- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Mental Health and Patient Involvement
- Healthcare innovation and challenges
- Psychiatric care and mental health services
- Music Therapy and Health
- Health Systems, Economic Evaluations, Quality of Life
- Frailty in Older Adults
- Mental Health Treatment and Access
- Employment and Welfare Studies
- Intergenerational Family Dynamics and Caregiving
- Intensive Care Unit Cognitive Disorders
- Digital Mental Health Interventions
- Art Therapy and Mental Health
- Schizophrenia research and treatment
- Migration, Aging, and Tourism Studies
- Health disparities and outcomes
- Interprofessional Education and Collaboration
- Primary Care and Health Outcomes
- Participatory Visual Research Methods
- Telemedicine and Telehealth Implementation
- Family Caregiving in Mental Illness
- Palliative Care and End-of-Life Issues
- Retirement, Disability, and Employment
- Delphi Technique in Research
University of Nottingham
2016-2025
Institute of Mental Health
2013-2025
Université de Strasbourg
2019-2024
Institut Pluridisciplinaire Hubert Curien
2001-2021
Centre National de la Recherche Scientifique
2021
Institute of Mental Health
2018
Nottinghamshire County Council
2013
Marietta College
2013
Nottinghamshire Healthcare NHS Foundation Trust
2006-2009
Royal College of Psychiatrists
2008
The challenges presented by the increasing public health and social impact of caring for people with dementia have become clear in recent years. Previous research has identified that, while there are positive as well negative elements to role, carers at high risk mental problems that comprehensive burden social, economic based elements. Co-resident carers, especially spouses, primary importance maintaining their own homes community rather than institutional settings which may be both more...
In a prospective cohort study of Finnish public sector employees, the authors examined association between workplace social capital and depression. Data were obtained from 33,577 who had no recent history antidepressant treatment reported physician-diagnosed depression at baseline in 2000–2002. Their risk was measured with two indicators: recorded purchases antidepressants until December 31, 2005, self-reports new-onset diagnosed by physician follow-up survey 2004–2005. Multilevel logistic...
Dementia has detrimental effects on cognitive, psychological and behavioural functioning, as well significant impact those who provide care. There is a need to find suitable psychosocial interventions help manage the condition, enhance well-being, support for caregivers. This study explored of Singing Brain™, an intervention based group singing activities developed by The Alzheimer's Society people with dementia their carers. qualitative used semi-structured interviews Ten involving 20...
Background Depression and anxiety are major causes of absence from work underperformance in the workplace. Cognitive behavioural therapy (CBT) can be effective treating such problems online versions offer many practical advantages. The aim study was to investigate effectiveness a computerized CBT intervention (MoodGYM) workplace context. Method phase III two-arm, parallel randomized controlled trial whose main outcome total score on Work Social Adjustment Scale (WSAS). Depression, anxiety,...
Background Spouses caring for a partner with dementia are subject to physical, psychological and social stresses. In view of the part played by spouse carers in preventing admission institutional care, fuller understanding subjective experience is an important area enquiry. Qualitative analysis their accounts difficulties rewards looking after partners may indicate strategies support them alleviate stresses that they experience. Method Twenty co-resident spouses people NINCDS–ADRDA probable...
Abstract Background To address the problem of translation from research-based evidence to routine healthcare practice, Collaboration for Leadership in Applied Health Research and Care Nottinghamshire, Derbyshire, Lincolnshire (CLAHRC-NDL) was funded by National Institute as one nine CLAHRCs across England. This paper outlines underlying theory its application that CLAHRC-NDL has adopted, a case example might be generalised practice outside CLAHRC, comparison alternative models...
ABSTRACT Although there is much written on the emotional labour of nursing, little research grounded in experience so-called ‘unqualified’ care assistants. This paper drawn from an ethnographic study conducted with assistants three dementia wards one mental health trust within United Kingdom National Health Service (NHS). We describe carried out by their attempts to provide personalised for people whose cognitive degeneration renders conventional relationship-building very difficult,...
Little is known about the factors that influence acceptability of and adherence to online psychological interventions. Evidence needed guide further development promising programs.Our goal was investigate users' views two approaches self-help for depression: computerized cognitive behavior therapy (cCBT) informational websites, in a workplace context. Computerized CBT offers an inexpensive accessible alternative face-to-face therapy, employers have interest reducing working time lost...
Background Care homes are the institutional providers of long-term care for older people. The OPTIMAL study argued that it is probable there key activities within different models health-care provision important residents’ health care. Objectives To understand ‘what works, whom, why and in what circumstances?’. Study questions focused on how mechanisms various service delivery act as ‘active ingredients’ associated with positive health-related outcomes home residents. Methods Using realist...
Background The number of beds in care homes (with and without nurses) the United Kingdom is three times greater than National Health Service (NHS) hospitals. Care are predominantly owned by a range commercial, not-for-profit or charitable providers their residents have high levels disability, frailty co-morbidity. NHS support for home very variable, it unclear what models clinical work cost-effective. Objectives To critically evaluate how works with homes. Methods A review surveys services...
Background A quarter of acute hospital beds are occupied by persons living with dementia, many whom have communication problems. Healthcare professionals lack confidence in dementia skills, but there no evidence-based skills training approaches appropriate for working this context. We aimed to develop and pilot a course that was acceptable useful healthcare professionals, patients their relatives. Methods The developed using conversation analytic findings from video recordings talking the...
In older adults, dementia and depression are associated with individual distress high societal costs. Music interventions such as group music therapy (GMT) recreational choir singing (RCS) have shown promising effects, but their comparative effectiveness across clinical subgroups is unknown. This trial aims to determine of GMT, RCS combination for care home residents examine heterogeneity treatment effects subgroups.This large, pragmatic, multinational cluster-randomised controlled a 2×2...
Rising dementia incidence is likely to increase pressures on healthcare services, making effective well coordinated care imperative. Yet, barriers this approach exist which, we argue, might be understood by focussing identity dynamics at the frontlines of care. In article, draw upon findings from an ethnographic study assistants (HCAs) three wards across one National Health Service mental health trust. Data revealed that HCAs are a close-knit 'in-group' who share low group status and norms...
care home residents have high healthcare needs not fully met by prevailing models. This study explored how configuration influences resource use.a realist evaluation using qualitative and quantitative data from case studies of three UK health social economies selected for differing patterns delivery to homes. Four homes per area (12 in total) were recruited. A total 239 followed 12 months record resource-use. Overall, 181 participants completed 116 interviews 13 focus groups including...
Ever-growing demands on care systems have increased reliance healthcare support workers. In the UK, their training has been variable, but organisation-wide failures in prompted questions about how this crucial section of workforce should be developed. Their training, and assessment become a policy priority. This paper examines: workers' access to assessment; perceived gaps provision; barriers facilitators implementation relevant policies acute care. We undertook qualitative study staff...
Aim: Our aim was to survey people with dementia and their carers respect propensity join a randomized trial of community singing in dementia, the context uncertainty following COVID-19 pandemic. Method: We employed an online anonymous questionnaire, comparing activities before after lockdown, worries about COVID-19, whether would attend group what measures might make this more likely. With target sample 100, distributed general population UK between June August 2022. Results: had total 168...
Research into mental health and employment has focused largely on people who are unemployed. This paper reports the experiences of 20 clients support agencies had succeeded in returning to work. A number barriers getting back work were identified, but receiving could enable overcome them. There was consistency with previous studies factors associated high low levels job satisfaction. Even those participants less satisfied their jobs identified benefits none described any negative effects....