A5065695882- Patient-Provider Communication in Healthcare
- Mobile Health and mHealth Applications
- Mental Health and Patient Involvement
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Digital Mental Health Interventions
- Health Policy Implementation Science
- Health Literacy and Information Accessibility
- Healthcare Systems and Technology
- Primary Care and Health Outcomes
- Homelessness and Social Issues
- Language, Discourse, Communication Strategies
- Telemedicine and Telehealth Implementation
- Migration, Health and Trauma
- Interpreting and Communication in Healthcare
- Grief, Bereavement, and Mental Health
- Pharmaceutical Practices and Patient Outcomes
- Social Media in Health Education
- Empathy and Medical Education
- Pharmaceutical industry and healthcare
- Ethics in Clinical Research
- Health disparities and outcomes
- Cardiac Health and Mental Health
- Suicide and Self-Harm Studies
- Mental Health and Psychiatry
University College London
2016-2025
Roland Hill (United Kingdom)
2016-2025
The Royal Free Hospital
2013-2025
Primary Health Care
2013-2023
University of Southampton
2018
The London College
2014
Keele University
2014
Versus Arthritis
2014
London South Bank University
2010
Stanmore College
2010
Reflexivity is often described as an individual activity. The authors propose that reflexivity employed a team activity, through the sharing of reflexive writing (accounts personal agendas, hidden assumptions, and theoretical definitions) group discussions about arising issues, can improve productivity functioning qualitative teams rigor quality research. review literature on teamwork, highlighting benefits pitfalls, define discuss role for reflexivity. They describe their own detail how...
<h3>Abstract</h3> <b>Objectives:</b> To identify and describe misunderstandings between patients doctors associated with prescribing decisions in general practice. <b>Design:</b> Qualitative study. <b>Setting:</b> 20 practices the West Midlands south east England. <b>Participants:</b> practitioners 35 consulting patients. <b>Main outcome measures:</b> Misunderstandings that have potential or actual adverse consequences for taking medicine. <b>Results:</b> 14 categories of misunderstanding...
To determine the feasibility of conducting a randomised controlled trial specialist physiotherapy intervention for functional motor symptoms (FMS).A study was conducted recruiting patients with clinically established diagnosis FMS from tertiary neurology clinic in London, UK. Participants were to or treatment as usual control. Measures and clinical outcome collected assessed at 6 months.60 individuals recruited over 9-month period. Three withdrew, leaving 29 28 controls participants final...
Objectives To describe self-reported characteristics and symptoms of treatment-seeking patients with post-COVID-19 syndrome (PCS). assess the impact on health-related quality life (HRQoL) patients’ ability to work undertake activities daily living. Design Cross-sectional single-arm service evaluation real-time user data. Setting 31 clinics in UK. Participants 3754 adults diagnosed PCS primary or secondary care deemed suitable for rehabilitation. Intervention Patients using Living With Covid...
Both doctors and patients may perceive the Internet as a potential challenge to existing therapeutic relationships. Here we examine patients' views of effect on their relationship with doctors.We ran 8 disease specific focus groups between 2 respondents comprising adult diabetes mellitus, ischaemic heart or hepatitis C.Data are presented (i) perceived benefits (ii) limitations in context doctor-patient relationship, (iii) sharing information doctors, (iv) for future. Information from was...
ABSTRACT The end of the ‘Golden Age’ welfare capitalism in 1970s was prelude to a period greater individualisation within societies and accompanied by an increase importance consumption as way organising social relations. During same there also expansion discourses aimed at enhancing government autonomous self. One such discourse operates around what has been termed ‘will health’: it suggests that health become required goal for individual behaviour synonymous with itself. generational...
Background: The prevalence of type 2 diabetes is increasing globally, and health services in many countries are struggling with the morbidity, mortality, costs associated complications this long-term condition. Diabetes self-management education (DSME) behavioral support can reduce risks developing diabetes-related improve glycemic control. However, their uptake low. Digital interventions (DHI) provide sustained may overcome challenges attending sessions. They have potential for delivery at...
In the UK, more patients go to primary care than other parts of health service. Therefore it is important for research into include insights and views people who receive these services. To explore extent, quality impact patient public involvement (PPI) in research, we examined documents 200 projects surveyed 191 researchers.We found that about half studies included PPI develop ideas during study itself. Common activities designing materials, advising on methods, managing research. Some did...
Evidence on how to implement new interventions into complex healthcare environments is often poorly reported and indexed, reducing its potential inform initiatives improve services. Using the implementation of a digital intervention within routine National Health Service (NHS) practice, we provide an example develop theoretically based plan report it transparently. In doing so also highlight some challenges in healthcare.The implemented was HeLP-Diabetes, self-management programme for people...
Objective To determine the effectiveness of a web-based self-management programme for people with type 2 diabetes in improving glycaemic control and reducing diabetes-related distress. Methods design Individually randomised two-arm controlled trial. Setting 21 general practices England. Participants Adults aged 18 or over diagnosis registered participating practices. Intervention comparator Usual care plus either Healthy Living People Diabetes (HeLP-Diabetes), an interactive, theoretically...
Quantitative studies have found that suicide bereavement is associated with attempt, and perceived as the most stigmatising of sudden losses. Their findings also suggest stigma may explain excess suicidality. There a need to understand nature this address risk in group. We aimed describe compare experiences reported by people bereaved suicide, unnatural death, natural identify any commonalities unique experiences. conducted population-based cross-sectional survey 659,572 staff students at 37...
Health services are increasingly using digital tools to deliver care, and online consultations being widely adopted in primary care settings. The intended consequences of increase patient access the efficiency care.To identify understand unintended care.Qualitative interview study eight general practices consultation South West North England between February 2019 January 2020.Thematic analysis semi-structured interviews with 19 patients 18 practice staff.Consequences were identified that...
Digital health interventions (DHIs), such as apps, websites and wearables, are being presented solutions or enablers to manage the burden of cardiometabolic disease in healthcare. However, potential benefits DHIs may not be reaching most in-need populations, who face intersecting barriers accessing services digital solutions. The Interventions for South Asians Cardiometabolic Disease (DISC) study used a mixed-method approach focus on people Asian background, high-risk group disease. A...
Background: Interactive health communication applications (IHCAs) that combine high-quality information with interactive components, such as self-assessment tools, behavior change support, peer or decision are likely to benefit people long-term conditions. IHCAs now largely Web-based and becoming known "Internet interventions." Although there numerous professionally generated criteria assess health-related websites, date has been scant exploration of patient-generated assessment even though...
Background Government policy is to encourage self-help among patients. The internet increasingly being used for health information. literature on the role of in doctor–patient consultation remains sparse. Aim To determine perceived responses GPs internet-informed patients consultations and strategies use dealing with information from brought into consultations. Design study A qualitative design was used, semi-structured interviews. Setting based North Central London. Method Analysis...
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...
Patients are increasingly using the internet for health-related information and may bring this to a GP consultation. There is scant about why patients do what they expect from their GP.The aim was explore patients' motivation in presenting information, perception of GP's response wanted doctor.Qualitative study based North London involving with experience bringing health GP.Semi-structured face-to-face telephone interviews critical incident technique, recorded, transcribed verbatim,...