A5019346940- Substance Abuse Treatment and Outcomes
- Digital Mental Health Interventions
- Behavioral Health and Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health and Patient Involvement
- Mental Health Treatment and Access
- Mental Health Research Topics
- Alcohol Consumption and Health Effects
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Psychiatric care and mental health services
- Suicide and Self-Harm Studies
- Health Policy Implementation Science
- Smoking Behavior and Cessation
- Workplace Health and Well-being
- Telemedicine and Telehealth Implementation
- Stroke Rehabilitation and Recovery
- Attention Deficit Hyperactivity Disorder
- Obsessive-Compulsive Spectrum Disorders
- Community Health and Development
- Long-Term Effects of COVID-19
- Impact of Technology on Adolescents
- Homelessness and Social Issues
- Mobile Health and mHealth Applications
- Behavioral and Psychological Studies
- Cardiac Health and Mental Health
University College London
2011-2025
Camden and Islington NHS Foundation Trust
2011-2022
St Pancras Hospital
2018
Universidad de Los Andes
2018
Hertfordshire Partnership University NHS Foundation Trust
2018
University Foundation
2018
Roland Hill (United Kingdom)
2012-2018
The Royal Free Hospital
2018
University at Buffalo, State University of New York
2010-2014
Buffalo State University
2014
Objectives To describe self-reported characteristics and symptoms of treatment-seeking patients with post-COVID-19 syndrome (PCS). assess the impact on health-related quality life (HRQoL) patients’ ability to work undertake activities daily living. Design Cross-sectional single-arm service evaluation real-time user data. Setting 31 clinics in UK. Participants 3754 adults diagnosed PCS primary or secondary care deemed suitable for rehabilitation. Intervention Patients using Living With Covid...
Background Interventions delivered via the Internet have potential to address problem of hazardous alcohol consumption at minimal incremental cost, with potentially major public health implications. It was hypothesised that providing access a psychologically enhanced website would result in greater reductions drinking and related problems than giving typical simply information on harms alcohol. DYD-RCT Trial registration: ISRCTN 31070347. Methodology/Principal Findings A two-arm randomised...
Background: Heavy drinking is responsible for major health and social problems.Brief interventions have been shown to be effective, but there difficulties in reaching those who might benefit from them.Pilot studies indicated that a Web-based intervention likely acceptable heavy drinkers may produce some benefits.However, are few data on how many people use such program, the patterns of use, potential benefits. Objectives:The aim was examine demographic characteristics users free, Web-based,...
Fathers, in general, have been underrepresented studies of parent training outcome for children with attention deficit hyperactivity disorder (ADHD), and the present study aimed to investigate efficacy a behavioral program developed expressly fathers. The investigation randomly assigned 55 fathers ages 6 12 ADHD Coaching Our Acting-out Children: Heightening Essential Skills (COACHES) or waitlist control group. Outcomes included objective observations behaviors ratings child behavior. Results...
There has been limited study of factors influencing response rates and attrition in online research. Online experiments were nested within the pilot (study 1, n = 3780) main trial 2, 2667) phases an evaluation a Web-based intervention for hazardous drinkers: Down Your Drink randomized controlled (DYD-RCT).The objective was to determine whether differences length relevance questionnaires can impact upon loss follow-up trials.A design used. All participants who consented enter DYD-RCT...
The aim of the study reported here was to reflect and report on lessons learned from adapting HCI methods fit into an agile development process delivering a digital intervention for people managing Long Covid. During project, we maintained record all activities interim design products. Subsequently, selected records were analysed qualitatively. Challenges included engaging patients this complex, debilitating health condition fitting different evolving patient pathways provided by clinics....
Background Social anxiety disorder is a common mental health condition characterized by an intense fear of social situations that can lead to significant impairment in daily life. Cognitive behavioral therapy (CBT) has been recognized as effective treatment; however, access therapists limited, and the interacting with delay treatment seeking. Furthermore, not all individuals respond. Tailoring modular treatments individual cognitive profiles may improve efficacy. We developed novel digital...
To conduct a pilot study of the usefulness Down Your Drink (DYD), web-based intervention to encourage excessive drinkers adopt healthy pattern drinking and reduce alcohol-associated harm. The DYD website was structured as 6-week programme, derived from manual which included elements motivational approaches cognitive behavioural therapy.Visitors whose responses Fast Alcohol Screening Test were positive, those indicating alcohol consumption, encouraged register. Users completed dependence...
Abstract Background The public health message around alcohol is complex, with benefits versus harms, the confusing concept of risk and drinking guidance changing over time. This provides a difficult context for screening in primary care, established barriers from practitioner perspective, but less known about patients’ perspective. study explores views on drinking. Methods Eligible participants were recorded as above low levels care. Six practices North London participated. Interviews...
Introduction Long COVID-19 is a distressing, disabling and heterogeneous syndrome often causing severe functional impairment. Predominant symptoms include fatigue, cognitive impairment (‘brain fog’), breathlessness anxiety or depression. These are amenable to rehabilitation delivered by skilled healthcare professionals, but has put strain on systems. This study aims explore whether digitally enabled, remotely supported for people with long can enable systems provide high quality care large...
Alcohol misuse in England costs around £7.3 billion (US$12.2 billion) annually from lost productivity and absenteeism. Delivering brief alcohol interventions to employees as part of a health check may be acceptable, particularly with online delivery which can provide privacy for this stigmatised behaviour. Research support approach is limited methodologically weak. The aim was determine the effectiveness screening personalised feedback on consumption, delivered workplace check.This two-group...
Excessive alcohol consumption is a significant public health problem throughout the world. Although there are range of effective interventions to help heavy drinkers reduce their consumption, these have little proven population-level impact. Researchers internationally looking at potential Internet in this area. In two-arm randomised controlled trial, an on-line psychologically enhanced interactive computer-based intervention compared with flat, text-based information web-site. Recruitment,...
Background : The impact of alcohol use disorders (AUD) on psychological treatments for depression or anxiety in primary care treatment services is unknown. Aims To establish levels misuse an Improving Access to Psychological Therapies (IAPT) service, examine the higher risk drinking IAPT outcomes and drop-out, inform good practice working with services. Method: 3643 patients completed a brief questionnaire pre-treatment addition measures depression, functioning. Symptom functioning were...
Alcohol consumption by young professional women is increasing. Whilst the media and public health campaigns have condemned this increase, societal attitudes advertising discourses frame it as a display of “power femininity”. This qualitative study explored women's “relationship with alcohol”: why they drank how felt about it. Twelve who reported drinking over official limits had not sought help were recruited via UK houses (drinking establishments, usually called pubs) later interviewed....
Aims and Method The study investigated the personal impact of patient suicides on members community mental health teams sources support utilised for coping with adverse effects. Results Forty-four questionnaires were returned. Eighty-six per cent staff reported having had at least one suicide, an average 4.2 suicides. majority that significant effects their professional lives. Some long-lasting (greater than 1 month). Staff found peer support, reviews, dedicated meetings from senior...
Alcohol misuse is a significant international public health problem. Screening and brief intervention (SBI) in primary care reduces alcohol consumption by about 15 – 30%, sustained over 12 months hazardous or harmful drinkers but implementation has proved difficult leading to growing interest exploring the effectiveness of SBI other settings, including workplace. Computerised interventions for can be as effective traditional face-to-face may have advantages, anonymity, convenience...
Aims: To describe the development and evaluation of an innovative web-based service for hazardous or harmful drinkers. Methods: Patients were identified in General Practice referred to new service. Mixed methods used evaluation. Results: The was feasible acceptable patients, primary care professionals commissioners. Users appeared reduce their alcohol consumption. Conclusion: This model may be interest other commissioners looking increase access treatments at low cost.
AimsDefensiveness in response to threatening health information related excessive alcohol consumption prevents appropriate behaviour change. Alternatively, self-affirmation may improve cognitive-affective processing of information, thus contributing successful self-regulation.
Down Your Drink is a Web-based brief intervention for hazardous drinkers. We conducted pilot study of its usefulness in general practice. Visitors to the Website were invited complete Fast Alcohol Screening Test and positive responders offered six-week interactive programme. There 1 319 registrations six-month period. In all, 815 (62%) registrants completed week one, 79 (6%) stayed with programme until end. Usage was distributed through day, highest levels between 10:00 14:00. Two focus...
In an uncontrolled pilot study of interactive, Web-based treatment programme for people with alcohol problems, the mean number units consumed decreased from 33 per week to 23. A two-arm online randomized controlled trial will be conducted determine effectiveness interactive intervention reducing consumption. Participants (access plus information) or control information Website only) groups, and followed up six months. The primary outcome measure reduction in previous seven days; secondary...