A5042315177- Musculoskeletal pain and rehabilitation
- Osteoarthritis Treatment and Mechanisms
- Rheumatoid Arthritis Research and Therapies
- Primary Care and Health Outcomes
- Musculoskeletal Disorders and Rehabilitation
- Total Knee Arthroplasty Outcomes
- Nursing Roles and Practices
- Knee injuries and reconstruction techniques
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Healthcare Policy and Management
- Mobile Health and mHealth Applications
- Autoimmune and Inflammatory Disorders Research
- Health Policy Implementation Science
- Clinical practice guidelines implementation
- Interprofessional Education and Collaboration
- Chronic Disease Management Strategies
- Shoulder Injury and Treatment
- School Health and Nursing Education
- Healthcare Systems and Technology
- Occupational Therapy Practice and Research
- Emergency and Acute Care Studies
- Delphi Technique in Research
- Hip disorders and treatments
- Behavioral Health and Interventions
- Digital Mental Health Interventions
University of the West of England
2016-2025
University Hospitals Bristol NHS Foundation Trust
2023-2025
NIHR Applied Research Collaboration West
2023-2025
National Institute for Health Research
2023
NIHR Bristol Biomedical Research Centre
2023
National Institute for Health and Care Excellence
2020-2022
Bristol Clinical Commissioning Group
2021
Keele University
2019
Royal North Shore Hospital
2019
The University of Sydney
2019
Chronic joint pain is a major cause of and disability. Exercise self-management have short-term benefits, but few studies follow participants for more than 6 months. We investigated the long-term (up to 30 months) clinical cost effectiveness rehabilitation program combining exercise: Enabling Self-Management Coping Arthritic Knee Pain Through (ESCAPE-knee pain).In this pragmatic, cluster randomized, controlled trial, 418 people with chronic knee (recruited from 54 primary care surgeries)...
Abstract Objective Chronic knee pain is a major cause of disability and health care expenditure, but there are concerns about efficacy, cost, side effects associated with usual primary care. Conservative rehabilitation may offer safe, effective, affordable alternative. We compared the effectiveness program integrating exercise, self‐management, active coping strategies (Enabling Self‐management Coping Arthritic Knee Pain through Exercise [ESCAPE‐knee pain]) in improving functioning persons...
The aim of the present study was to compare effects exercise at 80 %VO2max (resulting in fatigue within 1 h) with more prolonged a lower work rate (55 % VO2max for up 3 on blood neutrophil function and plasma concentrations Cortisol, glutamine glucose. Eighteen: healthy male subjects (mean±SD age 22.5±3.7yrs, 60.1±6.6 ml·kg-1·min-1) cycled an electrically braked ergometer (37±19 min). On another occaision, separated by least one week, performed excercise same 55 h or fatigiue, whichever...
First contact physiotherapy practitioners (FCPPs) are embedded within general practice, providing expert assessment, diagnosis, and management plans for patients with musculoskeletal disorders (MSKDs), without the prior need GP consultation. To determine clinical effectiveness costs of FCPP models compared GP-led care. Multiple site case-study design practices in UK. General practice sites were recruited representing following three models: 1) care; 2) FCPPs who could not prescribe or inject...
To explore the health beliefs, experiences, treatment and expectations of people with chronic knee pain, investigate if, how why these change after taking part on an integrated exercise-based rehabilitation programme--Enabling Self-management Coping Arthritis Pain through Exercise, ESCAPE-knee pain.Semi-structured interviews were conducted before (n=29) (n=23) participation programme. Thematic analysis was used to document people's baseline attitudes cognitions, see if changed completing...
Background The Additional Roles Reimbursement Scheme (ARRS) was set up to recruit 26 000 additional staff into general practice by 2024, with the aim of increasing patient access appointments. Despite potential benefits integrating ARRS practitioners primary care, their implementation has not always been straightforward. Aim To explore challenges and enablers including its impact on secondary care systems. Design setting Qualitative interview study healthcare professionals key professional...
To conduct an economic evaluation of the Enabling Self-Management and Coping with Arthritic Knee Pain through Exercise (ESCAPE-knee pain) program.Alongside a clinical trial, we estimated costs usual primary care participation in ESCAPE-knee pain delivered to individuals (Indiv-rehab) or groups 8 participants (Grp-rehab). Information on resource use informal received was collected during face-to-face interviews. Cost-effectiveness cost-utility were assessed from between-group differences...
To determine the additional effects of transcutaneous electrical nerve stimulation (TENS) for knee osteoarthritis (OA) when combined with a group education and exercise program (knee group).The study was randomized, sham-controlled clinical trial. Patients referred physiotherapy suspected OA (confirmed using American College Rheumatology criteria) were invited. Exclusion criteria included comorbidities preventing exercise, previous TENS experience, contraindications. Prospective sample size...
Purpose Little attention has been paid to psychosocial factors in Joint Hypermobility Syndrome and Ehlers–Danlos (hypermobility type). This study sought identify the impact by examining participants' lived experiences; characteristics of effective coping.Materials methods Adults with (Hypermobility Type) were invited discuss their own experiences condition. All met recognized criteria for clinically significant joint hypermobility, had a self-confirmed diagnosis. The transcripts coded...
The devastating impact of COVID-19 on individuals and communities has accelerated the development vaccines deployment ambitious vaccination programmes to reduce risks infection, infection transmission symptom severity. However, many people delay or refuse get vaccinated against COVID-19, for complex reasons. Vaccination that are tailored address individual communities’ concerns can improve vaccine uptake rates help achieve required herd-immunity threshold. Maximising Uptake Programme led...
Abstract Background General practice in the UK is under substantial pressure and practices are increasingly including paramedics as part of their workforce. Little known about how different models paramedic working may affect successful implementation role, viewed from patient, clinician system perspectives. This realist synthesis developed theories ‘models general practice’ contexts to understand impact. Methods The rapid comprised data from: (1) empirical grey literature searches; (2)...
International clinical guidelines consistently endorse the promotion of self-management (SM), including physical activity for patients with chronic low back pain (CLBP) and osteoarthritis (OA). Patients frequently receive individual treatment advice to self-manage from physiotherapists in primary care, but successful implementation a cost-effective group SM programme is key priority health service managers Ireland maximise long-term outcomes efficient use limited costly resources.