A5067958394- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Diabetes Management and Education
- Physical Activity and Health
- Child and Adolescent Health
- Obesity, Physical Activity, Diet
- Shoulder Injury and Treatment
- Maternal Mental Health During Pregnancy and Postpartum
- Infant Development and Preterm Care
- Geriatric Care and Nursing Homes
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Healthcare cost, quality, practices
- Orthopedic Surgery and Rehabilitation
- Childhood Cancer Survivors' Quality of Life
- Global Health Care Issues
- Adolescent and Pediatric Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Children's Physical and Motor Development
- Workplace Health and Well-being
- Cancer survivorship and care
- Cardiovascular Syncope and Autonomic Disorders
- Medical Malpractice and Liability Issues
University of York
2016-2025
York University
2024
NIHR Clinical Research Network
2021
John Wiley & Sons (United Kingdom)
2017
University of Oxford
2004-2016
Primary Health Care
2016
University of Bristol
2016
University of South Wales
2016
University of Nottingham
2016
City of Bradford Metropolitan District Council
2015
<b>Objective:</b> Supporting patients’ self care could have a major effect on the management of long-term conditions, which has led to worldwide interest in effective interventions. In England, support is being developed through “Expert Patients Programme”, provides lay-led generic courses improve skills. However, clinical and cost effectiveness such remains unclear. <b>Methods:</b> Two-arm pragmatic randomised controlled trial design with waiting list control community settings England. 629...
<b>Objective</b> To determine the effectiveness of an intervention to enhance self management support for patients with chronic conditions in UK primary care. <b>Design</b> Pragmatic, two arm, cluster randomised controlled trial. <b>Setting</b> General practices, serving a population northwest England high levels deprivation. <b>Participants</b> 5599 diagnosis diabetes (n=2546), obstructive pulmonary disease (n=1634), and irritable bowel syndrome (n=1419) from 43 practices (19 22 control...
Evidence for the effectiveness of patient education programmes in changing individual self-management behaviour is equivocal. More distal elements personal social relationships and availability capital at community level may be key to mobilisation resources needed long-term condition effective. Aim To determine how networks people with conditions (diabetes heart disease) are associated health-related outcomes changes over time. Methods Patients chronic disease (CHD) or diabetes (n = 300)...
BackgroundManipulation under anaesthesia and arthroscopic capsular release are costly invasive treatments for frozen shoulder, but their effectiveness remains uncertain. We compared these two surgical interventions with early structured physiotherapy plus steroid injection.MethodsIn this multicentre, pragmatic, three-arm, superiority randomised trial, patients referred to secondary care treatment of primary shoulder were recruited from 35 hospital sites in the UK. Participants adults (≥18...
Increasing the effective targeting and promotion of self-care support for long-term conditions requires more a focus on patient contexts networks. The aim this paper is to describe how within programme research implementation, social networks are viewed as being centrally involved in mobilisation deployment resources management chronic condition. This forms basis novel approach understanding, designing, implementing new self-management support.Drawing evidence syntheses about capital role...
Abstract Objectives To evaluate the effectiveness of an intervention, with and without a height adjustable desk, on daily sitting time, to investigate relative two interventions, both interventions physical behaviours physical, biochemical, psychological, work related health performance outcomes. Design Cluster three arm randomised controlled trial follow-up at 12 months. Setting Local government councils in Leicester, Liverpool, Greater Manchester, UK. Participants 78 clusters including 756...
The Expert Patients Programme (EPP) is a central element of chronic disease management policy in the United Kingdom. It aims to deliver self-care support by developing peoples' skills, confidence and motivation take more effective control over their long-term conditions. A large, national randomised controlled trial found that EPP's lay-led skills training was improving self-efficacy energy levels among patients with conditions, likely be cost-effective. Key questions remain as whether...
The tetracyclines are effective antibiotics for the treatment of exacerbations chronic bronchitis and also extensively used long-term acne vulgaris. Their more general use has, however, diminished because an increasing incidence tetracycline resistance among many formerly susceptible bacteria their effects on developing teeth contraindicate in pregnancy childhood. Moreover patients with pyelonephritis may further impair renal function.<sup>1</sup> New special interest if they have any...
Background Implementation of self-management support in traditional primary care settings has proved difficult, encouraging the development alternative models which actively link to community resources. Chronic kidney disease (CKD) is a common condition usually diagnosed presence other co-morbidities. This trial aimed determine effectiveness an intervention provide information and telephone-guided access versus usual for patients with stage 3 CKD. Methods Findings In pragmatic, two-arm,...
To assess the cost effectiveness of Expert Patients Programme (EPP) intervention compared to a treatment as usual alternative.Two-arm pragmatic randomised controlled trial design with waiting list control.Community settings in England.Patients wide range self-defined long-term conditions.The EPP based on US chronic disease self management program (CDSMP), lay-led self-care group involving six weekly sessions teach support skills.Costs estimated over 6-month period from societal perspective....
Patients with long-term conditions are increasingly the focus of quality improvement activities in health services to reduce impact these on life and burden care utilisation. There is significant interest potential for self-management support improve utilisation patient populations, but little consensus concerning optimal model that would best provide such support. We describe implementation evaluation through an evidence-based 'whole systems' involving support, training primary teams,...
About 90 % of patients with intra-thoracic malignancy experience breathlessness. Breathing training is helpful, but it unknown whether repeated sessions are needed. The present study aims to test three better than one for breathlessness in this population. This a multi-centre randomised controlled non-blinded parallel arm trial. Participants were allocated or single (1:2 ratio) using central computer-generated block randomisation by an independent Trials Unit and stratified centre. setting...
Introduction Breathlessness is common and impairs the quality of life people with idiopathic pulmonary fibrosis (IPF) non-IPF fibrotic interstitial lung diseases (ILD). We report findings a multicentre, fast-track (wait-list), mixed-methods, randomised controlled, feasibility study complex breathlessness intervention in breathless IPF ILD patients. Methods Breathless patients were to receive within 1 week (fast-track) or after 8 weeks (wait-list). The comprised two face-to-face one telephone...
T he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced most efficient way