Article
Health Care Sciences & Services
Jamie Ross, Rhiannon E. Hawkes, Lisa M. Miles, Sarah Cotterill, Peter Bower, Elizabeth Murray
Summary: This study aimed to understand engagement with the NHS-digital-DPP and found that almost all participants started using the apps, but there were differences in engagement levels across providers. The findings could inform the design of other digital behavior change interventions.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Cardiac & Cardiovascular Systems
Dunja Bruch, Felix Muehlensiepen, Susann May, Eileen Wengemuth, Olen Johannsen, Katrin Christiane Reber, Eva-Lotta Blankenstein, Gerrit Fleige, Martin Middeke, Johannes Albes, Martin Heinze, Marc Lehnen, Sebastian Spethmann
Summary: The DiPaH research project aims to identify factors influencing the use of digital preventive measures for arterial hypertension in Germany, with a particular focus on remote and sparsely populated areas, the age-specific impact, and digital health literacy.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Medicine, General & Internal
Sara Calderon-Larranaga, Trish Greenhalgh, Megan Clinch, John Robson, Isabel Dostal, Fabiola Eto, Sarah Finer
Summary: Social prescribing may provide an opportunity for individual-level prevention of type 2 diabetes to shift towards personalized, inclusive, and long-term approaches. Preliminary evidence suggests that social prescribing can connect patients with community-based health promotion activities, potentially contributing to the prevention of long-term conditions such as type 2 diabetes. Our study indicates that social prescribing within the community and primary care infrastructure can deliver holistic, accessible, sustained, and integrated services.
Article
Nutrition & Dietetics
Dina H. H. Griauzde, Cheryl Hershey, Jamie Michaels, Richard R. R. Evans, Caroline R. R. Richardson, Michele Heisler, Jeffrey T. T. Kullgren, Laura R. R. Saslow
Summary: All VA Medical Centers offer the MOVE! Weight Management Program, but most participants do not achieve clinically significant weight loss. A carbohydrate-restricted diet may help more Veterans to achieve >=5% weight loss.
FRONTIERS IN NUTRITION
(2023)
Article
Medicine, General & Internal
Aileen Callanan, Diarmuid Quinlan, Susanne O'Sullivan, Colin P. Bradley, Patricia M. Kearney, Aileen Murphy, Claire Mary Buckley
Summary: Atrial fibrillation (AF) is a major risk factor for stroke and is often asymptomatic. Early detection of AF can significantly reduce stroke risk. International experts recommend AF screening, but there are multiple screening methods.
Article
Health Care Sciences & Services
Kate Morton, Laura Dennison, Rebecca Band, Beth Stuart, Laura Wilde, Tara Cheetham-Blake, Elena Heber, Joanna Slodkowska-Barabasz, Paul Little, Richard J. McManus, Carl R. May, Lucy Yardley, Katherine Bradbury
Summary: This study revealed the challenges and potential mechanisms of implementing digital interventions to improve adherence among hypertensive patients in primary care settings. Practitioners showed moderate adherence to adjusting medication dosages, mainly influenced by factors such as trust in home readings and decision-making processes. Contextual factors and the quality of remote support during implementation also impacted the intervention effectiveness.
IMPLEMENTATION SCIENCE
(2021)
Article
Health Care Sciences & Services
Jamie Ross, Sarah Cotterill, Peter Bower, Elizabeth Murray
Summary: This study explores the factors influencing the decision-making and engagement of individuals in the National Health Service Healthier You: Digital Diabetes Prevention Programme (NHS-digital-DPP) in the UK. The study identified seven overarching themes that were important for both the decision to uptake and engage with the NHS-digital-DPP, including knowledge and understanding, referral process, self-efficacy, self-identity, motivation and support, advantages of digital service, and reflexive monitoring. The study concludes that digital-DPPs can overcome barriers to the uptake of face-to-face diabetes prevention programs and support lifestyle changes for diabetes prevention.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Lisa M. Miles, Rhiannon E. Hawkes, David P. French
Summary: This study examines the fidelity of the NHS Digital Diabetes Prevention Programme (DDPP) compared to the service specification, describes its delivery features, and explores developers' views on the programme's structural components. The findings reveal variation in the delivery of support services across providers, which may impact the effectiveness of the programme.
BMC HEALTH SERVICES RESEARCH
(2023)
Review
Public, Environmental & Occupational Health
Ellen Zwaagstra Salvado, Hilco J. van Elten, Erik M. van Raaij
Summary: This study examines how reimbursement schemes impact preventive services and finds that different reimbursement schemes have varied incentives for different types of preventive care services, guiding healthcare professionals in their behaviors towards prevention.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Multidisciplinary Sciences
Elizabeth W. Regan, Reed Handlery, Jill C. Stewart, Joseph L. Pearson, Sara Wilcox, Stacy Fritz
Summary: Survivors of stroke can be integrated into U.S. cardiac rehabilitation programs successfully, meeting standard exercise frequency and intensity goals, and perceiving the program as necessary.
Article
Health Care Sciences & Services
Jolie N. Haun, Risa Nakase-Richardson, Christine Melillo, Jacob Kean, C. Benzinger, Tali Schneider, Mary Jo Pugh, Rachel C. Benzinger
Summary: This study aims to evaluate the implementation determinants of the traumatic brain injury (TBI) Intensive Evaluation and Treatment Program (IETP). The study will describe the IETP services and implementation status, evaluate outcomes for participants, and support the expansion of IETP. The results of this study will contribute to the improvement and dissemination of IETP.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Engineering, Multidisciplinary
Suprabeet Datta, Siddhartha Rokade, Sarvesh P. S. Rajput
Summary: This study evaluates the operational performance of uncontrolled intersections using advanced heuristic techniques, identifying volume to capacity ratio, percentage of on-street parking, and service delay as key factors affecting level of service predictions.
ALEXANDRIA ENGINEERING JOURNAL
(2021)
Article
Public, Environmental & Occupational Health
Neil Howlett, Kim P. J. Roberts, Di Swanston, Laurel D. Edmunds, Thomas A. Willis
Summary: This study evaluated the feasibility of training volunteers to deliver a preschool obesity prevention programme one-on-one, showing initial benefits for parents and children in terms of health and behavior improvements.
Article
Health Care Sciences & Services
Ian D. Jones, Deirdre A. Lane, Robyn R. Lotto, David Oxborough, Lis Neubeck, Peter E. Penson, Gabriela Czanner, Andy Shaw, Emma Johnston Smith, Aimeris Santos, Emily E. McGinn, Aderonke Ajiboye, Nicola Town, Gregory Y. H. Lip
Summary: This study aims to investigate the effectiveness of embedding a hand-held device into supermarket trolley handles for screening atrial fibrillation (AF). The study consists of two phases, with the first phase involving the recruitment of 2000 participants who will use trolleys embedded with sensors in supermarkets. If AF is detected, further examination and consultation referral will be provided. The second phase includes interviews with participating pharmacists and store managers to understand their perceptions of this screening method.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Medicine, General & Internal
Jamie Enoch, Arevik Ghulakhszian, David P. Crabb, Christiana Dinah, Deanna J. Taylor
Summary: This study aims to explore the acceptability of regular intravitreal injections as a treatment for patients with geographic atrophy (GA), a form of advanced AMD. Using a mixed-methods approach, the research will investigate patients' perceptions of intravitreal injections, the burden of treatment, and preferences between different potential treatments.
Article
Endocrinology & Metabolism
Jonathan Pearson-Stuttard, Yiling J. Cheng, James Bennett, Eszter P. Vamos, Bin Zhou, Jonathan Valabhji, Amanda J. Cross, Majid Ezzati, Edward W. Gregg
Summary: The study showed that hospitalisation rates for diabetes patients were consistently higher than those without diabetes. Over time, the causes of hospitalisation for diabetes patients shifted, with traditional diabetes complications decreasing and non-specific conditions like cancers and respiratory infections increasing. Preventative and clinical measures for diabetes should evolve to address this changing pattern of hospitalisation causes.
LANCET DIABETES & ENDOCRINOLOGY
(2022)
Letter
Endocrinology & Metabolism
Naomi Holman, Sarah H. Wild, Edward W. Gregg, Jonathan Valabhji, Naveed Sattar, Kamlesh Khunti
LANCET DIABETES & ENDOCRINOLOGY
(2022)
Article
Endocrinology & Metabolism
Naomi Holman, Sarah H. Wild, Kamlesh Khunti, Peter Knighton, Jackie O'Keefe, Chirag Bakhai, Bob Young, Naveed Sattar, Jonathan Valabhji, Edward W. Gregg
Summary: The incidence of remission of type 2 diabetes is generally low in routine care settings, but it may be a reasonable goal for patients who lose a significant amount of weight shortly after diagnosis. Factors associated with higher odds of remission include shorter duration of diagnosis, non-prescription of glucose-lowering medication, lower HbA(1c) and BMI levels, White ethnicity, female sex, and lower socioeconomic deprivation.
Article
Endocrinology & Metabolism
Shivani Misra, Naomi Holman, Emma Barron, Peter Knighton, Justin Warner, Partha Kar, Bob Young, Jonathan Valabhji
Summary: This study reports on the contemporary prevalence, characteristics, and care of children and young people with type 2 diabetes in England. The findings show that individuals in this age group are more likely to be from minority ethnic groups, obese, living in deprived areas, and less likely to receive recommended care processes or achieve target HbA(1c) levels. These findings highlight the need for novel approaches to healthcare provision for this high-risk group.
Article
Endocrinology & Metabolism
Naomi Holman, Kamlesh Khunti, Sarah H. Wild, Naveed Sattar, Peter Knighton, Bob Young, Edward W. Gregg, Chirag Bakhai, Jonathan Valabhji
Summary: This study examines whether people with remission from type 2 diabetes continue to receive recommended care processes and the potential impacts of formal recognition of remission. The results show that individuals with a remission diagnosis were less likely to receive care processes compared to those without such coding, while those with evidence of remission had only a slightly reduced likelihood of receiving care processes.
Review
Endocrinology & Metabolism
Kamlesh Khunti, Jonathan Valabhji, Shivani Misra
Summary: The emergence of SARS-CoV-2 virus has disproportionately affected people with chronic diseases, including diabetes, with a higher risk of hospitalization and mortality. The pandemic has had significant indirect effects on healthcare delivery, as well as lasting impacts on those directly infected. This review summarizes the impact of acute COVID-19 on people with diabetes, discusses changes in presentation and epidemiology during the pandemic, and considers the broader impact on patients and healthcare service delivery, highlighting areas of uncertainty. Recommendations are provided for prioritizing patients during the recovery phase and protecting people with diabetes in the future, as COVID-19 is expected to become endemic.
Article
Health Care Sciences & Services
Jamie Ross, Sarah Cotterill, Peter Bower, Elizabeth Murray
Summary: This study explores the factors influencing the decision-making and engagement of individuals in the National Health Service Healthier You: Digital Diabetes Prevention Programme (NHS-digital-DPP) in the UK. The study identified seven overarching themes that were important for both the decision to uptake and engage with the NHS-digital-DPP, including knowledge and understanding, referral process, self-efficacy, self-identity, motivation and support, advantages of digital service, and reflexive monitoring. The study concludes that digital-DPPs can overcome barriers to the uptake of face-to-face diabetes prevention programs and support lifestyle changes for diabetes prevention.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Endocrinology & Metabolism
Dimitrios A. Koutoukidis, Emma Barron, Richard Stevens, Paul Aveyard, Jonathan Valabhji, Susan A. Jebb
Summary: This study found that people who start a weight management program in January tend to lose more weight compared to those who start at other times of the year, with a difference ranging from 12% to 30%.
Article
Medicine, General & Internal
Sarah Walker, Henry Goodfellow, Patra Pookarnjanamorakot, Elizabeth Murray, Julia Bindman, Ann Blandford, Katherine Bradbury, Belinda Cooper, Fiona L. Hamilton, John R. Hurst, Hannah Hylton, Stuart Linke, Paul Pfeffer, William Ricketts, Chris Robson, Fiona A. Stevenson, David Sunkersing, Jiunn Wang, Manuel Gomes, William Henley
Summary: This study aimed to describe the characteristics and symptoms of treatment-seeking patients with post-COVID-19 syndrome (PCS) and assess the impact of these symptoms on health-related quality of life (HRQoL) and ability to work. The results showed that a high proportion of patients had moderately severe functional limitations, with fatigue being the dominant symptom. This study suggests that clinical care and rehabilitation should focus on managing fatigue.
Article
Endocrinology & Metabolism
Emma Barron, Kamlesh Khunti, Alison K. Wright, Darren M. Ashcroft, Matthew J. Carr, Martin K. Rutter, Jonathan Valabhji
DIABETES OBESITY & METABOLISM
(2023)
Editorial Material
Endocrinology & Metabolism
Jonathan Valabhji
Article
Health Care Sciences & Services
Jamie Ross, Rhiannon E. Hawkes, Lisa M. Miles, Sarah Cotterill, Peter Bower, Elizabeth Murray
Summary: This study aimed to understand engagement with the NHS-digital-DPP and found that almost all participants started using the apps, but there were differences in engagement levels across providers. The findings could inform the design of other digital behavior change interventions.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Medicine, General & Internal
Jonathan Valabhji, Emma Barron, Adrian Pratt, Nasrin Hafezparast, Rupert Dunbar-Rees, Ellie Bragan Turner, Kate Roberts, Jacqueline Mathews, Robbie Deegan, Victoria Cornelius, Jason Pickles, Gary Wainman, Chirag Bakhai, Desmond Johnston, Edward Gregg, Kamlesh Khunti
Summary: This study provides insight into the prevalence of multiple long-term conditions in the whole English population, showing variations by age, sex, socioeconomic status, and ethnicity. The findings contribute to health service delivery planning but also highlight the challenges posed by the heterogeneity of MLTC.
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2023)
Article
Primary Health Care
Amy Coe, Jane Gunn, Susan Fletcher, Elizabeth Murray, Catherine Kaylor-Hughes
Summary: This study aimed to describe the self-reported reasons primary care patients have for reducing or stopping their antidepressant medication. The findings revealed several factors, including depression, medication, healthcare system, psychosocial, and financial reasons. These results can inform the development and implementation of discussions about antidepressant deprescribing in clinical practice.
PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT
(2023)
Article
Health Care Sciences & Services
Shoba Poduval, Jamie Ross, Kingshuk Pal, Nikki Newhouse, Fiona Hamilton, Elizabeth Murray
Summary: This paper describes the development of HeLP-Diabetes: Starting Out, a web-based education program for people newly diagnosed with type 2 diabetes, using methods from human-computer interaction and health research. The iterative development process, guided by user needs and data on uptake, resulted in a more suitable intervention for evaluation. The description of the approach provides guidance for other digital health researchers.
JMIR HUMAN FACTORS
(2022)