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All Outputs (81)

When people living with dementia say ‘no’: Negotiating refusal in the acute hospital setting (2020)
Journal Article
O'Brien, R., Beeke, S., Pilnick, A., Goldberg, S. E., & Harwood, R. H. (2020). When people living with dementia say ‘no’: Negotiating refusal in the acute hospital setting. Social Science and Medicine, 263, Article 113188. https://doi.org/10.1016/j.socscimed.2020.113188

A quarter of UK acute hospital beds are occupied by people living with dementia (PLWD). Concerns have been raised by both policy makers and carers about the quality of communication between hospital staff and PLWD. PLWD may experience communication i... Read More about When people living with dementia say ‘no’: Negotiating refusal in the acute hospital setting.

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.

Atypical presentation of COVID-19 in a frail older person (2020)
Journal Article
Tay, H. S., & Harwood, R. (2020). Atypical presentation of COVID-19 in a frail older person. Age and Ageing, 49(4), 523-524. https://doi.org/10.1093/ageing/afaa068

Common symptoms of pandemic coronavirus disease (COVID-19) include fever and cough.We describe a 94-year-old man with well-controlled schizoaffective disorder, who presented with non-specific and atypical symptoms: delirium, low-grade pyrexia and a... Read More about Atypical presentation of COVID-19 in a frail older person.

‘Socialised care futility’ in the care of older people in hospital who call out repetitively: an ethnographic study (2020)
Journal Article
Beaver, J., Goldberg, S. E., Edgley, A., & Harwood, R. (2020). ‘Socialised care futility’ in the care of older people in hospital who call out repetitively: an ethnographic study. International Journal of Nursing Studies, 107, Article 103589. https://doi.org/10.1016/j.ijnurstu.2020.103589

Background People living with dementia may call out repetitively, sometimes called disruptive vocalisation, or verbal agitation. In literature and policy, patients who call out repetitively are assumed to be expressing an unmet need, which should... Read More about ‘Socialised care futility’ in the care of older people in hospital who call out repetitively: an ethnographic study.

External Validation of the ‘PHYT in Dementia’, a Theoretical Model Promoting Physical Activity in People with Dementia (2020)
Journal Article
Di Lorito, C., Bosco, A., Pollock, K., Harwood, R., das Nair, R., Logan, P., …van der Wardt, V. (2020). External Validation of the ‘PHYT in Dementia’, a Theoretical Model Promoting Physical Activity in People with Dementia. International Journal of Environmental Research and Public Health, 17(5), Article 1544. https://doi.org/10.3390/ijerph17051544

Physical activity is beneficial for people with dementia. We previously developed a theoretical model to explain behaviour change in physical activity in dementia (PHYT-in-dementia). This study aimed to externally validate the model. Validation occur... Read More about External Validation of the ‘PHYT in Dementia’, a Theoretical Model Promoting Physical Activity in People with Dementia.

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.

End-of-life care for frail older people (2019)
Journal Article
Harwood, R. H., & Enguell, H. (2019). End-of-life care for frail older people. BMJ Supportive and Palliative Care, https://doi.org/10.1136/bmjspcare-2019-001953

Most people die when they are old, but predicting exactly when this will occur is unavoidably uncertain. The health of older people is challenged by multimorbidity, disability and frailty. Frailty is the tendency to crises or episodes of rapid deteri... Read More about End-of-life care for frail older people.

Motivation as a mechanism underpinning exercise-based falls prevention programmes for older adults with cognitive impairment: a realist review (2019)
Journal Article
Booth, V., Harwood, R. H., Hancox, J. E., Hood-Moore, V., Masud, T., & Logan, P. (2019). Motivation as a mechanism underpinning exercise-based falls prevention programmes for older adults with cognitive impairment: a realist review. BMJ Open, 9(6), https://doi.org/10.1136/bmjopen-2018-024982

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. Objectives This review aimed to identify mechanisms underlying participation in falls prevention interventions, in older adults with cognitive impairment. In par... Read More about Motivation as a mechanism underpinning exercise-based falls prevention programmes for older adults with cognitive impairment: a realist review.

Factors influencing adherence to home-based strength and balance exercises among older adults with mild cognitive impairment and early dementia: Promoting Activity, Independence and Stability in Early Dementia (PrAISED) (2019)
Journal Article
Hancox, J. E., van der Wardt, V., Pollock, K., Booth, V., Vedhara, K., & Harwood, R. H. (2019). Factors influencing adherence to home-based strength and balance exercises among older adults with mild cognitive impairment and early dementia: Promoting Activity, Independence and Stability in Early Dementia (PrAISED). PLoS ONE, 14(5), https://doi.org/10.1371/journal.pone.0217387

Background Older adults with dementia are at a high risk of losing abilities and of accidental falls. Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is a 12-month person-centred exercise and activity programme which aims... Read More about Factors influencing adherence to home-based strength and balance exercises among older adults with mild cognitive impairment and early dementia: Promoting Activity, Independence and Stability in Early Dementia (PrAISED).

Physical activity engagement strategies in people with dementia – a focus group study (2019)
Journal Article
Harwood, R. H., van der Wardt, V., Hancox, J., Pollock, K., Logan, P., Vedhara, K., & Harwood, R. (2020). Physical activity engagement strategies in people with dementia – a focus group study. Aging and Mental Health, 24(8), 1326-1333. https://doi.org/10.1080/13607863.2019.1590308

Objective: This focus group study aimed to explore how to motivate people with mild cognitive impairment (MCI) or dementia and their carers to engage in exercise and physical activity. Methods: Four focus groups were conducted with six people with... Read More about Physical activity engagement strategies in people with dementia – a focus group study.

Perspectives of healthcare professionals in England on falls interventions for people with dementia: a qualitative interview study (2019)
Journal Article
Burgon, C., Darby, J., Pollock, K., van der Wardt, V., Peach, T., Beck, L., …Harwood, R. H. (2019). Perspectives of healthcare professionals in England on falls interventions for people with dementia: a qualitative interview study. BMJ Open, 9(2), https://doi.org/10.1136/bmjopen-2018-025702

© 2019 Author(s) (or their employer(s)). Re-use permitted under CC BY-NC. Objective To explore the experiences of healthcare professionals working in falls prevention and memory assessment services in providing assessments and interventions for falls... Read More about Perspectives of healthcare professionals in England on falls interventions for people with dementia: a qualitative interview study.

What palliative care can learn from geriatric medicine (2019)
Journal Article
Enguell, H., & Harwood, R. H. (2019). What palliative care can learn from geriatric medicine. British Journal of Hospital Medicine, 80(2), 86-90. https://doi.org/10.12968/hmed.2019.80.2.86

Most people die when they are old, with multiple pathologies, and while living with frailty or dementia. These circumstances need the specialist skills of geriatric medicine. Death may not be unexpected, but survival and restoration of function are u... Read More about What palliative care can learn from geriatric medicine.

A scoping review of behaviour change theories in adults without dementia to adapt and develop the ‘PHYT in dementia’, a model promoting physical activity in people with dementia (2019)
Journal Article
Di Lorito, C., Pollock, K., Harwood, R., das Nair, R., Logan, P., Goldberg, S., …Van Der Wardt, V. (2019). A scoping review of behaviour change theories in adults without dementia to adapt and develop the ‘PHYT in dementia’, a model promoting physical activity in people with dementia. Maturitas, 121, 101-113. https://doi.org/10.1016/j.maturitas.2019.01.008

Introduction: Research has established that exercise and physical activity can improve executive functioning, independence and quality of life in people with dementia. A dedicated theory explaining behaviour change in relation to physical activity i... Read More about A scoping review of behaviour change theories in adults without dementia to adapt and develop the ‘PHYT in dementia’, a model promoting physical activity in people with dementia.

Protocol for the process evaluation of the Promoting Activity, Independence and Stability in Early Dementia and Mild Cognitive Impairment (PrAISED 2) Randomised Controlled Trial (2019)
Journal Article
Di Lorito, C., Pollock, K., Harwood, R., das Nair, R., Logan, P., Goldberg, S., …Van Der Wardt, V. (2019). Protocol for the process evaluation of the Promoting Activity, Independence and Stability in Early Dementia and Mild Cognitive Impairment (PrAISED 2) Randomised Controlled Trial. Maturitas, 122, 8-21. https://doi.org/10.1016/j.maturitas.2019.01.001

Introduction. Promoting Activity, Independence and Stability in Early Dementia and Mild Cognitive Impairment (PrAISED 2) is a randomised controlled trial to test the effectiveness of an intervention to promote activity and independence amongst people... Read More about Protocol for the process evaluation of the Promoting Activity, Independence and Stability in Early Dementia and Mild Cognitive Impairment (PrAISED 2) Randomised Controlled Trial.

A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study (2018)
Journal Article
Harwood, R. H., O’Brien, R., Goldberg, S. E., Allwood, R., Pilnick, A., Beeke, S., …Schneider, J. (2018). A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study. Health Services and Delivery Research, 6(41), 1-134. https://doi.org/10.3310/hsdr06410

Background 25% of hospital beds are occupied by a person living with dementia. Dementia affects expressive communication and understanding. Healthcare professionals report lack of communication skills training. Objectives To identify teachable ef... Read More about A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study.

Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review (2018)
Journal Article
Pilnick, A., Trusson, D., Beeke, S., O 'brien, R., Goldberg, S., & Harwood, R. H. (2018). Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review. BMC Medical Education, 18, Article 267. https://doi.org/10.1186/s12909-018-1381-1

Background: This paper responds to previously published debate in this journal around the use of sociolinguistic methods in communication skills training (CST), which has raised the significant question of how far consultations with simulated patient... Read More about Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review.

The VOICE study – a before and after study of a dementia communication skills training course (2018)
Journal Article
O’Brien, R., Goldberg, S. E., Pilnick, A., Beeke, S., Schneider, J., Sartain, K., …Harwood, R. H. (2018). The VOICE study – a before and after study of a dementia communication skills training course. PLoS ONE, 13(6), Article e0198567. https://doi.org/10.1371/journal.pone.0198567

Background A quarter of acute hospital beds are occupied by persons living with dementia, many of whom have communication problems. Healthcare professionals lack confidence in dementia communication skills, but there are no evidence-based communic... Read More about The VOICE study – a before and after study of a dementia communication skills training course.