A5020877412- Dementia and Cognitive Impairment Research
- Psychiatric care and mental health services
- Mental Health and Patient Involvement
- Schizophrenia research and treatment
- Mental Health and Psychiatry
- Health Policy Implementation Science
- Geriatric Care and Nursing Homes
- Psychotherapy Techniques and Applications
- Emergency and Acute Care Studies
- Child and Adolescent Psychosocial and Emotional Development
- Participatory Visual Research Methods
- Health disparities and outcomes
- Technology Use by Older Adults
- Healthcare Decision-Making and Restraints
- Mental Health Research Topics
- Healthcare professionals’ stress and burnout
- Cardiac Arrest and Resuscitation
- Intergenerational Family Dynamics and Caregiving
- Aging, Elder Care, and Social Issues
- Poisoning and overdose treatments
- Aging and Gerontology Research
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Digital Mental Health Interventions
- Health Systems, Economic Evaluations, Quality of Life
- Infant Health and Development
King's College London
2012-2024
University College London
2011-2022
Faculty of 1000 (United Kingdom)
2020
Royal Australasian College of Surgeons
2017
The University of Adelaide
2017
New York University Press
2017
Cambridge University Press
2017
Institute of Mental Health
2016
King's College - North Carolina
2014
University of London
2006-2014
Background Service users express dissatisfaction with inpatient care and their concerns revolve around staff interactions, involvement in treatment decisions, the availability of activities safety. Traditionally, satisfaction acute has been assessed using measures designed by clinicians or academics.Aims To develop a patient-reported outcome measure perceptions care. An innovative participatory methodology was used to involve services throughout research process.Method A total 397...
Abstract Background and Hypothesis Cognitive remediation (CR) benefits cognition functioning in psychosis but we do not know the optimal level of therapist contact, so evaluated potential different CR modes. Study Design A multi-arm, multi-center, single-blinded, adaptive trial therapist-supported CR. Participants from 11 NHS early intervention services were independently randomized to Independent, Group, One-to-One, or Treatment-as-usual (TAU). The primary outcome was functional recovery...
OBJECTIVE. Western parents are given conflicting advice about whether to introduce a “scheduled” approach infant care or follow their infants' demands. Attempts address this issue using randomized, controlled trials have been unsuccessful. This comparative study collected evidence methods of parenting and associated crying sleeping in 2 communities with substantially different approaches (London, United Kingdom, Copenhagen, Denmark) “proximal care” group, where planned hold infants ≥80% the...
The phenomenon of 'pro-eating disorder' websites remains relatively unexplored by researchers in published formats. Supporters the sites claim beneficial effects but health professionals worry that propagate disordered behaviours. present study addressed visitor characteristics and perceived impact visits. A 24-item questionnaire supplemented with Eating Attitudes Test-26 (EAT-26) was developed posted on website UK mental charity SANE. Participants who interacted others sought emotional...
Abstract Within western cultures, portrayals of dementia as ‘a living death’ are being challenged by people with the diagnosis. Yet remains one most feared conditions. The sociological lens citizenship provides a conceptual framework for reviewing role society and culture in repositioning away from deficit to discourse agency interdependence. Awareness cognitive change, engaging diagnostic process, moves into transitional, or ‘liminal’ state uncertainty. They no longer able return their...
Background Poorer patient views of mental health inpatient treatment predict both further admissions and, for those admitted involuntarily, longer admissions. As advocated in the UK Francis report, we investigated hypothesis that improving staff training improves patients’ ward care. Method Cluster randomised trial with stepped wedge design 16 acute wards (using ralloc procedure Stata) by an independent statistician three waves to training. A psychologist trained on evidence-based group...
Abstract Background To provide precision cognitive remediation therapy (CR) for schizophrenia, we need to understand whether the mechanism improved functioning is via cognition improvements. This has not been rigorously tested potential moderator effects. Study Design We used data (n = 377) from a randomized controlled trial using CIRCuiTS, therapist-supported CR, with participants first-episode psychosis services. applied structured equation modeling test whether: (1) CR hours explain goal...
Support after a diagnosis of dementia may facilitate better adjustment and ongoing management symptoms. The aim the Promoting Independence in Dementia (PRIDE) study was to develop postdiagnostic social intervention help people live as well independently possible. facilitates engagement evidence-based stimulating cognitive, physical activities.Theories promote diagnosis, including theories learning self-efficacy, were reviewed alongside self-management selective optimization model, form basis...
It is widely agreed that one of the functions self-harm by cutting or burning body to regulate emotion. There an apparent paradox in emotion-regulative function self-harm: some people are using both increase and decrease affect. The aim this study, which followed principles grounded theory approach, was generate a paradox-free immediate relevance participants themselves, who often confused about behavior experiences preceding it. We found “feeling too little” much” share characteristics...
Moodscope is an entirely service-user-developed online mood-tracking and feedback tool with built-in social support, designed to stabilize improve mood. Many free internet tools are available no assessment of acceptability, validity or usefulness. This study provides exemplar for future assessments. Method A mixed-methods approach was used. Participants mild moderate low mood used the 3 months. Correlations between weekly assessments using Patient Health Questionnaire (PHQ-9) Generalized...
Throughout the past 50 years mental health services have aimed to provide and improve high quality inpatient care. It is not clear whether there has been improvement as service users nursing staff both expressed frustration at lack of therapeutic activities. In particular, it may be that changing levels symptoms over affect engagement with ward activities.Eight wards in a care trust London serving an inner city urban populations participated. Data were collected on participation activities...
Background : Social cognition difficulties in schizophrenia are seen as a barrier to recovery. Intervention tackling problems this domain have the potential facilitate functioning and Cognition Interaction Training (SCIT) is manual-based psychological therapy designed improve social schizophrenia. Aims The aim of study evaluate feasibility acceptability modified version SCIT for inpatient forensic wards. benefits intervention were also assessed. Method This randomized single blind controlled...
Background Referral for brief intervention among people who misuse alcohol is reported to be effective but its impact those present services following deliberate self-harm (DSH) has not been examined. Method Consecutive patients presented an Emergency Department (ED) episode of DSH were screened misuse. Those found misusing randomly assigned plus a health information leaflet or alone. The primary outcome was whether the patient reattended ED further during subsequent 6 months. Secondary...
Positive psychology research in dementia care has largely been confined to the qualitative literature because of lack robust outcome measures. The aim this study was develop positive measures for people with dementia. Two were each developed four stages. Firstly, reviews conducted identify and operationalise salient themes examine existing psychology. Secondly, discussed within a add content validity identified concepts (n = 17). Thirdly, draft submitted panel experts feedback 6). Finally,...
Background Attempts have been made to improve the efficiency of in-patient acute care. A novel method has development a ‘triage system’ in which patients are assessed on admission develop plans for discharge or transfer an ward. Aims To compare triage system with traditional system. Method Length stay and readmission data all admissions 1-year period between two systems were compared using participating trust's anonymised records. Results Despite reduced length actual ward, average was not...
Background: Psychiatric ward design may make an important contribution to patient outcomes and well-being. However, research is hampered by inability assess its effects robustly. This paper reports on a study which deployed innovative methods capture service user staff perceptions of design.Method: User generated measures the impact were developed tested four acute adult wards using participatory methodology. Additionally, inpatients took photographs illustrate their experience space in two...
Background The Francis report highlights perceptions of care that are affected by different factors including ward structures. Aims To assess patient and staff psychiatric in-patient wards over time. Method Patient were assessed 18 months. We also investigated whether the type or service structure these perceptions. included triage routine care. goal was to include at least 50% eligible patients staff. Results most dramatic change a significant deterioration in all experiences courseof...