A5080871884- Emergency and Acute Care Studies
- Ethics in Clinical Research
- Global Cancer Incidence and Screening
- COVID-19 and healthcare impacts
- Patient-Provider Communication in Healthcare
- Cancer survivorship and care
- Healthcare Systems and Technology
- Delphi Technique in Research
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health and Patient Involvement
- Colorectal Cancer Surgical Treatments
- Primary Care and Health Outcomes
- Palliative Care and End-of-Life Issues
- Health Promotion and Cardiovascular Prevention
- Clinical practice guidelines implementation
- Colorectal Cancer Screening and Detection
- Cervical Cancer and HPV Research
- Health Policy Implementation Science
- Anorectal Disease Treatments and Outcomes
- Enhanced Recovery After Surgery
- Patient Satisfaction in Healthcare
- Complementary and Alternative Medicine Studies
- Healthcare Decision-Making and Restraints
- Spectroscopy Techniques in Biomedical and Chemical Research
- Chronic Disease Management Strategies
Health and Care Research Wales
2019-2025
Cardiff University
2018-2024
Swansea University
2022
Community Care
2021
Cancer Research UK
2020
To understand self-reported potential cancer symptom help-seeking behaviours and attitudes during the first 6 months (March-August 2020) of UK COVID-19 pandemic.
Introduction As a result of improving survival rates, the adverse consequences rectal cancer surgery are becoming increasingly recognised. Low anterior resection syndrome (LARS) is one such consequence and describes constellation bowel symptoms after which includes urgency, faecal incontinence, stool clustering incomplete evacuation. LARS has significant impact on quality life (QoL) present in up to 75% patients first year surgery. Despite this, little known about natural history there poor...
Worldwide, cancer screening faced significant disruption in 2020 due to the COVID-19 pandemic. If this has led changes public attitudes towards and reduced intention participate, there is a risk of long-term adverse impact on outcomes. In study, we examined previous participation future intentions take part cervical colorectal (CRC) following first national lockdown UK. Overall, 7543 adults were recruited cross-sectional online survey August–September 2020. Logistic regression analyses used...
Patient experience is an important outcome and indicator of healthcare quality, patient reported experiences are key to improving quality care. While in emergency departments (EDs) has been research, there limited evidence about patients' specific with primary care services located or alongside EDs. We aim identify theories acceptability being streamed a clinician ED.
Primary care streaming was implemented in UK Emergency Departments (EDs) to manage an increasing demand for urgent care. We aimed explore its effectiveness EDs with different primary models and identify contexts mechanisms that influenced outcomes: patients the most appropriate clinician or service, ED flow patient safety.We observed interviewed staff during case study visits 10 England. used realist methodology, synthesising a middle-range theory our qualitative data refine create set of...
Abstract Background Recruitment of research participants poses challenges in socioeconomically deprived areas. The Awareness and Beliefs About Cancer (ABACus) phase 3 Randomised Control Trial recruited adult from areas using a combined healthcare/community engagement model. We report the strategies used to successfully recruit retain our trial participant sample. Methods Community healthcare settings high socioeconomic deprivation were identified by lay advisors who opportunistically or...
Abstract Background COVID-19 related lockdowns may have affected engagement in health behaviours among the UK adult population. This prospective observational study assessed socio-demographic patterning attempts to change and maintain a range of changes between two time points during pandemic. Methods Adults aged 18 years over ( n = 4,978) were recruited using Dynata (an online market research platform) HealthWise Wales platform, supplemented through social media advertising. Online surveys...
Public involvement in health services research is encouraged. Descriptions of public across the whole cycle a major study are uncommon and its effects on conduct poorly understood.This aimed to describe how we implemented involvement, reflect process large-scale multi-site present learning for future practice.We recorded roles activities throughout compared these our original plan included project proposal. We held group interview with co-applicants explore their experiences, transcribed...
Cancer survival is lower in socioeconomically deprived communities, partly due to low awareness of symptoms, negative beliefs and delayed help-seeking. We developed an interactive health check questionnaire facilitated by trained lay advisors. It entails 29 questions about background, lifestyle with tailored behaviour change advice. Personalised results are printed using a traffic light (red/amber/green) system, highlighting areas where action should be taken. This individually randomised...
Addressing increasing patient demand and improving ED flow is a key ambition for NHS England. Delivering general practitioner (GP) services in or alongside EDs (GP-ED) was advocated 2017 this reason, supported by £100 million (US$130 million) of capital funding. Current evidence shows no overall improvement addressing reducing waiting times, but considerable variation how different service models operate, subject to local context.
Emergency healthcare services are under intense pressure to meet increasing patient demands. Many patients presenting emergency departments could be managed by general practitioners in practitioner-emergency department service models.
Background Mode of access to primary care changed during the COVID-19 pandemic; remote consultations became more widespread. With likely continue in UK care, it is important understand people’s perceptions and identify potential resulting inequalities. Aim To assess satisfaction with GP pandemic demographic variation levels. Design setting A cross-sectional survey from second phase a large UK-based study, which was conducted pandemic. Method In total, 1426 adults who self-reported having...
Background: The impact of COVID-19 on timely symptomatic diagnosis cancer is likely to be considerable. We examined symptom help-seeking behaviour in the UK population during pandemic. Methods: A population-based sample 7,543 adults aged 18+ was recruited online between August and September 2020. Measures included experiences perceptions 15 potential symptoms, barriers behaviour. Multivariable logistic regression used model correlates participants who experienced at least one previous six...
The majority of colorectal cancers (CRCs) are detected after symptomatic presentation to primary care. Given the shared symptoms CRC and benign disorders, it is challenging manage risk missed diagnosis. Colonoscopy resources cannot keep pace with increasing demand. There a pressing need for access simple triage tools in care help prioritise patients referral.To evaluate performance novel spectroscopy-based blood test care.Mixed-methods pilot study GP focus group discussions South...
Abstract Objectives To explore the perceptions of patients and healthcare professionals on Raman‐faecal immunochemical test (FIT) as an alternative for colorectal cancer exclusion in primary care. Design Semi‐structured interviews within a feasibility study. Setting Patients presenting to care with symptoms working secondary Participants A total 23 12 professionals. Methods Patient participants were asked complete novel combined Raman‐FIT before being seen This study sought their opinions...
Background Increasing pressure on emergency services has led to the development of different models care delivery including GPs working in or alongside departments (EDs), but with a lack evidence for patient safety outcomes. Aim This study aimed explore how processes work and incidents associated ED settings may be mitigated. Design setting Realist methodology purposive sample 13 EDs England Wales GP service models. The sought understand relationship between contexts, mechanisms, outcomes...
Cancer outcomes are poor in socioeconomically deprived communities, with low symptom awareness contributing to prolonged help-seeking and advanced disease. Targeted cancer interventions require evaluation.
Abstract Introduction As a result of improving survival rates, the adverse consequences rectal cancer surgery are becoming increasingly recognised. Low Anterior Resection Syndrome (LARS) is one such consequence and describes constellation bowel symptoms after which includes urgency, faecal incontinence, stool clustering incomplete evacuation. LARS has significant impact on Quality-of-Life (QoL) present in up to 75% patients first year surgery. Despite this, little known about natural history...
<h3>Introduction</h3> Patient and Public Involvement positively shapes research. By sharing personal experience, public contributors ensure that research is relevant to people's needs concerns. The UK Standards for in Research highlights the need assess difference involvement makes. Yet, there a recognised gap pragmatic tools support impact planning reporting practice. <h3>Aims</h3> To develop test researchers working with to: Plan integrate Track contributions they make Report against...
Abstract Worldwide, cancer screening faced significant disruption in 2020 due to the COVID-19 pandemic. If this has led changes public attitudes towards and reduced intention participate, there is a risk of long-term adverse impact on outcomes. In study, we examined previous participation future intentions take part cervical colorectal (CRC) following first national lockdown UK. Overall, 7543 adults were recruited cross-sectional online survey August-September 2020. Logistic regression...
Suspected colorectal cancer (CRC) referrals based on non-specific symptoms currently lead to large numbers of patients being referred for invasive investigations and poor yield in detection. Secondary care diagnostics, particularly endoscopy, struggle meet the ever-increasing demand face lengthy waits from point referral. Here we propose a blood test utilising high-throughput Raman spectroscopy machine learning as an accurate triage tool. We present results first mixed methods clinical...
Aims/Objectives/Background We aim to explain the contexts and mechanisms that influence patients’ motivations expectations when accessing urgent care at an ED their acceptability of being streamed a primary clinician working in or alongside ED. Recent healthcare policy has encouraged implementation services emergency departments whereby patients with low acuity illness are after brief initial assessment. Our findings describe motivations, expectations, streaming level satisfaction....