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All Outputs (113)

‘Real world’ effectiveness of the Falls Management Exercise (FaME) programme: an implementation study (2021)
Journal Article
Orton, E., Audsley, S., Coupland, C., Gladman, J. R., Iliffe, S., Lafond, N., …Kendrick, D. (2021). ‘Real world’ effectiveness of the Falls Management Exercise (FaME) programme: an implementation study. Age and Ageing, 50(4), 1290-1297. https://doi.org/10.1093/ageing/afaa288

Background Falls incidence increases with age alongside declines in strength and balance. Clinical trials show that the Falls Management Exercise (FaME) programme improves strength and balance, which can reduce falls and improve physical functioning... Read More about ‘Real world’ effectiveness of the Falls Management Exercise (FaME) programme: an implementation study.

Interventions to ameliorate reductions in muscle quantity and function in hospitalised older adults: a systematic review towards acute sarcopenia treatment (2020)
Journal Article
John, G., Welsh, C., Majid, Z., Masud, T., Jackson, T., & Grieg, C. (2021). Interventions to ameliorate reductions in muscle quantity and function in hospitalised older adults: a systematic review towards acute sarcopenia treatment. Age and Ageing, 50(2), 394-404. https://doi.org/10.1093/ageing/afaa209

Objective: Assimilate evidence for interventions to ameliorate negative changes in physical performance, muscle strength, and muscle quantity in hospitalised older adults. Methods: We searched for articles using MEDLINE, Embase, CINAHL, and Cochr... Read More about Interventions to ameliorate reductions in muscle quantity and function in hospitalised older adults: a systematic review towards acute sarcopenia treatment.

Polypharmacy, benzodiazepines, and antidepressants, but not antipsychotics, are associated with increased falls risk in UK care home residents: a prospective multi-centre study (2020)
Journal Article
Izza, M. A. D., Lunt, E., Gordon, A. L., Gladman, J. R. F., Armstrong, S., & Logan, P. A. (2020). Polypharmacy, benzodiazepines, and antidepressants, but not antipsychotics, are associated with increased falls risk in UK care home residents: a prospective multi-centre study. European Geriatric Medicine, 11, 1043-1050. https://doi.org/10.1007/s41999-020-00376-1

Purpose: Falls and polypharmacy are both common in care home residents. Deprescribing of medications in residents with increased falls risk is encouraged. Psychotropic medications are known to increase falls risk in older adults. These drugs are ofte... Read More about Polypharmacy, benzodiazepines, and antidepressants, but not antipsychotics, are associated with increased falls risk in UK care home residents: a prospective multi-centre study.

The clinical usefulness of muscle mass and strength measures in older people: a systematic review (2020)
Journal Article
Lunt, E., Ong, T., Gordon, A. L., Greenhaff, P. L., & Gladman, J. R. F. (2021). The clinical usefulness of muscle mass and strength measures in older people: a systematic review. Age and Ageing, 50(1), 88-95. https://doi.org/10.1093/ageing/afaa123

Background: Sarcopenia is the loss of muscle mass and quality and is diagnosed using measures of muscle strength, size and mass. We evaluated the literature on whether sarcopenia measures are predictive of motor outcomes in older people in clinical... Read More about The clinical usefulness of muscle mass and strength measures in older people: a systematic review.

Exercise interventions for older adults: A systematic review of meta-analyses (2020)
Journal Article
Di Lorito, C., Long, A., Byrne, A., Harwood, R. H., Gladman, J. R., Schneider, S., …van der Wardt, V. (2021). Exercise interventions for older adults: A systematic review of meta-analyses. Journal of Sport and Health Science, 10(1), 29-47. https://doi.org/10.1016/j.jshs.2020.06.003

Background The evidence concerning which physical exercise characteristics are most effective for older adults is fragmented. Methods We aimed to characterise the extent of this diversity and inconsistency and identify future directions for rese... Read More about Exercise interventions for older adults: A systematic review of meta-analyses.

The modified functional comorbidity index performed better than the Charlson index and original functional comorbidity index in predicting functional outcome in geriatric rehabilitation: a prospective observational study (2020)
Journal Article
Kabboord, A. D., Godfrey, D., Gordon, A. L., Gladman, J. R. F., Van Eijk, M., van Balen, R., & Achterberg, W. P. (2020). The modified functional comorbidity index performed better than the Charlson index and original functional comorbidity index in predicting functional outcome in geriatric rehabilitation: a prospective observational study. BMC Geriatrics, 20(1), https://doi.org/10.1186/s12877-020-1498-z

Investigating musculoskeletal health and wellbeing; A cohort study protocol (2020)
Journal Article
Millar, B., McWilliams, D. F., Abhishek, A., Akin-Akinyosoye, K., Auer, D. P., Chapman, V., …Walsh, D. A. (2020). Investigating musculoskeletal health and wellbeing; A cohort study protocol. BMC Musculoskeletal Disorders, 21(1), Article 182. https://doi.org/10.1186/s12891-020-03195-4

© 2020 The Author(s). Background: In an ageing population, pain, frailty and disability frequently coexist across a wide range of musculoskeletal diagnoses, but their associations remain incompletely understood. The Investigating Musculoskeletal Heal... Read More about Investigating musculoskeletal health and wellbeing; A cohort study protocol.

Ethnic disparity in access to the memory assessment service between South Asian and white British older adults in the United Kingdom: A cohort study (2020)
Journal Article
Ogliari, G., Turner, Z., Khalique, J., Gordon, A. L., Gladman, J. R. F., & Chadborn, N. H. (2020). Ethnic disparity in access to the memory assessment service between South Asian and white British older adults in the United Kingdom: A cohort study. International Journal of Geriatric Psychiatry, 35(5), 507-515. https://doi.org/10.1002/gps.5263

Background: Equality of access to memory assessment services by older adults from ethnic minorities is both an ethical imperative and a public health priority. Objective: To investigate whether timeliness of access to memory assessment service diffe... Read More about Ethnic disparity in access to the memory assessment service between South Asian and white British older adults in the United Kingdom: A cohort study.

Measuring and optimising the efficiency of community hospital inpatient care for older people: the MoCHA mixed-methods study (2020)
Journal Article
Young, J., Hulme, C., Smith, A., Buckell, J., Godfrey, M., Holditch, C., …Thiebaud, J. (2020). Measuring and optimising the efficiency of community hospital inpatient care for older people: the MoCHA mixed-methods study. Health Services and Delivery Research, 8(1), 1-99. https://doi.org/10.3310/hsdr08010

Background: Community hospitals are small hospitals providing local inpatient and outpatient services. National surveys report that inpatient rehabilitation for older people is a core function but there are large differences in key performance meas... Read More about Measuring and optimising the efficiency of community hospital inpatient care for older people: the MoCHA mixed-methods study.

A randomised controlled trial of an exercise intervention promoting activity, independence and stability in older adults with mild cognitive impairment and early dementia (PrAISED) - A Protocol (2019)
Journal Article
Bajwa, R. K., Goldberg, S. E., Van Der Wardt, V., Burgon, C., Di Lorito, C., Godfrey, M., …Harwood, R. H. (2019). A randomised controlled trial of an exercise intervention promoting activity, independence and stability in older adults with mild cognitive impairment and early dementia (PrAISED) - A Protocol. Trials, 20(1), Article 815. https://doi.org/10.1186/s13063-019-3871-9

© 2019 The Author(s). Background: People with dementia progressively lose cognitive and functional abilities. Interventions promoting exercise and activity may slow decline. We developed a novel intervention to promote activity and independence and p... Read More about A randomised controlled trial of an exercise intervention promoting activity, independence and stability in older adults with mild cognitive impairment and early dementia (PrAISED) - A Protocol.

Promoting activity, Independence and stability in early dementia (PrAISED): a, multisite, randomised controlled, feasibility trial (2019)
Journal Article
Goldberg, S. E., van der Wardt, V., Brand, A., Burgon, C., Bajwa, R., Hoare, Z., …on behalf of the PrAISED Study Group. (2019). Promoting activity, Independence and stability in early dementia (PrAISED): a, multisite, randomised controlled, feasibility trial. BMC Geriatrics, 19(1), Article 353. https://doi.org/10.1186/s12877-019-1379-5

BACKGROUND: We tested the feasibility of delivering and evaluating a complex therapy intervention which aimed to promote activity and independence for people with early dementia (PrAISED). Feasibility questions were on: recruitment, randomisation, in... Read More about Promoting activity, Independence and stability in early dementia (PrAISED): a, multisite, randomised controlled, feasibility trial.

The Nottingham Spinal Health (NoSH) Study: a cohort study of patients hospitalised with vertebral fragility fractures (2019)
Journal Article
Ong, T., Sahota, O., & Gladman, J. R. F. (2020). The Nottingham Spinal Health (NoSH) Study: a cohort study of patients hospitalised with vertebral fragility fractures. Osteoporosis International, 31(2), 363–370. https://doi.org/10.1007/s00198-019-05198-x

© 2019, The Author(s). Summary: Patients hospitalised with vertebral fragility fractures were elderly, multimorbid and frail and lead to poor outcomes. Their hospital treatment needs to consider this alongside their acute fracture. A systematic organ... Read More about The Nottingham Spinal Health (NoSH) Study: a cohort study of patients hospitalised with vertebral fragility fractures.

The treatment of hypertension in people with dementia: a multi-centre prospective observational cohort study (2019)
Journal Article
Welsh, T., Gladman, J., & Gordon, A. (2019). The treatment of hypertension in people with dementia: a multi-centre prospective observational cohort study. Journal of the American Medical Directors Association, 20(9), 1111-1115. https://doi.org/10.1016/j.jamda.2019.03.036

Objectives To describe the treatment of hypertension in people with dementia and collate evidence on adverse health events whilst on treatment. Design A multicenter prospective observational cohort study. Setting and participants People with... Read More about The treatment of hypertension in people with dementia: a multi-centre prospective observational cohort study.

Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review (2019)
Journal Article
Sousa, L., Chadborn, N. H., Goodman, C., Zubair, M., Sousa, L., Gladman, J. R. F., …Gordon, A. L. (2019). Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review. BMJ Open, 9(4), 1-9. https://doi.org/10.1136/bmjopen-2018-026921

Objectives Comprehensive Geriatric Assessment (CGA) may be a way to deliver optimal care for care home residents. We used realist review to develop a theory-driven account of how CGA works in care homes. Design Realist review Setting Care ho... Read More about Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review.

Improving community support for older people’s needs through commissioning third sector services: a qualitative study (2019)
Journal Article
Chadborn, N., Craig, C., Sands, G., Schneider, J., & Gladman, J. (2019). Improving community support for older people’s needs through commissioning third sector services: a qualitative study. Journal of Health Services Research and Policy, 24(2), 116-123. https://doi.org/10.1177/1355819619829774

Aim: This exploratory study of commissioning third sector services for older people aimed to explore whether service data was fed back to commissioners and whether this could improve intelligence about the population and hence inform future commissio... Read More about Improving community support for older people’s needs through commissioning third sector services: a qualitative study.

Evaluation of the Guide to Action Care Home fall prevention programme in care homes for older people: protocol for a multi-centre, single blinded, cluster randomised controlled trial (FinCH) (2019)
Report
Logan, P., McCartney, K., Armstrong, S., Clarke, A., Conroy, S., Darby, J., …Horne, . J. (2019). Evaluation of the Guide to Action Care Home fall prevention programme in care homes for older people: protocol for a multi-centre, single blinded, cluster randomised controlled trial (FinCH). National Institute for Health Research

Background: Falls in older care home residents are at least five times more frequent than in community dwelling adults and have higher direct costs. Care home research is limited but suggests that fall-related injuries might be prevented by fall prev... Read More about Evaluation of the Guide to Action Care Home fall prevention programme in care homes for older people: protocol for a multi-centre, single blinded, cluster randomised controlled trial (FinCH).

Growing research in geriatric medicine (2019)
Journal Article
Yarnall, A., Walker, R., Tullo, E., Todd, O., Steves, C. J., Shenkin, S. D., …Extended Working Group from the NIHR Newcastle Biomedical Research Centre Meeting. (2019). Growing research in geriatric medicine. Age and Ageing, 48(3), 316-319. https://doi.org/10.1093/ageing/afy220

© 2019 The Author(s). Academic geriatric medicine activity lags behind the scale of clinical activity in the specialty. A meeting of UK academic geriatricians was convened in March 2018 to consider causes and solutions to this problem. The meeting hi... Read More about Growing research in geriatric medicine.

Measuring health related quality of life of care home residents: comparison of self-report with staff proxy responses (2019)
Journal Article
Usman, A., Lewis, S., Hinsliff-Smith, K., Long, A., Housley, G., Jordan, J., …Gordon, A. L. (2019). Measuring health related quality of life of care home residents: comparison of self-report with staff proxy responses. Age and Ageing, 48(3), 407–413. https://doi.org/10.1093/ageing/afy191

Introduction: Care home residents are often unable to complete Health Related Quality of Life questionnaires for themselves because of prevalent cognitive impairment. This study compared care home resident and staff proxy responses for two measures,... Read More about Measuring health related quality of life of care home residents: comparison of self-report with staff proxy responses.

Quality improvement collaborative aiming for Proactive HEAlthcare of Older People in Care Homes (PEACH): a realist evaluation protocol (2018)
Journal Article
Devi, R., Meyer, J., Banerjee, J., Goodman, C., Gladman, J. R., Dening, T., …Gordon, A. L. (2018). Quality improvement collaborative aiming for Proactive HEAlthcare of Older People in Care Homes (PEACH): a realist evaluation protocol. BMJ Open, 8(11), 1-7. https://doi.org/10.1136/bmjopen-2018-023287

Introduction: This protocol describes a study of a Quality Improvement Collaborative (QIC) to support implementation and delivery of Comprehensive Geriatric Assessment (CGA) in UK care homes. The QIC will be formed of health and social care professio... Read More about Quality improvement collaborative aiming for Proactive HEAlthcare of Older People in Care Homes (PEACH): a realist evaluation protocol.

Measuring health related quality of life of care home residents, comparison of self-report with staff proxy responses for EQ-5D-5L and HowRu: protocol for assessing proxy reliability in care home outcome testing (2018)
Journal Article
Usman, A., Lewis, S., Hinsliff-Smith, K., Long, A., Housley, G., Jordan, J., …Gordon, A. L. (2018). Measuring health related quality of life of care home residents, comparison of self-report with staff proxy responses for EQ-5D-5L and HowRu: protocol for assessing proxy reliability in care home outcome testing. BMJ Open, 8(8), 1-6. https://doi.org/10.1136/bmjopen-2018-022127

Introduction Research into interventions to improve health and wellbeing for older people living in care homes is increasingly common. Health-Related Quality of Life (HRQoL) is frequently used as an outcome measure but collecting both self-reported... Read More about Measuring health related quality of life of care home residents, comparison of self-report with staff proxy responses for EQ-5D-5L and HowRu: protocol for assessing proxy reliability in care home outcome testing.