Search results for: Frances S. Mair

Items from 1 to 20 out of 34 results

article

The selfBACK artificial intelligence‐based smartphone app can improve low back pain outcome even in patients with high levels of depression or stress

Guy Rughani, Tom I. L. Nilsen, Karen Wood, Frances S. Mair, more

European Journal of Pain > 27 > 5 > 568 - 579

Background selfBACK provides individually tailored self‐management support for low back pain (LBP) via an artificial intelligence‐based smartphone app. We explore whether those with depressive/stress symptoms can benefit from this technology. Methods Secondary analysis of the selfBACK randomized controlled trial (n = 461). Participants with LBP were randomized to usual care (n = 229), or usual...

article

Examining the Relationship Between Rheumatoid Arthritis, Multimorbidity, and Adverse Health‐Related Outcomes: A Systematic Review

Jordan Canning, Stefan Siebert, Bhautesh D. Jani, Louisa Harding‐Edgar, more

Arthritis Care & Research > 74 > 9 > 1500 - 1512

Objective Multimorbidity (the coexistence of two or more long‐term conditions) is highly prevalent in people who have rheumatoid arthritis (RA). The present work systematically reviewed the literature to determine the effect of multimorbidity on all‐cause mortality, functional status, and quality of life in RA. Methods Six electronic databases were searched: CINAHL, The Cochrane Library, Embase,...

article

An analysis of the diagnostic accuracy and peer‐to‐peer health information provided on online health forums for heart failure

Annabel Farnood, Bridget Johnston, Frances S. Mair

Journal of Advanced Nursing > 78 > 1 > 187 - 200

Aims To examine the accuracy of diagnostic responses and types of information provided on online health forums. Design Qualitative descriptive study. Methods This paper reports the findings of a thematic analysis of peer responses to posts included on heart failure online health forums, to understand the quality and types of information provided. Responses posted between March 2016 and March...

article

Representation of people with comorbidity and multimorbidity in clinical trials of novel drug therapies: an individual-level participant data analysis

Peter Hanlon, Laurie Hannigan, Jesus Rodriguez-Perez, Colin Fischbacher, more

BMC Medicine > 2019 > 17 > 1 > 1-12

Background Clinicians are less likely to prescribe guideline-recommended treatments to people with multimorbidity than to people with a single condition. Doubts as to the applicability of clinical trials of drug treatments (the gold standard for evidence-based medicine) when people have co-existing diseases (comorbidity) may underlie this apparent reluctance. Therefore, for a range of index conditions,...

article

Barriers and facilitators to reducing anticholinergic burden from the perspectives of patients, their carers, and healthcare professionals: A protocol for qualitative evidence synthesis

Carrie Stewart, Katie Gallacher, Athagran Nakham, Moira Cruickshank, more

Journal of Evidence‐Based Medicine > 12 > 3 > 227 - 231

Anticholinergic drugs are prescribed for a range of conditions including gastrointestinal disorders, overactive bladder, allergies, and depression. While in some circumstances anticholinergic effects are therapeutic, they also pose many undesired or adverse effects. The overall impact from concomitant use of multiple medications with anticholinergic properties is termed anticholinergic burden (ACB)...

article

Relationship between multimorbidity, demographic factors and mortality: findings from the UK Biobank cohort

Bhautesh Dinesh Jani, Peter Hanlon, Barbara I. Nicholl, Ross McQueenie, more

BMC Medicine > 2019 > 17 > 1 > 1-13

Background Multimorbidity is associated with higher mortality, but the relationship with cancer and cardiovascular mortality is unclear. The influence of demographics and type of condition on the relationship of multimorbidity with mortality remains unknown. We examine the relationship between multimorbidity (number/type) and cause of mortality and the impact of demographic factors on this relationship...

article

Design of a clinician dashboard to facilitate co-decision making in the management of non-specific low back pain

Kerstin Bach, Cindy Marling, Paul Jarle Mork, Agnar Aamodt, more

Journal of Intelligent Information Systems > 2019 > 52 > 2 > 269-284

This paper presents the design of a Clinician Dashboard to promote co-decision making between patients and clinicians. Targeted patients are those with non-specific low back pain, a leading cause of discomfort, disability and absence from work throughout the world. Targeted clinicians are those in primary care, including general practitioners, physiotherapists, and chiropractors. Here, the functional...

article

Improving the normalization of complex interventions: part 2 - validation of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT)

Tracy L. Finch, Melissa Girling, Carl R. May, Frances S. Mair, more

BMC Medical Research Methodology > 2018 > 18 > 1 > 1-13

Introduction Successful implementation and embedding of new health care practices relies on co-ordinated, collective behaviour of individuals working within the constraints of health care settings. Normalization Process Theory (NPT) provides a theory of implementation that emphasises collective action in explaining, and shaping, the embedding of new practices. To extend the practical utility of NPT...

article

Improving the normalization of complex interventions: part 1 - development of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT)

Tim Rapley, Melissa Girling, Frances S. Mair, Elizabeth Murray, more

BMC Medical Research Methodology > 2018 > 18 > 1 > 1-17

Background Understanding and measuring implementation processes is a key challenge for implementation researchers. This study draws on Normalization Process Theory (NPT) to develop an instrument that can be applied to assess, monitor or measure factors likely to affect normalization from the perspective of implementation participants. Methods An iterative process of instrument development was undertaken...

article

Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review

Carl R. May, Amanda Cummings, Melissa Girling, Mike Bracher, more

Implementation Science > 2018 > 13 > 1 > 1-27

Background Normalization Process Theory (NPT) identifies, characterises and explains key mechanisms that promote and inhibit the implementation, embedding and integration of new health techniques, technologies and other complex interventions. A large body of literature that employs NPT to inform feasibility studies and process evaluations of complex healthcare interventions has now emerged. The aims...

article

A conceptual model of treatment burden and patient capacity in stroke

Katie I. Gallacher, Carl R. May, Peter Langhorne, Frances S. Mair

BMC Family Practice > 2018 > 19 > 1 > 1-15

Background Treatment burden is the workload of healthcare experienced by those with long-term conditions and the impact that this has on well-being. Treatment burden can negatively impact on quality of life and adherence to treatments. Individuals are likely to differ in their ability to manage health problems and follow treatments, defined as patient capacity. This has been under investigated in...

article

Measuring the burden of treatment for chronic disease: implications of a scoping review of the literature

Adem Sav, Asiyeh Salehi, Frances S. Mair, Sara S. McMillan

BMC Medical Research Methodology > 2017 > 17 > 1 > 1-14

Background Although there has been growing research on the burden of treatment, the current state of evidence on measuring this concept is unknown. This scoping review aimed to provide an overview of the current state of knowledge as well as clear recommendations for future research, within the context of chronic disease. Methods Four health-based databases, Scopus, CINAHL, Medline, and PsychInfo,...

article

Mindfulness-based stress reduction for people with multiple sclerosis – a feasibility randomised controlled trial

Robert Simpson, Frances S. Mair, Stewart W. Mercer

BMC Neurology > 2017 > 17 > 1 > 1-12

Background Multiple sclerosis (MS) is a stressful condition. Mental health comorbidity is common. Stress can increase the risk of depression, reduce quality of life (QOL), and possibly exacerbate disease activity in MS. Mindfulness-Based Stress Reduction (MBSR) may help, but has been little studied in MS, particularly among more disabled individuals. Methods The objective of this study was to test...

article

Incentivised chronic disease management and the inverse equity hypothesis: findings from a longitudinal analysis of Scottish primary care practice-level data

Richard Lowrie, Alex McConnachie, Andrea E. Williamson, Evangelos Kontopantelis, more

BMC Medicine > 2017 > 15 > 1 > 1-15

Background The inverse equity hypothesis asserts that new health policies initially widen inequality, then attenuate inequalities over time. Since 2004, the UK’s pay-for-performance scheme for chronic disease management (CDM) in primary care general practices (the Quality and Outcomes Framework) has permitted practices to except (exclude) patients from attending annual CDM reviews, without financial...

article

Detection in blood of autoantibodies to tumour antigens as a case-finding method in lung cancer using the EarlyCDT®-Lung Test (ECLS): study protocol for a randomized controlled trial

F. M. Sullivan, Eoghan Farmer, Frances S. Mair, Shaun Treweek, more

BMC Cancer > 2017 > 17 > 1 > 1-10

Background Lung cancer is the most common cause of cancer related death worldwide. The majority of cases are detected at a late stage when prognosis is poor. The EarlyCDT®-Lung Test detects autoantibodies to abnormal cell surface proteins in the earliest stages of the disease which may allow tumour detection at an earlier stage thus altering prognosis.The primary research question is: Does using the...

article

Intervention planning for a digital intervention for self-management of hypertension: a theory-, evidence- and person-based approach

Rebecca Band, Katherine Bradbury, Katherine Morton, Carl May, more

Implementation Science > 2017 > 12 > 1 > 1-13

Background This paper describes the intervention planning process for the Home and Online Management and Evaluation of Blood Pressure (HOME BP), a digital intervention to promote hypertension self-management. It illustrates how a Person-Based Approach can be integrated with theory- and evidence-based approaches. The Person-Based Approach to intervention development emphasises the use of qualitative...

article

Understanding factors affecting patient and public engagement and recruitment to digital health interventions: a systematic review of qualitative studies

Siobhan O’Connor, Peter Hanlon, Catherine A. O’Donnell, Sonia Garcia, more

BMC Medical Informatics and Decision Making > 2016 > 16 > 1 > 1-15

Background Numerous types of digital health interventions (DHIs) are available to patients and the public but many factors affect their ability to engage and enrol in them. This systematic review aims to identify and synthesise the qualitative literature on barriers and facilitators to engagement and recruitment to DHIs to inform future implementation efforts. Methods PubMed, MEDLINE, CINAHL, Embase,...

article

Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis

Gary McLean, Elizabeth Murray, Rebecca Band, Keith R. Moffat, more

BMC Pulmonary Medicine > 2016 > 16 > 1 > 1-14

Background To identify, summarise and synthesise the evidence for using interactive digital interventions to support patient self-management of asthma, and determine their impact. Methods Systematic review with meta-analysis. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Library, DoPHER, TROPHI, Social Science Citation Index and Science Citation Index. The selection criteria requirement...

article

Details of development of the resource for adults with asthma in the RAISIN (randomized trial of an asthma internet self-management intervention) study

Deborah Morrison, Frances S. Mair, Rekha Chaudhuri, Marilyn McGee-Lennon, more

BMC Medical Informatics and Decision Making > 2015 > 15 > 1 > 1-16

Background Around 300 million people worldwide have asthma and prevalence is increasing. Self-management can be effective in improving a range of outcomes and is cost effective, but is underutilised as a treatment strategy. Supporting optimum self-management using digital technology shows promise, but how best to do this is not clear. We aimed to develop an evidence based, theory informed, online...

article

Soft governance, restratification and the 2004 general medical services contract: the case of UK primary care organisations and general practice teams

Suzanne Grant, Adele Ring, Mark Gabbay, Bruce Guthrie, more

Sociology of Health & Illness > 37 > 1 > 30 - 51

In the UK National Health Service, primary care organisation (PCO) managers have traditionally relied on the soft leadership of general practitioners based on professional self‐regulation rather than direct managerial control. The 2004 general medical services contract (nGMS) represented a significant break from this arrangement by introducing new performance management mechanisms for PCO managers...

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INFONA - science communication portal

Search results for: Frances S. Mair

The selfBACK artificial intelligence‐based smartphone app can improve low back pain outcome even in patients with high levels of depression or stress

Examining the Relationship Between Rheumatoid Arthritis, Multimorbidity, and Adverse Health‐Related Outcomes: A Systematic Review

An analysis of the diagnostic accuracy and peer‐to‐peer health information provided on online health forums for heart failure

Representation of people with comorbidity and multimorbidity in clinical trials of novel drug therapies: an individual-level participant data analysis

Barriers and facilitators to reducing anticholinergic burden from the perspectives of patients, their carers, and healthcare professionals: A protocol for qualitative evidence synthesis

Relationship between multimorbidity, demographic factors and mortality: findings from the UK Biobank cohort

Design of a clinician dashboard to facilitate co-decision making in the management of non-specific low back pain

Improving the normalization of complex interventions: part 2 - validation of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT)

Improving the normalization of complex interventions: part 1 - development of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT)

Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review

A conceptual model of treatment burden and patient capacity in stroke

Measuring the burden of treatment for chronic disease: implications of a scoping review of the literature

Mindfulness-based stress reduction for people with multiple sclerosis – a feasibility randomised controlled trial

Incentivised chronic disease management and the inverse equity hypothesis: findings from a longitudinal analysis of Scottish primary care practice-level data

Detection in blood of autoantibodies to tumour antigens as a case-finding method in lung cancer using the EarlyCDT®-Lung Test (ECLS): study protocol for a randomized controlled trial

Intervention planning for a digital intervention for self-management of hypertension: a theory-, evidence- and person-based approach

Understanding factors affecting patient and public engagement and recruitment to digital health interventions: a systematic review of qualitative studies

Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis

Details of development of the resource for adults with asthma in the RAISIN (randomized trial of an asthma internet self-management intervention) study

Soft governance, restratification and the 2004 general medical services contract: the case of UK primary care organisations and general practice teams

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