A5007489668- Chronic Obstructive Pulmonary Disease (COPD) Research
- Nursing Diagnosis and Documentation
- Emergency and Acute Care Studies
- Mobile Health and mHealth Applications
- Chronic Disease Management Strategies
- Sports injuries and prevention
- Balance, Gait, and Falls Prevention
- Diabetic Foot Ulcer Assessment and Management
- Respiratory and Cough-Related Research
- Stroke Rehabilitation and Recovery
- Heart Failure Treatment and Management
- Health Promotion and Cardiovascular Prevention
- MicroRNA in disease regulation
- Acute Ischemic Stroke Management
- Family and Patient Care in Intensive Care Units
University Hospital Southampton NHS Foundation Trust
2014-2021
Wessex Institute of Technology
2021
University of Southampton
2011-2021
The University of Melbourne
2020
Austin Health
2020
Peninsula Health
2020
Eastern Health
2016-2020
Monash Health
2016-2020
Monash University
2016-2020
University of Glasgow
2016-2020
Exacerbations of COPD are one the commonest causes admission and readmission to hospital. The role digital interventions support self-management in improving outcomes is uncertain. We conducted an open, randomised controlled trial a health platform application (app) 41 patients recruited following hospital with acute exacerbation. Subjects were either receive usual care, including written plan (n = 21), or myCOPD app 20) for 90 days. primary efficacy outcome was recovery rate symptoms...
Self-management interventions in COPD aim to improve patients' knowledge, skills and confidence make correct decisions, thus improving health status outcomes. myCOPD is a web-based self-management app known inhaler use exercise capacity individuals with more severe COPD. We explored the impact of patients mild–moderate or recently diagnosed through 12-week, open-label, parallel-group, randomised controlled trial compared usual care. The co-primary outcomes were between-group differences mean...
COPD remains largely undiagnosed or is diagnosed late in the course of disease. We report findings a specialist outreach programme to identify primary care. An electronic case-finding algorithm identified 1602 at-risk patients from 12 practices who were invited attend clinic. Three hundred and eighty-three (23.9%) responded 288 enrolled into study. Forty-eight (16.6%) had mild 28 (9.7%) moderate airway obstruction, meeting spirometric diagnostic criteria for COPD. However, at months only 8...
The British Lung Foundation highlighted Southampton City as a hotspot for patients at future risk of chronic obstructive pulmonary disease (COPD) exacerbations due to severe deprivation levels and high undiagnosed level based on health economic modelling. We developed strategy spanning primary secondary care reduce emergency admissions with acute COPD increase the diagnosed prevalence general practitioner (GP) registers closer that predicted from local A comprehensive 3-year audit was...
To monitor the effectiveness of its discharge planning methods, nursing staff Providence Rehabilitation Center in Medford, OR, conducted a study by means postdischarge telephone contact. An interview form was developed for recording client and family perceptions actual impact preparation. The obtained information useful efforts to improve outcomes. It also afforded an opportunity provide reassurance support after discharge.
<h3>Background</h3> Exacerbations of COPD are one the commonest causes admission to hospital in UK. Re-admission is also a significant problem and currently fifth most common cause hospitalisation. Self-management interventions have shown benefits improving health related quality life reducing admissions. We explored potential for an online self-management system improve outcomes patients recently admitted with exacerbation. <h3>Methods</h3> conducted feasibility randomised controlled trial...
Despite high mortality and morbidity, COPD remains under-diagnosed. Case-finding strategies are possible, but patients' perspectives unexplored. Using qualitative methods, we explored the patient perspective of a case-finding intervention among at-risk patients in primary care. Semi-structured telephone interviews were transcribed thematic analysis utilised. Seven without (mean age 64.5 years (58-74), n = 4) 8 with obstructed spirometry 63.5 (53-75), interviewed. Themes identified motives,...
<h3>Introduction</h3> In the UK around 9 00 000 people have a diagnosis of COPD. Despite its high prevalence under-diagnosis is common in primary care with an additional 2 million cases suggested. Opportunities for early and intervention are frequently missed. The best strategy targeted case finding unclear. <h3>Methods</h3> ASSIST study (Rec: 15/5C/598580) used previously trialled, computerised case-finding algorithm,<sup>1</sup> applied remotely into systems finding. It applies weighted...
Paired sputum IL-18 levels at baseline and exacerbation.
AbstractR Jones: Personal fees from AstraZeneca, Boehringer-Ingelheim, Chiesi, Cipla, GSK, Novartis and PfizerA Nicholls: GSK employee, holds sharesD Browning: employeeN Diar Bakerly: Employing organisation provided IT support to automated data collection method for the SLS COPD Asthma trials. NDB received financial attend meeting in form of non-restricting educational grants Novartis, Astra Zeneca BIA Woodcock: Honoraria (GSK, Chiesi Zambon)J Vestbo: BI, consulting/presentingD Leather: shares