A5068897501- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Patient-Provider Communication in Healthcare
- Primary Care and Health Outcomes
- Smoking Behavior and Cessation
- Cardiac Health and Mental Health
- Medical Malpractice and Liability Issues
- Heart Failure Treatment and Management
- Adolescent and Pediatric Healthcare
- Customer Service Quality and Loyalty
- Family and Disability Support Research
- Noise Effects and Management
- Ethics in Clinical Research
- Risk Perception and Management
- Nutrition and Health in Aging
- Stroke Rehabilitation and Recovery
- Clinical practice guidelines implementation
- Childhood Cancer Survivors' Quality of Life
- Pharmaceutical Economics and Policy
- Cardiovascular Function and Risk Factors
- Cancer survivorship and care
- Meta-analysis and systematic reviews
- Health Policy Implementation Science
- School Health and Nursing Education
- Healthcare Operations and Scheduling Optimization
British Columbia Centre on Substance Use
2023
University of Dundee
2007-2022
Ninewells Hospital
2007-2022
NHS Tayside
2021
George Eliot Hospital
2014-2018
University of Aberdeen
2013
University of St Andrews
2010-2012
Institute for Community Health
2009
Queen Margaret University
1998-2001
University of Kent
1993
A number of single case reports have suggested that the context within which intervention studies take place may challenge assumptions underpin randomised controlled trials (RCTs). However, diverse ways in central tenets RCT, and degree to this information is known researchers or subsequently reported, has received much less attention. In paper, we explore these issues by focusing on seven RCTs interventions varying type complexity, across contexts. This in-depth multiple study using...
Spirituality and health: towards a framework for exploring the relationship between spirituality health Background. A growing body of evidence has found that enhances health. However, is an elusive concept defies clear definition. This inevitably presents difficulties when comparing findings studies. Therefore conceptual clarification essential if practitioners are to better understand Aims. The aim this paper develop framework, which can be used explore Methods. concept‐indicator model was...
Researchers argue that a number of assumptions have been made about the concepts patient satisfaction and dissatisfaction compromised their validity. The aim this study was to explore meaning ‘dissatisfaction’ with health care. Forty‐one people who had experienced problems in care were identified from household survey service users. They interviewed depth using an unstructured schedule. A grounded theory approach used construct framework inductively accounts. results suggest could not...
Aims The aim of the study was to identify actionable learning points from stakeholders in remote decentralised clinical trials (RDCTs) inform their future design and conduct. Methods Semistructured interviews were carried out with a purposive sample stakeholders, including senior managers, trial technology experts, principal investigators, research scientists, nurses, vendors, patient representatives project assistants. interview data coded using thematic approach, identifying similarities,...
Valuing people as individuals: development of an instrument through a survey person‐centredness in secondary care Background. Person‐centred is regarded the optimum way delivering health and defined valuing individuals ( Winefield et al . 1996 ). So how can practitioners find out if their service ‘values individuals’? Serious doubts have been expressed about validity concept patient satisfaction ability instruments to measure patients’ views care. However, qualitative research among who had...
The relevance of biographical disruption and loss self for children young people is unclear, particularly in cases congenital illness such as cystic fibrosis, where no prior period wellness, stability, or perceived normality might exist. We explored the meaning, importance, forms maintenance ideas among 32 with fibrosis. examine ways which normalcy produced, maintained, threatened, discuss implications applicability these traditional sociological concepts. Analysis children’s people’s...
Research shows that children are insufficiently active in most affluent societies. Although with asthma may particularly benefit from physical activity, they less than their peers.To explore the reasons for low activity levels among and to identify strategies improve activity.A qualitative study using in-depth interviews focus groups.Six GP practices, a Paediatric Respiratory Unit, four schools Tayside, Scotland.Purposive sampling identified 30 asthma, parents (n = 38) school staff 28), who...
Purpose. Although chest physiotherapy is central to the management of cystic fibrosis (CF), adherence among children problematic. This study explores accounts by parents and difficulties adhering for fibrosis, identifies strategies used families overcome these.Methods. A qualitative based on in-depth interviews with 32 a diagnosis aged 7 – 17 years, 31 parents.Results. Physiotherapy was frequently described as restrictive, threatening identity boring, giving rise feelings unfairness,...
Understanding dissatisfied users: developing a framework for comprehending criticisms of health care work Recent government proposals have underlined the importance ascertaining users’ views care. Traditionally these been obtained through satisfaction surveys. However, researchers argue that focus attention should now shift to exploring dissatisfaction because it highlights more clearly any problems in lay‐practitioner relationships. Research has shown is complex social construct which...
This article is part of the Focus Theme METHODS Information in Medicine on "Managing Interoperability and Complexity Health Systems".Data sharing integration between clinical research data management system electronic health record remains a challenging issue. To approach issue, there emerging interest utilizing Detailed Clinical Model (DCM) across variety contexts. The Intermountain Healthcare Element Models (CEMs) have been adopted by Office National Coordinator awarded Strategic IT...
Abstract Background Decentralised clinical trials (DCTs) are where all or most trial activities occur in near participants’ homes instead of hospitals research sites. While more convenient for participants, DCTs may offer limited opportunities to build trust with investigators and teams. This qualitative analysis explored DCT stakeholder views inform strategies maximising participant recruitment, retention, adherence. Methods A secondary original interview transcripts focused on engagement:...
Abstract Suicide stories in newspapers have been identified as an important risk factor for individual suicide because they provide real‐life models vulnerable individuals. The link between ‘stories’ and rates, however, is not clearly understood. One problem the lack of detailed analysis how are constructed. Yet this it would enable researchers to comprehend more fully newspaper reports shape structure ‘reality’. It argued that story a way mapping out reality by de‐constructing we can learn...
Abstract Background Whilst almost 50% of heart failure (HF) patients have preserved ejection fraction (HFpEF), evidence-based treatment options for this patient group remain limited. However, there is growing evidence the potential value exercise-based cardiac rehabilitation. This study reports process evaluation Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention HFpEF and their caregivers conducted as part REACH-HFpEF pilot trial. Methods Process sub-study parallels...
Abstract The paper provides a review of the implications recent NHS reforms ‐ i.e. Griffiths Report (1983), Promoting Better Health (1987), Working for Patients (1989) and new GP contract (1990) primary care prevention. Three major themes are identified as leitmotivs running through these reforms: first, introduction general management into NHS; secondly, market principles NHS, and; thirdly, increasing emphasis upon health promotion disease first section offers critical Government's...
Background In trial design, decisions are made about which intervention components/processes to standardise and remain flexible maximise utility and/or effectiveness. The intervention-context-system fit for complex interventions impacts on recruitment, delivery outcomes. Survey vignettes discrete choice experiments quantitative researcher led approaches focus a few measurable attributes. Our aim was explore the of qualitative as methodological tool allowing service users/providers contribute design.