A5047683093- Delphi Technique in Research
- Health Policy Implementation Science
- Maternal and Perinatal Health Interventions
- Neonatal Respiratory Health Research
- Meta-analysis and systematic reviews
- Pelvic floor disorders treatments
- Ethics in Clinical Research
- Neonatal and fetal brain pathology
- Maternal and fetal healthcare
- Auditing, Earnings Management, Governance
- Infant Development and Preterm Care
- Central Venous Catheters and Hemodialysis
- Health Systems, Economic Evaluations, Quality of Life
- Patient Safety and Medication Errors
- Intravenous Infusion Technology and Safety
- Urinary Tract Infections Management
- Accounting and Organizational Management
- Clinical practice guidelines implementation
- Pregnancy and preeclampsia studies
- Birth, Development, and Health
- Accounting Education and Careers
- Social Media in Health Education
- Health and Medical Research Impacts
- Cerebral Palsy and Movement Disorders
- Mentoring and Academic Development
Ollscoil na Gaillimhe – University of Galway
2014-2024
Karolinska Institutet
2024
Centre Hospitalier Universitaire Sainte-Justine
2024
Université de Montréal
2024
Nationwide Children's Hospital
2024
Pace University
2009-2023
University of Southampton
2022
Hong Kong College of Technology
2019
Western Connecticut State University
2019
Health Research Board
2018-2019
Introduction. Multimorbidity is common among the heterogeneous primary care population, but little data exist on its association with health utilization or cost. Objective. The aim of this observational study was to examine prevalence and associated cost patients multimorbidity. Methods. All >50 years age were eligible for which took place in three practices West Ireland. Chronic medical conditions secondary identified through patient record review. Results. In a sample 3309 community,...
Despite the problem of inadequate recruitment to randomised trials, there is little evidence guide researchers on decisions about how people are effectively recruited take part in trials. The PRioRiTy study aimed identify and prioritise important unanswered trial questions for research. - Priority Setting Partnership (PSP) included members public approached a or who have represented participants steering committees, health professionals research staff with experience recruiting designed,...
Caesarean section (CS) rates are increasing worldwide and the most common reason is repeat CS following previous CS. For women a vaginal birth after (VBAC) safe option. However, rate of VBAC differs in an international perspective. Obtaining deeper knowledge clinicians' views on can help understanding factors importance for rates. Focus group interviews with clinicians three countries high (Finland, Sweden Netherlands) low (Ireland, Italy Germany) part "OptiBIRTH", ongoing research project....
Fetal growth restriction refers to a fetus that does not reach its genetically predetermined potential. It is well-recognized growth-restricted fetuses are at increased risk of both short- and long-term adverse outcomes. Systematic evaluation the evidence from clinical trials fetal often difficult because variation in outcomes measured reported. The development core outcome sets for studies would enable future measure similar meaningful outcomes.The purpose this study was develop prevention...
Delphi surveys are commonly used to prioritise critical outcomes in core outcome set (COS) development. This trial aims compare a three-round (Multi-Round) (MRD) with Real-Time (RTD) the prioritisation of for inclusion COS neonatal encephalopathy treatments and explore whether 'feedback', 'iteration', 'initial condition' effects may occur two survey methods.
The proportion of pregnant women who have a caesarean section shows wide variation across Europe, and concern exists that these proportions are increasing. Much the increase in sections recent years is due to cascade effect which woman has had one much more likely again if she another baby. In some places, it become common practice for this procedure as matter routine. alternative, vaginal birth after (VBAC), been widely recommended, results fewer undesired or complications preferred option...
Abstract Background Despite evidence supporting the safety of vaginal birth after caesarean section (VBAC), rates are low in many countries. Methods OptiBIRTH investigated effects a woman-centred intervention designed to increase VBAC through an unblinded cluster randomised trial 15 maternity units with < 35% Germany, Ireland and Italy. Sites were matched pairs or triplets based on annual numbers rate, randomised, 1:1 2:1, versus control, following registration. The involved...
Abstract Background The Delphi method is used in a wide variety of settings as building consensus on important issues. Traditionally, the uses multiple rounds survey to allow for feedback other participants’ responses between rounds. By informing participants about how others answer question or prioritise specific topics, it allows diverse opinions inform process. For this reason, popular approach developing core outcome sets (COS), i.e. minimum agreed set standardised outcomes that should...
This paper discusses the methodological considerations inherent in use of cohort study as a research design.Cohort studies are observational design and generally concerned with information regarding prevalence distribution inter-relationship variables population. They also used to identify risk factors collect describe natural history or progression disease. As any study, there many sources bias that threaten credibility studies. Biases may arise from poor measurement (information bias),...
Abstract Background How a woman gives birth can affect her health‐related quality of life ( HRQ oL). This study explored oL at 3 months postpartum in women with history one previous cesarean three European countries. Methods A prospective longitudinal survey, embedded within cluster randomized trial countries, exploring women's postnatal up to postpartum. The Short‐Form Six‐Dimensions SF ‐6D) was used measure oL, and multivariate analyses were examine the relationship mode birth. Results...
Objective To identify the outcomes considered important to parents or caregivers of infants diagnosed with neonatal encephalopathy, hypoxic ischaemic encephalopathy birth asphyxia in high-income and low- middle-income countries (LMiCs), as part outcome-identification process developing a core outcome set (COS) for treatment encephalopathy. Design A qualitative study involving 25 semistructured interviews other family members (caregivers) who were with, treated for, asphyxia. Setting...
Randomised trials are considered the gold standard in providing robust evidence on effectiveness of interventions. However, there relatively few initiatives to help increase public understanding what randomised and why they important. This limits overall acceptance participation clinical trials. The People's Trial aims learn about trials, understand matter, be better equipped think critically health claims by actively involving them all aspects trial design. was done design, conduct,...
Urinary tract infections (UTIs) are the second most common infection presenting in community. Clinical guidelines and decision aids assist health practitioners to treat a UTI; however, treatment practices vary due patient needs context of presentation. Numerous trials have evaluated effectiveness interventions for it is difficult compare results between inconsistencies reported outcomes. Poor choice outcome measures can lead impairment evidence synthesis inability outcomes with similar aims....
Abstract Background Neonatal encephalopathy is a complex syndrome in infants that predominantly affects the brain and other organs. The leading cause lack of oxygen blood reaching brain. can result mortality or complications later life, including seizures, movement disorders cerebral palsy. Treatment options for neonatal are limited mainly to therapeutic hypothermia, although potential treatments emerging. However, evaluations effectiveness challenging because heterogeneity inconsistency...
Abstract Background The best way of comparing healthcare treatments is through a randomised trial. In trial, we compare something (a treatment or intervention) to else, often another treatment. Who gets what decided at random, meaning everyone has an equal chance getting any the treatments. This means differences found can be put down received rather than other things, such as where people live, health conditions they might have. People’s Trial aimed help public better understand trials by...
We aimed to develop a video animation knowledge translation (KT) resource explain the purpose, use and importance of evidence synthesis public regarding healthcare decision-making.We drew on user-centred design approach spoken animated (SAV) by conducting two cycles idea generation, prototyping, user testing, analysis, refinement. Six researchers identified initial key messages SAV informed first draft storyboard script. Seven members provided input this through think-aloud interviews, which...
Complex interventions encompassing several interconnecting and interacting components can be challenging to evaluate. Examining the underlying trial processes while an intervention is being tested assist in explaining why was effective (or not). This paper describes a process evaluation of pan-European cluster randomised controlled trial, OptiBIRTH (undertaken Ireland, Italy Germany), that successfully used both quantitative qualitative methods enhance understanding mechanisms their effect...