- Mental Health and Patient Involvement
- Dementia and Cognitive Impairment Research
- Eating Disorders and Behaviors
- Geriatric Care and Nursing Homes
- Mental Health Treatment and Access
- Health Systems, Economic Evaluations, Quality of Life
- Obsessive-Compulsive Spectrum Disorders
- Impact of Technology on Adolescents
- Health disparities and outcomes
- Family Caregiving in Mental Illness
- Palliative Care and End-of-Life Issues
- Intergenerational Family Dynamics and Caregiving
- Amyotrophic Lateral Sclerosis Research
- Maternal Mental Health During Pregnancy and Postpartum
- Child Nutrition and Feeding Issues
- Body Image and Dysmorphia Studies
- Geographic Information Systems Studies
- Aging, Elder Care, and Social Issues
- Healthcare innovation and challenges
- Family and Disability Support Research
- Aging and Gerontology Research
- Cultural Competency in Health Care
- Child and Adolescent Psychosocial and Emotional Development
- Hallucinations in medical conditions
- Chronic Disease Management Strategies
King's College London
2016-2025
Imperial College London
2024
The London College
2024
The University of Sydney
2024
Guy's and St Thomas' NHS Foundation Trust
2022
Greater Manchester Mental Health NHS Foundation Trust
2019-2021
University of Manchester
2019-2021
Hôpital Roger Salengro
2021
Centre Hospitalier Universitaire de Lille
2021
University of Plymouth
2019-2021
Background Family carers are the most important source of dementia care, especially among ethnic minority populations, who less likely to access health or social services. The evidence base on carer experience in these communities is profoundly limited. Aims To explore caregiving attitudes, experiences and needs family people with from three largest groups UK. Method A qualitative study, using a grounded theory approach. In-depth individual interviews were conducted 32 (10 Black Caribbean,...
Background People with dementia often die badly, receiving end-of-life care of poorer quality than that given to those who are cognitively intact. Aims To define good for people and identify how it can be delivered across settings in the UK. Method In-depth interviews were conducted 27 bereaved family carers 23 professionals recruited from community, homes, general hospitals continuing units. Data analysed using constant comparison method. Results The data highlighted challenge imperative...
Background: Many aspects of the Covid-19 pandemic may make living with or recovery from an eating disorder (ED) particularly challenging. Understanding processes which underlie psychological and behavioural responses people EDs during this time are key to ensure tailored support in these unprecedented circumstances. Methods: People lifetime were recruited through social media May June 2020 a period strict infection control measures United Kingdom (i.e., 'lockdown', 'social distancing'). They...
Purpose: This U.K. study explored how older adults with depression (treated and untreated) the general population conceptualize depression. A multicultural approach was used that incorporated perspectives of Black Caribbean, South Asian, White British adults. The sought to explore compare beliefs about nature causes depression, suggest ways in which these act facilitate or deter people from accessing treatment. Design Methods: One hundred ten in-depth separate interviews were conducted for...
Background. Research suggests high levels of depression and low service use among older adults from UK minority ethnic groups. This study aimed to explore adults' attitudes beliefs regarding what would help someone with depression, consider how these may facilitate or deter people accessing treatment. Method. In-depth individual qualitative interviews were conducted (treated untreated) the non-depressed population. A multi-cultural approach was used that incorporated perspectives 32 black...
Purpose: There is a fundamental knowledge gap regarding the experience of dementia within minority ethnic groups in United Kingdom and elsewhere. The present study examined subjective reality living with from perspective people 3 largest Kingdom. Design Methods: This was qualitative which in-depth individual interviews were conducted 11 Black Caribbean, 9 south Asian, 10 White British older dementia. lack information this area prompted use grounded theory approach. Results: main theme to...
Difficulties with social relationships have been implicated in both the development and maintenance of Anorexia Nervosa (AN) but friendship experiences individuals AN not explored depth.Ten adults took part a semi-structured interview about their before since onset illness.Five principle themes were identified through thematic analysis: Social Concern; Impact AN; Connectedness; Inflexibility Preferred Activity. present prior to all cases, participants experiencing anxiety relation various...
Abstract Introduction Antipsychotics are routinely prescribed off‐label for anorexia nervosa (AN) despite limited evidence. This article presents a protocol of study aiming to assess the feasibility future definitive trial on olanzapine in young people with AN. Methods and analysis In an open‐label, one‐armed study, 55 patients AN or atypical AN, aged 12–24, receiving outpatient, inpatient day‐care treatment who considered will be recruited from NHS sites based England. Assessments conducted...
Abstract INTRODUCTION Trials of effectiveness treatment options for depression in dementia are an important priority. METHODS Randomized controlled trial to assess adapted Problem Adaptation Therapy (PATH) mild/moderate caused by Alzheimer's disease. RESULTS Three hundred thirty‐six participants with mild or moderate dementia, >7 on Cornell Scale Depression Dementia (CSDD), randomized PATH as usual. Mean age 77.0 years, 39.0% males, mean Mini‐Mental State Examination 21.6, CSDD 12.9. For...
<sec> <title>BACKGROUND</title> Over 30% of people in the United Kingdom are living with a long-term physical health condition. Early preventative peer support interventions could improve lives and psychosocial wellbeing conditions reduce progression any symptoms low mood to more significant depression. In partnership industry partners, we have co-designed an online platform, CommonGround, help connect, others, share experiences, receive evidence-based information advice on self-management....
Abstract Background Early intervention gives young people the best chance to recover from eating disorders (EDs). An important focus of early is shortening time between a person first developing symptoms and starting treatment (duration untreated disorder; DUED). Patient-related factors (e.g. poor mental health literacy help-seeking difficulties) are strongly associated with DUED. The aims our study co-design test feasibility FREED-Mobile (FREED-M), an online tool for early-stage EDs. This...
Background A substantial proportion of anorexia nervosa patients require intensive treatments, commonly inpatient or day-patient treatment. The relative merits these treatments for adults with are unknown. Therefore, a trial investigating the clinical effectiveness and cost-effectiveness treatment-as-usual versus stepped-care approach in (DAISIES) was commissioned. This terminated prematurely due to poor recruitment, mainly resulting from COVID-19’s impact on service provision. Objective We...
Background Family and friends (family carers) provide substantial support to those with mental ill health, often affecting their own well-being. Subsequently, family carers have recovery journeys. Research highlights numerous benefits of attending Recovery Colleges, but whether these apply for remains unexplored. Aims We aimed explore carers’ experiences Colleges across England, understand current provision how this might better include carers. Method Together lived experience researchers,...
Background: Dementia and visual impairment are among the most common medical conditions in later life. Almost nothing is known about experiences needs of older adults with both conditions.Method: In this qualitative study using in-depth individual interviews, multiple perspectives were sought through a case-study approach. Fifty-two interviews conducted: 17 dementia, family caregivers, 18 care professionals.Results: Impaired memory lack cues created profound disorientation distress, which...