A5041477854- Geriatric Care and Nursing Homes
- Mental Health and Patient Involvement
- Stroke Rehabilitation and Recovery
- Climate Change and Health Impacts
- Palliative Care and End-of-Life Issues
- Autism Spectrum Disorder Research
- Health disparities and outcomes
- Family and Disability Support Research
- Healthcare Systems and Technology
- Grief, Bereavement, and Mental Health
- Acute Ischemic Stroke Management
- Health, psychology, and well-being
- Primary Care and Health Outcomes
- Clinical practice guidelines implementation
- Assistive Technology in Communication and Mobility
- Global Health Care Issues
- Chronic Disease Management Strategies
- Health Policy Implementation Science
- Interprofessional Education and Collaboration
- Healthcare cost, quality, practices
- Healthcare Systems and Practices
- Opioid Use Disorder Treatment
- Healthcare innovation and challenges
- Child Abuse and Trauma
- Older Adults Driving Studies
University of Kent
2018-2024
Canterbury Christ Church University
2016
University College London
2008-2009
BackgroundMost projections of climate change suggest an increased frequency heatwaves in England over coming decades; older people are at particular risk. This could result substantial mortality and morbidity.
To explore the experiences of individuals who have had a severe traumatic brain injury (TBI) and their carers in first month post-discharge from in-patient rehabilitation into living community.Using qualitative approach underpinned by critical realism, we explored narratives 10 patients nine using semi-structured interviews approximately one post-discharge. Thematic analysis was carried out independently two researchers.Firstly, perceptions support were mixed but many felt unsupported...
BackgroundThe increasing risk of heatwaves in England poses a particular threat to the health elderly people. A National Heatwave Plan has been produced ensure that adaptation plans are established. The objective was explore perceptions frontline statutory and voluntary sector staff on feasibility implementing for people community.
Background Many people prefer to die at home when the time comes. Hospice services aim support patients achieve this. A range of hospice exist; some have been evaluated, but there has limited evidence synthesis. Objectives The main objective was find out what models work best, for whom and in circumstances. Other objectives supported this aim, including an analysis health economic costs models. Design study overarching, non-interventional, realist evaluation comprising three phases. Phase 1...
Stroke is the UK's fourth highest cause of death and an estimated 300,000 people in England are living with related disability. This paper explores six-month review (6MR), a policy initiative that aimed to ameliorate unmet need. A multiple case study approach underpinned by critical realism was used elicit views patients, carers, providers commissioners across three sites using interviews, observations documentation. Forty-six patients (age range 28–91 years), 30 carers 28 professionals were...
Abstract Background: Changes to the general practice (GP) contract in England (April 2019) introduced a new quality improvement (QI) domain. The clinical microsystems programme is an approach QI with limited evidence primary care. Aim: To explore experiences of GP staff participating programme. Design and setting: GPs within one commissioning group (CCG) South East England. Normalisation process theory informed qualitative approach. Method: Review all CCG projects using pre-existing data....
Introduction The National Health Service (NHS) Long-Term Plan (2019) acknowledges that children and young people with suspected autism wait too long for diagnostic assessment sets out to reduce waiting times. However, pathways vary limited evidence on what model works best, whom in circumstances. Autism Children (2003) recommended should be completed within 13 weeks but referral diagnosis can take as 799 days. This Rapid Realist Review (RRR) is the first work package a national programme of...
Purpose The Covid-19 pandemic saw a dramatic rise in the number of people volunteering to support older shielding at home. This study aimed determine processes by which volunteers were rapidly engaged their communities and impact on who supported health social care services. Design/methodology/approach took place South East England between May–August 2020. Semi-structured interviews conducted with 88 participants including practitioners (n = 12), leaders voluntary, community enterprise...
Research findings are consistent in showing a strong, specific and coherent association between childhood sexual abuse (CSA) long-term psychiatric problems. Occupational therapists working mental health services must therefore have contact with survivors of abuse, yet the literature reveals paucity research on their role. Semi-structured interviews were conducted nine occupational to explore knowledge practice concerning this issue. All respondents considered that awareness CSA was pertinent...
Hospice-at-home aims to enable patients approaching end-of-life die at home and support their carers. A wide range of different service models exists but synthesised evidence on how best family carers provide sustainable care is limited.To explore what works promote carers' experiences hospice-at-home.Realist evaluation with mixed methods. This paper focuses qualitative interviews (to gain perspective as proxy for patients) providers from 12 case study sites in England. Interviews were coded...