A5008445555- Diabetes Management and Education
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Mental Health and Patient Involvement
- Interprofessional Education and Collaboration
- Patient-Provider Communication in Healthcare
- Health disparities and outcomes
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Family Caregiving in Mental Illness
- Community Health and Development
- Geriatric Care and Nursing Homes
- Health Literacy and Information Accessibility
- Urinary Tract Infections Management
- Family and Patient Care in Intensive Care Units
- Ethics in Clinical Research
- Patient Satisfaction in Healthcare
- Obesity and Health Practices
- Pelvic floor disorders treatments
- Health Promotion and Cardiovascular Prevention
- Healthcare Policy and Management
- Palliative Care and End-of-Life Issues
- Health, psychology, and well-being
- Colorectal Cancer Screening and Detection
- Inflammatory Bowel Disease
Botsford Hospital
2024
Beaumont Hospital, Dearborn
2024
Acadia University
2021
University of Southampton
2013-2020
National Institute for Health Research
2009-2018
Clinica Universidad de Navarra
2015
Universidad de Navarra
2015
Radboud University Nijmegen
2015
Radboud University Medical Center
2015
Radboud Institute for Molecular Life Sciences
2015
The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such can only have a significant impact on health care if they are shown be effective when tested, capable being widely implemented normalised into routine practice. To date, there is still problematic gap between research implementation. Normalisation Process Theory (NPT) addresses factors needed for successful implementation integration work (normalisation). In this...
<b>Objective:</b> Supporting patients’ self care could have a major effect on the management of long-term conditions, which has led to worldwide interest in effective interventions. In England, support is being developed through “Expert Patients Programme”, provides lay-led generic courses improve skills. However, clinical and cost effectiveness such remains unclear. <b>Methods:</b> Two-arm pragmatic randomised controlled trial design with waiting list control community settings England. 629...
<b>Objective</b> To determine the effectiveness of an intervention to enhance self management support for patients with chronic conditions in UK primary care. <b>Design</b> Pragmatic, two arm, cluster randomised controlled trial. <b>Setting</b> General practices, serving a population northwest England high levels deprivation. <b>Participants</b> 5599 diagnosis diabetes (n=2546), obstructive pulmonary disease (n=1634), and irritable bowel syndrome (n=1419) from 43 practices (19 22 control...
<b>Objectives:</b> We developed a patient centred approach to chronic disease self management by providing information designed promote choice. then conducted randomised controlled trial of the in inflammatory bowel (IBD) assess whether it could alter clinical outcome and affect health service use. <b>Design:</b> A multicentre cluster trial. <b>Setting:</b> The was outpatient departments 19 hospitals with randomisation treatment centre, 10 control sites, nine intervention sites. For patients...
Evidence for the effectiveness of patient education programmes in changing individual self-management behaviour is equivocal. More distal elements personal social relationships and availability capital at community level may be key to mobilisation resources needed long-term condition effective. Aim To determine how networks people with conditions (diabetes heart disease) are associated health-related outcomes changes over time. Methods Patients chronic disease (CHD) or diabetes (n = 300)...
Objective: To examine what influences self-management priorities for individuals with multiple long-term conditions and how this changes over time. Methods: A longitudinal qualitative study using semi-structured interviews completed 21 participants more than one chronic condition. Results: The demonstrates the impact of on many aspects people’s illness management. Narratives illuminated individual’s condition changed at pivotal points altered their engagement practices. This is influenced by...
Self-management support forms a central aspect of chronic Illness management nationally and globally. Evidence for the success self-management has mainly focussed on individually-centred outcomes behavioural change. While it is recognised that social network members play an important role there currently gap in knowledge regarding who provides what type under circumstances. This relevant understanding division labour meeting needs those living with long-term condition. We therefore took...
Increasing the effective targeting and promotion of self-care support for long-term conditions requires more a focus on patient contexts networks. The aim this paper is to describe how within programme research implementation, social networks are viewed as being centrally involved in mobilisation deployment resources management chronic condition. This forms basis novel approach understanding, designing, implementing new self-management support.Drawing evidence syntheses about capital role...
Research evaluating self-management of chronic conditions points to the effectiveness interventions’ changing health behavior individuals. However, we know little about how is negotiated within services. The authors designed a qualitative investigation illuminate quantitative findings randomized controlled trial (RCT) program for people with inflammatory bowel disease. They conducted in-depth interviews physicians and patients, analysis illuminated nature doctor-patient encounters possible...
The Expert Patients Programme (EPP) is a central element of chronic disease management policy in the United Kingdom. It aims to deliver self-care support by developing peoples' skills, confidence and motivation take more effective control over their long-term conditions. A large, national randomised controlled trial found that EPP's lay-led skills training was improving self-efficacy energy levels among patients with conditions, likely be cost-effective. Key questions remain as whether...
Implementation of long-term condition management interventions rests on the notion whole systems re-design, where incorporating wider elements health care are integral to embedding effective and integrated solutions. However, most self-management support (SMS) evaluations still focus particular or outcomes a sub-system. A randomised controlled trial SMS intervention (WISE-Whole System Informing Self-management Engagement) implemented in primary showed no effect patient-level outcomes. This...
An implementation gap exists between policy aspirations for provision and the delivery of self-management support in primary care. evidence based training package using a whole systems approach implemented as part randomised controlled trial was delivered to general practice staff. The found no effect intervention on patient outcomes. This paper explores why failed become normal practice. We focussed tools which capture two key aspects – education (guidebooks patients) forming collaborative...
<h3>Background</h3> Primary care is recognised to have an important role in the delivery of for people with chronic kidney disease (CKD). However, there evidence that CKD management currently suboptimal, a range practitioner concerns about its management. <h3>Aim</h3> To explore processes underpinning implementation primary care. <h3>Design and setting</h3> Qualitative study general practices participating collaborative undertaken as part National Institute Health Research (NIHR)...
Abstract Background The prevalence and impact of long term conditions continues to rise. Care planning for people with has been a policy priority in England chronic disease management. However, it is not clear how care currently understood, translated implemented primary care. This study explores experience patients three areas England. Methods We conducted semi-structured interviews 23 predominantly elderly multiple conditions. were designed explore variations emergent experiences planning....