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All Outputs (83)

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.

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., …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.

A development study and randomised feasibility trial of a tailored intervention to improve activity and reduce falls in older adults with mild cognitive impairment and mild dementia (2018)
Journal Article
Harwood, R. H., van der Wardt, V., Goldberg, S. E., Keamey, F., Logan, P., Hood-Moore, V., …Orrell, M. (2018). A development study and randomised feasibility trial of a tailored intervention to improve activity and reduce falls in older adults with mild cognitive impairment and mild dementia. Pilot and Feasibility Studies, 4, Article 49. https://doi.org/10.1186/s40814-018-0239-y

Background: People with dementia progressively lose abilities and are prone to falling. Exercise- and activity-based interventions hold the prospect of increasing abilities, reducing falls, and slowing decline in cognition. Current falls prevention... Read More about A development study and randomised feasibility trial of a tailored intervention to improve activity and reduce falls in older adults with mild cognitive impairment and mild dementia.

Promoting activity, independence and stability in early dementia and mild cognitive impairment (PrAISED): development of an intervention for people with mild cognitive impairment and dementia (2018)
Journal Article
Booth, V., Harwood, R. H., Hood-Moore, V., Bramley, T., Hancox, J. E., Robertson, K., …Logan, P. (2018). Promoting activity, independence and stability in early dementia and mild cognitive impairment (PrAISED): development of an intervention for people with mild cognitive impairment and dementia. Clinical Rehabilitation, 32(7), 855-864. https://doi.org/10.1177/0269215518758149

This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless, they are intended to be of interest to a multidisciplinary audience. The competency addressed in this ar... Read More about Promoting activity, independence and stability in early dementia and mild cognitive impairment (PrAISED): development of an intervention for people with mild cognitive impairment and dementia.

Comprehensive geriatric assessment for older adults admitted to hospital (2017)
Journal Article
Ellis, G., Gardner, M., Tsiachristas, A., Langhorne, P., Burke, O., Harwood, R. H., …Shepperd, S. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews, 2017(9), Article CD006211. https://doi.org/10.1002/14651858.CD006211.pub3

© 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Background: Comprehensive geriatric assessment (CGA) is a multi-dimensional, multi-disciplinary diagnostic and therapeutic process conducted to determine the medical, mental, a... Read More about Comprehensive geriatric assessment for older adults admitted to hospital.

Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting (2017)
Journal Article
Allwood, R., Pilnick, A., O'Brien, R., Goldberg, S., Harwood, R. H., & Beeke, S. (2017). Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting. Social Science and Medicine, 191, 212-225. https://doi.org/10.1016/j.socscimed.2017.09.014

Around a quarter of hospital beds in the UK are occupied by patients living with dementia (PWD), and communication impairments are common across all types of dementia, often exacerbated by the hospital environment. Unsurprisingly, healthcare professi... Read More about Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting.

What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence (2017)
Journal Article
Buswell, M., Goodman, C., Roe, B., Russell, B., Norton, C., Harwood, R., …Bunn, F. (2017). What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence. Journal of the American Medical Directors Association, 18(9), 752-760.e1. https://doi.org/10.1016/j.jamda.2017.05.025

The prevalence of fecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of what is effective in the reduction and management of FI in care homes. Using realist synthesis, 6 potential program theories o... Read More about What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence.

Making difficult decisions with older patients on medical wards (2017)
Journal Article
Khizar, B., & Harwood, R. H. (2017). Making difficult decisions with older patients on medical wards. Clinical Medicine, 17(4), 353-356. doi:10.7861/clinmedicine.17-4-353

Decision making with older people can be difficult because of medical complexity, uncertainty (about prognosis, treatment effectiveness and priorities), difficulties brought by cognitive and communication impairment and the multiple family and other... Read More about Making difficult decisions with older patients on medical wards.

How to deal with violent and aggressive patients in acute medical settings (2017)
Journal Article
Harwood, R. (2017). How to deal with violent and aggressive patients in acute medical settings. Journal of the Royal College of Physicians of Edinburgh, 47(2), 176-182. https://doi.org/10.4997/jrcpe.2017.218

Dealing with violence and aggression is an area where health professionals often feel uncertain. Standing at the interface between medicine, psychiatry and law, the best actions may not be clear, and guidelines neither consistently applicable nor exp... Read More about How to deal with violent and aggressive patients in acute medical settings.

Attitudes of older people with mild dementia and mild cognitive impairment and their relatives about falls risk and prevention: a qualitative study (2017)
Journal Article
Peach, T., Pollock, K., van der Wardt, V., das Nair, R., Logan, P., & Harwood, R. H. (2017). Attitudes of older people with mild dementia and mild cognitive impairment and their relatives about falls risk and prevention: a qualitative study. PLoS ONE, 12(5), 1-15. https://doi.org/10.1371/journal.pone.0177530

Objective: To explore the perceptions of older people with mild dementia and mild cognitive impairment, and their family carers, about falling, falls risk and the acceptability of falls prevention interventions. Design: Qualitative study involving t... Read More about Attitudes of older people with mild dementia and mild cognitive impairment and their relatives about falls risk and prevention: a qualitative study.

Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review (2017)
Journal Article
van der Wardt, V., Hancox, J., Gondek, D., Logan, P., das Nair, R., Pollock, K., & Harwood, R. H. (2017). Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review. Preventive Medicine Reports, 7, https://doi.org/10.1016/j.pmedr.2017.05.007

Exercise-based therapy may improve health status for people with Mild Cognitive Impairment (MCI) or dementia but cannot work without adherence, which has proven difficult. This review aimed to evaluate strategies to support adherence among people wit... Read More about Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review.

Challenges and opportunities in understanding dementia and delirium in the acute hospital (2017)
Journal Article
Jackson, T. A., Gladman, J. R., Harwood, R. H., MacLullich, A. M., Sampson, E. L., Sheehan, B., & Davis, D. H. (2017). Challenges and opportunities in understanding dementia and delirium in the acute hospital. PLoS Medicine, 14(3), Article e1002247. https://doi.org/10.1371/journal.pmed.1002247

What is the problem? Dementia in general hospitals Dementia is very common in patients admitted to acute hospitals, affecting one in four patients, with 6% of people living with dementia being inpatients in acute hospitals at any given time [1,... Read More about Challenges and opportunities in understanding dementia and delirium in the acute hospital.

Where next for delirium research? (2017)
Journal Article
Harwood, R. H., & Teale, E. (2018). Where next for delirium research?. International Journal of Geriatric Psychiatry, 33(11), 1512-1520. doi:10.1002/gps.4696

Clinicians who manage delirium must do so without key information required for evidence‐based practice, not least lack of any clearly effective treatment for established delirium. Both the nature of delirium and the methods used to research it contri... Read More about Where next for delirium research?.

New horizons: the management of hypertension in people with dementia (2016)
Journal Article
Harrison, J. K., Van Der Wardt, V., Conroy, S. P., Stott, D. J., Dening, T., Gordon, A. L., …Gladman, J. R. (2016). New horizons: the management of hypertension in people with dementia. Age and Ageing, 45(6), 740-746. https://doi.org/10.1093/ageing/afw155

The optimal management of hypertension in people with dementia is uncertain. This review explores if people with dementia experience greater adverse effects from antihypertensive medications, if cognitive function is protected or worsened by controll... Read More about New horizons: the management of hypertension in people with dementia.

Ambulatory blood pressure monitoring in older people with dementia: a systematic review of tolerability (2016)
Journal Article
Conroy, S. P., Harrison, J. K., van der Wardt, V., Harwood, R. H., Logan, P., Welsh, T., & Gladman, J. R. (2016). Ambulatory blood pressure monitoring in older people with dementia: a systematic review of tolerability. Age and Ageing, 45(4), 456-462. https://doi.org/10.1093/ageing/afw050

BACKGROUND: Ambulatory blood pressure monitoring (ABPM) may be helpful for the management of hypertension, but little is known about its tolerability in people with dementia. OBJECTIVE: To review the published evidence to determine the tolerabil... Read More about Ambulatory blood pressure monitoring in older people with dementia: a systematic review of tolerability.

Economic Evaluation of a General Hospital Unit for Older People with Delirium and Dementia (TEAM Randomised Controlled Trial) (2015)
Journal Article
Bradshaw, L. E., Tanajewski, L., Franklin, M., Gkountouras, G., Berdunov, V., Harwood, R. H., …Elliott, R. A. (2015). Economic Evaluation of a General Hospital Unit for Older People with Delirium and Dementia (TEAM Randomised Controlled Trial). PLoS ONE, 10(12), e0140662. https://doi.org/10.1371/journal.pone.0140662

Background One in three hospital acute medical admissions is of an older person with cognitive impairment. Their outcomes are poor and the quality of their care in hospital has been criticised. A specialist unit to care for older people with delir... Read More about Economic Evaluation of a General Hospital Unit for Older People with Delirium and Dementia (TEAM Randomised Controlled Trial).

The Balance and the Mind study: baseline data (2015)
Journal Article
van der Wardt, V., Logan, P., Booth, V., Hood, V., Masud, T., & Harwood, R. H. (2015). The Balance and the Mind study: baseline data. European Geriatric Medicine, 6(1), Article S55. https://doi.org/10.1016/S1878-7649%2815%2930190-X

OBJECTIVES: The purpose of the study was to establish falls risk factors for people with mild cognitive impairment and mild dementia. METHODS: Survey of 76 people recruited from Memory Clinics (n=56), Falls Services (n=12), Community Geriatricians (... Read More about The Balance and the Mind study: baseline data.