- Musculoskeletal pain and rehabilitation
- Migraine and Headache Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Long-Term Effects of COVID-19
- Cardiovascular Syncope and Autonomic Disorders
- Intensive Care Unit Cognitive Disorders
- Lymphatic System and Diseases
- Opioid Use Disorder Treatment
- Spinal Fractures and Fixation Techniques
- Child Development and Digital Technology
- Psychosomatic Disorders and Their Treatments
- Peripheral Nerve Disorders
- Cerebral Palsy and Movement Disorders
- Patient Satisfaction in Healthcare
- Obsessive-Compulsive Spectrum Disorders
- Pain Management and Opioid Use
- Parkinson's Disease Mechanisms and Treatments
- Child and Adolescent Psychosocial and Emotional Development
- Nerve Injury and Rehabilitation
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Shoulder Injury and Treatment
- Injury Epidemiology and Prevention
- COVID-19 and Mental Health
- Cardiac Arrest and Resuscitation
- Neurological disorders and treatments
University of Warwick
2021-2023
IQVIA (United Kingdom)
2023
Women’s Health Care
2022
Australian Regenerative Medicine Institute
2022
Monash University
2022
Primary Health Care
2022
University of Oxford
2022
Birmingham Women’s and Children’s NHS Foundation Trust
2022
The Recovery Center
2022
South London and Maudsley NHS Foundation Trust
2021
Opioid use for chronic nonmalignant pain can be harmful.To test whether a multicomponent, group-based, self-management intervention reduced opioid and improved pain-related disability compared with usual care.Multicentered, randomized clinical trial of 608 adults taking strong opioids (buprenorphine, dipipanone, morphine, diamorphine, fentanyl, hydromorphone, methadone, oxycodone, papaveretum, pentazocine, pethidine, tapentadol, tramadol) to treat pain. The study was conducted in 191 primary...
Abstract Objective To evaluate whether a structured exercise programme improved functional and health related quality of life outcomes compared with usual care for women at high risk upper limb disability after breast cancer surgery. Design Multicentre, pragmatic, superiority, randomised controlled trial economic evaluation. Setting 17 UK National Health Service centres. Participants 392 undergoing surgery, postoperative morbidity, (1:1) to (n=196) or alone (n=196). Interventions Usual...
Background Upper limb problems are common after breast cancer treatment. Objectives To investigate the clinical effectiveness and cost-effectiveness of a structured exercise programme compared with usual care on upper function, health-related outcomes costs in women undergoing surgery. Design This was two-arm, pragmatic, randomised controlled trial embedded qualitative research, process evaluation parallel economic analysis; unit randomisation individual (allocated ratio 1 : 1). Setting...
Chronic headache disorders are a major cause of pain and disability. Education supportive self-management approaches could reduce the burden We tested effectiveness group educational program for people living with chronic headaches.This was pragmatic randomized controlled trial. Participants were aged 18 years or older migraine tension-type headache, without medication overuse headache. primarily recruited from general practices. assigned to either 2-day education program, one-to-one nurse...
Background Headaches are a leading cause of years lived with disability. For some people, headaches become chronic and disabling, treatment options being primarily pharmaceutical. Non-pharmacological alternative approaches worthy exploration. Aim To develop test an educational supportive self-management intervention for people headaches. Objectives evaluate brief diagnostic interview to support diagnosis headaches, then pilot education the management common headache disorders (the CHESS...
Abstract Background Postal screening has not previously been validated as a method for identifying fall and fracture risk in community-dwelling populations. We examined prognostic performance of postal screener used the UK Prevention Falls Injury Trial (PreFIT; ISRCTN71002650), to predict any fall, recurrent falls, fractures over 12 months. tested whether adding variables would improve performance. Methods Nine thousand eight hundred participants, aged 70 years older, 63 general practices...
Chronic headache disorders are disabling. The CHESS trial studied the effects of a short non-pharmacological intervention education with self-management support for people affected by migraine and/or tension type at least 15 days per month three months. There were no statistically significant on Headache Impact Test-6 (HIT-6) 12-months. However, we observed improvement in pain self-efficacy questionnaire (PSEQ) and short-term HIT-6. We explored impact PSEQ, subsequently, HIT-6 chronic...
Abstract Background Between 2015 and 2019 the Chronic Headache Education Self-management Study (CHESS) developed tested a supportive self-management approach that aimed to improve outcomes for people with chronic migraine or tension type headache with/without episodic migraine. However, paucity of qualitative research which explored lived experiences was evidenced. In response, we undertook explore living headaches who participated in CHESS study. Methods We adopted methodologies, inviting...
Objectives & Background To determine whether the Emergency Department (ED) could effectively identify patients with suspected cauda equina or cord compression who warranted further investigation MRI, and thus request MRI without prior review from neurosurgeons. Methods The ED proforma for management of back pain was assessed focus on referral pathway to neurosurgeons (NS). Patients attending during a 3 month period complaint subsequent were identified using Symphony database. Electronic...
Abstract Background Adolescent depression can place a young person at high risk of recurrence and range psychosocial vocational impairments in adult life, highlighting the importance early recognition prevention. Parents/carers are well placed to notice changes their child’s emotional wellbeing which may indicate risk, there is increasing evidence that modifiable factors exist within family system help reduce anxiety an adolescent. A randomised controlled trial (RCT) online personalised...
Aims The first objective was to estimate prevalence of sense presence (SoP) experiences in patients with Parkinson's Disease (PD), including whether onset prior or after commencing dopaminergic medication. second explore the relationship between frequency SoP and drug, drug dosage length exposure. experimental hypothesis that symptoms PD would present more frequently treated longer higher doses. Background is a debilitating neurodegenerative disorder. Psychiatric are common associated...