- Maternal Mental Health During Pregnancy and Postpartum
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Health disparities and outcomes
- Child and Adolescent Psychosocial and Emotional Development
- Infant Development and Preterm Care
- Schizophrenia research and treatment
- Meta-analysis and systematic reviews
- Acupuncture Treatment Research Studies
- Complementary and Alternative Medicine Studies
- Healthcare innovation and challenges
- Family and Disability Support Research
- Child and Adolescent Health
- Health Policy Implementation Science
- Adolescent and Pediatric Healthcare
- Smoking Behavior and Cessation
- Inflammatory Bowel Disease
- Primary Care and Health Outcomes
- Gastrointestinal motility and disorders
- Health Systems, Economic Evaluations, Quality of Life
- Urban Transport and Accessibility
- Breastfeeding Practices and Influences
- Social Policy and Reform Studies
- Microscopic Colitis
- Pregnancy and Medication Impact
University of York
2013-2023
Netherlands Organisation for Health Research and Development
2021
University Medical Center
2021
National Institute for Health Research
2021
Bradford Teaching Hospitals NHS Foundation Trust
2021
Joseph Rowntree Foundation
2021
Department of Medical Sciences
2020
Bradford Royal Infirmary
2014
Massachusetts General Hospital
2001-2004
Harvard University
2001
The current study explored the association between green space and depression in a deprived, multiethnic sample of pregnant women, examined moderating mediating variables.
Headline Evaluating service innovations in health care and public requires flexibility, collaboration pragmatism; this collection identifies robust, innovative mixed methods to inform such evaluations.
BackgroundWe investigated whether there had been an improvement in quality of reporting for randomised controlled trials acupuncture since the publication STRICTA and CONSORT statements. We conducted a before-and-after study, comparing ratings following both recommendations.Methodology Principal FindingsNinety peer reviewed journal articles results were selected at random from wider sample frame 266 papers. Papers published three distinct time periods (1994–1995, 1999–2000 2004–2005)...
Background There are limited data on detection disparities of common mental disorders in minority ethnic women. Aims Describe the natural history primary care maternal period, characterise women with, and explore in, detected potentially missed disorders. Method Secondary analyses linked birth cohort involving 8991 (39.4% White British) Bradford. Common were characterised through indications electronic medical record. Potentially defined as an elevated General Health Questionnaire (GHQ-28)...
Dental caries in young children is a major public health problem impacting on the child and their family terms of pain, infection substantial financial burden healthcare funders. In UK, national guidance prevention dental advises parents to supervise child's brushing with fluoride toothpaste until age 7. However, there dearth evidence-based interventions encourage this practice parents. The current study used intervention mapping (IM) develop home-based parental-supervised toothbrushing...
Health inequalities, worse health associated with social and economic disadvantage, are reported by a minority of research articles. Locating these studies when conducting an equity-focused systematic review is challenging due to deficit in standardised terminology, indexing, lack validated search filters. Current reporting guidelines recommend not applying filters, meaning that increased resources needed at the screening stage.We aimed design test filters locate outcomes determinant health....
Abstract Aims Diabetes is two to three times more prevalent in people with severe mental illness, yet little known about the challenges of managing both conditions from perspectives living co‐morbidity, their family members or healthcare staff. Our aim was understand these and explore circumstances that influence access receipt diabetes care for illness. Methods Framework analysis qualitative semi‐structured interviews illness diabetes, members, staff UK primary care, health services,...
Purpose Antenatal anxiety and depression are predictive of future mental distress, which has negative effects on children. Ethnic minority women more likely to have a lower socio-economic status (SES) but it is unclear whether SES an independent risk factor for health in pregnancy. We described the association between maternal distress socio-demographic factors multi-ethnic cohort located economically deprived city UK. Methods defined eight distinct ethno-language groups (total N = 8,454)...
Background People with severe mental illnesses (SMIs) have reduced life expectancy compared the general population. Diabetes is a contributor to this disparity, higher prevalence and poorer outcomes in people SMI. Aim To determine impact of SMI on healthcare processes for type 2 diabetes (T2DM). Design setting Retrospective, observational, matched, nested, case–control study conducted England using patient records from Clinical Practice Research Datalink, linked Hospital Episode Statistics....
Common mental disorders (CMD) such as anxiety and depression during the maternal period can cause significant morbidity to mother in addition disrupting biological, attachment parenting processes that affect child development. Pharmacological treatment is a first-line option for moderate severe episodes. Many women prescribed pharmacological treatments cease them pregnancy but it unclear what extent non-pharmacological options are offered replacement. There also concerns may not be...
Asset-based approaches are becoming more common within public health interventions; however, due to variations in terminology, it can be difficult identify asset-based approaches. The study aimed develop and test a framework that could distinguish between deficit-based community studies, whilst acknowledging there is continuum of Literature about were reviewed was developed based on the Theory Change model. A scoring system for each five elements this Measurement engagement built in, way...
Objective: To inform the potential revision of Standards for Reporting Interventions in Controlled Trials Acupuncture (STRICTA), we sought opinion acupuncture trial authors and systematic reviewers to rank utility guidelines asked about their experiences using them. Design: Questionnaires ranking STRICTA items qualitative responses experience guidelines. Sample: The 38 randomized controlled trials randomly selected from a search those published 2004 2005 were contacted with questionnaire....
Poor maternal mental health can impact on children's development and wellbeing; however, there is concern about the comparability of screening instruments administered to women diverse ethnic origin.We used confirmatory factor analysis (CFA) exploratory (EFA) examine subscale structure GHQ-28 in an ethnically community cohort pregnant UK (N = 5,089). We defined five groups according ethnicity language administration, also conducted a CFA between four 1,095 who completed both during after...
Recent qualitative research suggests that changes to the way eligibility for welfare payments is determined in UK may be detrimental claimants with mental illnesses. No large-scale analysis has been undertaken date.AimsTo examine differences between psychiatric conditions compared non-psychiatric number of claims disallowed following a personal independence payment (PIP) assessment existing disability living allowance (DLA) claimants.Administrative data on DLA transferring PIP 2013 and 2016...
Patients and their care givers have created an impressive array of online health resources. Can healthcare professionals tap into them? In 1994, as a part initiative by the department neurology Massachusetts General Hospital to develop promising new ways using information technology, we began study how patients with neurological concerns were To our surprise, found that thousands had already variety The support groups, each devoted single condition, especially intriguing. The...
Background Approximately 60 000 people in England have coexisting type 2 diabetes mellitus (T2DM) and severe mental illness (SMI). They are more likely to poorer health outcomes require complex care pathways compared with those T2DM alone. Despite increasing prevalence, little is known about the healthcare resource use costs for both conditions. Aims To assess impact of SMI on service adults T2DM, explore predictors lifetime Method This was a matched-cohort study using data from Clinical...