A5007040978- Pharmaceutical Practices and Patient Outcomes
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical studies and practices
- Health Policy Implementation Science
- Blood Pressure and Hypertension Studies
- Patient Safety and Medication Errors
- Dysphagia Assessment and Management
- Health Literacy and Information Accessibility
- Bipolar Disorder and Treatment
- Mobile Health and mHealth Applications
- Interprofessional Education and Collaboration
- Child Nutrition and Feeding Issues
- Behavioral Health and Interventions
- Pain Management and Opioid Use
- Primary Care and Health Outcomes
- Clinical practice guidelines implementation
- Emergency and Acute Care Studies
- Glaucoma and retinal disorders
- Retinal Diseases and Treatments
- Delphi Technique in Research
- Opioid Use Disorder Treatment
- Innovations in Medical Education
- Palliative Care and End-of-Life Issues
- Telemedicine and Telehealth Implementation
Leicester College
2021-2024
University of Leicester
2021-2024
University of East Anglia
2012-2022
Norwich Research Park
2013-2021
Office of Patient Care Services
2017
Bombay College of Pharmacy
2014
Norfolk and Norwich University Hospital
2011
Indian Navy
2005
To describe and evaluate the use of cognitive-based behaviour change techniques as interventions to improve medication adherence.Systematic review meta-analysis adherence.Search MEDLINE, EMBASE, PsycINFO, CINAHL The Cochrane Library databases from earliest year April 2013 without language restriction. References included studies were also screened identify further relevant articles.We used predefined criteria select randomised controlled trials describing a adherence intervention that...
Objectives: The prescribing of oral chemotherapy agents previously available only in the intravenous formulation, such as capecitabine, has afforded many benefits including reduced administration costs and improved patient acceptability. However, it introduced new challenge ensuring adherence to therapy. It is therefore necessary quantify adherence, with a view improving services, explore factors that may impact on medication taking behavior. Methods: Patients diagnosis breast or colorectal...
Abstract Background over 50% of older people in hospital are prescribed a pre-admission medicine that is potentially inappropriate; however, deprescribing by geriatricians and pharmacists limited. This study aimed to characterise geriatricians’ pharmacists’ barriers enablers hospital. It also intended develop framework intervention components facilitate implementation deprescribing. Methods fifty-four representing four UK hospitals attended eight focus groups. We designed topic guide invite...
Deprescribing is a partnership between practitioners, patients and caregivers. External characteristics including age, comorbidities polypharmacy are poor predictors of attitude towards deprescribing. This hospital-based study aimed to describe the desire caregivers be involved in medicine decision-making, identify attitudinal try stopping medicine. Patients recruited from seven Older People's Medicine wards across two UK hospitals completed revised Patients'Attitudes Towards (rPATD)...
This study aimed to identify any differences in opinion between UK hospital junior doctors and community General Practitioners (GPs) with respect the ideal content characteristics of discharge summaries, explore doctors' training for awareness post-discharge requirements GPs.
Poor communication of clinical information between healthcare settings is associated with patient harm. In 2008, the UK National Prescribing Centre (NPC) issued guidance regarding minimum to be communicated upon hospital discharge. This study evaluates extent adherence this and identifies predictors adherence.This was an audit discharge summaries received by medical practices in one primary care trust patients hospitalized for 24 h or longer. Each summary scored against applicable NPC...
Improving adherence to ocular hypertension (OH)/glaucoma therapy is highly likely prevent or reduce progression of optic nerve damage. The present study used a behaviour change counselling intervention determine whether education and support was beneficial cost-effective in improving with glaucoma therapy. A randomised controlled trial 13-month recruitment 8-month follow-up period conducted. Patients OH/glaucoma attending clinic starting treatment travoprost were approached. Participants...
The aim of this project was to conduct an economic evaluation the Norfolk Medicines Support Service (NMSS), a pharmacist-led medication review service for patients identified in primary care as non-adherent.The cost-consequences analysis based on before and after NMSS. Participants completed self-reported adherence health-related quality life questionnaire prior review, at 6 weeks months. provision, prescribing secondary costs were considered mean cost intervention calculated.One-hundred...
Background There is significant morbidity and mortality caused by the complications of osteoporosis, for which ageing greatest epidemiological risk factor. Preventive medications to delay osteoporosis are available, but little known about motivators adhere these in context a symptomless condition with evidence based on screening results. Aim To describe key perceptions that influence older women's adherence persistence prescribed medication when identified be at higher than average fracture....
Introduction Self-management support can enable and empower people living with beyond cancer to take an active role in managing long-term consequences of treatment. Healthcare professionals are key promoting patients self-manage, however, they do not routinely engage these discussions. This review aims understand what works for whom circumstances relation practitioners engaging supporting self-manage systemic anticancer Methods analysis We will follow five steps undertaking the realist...
Trials of hospital deprescribing interventions have demonstrated limited changes in practitioner behaviour. Our previous research characterised four barriers and one enabler to geriatricians pharmacists that require addressing by a behaviour change intervention. Six techniques (BCTs) also been selected the target audience using Deprescribing Implementation Framework (hDIF). This aimed co-design operationalise content, mode delivery duration/intensity six BCTs develop CompreHensive...
Abstract Objective Most epilepsies are managed with anti-epileptic drugs (AEDs), but medication non-adherence has been frequently reported. Satisfying patient information needs demonstrated improved adherence. Multi-professional working encouraged to provide cost-effective health services by using the most appropriate healthcare professional. Research that pharmacist-led consultations acceptable patients other medical conditions and therefore may be for epilepsy. We aimed determine...
This study aimed to determine the information needs and reported adherence of patients prescribed medicines for chronic conditions in those who have received a community pharmacy advanced service not.A questionnaire was constructed using validated tools measure medication satisfaction together with questions eliciting regarding use services demographic characteristics. distributed from four pharmacies convenience sample 400 as they collected their medicines. Patients were eligible if more...
hospital deprescribing trials have demonstrated marginal increases in activity that are not sustained beyond the trial period. The implementation framework (hDIF) links barriers and enablers of with 44 potential intervention components. This study aimed to support geriatricians pharmacists select characterise hDIF components according affordability, practicability, effectiveness, acceptability, safety equity (APEASE) design a English setting.we convened modified Nominal Group Technique panel...