A5056500139- Child and Adolescent Psychosocial and Emotional Development
- Pregnancy and Medication Impact
- Early Childhood Education and Development
- Antibiotic Use and Resistance
- Maternal Mental Health During Pregnancy and Postpartum
- Breastfeeding Practices and Influences
- Patient-Provider Communication in Healthcare
- Adolescent and Pediatric Healthcare
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cystic Fibrosis Research Advances
- Child Nutrition and Feeding Issues
- COVID-19 and Mental Health
- Musculoskeletal pain and rehabilitation
- Diverse Approaches in Healthcare and Education Studies
- Reproductive Health and Technologies
- Vaccine Coverage and Hesitancy
- Rheumatoid Arthritis Research and Therapies
- Health and Wellbeing Research
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Workforce Issues
- Health disparities and outcomes
- Eosinophilic Esophagitis
- Emergency and Acute Care Studies
- Grief, Bereavement, and Mental Health
- Youth Substance Use and School Attendance
Cardiff Metropolitan University
2020-2025
East Carolina University
2019-2024
University of Plymouth
2023
Cardiff University
2013-2022
Heinrich Heine University Düsseldorf
2018
National Archives
2015
University of Bath
2012-2013
Cochrane
2013
University of Botswana
2013
Swansea University
2012
Research has consistently shown that access to parks and gardens is beneficial people's health wellbeing. In this paper, we explore the role of both public private green space in subjective wellbeing during after first peak COVID-19 outbreak took place UK half 2020. It makes use longitudinal Public Experiences (COPE) study, with baseline data collected March/April 2020 (during peak) follow-up June/July (after which included an optional module asked respondents about their home neighbourhood...
Point-of-care testing of C-reactive protein (CRP) may be a way to reduce unnecessary use antibiotics without harming patients who have acute exacerbations chronic obstructive pulmonary disease (COPD).
Anxiety in children is common, impairs everyday functioning, and increases the risk of severe mental health disorders adulthood. We investigated effect a classroom-based cognitive behaviour therapy prevention programme (FRIENDS) on anxiety symptoms children.Preventing Children though Education Schools (PACES) three-group parallel cluster randomised controlled trial. Interventions were given between September, 2011, July, 2012, with schools as unit allocation individual participants analysis....
To investigate the prevalence of self-harm in young adolescents and factors associated with onset continuity over a one year period. Prospective longitudinal study. Participants were (n = 3964) aged 12–16 years attending 8 secondary schools Midlands South West England. Over period 27% reported thoughts 15% at least act self-harm. Of those who self-harmed, less than five (18%) had sought help for psychological problems anxiety or depression. Compared boys, girls increased risk developing (OR...
<b>Objective</b> To compare the effectiveness of classroom based cognitive behavioural therapy with attention control and usual school provision for adolescents at high risk depression. <b>Design</b> Three arm parallel cluster randomised controlled trial. <b>Setting</b> Eight UK secondary schools. <b>Participants</b> Adolescents (n=5030) aged 12-16 years in year groups 8-11. Year were randomly assigned on a 1:1:1 ratio to therapy, control, or provision. Allocation was balanced by school,...
The COVID-19 pandemic has been a devastating, mass bereavement event characterised by high levels of disruption to end-of-life, grieving and coping processes. Quantitative evidence is emerging on the effects grief outcomes, but rich qualitative lived experiences people bereaved during these times lacking.
Cervical screening for high-risk Human Papillomavirus subtypes is offered to those eligible in the UK via NHS cervical programmes. However, uptake of continues remain below national target 80%. Groups less likely participate include people from low socioeconomic groups, ethnic minority backgrounds, younger/older age and/or LGBTQ group identity. The screening-eligible population could soon, first time UK, have a choice mode between clinician taken or self-sampling. To understand information...
Reports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) of a sufficiently high scientific
Background Anxiety in children is common, impairs everyday functioning and increases the risk of severe mental health disorders adulthood, yet few with anxiety are identified referred for treatment. Objective To investigate clinical effectiveness cost-effectiveness a universal school-based preventative programme (FRIENDS) reducing symptoms low mood. Design Cluster randomised controlled trial. Schools ( n = 41) were randomly assigned after recruitment on 1 : basis to health-led FRIENDS,...
Using the Health Belief Model as a conceptual framework, we investigated association between attitudes towards COVID-19, COVID-19 vaccinations, and vaccine hesitancy change in these variables over 9-month period UK cohort.
'When should I worry?' is an interactive booklet for parents of children presenting with respiratory tract infections (RTIs) in primary care and associated training clinicians. A randomised controlled trial (the EQUIP study) demonstrated that this intervention reduced antibiotic prescribing future consulting intentions. The aims qualitative process evaluation were to understand how acceptable the was clinicians parents, it implemented, mechanisms any observed effects, contextual factors...
Peer support is recommended by the World Health Organization for initiation and continuation of breastfeeding, this recommendation included in United Kingdom (U.K.) guidance. There a lack information about how, when, where breastfeeding peer was provided U.K. We aimed to generate an overview how delivered gain understanding challenges implementation. surveyed all infant feeding coordinators (n = 696) who were part U.K.-based National Infant Feeding Networks, covering 177 Service (NHS)...
Autoimmune rheumatic diseases (ARDs) such as inflammatory arthritis and Lupus, many of the treatments for these diseases, can have a detrimental impact on fertility pregnancy outcomes. Disease activity organ damage result ARDs affect maternal foetal The safety acceptability hormonal contraceptives also be affected. objective this study was to identify information support needs women with during planning, early parenting.This mixed methods included cross-sectional online survey qualitative...
Background Most patients presenting with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) in primary care are prescribed antibiotics, but these may not be beneficial, and they can cause side effects increase the risk subsequent resistant infections. Point-of-care tests (POCTs) could safely reduce inappropriate antibiotic prescribing antimicrobial resistance. Objective To determine whether or use a C-reactive protein (CRP) POCT to guide decisions for AECOPD reduces...
Abstract Objectives Disease Activity (DA) monitoring is a standard of care in Rheumatoid Arthritis (RA). There demand for achieving this through Patient Reported Outcome Measures (PROMs). The aim study was to determine which items could be used measure the construct RA DA, by analysing legacy PROMs, using Rasch measurement theory (RMT) analyses. Methods Questionnaires including 10 PROMs were sent people with create original and validation datasets. Items grouped according OMERACT domains...
Visual timeline methods have been used as part of face-to-face qualitative interviewing with vulnerable populations to uncover the intricacies lived experiences, but little is known about whether visual timelines can be effectively in telephone interviews. In this article, we reflect on process using 16 interviews women “STarting a family when you an Autoimmune Rheumatic disease” study (STAR Family Study). The method was empower organize and share their narratives sensitive complex topic...
Abstract Background The COVID-19 pandemic had a profound impact on healthcare systems globally, with potential to aggravate levels of healthcare-associated harm. Due radical changes within service provision, this period was considered likely influence patient-reported safety concerns. We aimed characterise the nature these concerns at different time periods after first United Kingdom (UK) lockdown. Methods A module included UK Public Experience (COPE) study surveys three points: March/April...
Musculoskeletal pain is detrimental to quality of life (QOL) and disruptive activities daily living. It also places a major economic burden on healthcare systems wider society. In 2006, the Welsh Assembly Government (WAG) established three tiered self-referral Occupational Health Physiotherapy Pilot Project (OHPPP) comprising: 1.) telephone advice triage, 2.) face-to-face physiotherapy assessment treatment if required, 3.) workplace return-to-work facilitation package as appropriate. This...
Background A substantial minority of adolescents suffer from depression and it is associated with increased risk suicide, social educational impairment, mental health problems in adulthood. recently conducted randomized controlled trial England evaluated the effectiveness a manualized universally delivered age‐appropriate CBT programme school classrooms. The cost‐effectiveness for preventing low mood all participants care sector perspective needs to be determined. Methods trial‐based...
Only around 1% of babies in the UK are breastfed exclusively until six months age as recommended by World Health Organisation. One ten women who have recently given birth a long-term illness and they at increased risk stopping breastfeeding early. We considered with autoimmune rheumatic diseases an exemplar group long term illnesses, to explore barriers enablers To understand experiences infant feeding among identify potential enablers. Qualitative visual timeline-facilitated interviews. 128...
Small scale trials indicate that classroom-based Cognitive Behaviour Therapy (CBT) for adolescents has good reach and can help prevent depression. However, under more diverse everyday conditions, such programmes tend not to show positive effects. This study examined the process of implementing a CBT depression prevention programme as part large (n = 5,030) randomised controlled trial across eight UK secondary schools which was found be effective (PROMISE, ISRCTN19083628). The views young...
ABSTRACT Background There are no standardized clinical guidelines for the management of Parkinson's disease (PD) during pregnancy. Increasing maternal age would suggest that incidence pregnancy in women diagnosed with PD is likely to increase. Objective To evaluate evidence treatment and canvass opinion from patients teams as optimum this setting. Methods This involved (1) a literature review available use oral medical therapy (2) an anonymized survey relating previous experiences. Results A...