- Digital Mental Health Interventions
- Substance Abuse Treatment and Outcomes
- Behavioral Health and Interventions
- Mobile Health and mHealth Applications
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Chronic Disease Management Strategies
- Schizophrenia research and treatment
- Alcohol Consumption and Health Effects
- Workplace Health and Well-being
- Impact of Technology on Adolescents
- Smoking Behavior and Cessation
- Psoriasis: Treatment and Pathogenesis
- Geriatric Care and Nursing Homes
- Autoimmune and Inflammatory Disorders Research
- Innovations in Medical Education
- Surgical Simulation and Training
- Mental Health Treatment and Access
- Homelessness and Social Issues
- Social Media in Health Education
- Spondyloarthritis Studies and Treatments
- Hospital Admissions and Outcomes
- Mental Health Research Topics
University of East Anglia
2018-2025
University of the Witwatersrand
2023
King's College London
2016-2021
Norwich Research Park
2018-2021
Roland Hill (United Kingdom)
2016-2018
The Royal Free Hospital
2010-2018
University College London
2008-2018
UCL Australia
2013
Health care and health services are increasingly being delivered over the Internet.There is a strong argument that interventions online should also be evaluated to maximize trial's external validity.Conducting trial can help reduce research costs improve some aspects of internal validity.To date, there relatively few trials have been conducted entirely online.In this paper we describe major methodological issues arise in (recruitment, randomization, fidelity intervention, retention, data...
Attrition is a noted feature of eHealth interventions and trials. In 2005, Eysenbach published landmark paper calling for "science attrition," suggesting that the 2 forms attrition--nonusage attrition (low adherence to intervention) dropout (poor retention follow-up)--may be related this potential relationship deserved further study.The aim was use data from an online alcohol trial explore Eysenbach's hypothesis, answer 3 research questions: (1) Are related? If so, how, under which...
Background Interventions delivered via the Internet have potential to address problem of hazardous alcohol consumption at minimal incremental cost, with potentially major public health implications. It was hypothesised that providing access a psychologically enhanced website would result in greater reductions drinking and related problems than giving typical simply information on harms alcohol. DYD-RCT Trial registration: ISRCTN 31070347. Methodology/Principal Findings A two-arm randomised...
Designing implementation research can be a complex and daunting task, especially for applied health researchers who have not received specialist training in science. We developed the Implementation Science Research Development (ImpRes) tool supplementary guide to address this challenge provide with systematic approach designing research. A multi-method multi-stage was employed. An international, multidisciplinary expert panel engaged an iterative brainstorming consensus-building process...
Background: Attrition from follow-up is a major methodological challenge in randomized trials. Incentives are known to improve response rates cross-sectional postal and online surveys, yet few studies have investigated whether they can reduce attrition trials, which particularly vulnerable low rates. Objectives: Our objective was determine the impact of incentives on an trial. Methods: Two controlled trials were embedded large trial Web-based intervention alcohol consumption (the Down Your...
The abbreviated Alcohol Use Disorder Identification Test for Consumption (AUDIT-C) is rapidly becoming the alcohol screening tool of choice busy practitioners in clinical settings and by researchers keen to limit assessment burden reactivity. Cut-off scores detecting drinking above recommended limits vary population, setting, country potentially format. This validation study aimed determine AUDIT-C thresholds that indicated risky among a population people seeking help over Internet. data...
Background: Electronic screening and brief intervention (eSBI) is effective in reducing weekly alcohol consumption when delivered by a computer. Mobile phone apps demonstrate promise delivering eSBI; however, few have been designed with an evidence-based user-informed approach. Objective: This study aims to explore from user perspective, preferences for content, appearance, operational features inform the design of mobile app quantity frequency drinking young adults engaged harmful (18-30...
There has been limited study of factors influencing response rates and attrition in online research. Online experiments were nested within the pilot (study 1, n = 3780) main trial 2, 2667) phases an evaluation a Web-based intervention for hazardous drinkers: Down Your Drink randomized controlled (DYD-RCT).The objective was to determine whether differences length relevance questionnaires can impact upon loss follow-up trials.A design used. All participants who consented enter DYD-RCT...
People with severe mental illness (SMI) are more likely to experience physical health conditions than the general population. Little is known about of people SMI using digital interventions (DHIs) support their health. We explored how use DHIs health, acceptability, factors affecting use, and impact on This was a three-stage mixed methods study (1) online survey SMI; (2) interviews subsample participants from Stage 1; (3) stakeholder workshops. Participants were generally satisfied they...
Introduction Mental health problems are the most significant cause of disability and have high annual economic costs; hence, they a priority for government, service providers policymakers. Consisting largely coastal rural communities, populations Norfolk Suffolk, UK, elevated burdens mental problems, areas with levels deprivation an increasing migrant population. However, these communities underserved by research greatest needs not represented or engaged in research. This National Institute...
Abstract Introduction and aims Delivering brief interventions for hazardous harmful drinking on the Internet may broaden availability of services overcome some barriers to accessing help in person. The Down Your Drink ( DYD ) website, an extended intervention, attracted a large number people looking reduce their drinking. aim was explore experiences this e‐help seeking population. Method Semi‐structured interviews were conducted with participants trial – online effectiveness compared...
Abstract Background The public health message around alcohol is complex, with benefits versus harms, the confusing concept of risk and drinking guidance changing over time. This provides a difficult context for screening in primary care, established barriers from practitioner perspective, but less known about patients’ perspective. study explores views on drinking. Methods Eligible participants were recorded as above low levels care. Six practices North London participated. Interviews...
Alcohol misuse in England costs around £7.3 billion (US$12.2 billion) annually from lost productivity and absenteeism. Delivering brief alcohol interventions to employees as part of a health check may be acceptable, particularly with online delivery which can provide privacy for this stigmatised behaviour. Research support approach is limited methodologically weak. The aim was determine the effectiveness screening personalised feedback on consumption, delivered workplace check.This two-group...