A5018543027- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Dementia and Cognitive Impairment Research
- Frailty in Older Adults
- Physical Activity and Health
- Healthcare Systems and Practices
- Health disparities and outcomes
- Delphi Technique in Research
- Global Health Care Issues
- Business and Economic Development
- Evaluation and Performance Assessment
- Sports and Physical Education Research
- Health Policy Implementation Science
- Stroke Rehabilitation and Recovery
- Economic and Business Development Strategies
- Child and Adolescent Psychosocial and Emotional Development
- Psychiatric care and mental health services
- Interprofessional Education and Collaboration
- Poisoning and overdose treatments
- Aging, Elder Care, and Social Issues
- Peripheral Artery Disease Management
- Telemedicine and Telehealth Implementation
- Suicide and Self-Harm Studies
- Enterprise Management and Information Systems
- Healthcare Decision-Making and Restraints
University of Leeds
2017-2022
The quality of care for people with dementia in homes is concern. Interventions that can improve outcomes are required.To investigate the clinical effectiveness and cost-effectiveness Dementia Care Mapping™ (DCM) reducing agitation improving living homes, versus usual care.A pragmatic, cluster randomised controlled trial an open-cohort design, follow-up at 6 16 months, integrated analysis process evaluation. Clusters were not blinded to allocation. primary end point was completed by staff...
Abstract Background Return to work (RTW) is achieved by less than 50% of stroke survivors. The rising incidence among younger people, the UK economic forecast, and clinical drivers highlight need for survivors receive support with RTW. However, evidence this type lacking. This randomised controlled trial (RCT) will investigate whether Early Stroke Specialist Vocational Rehabilitation (ESSVR) plus usual care (UC) (i.e. NHS rehabilitation) more clinically cost-effective supporting post-stroke...
There are more than a quarter of million individuals aged ≥ 65 years who resident in care homes England and Wales. Care home residents have high levels cognitive impairment, physical disability, multimorbidity polypharmacy. Research is needed to ensure there robust, evidence-based interventions improve the quality life this frail group. However, paucity research studies area. Recruiting their challenging. A feasibility, cluster randomised controlled trial was undertaken as part programme...
As life expectancy increases and the number of older people, particularly those aged 85 years over, expands there is an increase in demand for long-term care. A large proportion people a care home setting spend most their time sedentary, this one leading preventable causes death. Encouraging residents to engage more physical activity could deliver benefits terms psychological health, quality life. This study final stage programme research develop preliminarily test evidence-based...
This mixed-method process evaluation underpinned by normalisation theory aims to measure fidelity the intervention, understand social and structural context in which intervention is delivered identify barriers facilitators implementation. RETurn work After stroKE (RETAKE) a multicentre individual patient randomised controlled trial determine whether Early Stroke Specialist Vocational Rehabilitation (ESSVR) plus usual care clinically cost-effective therapy facilitate return after stroke,...
Care home (CH) residents are mainly inactive, leading to increased dependency and low mood. Strategies improve activity required.Cluster randomised controlled feasibility trial with embedded process health economic evaluations. Twelve residential CHs in Yorkshire, United Kingdom, were the MoveMore intervention plus usual care (UC) (n = 5) or UC only 7).Permanent aged ≥65 years.MoveMore: a whole involving all CH staff designed encourage support increase movement of residents.Feasibility...
Objectives Agitation is common and problematic in care home residents with dementia. This study investigated the (cost)effectiveness of Dementia Care Mapping™ (DCM) for reducing agitation this population.Method Pragmatic, cluster randomised controlled trial cost-effectiveness analysis 50 homes, follow-up at 6 16 months stratified randomisation to intervention (n = 31) control 19). Residents dementia were recruited baseline 726) 261). Clusters not blinded allocation. Three DCM cycles...
Abstract Background: Return to work (RTW) is achieved by less than 50% of stroke survivors. The rising incidence among younger people, the UK economic forecast, and clinical drivers highlight need for survivors receive support with RTW. However, evidence this type lacking. This randomised controlled trial (RCT) will investigate whether Early Stroke Specialist Vocational Rehabilitation (ESSVR) plus usual care (UC) (i.e., NHS rehabilitation) more clinically cost effective supporting...
Dementia Care Mapping (DCM) is a practice development tool, used internationally, for facilitating delivery of person-centred dementia care in formal settings. Four previous exploratory controlled studies on the efficacy DCM home settings, have delivered mixed results. The EPIC trial, subsequently, aimed to assess clinical effectiveness and cost reducing agitation residents with dementia. was multi-centre, pragmatic, cluster randomised trial follow-up at 6- 16-months, 50 UK homes 987...
Background: This trial investigated the (cost) effectiveness of Dementia Care Mapping (DCM™) for reducing agitation in care home residents with dementia compared to usual (DCM™ EPIC trial).
Background Care home residents are mainly inactive, leading to increased dependency and low mood. Although exercise classes may increase activity, a more sustainable model is engage staff in increasing routine activity. Objectives The objectives were develop preliminarily test strategies enhance the physical activity of care improve their physical, psychological social well-being through five overlapping workstreams. Design This trial had mixed-methods research design feasibility undertaking...