A5044446784- Interprofessional Education and Collaboration
- Health Policy Implementation Science
- Dysphagia Assessment and Management
- Nursing Roles and Practices
- Family and Disability Support Research
- Primary Care and Health Outcomes
- Voice and Speech Disorders
- Public Health Policies and Education
- Homelessness and Social Issues
- Global Public Health Policies and Epidemiology
- Viral Infections and Outbreaks Research
- Mental Health and Patient Involvement
- Health Systems, Economic Evaluations, Quality of Life
- Stuttering Research and Treatment
- Chronic Disease Management Strategies
- Health, psychology, and well-being
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- HIV/AIDS Impact and Responses
- Vasculitis and related conditions
- Head and Neck Cancer Studies
- Substance Abuse Treatment and Outcomes
- Counseling, Therapy, and Family Dynamics
- Stroke Rehabilitation and Recovery
- Connexins and lens biology
- Healthcare innovation and challenges
University of Aberdeen
1991-2024
Glasgow Caledonian University
2017-2024
University of Stirling
2013-2021
European Centre for Disease Prevention and Control
2009-2012
Public Health Laboratory
1997
Increasing adolescents' awareness of the contribution modifiable lifestyle factors to cancer risk may influence life-long patterns healthy behaviour. However, little is known about and effectiveness awareness-raising interventions. This study assessed an existing cancer-specific school-based intervention delivered by Teenage Cancer Trust. The Awareness Measure was completed 478 adolescents (male: 250, 52.3%) aged 11–17 years (mean: 13.8, standard deviation: 1.24) in four UK schools; 422...
To assess the clinical effectiveness of two speech and language therapy approaches versus no for dysarthria in people with Parkinson's disease.
Adults with rare autoimmune rheumatic diseases face unique challenges and struggles to navigate health-care systems designed manage common conditions. Evidence inform an optimal service framework for their care is scarce. Using systemic vasculitis as exemplar, we aimed identify explain the key components underpinning effective diseases.
Alcohol Brief Interventions (ABIs) are increasingly being delivered in community-based youth work settings. However, little attention has been paid to how they implemented such settings, or their feasibility and acceptability for practitioners young people. The aim of this qualitative study was explore the context, ABI delivery projects across Scotland.Individual, paired group interviews were conducted with people nine community that either involved ABIs considering doing so near future. A...
Abstract Background Many speech sound disorder (SSD) interventions with a long‐term evidence base are ‘new’ to clinical practice, and the role of services in supporting or constraining capacity for practice change is underexplored. Innovations from implementation science may offer solutions this research–practice gap but have not previously been applied SSD. Aim To explain variation language therapy service implement new SSD interventions. Methods & Procedures We conducted an intensive,...
Background Speech impairments are common with Parkinson’s disease (reported prevalence 68%), increasing conversational demands, reliance on family and social withdrawal. Objective(s) The PD COMM trial compared the clinical cost-effectiveness of two speech language therapy approaches: Lee Silverman Voice Treatment LOUD National Health Service for treatment or voice problems in people to no (control) against each other. Design is a phase III, multicentre, three-arm, unblinded, randomised...
The PD COMM trial is a phase III multi-centre randomised controlled whose aim to evaluate the effectiveness and cost-effectiveness of two approaches speech language therapy (SLT) compared with no SLT intervention (control) for people Parkinson's disease who have self-reported or carer-reported problems their voice. Our protocol describes process evaluation embedded within outcome what happened at time implementation provide findings that will assist in interpretation results. Furthermore,...
Routine neonatal male circumcision as policy excites strong medical opinions both for and against. In the USA over 70% of all males have been circumcised1 while UK’s national survey sexual attitudes lifestyles found in 1990/1 that 21% adult (aged 16–59 years) reported having circumcised.2 The percentage was 13% among those aged 16–24 years but 32% 45–59 indicating British rates declined recently,2 they may also done USA.3 Circumcision are intermediate Canada1 very low Nordic countries.4...
To explore the underlying reasons for recruitment difficulties to stroke rehabilitation randomized controlled trials from perspective of trialists.A qualitative study using semi-structured interviews and Framework analysis.Twenty multidisciplinary trialists across 13 countries with a range clinical research experience.Twenty telephone were carried out. Purposeful sampling ensured opinions gathered international community. Using analysis, analytical framework was formed by three researchers...
Abstract Background Parkinson’s disease (PD) affects approximately 145,519 people in the UK. Speech impairments are common with a reported prevalence of 68%, which increase physical and mental demands during conversation, reliance on family and/or carers, likelihood social withdrawal reducing quality life. In UK, two approaches to Language Therapy (SLT) intervention commonly available: National Health Service (NHS) SLT or Lee Silverman Voice Treatment (LSVT LOUD®). NHS is tailored...
Abstract Background Implementation depends on healthcare professionals being able to make sense of a new intervention in relation their routine practice. Normalisation Process Theory refers this as coherence work. However, specifying what it takes achieve is challenging because variations interventions, practices and the relationship between them. Frameworks for description may offer way forward, they provide broad descriptive categories comparing complex interventions. To date such...
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Abstract Background/Aims Timely access to intravenous immunosuppressant therapy is essential effectively manage systemic vasculitis; however, significant variations in care and outcomes exists across centres. We systematically evaluated treatment for ANCA-associated vasculitis the UK Ireland. Methods This multi-method study included: a survey of 87 Ireland Vasculitis Society sites 11 Scottish Health Boards between Nov 2020 June 2021; interviews with staff patients vasculitis. Survey data was...
The International Health Regulations are the official legal instrument that aims to prevent international spread of infectious diseases whilst not interfering unnecessarily with movements people or goods