A5069371418- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Behavioral Health and Interventions
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health and Patient Involvement
- Mental Health and Psychiatry
- Patient-Provider Communication in Healthcare
- Health Sciences Research and Education
- Healthcare Policy and Management
- Community Health and Development
- Healthcare Systems and Technology
- Chronic Disease Management Strategies
- Cancer survivorship and care
- Meta-analysis and systematic reviews
- Opioid Use Disorder Treatment
- Interprofessional Education and Collaboration
- Patient Satisfaction in Healthcare
- Healthcare Quality and Management
- Global Health Workforce Issues
- Acute Kidney Injury Research
- Health, psychology, and well-being
- Pharmaceutical Practices and Patient Outcomes
- Survey Methodology and Nonresponse
- Psychometric Methodologies and Testing
University of York
2018-2024
University of Leeds
2013-2022
Hull York Medical School
2020-2022
University of Aberdeen
2006-2012
In interview studies, sample size is often justified by interviewing participants until reaching 'data saturation'. However, there no agreed method of establishing this. We propose principles for deciding saturation in theory-based studies (where conceptual categories are pre-established existing theory). First, specify a minimum initial analysis (initial sample). Second, how many more interviews will be conducted without new ideas emerging (stopping criterion). demonstrate these two based...
Electronic patient self-Reporting of Adverse-events: Patient Information and aDvice (eRAPID) is an online eHealth system for patients to self-report symptoms during cancer treatment. It provides automated severity-dependent advice guiding self-management or medical contact displays the reports in electronic records. This trial evaluated impact eRAPID on symptom control, healthcare use, self-efficacy, quality life (QOL) a population treated predominantly with curative intent.Patients...
Abstract Background In the field of implementation research, there is an increased interest in use theory when designing research studies involving behavior change. 2003, we initiated a series five to establish scientific rationale for interventions translate findings into clinical practice by exploring performance number different, commonly used, overlapping behavioral theories and models. We reflect on strengths weaknesses methods, theories, consider where these methods sit alongside range...
Objectives In studies involving theoretical constructs, it is important that measures have good content validity and there not contamination of by from other constructs. While reliability construct are routinely reported, to date, has been a satisfactory, transparent, systematic method assessing reporting validity. this paper, we describe methodology discriminant ( DCV ) illustrate its application in three studies. Methods Discriminant involves six steps: definition, item selection, judge...
Psychological models can be used to understand and predict behaviour in a wide range of settings. However, they have not been consistently applied health professional behaviours, the contribution differing theories is clear. The aim this study was explore usefulness psychological relating management upper respiratory tract infections (URTIs) without antibiotics. measures were collected by postal questionnaire survey from random sample general practitioners (GPs) Scotland. outcome clinical...
There are recognised gaps between evidence and practice in general practice, a setting posing particular implementation challenges. We earlier screened clinical guideline recommendations to derive set of 'high-impact' indicators based upon criteria including potential for significant patient benefit, scope improved amenability measurement using routinely collected data. Here, we explore health professionals' perceived determinants adherence these indicators, examining the degree which were...
<h3>Objectives</h3> To examine trends in opioid prescribing primary care, identify patient and general practice characteristics associated with long-term stronger prescribing, associations changes prescribing. <h3>Design</h3> Trend, cross-sectional longitudinal analyses of routinely recorded data. <h3>Setting</h3> 111 care practices Leeds Bradford, UK. <h3>Participants</h3> We observed 471 828 patient-years which all patients represented had at least 1 prescription between April 2005 March...
The place of opioids in the management chronic, non-cancer pain is limited. Even so their use escalating, leading to concerns that patients are prescribed strong inappropriately and alternatives medication under-used. We aimed understand processes which bring about perpetuate long-term prescribing for pain. held semi-structured interviews with focus groups general practitioners (GPs). Participants included 23 currently 15 GPs from Leeds Bradford, United Kingdom (UK). used a grounded approach...
Audits of blood transfusion demonstrate around 20% transfusions are outside national recommendations and guidelines. Audit feedback is a widely used quality improvement intervention but effects on clinical practice variable, suggesting potential for enhancement. Behavioural theory, theoretical frameworks behaviour change techniques provide systematic processes to enhance intervention. This study part larger programme work promote the uptake evidence-based practice.The objectives this design...
Psychological models are used to understand and predict behaviour in a wide range of settings, but have not been consistently applied health professional behaviours, the contribution differing theories is clear. This study explored usefulness an evidence-based -- placing fissure sealants. Measures were collected by postal questionnaire from random sample general dental practitioners (GDPs) Scotland. Outcomes behavioural simulation (scenario decision-making), intention. Predictor variables...
Healthcare professional response rates to postal questionnaires are declining and this may threaten the validity generalisability of their findings. Methods improve do incur costs (resources) increase cost research projects. The aim these randomised controlled trials (RCTs) was assess whether 1) incentives, 2) type reminder and/or 3) reduced burden rates; implications such additional effective interventions. Two RCTs were conducted. In RCT A general dental practitioners (dentists) in...
In England, NHS Blood and Transplant conducts national audits of transfusion provides feedback to hospitals promote evidence-based practice. Audits demonstrate 20% transfusions fall outside guidelines. The AFFINITIE programme (Development & Evaluation Audit Feedback INterventions Increase Transfusion practIcE) involves two linked, 2×2 factorial, cluster-randomised trials, each evaluating theoretically-enhanced audit interventions reduce unnecessary blood in UK hospitals. first intervention...
Psychological models predict behaviour in a wide range of settings. The aim this study was to explore the usefulness psychological health professional 'referral for lumbar spine x-ray patients presenting with low back pain' by UK primary care physicians. measures were collected postal questionnaire survey from random sample physicians Scotland and north England. outcome clinical (referral rates x-rays), behavioural simulation (lumbar referral decisions based upon scenarios), intention...
Background Cancer is treated using multiple modalities (e.g. surgery, radiotherapy and systemic therapies) frequently associated with adverse events that affect treatment delivery quality of life. Regular event reporting could improve care safety through timely detection management. Information technology provides a feasible monitoring model, but applied research needed. This programme developed evaluated an electronic system, called eRAPID, for cancer patients to remotely self-report...
Detection of depression can be difficult in primary care, particularly when associated with chronic illness. Patient beliefs may affect detection and subsequent engagement management. We explored patient about the nature physical A qualitative interview study patients registered general practices Leeds, UK. invited coronary heart disease or diabetes from care to participate semi-structured interviews exploring their experiences. analysed transcripts using a thematic approach, extended...
Patients in control of their own haemodialysis report better outcomes than those receiving professional controlled care a hospital setting, even though home and are largely equivalent from mechanical physiological perspectives. Shared Haemodialysis Care (SHC) describes an initiative which patients supported by dialysis staff to become as involved they wish care; can improve patient safety, satisfaction may reduce costs. We do not understand why interventions support self-management other...
Background There are widely recognised variations in the delivery and outcomes of healthcare but an incomplete understanding their causes. is a growing interest using routinely collected 'big data' evaluation healthcare. We developed set evidence-based 'high impact' quality indicators (QIs) for primary care examined achievement these data United Kingdom (UK). Methods Cross-sectional analysis collected, electronic from sample general practices West Yorkshire, UK (n = 89). The QIs covered...