A5046561489- Medication Adherence and Compliance
- Healthcare professionals’ stress and burnout
- Cancer Cells and Metastasis
- Estrogen and related hormone effects
- Cancer survivorship and care
- Health Literacy and Information Accessibility
- Behavioral Health and Interventions
- Mobile Health and mHealth Applications
- BRCA gene mutations in cancer
- Workplace Health and Well-being
- Antiplatelet Therapy and Cardiovascular Diseases
- Health Systems, Economic Evaluations, Quality of Life
- Musculoskeletal pain and rehabilitation
- Cancer, Stress, Anesthesia, and Immune Response
- Patient-Provider Communication in Healthcare
- Inflammatory mediators and NSAID effects
- Global Cancer Incidence and Screening
- Reproductive Health and Contraception
- Homelessness and Social Issues
- Clinical practice guidelines implementation
- Complementary and Alternative Medicine Studies
- Primary Care and Health Outcomes
- Intimate Partner and Family Violence
- Physical Activity and Health
- Genetic factors in colorectal cancer
University of Leeds
2016-2025
St James's University Hospital
2022
Leeds Teaching Hospitals NHS Trust
2022
National Institute for Health Research
2021
University of Bradford
2016-2019
West of England Academic Health Science Network
2019
University Hospital of North Tees
2009-2019
Royal Victoria Infirmary
2016-2018
Bradford Royal Infirmary
2017
Newcastle University
2017
The aim of this study was to investigate the relationships between depressive symptoms, burnout and perceptions patient safety. A mediation model proposed whereby association symptoms depression safety mediated by burnout.There is growing interest in healthcare staff care. Depressive are higher than general population overlap conceptually with burnout. However, minimal research has investigated these variables nurses. Given conceptual burnout, there also a need for an explanatory outlining...
GPs have particularly high levels of burnout and poor wellbeing. Although both are associated with poorer safety outcomes within secondary care, there been no quantitative studies investigating this primary care. Furthermore, little is known about how occupational demands, wellbeing, patient all associated.To investigate whether variables (demands support) in general practice through their influence on GP wellbeing.Cross-sectional survey the UK between March 2016 August 2017.A total 232...
Women with breast cancer who do not adhere to adjuvant endocrine therapy (AET) have increased risks of mortality and recurrence. There are multiple barriers AET adherence, including medication side-effects, beliefs about medication, memory psychological distress. We developed four intervention components, each targeting a different barrier. This pilot trial is part the preparation phase Multiphase Optimisation Strategy, aims establish key parameters, component availability feasibility...
Abstract Background Adjuvant endocrine therapy (AET) reduces the risk of breast cancer recurrence and mortality. However, up to three-quarters women with do not take AET as prescribed. Existing interventions support adherence have largely been unsuccessful, focused on most salient barriers adherence. This paper describes process developing four theory-based intervention components AET. Our aim is provide an exemplar development using Intervention Mapping (IM) guidance from Multiphase...
Adherence to adjuvant endocrine therapy (AET) in women with breast cancer is poor. Multicomponent intervention packages are needed address adherence barriers. Optimizing these prior definitive evaluation can increase their effectiveness, affordability, scalability, and efficiency. To pilot procedures for an optimization-randomized controlled trial (O-RCT) of the 'Refining Strategies support Endocrine Therapy Adherence' (ROSETA) intervention. This was a multisite individually randomized...
Objectives The aims of the study were (1) to explore whether primary care physicians (general practitioners [GPs]) perceive burnout and well-being impact on quality safety patient (2) determine potential mechanisms behind these associations. Method Five focus groups with 25 practicing GPs conducted in England, either participants’ practice or a private meeting room outside their workplace. An interview schedule prompts was followed questions asking how participants GP poor could delivery....
Sonographers report high levels of burnout. For those working in obstetric ultrasound, one frequently cited stressor is the delivery bad or difficult news. Training news may reduce sonographer stress levels, but no studies have investigated experiences this training.To investigate training and preferences for techniques, to assess whether associated with lower burnout higher wellbeing.A cross-sectional survey measured occupational characteristics, preferences, (on two dimensions exhaustion...
Primary care physicians are particularly prone to high levels of burnout and poor well-being. Despite this, no qualitative studies have specifically investigated the best ways improve well-being prevent in primary physicians. Previous interventions within been person-oriented mainly focused on mindfulness, but there has prior research whether general practitioners (GPs) deem this be approach. To explore strategies that could GP reduce or burnout, based perceptions workplace factors affect...
Adherence to adjuvant endocrine therapy is affected by medication side-effects and associated distress. Previous interventions focused on educating women enhance adherence have proved minimally effective. We co-designed an Acceptance Commitment Therapy (ACT) intervention decision-making quality of life targeting a broader range factors, including side-effect management psychological flexibility. This study aims establish key trial parameters, assess the acceptability extent which it can be...
Background Adjuvant endocrine therapy (AET) reduces breast cancer recurrence and mortality in women with early-stage cancer. Unintentional nonadherence to AET is common (eg, forgetting take medication). Forming habits surrounding medication taking could reduce reliance on memory improve adherence. SMS text messaging interventions may offer a low-cost approach for promoting medication-taking habits. To optimize the likely effectiveness of such messages, content should be developed using...
This study determines the co-expression of mammaglobin-A, vascular endothelial growth factor receptor-3 (VEGFR3) and Ki67 by immunohistochemistry (IHC) in tissue samples from 80 patients undergoing breast surgery (cancer or benign disease). The expression was compared with tumour histopathology Kaplan Meier 5-year survival analysis performed.Positive observed 53% for mammaglobin, 41% 65% VEGFR3 a significant positive correlation between co-expression. correlated grade also oestrogen receptor...
Background In 1995, an unpublished study (S. Hewson & C. Waters) showed that the community links of residents in 11 local National Health Services (NHS) trust houses were meagre, despite service's stated commitment to presence and participation. The 1995 was repeated for same 2002 examine whether any changes had occurred. Method A test–retest design, with measures used, involving, as closely possible, participants at two time points. Community referred spent outside their house, unpaid...
The need to map women's secure hospital services in terms of patient population and service needs over time is acknowledged given: the increase forensic medium beds nationally; limited gender specific analysis previous studies. Data presented relating 65 consecutive admissions (over a 6-year period) unit at three (14-month) periods. Trends noted statistics include decline special referrals an increased proportion prison with index offence arson past two years association lower level...
<ns4:p>Background The Refining and Optimising a behavioural intervention to Support Endocrine Therapy Adherence (ROSETA) programme has developed four components aiming improve medication adherence in women with early-stage breast cancer. These are (a) text messages, (b) information leaflet, (c) Acceptance Commitment Therapy-based guided self-help (ACT), (d) side-effect management website. Guided by the Multiphase Optimisation Strategy, our pilot trial will use fractional factorial design...
Paul Savage and colleagues describe the benefits of introducing a personal training programme designed to motivate women engage in exercise, with aim improving general wellbeing medium-secure forensic unit