- Rheumatoid Arthritis Research and Therapies
- Orthopedic Surgery and Rehabilitation
- Autoimmune and Inflammatory Disorders Research
- Musculoskeletal Disorders and Rehabilitation
- Musculoskeletal pain and rehabilitation
- Health Literacy and Information Accessibility
- Peripheral Neuropathies and Disorders
- Innovations in Medical Education
- Social Media in Health Education
- Diabetes Management and Education
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Systemic Lupus Erythematosus Research
- Mental Health and Patient Involvement
- Telemedicine and Telehealth Implementation
- Delphi Technique in Research
- Elbow and Forearm Trauma Treatment
- Peripheral Nerve Disorders
- Occupational Therapy Practice and Research
- Health and Medical Research Impacts
- Cerebral Palsy and Movement Disorders
- Medical and Biological Sciences
- Interprofessional Education and Collaboration
- Clinical practice guidelines implementation
- Chronic Disease Management Strategies
- Health Sciences Research and Education
University of Southampton
2015-2024
University of East Anglia
2022-2023
Versus Arthritis
2015-2022
NIHR Applied Research Collaboration West
2022
MRC Epidemiology Unit
2022
University of Cambridge
2022
National Institute for Health Research
2022
University of Cape Town
2014-2021
Keele University
2020
University of Oxford
2020
Regular physical activity (PA) is increasingly promoted for people with rheumatic and musculoskeletal diseases as well the general population. We evaluated if public health recommendations PA are applicable inflammatory arthritis (iA; Rheumatoid Arthritis Spondyloarthritis) osteoarthritis (hip/knee OA) in order to develop evidence-based advice guidance on clinical practice. The EULAR standardised operating procedures development of were followed. A task force (TF) (including rheumatologists,...
While most experts agree that cervical screening is effective, there remains controversy over the appropriate interval. Annual common in North America. In England, some argue for 3-yearly while others believe 5-yearly adequate, and frequency varies from one part of country to another. Screening histories 1305 women aged 20-69 years, diagnosed with frankly invasive cancer 2532 age-matched controls were obtained UK programme databases. Data analysed terms time since last negative, smear....
The number of women dying from cervical cancer in 1997 was 7% lower than 1996 and has fallen by over 25% since 1992.1 Such rapid change must be at least partly due to screening, although strong cohort effects have caused large fluctuations mortality the past.2 We modelled data, taking into account age and year birth looking for trends time within four groups estimate beneficial screening. We obtained 5 year bands, death registrations England Wales calculated rates using mid-year population...
Background The effectiveness of exercise for improving hand and wrist function in people with rheumatoid arthritis (RA) is uncertain. Objectives study aims were (1) to estimate the clinical cost-effectiveness adding an optimised programme hands upper limbs standard care patients RA; (2) qualitatively describe experience participants trial a particular emphasis on acceptability intervention, behaviours reasons adherence/non-adherence. Design A pragmatic, multicentred, individually randomised...
To explore the relationship in individuals with early rheumatoid arthritis (RA) between self-report upper limb function, therapist-assessed function and measures of structural impairment (handgrip, active hand motion metacarpophalangeal (MCP) joint ulnar deviation).Thirty-six patients RA were recruited across seven outpatient occupational therapy departments.Upper functional activity ability was measured using Disability Arm, Shoulder Hand (DASH) questionnaire Grip Ability Test (GAT). Upper...
Objectives. We assessed the impact of health literacy and acculturation on oral status Somali refugees in Massachusetts. Methods. Between December 2009 June 2011, we surveyed 439 adult Somalis who had lived United States 10 years or less. Assessments included examinations with decayed, missing, filled teeth (DMFT) counts measurement spoken English literacy. tested associations generalized linear regression models. Results. Participants means 1.4 2.8 1.3 teeth. Among participants been 0 to 4...
There are few guidelines for clinical trials of interventions prevention post-traumatic osteoarthritis (PTOA), reflecting challenges in this area. An international multi-disciplinary expert group including patients was convened to generate points consider the design and conduct interventional studies following acute knee injury.An evidence review on injury prevent PTOA presented group, alongside overviews area, potential targets, biomarkers imaging. Working groups considered pre-identified...
Purpose: Health literacy is the ability to access, understand and use health information. This study qualitatively explored views experiences of older adults with varying levels who had attended a falls clinic on their overall experience clinic, access service provider–patient interaction.Methods: Individual semi-structured interviews were conducted nine using in England. was assessed REALM NVS-UK. Interviews audio-recorded, transcribed verbatim interrogated interpretative phenomenological...
Objective. To evaluate the effectiveness of static resting splints in early RA. Methods. A multicentre, randomized, trial was conducted. Patients (n = 120) received either [positioned with wrist neutral, MCP joint (MCPJ) and IP (IPJ) a maximum 60° 30° flexion, respectively] plus standardized occupational therapy or alone. Change grip strength (Ns), structural impairment (MCPJ ulnar deviation), applied dexterity (Button Board), self-report hand ability [Michigan Hand Outcomes Questionnaire...
Purpose: Health literacy describes individuals’ abilities to access, understand and use health information. Lower is associated with poor outcomes, more common among older adults impacts on the effectiveness of rehabilitation/self-management interventions. This research explored nursing allied healthcare professionals’ views about identifying responding adults’ needs.Methods: Qualitative focus groups were conducted a purposive sample 22 UK AHPs working adults. Focus audio-recorded,...
To assess the reading levels required to complete patient-reported outcome measures (PROs) commonly used in rheumatology clinical and research settings.Ten PROs written English were evaluated. Four reviewers critiqued each measure blindly using two standardized readability indexes a final score for PRO was agreed.Only six of met recommended level health education literature.Many people completing will not be able understand what they are answering unable give an accurate perspective on their...