ORCID Profile
0000-0002-5547-6204
Current Organisation
Charles Darwin University
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Publisher: Informa UK Limited
Date: 2010
Publisher: Elsevier BV
Date: 07-2016
Publisher: Springer International Publishing
Date: 2015
Publisher: Wiley
Date: 10-1997
Publisher: Informa UK Limited
Date: 08-1970
Publisher: Wiley
Date: 20-04-2012
DOI: 10.1111/J.1365-2214.2012.01378.X
Abstract: Many different child weight management programmes exist, with varying degrees of evaluation to provide evidence of their success. The purpose of this research was to use a standardized approach to audit the effectiveness of weight management intervention programmes in the West Midlands region of the UK, specifically to assess the benefits to participating children in terms of health improvement and behaviour change. An audit of seven family-based intervention programmes currently in place in the West Midlands. Programmes were audited against the Standard Evaluation Framework. The programmes provided a partial data set relating to a change in weight from the baseline to the end of the programme none of the programmes provided all of the measures indicated by the Standard Evaluation Form as being essential for evaluation. Weight change ranged from an increase in group mean of 0.4 kg to a decrease of 0.9 kg. Body Mass Index SD decreased by 0.1-0.2 points in four programmes and remained unchanged in two programmes. Four programmes collected long-term follow-up data at 6 months. This was often limited because of participant dropout. Improvement in diet and exercise were reported by participants in all programmes which measured these behaviours. Ongoing evaluation of all programmes, using a standard approach, is essential in order to improve the evidence base and support future commissioning.
Publisher: Human Kinetics
Date: 07-2014
Abstract: Physical activity determinant studies now often include both environmental and sociocognitive factors but few of them acknowledge and explore the mechanisms underlying relevant environmental influences. This study explored environmental correlates of children’s self-reported physical activity and potential mediation through the Theory of Planned Behavior (TPB) and habit strength. Six hundred and twenty-one pupils aged 9–11 years were recruited from 4 primary schools in the UK. TPB variables, habit strength and environmental variables were assessed at baseline. Self-reported physical activity was assessed 1 week later. Mediation tests revealed that 43% of the association between convenient facilities and intention was mediated through subjective norms (17%) and habit (26%), while 15% of the association between convenient facilities and physical activity was mediated through habit strength alone. A significant direct effect of convenient facilities and resources in the home environment on physical activity was also found. The school environment was not significantly related to children’s physical activity intentions or behavior. The results suggest that the environment influences children’s physical activity both directly and indirectly and that habit strength seems to be the most important mediator for this association.
Publisher: Elsevier BV
Date: 03-1999
Publisher: Mark Allen Group
Date: 02-01-2015
DOI: 10.12968/BJHC.2015.21.1.29
Abstract: The Delivering the Future (DtF) leadership programme was established in 2005 to strengthen senior clinical leadership capacity and capability across NHS Scotland. This article reports on an evaluation of the programme to determine the extent to which the programme outcomes had been achieved. Sixty-seven (57%) programme participants responded to a questionnaire survey about their experience, and semi-structured interviews were conducted with participants (n = 8) and senior leaders (n = 7) at NHS Board level. The programme was highly regarded by participants and strategic level leads. The majority of DtF participants had been promoted or taken on expanded roles since completing the programme, taking on greater leadership responsibility. The programme was seen to be a significant influence on accelerating the progression of in iduals to these roles, and in developing skills to perform at a senior leadership level. The significant investment in the programme was thought to be worthwhile in terms of wider benefits, albeit with a need to make better collective use of the alumni at a national level.
Publisher: Mark Allen Group
Date: 12-1998
DOI: 10.12968/BJTR.1998.5.12.14028
Abstract: The dual concepts of evidence-based practice and clinical effectiveness have become ever more important for the professions allied to medicine in recent years. In order for suitable initiatives to be derived and future policy shaped and evaluated, it is important that the current level of knowledge of, and attitudes toward the concepts are recorded. In order to achieve this, a questionnaire was developed aimed at recording professionals' attitudes toward, and knowledge of the concepts of evidence-based practice and clinical effectiveness and how they are applied in practice. This article describes the development of the questionnaire, while the second and third parts of the series present the results obtained from the questionnaire survey.
Publisher: Wiley
Date: 31-01-2011
DOI: 10.1111/J.1365-2214.2010.01204.X
Abstract: In England, the National Child Measurement Programme (NCMP) annually measures the weight and height of Year 6 schoolchildren (age 10-11 years). While measurement protocols are defined, the time of measurement within the school day is not. This study examined the impact of school-day variation in weight and height on NCMP body mass index (BMI)-determined weight category in Year 6 children. Standing height and weight were measured in morning and afternoon sessions in 74 children, boys (n= 34 height: 141.16 ± 7.45 cm weight: 36.48 ± 9.46 kg, BMI: 18.19 ± 3.98 kg/m(2) ) and girls (n= 40 height: 144.58 ± 7.66 cm weight: 42.25 ± 11.29 kg BMI: 19.97 ± 3.98 kg/m(2) ) aged 11 ± 0.3 years. In the whole s le, height decreased (Mean =-0.51 cm, 95% CI: -0.39 to -0.64 cm, P= 0.01), weight did not change (Mdn = 36.40 to 36.35, P= 0.09) and BMI increased (Mdn = 18.04 to 18.13, P= 0.01). In girls weight increased (Mdn = 41.40 to 41.60, P= 0.01). BMI percentile increased (Mdn = 57th to 59.5th centile, P= 0.01). One girl increased in BMI category from morning to afternoon according to the clinical cut-offs (≤2nd, >91st and >98th) and three girls increased BMI category according to the population monitoring cut-offs (≤2nd, ≥85th, ≥95th). School-day variation in height (and in girls alone, weight) impact upon increased BMI and BMI percentile in afternoon versus morning measurements in Year 6 children. Although not reaching statistical significance, resultant variation in categorization at the in idual level may lead to unwarranted follow-up procedures being initiated. Further research with larger s les is required to further explore the impact of daily variability in height and weight upon both clinical and population monitoring BMI-determined weight status categorization in the NCMP.
Publisher: SAGE Publications
Date: 28-11-2016
Abstract: Interventions and activities that influence health are often concerned with intangible outcomes that are difficult to value despite their potential significance. Social Return on Investment is an evaluation framework that explores all aspects of change and expresses these in comparable terms. It combines qualitative narratives and quantitative measurements with a financial approach to enable outcomes that can otherwise be overlooked or undervalued to be incorporated appropriately. This article presents Social Return on Investment as an effective tool for supporting the development of a holistic appreciation of how interventions impact on the health and well-being of in iduals, communities and societies.
Publisher: Wiley
Date: 21-03-2015
DOI: 10.1111/BJHP.12138
Publisher: Wiley
Date: 04-1999
DOI: 10.1046/J.1365-2648.1999.00967.X
Abstract: The dual concepts of evidence-based practice and clinical effectiveness have become ever more important for nurses, midwives and health visitors in recent years. In order that suitable initiatives can be derived and future policy shaped and evaluated it is important that the current level of knowledge and attitudes towards these concepts are recorded. The current study set out to examine these variables in a large, representative s le (n = 370, response rate = 74%) of nurses, midwives and health visitors. Results indicated that although a positive attitude towards evidence-based practice exists, in iduals consider themselves to be lacking in certain key skills. Specifically, these appeared to be related to research-based skills. However, despite this, respondents indicated a large take up of evidence-based practice, although this may have been greater were it not for the considerable clinical workload. The necessity for greater dissemination of key research principles to nurses, midwives and health visitors by members of their own profession is emphasized.
Publisher: Elsevier BV
Date: 05-2017
DOI: 10.1016/J.IJNURSTU.2017.02.008
Abstract: The emotional labour of nursing work involves managing the emotional demands of relating with patients, families and colleagues. Building nurses' resilience is an important strategy in mitigating the stress and burnout that may be caused by ongoing exposure to these demands. Understandings of resilience in the context of emotional labour in nursing, however, are limited. To investigate the state of knowledge on resilience in the context of emotional labour in nursing. Integrative literature review. CINAHL, Medline, Scopus, and PsycINFO electronic databases were searched for abstracts published between 2005 and 2015 and written in English. Reference lists were hand searched. Whittemore and Knafl's integrative review method was used to guide this review. The constant comparative method was used to analyze and synthesize data from 27 peer-reviewed quantitative and qualitative articles. Methodological quality of included studies was assessed using the Mixed Methods Assessment Tool. Emotional labour is a facet of all aspects of nursing work and nurse-patient/family/collegial interactions. Emotional dissonance arising from surface acting in emotional labour can lead to stress and burnout. Resilience can be a protective process for the negative effects of emotional labour. Several resilience interventions have been designed to strengthen nurses' in idual resources and reduce the negative effects of workplace stress however they do not specifically address emotional labour. Inclusion of emotional labour-mitigating strategies is recommended for future resilience interventions. Resilience is a significant intervention that can build nurses' resources and address the effects of emotional dissonance in nursing work. There is a need for further investigation of the relationship between resilience and emotional labour in nursing, and robust evaluation of the impact of resilience interventions that address emotional labour.
Publisher: Elsevier BV
Date: 03-1992
Publisher: Informa UK Limited
Date: 08-2012
DOI: 10.1080/02640414.2012.709266
Abstract: This study examined dissonance in physical activity (PA) between two youth-specific hip-derived intensity cut-points for the Actiwatch (AW), and compared PA between hip and wrist placements using site-specific cut-points. Twenty-four children aged 11.2 ± 0.5 years wore the AW on the right hip and non-dominant wrist during a typical school day. Minutes of sedentary behaviour and vigorous activity were greater using Puyau et al. (2002) cut-points, but light, moderate, and moderate-to-vigorous (MVPA) were greater when derived using Puyau et al. (2004) cut-points (P < 0.01). Total hip activity counts were lower than wrist. Sedentary minutes were greater at the hip, but minutes of light, vigorous and MVPA were lower (P < 0.01). Moderate minutes were greater at the hip, but differed only when applying the Puyau et al. (2004) cut-points (P < 0.01). In conclusion, data comparisons between two hip derived AW cut-points and between hip and wrist data are inappropriate. Future researchers using the AW at the hip should present data reduced using both published cut-points. As hip and wrist data differ, the wrist placement is preferable as it will likely increase children's compliance to monitoring protocols due to reduced obtrusiveness compared to the hip.
Publisher: Elsevier BV
Date: 07-2014
Publisher: Consortium of Multiple Sclerosis Centers
Date: 2015
DOI: 10.7224/1537-2073.2013-044
Abstract: Background: Multiple sclerosis (MS) is a chronic, degenerative condition of the central nervous system that can lead to high levels of disability and a range of psychological and social problems. Although considerable research has been conducted on the experience of living with MS and the disease's psychosocial consequences, much of this has focused on women, with the male perspective seldom considered. It is possible, therefore, that men differ from women in how they experience MS and the type of support or interventions that meet their needs. Methods: A literature review was undertaken to identify the specific support needs of men with MS, describe current support available to men with MS, and evaluate the extent to which these needs are met by current service provision. Results: The literature reviewed suggests that the needs of men with MS are different from those of women in terms of psychological factors such as well-being and mental health and support. Conclusions: If interventions are to be evidence based, health-care professionals need to take into account the needs, desires, and capabilities of men with MS in the development of services. Further qualitative and quantitative research is required to address the gaps in the evidence base of support needs for men with MS.
Publisher: Elsevier BV
Date: 11-2017
Publisher: Cambridge University Press (CUP)
Date: 16-10-2013
DOI: 10.1017/S1368980012004612
Abstract: Although previous research has shown that the Food Dudes programme increases children's fruit and vegetable consumption at school, there has been limited evaluation of the extent to which changes are maintained in the long term. Furthermore, despite knowledge that the nutritional content of home-supplied meals is lower than that of school-supplied meals, little consideration has been given to the programme's impact on meals provided from home. The present study therefore assessed the long-term effectiveness of the Food Dudes programme for both school- and home-supplied lunches. Two cohorts of children participated, one receiving the Food Dudes intervention and a matched control group who did not receive any intervention. Consumption of fruit and vegetables was assessed pre-intervention, then at 3 and 12 months post-intervention. Consumption was measured across five consecutive days in each school using weighed intake (school-provided meals) and digital photography (home-provided meals). Fifteen primary schools, six intervention ( n 1282) and seven control schools ( n 1151). Participants were children aged 4–11 years. A significant increase in the consumption of fruit and vegetables was found at 3 months for children in the intervention schools, but only for those eating school-supplied lunches. However, increases were not maintained at 12 months. The Food Dudes programme has a limited effect in producing even short-term changes in children's fruit and vegetable consumption at lunchtime. Further development work is required to ensure the short- and long-term effectiveness of interventions promoting fruit and vegetable consumption in children such as the Food Dudes programme.
Publisher: Mark Allen Group
Date: 02-1999
DOI: 10.12968/BJTR.1999.6.2.14011
Abstract: The move towards an evidence-based culture within the NHS has been encouraged by a number of policy-led initiatives in recent years. However, it is not clear whether these developments have impacted upon practice. The current study set out to examine the application of evidence-based practice in a large, representative s le.
Publisher: Wiley
Date: 19-02-2010
Publisher: Elsevier BV
Date: 09-1996
Publisher: Elsevier BV
Date: 04-2014
Publisher: Elsevier BV
Date: 05-2014
Publisher: Termedia Sp. z.o.o.
Date: 03-2012
DOI: 10.2478/V10078-012-0002-Z
Abstract: This study aimed to quantify the intra-and inter-instrument reliability of the Actiwatch 4 accelerometer (AW4) in a mechanical setting. Twenty seven AW4 were attached to an isokinetic dynamometer and subjected to angular acceleration for 30 min at 50 deg/sec representing moderate intensity (MPA condition) and 200 deg/sec representing vigorous intensity (VPA condition), with a repeat trial conducted. Reliability was assessed using coefficient of variation (CV), absolute percent error (APE), and intraclass correlation coefficients (ICC). Mean AW4 activity counts displayed acceptable reliability according to CV in both conditions (ConMPA: CVintra = 4.6%, APEintra = 6.6%, CVinter = 6.4%, APEinter = 5.2% ConVPA: CVintra = 3.9%, APEintra = 5.6%, CVinter = 5.9%, APEinter = 4.7%). When counts were re-categorised into minutes of MPA and VPA, lower CV values were observed (ConMPA: CVintra = 3.2%, APEintra = 4.5%, CVinter = 4.3%, APEinter = 3.2% ConVPA: CVintra = 0.0%, APEintra = 0.0%, CVinter = 0.0%, APEinter = 0.0%). When activity counts were re-categorised as minutes of MVPA, excellent reliability was observed (CVintra, APEintra, CVinter, and APEinter = 0.0%) in both conditions. Mean AW4 activity counts exhibit reliability statistics comparable to other accelerometers. Reliability is improved when activity counts are re-categorised as time spent in MPA and VPA, with greatest reliability obtained when counts are recategorised as time spent in MVPA. As MVPA is the subcomponent of physical activity most associated with health benefits it would appear that the AW4 is reliable for measuring time spent in this health enhancing intensity category, at least from testing in a mechanical laboratory setting.
Publisher: SAGE Publications
Date: 2014
DOI: 10.4276/030802214X13887685335544
Abstract: Evidence-based practice is the procedure whereby clinicians incorporate best research evidence, clinical expertise, and patient values to provide best patient care. Recently, there has been a significant push towards occupational therapists' adoption of evidence-based practice. This systematic review aimed to determine occupational therapists' attitudes, knowledge, and utilization of evidence-based practice. A search of literature published between 2000–12 was conducted in relation to occupational therapists' practice. Academic Search Complete, Cumulative Index of Nursing and Allied Health Literature Plus, PsycARTICLES, Ingenta, Medline, Science Direct, and Journal Storage were systematically searched using MeSH and free-text keywords. Google Scholar and reference lists were also searched. Thirty-two papers were selected for review: 23 were quantitative, 8 were qualitative, and 1 used a mixed methods design. Studies demonstrated that occupational therapists hold positive attitudes towards evidence-based practice. However, these attitudes do not translate into practice, with research indicating a lack of evidence-based practice utilization. Occupational therapists perceive a number of barriers to evidence-based practice, including lack of time, lack of availability and accessibility of research, and having limited research skills. It is essential that educational and training initiatives provide therapists with the tools and support they need to engage fully with research evidence and its application within clinical care.
Publisher: Elsevier BV
Date: 03-1994
DOI: 10.1016/S1059-1311(05)80160-8
Abstract: The neuropsychological effects of the GABA-reuptake blocker, tiagabine-HCl, were tested in an open trial of 22 adult patients with refractory partial epilepsy followed by a double-blind, placebo-controlled, cross-over trial in 12 subjects. Nineteen patients completed the initial open titration and fixed-dose phase of the study and 11 patients completed the double-blind phase. The median daily tiagabine dose was 32 mg during the open fixed dose and 24 mg during the double-blind periods. Neuropsychological evaluation did not show any significant effect on cognitive function in the open or double-blind phases. In this group of patients no statistically significant difference in the frequency of the total number of seizures or complex partial seizures was found in the open or double-blind stages. Seizure severity was significantly less in the open fixed dose than in the baseline period, but was not significantly different between the two double-blind periods. Reported side effects were transient, most commonly aggression/irritability, lethargy, headache and drowsiness. No significant EEG changes were observed.
Publisher: Elsevier BV
Date: 2000
Publisher: Wiley
Date: 21-01-2014
DOI: 10.1111/WVN.12019
Publisher: IGI Global
Date: 07-2013
Abstract: The introduction of the iPad and similar form-factor devices (e.g. Samsung Galaxy Tab, Asus Eee Pad and Motorola Xoom) has provided a unique opportunity for older adults to engage with mobile computing devices and platforms. Engagement with ‘traditional’ computing devices amongst older adults, including arguably mobile devices, such as laptop computers is low due to dexterity issues amongst this population (Hertzum & Hornbaek, 2010). Whilst the iPad removes some of the traditional barriers to computer engagement, new barriers including weight and screen reflection are evident to an older user group. This paper provides an exploratory evaluation of how older adults in 11 UK care-home settings and the staff engaged in their care are using iPads to help improve communication, build physical social networks amongst residents, staff and family members, and map the most frequently used applications by an older population during a six-month pilot period. Results suggest that applications involving information searching for personally related and historical information were most valued by older adults. Further, older adults and care staff alike report mainly positive experiences of iPad use in care settings including the increased opportunities for social interaction and the enhancement of intergenerational communication. Additionally, the barriers to use (e.g. device weight) are often overcome by low-tech adaptations and adjustment when using the device. This paper argues that the portability and adaptive nature of the iPad combined with the increased social interaction afforded by device could increase quality of life in care settings.
Publisher: Mark Allen Group
Date: 02-09-2015
DOI: 10.12968/JOWC.2015.24.9.397
Abstract: Social support impacts well-being. Higher levels of social support encourage treatment adherence and aid healing in people living with chronic wounds. The Leg Club model of care harnesses social support mechanisms to improve patient outcomes. This study investigated whether social support mechanisms available through a Leg Club environment influenced well-being. Participants were community Leg Club members. Socio-demographic data was collected, and the Well-being in Wounds Inventory (WOWI) administered to assess ‘wound worries,’ ‘personal resources,’ and ‘well-being’. Participants' perceived social situation, length of time attending a Leg Club, wound duration, and feelings about their physical appearance were also measured. The subjects recruited (n=49) were aged between 50 and 94 years (mean=75.34, standard deviation=10.31). Membership of a Leg Club did impact well-being factors. Time spent at a Leg Club improved ‘personal resources’ over time. ‘Perceived social situation’ predicted key aspects of well-being, as did ‘time spent attending a Leg Club’ and ‘feelings about physical appearance.’ Social support and relief from social isolation were important aspects of Leg Club membership for participants. Attending a Leg Club enhances well-being in people living with a chronic wound social support has an important role to play in this relationship. Future research should consider the specific interplay of social support mechanisms of Leg Club, and other relevant wound-related variables to optimise patient well-being and treatment outcomes. The Urgo Foundation funded this project. The authors have no conflicts of interest to declare.
Publisher: Mark Allen Group
Date: 02-06-2014
DOI: 10.12968/JOWC.2014.23.6.291
Abstract: To explore the psychological treatment options for pruritus in patients with wounds. This study employed a narrative design with a search being completed using the databases Academic Search Complete, Google Scholar, PsycInfo, PsycARTICLES, Medline and CINAHL Plus. All articles between 1980–2013 that included the following search terms: [pruritus OR itch OR itching] AND [management OR psychological interventions OR treatment] AND [wounds OR burns OR wounds burns] were included in the review. A number of psychological treatments options emerged from the literature search that were suggested to be effective for treating itching. These included methods such as habit reversal, suggestions, relaxation, massage and itch-coping programmes. Each of these methods showed potential for improving the patient experience by reducing itching, although the research evidence is currently somewhat limited. Although itching is a common symptom in wounds, the use of psychological treatments for this may be rather limited. The treatments discussed show promise and their use should be a welcome addition to the healthcare professional's armoury for working with people with wounds. There were no external sources of funding for thist study. The authors have no conflicts of interest to declare.
Publisher: Informa UK Limited
Date: 03-2018
DOI: 10.2147/JIR.S155903
Publisher: Elsevier BV
Date: 08-1996
Publisher: Cambridge University Press (CUP)
Date: 21-03-2013
Publisher: Mark Allen Group
Date: 09-2010
DOI: 10.12968/IJTR.2010.17.9.78039
Abstract: The Allied Health Professions Support and Development Scheme was a pilot project administered by NHS Education for Scotland (NES) and the Scottish Government. The scheme was put in place to aid in the recruitment, retention and career development of newly qualified practitioners (NQPs) in NHSScotland. During the scheme, NQPs were provided with mentor support, an online learning facility and financial incentives. This article describes the independent evaluation of the scheme, one which aims to assess the scheme's impact on recruitment, retention and career development of NQPs in NHSScotland. It was found that involvement in the scheme made NQPs feel valued as practitioners and increased their awareness of the wider allied health profession agenda. Financial support provided as part of the scheme was used to help with a range of costs including accommodation, training courses, continuing professional development (CPD) and student loan repayments. Overall the majority of NQPs (86%) regarded the scheme as a positive experience and indicated that they would recommend it to their colleagues. Similar schemes may be successfully put in place elsewhere around the world to support NQPs. A later article will consider the impact of this scheme on recruitment and retention of allied health professionals in rural areas of NHS Scotland.
Publisher: Elsevier BV
Date: 2015
Publisher: Elsevier BV
Date: 11-2012
Publisher: Mark Allen Group
Date: 1999
DOI: 10.12968/BJTR.1999.6.1.14019
Abstract: The concepts of evidence-based practice (EBP) and clinical effectiveness have become more important within the NHS in recent years. In order to enable suitable initiatives to be developed and for future policy to be shaped and evaluated, it is important that the current level of attitudes towards and knowledge of these concepts are ascertained.
Publisher: Elsevier BV
Date: 09-2014
Publisher: Wiley
Date: 22-05-2006
Publisher: Elsevier BV
Date: 10-1993
DOI: 10.1016/0920-1211(93)90031-2
Abstract: The amino acids L-glutamate and L-aspartate have been shown to be excitatory neurotransmitters in mammalian central nervous systems. Antagonists acting selectively at excitatory amino acid receptors have shown antiepileptic properties in several animal models. We report the results of the first therapeutic trial of the competitive NMDA antagonist, D-CPP-ene (SDZ EAA-494), in eight patients with intractable complex partial seizures. All patients withdrew prematurely because of side-effects, including poor concentration (8), sedation (7), ataxia (6), depression (3), dysarthria (2), amnesia (2) and unilateral choreo-athetosis in a patient with contralateral Sturge-Weber syndrome. Seizures were unchanged in four patients and worse in three. A further patient with apparent improvement in seizures in the first week developed complex partial status epilepticus on withdrawal of DCPP-ene. EEG on treatment (5) or in the immediate post-treatment period (2) showed slowing of background activity and, in five cases, an increase in epileptiform activity. Serum concentrations of DCPP-ene were found to be unpredictable and higher than expected from pharmacokinetic data on normal subjects. There was no clear relationship between serum concentrations and the severity of side-effects. Preliminary experience with DCPP-ene in patients with refractory partial seizures is not promising. Evaluation of related compounds is warranted.
Publisher: Elsevier BV
Date: 1992
Publisher: Emerald
Date: 20-12-2014
Abstract: – This study is based on previous research which suggests that the Dudes programme increases children's fruit and vegetable consumption for school-provided meals by assessing its effectiveness in increasing the provision and consumption of fruit and vegetables in home-provided meals. – Two cohorts of children participated from six schools in the West Midlands in the UK, one receiving the Food Dudes intervention and a matched control group who did not receive any intervention. Participants were children aged four to seven years from six primary schools, three intervention ( n =123) and three control schools ( n =156). Parental provision and consumption of fruit and vegetables was assessed pre-intervention, then three and 12 months post-intervention. Consumption was measured across five consecutive days in each school using digital photography. – No significant increases in parental provision or consumption were found at three or 12 months for children in the intervention schools, however, increases were evident for children in the control group. – Further development of the Food Dudes programme could develop ways of working with parents and children to increase awareness of what constitutes a healthy lunch. – This is the first independent evaluation to assess the influence of the Food Dudes programme on parental provision and children's consumption of lunchtime fruit and vegetables.
Publisher: Routledge
Date: 26-11-2013
Publisher: Wiley
Date: 04-01-2014
DOI: 10.1111/IWJ.12018
Publisher: Wiley
Date: 12-03-2015
DOI: 10.1111/IWJ.12059
Publisher: Royal College of Surgeons of England
Date: 05-2009
Abstract: A range of human factors have been shown to impact on surgical performance although little is known about the impact of training on the views of surgeons towards these factors or how receptive surgeons are to such training. This was an observational pilot study using a short questionnaire designed to elicit views of surgeons towards a range of human factors prior to, and immediately following, a course designed to address human factors in surgical performance. Focus groups were also conducted before and immediately after the course to elicit views. Of all the human factors assessed, decision-making was rated on a visual analogue scale as having the biggest impact on performance both before and after the course. In general, views of human factors changed following the course, most notably an increase in the extent to which work stress, interpersonal difficulties and personality were believed to affect performance. Three themes emerged from the focus groups: (i) personal professional development (ii) the relationship between trainer and trainee and (iii) the changing perspective. Surgeons from a range of specialties are receptive to training on the impact of human factors on performance and this study has shown that views may change following a course designed to address this. Further training to address the theory–practice gap is warranted in addition to an evaluation of its effectiveness.
Publisher: Wiley
Date: 21-08-2013
Publisher: Mark Allen Group
Date: 05-2014
DOI: 10.12968/JOWC.2014.23.5.227
Abstract: To review the current literature on the treatment of itching, or pruritus, in people with burn wounds. A literature search using the databases PubMed, MEDLINE and Google Scholar was undertaken. Studies were included in the review if they discussed or evaluated different treatment options for pruritus in patients with burn wounds. A variety of treatments are available for the relief of pruritus in patients with burns wounds, ranging from antihistamines and topical emollients to psychological therapies, massage and dermatological treatments. Oral antihistamines are used most commonly, yet research indicates that these are not always effective. Few studies are methodologically robust. In recent years, there has been an attempt to design and implement treatment strategies and algorithms, however, there is currently no agreed and consistent management plan for the treatment of pruritus due to burn injury. Simple single therapies should be the frst line therapy for the treatment of pruritus due to burns, however, if these are unsuccessful, combination therapy should be introduced early to try to reduce the onset of chronic itch. Current algorithms and treatment plans based on the stage of healing show promise but need further modifcation and testing before they can be recommended for common use. There were no external sources of funding for this study. The authors have no conficts of interests to declare.
Publisher: Elsevier BV
Date: 1993
Publisher: Elsevier BV
Date: 02-2016
Publisher: Elsevier BV
Date: 04-2012
Publisher: Springer Science and Business Media LLC
Date: 18-03-2009
Publisher: SAGE Publications
Date: 20-03-2015
Abstract: Although previous research has shown the Food Dudes Programme increases children’s lunchtime fruit and vegetable consumption, research has seldom evaluated whether the intervention can decrease the consumption of high-fat and high-sugar foods. This study is the first, independent evaluation of the Food Dudes Programme to explore whether the programme could change children’s lunchtime fruit and vegetable consumption and consumption of high-fat and high-sugar foods following the intervention and explore any relationship between these variables. The Food Dudes Programme was evaluated in 15 primary schools in the West Midlands, United Kingdom ( n = 2,433) at baseline (pre-intervention), and three months and 12 months post-intervention. Consumption was measured across five consecutive days in each school using weighed intake (school-provided meals) and digital photography (home-provided meals). A significant increase in the consumption of lunchtime fruit and vegetables was found at three months for children in the intervention schools, but only for those eating school-supplied lunches. For children consuming school meals, consumption of high-fat and high-sugar foods for children in the intervention and control schools increased over time. No relationship was found between increases in fruit and vegetable consumption and decrease in consumption of high-fat and high-sugar foods following the Food Dudes intervention. The Food Dudes Programme has a limited effect on decreasing consumption of high-fat and high-sugar foods at lunchtime. Targeting unhealthy food consumption in addition to increasing fruit and vegetable consumption may facilitate this. Restricted access to high-fat and high-sugar foods may also reduce intake however, this needs to be part of a multi-faceted approach to changing children’s dietary patterns involving the whole school community.
Publisher: Elsevier BV
Date: 09-1999
Publisher: Elsevier
Date: 2008
Publisher: Mark Allen Group
Date: 10-2010
DOI: 10.12968/IJTR.2010.17.10.78813
Abstract: This article follows on from the previous issue, where the Allied Health Professions (AHP) Support and Development Scheme was introduced. The scheme was put in place in order to aid in the recruitment, retention and career development of Allied Health Professionals (AHPs) in hard to fill posts in NHSScotland. The last issue looked at how the scheme developed newly qualified practitioners' skills. This article looks at the scheme's impact on recruitment and retention. Financial incentives were provided for both the teams with hard to fill posts and the in iduals who were recruited to support the recruitment, retention and career development of AHPs. The evaluation of the scheme aimed to assess the impact on recruitment, retention, career development and successful outcomes for in iduals and teams of AHPs in NHSScotland. The scheme was found to have had a positive impact on recruitment and retention of AHPs to hard to fill posts. Overall, 75% of managers had successfully recruited new team members as a result of the scheme. However the majority of new recruits (68%) reported that the financial incentive had not influenced their decision to accept the posts. Many of these recruits had remained in post and their appointment was reported to have had a positive impact on service provision. Overall the majority of AHPs (89%) would recommend the scheme to other teams with hard to fill posts
Publisher: Routledge
Date: 07-05-2008
Publisher: Elsevier BV
Date: 06-1995
DOI: 10.1016/S0010-9452(13)80373-5
Abstract: It has been demonstrated previously that performance on the modified Wisconsin Card Sorting Task (Nelson, 1976) is compromised by hippoc al sclerosis, particularly of the right hemisphere (Corcoran and Upton, 1993). Further evidence in support of this claim is presented here in the form of a case study. The findings from this case demonstrated that performance on the same task was not impaired following a right sided frontal lobectomy but was found to be deficient consequent to seizure recurrence in the right temporal lobe and following right temporal lobe removal. The clinical and theoretical significance of this case is discussed.
Publisher: Wiley
Date: 19-02-2010
Publisher: Wiley
Date: 31-01-2006
Publisher: Oxford University Press (OUP)
Date: 02-1999
Publisher: Wiley
Date: 19-02-2010
Publisher: Wiley
Date: 10-09-2012
Publisher: Elsevier BV
Date: 05-1999
Publisher: Mark Allen Group
Date: 02-03-2016
DOI: 10.12968/JOWC.2016.25.3.114
Abstract: Physical and psychosocial deficits have been reported in people living with chronic wounds. While the negative impact of these factors on an in idual's quality of life (QoL) is well documented, there has been little research into the well-being of those living with chronic wounds, despite recent calls for increased attention to this related, yet distinct construct. This paper introduces the Well-being in Wounds Inventory (WOWI) and provides support for the WOWI as a valid and reliable measure of well-being in patients living with chronic wounds. A draft questionnaire was administered to a convenience s le of in iduals with chronic wounds (n=85) and the resulting data subject to factor analysis in order to refine the structure of the questionnaire. The reliability, validity and responsiveness of the resulting questionnaire were then tested by administration to a second s le of in iduals with wounds (n=49). Socio-demographic data, issues affecting patient well-being and well-being factors, such as, emotions perceived coping skills social support personal control hope for the future, were measured. Results confirmed the WOWI as a reliable and valid measure of well-being. Items loaded onto two subscales, ‘personal resources’ and ‘wound worries’. Analysis revealed the WOWI to be highly feasible measure of well-being, with good test-retest reliability and responsiveness to changes in health status. The current study highlights the importance of assessing well-being factors in in iduals living with chronic wounds. It introduces the WOWI as a valid and reliable measure of well-being in chronic wound patients. The authors recommend health-care practitioners take account of well-being as part of a holistic treatment plan in order to maximise patient outcomes. This project was funded by Urgo Medical. The authors have no conflict of interest to declare.
Publisher: Emerald
Date: 02-02-2015
Abstract: – The purpose of this paper is to evaluate the evidence base of the Food Dudes healthy eating programme, specifically the short- and long-term effectiveness of the intervention for consumption of fruit and vegetables both at school and at home and displacement of unhealthy snack consumption. – Articles were identified using Academic Search Complete, PsycARTICLES, Medline and PubMed databases keywords for the period January 1995 to August 2013. Articles were included if they reported an empirical evaluation of the Food Dudes programme aimed at children aged between 4-11 years. Articles were included regardless of geographical location and publication type (i.e. published and “grey” literature). – Six articles were included for review. Findings indicated that the programme was moderately effective in the short term however, the long-term effectiveness of the programme is unknown. The ability of the programme to generalise to the home setting and to displace unhealthy snack foods also requires further investigation. – This is the first independent review of the Food Dudes programme. In light of the extensive roll out of the Food Dudes programme, an appraisal of the evidence surrounding the programme is timely. The review highlights that sustaining fruit and vegetable intake cannot be achieved through behaviour-based interventions alone and the long-term maintenance of fruit and vegetable consumption requires more than the implementation of an intervention found to be effective in a controlled research environment.
Publisher: Wiley
Date: 19-02-2010
Publisher: Elsevier BV
Date: 06-1993
DOI: 10.1016/S0010-9452(13)80182-7
Abstract: This study examines the performance of three groups of patients with epilepsy on three measures typically used to assess the integrity of the frontal lobes: the Modified Wisconsin Card Sorting Test (MWCST), verbal fluency and the Stroop test. The groups comprised sixteen patients with clearly defined hippoc al sclerosis, thirteen patients with unilateral temporal lobe seizure onset and eighteen patients with unilateral frontal lobe onset. Results demonstrated that performance on the MWCST was most compromised by hippoc al sclerosis. These patients took longer to complete the task, achieved fewer categories and made more perseverative errors than patients in the other groups. In contrast, verbal fluency and performance on the Stroop test were less affected by the presence of hippoc al sclerosis. These results have both clinical and theoretical significance. It is argued that patients with hippoc al damage perform poorly on the MWCST because of the heavy working memory requirements of the test. Cautious use of this test as a tool to localise seizure origin in patients with complex partial seizures is therefore recommended. The findings are discussed in terms of Gray's (1982) model of the hippoc us as a comparator of actions.
Publisher: Mark Allen Group
Date: 2014
DOI: 10.12968/JOWC.2014.23.1.14
Abstract: The impact of having a leg ulcer is well-documented in terms of the pain, restrictions and psychosocial difficulties that patients experience. However, the current focus on quality of life as a patient reported outcome measure overlooks the importance of the in idual's well-being. In this article, we argue that a shift in focus from quality of life to well-being will contribute to the more proactive patient centred approach to care to which we should all aspire in contemporary care settings.
Publisher: Elsevier BV
Date: 03-2005
Publisher: Wiley
Date: 19-02-2010
Publisher: Elsevier BV
Date: 12-1997
Publisher: Informa UK Limited
Date: 06-03-2015
Publisher: SAGE Publications
Date: 11-2013
Abstract: Although previous research has shown the Food Dudes programme increases children’s fruit and vegetable consumption at school, the evidence for the effectiveness in the home setting is more equivocal. The school environment is identified as a logical setting for targeting children’s fruit and vegetable consumption however, to produce sustainable changes in behaviour, it is equally important that interventions target consumption in the home setting. This study aimed to establish whether the Food Dudes intervention can influence home consumption of fruit and vegetables and the extent to which any changes in eating behaviour following the intervention were maintained in the long term. A total of 34 children aged 4–11 years from eight primary schools (four intervention and four control groups) in the West Midlands, United Kingdom, completed a 7-day photographic food diary at baseline (prior to the intervention), a 3-month follow-up (post-intervention) and a 12-month follow-up. The Food Dudes programme did not influence either short- or long-term changes in children’s consumption of fruit and vegetables at home during weekdays or at the weekend. The Food Dudes programme had no effect on changing children’s fruit and vegetable consumption in the home environment. Further development of the programme could consider how parental and home environmental factors may be combined with the principles of the Food Dudes programme to influence children’s fruit and vegetable consumption in this setting.
Publisher: Informa UK Limited
Date: 02-2006
Publisher: Cambridge University Press (CUP)
Date: 09-09-2010
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Dominic Upton.