A5061282989- Stroke Rehabilitation and Recovery
- Acute Ischemic Stroke Management
- Dementia and Cognitive Impairment Research
- Clinical practice guidelines implementation
- Musculoskeletal pain and rehabilitation
- Interprofessional Education and Collaboration
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Child and Adolescent Health
- Delphi Technique in Research
- Neurobiology of Language and Bilingualism
- Community Health and Development
- Behavioral and Psychological Studies
- Distributed and Parallel Computing Systems
- Parallel Computing and Optimization Techniques
- demographic modeling and climate adaptation
- Subtitles and Audiovisual Media
- Global Health Care Issues
- Digital Mental Health Interventions
- Simulation-Based Education in Healthcare
- Family and Patient Care in Intensive Care Units
- Manufacturing Process and Optimization
- Evaluation and Performance Assessment
- Health Policy Implementation Science
- Cardiac Health and Mental Health
Bradford Teaching Hospitals NHS Foundation Trust
2018-2025
University of Leeds
2021-2025
South London and Maudsley NHS Foundation Trust
2023
Bradford Royal Infirmary
2015-2021
University of Manchester
2014-2015
NIHR Clinical Research Network
2014-2015
To identify why the National Clinical Guideline recommendation of 45 minutes each appropriate therapy daily is not met in many English stroke units.Mixed-methods case-study evaluation, including modified process mapping, non-participant observations service organisation and delivery, documentary analysis semi-structured interviews.Eight units four regions.Seventy-seven patients with stroke, 53 carers 197 unit staff were observed; 49 patients, 50 131 participants interviewed.Over 1000 hours...
Background Understanding recovery is important for patients with stroke and their families, including how much expected long it might take. These conversations can however be uncomfortable unit staff, particularly when they involve breaking bad news. This study aimed to begin development of a novel complex intervention improve about on units. Methods Informed by previously collected qualitative data, we used the Behaviour Change Wheel (BCW) approach identify possible 1. barriers...
Purpose: The use of standardised outcome measures is an integral part stroke rehabilitation and widely recommended as good practice. However, little known about how are actually used or their impact. This study aimed to identify current clinical practice; healthcare professionals working in perceptions the benefits barriers use. Method: Eighty-four Health Care Professionals 12 service managers commissioners services across a large UK county were surveyed by postal questionnaire. Results:...
Objective: To explore how multi-disciplinary team meetings operate in stroke rehabilitation. Design: Non-participant observation of and semi-structured interviews with attending staff. Setting participants: Twelve were observed (at least one at each site) 18 staff (one psychologist, social worker; four nurses; physiotherapists occupational therapists, two speech language co-ordinator ward manager) interviewed eight in-patient rehabilitation units. Results: Multi-disciplinary complex,...
Objective: To develop an intervention and undertake a proof-of-concept evaluation of its feasibility, acceptability, impact on recorded patient activity levels during inpatient stroke rehabilitation. Design: A longitudinal cohort design. Setting: Three rehabilitation services. Subjects: Stroke survivors receiving Intervention: programme designed to increase activity, including individualised timetables, independent practice, therapeutic group work, structured social activities was developed...
Objective: To investigate the service users’ (stroke survivors and care-givers) experiences views of rehabilitation assessment process. Design: Qualitative data analysis from three focus groups using a content to identify major themes. Setting: Participants were recruited stroke support community services in large UK city. Subjects: Seventeen community-dwelling who had completed their within previous year six care-givers. Results: Five themes emerged: understanding purpose assessment;...
Objective: Regular multidisciplinary team meetings are the main way that teams operate, yet our earlier research found they can sometimes be suboptimal. We developed a model to structure and assessed feasibility, acceptability impact of its implementation on meeting quality patient outcomes. Design: Longitudinal cohort design with non-participant observation before after intervention. Setting: Inpatient stroke rehabilitation units. Subjects: Members inpatient teams. Intervention: A meetings....
Background: The Language Screening Test (LAST) is a unique bedside tool, designed to rapidly and reliably evaluate aphasia during the acute chronic phases of stroke. Two equivalent reliable validated versions LAST exist in French.Aims: Our objective was conduct linguistic adaptation for English (LASTen) through process translation, international harmonisation, normalisation multiple English-speaking countries.Methods & Procedures: There were four progressive stages LASTen including series...
Patients and carers frequently report dissatisfaction with post-stroke information provision. This study aimed to develop an in-depth understanding of the factors influencing provision about recovery in stroke units.
Introduction Increased frequency and intensity of inpatient therapy contributes to improved outcomes for stroke survivors. Differences exist in the amount provided internationally. In England, Wales Northern Ireland it is recommended that a minimum 45 min each active should be at least 5 days week appropriate patient can tolerate this. Sentinel Stroke National Audit Programme (2014) data demonstrate this standard not being achieved most patients. No research been undertaken explore how...
Objective: To evaluate the impact of a toolkit psychometrically robust measurement tools, Greater Manchester Assessment for Stroke Rehabilitation (G-MASTER) toolkit, on use tools during stroke rehabilitation Design: Mixed methods cohort design using non-participant observation multi-disciplinary team meetings and semi-structured interviews with members over three months before after implementation assessment toolkit. Development are also described. Setting: Ten in-patient services in large...
Whilst pathways relating to the early stages of stroke care have become well established, strategies for longer-term are less developed and outcomes remain poor many survivors. New Start, a complex intervention that includes needs identification, exploration social networks components problem-solving self-management, was designed improve survivors’ quality life by addressing unmet increasing participation. It is delivered approximately 6 months post-stroke trained staff (facilitators). We...
Background It is reported that the longer-term outcomes for stroke survivors are poor, with a range of unmet needs identified. Objectives The aims were to develop and test care strategy focused on improving quality life their carers by addressing needs, maintenance enhancement participation (i.e. involvement in situations). Design Five overlapping workstreams undertaken – (1) refinement content semistructured interviews review literature inform delivery strategy; (2) exploration service...
Abstract Background To address the limited provision of longer-term stroke care, we conducted a programme research (LoTS2Care) to develop and test an intervention form part replicable care strategy. New Start, facilitated self-management, was developed be delivered at 6 months post-stroke by trained facilitators. Here, report findings from final workstream this programme, which aimed evaluate feasibility acceptability implementing future definitive cluster randomised controlled trial (New...
Recently, simulation-based education (SBE) has been evidenced as an effective form of pedagogy in mental health and care settings, through consistent improvements self-efficacy technical non-technical skills. A key component SBE is post-simulation debriefing. Debriefing involves educators turning into facilitators guiding participants reflective discussions; however, there no single debrief model used across simulation training. Debrief models have previously evaluated, but not directly...