- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Health disparities and outcomes
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Global Health Care Issues
- Musculoskeletal pain and rehabilitation
- Dental Radiography and Imaging
- Psychological Well-being and Life Satisfaction
- Obesity, Physical Activity, Diet
- Dermatology and Skin Diseases
- Maternal Mental Health During Pregnancy and Postpartum
- AI in cancer detection
- Rheumatoid Arthritis Research and Therapies
- Geriatric Care and Nursing Homes
- Healthcare cost, quality, practices
- dental development and anomalies
- Allergic Rhinitis and Sensitization
- Diabetes Management and Research
- Clinical practice guidelines implementation
- Diagnosis and Treatment of Venous Diseases
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Healthcare Quality and Management
- Health Services Management and Policy
- Endodontics and Root Canal Treatments
Guy's and St Thomas' NHS Foundation Trust
2021-2023
Guy's Hospital
2020
London Borough Of Lewisham
2010-2019
King's College London
2009-2019
Michigan Medicine
2018
Glasgow Caledonian University
2010
Newcastle University
2005-2010
Newcastle City Council
2008
University of Newcastle Australia
2007
University of Dundee
1996-2003
OBJECTIVE--To assess the validity, reliability, and acceptability of short form 36 (SF 36) health survey questionnaire (a shortened version a battery 149 status questions) as measure patient outcome in broad sample patients suffering from four common clinical conditions. DESIGN--Postal questionnaire, followed up by two reminders at week intervals. SETTING--Clinics training practices north east Scotland. SUBJECTS--Over 1700 aged 16-86 with one conditions--low back pain, menorrhagia, suspected...
The EuroQol (EQ-5D) generic health index comprises a five-part questionnaire and visual analogue self-rating scale. may be used as to calculate 'utility' value or profile. validity, reliability responsiveness of EQ-5D were tested in 233 patients with rheumatoid arthritis stratified by functional class. demonstrated moderate high correlations measures impairment disability measures. Stepwise regression models showed that utility values scores explained best function pain, disability, disease...
Quality of life has been defined as "the extent to which our hopes and ambitions are matched by experience." To improve a patient's quality through medical care would be "narrow the gap between expectations what actually happens." Using above definition conceptual basis, we produced self-administered, Patient-Generated Index (PGI) life. The PGI was completed 359 patients presenting with low back pain. validity measure assessed correlating patients' scores well-validated health profile,...
Summary Aims The influence of socio‐economic status on the prevalence Type 1 and 2 diabetes mellitus, obesity, was explored using routinely collected healthcare data for population Tayside, Scotland. Methods Among 366 849 Tayside residents, 792 5474 patients with diabetes, respectively, were identified from a register. Carstairs Score used as proxy status. This is material deprivation measure derived UK census, postcode four key variables. Odds ratios prevalence, adjusted age, determined...
OBJECTIVE--To develop a valid and reliable outcome measure for patients with varicose veins. DESIGN--Postal questionnaire survey of SETTING--Surgical outpatient departments training general practices in Grampian region. SUBJECTS--373 patients, 287 whom had just been referred to hospital their veins 86 who consulted practitioner this condition and, comparison, random sample 900 members the population. MAIN MEASURES--Content validity, internal consistency, criterion validity. RESULTS--281(76%)...
<h3>Abstract</h3> <b>Objectives:</b> To investigate patterns of self monitoring blood glucose concentration in diabetic patients who use insulin and to determine whether frequency is related glycaemic control. <b>Setting:</b> Diabetes database, Tayside, Scotland. <b>Subjects:</b> Patients resident Tayside 1993-5 were using registered on the database diagnosed with dependent (type 1) or non-insulin 2) diabetes before 1993. <b>Main outcome measures:</b> Number reagent strips dispensed (reagent...
OBJECTIVE: To compare the performance of MOS SF12 health survey (SF12) with SF36 in a sample 233 patients rheumatoid arthritis (RA) stratified by functional class. METHODS: The and physical mental component summary scales (PCS MCS) were compared for test retest reliability [intra-class correlation coefficient (RC) repeatability], construct validity responsiveness [standardized response mean (SRM)] to self-reported change health. RESULTS: Overall, despite its brevity, is comparable only some...
OBJECTIVE--To assess the responsiveness of SF 36 health survey questionnaire to changes in status over time for four common clinical conditions. DESIGN--Postal questionnaires at baseline and after one year9s follow up, with two reminders week intervals if necessary. SETTING--Clinics training general practices Grampian region north east Scotland. PATIENTS--More than 1,700 patients aged 16 86 years conditions: low back pain, menorrhagia, suspected peptic ulcer, varicose veins; a random sample...
The objective was to assess the performance of SF-36 health survey (SF-36) in a sample patients with rheumatoid arthritis (RA) stratified by functional class. eight subscales and two summary scales (the physical mental component scales) were assessed for test retest reliability, construct validity responsiveness self-reported change health. In 233 RA, were: reliable (intra-class correlation coefficients 0.76-0.93); correlated American College Rheumatology (ACR) core disease activity measures...
Objective The author developed and validated a measure of health outcome for patients with low back pain. Results A questionnaire was incorporating the type questions asked when taking clinical history. After testing on sample 568 patients, three were discarded from questionnaire. final found to be reliable valid in sense that patients' scores correlated highly their general profile GP perceptions severity. Healty status pain significantly impaired compared population. Conclusion clinically...
Abstract – Objectives: To validate the Oral Health Impact Profile (OHIP)‐14 in a sample of patients attending general dental practice. Methods: Patients with pathology‐free impacted wisdom teeth were recruited from six practices Tayside, Scotland, and followed for year to assess development problems related impaction. The OHIP‐14 was completed at baseline 1‐year follow‐up, analysed using three different scoring methods: summary score, weighted standardized score total number reported....
OBJECTIVES: To assess the reliability, validity, and responsiveness of a new quality life measure, patient generated index (PGI) life, in patients with four common clinical conditions. DESIGN: Prospective one year follow up study. SETTING: Outpatient departments general practices Grampian, Scotland. SUBJECTS: 1746 consulting practitioner practices, or referred to outpatients from all Grampian over month period, low back pain, menorrhagia, suspected peptic ulcer, varicose veins. MAIN OUTCOME...
OBJECTIVE--To assess the reliability of SF 36 health survey questionnaire in two patient populations. DESIGN--Postal followed up, if necessary, by reminders at week intervals. Retest questionnaires were administered postally weeks first study and one second study. SETTING--Outpatient clinics four training general practices Grampian region north east Scotland (study 1); a gastroenterology outpatient clinic Aberdeen Royal Hospitals Trust 2). PATIENTS--1787 patients presenting with conditions:...
Background: The extent of postnatal morbidity has become increasingly apparent over the last 15 years, but currently no tool is available that measures quality life. This pilot study introduces a subjective tool, Mother‐Generated Index, which assesses woman's life and identifies those aspects are most concern to her. Methods: Index was administered by structured interview 60 participants at 6 8 weeks 43 months postpartum. Validation sought through concurrent use Edinburgh Postnatal...