A5089313723- Dementia and Cognitive Impairment Research
- Stroke Rehabilitation and Recovery
- Health Systems, Economic Evaluations, Quality of Life
- Physical Activity and Health
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Frailty in Older Adults
- Blood Pressure and Hypertension Studies
- Cerebral Palsy and Movement Disorders
- Geriatric Care and Nursing Homes
- Pharmaceutical Practices and Patient Outcomes
- Telemedicine and Telehealth Implementation
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Clinical practice guidelines implementation
- Health and Medical Studies
- Health and Wellbeing Research
- Balance, Gait, and Falls Prevention
- Musculoskeletal pain and rehabilitation
- COVID-19 and Mental Health
- Medical Practices and Rehabilitation
- Technology Use by Older Adults
- Behavioral Health and Interventions
- Aging, Elder Care, and Social Issues
- Down syndrome and intellectual disability research
Philipps University of Marburg
2020-2025
University of Nottingham
2014-2024
Queen's Medical Centre
2019
Nottingham City Council
2018
Loughborough University
2010-2011
Introduction: The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. Lincolnshire partnership National Health Service (NHS) foundation Trust successfully delivered PrAISED through a video-calling platform during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods: This qualitative case-study aimed to identify participants that video delivery worked for, highlight its benefits challenges. Interviews...
To determine the effectiveness of an exercise and functional activity therapy intervention in adults with early dementia or mild cognitive impairment compared usual care.Randomised controlled trial.Participants' homes communities at five sites United Kingdom.365 who were living home, family members carers.The intervention, Promoting activity, Independence, Stability Early Dementia (PrAISED), was a specially designed, specific, rehabilitation programme focusing on strength, balance, physical...
Patient and Public Involvement (PPI) in research ensures that publicly funded reflects the priorities of people who will be affected by its results. Co-research, a branch PPI, is equal partnership between academic researchers members public, steer conduct together.
Background Older adults with dementia are at a high risk of losing abilities and accidental falls. Promoting Activity, Independence Stability in Early Dementia (PrAISED) is 12-month person-centred exercise activity programme which aims to increase independence whilst reducing falls people early dementia. In this patient group, as well many others, poor adherence interventions can undermine treatment effectiveness. We aimed explore patterns barriers facilitators influencing PrAISED...
Abstract Background People with dementia progressively lose cognitive and functional abilities. Interventions promoting exercise activity may slow decline. We developed a novel intervention to promote independence prevent falls in people mild impairment (MCI) or early dementia. successfully undertook feasibility randomised controlled trial (RCT) refine the research delivery. are now delivering multi-centred RCT evaluate its clinical cost-effectiveness. Methods will recruit 368 MCI (Montreal...
Chronic back pain (CBP) is common among patients in primary care and associated with significant personal socioeconomic burden. Research has shown that physical activity (PA) one of the most effective therapies to reduce pain; however, for GPs it remains challenging advise encourage individuals CBP exercise regularly.To provide insight into views experiences PA CBP, along those GPs, reveal facilitators barriers engaging in, maintaining, PA.Qualitative semi-structured interviews recruited via...
Objective To explore the perceptions of older people with mild dementia and cognitive impairment, their family carers, about falling, falls risk acceptability prevention interventions. Design Qualitative study involving thematic analysis semi-structured interviews patient relative dyads. Participants setting 20 patient/ dyads recruited from Memory Assessment Services Falls Prevention in United Kingdom. Results The findings are presented under four key themes: attitudes to falls,...
<b><i>Background/Aims:</i></b> Impairment in executive function is associated with a heightened risk for falls people mild cognitive impairment (MCI) and dementia. The purpose of this study was to determine which aspects are risk. <b><i>Methods:</i></b> Forty-two participants mean age 81.6 years diagnosis MCI or dementia completed five different tests from the computerised CANTAB test battery comprehensive assessment....
Abstract Background We tested the feasibility of delivering and evaluating a complex therapy intervention which aimed to promote activity independence for people with early dementia (PrAISED). Feasibility questions were on: recruitment, randomisation, delivery, adherence withdrawals, level supervision required, adverse events, data collection sample size assumptions. Methods conducted three-arm, multi-site, single-blind, randomised controlled trial. Eligibility criteria aged 65 years or...
This series of articles for rehabilitation in practice aims to cover a knowledge element the medicine curriculum. Nevertheless, they are intended be interest multidisciplinary audience. The competency addressed this article is an understanding how develop intervention people with mild cognitive impairment and dementia promote their independence, stability, physical activity.Older adults at high risk falls. Standard interventions have not been shown effective patient population potentially...
People with dementia progressively lose abilities and are prone to falling. Exercise- activity-based interventions hold the prospect of increasing abilities, reducing falls, slowing decline in cognition. Current falls prevention approaches poorly suited people dementia, however, uncertain effectiveness. We used multiple sources, a co-production approach, develop new intervention, which we will evaluate feasibility randomised controlled trial (RCT), embedded adherence, process economic analyses.
Abstract Background apathy, defined as reduced goal-directed activity, interests and emotion, is highly prevalent in neurocognitive disorders (NCDs). Apathy has important consequences for the individuals who experience it their carers, yet lived experiences of apathy this population are not well understood. Objective to explore how people with NCDs carers understand apathy. Method in-depth semi-structured interviews were conducted participants’ homes. Sixteen (dementia or mild cognitive...
Abstract Background Guiding individuals with chronic back pain (CBP) to initiate and adhere physical activity (PA) remains challenging. The study rationale is based on the need for innovative strategies, like digital tools, better promote PA. aim of this was evaluate feasibility acceptability using consultation app ExPa (Exercise against Pain) support PA consultations CBP its potential a future effectiveness trial. shows effect provides individually tailored increase Methods In 2-arm...
The purpose of this literature review was to investigate the relationship between individual cognitive abilities, well-being and use information communication technology (ICT) sustain digital engagement older people. analysis included 19 empirical studies investigating association abilities new technologies as well examining ICT use. Our results showed that while several indicate a significant effect (in particular working memory capacity) on technologies, it remains unclear whether can in...
Objective: This focus group study aimed to explore how motivate people with mild cognitive impairment (MCI) or dementia and their carers engage in exercise physical activity.Methods: Four groups were conducted six MCI dementia, three four clinicians (nurse, occupational therapist, physiotherapists). A thematic analysis of the data was undertaken.Results: Five main themes identified: 'memory problems', 'self-motivation', 'external motivation', 'design activities' 'barriers'. Participants...