A5004296254- Health Systems, Economic Evaluations, Quality of Life
- Spondyloarthritis Studies and Treatments
- Children's Physical and Motor Development
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Cerebral Palsy and Movement Disorders
- Voice and Speech Disorders
- Global Health Care Issues
- Musicians’ Health and Performance
- Asthma and respiratory diseases
- Healthcare cost, quality, practices
- Rheumatoid Arthritis Research and Therapies
- Parkinson's Disease Mechanisms and Treatments
- Pharmaceutical Economics and Policy
- Animal Behavior and Welfare Studies
- Food Security and Health in Diverse Populations
- Dysphagia Assessment and Management
- Global Public Health Policies and Epidemiology
- Child and Adolescent Health
- Allergic Rhinitis and Sensitization
- Human-Animal Interaction Studies
- Pediatric health and respiratory diseases
- Animal and Plant Science Education
- Biomedical Ethics and Regulation
- Music Therapy and Health
- Art Therapy and Mental Health
University of Exeter
2018-2024
Peninsula College of Medicine and Dentistry
2020-2023
University of Aberdeen
2014-2019
University of East Anglia
2016-2017
To estimate the proportion of patients with axial spondyloarthritis (SpA) in a UK national biologics registry who met criteria for fibromyalgia (FM), and to delineate characteristics these patients.Two cohorts are prospectively recruited from across 83 centers British Society Rheumatology Biologics Register Ankylosing Spondylitis (BSRBR-AS). All required meet Assessment SpondyloArthritis international (ASAS) SpA. Patients either newly starting biologic therapy (biologics cohort) or naive...
Objective To assess associations between cognitive status, intelligibility, acoustics and functional communication in PD. Design Cross-sectional exploratory study of communication, including a within-participants experimental design for listener assessment. Setting A major academic medical centre the East England, UK. Participants Questionnaire data were assessed 45 people with Parkinson’s disease (PD), who had self-reported speech or difficulties did not have clinical dementia. Acoustic...
Axial spondyloarthropathy typically has its onset in early adulthood and can impact significantly on quality of life. In the UK, biologic anti-tumour necrosis factor therapy is recommended for patients who are unresponsive to non-steroidal anti-inflammatory drugs. There remain several unresolved issues about long-term safety life outcomes treatment axial spondyloarthropathy. Long-term "real-world" surveillance data required complement from randomised controlled trials. We conducting a...
To compare the prevalences of and risk factors for asthma, wheeze, hay fever eczema in primary schoolchildren Aberdeen 2014.Cross-sectional survey.Primary schools Aberdeen, North-East Scotland.Children Scottish school years 1-7 were handed a questionnaire by their class teacher to be completed parents returned researchers post or online.Lifetime history fever, recent wheeze.41 agreed participate (87%). 11,249 questionnaires distributed 3935 (35%). A parent-reported lifetime was present 14%,...
Abstract Objectives The objective of this research was to evaluate managed access policy in England, drawing upon the expertise a range stakeholders involved its implementation. Methods Seven focus groups were conducted with payer and health technology assessment representatives, clinicians, representatives from industry patient/carer organizations within England. Transcripts analyzed using framework analysis identify stakeholders’ views on successes challenges policy. Results Stakeholders...
This article reports the results of an original quantitative linguistic study that investigated patterns language use referring to people with disabilities in three data source types: written by support groups run for and disabilities, healthcare researchers, providers respectively. Quantitative content analysis was used categorize a target sentence each 9000 sources terms whether it emphasized person (person-first language) or disability (non-person-first following published guidelines....
Childhood asthma is a common condition whose prevalence changing. We hypothesized that the relationship between and associated risk factors has changed over 50-year period.An ecological study design was used. Children aged 8-13 attending schools in Aberdeen city were surveyed on seven occasions 1964 2014. The following determined: history of asthma, eczema, parental smoking, sex socio-economic status. Analysis by structural change model with two knots. outcome reported odds ratio given...
Computer simulation games are increasingly being used in agriculture as a promising tool to study, support and influence real-life farming practices. We explored the potential of using engage with sheep farmers on ongoing challenge reducing lameness. Working UK stakeholders, we developed game which players challenged identifying all lame simulated flock. Here, evaluate game's act help assess, train understand farmers' ability recognize early signs lameness.Participants were invited play an...
Abstract Objectives Early access schemes (EASs) are approaches used by payers to balance and facilitate earlier patient innovative health technologies while evidence generation is ongoing. Schemes require investment from associated with significant risk since not all will be routinely reimbursed. The purpose of this study was gain the perspectives policy experts about key challenges for EASs potential solutions their optimal design implementation. Methods Two virtual workshops were convened...
Objectives Rare diseases are recognized as non-prevalent health disorders. Availability, accessibility, and affordability of Orphan Drugs (ODs), alongside genetic testing, the major contributors to ensuring no patient is excluded by system. Therefore, making ODs available accessible has been a challenge even for high-income nations. This review aims summarize evidence on availability accessibility orphan drugs other required resources managing rare diseases.Methods The Joanna Briggs...
Managed Access Agreements (MAAs) are a commercial arrangement that provide patients earlier access to innovative health technologies while uncertainties in the evidence base resolved through data collection. In UK, collection agreements (DCAs) outline will be collected during MAA period and intended resolve clinical- cost-effectiveness of technology sufficient for National Institute Health Care Excellence (NICE) committee make final decision on reimbursement. The aim this study was identify...