- Dialysis and Renal Disease Management
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Bone fractures and treatments
- COVID-19 and healthcare impacts
- Body Composition Measurement Techniques
- Medical Malpractice and Liability Issues
- Orthopedic Surgery and Rehabilitation
- Diabetes Management and Research
- COVID-19 and Mental Health
- Nutrition and Health in Aging
- Clinical Nutrition and Gastroenterology
- Health and Lifestyle Studies
- Healthcare Systems and Reforms
- Trauma Management and Diagnosis
- Acute Kidney Injury Research
- Health Literacy and Information Accessibility
- Blood Pressure and Hypertension Studies
- Digital Mental Health Interventions
- Healthcare professionals’ stress and burnout
- Telemedicine and Telehealth Implementation
- Mobile Health and mHealth Applications
- Psychosomatic Disorders and Their Treatments
- Muscle and Compartmental Disorders
- Shoulder and Clavicle Injuries
University of Leicester
2019-2021
University Hospitals of Leicester NHS Trust
2019-2021
Leicester General Hospital
2020
National Health Service
2020
Background and objectives Despite the increasing prioritization of promotion patient activation in nephrology, its applicability to people with CKD is not well established. Before Patient Activation Measure universally adopted for use CKD, it important critically evaluate this measure. The aim study was describe psychometric properties CKD. Design, setting, participants, & measurements A survey containing 13-item completed by 942 patients treated dialysis. Data quality assessed mean,...
Abstract Background Patient activation describes the knowledge, skills and confidence in managing one's own health. Promoting patient is being prioritized to reduce costs adverse outcomes such as cardiovascular disease (CVD). The increasing prevalence of chronic kidney (CKD) presents a need understand characteristics that influence effect on health outcomes. Design Cross‐sectional study. Setting participants Patients with non‐dialysis CKD recruited from 14 sites (general nephrology primary...
Background Scaphoid fractures account for 90% of carpal and occur predominantly in young men. Immediate surgical fixation this fracture has increased. Objective To compare the clinical effectiveness cost-effectiveness with cast treatment early adults scaphoid waist that fail to unite. Design Multicentre, pragmatic, open-label, parallel two-arm randomised controlled trial an economic evaluation a nested qualitative study. Setting Orthopaedic departments 31 hospitals England Wales recruited...
Objective During COVID-19, access to trustworthy news and information is vital help people understand the crisis. The consumption of COVID-19-related likely an important factor associated with increased anxiety psychological distress that has been observed. We aimed how living a kidney condition about COVID-19 this impacts their anxiety, stress depression.
The majority of patients with chronic kidney disease (CKD) are physically inactive. Simple yet accurate assessment physical activity is important in identifying those need intervention. 'General Practice Physical Activity Questionnaire' (GPPAQ) a well-used clinical and research tool, but has not been validated.Forty individuals CKD (age 62.5 (SD: 11.1) years, estimated glomerular filtration rate (eGFR) 33.2 (SD:19.1) ml/min/1.73 m2) completed the GPPAQ objective was measured using GENEActiv...
Those living with kidney disease (KD) report extensive symptom burden. However, research into how symptoms change across stages is limited. The aims of this study were to 1) describe burden trajectory, and 2) explore whether unique KD when compared a non-KD population.Participants aged > 18 years known diagnosis (including haemodialysis (HD) peritoneal dialysis (PD)) transplant) completed the Leicester Kidney Symptom Questionnaire (KSQ). A group was recruited as comparative group....
In light of the rapid changes in healthcare delivery due to COVID-19, this study explored kidney professionals' (HCPs) perspectives on impact these care quality and staff well-being. Fifty-nine HCPs from eight NHS Trusts across England completed an online survey took part complementary semi-structured interviews between August 2020 January 2021. Free-text responses were analysed using inductive thematic analysis. Themes described adaptations, concerns about quality, benefits innovations,...
Abstract Background and Aims Patients with non-dialysis chronic kidney disease (CKD patients) require specialised management, including routine clinical visits, laboratory measures, medication adjustments. Inevitably, the COVID-19 pandemic has resulted in changes to delivery of care a bid prevent virus transmission this clinically vulnerable group. The extent impact any support provision for patients is largely unknown. study aimed capture views CKD patients, family or other significant...
Abstract Background and Aims Co-morbidity is high in CKD patients associated with greater mortality disease burden. Increased burden from other health conditions, as well CKD, may impact the successful self-management of a patient’s health. A perceived ability to self-manage their condition can be assessed through concept ‘Patient Activation (PA)’ which encompasses knowledge, skills, confidence undertake tasks. Low PA poor self-reported health, renal impairment, increased hospitalisation...
Abstract Background and Aims Individuals living with CKD are characterised by adverse changes in physical function. Knowledge of the factors that mediate impairments functioning is crucial for developing effective interventions preserve mobility future independence. Mechanical muscle power describes rate performing work product muscular force velocity contraction. Muscle has been shown to have stronger associations functional limitations mortality than sarcopenia older adults. In CKD, role...