primary care.
Hypertension remains one of the most important modifiable risk factors for stroke and heart disease. Anti-hypertensive medications are effective, but often not used to maximum benefit. Sub-optimal dosing by prescribers challenges with medication-taking patients remain barriers effective blood pressure control.
Rural communities can experience more barriers to accessing health care than their urban counterparts, largely due fewer healthcare staff and services, geographical isolation. The purpose of this study is examine the availability GP practices in rural across Mid-West Ireland potential impact practice closure on patient access.
Hypertension, or high blood pressure, is a key modifiable risk factor for heart disease and stroke. International guidelines have highlighted 'poor adherence to treatment' 'physician inertia' as major barriers effective pressure management. The Maximising Adherence, Minimising Inertia (MIAMI) intervention, theory-based complex supports General Practitioners (GPs) people with hypertension in maximising medication use manage pressure. This pilot cluster randomised control trial (RCT) aimed...
There is overwhelming evidence to support the promotion of physical activity in adults terms benefits well-being, and mental health. Physical guidelines suggest that should accumulate at least 150 min moderate vigorous per week. In Ireland, majority do not achieve these guidelines, with costs health economy. 'Move for Life' (MFL) employs behavioural change techniques delivered by an instructor peer mentor, using a train-the-trainer (cascade) model. This study will conduct feasibility cluster...
Abstract Background There is a worldwide recruitment and retention crisis in general practice. Workforce planning has identified the need to train more practitioners as an urgent priority. Exposure of medical students practice part formal hidden curriculum, use longitudinal integrated clerkships, positive experiences role models are all thought be contributing factors doctors choosing careers Aim The aim this study was identify career destinations school graduates with 18-week clerkship...
Despite well-known benefits of physical activity, in Ireland only 38 % older adults are sufficiently active. Behavioural interventions rarely developed systematically and, when reported, inadequate description often becomes a barrier for subsequent replication and scalability. In this article, we describe the development characteristics Move Life, an intervention to reach help inactive aged 50 years increase their activity. It was designed fit within existing group-based structured activity...