- Telemedicine and Telehealth Implementation
- Healthcare Systems and Technology
- Patient Satisfaction in Healthcare
- Family and Disability Support Research
- Autism Spectrum Disorder Research
- COVID-19 and healthcare impacts
- Cerebral Palsy and Movement Disorders
- Mobile Health and mHealth Applications
- Healthcare Operations and Scheduling Optimization
- Digital Mental Health Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Neuroscience and Neuropharmacology Research
- Family Support in Illness
- Healthcare innovation and challenges
- Ocular Diseases and Behçet’s Syndrome
- Substance Abuse Treatment and Outcomes
- Mental Health and Patient Involvement
- Health disparities and outcomes
- Global Healthcare and Medical Tourism
- Geriatric Care and Nursing Homes
- Child and Adolescent Health
- Epilepsy research and treatment
- Meta-analysis and systematic reviews
- Psychiatric care and mental health services
- Technology Use by Older Adults
Aneurin Bevan University Health Board
2010-2024
St Cadoc's Hospital
2003-2024
Muscat College
2024
National Health Service
2022-2023
The London College
2018-2019
University of Warwick
2018-2019
Community Connections
2018-2019
London School of Economics and Political Science
2018-2019
Cardiff University
2018-2019
Johns Hopkins University
2005-2017
The New Vaccinations of Infants in Practice online survey seven countries evaluated vaccination-related attitudes and concerns parents infants health care providers (HCPs) who provide pediatric medical care. showed that HCPs were open to adding new vaccines the immunization schedule, even if it requires co-administration with current or introduction office visits. Parental disease awareness campaigns would be helpful achieve widespread acceptance changes vaccination schedules. In addition,...
Background Carers report unmet need for occupational therapy services addressing sensory difficulties in autism, yet insufficient evidence exists to recommend a therapeutic approach. Objectives Our aim was determine the clinical effectiveness and cost-effectiveness of integration children with autism across behavioural, functional quality-of-life outcomes. Design We carried out parallel-group randomised controlled trial, incorporating an internal pilot process evaluation. Randomisation...
Patient-reported outcomes are measured in many epidemiologic studies using self- or interviewer-administered questionnaires. While some differences between these administration formats were observed, other did not show statistically significant important to patients. Since the evidence about effect of format is inconsistent and mainly available from cross-sectional our aim was assess effects different on repeated measurements patient-reported participants with AIDS enrolled Longitudinal...
Autism spectrum disorder (ASD) is a common lifelong condition affecting 1 in 100 people. ASD affects how person relates to others and the world around them. Difficulty responding sensory information (noise, touch, movement, taste, sight) common, might include feeling overwhelmed or distressed by loud constant low-level noise (e.g. classroom). Affected children may also show little no response these cues. These 'sensory processing difficulties' are associated with behaviour socialisation...
Previous work demonstrates the consequences of falling in older adults and potential physical activity (PA) to reduce falls, but few studies have used accelerometer-measured PA compare overall time-of-day patterns nonfallers, fallers, or subgroups fallers.In 840 participants (mean age, 66.7; s = 13.2; range, 26-97) Baltimore Longitudinal Study Aging between 2007 2014, was measured objectively with Actiheart accelerometers status (faller/nonfaller) assessed during an in-person interview....
Background: The use of technology in health care, including nursing, is growing, owing part to the COVID-19 pandemic and response national policy. Aims: To investigate nurses' perceptions digital nursing (DN). Methods: Community primary care nurses from across Wales were recruited (n=249) through a survey comprising open closed questions. This was supplemented with semistructured interviews (n=25). Thematic analysis used analyse qualitative data. Findings: Nurses had broad range perspectives...
Support, such as information, advice and therapies, can play a vital role in the lives of families autistic children. However, little is known about support experiences UK parents carers.To explore access to for children with autism sensory processing difficulties, from perspective carers.Semi-structured, timeline-assisted interviews were conducted parents/carers 30 aged 5-11, exploring support. Framework analysis was used identify themes interview data.Support varied widely not accessed...
The Community Intensive Therapy Team (CITT) has been operating since 1998. It was developed to cater for the needs of patients with complex difficulties referred a specialist Child and Adolescent Health Service (CAMHS) in South Wales, UK. served by CITT are comparable who might be admission an inpatient unit include eating disorders, psychosis, affective adjustment disorders or repetitive self-harm. theoretical model used is based on biopsychosocial which aims empower support family members....
Social distancing laws during the first year of pandemic, and its unprecedented changes to National Health Service (NHS) forced a large majority services, especially mental health teams deliver patient care remotely. For many, this approach was adopted out necessity, rather than choice, thus presenting true ‘testing ground’ for remote healthcare robust evaluation on national representative level. Objective To extract analyse specific data from dataset 1 (March 2020–March 2021). Design A...
Abstract Background: Autism Spectrum Disorder (ASD) is a common lifelong condition affecting 1 in 100 people. ASD affects how person relates to others and the world around them. Difficulty responding sensory information (noise, touch, movement, taste, sight) common, might include feeling overwhelmed or distressed by loud constant low-level noise (e.g. classroom). Affected children may also show little no response these cues. These ‘sensory processing difficulties’ are associated with...
Abstract Increasingly, patients', relatives', carers' and practitioners' experiences values are recognized as important aspects of health‐care decision‐making. Arguably, practitioners, patients carers should participate co‐producers health care. The roles changing practitioners their educators value more highly expertise. One way promoting co‐production user engagement in specialist child adolescent mental services is to actively involve educating practitioners. This recognizes that service...
The use of video consulting (VC) in Wales UK has expanded rapidly. Previous VC evidence been the subject small-scale projects and evaluations. Technology Enabled Care Cymru is an all-Wales digital service rolls out interventions evaluates on large scales, thus capturing representative data sets across Wales, therefore a wide range National Health Service (NHS) specialties. To extract analyse narrative feedback from patients clinicians using NHS for 6 months (September 2020 to March 2021). A...
According to the World Health Organization, globally, one in seven 10- 19-year-olds experiences a mental disorder, accounting for 13% of global burden disease this age group. Half all illnesses begin by 14 years and some teenagers with severe presentations must be admitted hospital assessed highly skilled health care practitioners. Digital telehealth solutions can useful assessment young individuals remotely. Ultimately, technology save travel costs service rather than assessing adolescents...
Background: Medical education is constantly evolving .It more effective and long lasting if it self-initiated self-directed.Active teaching learning strategy (ATLS) the process by which a medical student independently, or in group, identifies his her objectives actively seeks information necessary to achieve objectives.The study aims at identifying faculty's use of active strategies explore perceived barriers its undergraduate college.Methods: A cross sectional survey based was carried out...
Background During the COVID-19 pandemic, care home residents and staff were identified as being at risk of infection. Their safety was important, but equally important safe delivery healthcare to those who needed it. The Welsh Government provided homes with video consulting (VC) deliver vulnerable, combat isolation protect staff. Methods To understand use, value, benefits challenges using VC in across Wales, telephone interviews conducted between September November 2020. Results From 101...
To evaluate morphology of the optic nerve head and visual field in AIDS patients without retinitis.One randomly selected eye from 246 with retinitis was evaluated prospective multicenter Longitudinal Studies Ocular Complications AIDS. Stereo fundus photographs OHN serial VF data over 5-years were analyzed. Main outcomes included vertical cup-to-disc ratio (CDR), mean deviation, pattern standard deviation scores on testing.The median CDR 0.39 at enrollment 0.40 5-year follow-up. An unadjusted...
Background: The use of video consulting (VC) in Wales, United Kingdom (UK) has expanded rapidly during the COVID-19 pandemic. Traditionally, VC been subject small-scale projects and evaluations. In response to pandemic emergency, there was an opportunity roll out evaluate on a larger more representative scale, across wider range National Health Service (NHS) specialities. Aims: This paper presents overview dataset captured by ‘The NHS Wales Service’. purpose this study capture perspectives...
Aims The TERMS (Technology Enabled Remote Monitoring in Schools) project aimed to elucidate the operational dynamics of remote monitoring with bluetooth-enabled physical health devices. focus was on measuring key parameters such as usage, perceived value, accuracy, and satisfaction among patients, their families, healthcare staff. Additionally, we sought explore potential future integration educational settings through school site workshops. Background Digital has become an indispensable...