A5063454139- Health Policy Implementation Science
- Musculoskeletal pain and rehabilitation
- Trauma and Emergency Care Studies
- Workplace Health and Well-being
- Health Systems, Economic Evaluations, Quality of Life
- Traumatic Brain Injury Research
- Stroke Rehabilitation and Recovery
- Traumatic Brain Injury and Neurovascular Disturbances
- Interprofessional Education and Collaboration
- Cerebral Palsy and Movement Disorders
- Delphi Technique in Research
- Occupational Therapy Practice and Research
- Language, Discourse, Communication Strategies
- Culture, Economy, and Development Studies
- Neurosurgical Procedures and Complications
- Occupational Health and Safety Research
- Discourse Analysis in Language Studies
- Economic theories and models
- Economic Growth and Productivity
- Spinal Fractures and Fixation Techniques
- Cardiac Arrest and Resuscitation
- Healthcare Systems and Practices
- Nursing Roles and Practices
- Emergency and Acute Care Studies
- EFL/ESL Teaching and Learning
University of Nottingham
2016-2025
Queen's Medical Centre
2020-2024
University of California, Davis
2001-2017
Cleveland Clinic
2003
Cleveland Research (United States)
2003
University Orthopaedic Associates
2003
Ypsilanti District Library
2003
McMaster University
2001
University of California, Los Angeles
2001
Up to 160,000 people incur traumatic brain injury (TBI) each year in the UK. TBI can have profound effects on many areas of human functioning, including participation work. There is limited evidence clinical effectiveness and cost-effectiveness vocational rehabilitation (VR) after promote early return work (RTW) following TBI.To assess feasibility a definitive, multicentre, randomised controlled trial (RCT) early, specialist VR plus usual care (UC) compared with UC alone retention 12 months...
Abstract Objective: To evaluate the prevalence, distribution, and demographics of thoracolumbar (TL) spine injuries following blunt trauma. Methods: Prospective, cross‐sectional study a consecutive sample all trauma patients presenting initially to emergency department (ED) Level 1 center undergoing thoracic and/or lumbar radiography from August 1997 November 1998. The age, sex, mechanism injury each patient as well location type were recorded for those with vertebral fractures,...
Background Returning to work after stroke has physical, psychological and financial benefits for survivors. However, global evidence estimates return-to-work rates 1 year post at < 50%. Although its importance is acknowledged by policy-makers healthcare providers, vocational rehabilitation not always part of National Health Service usual care stroke. Currently, there limited the effectiveness support interventions. RETurn After stroKE was a multicentre individually randomised controlled...
To identify facilitators and barriers to fit note certification among nurses, occupational therapists, pharmacists physiotherapists (NOPPs), ongoing training needs. An online survey informed by the Theoretical Domains Framework (TDF) was used gather data from NOPPs implementation personal, social environmental influences on certification.Data were analysed using descriptive statistics. Mean TDF domain scores calculated (mean ≤3.5 indicated barriers, ≥5 facilitators). Free-text thematically...
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...
Objective: To identify where and how trauma survivors’ rehabilitation needs are met after trauma, to map across five UK major networks, compare with recommended pathways. Design: Qualitative study (interviews, focus groups, workshops) using soft-systems methodology usual care networks explore service gaps. Publicly available documents were consulted. CATWOE (Customers, Actors, Transformation, Worldview, Owners, Environment) was used as an analytic framework the relationship between...
Abstract Objectives Computed tomography ( CT ) is often used in the emergency department ED evaluation of children with posttraumatic seizures PTS ); however, frequency traumatic brain injuries TBI s) and short‐term seizure recurrence lacking. Our main objective was to evaluate s on . We also aimed determine associations between likelihood timing onset after event duration Finally, we whether patients normal scans neurological examinations are safe for discharge from Methods This a planned...
Abstract Background Traumatic injuries are common amongst working-age adults. Survivors often experience physical and psychological problems, reduced quality of life difficulty returning to work. Vocational rehabilitation improves work outcomes for a range conditions but evidence effectiveness those with traumatic is lacking. This study assesses feasibility delivering vocational intervention enhance return improve wellbeing in people at least moderate trauma inform design definitive...
Background: Returning to work after traumatic injury can be problematic. We developed a vocational telerehabilitation (VR) intervention for trauma survivors, delivered by trained occupational therapists (OTs) and clinical psychologists (CPs), explored factors affecting delivery acceptability in feasibility study. Methods: Surveys pre- (5 OTs, 2 CPs) post-training (3 1 CP); interviews post-intervention (4 4 CPs). Mean survey scores 14 theoretical domains identified barriers (score ≤ 3.5)...
Abstract Background Integrating complex interventions within healthcare settings can be challenging. Mentoring embedded a randomised controlled trial (RCT) to upskill and support those delivering the intervention. This study aimed understand, from realist perspective, how mentoring worked implementation fidelity for occupational therapists (OTs) vocational rehabilitation (VR) intervention context of an RCT. Methods A evaluation using secondary data (emails, record forms, interviews)...
A key goal for working age stroke survivors is to return work, yet only around 50% achieve this at 12 months. Currently, there limited evidence of effectiveness early stroke-specialist vocational rehabilitation (ESSVR) interventions from randomised controlled trials. This study examined fidelity ESSVR and explored social structural factors which may have influenced implementation in the RETurn work After stroKE (RETAKE) trial.
Background. The utility of prehospital intubation is controversial, as uncontrolled studies in trauma patients suggest adverse outcomes with intubation, perhaps secondary to inappropriate ventilation once accomplished. Objectives. objectives were 1) establish, immediately upon arrival the emergency department (ED), prevalence abnormal end-tidal carbon dioxide (ETCO2) levels and 2) describe relationship between ETCO2 on ED mortality. Methods. This was a prospective, observational cohort study...
Background In a feasibility randomised controlled trial, training was developed to equip occupational therapists deliver early specialised traumatic brain injury vocational rehabilitation in the English National Health Service (NHS). Method The package by experts and injury, included manual, direct instruction six trainers opportunity for mentorship four therapists. Following training, were interviewed regarding effectiveness ease of use package. Interviews analysed using framework approach....
Introduction: Dabigatran etexilate was the first direct-acting oral anticoagulant approved in UnitedStates. The prevalence of intracranial hemorrhage after blunt head trauma patients on dabigatranis currently unknown, complicating adequate ability to accurately compare risks and benefitsof dabigatran alternative anticoagulants. We aimed determine intracranialhemorrhage for presenting a Level I center.Methods: This is retrospective observational study adult who presented toa center received...
Purpose To implement a job retention vocational rehabilitation (VR) intervention (MSVR) for people with multiple sclerosis (MS) and their employers in the UK National Health Service (NHS).
Background Chronic or persistent pain affects one’s ability to work be productive at work, generating high societal and economic burden. However, the provision of work-related advice support for people with chronic is variable lacking. The Pain-at-Work (PAW) Toolkit was cocreated who live pain, health care professionals, employers. It aims increase knowledge about employee rights how access managing a painful condition in workplace provides on lifestyle behaviors that facilitate management...
Gastrocnemius equinus contracture is associated with the development of a variety chronic problems foot and ankle, including plantar fasciitis, hallux valgus, symptomatic adult acquired flatfoot, metatarsalgia, diabetic forefoot ulcers, synovitis metatarsophalangeal joints. recession has become an important component in treatment such aggravated or precipitated by clinically evident gastrocnemius contracture. With proper attention to surgical technique good postoperative program allow...
Abstract Background Determining whether complex rehabilitation interventions are delivered with fidelity is important. Implementation can differ between sites, therapists delivering and, over time, threatening trial outcomes and increasing the risk of type II III errors. This study aimed to develop a method assessing occupational therapists’ deliver complex, individually tailored vocational (VR) intervention people traumatic brain injury (TBI) assess feasibility its use in randomised...
<h3>Background</h3> Traumatic injury is a major cause of death and disability worldwide. Many patients experience delayed return-to-work or are unable to return-to-work. Those that do return often have lower productivity. Vocational rehabilitation (VR) supports people remain in work. It has been shown be effective some conditions, but there little evidence its effect trauma acceptability providers. We developed VR intervention (ROWTATE) currently being tested large scale randomised...