A5012425385- Patient-Provider Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Mental Health and Patient Involvement
- Language, Discourse, Communication Strategies
- Mental Health and Psychiatry
- Dementia and Cognitive Impairment Research
- Delphi Technique in Research
- Empathy and Medical Education
- Nasal Surgery and Airway Studies
- Resilience and Mental Health
- Patient Dignity and Privacy
- Migration, Health and Trauma
- Health Policy Implementation Science
- Sinusitis and nasal conditions
- Healthcare Decision-Making and Restraints
- Interpreting and Communication in Healthcare
- Digital Mental Health Interventions
- Innovative Education and Learning Practices
- Higher Education Research Studies
- Social Media in Health Education
- Enhanced Recovery After Surgery
- Participatory Visual Research Methods
- Healthcare Systems and Challenges
- Stuttering Research and Treatment
- Frailty in Older Adults
University of Exeter
2015-2025
University of Bristol
2018-2025
Royal College of Obstetricians and Gynaecologists
2023-2024
Community Care
2020
At Bristol
2019
Queen Mary University of London
2014
Background A better therapeutic relationship predicts outcomes. However, there is no trial-based evidence on how to improve relationships in psychosis. Aims To test the effectiveness of communication training for psychiatrists improving shared understanding and (trial registration: ISRCTN94846422). Method In a cluster randomised controlled trial UK, 21 were randomised. Ninety-seven (51% those approached) out-patients with schizophrenia/schizoaffective disorder recruited, 64 (66% sample...
It takes time to adjust a diagnosis of dementia. Post-diagnosis support has an important part play in navigating this transition. However, it is often scarce and variable according location. This co-produced study explored experiences across the UK. The project was co-designed implemented with people living Five focus groups were attended by 18 dementia 10 spouses from aim find out what currently received, aspects they valued, would like see done differently. Most participants reported...
Introduction University life represents a critical period for young adults, providing opportunities personal growth and development of coping skills but also posing significant mental health challenges. Recent trends indicate rising concerns among university students, exacerbated by the COVID-19 pandemic its aftermath. This study aims to address gaps in longitudinal data on student UK identify risk protective factors across diverse populations. Methods analysis The current Nurture-U survey...
Background Shared decision-making is advocated but may be affected by cognitive impairment. Measures of shared provide global descriptions communication without detailed analysis the subtle ways in which doctors invite patient input. Aims We aimed to explore medication decisions dementia, using a standardised Treatment Recommendation Coding Scheme. Method analysed 71 video-recorded dementia diagnostic meetings from nine memory clinics. Recommendations were coded as pronouncements (‘I will...
Background The indications for septoplasty are practice-based, rather than evidence-based. In addition, internationally accepted guidelines the management of nasal obstruction associated with septal deviation lacking. Objective objective was to determine clinical effectiveness and cost-effectiveness septoplasty, or without turbinate reduction, compared medical management, in a deviated septum. Design This multicentre randomised controlled trial comparing defined management; it incorporated...
Our state-of-the-art review examines conversation-analytic (CA) research on healthcare encounters in which the patient has a disability that can affect their communication, using lens of social relational model disability. We report findings via following themes: where (and why) interactional challenges arise, practitioner barriers and facilitators to effective how behaviors interpreted medically as symptoms be understood competencies, understanding role companion. reflect equity, diversity,...
Background Dementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their clearly and honestly to facilitate future planning. Aims To analyse how doctors deliver a in practice. Method Conversation analysis was conducted on 81 video-recorded feedback meetings 20 from nine UK memory clinics. Results All named dementia; 59% ( n = 48) approached the indirectly but delicately (‘this is dementia’) 41% 33) this directly bluntly (‘you have Alzheimer's...
Recent drives to facilitate earlier identification of dementia have led increased memory clinic referrals and diagnoses. This study explored the perspectives doctors on making delivering Four focus groups were conducted with 13 psychiatrists two geriatricians in UK. Transcripts coded line by using NVIVO. Thematic analysis identified 39 categories, 18 sub-themes eight overarching themes. Inter-rater reliability 31% data was 0.89. Increased public awareness viewed positively facilitating...
To assess the clinical effectiveness of septoplasty.Multicentre, randomised controlled trial.17 otolaryngology clinics in UK's National Health Service.378 adults (≥18 years, 67% men) newly referred with symptoms nasal obstruction associated septal deviation and at least moderate (score >30 on Nasal Obstruction Symptom Evaluation (NOSE) scale).Participants were 1:1 to receive either septoplasty (n=188) or defined medical management (n=190, steroid saline spray for six months), stratified by...
Introduction There is no standardised national guidance on clinical management for people living with mild cognitive impairment (MCI), and therapeutic interventions are limited. Understanding what outcomes important meaningful to MCI developing a core outcome set (COS) research practice will improve the impact of contribute towards effective care pathways MCI. This study aims develop COS adults intended use in interventional settings. Methods analysis The be developed using five-stage...
Compassionate university practices can increase students’ sense of belonging and lead to higher wellbeing. This study presents qualitative data from a UK collected as part the Nurture-U Campus project. Experiences transition were gathered 32 students across five focus groups. Data analysed using narrative analysis, conducted jointly by an academic researcher student advisors. Results are presented three phases: (1) Expectations: participants hoped for liberal inclusive environments, but...
<sec> <title>BACKGROUND</title> Using social media platforms to recruit participants for research has been demonstrated be a far-reaching and successful recruitment method, especially young people. One of the cited benefits in is maximising diversity sample. Nurture-U university student mental health project ran across six universities UK. </sec> <title>OBJECTIVE</title> This paper provides pragmatic depiction co-designing implementing strategy students two trials all UK universities. In...
Communicating about delusions can be challenging, particularly when a therapeutic relationship needs to established in acute care. So far, no systematic research has explored how psychiatrists address patients' delusional beliefs first meetings The aim of this study was describe experiences in-patient care.First between five and 14 patients care were audio-recorded analysed using thematic content analysis.296 psychiatrist statements identified coded. Three commonly used approaches (with...
there is little research on how people with dementia are involved in treatment decisions at diagnosis.to measure shared decision making when starting cholinesterase inhibitors, investigate associations contextual factors and explore satisfaction experience of the diagnostic meeting.nine UK memory clinics two geographical locations.74 receiving diagnoses (with 69 companions) 21 doctors.we video-recorded 74 clinic consultations rated doctor-shared behaviours using Observing Patient Involvement...
There has been surprisingly little research capturing people’s everyday lives in the early years following a diagnosis of dementia. This project was co-produced by three people with dementia and two university researchers. The co-researchers formulated aims this as: (1) to explore post-diagnosis life (2) use data collection methods as form peer support confidence building for participants. intent provide opportunity learn new skills participants share their experiences without putting them...
Although delivering a chosen mode of anaesthesia for certain emergency surgery procedures is potentially beneficial to patients, it complex intervention evaluate. This qualitative study explored clinician and patient perspectives about surgery.Snowball sampling was used recruit participants from eight National Health Service Trusts that cover the following three settings: ruptured abdominal aortic aneurysms, hip fractures inguinal hernias. A researcher conducted interviews with clinicians...
Communication of mild cognitive impairment (MCI) diagnoses is challenging due to its heterogeneity and unclear prognosis.To identify how MCI communicated explore the relationship with patient companion understanding.Conversation analysis identified whether was named explained in 43 video recorded diagnosis feedback meetings. Afterward, patients companions were asked name assess understanding.Mild not 21% Symptoms as (a) a result vascular conditions (49%), (b) stage between normal ageing...
ABSTRACT Receiving a diagnosis of dementia is life-changing event and can cause strong emotional reactions. The aim this study was to examine patient companion concerns expressed during feedback meetings. Sixty consultations between 19 health-care professionals (HCPs), 60 patients 59 companions were video-recorded transcribed. Concerns identified from the transcripts (a) content analysed, (b) coded as elicited by HCP or volunteered companion, (c) according whether encouraged discouraged...
Abstract Background Students experience lower levels of wellbeing than the general, age-matched population. A whole-university approach to mental health is encouraged, which must work for individuals from all backgrounds and experiences. Student input vital in researching designing these solutions. Nurture-U a national, large-scale research project exploring better ways support student wellbeing, with Advisory Group (SAG) that feeds into decision making. With first year now completed, we...
Abstract Despite efficacy and effectiveness evidence, recommendations from the National Institute for Health Care Excellence (NICE), use of CBT self-help materials remains inconsistent in UK mental health services. Since 2006, Improving Access to Psychological Therapies (IAPT) programme has provided standardized training mandates routine by their trainee psychological well-being practitioners (PWPs). This study tested whether main constructs theory planned behaviour (TPB; attitudes,...