A5066284297- Chronic Disease Management Strategies
- Diabetes Management and Education
- Criminal Justice and Corrections Analysis
- Schizophrenia research and treatment
- Homelessness and Social Issues
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Healthcare Decision-Making and Restraints
- Family Caregiving in Mental Illness
- Intergenerational Family Dynamics and Caregiving
- Healthcare Systems and Reforms
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Geriatric Care and Nursing Homes
- Cardiac Health and Mental Health
- Creativity in Education and Neuroscience
- Patient Dignity and Privacy
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Migration, Health and Trauma
- HIV, Drug Use, Sexual Risk
- Medical Malpractice and Liability Issues
- Liver Disease Diagnosis and Treatment
- Ethics in Clinical Research
- Family Support in Illness
Manchester Metropolitan University
2022-2025
University of Leeds
2021-2024
University of York
2018-2021
York University
2021
University of Salford
2016
In recent years there has been a growing interest in person-centred, ‘living well’ approaches to dementia, often taking the form of important efforts engage people with dementia range creative, arts-based interventions such as dance, drama, music, art and poetry. Such practices have advanced socially inclusive activities that help affirm personhood redress biomedical focus on loss deficit. However, emphasizing more traditional forms creativity associated arts, mundane emerge everyday life...
People with severe mental illness (SMI), such as schizophrenia, have higher rates of physical long-term conditions (LTCs), poorer health outcomes, and shorter life expectancy compared the general population. Previous research exploring SMI diabetes highlights that people experience barriers to self-management, a key component care in conditions; however, this has not been investigated context other LTCs. The aim study was explore lived co-existing LTCs for service users, carers, healthcare...
Abstract Aims Diabetes is two to three times more prevalent in people with severe mental illness, yet little known about the challenges of managing both conditions from perspectives living co‐morbidity, their family members or healthcare staff. Our aim was understand these and explore circumstances that influence access receipt diabetes care for illness. Methods Framework analysis qualitative semi‐structured interviews illness diabetes, members, staff UK primary care, health services,...
Background Multiple long-term conditions (MLTCs; commonly referred to as multimorbidity) are highly prevalent among people admitted hospital and therefore of critical importance hospital-based healthcare systems. To date, most research on MLTCs has been conducted in primary care or the general population with comparatively little work undertaken setting. Purpose describe rationale content ADMISSION: a four-year UK Research Innovation National Institute Health Care funded interdisciplinary...
Background People with severe mental illnesses (SMIs) have reduced life expectancy compared the general population. Diabetes is a contributor to this disparity, higher prevalence and poorer outcomes in people SMI. Aim To determine impact of SMI on healthcare processes for type 2 diabetes (T2DM). Design setting Retrospective, observational, matched, nested, case–control study conducted England using patient records from Clinical Practice Research Datalink, linked Hospital Episode Statistics....
There is growing awareness that patient care suffers when nurses are not respected. Therefore, to improve outcomes for patients, it crucial operate in a moral work environment involves both recognition respect, form of respect ought be accorded every single person, and appraisal the relative contingent value modulated by relationships healthcare professionals determined context. Research question/aim: The purpose this study was develop better understandings perceptions nursing's professional...
Background Approximately 60 000 people in England have coexisting type 2 diabetes mellitus (T2DM) and severe mental illness (SMI). They are more likely to poorer health outcomes require complex care pathways compared with those T2DM alone. Despite increasing prevalence, little is known about the healthcare resource use costs for both conditions. Aims To assess impact of SMI on service adults T2DM, explore predictors lifetime Method This was a matched-cohort study using data from Clinical...
Background Primary care for routine healthcare conditions is delivered to thousands of people in the English prison estate every day but environment presents unique challenges provision high-quality health care. Little research has focused on organisational factors that affect quality and access Aim To understand key influences primary prisons. Design setting This was a qualitative interview study across North England from 2019 2021. Method Interviews were undertaken with 43 participants: 21...
Background People with severe mental illness experience poorer health outcomes than the general population. Diabetes contributes significantly to this gap. Objectives The objectives were identify determinants of diabetes and explore variation in for people illness. Design Under a social inequalities framework, concurrent mixed-methods design combined analysis linked primary care records qualitative interviews. Setting quantitative study was carried out practices England (2000–16). community...
Background The average life expectancy for people with a severe mental illness (SMI) such as schizophrenia or bipolar disorder is 15 to 20 years less than that the population whole. Diabetes contributes significantly this inequality, being 2 3 times more prevalent in SMI. Various risk factors have been implicated, including side effects of antipsychotic medication and unhealthy lifestyles, which often occur context socioeconomic disadvantage health care inequality. However, little known...
Communication skills training can be a valuable means of supporting professional and family carers people with dementia. Most communication programmes for those caring dementia focus on awareness the technical aspects communication, such as pace volume carer's speech. However, it is also important to examine what conveyed about internal experience in their non-verbal interactions living This article explores how drawings used help reflect communicated question any hidden assumptions. It...
People with severe mental illness (SMI) experience higher rates and poorer outcomes of physical long-term conditions (LTCs). The management SMI LTCs is highly complex many people rely on informal carers for support, which may lead to high levels caregiver burden, burnout. Caregiver burnout can result in poor health a reduction the quality care they are able provide. Therefore, it important understand caring identify address factors that contribute burden
People in prison are generally poorer health than their peers the community, often living with chronic illness and multimorbidity. Healthcare research prisons has largely focused on specific problems, such as substance use; less attention been paid to conditions routinely managed primary care, diabetes or hypertension. It is important understand how care currently delivered United Kingdom it can be improved, order reduce inequalities.
Aims To systematically review and synthesise qualitative evidence about determinants of self-management in adults with SMI. The goal is to use findings from this inform the design effective strategies for people SMI LTCs. Background People living serious mental illness (SMI) have a reduced life expectancy by around 15–20 years, mainly due high prevalence long-term physical conditions such as diabetes heart disease. face many challenges when trying manage their health. Little known – managing...
Background: Prisoners have significant health needs, are relatively high users of healthcare and often die prematurely. Strong primary care systems associated with better population outcomes. We investigated the quality delivered to prisoners.Methods: assessed achievement against 30 indicators spanning different domains in 13 prisons North England. conducted repeated cross-sectional analyses routinely recorded data from electronic records over 2017-20. Multi-level mixed effects logistic...