Understanding weight management in adult secure mental health services: findings from a mixed-methods study in Northern England
This study aims to explore experiences of weight management in secure mental health settings.This study used a mixed-methods approach, involving thematic analysis. A survey was delivered to secure mental health-care staff in a National Health Service (NHS) mental health trust in Northern England. Focus groups were conducted with current and former patients, carers and staff in the same trust and semi-structured interviews were undertaken with staff in a second NHS mental health trust.The survey received 79 responses and nine focus groups and 11 interviews were undertaken. Two overarching topics were identified: the contras...
Source: Journal of Forensic Practice - May 9, 2024 Category: Forensic Medicine Authors: Susanna Mills Eileen Kaner Sheena Ramsay Iain McKinnon Source Type: research

Prediabetes, participation in the English National Health Service Diabetes Prevention Programme, and associations with COVID-19-related mortality: A whole population study
To assess the effects of non-diabetic hyperglycaemia (NDH, also known as pre-diabetes), including the impact of the NHS Diabetes Prevention Programme (NHS DPP), on COVID-19-related mortality during the pandemic. (Source: Diabetes Research and Clinical Practice)
Source: Diabetes Research and Clinical Practice - May 7, 2024 Category: Endocrinology Authors: Emma Barron, Stephen J. Sharp, Kamlesh Khunti, Chirag Bakhai, Nicholas J. Wareham, Jonathan Valabhji Source Type: research

EvolvRehab-MoveWell telerehabilitation for stroke survivors: study protocol for a feasibility with embedded initial proof-of-concept study
This study has received ethical approval from Solihull Research Ethics Committee (REC reference: 23/WM/0054). Dissemination will be carried out according to the dissemination plan co-written with stroke survivors, including academic publications and presentations; written reports; articles in publications of stakeholder organisations; presentations to and publications for potential customers. Trial registration number NCT05875792. (Source: BMJ Open)
Source: BMJ Open - May 6, 2024 Category: General Medicine Authors: Perks, J., McBride, P., Mansoubi, M., Clatworthy, P., Hulme, C., Taylor, G., Warner, M., Dawes, H. Tags: Open access, Rehabilitation medicine Source Type: research

Effectiveness and cost-effectiveness of a 12-month automated text message intervention for weight management in postpartum women with overweight or obesity: protocol for the Supporting MumS (SMS) multisite, parallel-group, randomised controlled trial
Introduction The reproductive years can increase women’s weight-related risk. Evidence for effective postpartum weight management interventions is lacking and engaging women during this life stage is challenging. Following a promising pilot evaluation of the Supporting MumS intervention, we assess if theory-based and bidirectional text messages to support diet and physical activity behaviour change for weight loss and weight loss maintenance, are effective and cost-effective for weight change in postpartum women with overweight or obesity, compared with an active control arm receiving text messages on child health an...
Source: BMJ Open - May 6, 2024 Category: General Medicine Authors: Gallagher, D., Spyreli, E., Anderson, A. S., Bridges, S., Cardwell, C. R., Coulman, E., Dombrowski, S. U., Free, C., Heaney, S., Hoddinott, P., Kee, F., McDowell, C., McIntosh, E., Woodside, J. V., McKinley, M. C. Tags: Open access, Public health Source Type: research

Poverty proofing healthcare: A qualitative study of barriers to accessing healthcare for low-income families with children in northern England
PLoS One. 2024 Apr 26;19(4):e0292983. doi: 10.1371/journal.pone.0292983. eCollection 2024.ABSTRACTPoverty impacts negatively on children's health and future life chances. Access to the UK's National Health Service (NHS) is based on clinical need rather than the ability to pay but horizontal inequities in access exist. Children North East, a charity supporting children experiencing poverty, are working with partners to reduce the impacts of poverty on NHS access. This collaborative study aimed to understand barriers to healthcare access faced by families living on low incomes to validate and support further development of a...
Source: Rural Remote Health - April 26, 2024 Category: Rural Health Authors: Elaine Bidmead Louise Hayes Laura Mazzoli-Smith Josephine Wildman Judith Rankin Emma Leggott Liz Todd Luke Bramhall Source Type: research

Understanding exercise referrals in primary care: a qualitative study of General Practitioners and Physiotherapists
Physical inactivity is estimated to cost the UK National Health Service over £7.4 billion per year. Healthcare practitioners have a key role in supporting increases in physical activity (PA) levels, including referring to exercise referral schemes. To date, there has been little research into practitioner perspectives on referrals to exercise schemes. (Source: Physiotherapy)
Source: Physiotherapy - April 25, 2024 Category: Physiotherapy Authors: Rebekah Dunphy, David N Blane Source Type: research

Randomised controlled trial of population screening for atrial fibrillation in people aged 70 years and over to reduce stroke: protocol for the SAFER trial
Introduction There is a lack of evidence that the benefits of screening for atrial fibrillation (AF) outweigh the harms. Following the completion of the Screening for Atrial Fibrillation with ECG to Reduce stroke (SAFER) pilot trial, the aim of the main SAFER trial is to establish whether population screening for AF reduces incidence of stroke risk. Methods and analysis Approximately 82 000 people aged 70 years and over and not on oral anticoagulation are being recruited from general practices in England. Patients on the palliative care register or residents in a nursing home are excluded. Eligible people are identified u...
Source: BMJ Open - April 25, 2024 Category: General Medicine Authors: Mant, J., Modi, R. N., Dymond, A., Armstrong, N., Burt, J., Calvert, P., Cowie, M., Ding, W. Y., Edwards, D., Freedman, B., Griffin, S. J., Hoare, S., Hobbs, F. D. R., Johnson, R., Kaptoge, S., Lip, G. Y. H., Lobban, T., Lown, M., Lund, J., McManus, R. J. Tags: Open access, Cardiovascular medicine Source Type: research

Long-term assessment of the NHS hybrid closed-loop real-world study on glycaemic outcomes, time-in-range, and quality of life in children and young people with type 1 diabetes
This study aimed to assess the efficacy of HCLs at 12 months post-initiation on glycated haemoglobin (HbA1c), time-in-range (TIR), hypoglycaemia frequency, and quality of life measures among children and young people (CYP) with type 1 diabetes mellitus (T1DM) and their caregivers in a real-world setting. Conducted between August 1, 2021, and December 10, 2022, the prospective recruitment took place in eight paediatric diabetes centres across England under the National Health Service England's (NHSE) HCL pilot real-world study. A cohort of 251 CYP (58% males, mean age 12.3 years) with T1DM participated (89% white, 3% Asian,...
Source: Molecular Medicine - April 24, 2024 Category: Molecular Biology Authors: Sze May Ng Neil P Wright Diana Yardley Fiona Campbell Tabitha Randell Nicola Trevelyan Atrayee Ghatak Peter C Hindmarsh Source Type: research

Self-referral to musculoskeletal physiotherapy in the National Health Service (NHS): a mixed methods, four-domain analysis of 1,000 adult new patients initially assessed via telephone versus face-to-face
. (Source: European Journal of Physiotherapy)
Source: European Journal of Physiotherapy - April 23, 2024 Category: Rehabilitation Authors: Lewis MooreAndrew Lewisa Physiotherapy Department, Neath Port Talbot Hospital, Port Talbot, United Kingdom of Great Britain and Northern Irelandb Minor Injuries Unit, Neath Port Talbot Hospital, Port Talbot, United Kingdom of Great Britain and Northern Ir Source Type: research

Mixed Methods EvAluation of the high-volume low-complexity Surgical hUb pRogrammE (MEASURE): a mixed methods study protocol
This study will evaluate the impact of HVLC surgical hubs on productivity, patient care and the workforce. Methods and analysis This 4-year project consists of six interlinked work packages (WPs) and is informed by the Consolidated Framework for Implementation Research. WP1: Mapping current and future HVLC provision in England through document analysis, quantitative data sets (eg, Hospital Episodes Statistics) and interviews with national service leaders. WP2: Exploring the effects of HVLC hubs on key performance outcomes, primarily the volume of low-complexity patients treated, using quasi-experimental methods. WP3: Expl...
Source: BMJ Open - April 19, 2024 Category: General Medicine Authors: Scantlebury, A., Sivey, P., Anteneh, Z., Ayres, B., Bloor, K., Castelli, A., Castro-Avila, A. C., Davies, F., Davies, S., Glerum-Brooks, K., Gutacker, N., Lampard, P., Rangan, A., Saad, A., Street, A., Wen, J., Adamson, J. Tags: Open access, Surgery Source Type: research

Quality improvement project assessing the feasibility of using canister weight to estimate remaining doses in a salbutamol pressurised metered-dose inhaler
Pressurised metered-dose inhalers (pMDIs) containing salbutamol are an essential medicine for children with acute asthma. Salamol chlorofluorocarbon-free inhaler (‘Salamol’; IVAX Pharmaceuticals, Waterford, Ireland) is the most widely prescribed salbutamol pMDI in England (figure 1), costing the National Health Service £7.2 million in the 2022–23 financial year.1 In common with the other salbutamol pMDIs it lacks an integrated dose counter (IDC). Without an IDC, most children and families cannot accurately identify when a pMDI is empty.2 Thus, families may continue to use a pMDI that contains no act...
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Beckett, R. S., Jagadish, A., Carroll, W., Gilchrist, F. J. Tags: PostScript Source Type: research

Accuracy of automated computer-aided risk scoring systems to estimate the risk of COVID-19: a retrospective cohort study
In the UK National Health Service (NHS), the patient ’s vital signs are monitored and summarised into a National Early Warning Score (NEWS) score. A set of computer-aided risk scoring systems (CARSS) was develo... (Source: BMC Research Notes)
Source: BMC Research Notes - April 18, 2024 Category: Research Authors: Muhammad Faisal, Mohammed Amin Mohammed, Donald Richardson, Massimo Fiori and Kevin Beatson Tags: Research Note Source Type: research

‘Enough is enough’: a mixed methods study on the key factors driving UK NHS nurses’ decision to strike
The UK National Health Service (NHS) is one of the largest employers in the world and employs around 360,000 registered nurses. Following a protracted pay dispute in December 2022 NHS nurses engaged in industr... (Source: BMC Nursing)
Source: BMC Nursing - April 16, 2024 Category: Nursing Authors: Daniel Sanfey Tags: Research Source Type: research

Characteristics of the health districts in Italy and their implication in primary health care policies: an analysis of socio ‐demographic trends
The Health District (HD) is a critical component of Italy ’s National Health Service, responsible for ensuring Primary Health Care (PHC) services in response to community health needs. The Italian government established a national strategic reform program, the National Recovery and Resilience Plan (PNRR), with a series of health interventions to reorgani ze the PHC setting (Ministerial Decree 77/2022). Our study aimed to provide a description of socio-demographic data and to assess the correlation between HDs, in order to suggest health intervention priorities in PHC reforms.We conducted a retrospective analysis using a ...
Source: Journal of Preventive Medicine and Hygiene - April 15, 2024 Category: International Medicine & Public Health Authors: Elisa Gabrielli, Irene Schenone, Alessandro Roberto Cornio, Ambrogio Cerri, marcello Di Pumpo, Anastasia Troia, Elena Sciurpa, Sara Fantini, Giovanni Paladini, Giorgio Sessa Source Type: research