Browsing Service Delivery by Issue Date
Now showing items 41-60 of 191
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Mixed effects approach to the analysis of the stepped wedge cluster randomised trial—Investigating the confounding effect of time through simulation
(2018-12)A stepped wedge cluster randomised trial (SWCRT) is a multicentred study which allows an intervention to be rolled out at sites in a random order. Once the intervention is initiated at a site, all participants within that ... -
R package to identify sudden gains
(PsyArXiv, 2019)Sudden gains are large and stable changes on an outcome variable between consecutive measurements, for example during a psychological intervention with multiple assessments. Researching these occurrences could help understand ... -
Legal capacity and the right to decide: WHO QualityRights core training: mental health and social services: course guide
(2019)Ensuring mental health and well-being has become a worldwide imperative and an important target of the Sustainable Development Goals. But in all countries around the world, our response has been woefully insufficient, and ... -
Stroke rehabilitation service quality improvement plan - a tale of two towns
(2019-01)Purpose: Oxford Health NHS Foundation Trust (OHFT) committed to a Stroke Quality Improvement (QI) Project to enhance the quality of rehabilitation for patients on the Oxfordshire Stroke Pathway. Following poor performance ... -
Preparing the workforce for frailty, an education intervention for allied health professionals and community nurses in primary and community healthcare
(2019-01)The Comprehensive Geriatric Assessment (CGA) is a multidisciplinary assessment that identifies the medical, psychosocial, and functional needs of older people. This service evaluation considers the impact of training allied ... -
Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation
(2019-02)Background: Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with ... -
The CORE service improvement programme for mental health crisis resolution teams: results from a cluster-randomised trial
(2019-02)Crisis resolution teams (CRTs) offer brief, intensive home treatment for people experiencing mental health crisis. CRT implementation is highly variable; positive trial outcomes have not been reproduced in scaled-up CRT ... -
Out-of-area placements in acute mental health care: the outcomes
(2019-02)Out-of-area placements (OAPs) are heavily relied upon by the NHS to meet growing demand but they are expensive, disruptive for patients, and may reduce quality of care and outcomes for patients. Here, the authors compared ... -
Using local communities to establish geographical boundaries for case studies
(2019-02)Background Case studies are widely used in the social sciences to explore complex phenomena in natural settings. Applying boundaries is vital to ensure cases are easily identifiable and similar enough to be treated as ... -
Co‐producing research with youth: The NeurOx young people’s advisory group model
(2019-03)Context: The 1989 UN Convention on the Rights of the Child states that children have the right to be heard in all matters affecting them. The Convention inspired a surge in research that investigates young people's ... -
An evaluation of the characteristics and outcomes of users of a street triage service: retrospective case note review
(2019-03)Street triage services are now common but the population they serve is poorly understood. We aimed to evaluate a local service to determine the characteristics of those using it and their outcomes in the 90 day ... -
Effects of patient suicide on psychiatrists: survey of experiences and support required
(2019-03)Aims and method Death of patients by suicide can have powerful effects on psychiatrists. We report the findings of a survey completed by 174 psychiatrists on the effects of patient suicide on their emotional well-being ... -
Combining Pharmacological and Nonpharmacological Interventions in Network Meta-analysis in Psychiatry
(2019-04)Network meta-analyses (NMAs) assess the comparative associations of 2 or more interventions even if they have not been compared in a randomized clinical trial.1 The validity of NMAs is founded on the assumption of transitivity ... -
Evaluating dementia training for healthcare staff
(2019-04)Purpose – The purpose of this paper is to report on a service evaluation of a competency-based dementia training programme for clinicians to establish its value in improving their knowledge and confidence of dementia ... -
Implementing a digital clinical decision support tool for side effects of antipsychotics: a focus group study
(2019-04-15)In medicine, algorithms can inform treatment decisions by combining the most up-to-date evidence about side effect profiles of medications, which are comparable in efficacy. Their use provides opportunities for improved ... -
G251(P) Quality improvement in training: establishing a paediatric-CAMHS collaborative learning programme
(2019-05)Introduction: Recent reports have suggested that nearly a quarter of girls aged 14 have self-harmed in the past year, and newspapers report a ‘crisis in children’s mental health’.1 With paediatricians seeing many more ... -
Barriers and incentives to recruitment in mental health clinical trials
(2019-05)Research provides valuable information that improves patients’ outcomes and should inform clinical decision-making.1 There are many research methodologies2 and randomised controlled trials (RCTs) are at the top of the ... -
Clinician-targeted interventions to improve advance care planning in heart failure: a systematic review and meta-analysis
(2019-05)Objective Advance care planning (ACP) is widely advocated to contribute to better outcomes for patients suffering from heart failure. But clinicians appear hesitant to engage with ACP. Our aim was to identify interventions ... -
Out-of-hours primary care end of life prescribing: a data linkage study
(2019-05)Objectives: Out-of-hours (OOH) primary care services are contacted in the last 4 weeks of life by nearly 30% of all patients who die, but OOH palliative prescribing remains poorly understood. Our understanding of prescribing ... -
Applying the triple bottom line of sustainability to healthcare research—a feasibility study
(2019-05)The triple bottom line (TBL) of sustainability is an important emerging conceptual framework which considers the combined economic, environmental and social impacts of an activity. Despite its clear relevance to the ...