A5065364337- Telemedicine and Telehealth Implementation
- Infant Development and Preterm Care
- Neonatal Respiratory Health Research
- Health Systems, Economic Evaluations, Quality of Life
- Family and Disability Support Research
- Child Nutrition and Feeding Issues
- Patient Satisfaction in Healthcare
- Child and Adolescent Health
- Mental Health and Patient Involvement
- Diabetes Management and Education
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare innovation and challenges
- Congenital Diaphragmatic Hernia Studies
- Mobile Health and mHealth Applications
- Language Development and Disorders
- Health Policy Implementation Science
- Obesity, Physical Activity, Diet
- Urinary Bladder and Prostate Research
- Pelvic floor disorders treatments
- Retinal Diseases and Treatments
- Cardiac Health and Mental Health
- Health, psychology, and well-being
- Maternal Mental Health During Pregnancy and Postpartum
- Delphi Technique in Research
City, University of London
2014-2024
King Edward Memorial Hospital
2023
University of London
2017-2018
Royal Brisbane and Women's Hospital
1982-2016
RMIT University
2013-2015
Universities UK
2012
King's College London
2011
UCL Australia
2009
Cancer Research UK
2003
University College London
2001-2003
It is increasingly acknowledged that 'acceptability' should be considered when designing, evaluating and implementing healthcare interventions. However, the published literature offers little guidance on how to define or assess acceptability. The purpose of this study was develop a multi-construct theoretical framework acceptability interventions can applied prospective (i.e. anticipated) retrospective experienced) from perspective intervention delivers recipients. Two methods were used...
<b>Objective</b> To assess the effect of home based telehealth interventions on use secondary healthcare and mortality. <b>Design</b> Pragmatic, multisite, cluster randomised trial comparing with usual care, using data from routine administrative datasets. General practice was unit randomisation. We allocated practices a minimisation algorithm, did analyses by intention to treat. <b>Setting </b>179 general in three areas England. <b>Participants </b>3230 people diabetes, chronic obstructive...
Telehealth (TH) and telecare (TC) interventions are increasingly valued for supporting self-care in ageing populations; however, evaluation studies often report high rates of non-participation that not well understood. This paper reports from a qualitative study nested within large randomised controlled trial the UK: Whole System Demonstrator (WSD) project. It explores barriers to participation adoption TH TC perspective people who declined participate or withdrew trial. Qualitative...
<b>Objective</b> To examine the costs and cost effectiveness of telehealth in addition to standard support treatment, compared with treatment. <b>Design</b> Economic evaluation nested a pragmatic, cluster randomised controlled trial. <b>Setting</b> Community based intervention three local authority areas England. <b>Participants</b> 3230 people long term condition (heart failure, chronic obstructive pulmonary disease, or diabetes) were recruited into Whole Systems Demonstrator trial between...
<b>Objective</b> To assess the effect of second generation, home based telehealth on health related quality life, anxiety, and depressive symptoms over 12 months in patients with long term conditions. <b>Design</b> A study patient reported outcomes (the Whole Systems Demonstrator questionnaire study; baseline n=1573) was nested a pragmatic, cluster randomised trial trial, n=3230). General practice unit randomisation, compared usual care. Data were collected at baseline, four (short term),...
The theoretical framework of acceptability (TFA) was developed in response to recommendations that should be assessed the design, evaluation and implementation phases healthcare interventions. TFA consists seven component constructs (affective attitude, burden, ethicality, intervention coherence, opportunity costs, perceived effectiveness, self-efficacy) can help identify characteristics interventions may improved. aim this study develop a generic questionnaire adapted assess any...
Baseline data from the Health and Behavior in Teenagers Study (HABITS) were used to investigate associations between stress dietary practices a socioeconomically ethnically diverse sample of 4,320 schoolchildren (mean age = 11.83 years). Male (n 2,578) female 1,742) pupils completed questionnaire measures 4 aspects practice (fatty food intake, fruit vegetable snacking, breakfast consumption) also provided demographic anthropometric data. Multivariate analyses revealed that greater was...
Introduction Telehealth (TH) is a potential solution to the increased incidence of chronic illness in an ageing population. The extent which older people and users with conditions accept adhere using assistive technologies barrier mainstreaming service. This study reports development validation Whole Systems Demonstrator (WSD) Service User Technology Acceptability Questionnaire (SUTAQ). Methods Questionnaires measuring acceptability TH, quality life, well-being psychological processes were...
Abstract Background It is expected that increased demands on services will result from expanding numbers of older people with long-term conditions and social care needs. There significant interest in the potential for technology to reduce utilisation health these patient populations, including telecare (the remote, automatic passive monitoring changes an individual's condition or lifestyle) telehealth remote exchange data between a professional). The improve costs limited by lack rigorous...
to assess the impact of telecare on use social and health care. Part evaluation Whole Systems Demonstrator trial.
Involving mental health service users in planning and reviewing their care can help personalised focused on recovery, with the aim of developing goals specific to individual designed maximise achievements social integration. We aimed ascertain views users, carers staff acute inpatient wards factors that facilitated or acted as barriers collaborative, recovery-focused care. A cross-national comparative mixed-methods study involving 19 six provider sites England Wales. This included a survey...
Evaluating hand wash products in terms of user acceptability and effectiveness against methicillin-resistant Staphylococcus aureus (MRSA) has been part a long-term strategy to eliminate endemic MRSA from the neonatal intensive care unit at Royal Women's Hospital (Brisbane). Following introduction new disinfectant (triclosan 1% wt/vol), cases colonization were monitored for 12 months. In addition, use antibiotics, incidence multi-resistant Gram-negative cultures infections noted. No changes...
In the UK, concerns about safety and fragmented community mental health care led to development of programme approach in England treatment planning Wales. These systems require service users have a coordinator, written plan regular reviews their care. Processes are required be collaborative, recovery-focused personalised but rarely been researched. We aimed obtain views experiences stakeholders involved identify factors that facilitate or act as barriers personalised, conducted...
Background: home-based telecare (TC) is utilised to manage risks of independent living and provide prompt emergency responses. This study examined the effect TC on health-related quality life (HRQoL), anxiety depressive symptoms over 12 months in patients receiving social care. Design: a participant-reported outcomes [the Whole Systems Demonstrator (WSD) Telecare Questionnaire Study; baseline n = 1,189] was nested pragmatic cluster-randomised trial (the WSD trial), held across three English...
Purpose of the study: to examine costs and cost-effectiveness 'second-generation' telecare, in addition standard support care that could include 'first-generation' forms compared with telecare.
Despite some concerns that the introduction of telehealth (TH) may lead to reductions in quality life (QoL), lower mood and increased anxiety response using assistive technologies reduce health care utilisation manage long term conditions, this research focuses on extent which providing people with tools monitor their condition can improve QoL.The Chronic Obstructive Pulmonary Disease (COPD) cohort Whole Systems Demonstrator Trial is a pragmatic General Practitioner (GP) clustered randomised...
ABSTRACT Aim To explore barriers and enablers of recognition response to signs patient deterioration by nursing staff in an acute hospital. Design A theory‐driven interview study underpinned the Theoretical Domains Framework behaviour change. Methods Between 07/01/2019 18/12/2019 a purposive sample registered nurses healthcare assistants was recruited participate semi‐structured (audio‐recorded) interview, determinants seven specified behaviours afferent limb. Anonymised transcripts were...
The generalizability of findings Randomised Controlled Trials (RCTs) is undermined by low or biased recruitment. Reasons for participant refusal are infrequently reported in published literature.To apply the Theoretical Framework Acceptability (TFA) to: (1) explore patient-reported reasons declining to participate a RCT comparing new service model (patient-initiated appointments) with standard care (appointments scheduled clinician) managing blepharospasm and hemifacial spasm; (2)...
Nominal group technique methods involve the use of structured activities within groups comprised purposefully selected stakeholders (nominal groups), with broad aim achieving a level consensus and prioritising information. In this paper, we will report how facilitated nominal groups, using Microsoft Teams, to prioritise content for theory-based behaviour change intervention improve responses clinically deteriorating patients. Our incorporated development piloting research materials,...