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All Outputs (22)

Towards a common definition of hospital-acquired deconditioning in adults: a scoping review (2025)
Journal Article
Westlake, M., Cowley, A., Robinson, K., & Gordon, A. L. (2025). Towards a common definition of hospital-acquired deconditioning in adults: a scoping review. BMJ Open, 15(1), Article e086976. https://doi.org/10.1136/bmjopen-2024-086976

Background Hospital-acquired deconditioning is a term used in clinical practice, describing a loss of physical and/or cognitive function associated with hospitalisation. Previous reviews have addressed interventions, its prevalence in older adults an... Read More about Towards a common definition of hospital-acquired deconditioning in adults: a scoping review.

Towards a common definition of hospital-acquired deconditioning in adults: a scoping review (2025)
Journal Article
Westlake, M., Cowley, A., Robinson, K., & Gordon, A. L. (2025). Towards a common definition of hospital-acquired deconditioning in adults: a scoping review. BMJ Open, 15, Article e086976. https://doi.org/10.1136/bmjopen-2024-086976

Background Hospital-acquired deconditioning is a term used in clinical practice, describing a loss of physical and/or cognitive function associated with hospitalisation. Previous reviews have addressed interventions, its prevalence in older adults an... Read More about Towards a common definition of hospital-acquired deconditioning in adults: a scoping review.

Feasibility within-subject RCT of neuromuscular electrical stimulation; an Intervention to Maintain and improve neuroMuscular function during period of Immobility (IMMI) (2025)
Journal Article
Alqurashi, H. B., Masud, T., Gordon, A. L., Piasecki, M., O’Connor, D., Robinson, K., & Gladman, J. R. F. (2025). Feasibility within-subject RCT of neuromuscular electrical stimulation; an Intervention to Maintain and improve neuroMuscular function during period of Immobility (IMMI). European Geriatric Medicine, https://doi.org/10.1007/s41999-024-01133-4

Introduction
Neuromuscular electrical stimulation (NMES) is a potentially effective intervention to improve outcomes after a fragility fracture, but its feasibility in this group has not been established.

Methods
A feasibility study was conducte... Read More about Feasibility within-subject RCT of neuromuscular electrical stimulation; an Intervention to Maintain and improve neuroMuscular function during period of Immobility (IMMI).

Quality of life, pain and use of analgesic, anxiolytic and antidepressant medication, in people living in care homes (2024)
Journal Article
Collins, J. T., Irvine, L., Logan, P., Robinson, K., Sims, E., & Gordon, A. L. (2024). Quality of life, pain and use of analgesic, anxiolytic and antidepressant medication, in people living in care homes. Age and Ageing, 53(9), Article afae196. https://doi.org/10.1093/ageing/afae196

Background
People living in care homes often have problems with pain, anxiety and depression. Whether being on analgesia, anxiolytics or antidepressants has any bearing on pain severity and quality of life (QoL) in this population, requires further... Read More about Quality of life, pain and use of analgesic, anxiolytic and antidepressant medication, in people living in care homes.

Frailty identification and management among Brazilian healthcare professionals: a survey (2024)
Journal Article
Azevedo, P. S., Caldeira De Melo, R., Thomaz de Souza, J., Frost, R., Gavin, J. P., Robinson, K., Villas Boas, P. J. F., Minicucci, M. F., Aprahamian, I., Wachholz, P. A., Hinslif-Smith, K., & Gordon, A. L. (in press). Frailty identification and management among Brazilian healthcare professionals: a survey. BMC Geriatrics, 24(1), Article 486. https://doi.org/10.1186/s12877-024-05020-2

Background: National and international guidelines on frailty assessment and management recommend frailty screening in older people. This study aimed to determine how Brazilian healthcare professionals (HCPs) identify and manage frailty in practice.... Read More about Frailty identification and management among Brazilian healthcare professionals: a survey.

Developing the Principles of Falls Management in Care Homes: An expert Consensus Process (2024)
Journal Article
Robinson, K. R., Hallam, F., Horne, J. C., Allen, F., Darby, J., Kilby, A., Timmons, S., Gordon, A., & Logan, P. (2024). Developing the Principles of Falls Management in Care Homes: An expert Consensus Process. Journal of Long-Term Care, 2024, 162–170. https://doi.org/10.31389/jltc.170

Context: Managing falls in care homes requires an individualised approach for each resident with involvement of staff from care homes and the wider health and social care system. A large randomised controlled trial evaluating an individualised falls... Read More about Developing the Principles of Falls Management in Care Homes: An expert Consensus Process.

The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials (2023)
Journal Article
Alqurashi, H. B., Robinson, K., O’Connor, D., Piasecki, M., Gladman, J. R. F., Gordon, A. L., & Masud, T. (2023). The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials. Age and Ageing, 52(12), Article afad236. https://doi.org/10.1093/ageing/afad236

Introduction Neuromuscular electrical stimulation (NMES) is a treatment to prevent or reverse acquired disability in hospitalised adults. We conducted a systematic review and meta-analysis of its effectiveness. Method We searched MEDLINE, EMBASE, Cum... Read More about The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials.

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals (2023)
Journal Article
Frost, R., Robinson, K., Gordon, A., Caldeira de Melo, R., Villas-Boas, P. J. F., Azevedo, P. S., Hinsliff-Smith, K., & Gavin, J. P. (2024). Identifying and Managing Frailty: A Survey of UK Healthcare Professionals. Journal of Applied Gerontology, 43(4), 402-412. https://doi.org/10.1177/07334648231206321

Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage... Read More about Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.

A multidomain decision support tool to prevent falls in older people: the FinCH cluster RCT (2022)
Journal Article
Logan, P. A., Horne, J. C., Allen, F., Armstrong, S. J., Clark, A. B., Conroy, S., Darby, J., Fox, C., Gladman, J. R., Godfrey, M., Gordon, A. L., Irvine, L., Leighton, P., McCartney, K., Mountain, G., Robertson, K., Robinson, K., Sach, T. H., Stirling, S., Wilson, E. C., & Sims, E. J. (2022). A multidomain decision support tool to prevent falls in older people: the FinCH cluster RCT. Health Technology Assessment, 26(9), 1-136. https://doi.org/10.3310/cwib0236

Background
Falls in care home residents are common, unpleasant, costly and difficult to prevent.

Objectives
The objectives were to evaluate the clinical effectiveness and cost-effectiveness of the Guide to Action for falls prevention in Care Hom... Read More about A multidomain decision support tool to prevent falls in older people: the FinCH cluster RCT.

Multifactorial falls prevention programme compared with usual care in UK care homes for older people: Multicentre cluster randomised controlled trial with economic evaluation (2021)
Journal Article
Logan, P. A., Horne, J. C., Gladman, J. R., Gordon, A. L., Robertson, K., Sach, T., Clark, A., Robinson, K., Armstrong, S., Stirling, S., Leighton, P., Darby, J., Allen, F., Irvine, L., Wilson, E. C. F., Fox, C., Conroy, S., Mountain, G., McCartney, K., Godfrey, M., & Sims, E. (2021). Multifactorial falls prevention programme compared with usual care in UK care homes for older people: Multicentre cluster randomised controlled trial with economic evaluation. BMJ, 375, Article e066991. https://doi.org/10.1136/bmj-2021-066991

Objectives To determine the clinical and cost effectiveness of a multifactorial fall prevention programme compared with usual care in long term care homes. Design Multicentre, parallel, cluster randomised controlled trial. Setting Long term care home... Read More about Multifactorial falls prevention programme compared with usual care in UK care homes for older people: Multicentre cluster randomised controlled trial with economic evaluation.

Feasibility RCT of neuromuscular electrical stimulation; an Intervention to Maintain and improve neuroMuscular function during periods of Immobility (IMMI): Protocol (2021)
Preprint / Working Paper
Gladman, J., Aloraibi, S., Greenhaff, P., Piasecki, M., Phillips, B., Atherton, P., Masud, T., Sahota, O., Logan, P., Booth, V., Robinson, K., Lunt, E., Godfrey, D., Caswell, A., Kerr, M., Ollivere, B., & Gordon, A. Feasibility RCT of neuromuscular electrical stimulation; an Intervention to Maintain and improve neuroMuscular function during periods of Immobility (IMMI): Protocol

East Midlands Research into Ageing Network (EMRAN) is a research collaboration across the East Midlands to facilitate collaborative applied clinical research into ageing and the care of older people. EMRAN was set up by NIHR CLAHRC East Midlands and... Read More about Feasibility RCT of neuromuscular electrical stimulation; an Intervention to Maintain and improve neuroMuscular function during periods of Immobility (IMMI): Protocol.

Learning from a successful process evaluation in care homes (2021)
Journal Article
Allen, F., Darby, J., Cook, M., Evley, R., Godfrey, M., Horne, J., Leighton, P., Logan, P., & Robinson, K. (2021). Learning from a successful process evaluation in care homes. Age and Ageing, 50(5), 1850-1853. https://doi.org/10.1093/ageing/afab139

Introduction
process evaluations (PE) are increasingly used in parallel with randomised controlled trials (RCT) to inform the implementation of complex health interventions. This paper explores the learning accrued from conducting a PE within the Fa... Read More about Learning from a successful process evaluation in care homes.

Optimal care for the management of older people non-weight bearing after lower limb fracture: a consensus study (2021)
Journal Article
Aloraibi, S., Gladman, J., Godfrey, D., Booth, V., Robinson, K., Lunt, E., Caswell, A., Kerr, M., Ollivere, B., & Gordon, A. L. (2021). Optimal care for the management of older people non-weight bearing after lower limb fracture: a consensus study. BMC Geriatrics, 21(1), Article 332. https://doi.org/10.1186/s12877-021-02265-z

Background: Older people who are non-weight-bearing after a lower limb fracture are at risk of poor outcomes but there are no clinical guidelines for this group of patients. Given the paucity of the research evidence base, we conducted a consensus ex... Read More about Optimal care for the management of older people non-weight bearing after lower limb fracture: a consensus study.

Optimal management of older people with frailty non-weight bearing after lower limb fracture: a scoping review (2021)
Journal Article
Aloraibi, S., Booth, V., Robinson, K., Lunt, E. K., Godfrey, D., Caswell, A., Kerr, M., Ollivere, B., Gordon, A. L., & Gladman, J. (2021). Optimal management of older people with frailty non-weight bearing after lower limb fracture: a scoping review. Age and Ageing, 50(4), 1129–1136. https://doi.org/10.1093/ageing/afab071

Background

Patients with lower limb fractures who are non-weight bearing are at risk of the complications of the associated immobility and disability, particularly people with frailty, but there is lack of clarity about what constitutes optimal ca... Read More about Optimal management of older people with frailty non-weight bearing after lower limb fracture: a scoping review.

Effectiveness of exercise interventions for adults over 65 with moderate-to-severe dementia in community settings: a systematic review (2019)
Journal Article
Long, A., Robinson, K., Goldberg, S., & Gordon, A. L. (2019). Effectiveness of exercise interventions for adults over 65 with moderate-to-severe dementia in community settings: a systematic review. European Geriatric Medicine, 10(6), 843–852. https://doi.org/10.1007/s41999-019-00236-7

Purpose
To conduct a systematic review of the literature to evaluate the effectiveness of exercise interventions for people with moderate-to-severe dementia in community settings.

Methods
Eight electronic databases (MEDLINE, Embase, CINAHL, AMED... Read More about Effectiveness of exercise interventions for adults over 65 with moderate-to-severe dementia in community settings: a systematic review.

Developing the React to Falls resources to support care home staff in managing falls (2019)
Journal Article
Robinson, K. R., Jones, K., Balmbra, J., Robertson, K., Horne, J., & Logan, P. A. (2019). Developing the React to Falls resources to support care home staff in managing falls. Journal of Frailty, Sarcopenia and Falls, 4(1), 1-10. https://doi.org/10.22540/JFSF-04-001

Objectives: Care home residents are falling three times more often than elderly frail people living in their own homes and as such, the management of falls is an important area for care home staff to consider. This paper outlines the development of t... Read More about Developing the React to Falls resources to support care home staff in managing falls.

Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults (2019)
Journal Article
Booth, V., Hood-Moore, V., Hancox, J. E., Logan, P., & Robinson, K. R. (2019). Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults. BMJ Open, 9(2), Article e024185. https://doi.org/10.1136/bmjopen-2018-024185

Objectives: Rehabilitation interventions for older adults are complex as they involve a number of interacting components, have multiple outcomes of interest and are influenced by a number of contextual factors. The importance of rigorous intervention... Read More about Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults.

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)
Preprint / Working Paper
Logan, P., McCartney, K., Armstrong, S., Clarke, A., Conroy, S., Darby, J., Gladman, J., Godfrey, M., Gordon, A., Irvine, L., Leighton, P., Mountain, G., Robertson, K., Robinson, K., Sach, T., Sims, E., & Horne, . J. 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)

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... 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).

Chair based exercise in community settings: a cluster randomised feasibility study (2018)
Journal Article
Robinson, K., Long, A., Leighton, P., Armstrong, S., Pulikottill-Jacob, R., Gladman, J., Gordon, A., Logan, P., Anthony, K., Harwood, R., Blackshaw, P., & Masud, T. (2018). Chair based exercise in community settings: a cluster randomised feasibility study. BMC Geriatrics, 18(1), Article 82. https://doi.org/10.1186/s12877-018-0769-4

Background: Some older people who find standard exercise programmes too strenuous may be encouraged to exercise while remaining seated - chair based exercises (CBE). We previously developed a consensus CBE programme (CCBE) following a modified Delphi... Read More about Chair based exercise in community settings: a cluster randomised feasibility study.