All Outputs (113)

Undiagnosed long-term cognitive impairment in acutely hospitalised older medical patients with delirium: a prospective cohort study. (2016)
Journal Article
Jackson, T. A., MacLullich, A., Gladman, J. F., Lord, J. M., & Sheehan, B. (2016). Undiagnosed long-term cognitive impairment in acutely hospitalised older medical patients with delirium: a prospective cohort study. Age and Ageing, 45(4), 493–499. https://doi.org/10.1093/ageing/afw064

Background: delirium and dementia are common in the general hospital, being present in nearly 50% of older unselected admissions to hospital. Cognitive impairment is a risk factor for delirium, but the prevalence of previously undiagnosed cognitive i... Read More about Undiagnosed long-term cognitive impairment in acutely hospitalised older medical patients with delirium: a prospective cohort study..

Diagnostic test accuracy of informant based tools to diagnose dementia in older hospital patients with delirium (2016)
Journal Article
Jackson, T. A., MacLullich, A., Gladman, J. R., Lord, J. M., & Sheehan, B. (2016). Diagnostic test accuracy of informant based tools to diagnose dementia in older hospital patients with delirium. Age and Ageing, 45(4), 505-511. doi:10.1093/ageing/afw065

Background: delirium and dementia co-exist commonly in hospital. Older people with delirium have high rates of undiagnosed dementia, but delirium affects the use of cognitive testing in dementia diagnosis. Novel methods to detect dementia in delirium... Read More about Diagnostic test accuracy of informant based tools to diagnose dementia in older hospital patients with delirium.

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.

New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the “know-do” gap (2016)
Journal Article
Gladman, J. R., Conroy, S. P., Ranhoff, A. H., & Gordon, A. L. (2016). New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the “know-do” gap. Age and Ageing, 45(2), 194-200. https://doi.org/10.1093/ageing/afw012

In this paper we outline the relationship between the need to put existing applied health research knowledge into practice (the “know-do gap”) and the need to improve the evidence base (the “know gap”) with respect to the health care process used for... Read More about New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the “know-do” gap.

Comprehensive geriatric assessment on an acute medical unit: a qualitative study of older people’s and informal carer’s perspectives of the care and treatment received (2016)
Journal Article
Darby, J., Williamson, T., Logan, P., & Gladman, J. R. (2016). Comprehensive geriatric assessment on an acute medical unit: a qualitative study of older people’s and informal carer’s perspectives of the care and treatment received. Clinical Rehabilitation, 31(1), https://doi.org/10.1177/0269215515624134

Objective: This qualitative study was imbedded in a randomised controlled trial evaluating the addition of geriatricians to usual care to enable the comprehensive geriatric assessment process with older patients on acute medical units. The qualitativ... Read More about Comprehensive geriatric assessment on an acute medical unit: a qualitative study of older people’s and informal carer’s perspectives of the care and treatment received.

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 Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes (2015)
Journal Article
Walker, G. M., Armstrong, S., Gordon, A. L., Gladman, J. R., Robertson, K., Ward, M., …Logan, P. (2015). The Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes. Clinical Rehabilitation, 30(10), https://doi.org/10.1177/0269215515604672

Objective: To explore the feasibility of implementing and evaluating the Guide to Action Care Home fall prevention intervention. Design: Two-centre, cluster feasibility randomized controlled trial and process evaluation. Setting: Purposive s... Read More about The Falls In Care Home study: a feasibility randomized controlled trial of the use of a risk assessment and decision support tool to prevent falls in care homes.

A systematic review of the evidence on home care reablement services (2015)
Journal Article
Legg, L., Gladman, J. R., Drummond, A. E., & Davidson, A. (2015). A systematic review of the evidence on home care reablement services. Clinical Rehabilitation, 30(8), https://doi.org/10.1177/0269215515603220

Objective To determine whether publically funded ‘reablement services’ have any effect on patient health or use of services. Design Systematic review of randomised controlled trials and non-randomized studies in which reablement interventions we... Read More about A systematic review of the evidence on home care reablement services.

Recruitment of people with dementia in primary care –experiences from the HIND study (2015)
Journal Article
van der Wardt, V., Conroy, S., Tomas, W., Logan, P., Harrison, J. K., Taggar, J., & Gladman, J. R. (2015). Recruitment of people with dementia in primary care –experiences from the HIND study. European Geriatric Medicine, 6(Supp.1), S55-S56. https://doi.org/10.1016/S1878-7649%2815%2930191-1

OBJECTIVES: A purpose of the Hypertension in Dementia feasibility study was to explore recruitment of people with dementia and essential hypertension in primary care practices to prepare a withdrawal study of their antihypertensive medication. METH... Read More about Recruitment of people with dementia in primary care –experiences from the HIND study.

Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation (2015)
Journal Article
Samra, R., Griffiths, A., Cox, T., Conroy, S., Gordon, A., & Gladman, J. R. (2015). Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation. Age and Ageing, 44(5), https://doi.org/10.1093/ageing/afv082

Background: despite assertions in reports from governmental and charitable bodies that negative staff attitudes towards older patients may contribute to inequitable healthcare provision for older patients when compared with younger patients (those ag... Read More about Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation.

Preparatory review of studies of withdrawal of anti-hypertensive medication in older people (2015)
Journal Article
Harrison, J. K., Gladman, J. R., van der Wardt, V., & Conroy, S. (2015). Preparatory review of studies of withdrawal of anti-hypertensive medication in older people. East Midlands Research into Ageing Network (EMRAN) Discussion Paper Series, 3,

Introduction: Since 2012 we have undertaken a programme of research into the management of hypertension in people with dementia. As part of this we are studying the feasibility of withdrawing antihypertensive drugs in people with dementia and well-co... Read More about Preparatory review of studies of withdrawal of anti-hypertensive medication in older people.

Cost-effectiveness of a specialist geriatric medical intervention for frail older people discharged from acute medical units: economic evaluation in a two-centre randomised controlled trial (AMIGOS) (2015)
Journal Article
Bayer, A., Tanajewski, L., Franklin, M., Gkountouras, G., Berdunov, V., Edmans, J., …Elliott, R. (2015). Cost-effectiveness of a specialist geriatric medical intervention for frail older people discharged from acute medical units: economic evaluation in a two-centre randomised controlled trial (AMIGOS). PLoS ONE, 10(5), Article e0121340. https://doi.org/10.1371/journal.pone.0121340

Background Poor outcomes and high resource-use are observed for frail older people discharged from acute medical units. A specialist geriatric medical intervention, to facilitate Comprehensive Geriatric Assessment, was developed to reduce the incide... Read More about Cost-effectiveness of a specialist geriatric medical intervention for frail older people discharged from acute medical units: economic evaluation in a two-centre randomised controlled trial (AMIGOS).

Provision of NHS generalist and specialist services to care homes in England: review of surveys (2015)
Journal Article
Iliffe, S., Davies, S. L., Gordon, A. L., Schneider, J., Dening, T., Bowman, C., …Goodman, C. (2016). Provision of NHS generalist and specialist services to care homes in England: review of surveys. Primary Health Care Research and Development, 17(2), 122-137. https://doi.org/10.1017/S1463423615000250

Background: The number of beds in care homes (with and without nurses) in the United Kingdom is three times greater than the number of beds in National Health Service (NHS) hospitals. Care homes are predominantly owned by a range of commercial, not-f... Read More about Provision of NHS generalist and specialist services to care homes in England: review of surveys.

General Practitioners’ views of blood pressure control in people with and without dementia (2015)
Journal Article
van der Wardt, V., Conroy, S., Taggar, J., & Gladman, J. R. (2015). General Practitioners’ views of blood pressure control in people with and without dementia. East Midlands Research into Ageing Network (EMRAN) Discussion Paper Series, 1,

Introduction: Since 2012, our group has undertaken a programme of research examining the treatment of hypertension in people with dementia. Hypertension is managed by GPs, who are guided by NICE guidelines, which make no mention of different manageme... Read More about General Practitioners’ views of blood pressure control in people with and without dementia.

Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes (2015)
Journal Article
Gladman, J., Harwood, R., Conroy, S., Logan, P., Elliott, R., Jones, R., …Frowd, N. (2015). Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes. Programme Grants for Applied Research, 3(4), 1-410. https://doi.org/10.3310/pgfar03040

Background This programme of research addressed shortcomings in the care of three groups of older patients: patients discharged from acute medical units (AMUs), patients with dementia and delirium admitted to general hospitals, and care home residen... Read More about Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes.

Systematic review of EASY-care needs assessment for community-dwelling older people (2015)
Journal Article
Craig, C., Chadborn, N., Sands, G., Tuomainen, H., & Gladman, J. R. (2015). Systematic review of EASY-care needs assessment for community-dwelling older people. Age and Ageing, 44(4), https://doi.org/10.1093/ageing/afv050

Background: undertaking comprehensive geriatric assessments (CGAs) combined with long-term health and social care management can improve the quality of life of older people [ 1]. The EASY-Care tool is a CGA instrument designed for assessing the physi... Read More about Systematic review of EASY-care needs assessment for community-dwelling older people.

Are accelerometers a useful way to measure activity in care home residents? (2015)
Journal Article
Walker, G. M., Logan, P., Gordon, A. L., Conroy, S., Armstrong, S., Robertson, K., …Gladman, J. R. F. (2015). Are accelerometers a useful way to measure activity in care home residents?. Age and Ageing, 44(suppl 1), i12-i12. https://doi.org/10.1093/ageing/afv032.02

Introduction: Accurate measurement of activity in care home residents is important for monitoring and evaluating interventions for activity promotion. Accelerometers provide a potential method. However, their usefulness in this population has not bee... Read More about Are accelerometers a useful way to measure activity in care home residents?.

Relationships, expertise, incentives, and governance: supporting care home residents' access to health care: an interview study from England (2015)
Journal Article
Goodman, C., Davies, S. L., Gordon, A. L., Meyer, J., Dening, T., Gladman, J. R., …Martin, F. C. (2015). Relationships, expertise, incentives, and governance: supporting care home residents' access to health care: an interview study from England. Journal of the American Medical Directors Association, 16(5), https://doi.org/10.1016/j.jamda.2015.01.072

Objectives To explore what commissioners of care, regulators, providers, and care home residents in England identify as the key mechanisms or components of different service delivery models that support the provision of National Health Service (NHS)... Read More about Relationships, expertise, incentives, and governance: supporting care home residents' access to health care: an interview study from England.

The second national audit of intermediate care (2014)
Journal Article
Young, J., Gladman, J. R., Forsyth, D. R., & Holditch, C. (2014). The second national audit of intermediate care. Age and Ageing, 44(2), 182-184. https://doi.org/10.1093/ageing/afu174

© The Author 2014. Intermediate care services have developed internationally to expedite discharge from hospital and to provide an alternative to an emergency hospital admission. Inconsistencies in the evidence base and under-developed governance str... Read More about The second national audit of intermediate care.

A qualitative study of the knowledge-brokering role of middle-level managers in service innovation: managing the translation gap in patient safety for older persons’ care (2014)
Journal Article
Currie, G., Burgess, N., White, L., Lockett, A., Gladman, J. R., & Waring, J. (2014). A qualitative study of the knowledge-brokering role of middle-level managers in service innovation: managing the translation gap in patient safety for older persons’ care. Health Services and Delivery Research, 2(32), https://doi.org/10.3310/hsdr02320

Background: Brokering of evidence into service delivery is crucial for patient safety. We study knowledge brokering by ‘hybrid’ middle-level managers (H-MLMs), who hold responsibility for clinical service delivery as well as a managerial role, in the... Read More about A qualitative study of the knowledge-brokering role of middle-level managers in service innovation: managing the translation gap in patient safety for older persons’ care.