A5017738688- Health Systems, Economic Evaluations, Quality of Life
- Hip and Femur Fractures
- Physical Activity and Health
- Assisted Reproductive Technology and Twin Pregnancy
- Global Health Care Issues
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare Policy and Management
- Child and Adolescent Health
- Health disparities and outcomes
- Reproductive Health and Contraception
- Cardiac, Anesthesia and Surgical Outcomes
- Chronic Disease Management Strategies
- Children's Physical and Motor Development
- Obesity, Physical Activity, Diet
- Maternal Mental Health During Pregnancy and Postpartum
- Maternal and Perinatal Health Interventions
- Dialysis and Renal Disease Management
- Primary Care and Health Outcomes
- Healthcare cost, quality, practices
- Family and Disability Support Research
- Adolescent Sexual and Reproductive Health
- Emergency and Acute Care Studies
- Child Abuse and Trauma
- Bullying, Victimization, and Aggression
- Early Childhood Education and Development
Citizens Advice
2024
Evidence (Italy)
2024
Welsh Government
2022-2024
Bangor University
2014-2023
RMIT University
2019
University of Southampton
2016
National Institute for Health Research
2016
University of Liverpool
2016
University of Nottingham
2016
NIHR Surgical Reconstruction and Microbiology Research Centre
2016
Abstract Background There is a lack of international consensus regarding the prescription high-intensity interval training (HIIT) for people with coronary artery disease (CAD) attending cardiac rehabilitation (CR). Aims To assess clinical effectiveness and safety low-volume HIIT compared moderate-intensity steady-state (MISS) exercise CAD. Methods results We conducted multi-centre RCT, recruiting 382 patients from 6 outpatient CR centres. Participants were randomized to twice-weekly (n =...
Globally, adolescent girls' physical activity (PA) levels are low. The 'Girls Active' secondary school-based programme, developed by the Youth Sport Trust, aims to increase PA in girls. This paper explores effectiveness of programme. A random sample girls aged 11–14 from 20 schools (Midlands, UK) participated a two-arm cluster randomised controlled trial. Ten received Girls Active and 10 continued with usual practice. Measurements were taken at baseline, seven- 14-month follow-up. Primary...
Previous evidence suggests home-based dialysis to be more cost-effective than unit-based or hospital-based dialysis. However, previous analyses quantify the costs of different modalities have used varied perspectives, methods, and required assumptions due lack available data. The National Institute for Health Care Excellence reports uncertainty about differences in between This limits ability policy makers make recommendations based on cost effectiveness, which also impacts budget holders...
Objective To conduct a rigorous feasibility study for future definitive parallel-group randomised controlled trial (RCT) and economic evaluation of an enhanced rehabilitation package hip fracture. Setting Recruitment from 3 acute hospitals in North Wales. Intervention delivery the community. Participants Older adults (aged ≥65) who received surgical treatment fracture, lived independently prior to had mental capacity (assessed by clinical team) Wales area. Remote randomisation usual care...
Background: Exercise referral schemes (ERSs) are recommended for patients with health conditions or risk factors. Evidence points to the initial effectiveness and cost-effectiveness of such increasing physical activity, but effects often diminish over time. Techniques as goal setting, self-monitoring, personalized feedback may support motivation activity maintenance effects. Wearable technologies could provide an opportunity integrate motivational techniques into exercise schemes. However,...
Purpose – There is growing interest in the economic evaluation of public health prevention initiatives and increasing government awareness societal costs conduct disorder early childhood. The purpose this paper to investigate cost-effectiveness Incredible Years (IY) BASIC parenting programme compared with a six-month waiting list control. Design/methodology/approach Cost-effectiveness analysis alongside pragmatic randomised controlled trial group-parenting programme. primary outcome measure...
Bullying refers to verbal, physical or psychological aggression repeated over time that is intended cause harm distress the victims who are unable defend themselves. It a key public health priority owing its widespread prevalence in schools and harmful short- long-term effects on victims' well-being. There need strengthen evidence base by testing innovative approaches preventing bullying. KiVa school-based bullying prevention programme with universal indicated elements an emphasis changing...
Objectives To develop an evidence and theory-based complex intervention for improving outcomes in elderly patients following hip fracture. Design Complex-intervention development (Medical Research Council (MRC) framework phase I) using realist literature review, surveys focus groups of rehabilitation teams. Setting North Wales. Participants Surveys therapy managers (n=13), community hospital-based physiotherapists (n=129) occupational therapists (n=68) throughout the UK. Focus with their...
Proximal femoral fracture is a major health problem in old age, with annual UK and social care costs of £2.3B. Rehabilitation has the potential to maximise functional recovery maintain independent living, but evidence clinical effectiveness cost-effectiveness lacking. To develop an enhanced community-based rehabilitation package following surgical treatment for proximal assess acceptability feasibility future definitive randomised controlled trial (RCT) economic evaluation. Phase I - realist...
Bullying is an internationally recognized problem and school-based bullying particularly pervasive. KiVa a robustly evidenced antibullying programme developed evaluated at Turku University, Finland, subsequently disseminated across Finland. Following positive UK trial of Unit 2 (for 10- to 12-year-olds), further dissemination has taken place. This study presents (a) pupil self-reported levels victimization prior to, after, one year implementation (Units 1 2) with 7- 11-year-olds from 41...
Background Physical activity (PA) levels among adolescent girls in the UK are low. ‘Girls Active’, developed by Youth Sport Trust (YST), has been designed to increase girls’ PA levels. Objective To understand effectiveness and cost-effectiveness of Girls Active programme. Design A two-arm cluster randomised controlled trial. Setting State secondary schools Midlands, UK. Participants aged between 11 14 years. Intervention involves teachers reviewing PA, sport physical education provision,...
Reducing bullying is a public health priority. KiVa, school-based anti-bullying programme, effective in reducing Finland and requires rigorous testing other countries, including the UK. This trial aims to test effectiveness cost-effectiveness of KiVa child reported UK schools compared usual practice. The currently on-going. Recruitment commenced October 2019, however due COVID-19 pandemic resulting school closures was re-started 2020.Design: Two-arm pragmatic multicentre cluster randomised...
Wales faces serious public health challenges, with relatively low life expectancies and wide inequalities in expectancy associated pressures on the National Health Service (NHS) at a time of financial recession. This has led to growing recognition need better understand range improvement prevention programmes across Welsh Government, NHS, local government voluntary sector agencies.The Minister for Social Care commissioned Public Wales, single national organisation, establish Improvement...