- Vaccine Coverage and Hesitancy
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Migration, Health and Trauma
- Grief, Bereavement, and Mental Health
- Cytomegalovirus and herpesvirus research
- Intergenerational Family Dynamics and Caregiving
- COVID-19 epidemiological studies
- Global Health Workforce Issues
- COVID-19 and Mental Health
- Misinformation and Its Impacts
- Herpesvirus Infections and Treatments
- Aging and Gerontology Research
- Patient Dignity and Privacy
- COVID-19 and healthcare impacts
- Employment and Welfare Studies
- Aging, Elder Care, and Social Issues
- Risk Perception and Management
- Enhanced Recovery After Surgery
- Influenza Virus Research Studies
- Disaster Response and Management
- Viral Infections and Outbreaks Research
- Parvovirus B19 Infection Studies
- Psychology of Moral and Emotional Judgment
- Anesthesia and Pain Management
Kingston University
2015-2024
Kingston University
2016-2024
St George's, University of London
2022-2023
Brunel University of London
2022
The London College
2022
NIHR Southampton Biomedical Research Centre
2019
University Hospital Southampton NHS Foundation Trust
2018-2019
King's College London
2017
University of Surrey
2002-2013
Transport Research Laboratory (United Kingdom)
2011
Abstract Background Enhanced recovery programmes (ERPs) have been shown to reduce length of hospital stay (LOS) and complications in colorectal surgery. Whether ERPs the same benefits open liver resection surgery is unclear, randomized clinical trials are lacking. Methods Consecutive patients scheduled for were an ERP group or standard care. Primary endpoints time until medically fit discharge (MFD) LOS. Secondary postoperative morbidity, pain scores, readmission rate, mortality, quality...
Migrants have been disproportionately impacted by COVID-19 and emerging evidence suggests they may face barriers to vaccination. Participatory approaches engagement strategies are urgently needed strengthen uptake, alongside innovative delivery mechanisms sharing of best practice, ensure migrants better consider within countries’ existing vaccine priority structures.
Introduction: Uptake rates of antenatal vaccination remain suboptimal. Our aims were to determine (1) the acceptability routine among pregnant women, (2) confidence maternity healthcare professionals (HCPs) discussing and (3) HCP opinion regarding optimum site for vaccine administration. Methods: Separate questionnaires women HCPs distributed within 4 national health service (NHS) trusts in South England (July 2017 January 2018). Results: Responses from 314 204 (18% obstetricians, 75%...
Objectives The cultural beliefs, practices and experiences of ethnic minority groups, alongside structural inequalities the political economy play a critical, but overlooked role in health promotion. This study aimed to understand how groups United Kingdom conceptualised COVID-19 this influenced engagement testing. Method Black (African Caribbean) South Asian (Indian, Pakistani Bangladeshi) community members were purposefully recruited from across UK. Fifty-seven semi-structured interviews...
The COVID-19 pandemic has highlighted how ethnic minority groups are disproportionally affected by health crises and the potential for community engagement to provide equitable public information services. Policymakers, practitioners, academics have presented as a way improve access uptake of services, including vaccination, but role members promotion is rarely questioned. We examine 'community vaccine champions', who been acting advocates, promoting among vaccination in different...
Introduction: Respiratory syncytial virus (RSV) is a common cause of infant hospitalization and mortality. With multiple vaccines in development, we aimed to determine: (1) the awareness RSV among pregnant women healthcare professionals (HCPs), (2) attitudes toward clinical trials routine implementation antenatal vaccination. Methods: Separate questionnaires for HCPs were distributed within 4 hospitals South England (July 2017–January 2018). Results: Responses from 314 204 (18%...
Introduction Migrants positively contribute to host societies yet experience barriers health and vaccination services systems are considered be an underimmunised group in many European countries. The COVID-19 pandemic has highlighted stark inequities vaccine uptake, with migrants facing access informational lower confidence. A key challenge, therefore, is developing tailored interventions, which account for respond the unique drivers of uptake different migrant populations. Participatory...
Introduction: Ensuring all members of society can equally participate in research and the provision services is a challenging goal. Increased migration has been mirrored by media narratives social threat, leaving many migrants feeling differentiated distrustful mainstream society.Objectives: We explore how migrant ethnic minority populations be given opportunity to process. In this work, we iteratively jointly developed range engagement strategies that adopt an 'insider' approach; seeking...
Abstract Introduction Disparities in the uptake of routine and COVID‐19 vaccinations have been observed migrant populations, attributed to issues mistrust, access low vaccine confidence. Participatory research approaches behaviour change theory hold potential for developing tailored vaccination interventions that address these complex barriers partnership with communities should be explored further. Methods This study used a theory‐informed, community‐based participatory approach co‐design...
Abstract Background Congenital cytomegalovirus (CMV) is the most common congenital infection globally, however information about CMV not routinely included in antenatal education United Kingdom. This feasibility study aimed to gather essential data needed design and power a large randomised controlled trial (RCT) investigate efficacy of digital intervention reducing risk acquisition pregnancy. In order do this, we carried out single-centre RCT, which explored knowledge, attitudes reduction...
Online media may influence women's decision to undergo vaccination during pregnancy. The aims of this mixed-methods study were to: (1) examine the portrayal maternal in online and (2) establish perceived target vaccine protection as viewed by pregnant women maternity healthcare professionals (HCPs). articles on (published July-December 2012 or November 2015-April 2016) identified through London School Hygiene & Tropical Medicine's Vaccine Confidence Database thematically analysed....
ABSTRACT Professional boundaries may help care staff to clarify their role, manage risk and safeguard vulnerable clients. Yet there is a scarcity of evidence on how professional are negotiated in non-clinical environment ( e.g. the home) by home-care workforce context complex needs dementia, end-of-life care). Through analysis semi-structured interviews, we investigated experiences workers (N = 30) managers 13) working for range services South-East London regions England 2016–17. Findings...
The aim of the current exploratory study was to investigate impact on care home staff when working with people dementia at end life and explore how they cope this aspect their work. With UK policy encouraging death in place residence, rather than hospital, more are dying homes.A qualitative approach employed; 20 five English homes were interviewed. Thematic Analysis used analyse data.Care found external demands them difficulties associated interacting sometimes challenging, stressful...
Abstract Background The World Health Organization declared the rapid spread of COVID-19 around world to be a global public health emergency. disease is influenced by people’s willingness adopt preventative behaviours, such as participation in testing programmes, and risk perception can an important determinant engagement behaviours. Methods In this study, we present first assessment during wave pandemic early stages UK lockdown April & May 2020 how ( N = 778) perceived usefulness for...
Abstract Objectives Conspiracy theories are associated with significant COVID‐19 health consequences including lower engagement protective behaviours. This study uses sensemaking theory, a process of constructing meanings through interpersonal exchanges that enable people to interpret their world explain the theoretical underlying development conspiratorial beliefs around within Black African and Caribbean communities in UK. Design Qualitative, in‐depth interviews were used. Methods...