A5085871314- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Homelessness and Social Issues
- Emergency and Acute Care Studies
- Osteoarthritis Treatment and Mechanisms
- Mobile Health and mHealth Applications
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Inflammatory Myopathies and Dermatomyositis
- Diabetes Management and Education
- Global Cancer Incidence and Screening
- Asthma and respiratory diseases
- Migration, Health and Trauma
- Physical Activity and Health
- Global Public Health Policies and Epidemiology
- Obesity, Physical Activity, Diet
- Advanced Causal Inference Techniques
- Obesity and Health Practices
- Family Caregiving in Mental Illness
- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Survey Methodology and Nonresponse
- Medication Adherence and Compliance
- Knee injuries and reconstruction techniques
University of Manchester
2015-2025
Manchester Academic Health Science Centre
2016-2025
East Sussex Healthcare NHS Trust
2023
Queen Mary University of London
2023
NIHR Manchester Biomedical Research Centre
2020-2021
National Institute for Health Research
2018-2019
Royal United Hospital
2010
Patient Activation is defined as the knowledge, skill, and confidence a patient has in managing their health. Higher levels of activation are associated with better self-management, health outcomes, lower healthcare costs. Understanding drivers can allow tailoring support interventions. There few data on UK patients long-term conditions. A prospective cohort design was used. Questionnaires were mailed to 12,989 over age 65 years at least one condition Salford, UK. They completed Measure...
The levels of health literacy in patients with long-term conditions (LTCs) are critical for better disease management and quality life (QoL). However, the impact on QoL older adults LTCs is unclear. This study examined association between domains people LTCs, investigating key socio-demographic clinical variables, as confounders. A prospective cohort was conducted (n = 4278; aged 65 years over) at least one LTC, registered general practices Salford, UK. Participants completed measures...
Wearables provide opportunities for frequent health data collection and symptom monitoring. The feasibility of using consumer cellular smartwatches to information both on symptoms contemporary sensor has not yet been investigated.This study aimed investigate the acceptability capture multiple patient-reported outcomes per day alongside continuous physical activity over a 3-month period in people living with knee osteoarthritis (OA).For KOALAP (Knee OsteoArthritis: Linking Activity Pain)...
Background The COVID-19 pandemic has caused unprecedented disruption and change to the organisation of primary care, including for people experiencing homelessness who may not have access a phone. Little is known about whether recent changes required deliver services will help address or compound inequality in accessing care. Aim To explore experience impact organisational technology response on health care homelessness. Design setting An action-led participatory research methodology was...
Abstract Background Cervical screening rates have fallen in recent years the UK, representing a health inequity for some under-served groups. Self-sampling alternatives to cervical may be useful where certain barriers prohibit access routine screening. However, there is limited evidence on whether self-sampling methods address known and subsequently increase uptake amongst under-screened Addressing this research gap, study aims understand experiences during attending groups and; explore...
Abstract Background Despite high level of health care need amongst people experiencing homelessness, poor access is a major concern. This sometimes due to organisational and bureaucratic barriers, but also because they often feel stigmatised treated badly when do seek care. The COVID-19 pandemic the required social distancing measures have caused unprecedented disruption change for organisation primary care, particularly homelessness. Against this backdrop there are many questions address...
Innovative ways of delivering care are needed to improve outcomes for older people with multimorbidity. Health coaching involves 'a regular series phone calls between patient and health professional provide support encouragement promote healthy behaviours'. This intervention is promising, but evidence insufficient a wider role in multimorbidity care. We evaluated multimorbidity.We used the innovative 'Trials within Cohorts' design. A cohort was recruited, trial conducted using...
ObjectivesThe "cohort multiple randomized controlled trial" (cmRCT) is a recent innovation by which novel interventions are trialed within large longitudinal cohorts of patients to gain efficiencies and align trials more closely standard clinical practice. The use cmRCTs outpacing its methodological understanding, appropriate methods for designing analyzing such urgently needed.Study Design SettingWe established the UK Comprehensive Longitudinal Assessment Salford Integrated Care cohort...
Medical sociologists highlight diagnosis as a critical moment in understanding the illness experience and have extended analysis to growing focus on 'predisease states' relation policy medical practice. The biomedicalisation of diabetes risk, labelled 'prediabetes', is one predisease area Public Health England prioritised via roll-out national prevention programme (NDPP). label language prediabetes frames this risk condition could both social practical consequences for how individuals manage...
Pharmacists and their teams play an important role in providing public health services, however little is known about level of contribution the strength evidence Africa’s Low- Middle-Income Countries (LMICs). The purpose this scoping review was to explore map available on pharmacy professional-delivered interventions LMICs. Six electronic databases (Medline, Embase, International Pharmaceutical Abstract, PsycInfo, Maternity Infant Care, Cochrane database), relevant grey literature sources,...
Background: The Knee OsteoArthritis, Linking Activity and Pain (KOALAP) study is the first to test feasibility of using consumer-grade cellular smartwatches for health care research. Objective: overall aim was investigate as a novel tool capture data on pain (multiple times day) physical activity (continuously) in patients with knee osteoarthritis. Additionally, KOALAP aimed smartwatch sensor quality assess whether engagement, acceptability, user experience are sufficient future large-scale...
Background The Salford Integrated Care Programme (SICP) was a large-scale transformation project to improve care for older people with long-term conditions and social needs. We report an evaluation of the ability SICP deliver enhanced experience care, improved quality life, reduced costs cost-effectiveness. Objectives To explore process implementation impact on patient outcomes costs. Design Qualitative methods (interviews observations) implementation, cohort multiple randomised controlled...
The idiopathic inflammatory myopathies (IIMs) are chronic autoimmune conditions, typically resulting in proximal muscle weakness and impacting upon quality of life. Accurate measurement IIM disease activity is imperative for appropriate medical management carrying out valid clinical trials. International Myositis Assessment Clinical Studies Group (IMACS) "Disease Activity Core Set Measures" the current gold-standard assessment. Anecdotally, patients with an report that IMACS Measures other...
Background Health inequalities in the UK are widening, particularly since COVID-19 pandemic. Community pharmacies most visited healthcare provider England and ideally placed to provide facilitate access care for those disadvantaged. Aim To explore experiences needs of community pharmacy teams providing marginalised groups how this has changed Design setting A qualitative study across primary care. Method Semi-structured interviews were undertaken with members teams, network (PCN)...
Abstract Background Around 2 million people have migrated from Central and Eastern Europe to the UK since 2004. The European Community (UK‐CEE) are disproportionately exposed social determinants of poor physical mental health. Their health healthcare beliefs remain under‐researched, particularly regarding primary care. Objective This review explores UK‐CEE community members' use perceptions general practice. Methods A systematic search nine bibliographic databases identified 2094...
In the UK, a growing number of females entering pharmacy are women from Black, Asian and minority ethnic groups (BAME). Research shows that BAME more likely to work in community sector be self-employed locums than white women, overrepresented part-time, lower status roles. This study aims explore employment choices pharmacists see whether their diverse patterns product individual or other organisational factors.This analyses 28 qualitative interviews conducted with 18 10 pharmacists. The...
There is increasing interest in the cohort multiple randomised controlled trial (cmRCT - Relton BMJ doi: 10.1136/bmj.c1066) as a model for pragmatic trials general practice. We have adopted design our CLASSIC study of integrated care (http://www.nets.nihr.ac.uk/projects/hsdr/1213033). However, cmRCT needs rapid recruitment large patient cohorts, which can be logistical challenge. Traditionally, practices must make initial approach to patients take part trials. This requires investment...
Retention of participants in cohort studies is important for validity. One way to promote retention by sending a persuasive cover letter with surveys. The study aimed compare the effectiveness covering containing social pressure standard on health study. Social involves persuading people behave certain promise that their actions will be made know others. We implemented mild form pressure, where recipient was told information about whether they responded current survey would noted research...
Abstract Background : Despite high level of health care need amongst people experiencing homelessness, poor access is a major concern. This sometimes due to organisational and bureaucratic barriers, but also because they often feel stigmatised treated badly when do seek care. The COVID-19 pandemic the required social distancing measures have caused unprecedented disruption change for organisation primary care, particularly homelessness. Against this back drop, there are many questions...
<sec> <title>BACKGROUND</title> The Knee OsteoArthritis, Linking Activity and Pain (KOALAP) study is the first to test feasibility of using consumer-grade cellular smartwatches for health care research. </sec> <title>OBJECTIVE</title> overall aim was investigate as a novel tool capture data on pain (multiple times day) physical activity (continuously) in patients with knee osteoarthritis. Additionally, KOALAP aimed smartwatch sensor quality assess whether engagement, acceptability, user...