A5022340802- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Patient-Provider Communication in Healthcare
- Cervical Cancer and HPV Research
- Ovarian cancer diagnosis and treatment
- Cancer survivorship and care
- Ethics in Clinical Research
- BRCA gene mutations in cancer
- Health Promotion and Cardiovascular Prevention
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- COVID-19 and healthcare impacts
- Chronic Disease Management Strategies
- COVID-19 Clinical Research Studies
- Lung Cancer Diagnosis and Treatment
- Gastric Cancer Management and Outcomes
- Genetic factors in colorectal cancer
- SARS-CoV-2 detection and testing
- COVID-19 diagnosis using AI
- Diverticular Disease and Complications
- Regional Development and Environment
- Behavioral Health and Interventions
- Inflammatory mediators and NSAID effects
- Nonmelanoma Skin Cancer Studies
- Palliative Care and End-of-Life Issues
Cardiff University
2014-2024
Public Health Wales
2024
Radiation Oncology Associates
2019
Western Washington University
2019
University of Washington
2019
Bellingham Technical College
2019
PeaceHealth St. Joseph Medical Center
2019
Cochrane
2014
Queen Elizabeth Hospital
2004
While ovarian cancer is recognised as having identifiable early symptoms, understanding of the key determinants symptom awareness and presentation limited. A population-based survey anticipated delayed with symptoms was conducted part International Cancer Benchmarking Partnership (ICBP).Women aged over 50 years were recruited using random probability sampling (n = 1043). Computer-assisted telephone interviews used to administer measures including recognition, time health beliefs (perceived...
Colorectal cancer (CRC) is the commonest site for malignancy in Europe. The Commissioner Health wishes to promote screening colorectal, breast and cervical aim of this study was assess public knowledge CRC Europe likely take up free screening. To end 20 710 members from 21 European countries were interviewed by means a regular survey amongst consumers (Omnibus survey) using 13 stem questions. Forty-eight per cent thought population at equal risk CRC, only 57% aware age 54% family history as...
Targeted public awareness interventions are needed to improve earlier cancer diagnosis and reduce socioeconomic inequalities in outcomes. The health check (intervention) is a touchscreen questionnaire delivered by trained lay advisors that aims raise of symptoms risk factors encourage timely help seeking.
Abstract Background Lung cancer is the leading cause of death worldwide. Routine UK lung screening not yet available, thus understanding barriers to participation in could help maximize effectiveness if introduced. Methods Population‐based survey 1007 adults aged 16 and over Wales using random quota sampling. Computer‐assisted face‐to‐face interviews included demographic variables (age, gender, smoking, social group), four belief statements three attitudinal items. Determinants attitudes...
Socioeconomic inequalities in cancer survival can part be explained by long patient intervals among people from deprived groups; however, the reasons for this are unclear. This qualitative study explores actual and anticipated barriers to symptom presentation context of socioeconomic deprivation.Thirty participants were recruited through International Cancer Benchmarking Partnership Welsh database (n = 20), snowball sampling 8) community partners 2). Semi-structured interviews conducted with...
Worldwide, cancer screening faced significant disruption in 2020 due to the COVID-19 pandemic. If this has led changes public attitudes towards and reduced intention participate, there is a risk of long-term adverse impact on outcomes. In study, we examined previous participation future intentions take part cervical colorectal (CRC) following first national lockdown UK. Overall, 7543 adults were recruited cross-sectional online survey August–September 2020. Logistic regression analyses used...
Cancer survival rates in the UK are lower comparison with similar countries Europe and this may be linked to socioeconomic inequalities stage of cancer diagnosis survival. Targeted awareness interventions have potential improve earlier symptomatic reduce outcomes. The health check is an innovative, theory-based intervention designed increase symptoms risk factors, encourage timely help seeking among adults living deprived communities. A prospective, non-randomised evaluation was undertaken...
Abstract Background Recruitment of research participants poses challenges in socioeconomically deprived areas. The Awareness and Beliefs About Cancer (ABACus) phase 3 Randomised Control Trial recruited adult from areas using a combined healthcare/community engagement model. We report the strategies used to successfully recruit retain our trial participant sample. Methods Community healthcare settings high socioeconomic deprivation were identified by lay advisors who opportunistically or...
Cancer survival is lower in socioeconomically deprived communities, partly due to low awareness of symptoms, negative beliefs and delayed help-seeking. We developed an interactive health check questionnaire facilitated by trained lay advisors. It entails 29 questions about background, lifestyle with tailored behaviour change advice. Personalised results are printed using a traffic light (red/amber/green) system, highlighting areas where action should be taken. This individually randomised...
SummaryBackgroundCancer places a high burden on society and health-care systems. Cancer research requires high-quality data, which is resource-intensive to obtain. Using administrative datasets such as cancer registries could improve the efficiency of studies if data were valid timely. We aimed compare validity timeliness diagnostic on-site during SYMPLIFY study that obtained from England Wales.MethodsCancer collected 5461 participants across 44 hospital sites prospective observational in...
Abstract Background Lung cancer is the leading cause of mortality in Wales. We conducted a before- and after- study to evaluate impact four-week mass-media campaign on awareness, presentation behaviour lung outcomes. Methods Population-representative samples were surveyed for cough symptom recall/recognition worry about wasting doctors’ time pre-campaign (June 2016; n = 1001) post-campaign (September 1013). GP visits, urgent suspected (USC) referrals, GP-ordered radiology, new diagnoses...
Abstract Background Several epidemiological and cohort studies suggest that regular low-dose aspirin use independently reduces the long-term incidence risk of colorectal cancer deaths by approximately 20%. However, there are also risks to use, mainly gastrointestinal bleeding haemorrhagic stroke. Making informed decisions depends on ability understand weigh up benefits available options. A decision aid support people consider therapy alongside participation in NHS bowel screening programme...
In the absence of routine ovarian cancer screening, promoting help-seeking in response to symptoms is a potential route early diagnosis. The factors influencing women's anticipated time presentation with were examined.Cross-sectional questionnaires completed by sample women at increased familial risk (n = 283) and population 1043) for cancer. Measures included demographic characteristics, symptom knowledge, presentation, health beliefs (perceived susceptibility, worry, perceived threat,...
Background GPs can play an important role in achieving earlier cancer diagnosis to improve patient outcomes, for example through prompt use of the urgent suspected referral pathway. Barriers early include individual practitioner variation knowledge, attitudes, beliefs, professional expectations, and norms. Aim This programme work (Wales Interventions Cancer Knowledge about Early Diagnosis [WICKED]) will develop a behaviour change intervention expedite primary care contribute improved...
ABSTRACT Background Relatively poor UK cancer outcomes are blamed upon late diagnosis. Despite most patients presenting to their GP with symptoms, diagnostic delay remains a common theme, many clinical and non-clinical factors responsible. Early diagnosis is key improving survival. This paper reports the multi-method process design complex intervention improve timely of symptomatic cancer. Methods A review reviews, survey, discrete choice experiment, qualitative interviews focus groups, all...
Cancer outcomes are poor in socioeconomically deprived communities, with low symptom awareness contributing to prolonged help-seeking and advanced disease. Targeted cancer interventions require evaluation.
UK cancer mortality is worse than in many other high-income countries, partly because of diagnostic delays primary care.
ABSTRACT Introduction The impact of multiple health conditions on bowel cancer screening is currently unknown. We explored the perceptions, experience and clinical management decisions following a positive stool test. Methods Semi‐structured qualitative interviews were conducted remotely with Bowel Screening Wales staff ( n = 16) stratified by regional location role participants 19) age, gender comorbidity. Interview topics guided Common‐Sense Model. Results participants, regardless...
Abstract Background and study aims Video-colonoscopy, despite being the gold-standard for diagnosis of colorectal lesions, has limitations including patient discomfort risk complications. This assessed training characteristics acceptability in operators a new robotic colonoscope (RC). Materials methods Participants (n = 9) with varying degrees skill background knowledge colonoscopy performed colonoscopies RC on simulation-based model. Quantitative procedure-related qualitative...
Abstract Worldwide, cancer screening faced significant disruption in 2020 due to the COVID-19 pandemic. If this has led changes public attitudes towards and reduced intention participate, there is a risk of long-term adverse impact on outcomes. In study, we examined previous participation future intentions take part cervical colorectal (CRC) following first national lockdown UK. Overall, 7543 adults were recruited cross-sectional online survey August-September 2020. Logistic regression...