Article
Geriatrics & Gerontology
Merel van Loon-van Gaalen, Ilje E. Voshol, M. Christien van der Linden, Jacobijn Gussekloo, Roos C. van der Mast
Summary: As unplanned Emergency Department (ED) return visits (URVs) are associated with adverse health outcomes in older adults, many EDs have initiated post-discharge interventions to reduce URVs. Unfortunately, most interventions fail to reduce URVs, including telephone follow-up after ED discharge, investigated in a recent trial. To understand why these interventions were not effective, we analyzed patient and ED visit characteristics and reasons for URVs within 30 days for patients aged >= 70 years.
Article
Nursing
Xiaojiao Wang, Chunxiang Zhu, Hongyan Liu, Liping Sun, Wenli Zhu, Chunyi Gu
Summary: This study examined the effects of a midwife-led weight management program on appropriate gestational weight gain, health literacy, experience of antenatal care, and maternal and neonatal outcomes in Chinese pregnant women. The findings showed that the program can facilitate appropriate gestational weight gain, enhance health literacy, and promote positive experience of antenatal care compared to conventional care.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2023)
Article
Critical Care Medicine
Varun Sharma, Helen Clare Ricketts, Louise McCombie, Naomi Brosnahan, Luisa Crawford, Lesley Slaughter, Anna Goodfellow, Femke Steffensen, Duncan S. Buchan, Rekha Chaudhuri, Michael E. J. Lean, Douglas C. Cowan
Summary: Using a structured weight management program can significantly improve asthma control and quality of life in patients with difficult-to-treat asthma and obesity over 16 weeks compared to usual care.
Article
Pediatrics
Wendy S. Moore, Mildred M. Maldonado-Molina, Amy R. Mobley, Karla P. Shelnutt, Megan A. McVay
Summary: This study aimed to identify parental factors associated with intentions to initiate a family-based pediatric weight management program. The findings showed that higher perception of program effectiveness predicted initiation intentions, while concern for child's weight and parent depression and anxiety levels did not. Black/African American participants and those with at least a bachelor's degree reported higher initiation intentions and perceived program effectiveness. Barriers to initiation included time constraints, possible lack of enjoyment for the child, and lack of family support.
Article
Public, Environmental & Occupational Health
Justin Carrico, Claire E. Mellott, Sandra E. Talbird, Andre Bento-Abreu, Barbara Merckx, Jessica Vandenhaute, Damia Benchabane, Nicolas Dauby, Olivier Ethgen, Philippe Lepage, Jeroen Luyten, Marc Raes, Steven Simoens, Marc Van Ranst, Amanda Eiden, Mawuli K. Nyaku, Goran Bencina
Summary: In this study, the public health impact and return on investment of Belgium's pediatric immunization program (PIP) were evaluated. The PIP was found to prevent infections and deaths, as well as save costs in both the healthcare sector and society. Continued investment in the PIP is recommended to sustain its positive impact.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Endocrinology & Metabolism
Prince Kevin Danieles, Marina Ybarra, Andraea Van Hulst, Tracie A. Barnett, Marie-Eve Mathieu, Lisa Kakinami, Olivier Drouin, Jean-Luc Bigras, Melanie Henderson
Summary: Older age and lower maternal education level were significantly associated with dropout in the CIRCUIT program.
OBESITY RESEARCH & CLINICAL PRACTICE
(2021)
Article
Nursing
Claire Hutchinson, Kate Curtis, Andrea McCloughen
Summary: The aim of this study was to explore the reasons and experiences of patients who make an unplanned return visit to the emergency department. The findings showed that patients' negative experiences and difficulties in managing their condition at home contribute to their decision to return. Nurses and clinicians in the emergency department should prioritize clear communication, timely consultation, and shared decision-making to build patient trust and reduce unnecessary return visits.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Multidisciplinary Sciences
Lauren Powell, Chelsea Reinhard, Donya Satriale, Margaret Morris, James Serpell, Brittany Watson
Summary: This study identified key reasons and predictors for post-adoption returns of animals in shelters. Behavioral issues and incompatibility with existing pets were common reasons for returns, with adult dogs having the highest likelihood of being returned post-adoption. Breed and age were significant predictors of return likelihood and outcomes, with Pit bull-type breeds being more likely to be returned multiple times and euthanized post-return. The findings underscore the importance of considering animal behavior in adoption processes to reduce the likelihood of returns and improve post-adoption outcomes.
SCIENTIFIC REPORTS
(2021)
Article
Endocrinology & Metabolism
Christine B. San Giovanni, Brooke Sweeney, Joseph A. Skelton, Megan M. Kelsey, Aaron S. Kelly
Summary: Pediatric obesity is recognized as a chronic disease with limited treatment options available besides lifestyle modification and surgery. Off-label prescribing may provide additional benefits for patients struggling with weight management, while more research and medication options are needed to address pediatric obesity effectively.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
Article
Nutrition & Dietetics
Katarina Forkmann, Lena Roth, Nora Mehl
Summary: While the prevalence of overweight and obesity increases annually, the accessibility of on-site treatment programs does not follow suit. Digital obesity treatment programs like zanadio could potentially alleviate this situation. By providing a digital, multimodal weight reduction program, zanadio meets the demand for obesity treatment and has the potential to fill the gap in obesity care.
Article
Health Care Sciences & Services
Veronica Else, Qiaoling Chen, Alan B. Cortez, Corinna Koebnick
Summary: A 6-month pediatric weight loss program showed initial success, but sustainability of weight reduction was not achieved after 12 months. Family-based weight management in pediatric primary care can effectively reduce body weight in children living with obesity, but continued support is crucial for maintaining long-term success.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Medicine, General & Internal
Lia D. Delaney, Ryan Howard, Krisinda Palazzolo, Anne P. Ehlers, Shawna Smith, Michael Englesbe, Justin B. Dimick, Dana A. Telem
Summary: Preoperative optimization is crucial for reducing morbidity, but many patients undergoing elective abdominal hernia repairs are not optimized. Implementing a low-cost preoperative optimization clinic can improve management of high-risk patients and increase operative yield.
Article
Endocrinology & Metabolism
Tiffany Bullard, Adam Medcalf, Chad Rethorst, Gary D. Foster
Summary: The study evaluated the impact of the COVID-19 pandemic on initial weight loss during a digital weight management program. Results showed that the pandemic led to reduced weight loss and food tracking in the short term, but participants in evidence-based programs can still expect similar levels of initial weight loss as before the pandemic.
Article
Nutrition & Dietetics
Sarah Woo, Hong Ji Song, Jung-Kook Song, YoonMyung Kim, Hyunjung Lim, Kyung Hee Park
Summary: This study identifies the factors associated with short- or long-term non-response to obesity intervention in children and adolescents. Factors such as maternal psychosocial stress, age, vegetable consumption, and sleep duration were found to be correlated with non-response.
EUROPEAN JOURNAL OF CLINICAL NUTRITION
(2023)
Article
Endocrinology & Metabolism
Bradley M. Appelhans, Simone A. French, Molly A. Martin, Karen Lui, Imke Janssen
Summary: This study found that the efficacy of standard-of-care pediatric obesity treatment was affected by the COVID-19 pandemic, with children treated before the pandemic maintaining weight loss and those treated during the pandemic gaining weight over time. Completion of treatment sessions during the pandemic did not impact the change in BMI z score.
Article
Nursing
Elsa Montgomery, Kaat De Backer, Abigail Easter, Laura A. Magee, Jane Sandall, Sergio A. Silverio
Summary: The study explores the psycho-social experiences of women who received maternity care and gave birth in South London during the COVID-19 pandemic. Through virtual interviews with 23 women, data were collected, analyzed, and a theory of 'Navigating uncertainty alone' was developed. Findings suggest that women's pregnancy and childbirth journeys during the pandemic had both positive and negative experiences, with issues such as lack of relational care, denial of embodied experiences, and being removed from support networks being significant.
Article
Acoustics
S. Relph, M. C. Vieira, A. Copas, A. Alagna, L. Page, C. Winsloe, A. Shennan, A. Briley, M. Johnson, C. Lees, D. A. Lawlor, J. Sandall, A. Khalil, D. Pasupathy
Summary: The aim of this study was to identify the clinical characteristics and patterns of ultrasound use in pregnancies with an antenatally unidentified small-for-gestational-age (SGA) fetus. The study found that women without serial ultrasound scans, those with cephalic presentation at birth, higher BMI, and less severe SGA were more likely to have an antenatally unidentified SGA fetus.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Multidisciplinary Sciences
Cristina Fernandez Turienzo, Louise H. Hull, Kirstie Coxon, Mary Bollard, Pauline Cross, Paul T. Seed, Andrew H. Shennan, Jane Sandall
Summary: This study evaluated the implementation and effectiveness of the POPPIE care model, which combines midwifery continuity of care with a specialist obstetric clinic, for pregnant women at risk of preterm birth in London, UK. The results showed that the POPPIE model was feasible, acceptable, and implemented with high fidelity and sustainability. The importance of this study lies in providing a new care model for improving the care of pregnant women at risk of preterm birth.
Article
Obstetrics & Gynecology
Naomi Carlisle, Angharad Care, Dilly O. C. Anumba, Sonia Dalkin, Jane Sandall, Andrew H. Shennan
Summary: This study aimed to investigate the number of preterm birth surveillance clinics in England and the management of care for women at risk of preterm birth. The results of an online survey showed a 160% increase in preterm birth surveillance clinics in the past four years. While variations in care still exist, the majority of hospitals have managed to increase their services under the challenging circumstances of the COVID pandemic without additional funding.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Public, Environmental & Occupational Health
Sophie Bright, Francis Moses, Alex Ridout, Betty Sam, Mariama Momoh, Venetia Goodhart, Francis Smart, Margaret Mannah, Sattu Issa, Simren Herm-Singh, Fiona Reid, Paul T. Seed, James Bunn, Andrew Shennan, Katrin Augustin, Jane Sandall
Summary: This study retrospectively evaluated the adoption of CRADLE in Sierra Leone and found that the complexity related to the technology and organizational context influenced its adoption, resulting in inter-district variation. Key strategies mentioned to mitigate these issues included transparent communication, encouraging localized adaptations, and selecting champions with strong soft skills.
REPRODUCTIVE HEALTH
(2023)
Article
Nursing
Hannah Rayment-Jones, James Harris, Angela Harden, Cristina Fernandez Turienzo, Jane Sandall
Summary: Specialist models of maternity care that provide continuity can improve birth outcomes for women with social risk factors, by offering practical and emotional support and personalized healthcare information. However, these models are not a solution to all social inequalities and overall improvement is needed in the maternity system.
Article
Nursing
L. Brigante, K. Coxon, C. Fernandez Turienzo, J. Sandall
Summary: There is a lack of research on the experiences and views of women at higher risk of preterm birth regarding midwifery continuity of care. However, findings suggest that midwifery continuity of care can improve maternal outcomes and reduce the occurrence of preterm birth and stillbirths. Therefore, it is important to explore the experiences and views of high-risk women regarding this type of care.
Editorial Material
Pediatrics
Cristina Fernandez Turienzo, Lucy November, Mangenda Kamara, Philemon Kamara, Venetia Goodhart, Alexandra Ridout, Betty Sam, Suzanne Thomas, Prince T. Williams, Jane Sandall, Andrew H. Shennan, CRIBS Collaborative Grp
LANCET CHILD & ADOLESCENT HEALTH
(2023)
Article
Obstetrics & Gynecology
Sophie C. Relph, Matias Vieira, Andrew Copas, Chivon Winsloe, Kirstie Coxon, Alessandro Alagna, Annette Briley, Mark Johnson, Louise Page, Donald Peebles, Andrew Shennan, Baskaran Thilaganathan, Neil Marlow, Christoph A. Lees, Deborah Lawlor, Asma Khalil, Jane Sandall, Dharmintra Pasupathy
Summary: This study aimed to determine whether the use of the Growth Assessment Protocol (GAP) affects the antenatal detection of large for gestational age (LGA) babies and their maternal and perinatal outcomes. The study found that there were no significant differences in the rate of LGA detection or any of the maternal and perinatal outcomes between the GAP and standard care groups.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Health Care Sciences & Services
Mary Adams, Julie Hartley, Natalie Sanford, Alexander Edward Heazell, Rick Iedema, Charlotte Bevan, Maria Booker, Maureen Treadwell, Jane Sandall
Summary: Open Disclosure (OD) is a right for service-users, an aspect of their recovery, and an important dimension of service safety improvement. This study provides a theoretical understanding of how OD works, identifies five key mechanisms for successful OD, and explores the contextual factors that influence it.
BMC HEALTH SERVICES RESEARCH
(2023)
Article
Medicine, General & Internal
Hannah Rayment-Jones, Kathryn Dalrymple, James M. Harris, Angela Harden, Elidh Parslow, Thomas Georgi, Jane Sandall
Summary: The study evaluates access and engagement with different models of maternity care and finds that women with more social risk factors are more likely to choose specialist models that provide continuity of care. Women who receive hospital-based antenatal care are more likely to seek care late and have fewer appointments compared to community-based care. However, women accessing specialist models are more likely to have appointments with known healthcare professionals. The study highlights the importance of community-based specialist models in improving access and reducing inequalities.
Article
Medicine, General & Internal
Tanya Robbins, Andrew Shennan, Jane Sandall, Tigist Eshetu Guangul, Rahel Demissew, Ahmed Abdella, Rosie Mayston, Charlotte Hanlon
Summary: This study identifies systemic barriers to providing quality, person-centered care for pre-eclampsia in Ethiopian hospitals. Inconsistent availability of resources and support undermine staff efforts, and the application of policies exacerbates inequities in care. Staff improvise with limited resources and knowledge, and social hierarchies and punitive cultures challenge communication, documentation, and supportive environments for quality improvement.
Article
Medicine, Research & Experimental
Shawn Walker, Emma Spillane, Kate Stringer, Amy Meadowcroft, Tisha Dasgupta, Sian M. Davies, Jane Sandall, Andrew Shennan
Summary: OptiBreech Care is a feasible approach for providing care to breech presentation at term, with the goal of supporting physiologic breech birth attended by trained professionals. The study aimed to assess the feasibility of implementing OptiBreech team care prior to a planned pilot randomized controlled trial.
PILOT AND FEASIBILITY STUDIES
(2023)
Review
Public, Environmental & Occupational Health
Zahra Khan, Zoe Vowles, Cristina Fernandez Turienzo, Zenab Barry, Lia Brigante, Soo Downe, Abigail Easter, Seeromanie Harding, Alison McFadden, Elsa Montgomery, Lesley Page, Hannah Rayment-Jones, Mary Renfrew, Sergio A. A. Silverio, Helen Spiby, Nazmy Villarroel-Williams, Jane Sandall
Summary: The study aims to identify and evaluate the evidence for targeted health and social care service interventions in high-income countries that can improve health inequalities among disadvantaged populations. The findings suggest that various intervention types, such as midwifery models of care, interdisciplinary care, and community-centered services, have positive associations with both primary and secondary outcomes, although the significance and impact vary. Multi-interventional approaches, combining midwifery models of care with community-centered approaches, may enhance the effectiveness of targeted interventions for at-risk populations.
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
(2023)
Letter
Obstetrics & Gynecology
Jenny Carter, Naomi Carlisle, Anna David, Jane Sandall, Paul Seed, Andrew Shennan, Rachel Tribe, Helena Watson
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)