A5022156934- Musculoskeletal pain and rehabilitation
- Patient-Provider Communication in Healthcare
- Opioid Use Disorder Treatment
- Migraine and Headache Studies
- Health Systems, Economic Evaluations, Quality of Life
- Long-Term Effects of COVID-19
- Pain Management and Opioid Use
- Botulinum Toxin and Related Neurological Disorders
- COVID-19 and Mental Health
- Cardiovascular Syncope and Autonomic Disorders
- Pulmonary Hypertension Research and Treatments
- Cultural Competency in Health Care
- Diabetes Management and Education
- Spine and Intervertebral Disc Pathology
- Clinical practice guidelines implementation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Pain Management and Treatment
- Global Cancer Incidence and Screening
- Nursing Roles and Practices
- Psychosomatic Disorders and Their Treatments
- Heart Rate Variability and Autonomic Control
- COVID-19 and healthcare impacts
- Healthcare Systems and Technology
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Patient Satisfaction in Healthcare
University of Warwick
2016-2025
University Hospitals Coventry and Warwickshire NHS Trust
2024
PAREXEL International (United Kingdom)
2020
Centers for Disease Control and Prevention
2016
Abstract Objective To evaluate whether a structured online supervised group physical and mental health rehabilitation programme can improve related quality of life compared with usual care in adults post-covid-19 condition (long covid). Design Pragmatic, multicentre, parallel group, superiority randomised controlled trial. Setting England Wales, home based interventions delivered remotely from single trial hub. Participants 585 (26-86 years) discharged NHS hospitals at least three months...
Globally, vaccine preventable diseases are responsible for nearly 20 % of deaths annually among children <5 years old. Worldwide, many dropout from the vaccination program, vaccinated late, or incompletely vaccinated. We evaluated impact text messaging and sticker reminders to reduce dropouts program. The evaluation was conducted in three selected districts Kenya: Machakos, Langata Njoro. Three health facilities were each district, randomly allocated send messages provide stickers reminding...
Spinal cord stimulation (SCS) is an established treatment of chronic neuropathic pain. Although a temporary SCS screening trial widely used to determine whether patient should receive permanent implant, its evidence base limited. We aimed establish the clinical utility, diagnostic accuracy, and cost-effectiveness trial. A multicentre single-blind, parallel two-group randomised controlled superiority was undertaken at 3 centres in United Kingdom. Patients were 1:1 either strategy (TG) or no...
Opioid use for chronic nonmalignant pain can be harmful.To test whether a multicomponent, group-based, self-management intervention reduced opioid and improved pain-related disability compared with usual care.Multicentered, randomized clinical trial of 608 adults taking strong opioids (buprenorphine, dipipanone, morphine, diamorphine, fentanyl, hydromorphone, methadone, oxycodone, papaveretum, pentazocine, pethidine, tapentadol, tramadol) to treat pain. The study was conducted in 191 primary...
Abstract Post-surgical rehabilitation advice after ankle fracture surgery, particularly regarding weight-bearing, varies significantly, leading to patient frustration and inconsistent recovery outcomes. This study aimed establish a consensus for identify content implementation options future interventions through consultation with healthcare professionals (HCPs). was part of the weight-bearing in fractures (WAX) trial, multicentre, randomised controlled trial. Using behaviour change wheel...
This qualitative evaluation was embedded in the Rehabilitation Exercise and psycholoGical support After COVID-19 InfectioN (REGAIN) study, a randomised controlled trial (RCT) for those with post-COVID-19 condition ('long COVID') after hospital admission COVID-19, comparing weekly home-based, live online supervised group exercise psychological sessions 'best practice usual care' (a single session of advice). To increase our understanding how why REGAIN programme might have worked what helped...
The aim of the study was to assess feasibility conducting a definitive multicentre randomised controlled trial (RCT) testing an online exercise rehabilitation and behavioural/motivational support intervention for people with postural tachycardia syndrome (PoTS). Feasibility RCT. Two secondary care centres. Adults aged 18 60 years PoTS. Exclusions were serious mental health/cognitive problem preventing safe participation; currently undertaking physical activity equivalent Chief Medical...
Effective rehabilitation following ankle fracture surgery is essential for optimal recovery and patient satisfaction. However, traditional strategies often lack personalisation, leading to suboptimal outcomes. This study aimed co-design a package, collaborating directly with patients, understand their individual needs, using the Behaviour Change Wheel (BCW) framework. Integrated within larger weight-bearing in fractures (WAX) trial, this employed BCW behaviour, intervention options content...
### What you need to know Opioids are commonly prescribed for short term pain relief in people with chronic (not caused by cancer). If they used long term, most patients develop tolerance, their increases, and clinicians gradually escalate the dose (fig 1). Sales of opioids USA quadrupled between 2000 2010.1 Media have reported harms dependence23 increasing number deaths from accidental overdose.45678910 Other include immune suppression, hormonal imbalance, falls fractures, acute myocardial...
Objectives Spinal cord stimulation (SCS) is an established treatment of chronic neuropathic pain. Although a temporary SCS screening trial widely used to determine suitability for permanent implant, its evidence base limited. The recent TRIAL-STIM study (a randomized controlled at three centers in the United Kingdom) found no that strategy provides superior patient outcomes as compared with approach. As part study, we undertook nested qualitative ascertain patients' preferences relation...
Emergency nurse practitioners (ENPs) play an increasingly important role in UK emergency departments (EDs), but there is limited evidence about how this affects patient care and outcome. A study was undertaken to compare the content of, satisfaction with, consultations made with patients presenting problems of low acuity ED.Patients "primary care" were allocated senior house officers (SHOs, n = 10), specialist registrars/staff grades (n 7), sessionally-employed general (GPs, 12) or ENPs 6)...
Self-management interventions are well recognised and widely used in chronic conditions. Their application to headaches has been limited generally of low quality. We describe here our process for developing an evidence based, theory driven, education self-management intervention those living with headache. Our was designed using several core information sources; the results three systematic reviews, qualitative material from headaches, knowledge existing interventions; finally collaborative...