- Telemedicine and Telehealth Implementation
- Delphi Technique in Research
- Stroke Rehabilitation and Recovery
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Astronomy and Astrophysical Research
- Complementary and Alternative Medicine Studies
- Cardiac Health and Mental Health
- Patient Satisfaction in Healthcare
- Nutrition and Health in Aging
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- Acute Ischemic Stroke Management
- Herbal Medicine Research Studies
- Phytochemistry Medicinal Plant Applications
- Mobile Health and mHealth Applications
- Evaluation and Performance Assessment
- Electronic Health Records Systems
- Cancer survivorship and care
- Dialysis and Renal Disease Management
- Impact of Technology on Adolescents
- Nonprofit Sector and Volunteering
- Healthcare Decision-Making and Restraints
- Vitamin K Research Studies
- Antibiotic Use and Resistance
University of Birmingham
2014-2025
Primary Health Care
2015
Sevenoaks Hospital
2009
Royal College of Physicians
1976
Core outcome sets (COS) help to minimise bias in trials and facilitate evidence synthesis. Delphi surveys are increasingly being used as part of a wider process reach consensus about what outcomes should be included COS. Qualitative research can inform the development surveys. This is an advance field COS one which potentially valuable; however, little guidance exists for developers on how best use qualitative methods challenges are. paper aims provide early potential role contribution this...
A large proportion of cancer patients are estimated to use herbal medicines, but data substantiate this lacking. This study aimed investigate the prevalence medicine among in West Midlands, and determine characteristics predicting use.A cross-sectional survey oncology (n=1498) being followed up at a hospital Coventry was undertaken. Recipients were asked about since their diagnosis, association between sociodemographic cancer-related evaluated.A total 1134 responses received (75.7%). The...
Coronary heart disease (CHD) is a leading cause of death in the UK. Clinical guidelines recommend cardiac rehabilitation (CR), including health education, cardiovascular risk reduction advice, physical activity and stress management components. However, uptake standard in-person, group-based CR only around 50%. Hybrid combining in-person remote service delivery, may improve reduce inequalities access. This study used focus groups semi-structured interviews to explore staff patient...
Previous research suggests a goal-based intervention called ‘mental contrasting and implementation intentions’ improves participants’ health wellbeing. The present study sought to extend these findings workplaces in the United Kingdom. A mixed-methods cluster randomised controlled trial was conducted with 28 225 staff. All participants deliberated on wishes (potential goals) about improving their In arm, were guided think benefits obstacles achieving wish (mental contrasting) plan actions...
Background Using technology to reduce the pressure on National Health Service (NHS) in England and Wales is a key government target, NHS Long-Term Plan outlines strategy for digitally enabled outpatient care become mainstream by 2024. In 2020, COVID-19 response saw widespread introduction of remote consultations patient follow-up, regardless individual preferences. Despite this rapid change, there may be enduring barriers effective implementation appointments into routine practice once...
Older people living in care homes are at risk from avoidable harms, which may require hospital attendance or admission. This paper describes a mixed methods evaluation of large quality improvement (QI) programme that provides skills training and facilitated support to staff 29 across two localities the West Midlands, UK. The Safety Attitudes Questionnaire (SAQ) is used assess changes home safety climate between baseline end 24 months. We use routinely collected data pre- post-programme harms...
<h3>Background</h3> Stroke is a leading cause of morbidity and mortality. Timely recognition referral are essential for treatment. <h3>Aim</h3> To examine the ability receptionists in general practices to recognise symptoms stroke direct patients emergency care. <h3>Design setting</h3> Unannounced simulated patient telephone calls prospective cross-sectional survey study Birmingham Solihull area. <h3>Method</h3> A total 52 participated 520 calls, with 183 completing questionnaires. Logistic...
Objective To explore why transplant patients experience unexpected mild-to-moderate distress and what support they may need. Design Qualitative study using individual in-depth interviews. Setting Four National Health Service (NHS) Trusts in the Midlands, UK. Participants Fifteen renal meeting criteria for from their responses to emotion thermometers. Main outcome measures Identification of reasons options acceptable patients. Results Three themes were interpreted data: ‘I am living with a...
Most cases of colorectal cancer (CRC) arise from adenomatous polyps and malignant potential is greatest in high risk adenomas. There convincing observational evidence that red processed meat increase the CRC higher levels physical activity reduce risk. However, no definitive randomised trial has demonstrated benefit behaviour change on reducing polyp recurrence consistent advice currently offered to minimise patient This qualitative study aimed assess patients’ preferences for dietary...
Background There is a need for patient involvement when selecting trial outcomes, since their priorities may differ from healthcare professionals. Qualitative research can be used to identify outcomes that matter patients in the development of core outcome sets (COS) and feasibility studies aim feed perspectives into domain selection definitive trial. For example, COMET database currently includes 24 published (2-3/year) 33 ongoing COS utilising interviews or focus groups with patients,...
As the first point of contact for patients and witnesses stroke, General Practice receptionists can be instrumental in deciding urgency clinical contact. Despite considerable complexity this task, reception staff are not clinically trained. Minimising time taken to access thrombolysis is crucial acute stroke as treatment must initiated within 4.5 hours onset, earlier better, achieve best outcomes. Research suggests that who their following onset symptoms less likely receive thrombolysis,...
Performance improvement offers tremendous opportunities for research utilization in the clinical setting. The linkage model of is characterized by a user system that accesses resource system, adapting findings to practice. A performance consultant can be link between these systems. Research application instrumental improving care delivery as demonstrated project concentrating on management individuals experiencing cerebrovascular accident.
Abstract Biologic treatments can alleviate severe asthma symptoms and reduce health service use. However, capacity limits low referral rates from primary care indicate unmet patient need. We report a mixed-methods evaluation of an enhanced pathway implemented in Staffordshire Stoke-on-Trent, UK which aimed to optimise referrals through training/education, increased specialist clinics. Quantitative analysis assessed wait times between stages, prescribing changes, exacerbations, hospital...
Objectives The COVID-19 pandemic has led to a change in people’s volunteering behaviours; participation increased informal (giving unpaid help those who are not relative) while decreasing formal (unpaid groups or clubs). There is an interest from stakeholders have experienced maintaining the positive patterns of volunteering, aligning with National Health Service (NHS) objectives and realising benefits wider public health context. This research uses local programme case study explore...
Many studies have explored patients' experiences of dialysis and other treatments for kidney failure. This is the first qualitative multi-site international study how staff perceive process a patient's transition from peritoneal to in-centre haemodialysis. Current literature suggests that transitions are poorly coordinated may result in increased patient morbidity mortality. aimed understand perspectives identify areas where clinical practice could be improved.Sixty-one participants (24 UK...
Abstract This is about the relationship between technology and astronomy, in particular people astronomy getting into hi-tech world. These might be graduate students looking for jobs, they fully fledged academics wanting to exploit their know-how. Whichever it is, essential understand differences these two worlds especially that world only wants you what can bring table. So welcome “the party”.