A5068198317- Chronic Disease Management Strategies
- Diabetes Management and Education
- Mental Health and Patient Involvement
- Primary Care and Health Outcomes
- Ethics in Clinical Research
- Patient-Provider Communication in Healthcare
- Health and Medical Research Impacts
- Health Sciences Research and Education
- Breastfeeding Practices and Influences
- Medication Adherence and Compliance
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes Treatment and Management
- Adolescent Sexual and Reproductive Health
- Global Maternal and Child Health
- Schizophrenia research and treatment
- Health Systems, Economic Evaluations, Quality of Life
- Diabetes Management and Research
- Mobile Health and mHealth Applications
- Child and Adolescent Health
- Patient Satisfaction in Healthcare
- Palliative Care and End-of-Life Issues
- Global Health Workforce Issues
- Health Policy Implementation Science
- Mental Health Treatment and Access
- Stroke Rehabilitation and Recovery
University of Cambridge
2012-2021
Cambridge School
2016
American Academy of Family Physicians
2015
East Carolina University
2015
University of North Carolina at Chapel Hill
2015
Cambridge University Hospitals NHS Foundation Trust
2015
NIHR Clinical Research Network
2009
University of Leeds
2009
University of Brighton
2006
Queen Mary University of London
1999-2004
Background. Recruitment to health research is known be problematic. However, evidence concerning ways of improving recruitment sparse. Objective. To outline the process recruitment, factors impacting on success and key areas for further development. Methods. Narrative literature review. Results. This paper argues that three should form focus future work: developing a repository evidence-based techniques methods which can introduced by teams; infrastructure support especially new technologies...
Breastfeeding conveys many benefits, but women often encounter difficulties in the first few weeks. The objective of this study was to examine women's perspectives on information, advice, and support they receive with breastfeeding.A qualitative analysis conducted responses open questions about their experiences breastfeeding support. Participants were recruited as part a randomized controlled trial additional from volunteer counselors, completed questionnaires when babies 6 weeks old.Of 720...
Background Diabetes peer support, where one person with diabetes helps guide and support others, has been proposed as a way to improve management. We have tested whether different strategies can metabolic and/or psychological outcomes. Methods People type 2 (n = 1,299) were invited participate either ‘peer’ or ‘peer facilitator’ (PSF) in 2x2 factorial randomised cluster controlled trial across rural communities (130 clusters) England. Peer was delivered over 8–12 months by trained PSFs,...
Electronic monitoring is recommended for accurate measurement of medication adherence but a possible limitation that it may influence adherence. To test the reactive effect electronic in randomized controlled trial. A total 226 adults with type 2 diabetes and HbA1c ≥58 mmol/mol were to receiving their main oral glucose lowering containers or standard packaging. The primary outcomes self-reported measured MARS (Medication Adherence Report Scale; range 5–25) at 8 weeks. Non-significantly...
Randomized controlled trials play a central role in evidence-based practice, but recruitment of participants, and retention them once the trial, is challenging. Moreover, there dearth evidence that research teams can use to inform development their strategies. As with other healthcare initiatives, fairest test effectiveness strategy trial comparing alternatives, which for would mean embedding within an ongoing host trial. Systematic reviews indicate such studies are rare. Embedded largely...
<h3>Abstract</h3> <b>Objective</b> To investigate whether offering volunteer support from counsellors in breast feeding would result more women feeding. <b>Design</b> Randomised controlled trial. <b>Setting</b> 32 general practices London and south Essex. <b>Participants</b> 720 considering <b>Main outcome measures</b> Primary was prevalence of any at six weeks. Secondary outcomes were the proportion giving feeds, or bottle feeds four months, duration feeding, time to introduction...
Failure to take medication reduces the effectiveness of treatment leading increased morbidity and mortality. We evaluated efficacy a consultation-based intervention support objectively-assessed adherence oral glucose lowering (OGLM) compared usual care among people with type 2 diabetes. This was parallel group randomised trial in adult patients diabetes HbA1c≥7.5% (58 mmol/mol), prescribed at least one OGLM. Participants were allocated clinic nurse delivered, innovative strengthen patient...
General practitioners are usually the first health professionals to be contacted by people with early signs of psychosis. We aimed assess whether increased liaison between primary and secondary care improves clinical effectiveness cost-effectiveness detection with, or at high risk developing, a psychotic illness.Our Liaison Education in Practices (LEGs) study was cluster-randomised controlled trial practices (clusters) Cambridgeshire Peterborough, UK. Consenting were randomly allocated (1:1)...
<h3>Background</h3> Medications are highly effective at reducing risk of recurrent stroke, but success is influenced by adherence to treatment. Among survivors stroke and transient ischaemic attack (TIA), medication known be suboptimal. <h3>Aim</h3> To identify report barriers for the secondary prevention stroke/TIA. <h3>Design setting</h3> A qualitative interview study was conducted within general practice surgeries in East England, UK. <h3>Method</h3> Patients were approached letter...
People with Type 2 diabetes face various psycho-social, self-management and clinical care issues evidence is mixed whether support from others diabetes, 'peer support', can help. We now describe a month pilot study of different peer interventions. The intervention was informed by formative evaluation using semi-structured interviews health professionals, community groups observation education groups. Invitations to participate were mailed 4 general practices included survey barriers care....
The UK Government has highlighted the need to develop appropriate information and support services for informal carers. Previous research that investigated caring found managing medication is one aspect of role presents its own problems; however, these have not been subject detailed examination. objective present paper was report number type problems experienced by carers when older care recipients, relate measures coping health. This a cross-sectional survey undertaken in district each four...
Randomised controlled trials are generally regarded as the 'gold standard' experimental design to determine effectiveness of an intervention. Unfortunately, many either fail recruit sufficient numbers participants, or recruitment takes longer than anticipated. The current embedded trial evaluates optimised patient information sheets on participants in a falls prevention trial.A three-arm, randomised methodology was conducted within National Institute for Health Research-funded REducing Falls...
Purpose The purpose of this study was to explore how emotional support emerged in interactions between peer supporters (PSs) and adults living with type 2 diabetes. Methods Qualitative data were analyzed from 22 semistructured interviews PSs 3 settings: low-income Latinos Chicago, middle-class Caucasians the United Kingdom, African American women North Carolina. Emotional defined as expressions empathy, trust, caring. Results Across all sites, gradually over time, often combined...
Randomised controlled trials are widely established as the best method for testing health interventions whilst minimising bias. However, recruitment and subsequent retention of children adolescents in healthcare is challenging. Participant information sheets often lengthy difficult to read understand. Presenting key using multimedia may help overcome these limitations better support young people their parents deciding whether participate a clinical trial. The TRECA (TRials Engagement...
Primary care studies often encounter recruitment difficulties, but there is little evidence to inform solutions. As part of a National Institute for Health Research School Care and UK Clinical Network programme, we elicited research staff perspectives on factors facilitating or obstructing recruitment.To identify that experienced consider important in successful retention their confidence achieving them.An iterative series three workshops was held. The third used modified nominal group...
Peer support has been proposed as a means of improving the physical and mental health people with diabetes, but what is ‘peer support’? A literature review revealed that use term recent phenomenon gained momentum over last two decades refers to plethora interventions. Two dimensions are apparent: nature given (lying between instructing confounding) interpersonal relationship created paraprofessional companion). There clear tendency confuse peer educational or self-management programs,...
Written participant information materials are important for ensuring that potential trial participants receive necessary so they can provide informed consent. However, such frequently long and complex, which may negatively impact patient understanding willingness to participate. Improving readability, ease of comprehension presentation assist with improved recruitment. The Systematic Techniques Assisting Recruitment Trials (MRC START) study aimed develop evaluate interventions improve This...
Background Diabetes peer support, where one person with diabetes helps others, may improve management. The objective of this study was to perform a cost analysis support strategies used in RAndomized controlled trial Peer Support type 2 Diabetes. Methods We performed 2×2 factorial randomized cluster England. People were invited participate as either ‘peer’ or ‘peer facilitator’ (PSF) through postal invitation predominantly from general practice. Clusters, based on local communities, each...
Trials frequently encounter difficulties in recruitment, but evidence on effective recruitment methods primary care is sparse. A robust test of involves comparing alternative using a randomized trial, 'nested' an ongoing 'host' trial. There are potential scientific, logistical and ethical obstacles to such studies. Telephone interviews were undertaken with four groups stakeholders (funders, principal investigators, trial managers ethics committee chairs) explore their views the practicality...
Introduction Primary care has a central role in palliative and end of life care: 45.6% deaths England Wales occur under the primary teams at home or homes. The Community Care Pathways End Life (CAPE) study investigated provided for patients final 6 months life. This paper highlights opportunities challenges associated with research UK, describing methodological, ethical, logistical gatekeeping encountered CAPE how these were addressed. methods Using mixed-methods approach, quantitative data...
Post-stroke psychological problems predict poor recovery, while positive affect enables patients to focus on rehabilitation and may improve functional outcomes. Positive Mental Training (PosMT), a guided self-help audio shows promise as tool in promoting positivity, optimism resilience.To assess acceptability of training positivity with PosMT for prevention management post-stroke help coping rehabilitation.A modified consisted 12 tracks each lasting 18 minutes, one listened every day week....