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Outputs (114)

Factors influencing the commissioning and implementation of health and social care interventions for people with dementia: commissioner and stakeholder perspectives (2024)
Journal Article
Tucker, R., Vickers, R., Adams, E. J., Burgon, C., Lock, J., Goldberg, S. E., …Harwood, R. H. (2024). Factors influencing the commissioning and implementation of health and social care interventions for people with dementia: commissioner and stakeholder perspectives. Archives of Public Health, 82(1), Article 54. https://doi.org/10.1186/s13690-024-01283-8

Background Despite several interventions demonstrating benefit to people living with dementia and their caregivers, few have been translated and implemented in routine clinical practice. There is limited evidence of the barriers and facilitators for... Read More about Factors influencing the commissioning and implementation of health and social care interventions for people with dementia: commissioner and stakeholder perspectives.

The association of painful and non-painful morbidities with frailty: a cross sectional analysis of a cohort of community dwelling older people in England (2024)
Journal Article
Chaplin, W. J., Lewis, H. R., Shahtaheri, S. M., Millar, B. S., McWilliams, D. F., Gladman, J. R. F., & Walsh, D. A. (2024). The association of painful and non-painful morbidities with frailty: a cross sectional analysis of a cohort of community dwelling older people in England. BMC Geriatrics, 24, Article 158. https://doi.org/10.1186/s12877-023-04602-w

Introduction The association between chronic pain and frailty might indicate that pain is an independent driver of frailty but might alternatively be explained by inclusion within frailty identification tools of morbidities that commonly lead to chr... Read More about The association of painful and non-painful morbidities with frailty: a cross sectional analysis of a cohort of community dwelling older people in England.

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.

Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop (2023)
Journal Article
Witham, M. D., Bridges, J., Gladman, J., Gordon, A. L., Kay, S., Manthorpe, J., …Sayer, A. A. (2023). Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop. Clinical Medicine Journal, 23(6), 611-614. https://doi.org/10.7861/clinmed.2023-0389

High-quality care for older people is best delivered by multidisciplinary teams involving a range of professions. Similarly, if research evidence is to effectively inform practice, it needs to be designed and executed by teams that are both multidisc... Read More about Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop.

A realist evaluation of a multifactorial falls prevention programme in care homes (2022)
Journal Article
Leighton, P. A., Darby, J., Allen, F., Cook, M., Evley, R., Fox, C., …Logan, P. (2022). A realist evaluation of a multifactorial falls prevention programme in care homes. Age and Ageing, 51(12), Article afac263. https://doi.org/10.1093/ageing/afac263

BACKGROUND: falls in care homes are common, costly and hard to prevent.Multifactorial falls programmes demonstrate clinical and cost-effectiveness, but the heterogeneity of the care home sector is a barrier to their implementation. A fuller appreciat... Read More about A realist evaluation of a multifactorial falls prevention programme in care homes.

The Centre for Rehabilitation and Ageing Research in Nottingham and Derby 2022. Excellence in care through world class research (2022)
Working Paper
Gladman, Logan, Gordon, Harwood, Goldberg, & Radford. (0000). The Centre for Rehabilitation and Ageing Research in Nottingham and Derby 2022. Excellence in care through world class research

It is with pleasure that we present this brochure outlining the work of the Centre for Rehabilitation and Ageing and Research (CRAR) at the University of Nottingham and its partner NHS Trusts in Nottingham, and Derby and Burton.

NIHR Nottingham Biomedical Research Centre (BRC) Musculoskeletal theme: virtual conference proceedings 24 th & 25 th February 2022 (2022)
Working Paper
Gladman, J., Piasecki, M., & Frost, K. (0000). NIHR Nottingham Biomedical Research Centre (BRC) Musculoskeletal theme: virtual conference proceedings 24 th & 25 th February 2022

This paper gives summaries of the keynote lectures given and the research abstracts presented at the NIHR Nottingham Biomedical Research Centre Musculoskeletal theme virtual conference held on 24th and 25th February 2022. The purpose of the confere... Read More about NIHR Nottingham Biomedical Research Centre (BRC) Musculoskeletal theme: virtual conference proceedings 24 th & 25 th February 2022.

Advance Care Plans in UK care home residents: a service evaluation using a stepped wedge design (2022)
Journal Article
Garden, G., Usman, A., Readman, D., Storey, L., Wilkinson, L., Wilson, G., …Gladman, J. (2022). Advance Care Plans in UK care home residents: a service evaluation using a stepped wedge design. Age and Ageing, 51(3), Article afac069. https://doi.org/10.1093/ageing/afac069

Introduction Advance care planning (ACP) in care homes has high acceptance, increases the proportion of residents dying in place and reduces hospital admissions in research. We investigated whether ACP had similar outcomes when introduced during re... Read More about Advance Care Plans in UK care home residents: a service evaluation using a stepped wedge design.

Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study (2022)
Journal Article
Devi, R., Martin, G. P., Banerjee, J., Gladman, J. R., Dening, T., Barat, A., & Gordon, A. L. (2022). Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study. BMJ Quality and Safety, 32(11), 665-675. https://doi.org/10.1136/bmjqs-2021-014345

Introduction: Inadequate and varied quality of care in care homes has led to a proliferation of quality improvement (QI) projects. This study examined the sustainability of interventions initiated by such projects. Method: This qualitative study expl... Read More about Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study.

‘It is designed for everybody to find their own level and to improve themselves’; views of older people and instructors of the Falls Management Exercise (FaME) programme (2022)
Journal Article
Gumber, L., Timmons, S., Coupland, C., Gladman, J., Lliffe, S., Kendrick, D., …Orton, E. (2022). ‘It is designed for everybody to find their own level and to improve themselves’; views of older people and instructors of the Falls Management Exercise (FaME) programme. Age and Ageing, 51(2), Article afac023. https://doi.org/10.1093/ageing/afac023

Background: Older adults are at increased risk of falls due to ageing, decreased muscle strength and impaired balance. Clinical trials have demonstrated the efficacy and effectiveness of the Falls Management Exercise (FaME) programme in improving fun... Read More about ‘It is designed for everybody to find their own level and to improve themselves’; views of older people and instructors of the Falls Management Exercise (FaME) programme.

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., …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., …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)
Working Paper
Gladman, J., Aloraibi, S., Greenhaff, P., Piasecki, M., Phillips, B., Atherton, P., …Gordon, A. (0000). 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.

Deconditioning in people living with dementia during the COVID-19 pandemic: qualitative study from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation (2021)
Journal Article
Di Lorito, C., Masud, T., Gladman, J., Godfrey, M., Dunlop, M., Bosco, A., & Harwood, R. (2021). Deconditioning in people living with dementia during the COVID-19 pandemic: qualitative study from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation. BMC Geriatrics, 21, 1-10. https://doi.org/10.1186/s12877-021-02451-z

Background: Restrictions introduced in response to the COVID-19 pandemic led to increased risk of deconditioning in the general population. No empirical evidence of this effect however has been gathered in people living with dementia. This study aims... Read More about Deconditioning in people living with dementia during the COVID-19 pandemic: qualitative study from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation.

Implementation fidelity of the Falls Management Exercise Programme: a mixed methods analysis using a conceptual framework for implementation fidelity (2021)
Journal Article
Orton, E., Lafond, N., Skelton, D. A., Coupland, C., Gladman, J. R., Iliffe, S., …Kendrick, D. (2021). Implementation fidelity of the Falls Management Exercise Programme: a mixed methods analysis using a conceptual framework for implementation fidelity. Public Health, 197, 11-18. https://doi.org/10.1016/j.puhe.2021.05.038

Objectives: Falls in older adults cause significant morbidity and mortality and incur cost to health and care services. The Falls Management Exercise (FaME) programme is a 24-week intervention for older adults that, in clinical trials, improves balan... Read More about Implementation fidelity of the Falls Management Exercise Programme: a mixed methods analysis using a conceptual framework for implementation fidelity.

Combined in vivo muscle mass, muscle protein synthesis and muscle protein breakdown measurement: a ‘Combined Oral Stable Isotope Assessment of Muscle (COSIAM)’ approach (2021)
Journal Article
Cegielski, J., Wilkinson, D. J., Brook, M. S., Boereboom, C., Phillips, B. E., Gladman, J. F. R., …Atherton, P. J. (2021). Combined in vivo muscle mass, muscle protein synthesis and muscle protein breakdown measurement: a ‘Combined Oral Stable Isotope Assessment of Muscle (COSIAM)’ approach. GeroScience, https://doi.org/10.1007/s11357-021-00386-2

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., …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., …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.

How Quality Improvement Collaboratives Work to Improve Healthcare in Care Homes: A Realist Evaluation (2021)
Journal Article
Devi, R., Chadborn, N. H., Meyer, J., Banerjee, J., Goodman, C., Dening, T., …Gordon, A. L. (2021). How Quality Improvement Collaboratives Work to Improve Healthcare in Care Homes: A Realist Evaluation. Age and Ageing, 50(4), 1371-1381. https://doi.org/10.1093/ageing/afab007

Background Quality improvement collaboratives (QICs) bring together multidisciplinary teams in a structured process to improve care quality. How QICs can be used to support healthcare improvement in care homes is not fully understood. Methods A... Read More about How Quality Improvement Collaboratives Work to Improve Healthcare in Care Homes: A Realist Evaluation.

Care homes, their communities, and resilience in the face of the COVID-19 pandemic: interim findings from a qualitative study (2021)
Journal Article
Marshall, F., Gordon, A. L., Gladman, J. R., & Bishop, S. (2021). Care homes, their communities, and resilience in the face of the COVID-19 pandemic: interim findings from a qualitative study. BMC Geriatrics, 21, Article 102. https://doi.org/10.1186/s12877-021-02053-9

Background: From late February 2020, English care homes rapidly adapted their practices in response to the COVID-19 pandemic. In addition to accommodating new guidelines and policies, staff had to adjust to rapid reconfiguration of services external... Read More about Care homes, their communities, and resilience in the face of the COVID-19 pandemic: interim findings from a qualitative study.

‘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.

Anticholinergic drug burden tools/scales and adverse outcomes in different clinical settings: a systematic review of reviews (2018)
Journal Article
Welsh, T. J., van der Wardt, V., Ojo, G., Gordon, A. L., & Gladman, J. R. (in press). Anticholinergic drug burden tools/scales and adverse outcomes in different clinical settings: a systematic review of reviews. Drugs and Aging, https://doi.org/10.1007/s40266-018-0549-z

Background: Cumulative anticholinergic exposure (anticholinergic burden) has been linked to a number of adverse outcomes. To conduct research in this area, an agreed approach to describing anticholinergic burden is needed. Objective: This review set... Read More about Anticholinergic drug burden tools/scales and adverse outcomes in different clinical settings: a systematic review of reviews.

Scaling the Peaks Research Protocol: understanding the barriers and drivers to providing and using dementia-friendly community services in rural areas—a mixed methods study (2018)
Journal Article
Marshall, F., Basiri, A., Riley, M., Dening, T., Gladman, J. R., Griffiths, A., & Lewis, S. (2018). Scaling the Peaks Research Protocol: understanding the barriers and drivers to providing and using dementia-friendly community services in rural areas—a mixed methods study. BMJ Open, 8(4), 1-10. https://doi.org/10.1136/bmjopen-2017-020374

Introduction: Scaling the Peaks is a cross-disciplinary research study which draws on medical ethnography, human geography and Geospatial Information Science (GIS) to address the issues surrounding the design and delivery of dementia friendly service... Read More about Scaling the Peaks Research Protocol: understanding the barriers and drivers to providing and using dementia-friendly community services in rural areas—a mixed methods study.

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.

Withdrawal of antihypertensive therapy in people with dementia: feasibility study (2018)
Journal Article
van der Wardt, V., Burton, J. K., Conroy, S., Welsh, T., Logan, P., Taggar, J., …Gladman, J. (2018). Withdrawal of antihypertensive therapy in people with dementia: feasibility study. Pilot and Feasibility Studies, 4(1), Article 29. https://doi.org/10.1186/s40814-017-0221-0

© 2018 The Author(s). Background: This study explored the feasibility of a randomised controlled withdrawal trial of antihypertensive medication in normotensive people with dementia. Feasibility aspects included response, recruitment, exclusion and d... Read More about Withdrawal of antihypertensive therapy in people with dementia: feasibility study.

PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol (2018)
Journal Article
Carpenter, H., Audsley, S., Coupland, C., Gladman, J. R., Kendrick, D., Lafond, N., …Orton, E. (in press). PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol. Injury Prevention, https://doi.org/10.1136/injuryprev-2017-042627

Background: Falls in older people are a leading causes of unintentional injury. Due to an ageing population, injuries are likely to increase unless more is done to reduce older people’s falls risk. In clinical trials, the Falls Management Exercise (F... Read More about PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol.

Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes (2018)
Journal Article
Gordon, A. L., Goodman, C., Davies, S. L., Dening, T., Gage, H., Meyer, J., …Zubair, M. (2018). Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes. Age and Ageing, 47(4), 595-603. https://doi.org/10.1093/ageing/afx195

Introduction: care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. Methods: a realist evaluation using qualitative and quantitative... Read More about Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes.

Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings (2017)
Journal Article
Goodman, C., Davies, S. L., Gordon, A. L., Dening, T., Gage, H., Meyer, J., …Zubair, M. (2017). Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings. Health Services and Delivery Research, 5(29), https://doi.org/10.3310/hsdr05290

Background: Care homes are the institutional providers of long-term care for older people. The OPTIMAL study argued that it is probable that there are key activities within different models of health-care provision that are important for residents’ h... Read More about Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings.

Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study (2017)
Journal Article
Zubair, M., Chadborn, N., Gladman, J. R., Dening, T., Gordon, A. L., & Goodman, C. (2017). Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study. BMJ Open, 7(10), Article e017270. https://doi.org/10.1136/bmjopen-2017-017270

Introduction Care home residents are relatively high users of healthcare resources and may have complex needs. Comprehensive geriatric assessment (CGA) may benefit care home residents and improve efficiency of care delivery. This is an approach t... Read More about Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study.

Characteristics and outcomes of hospitalised patients with vertebral fragility fractures: a systematic review (2017)
Journal Article
Ong, T., Kantachuvesiri, P., Sahota, O., & Gladman, J. R. (2018). Characteristics and outcomes of hospitalised patients with vertebral fragility fractures: a systematic review. Age and Ageing, 47(1), 17-25. https://doi.org/10.1093/ageing/afx079

Background: The complex management for patients presenting to hospital with vertebral fragility fractures provides justification for the development of specific services for them. A systematic review was undertaken to determine the incidence of hospi... Read More about Characteristics and outcomes of hospitalised patients with vertebral fragility fractures: a systematic review.

Withdrawal of antihypertensive medication: a systematic review (2017)
Journal Article
van der Wardt, V., Harrison, J. K., Welsh, T. J., Conroy, S., & Gladman, J. R. (2017). Withdrawal of antihypertensive medication: a systematic review. Journal of Hypertension, 35, https://doi.org/10.1097/HJH.0000000000001405

Although antihypertensive medication is usually continued indefinitely, observations during wash-out phases in hypertension trials have shown that withdrawal of antihypertensive medication might be well tolerated to do in a considerable proportion of... Read More about Withdrawal of antihypertensive medication: a systematic review.

Benchmarking the prevalence of care problems in UK care homes using the LPZ-i: a feasibility study (2017)
Journal Article
Darby, J., Horne, J., Lewin, J., Crocker, C., Coates, E., McEwan, K., …Gordon, A. L. (2017). Benchmarking the prevalence of care problems in UK care homes using the LPZ-i: a feasibility study. East Midlands Research into Ageing Network (EMRAN) Discussion Paper Series, 13,

Background: UK care homes have no mechanism for counting, collating or analyzing prevalence of care problems to benchmark quality of care. This study investigated the feasibility of the International Prevalence Measurement of Quality of... Read More about Benchmarking the prevalence of care problems in UK care homes using the LPZ-i: a feasibility study.

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.

Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study (2017)
Journal Article
Gladman, J., Buckell, J., Young, J., Smith, A., Hulme, C., Saggu, S., …Tucker, H. (2017). Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study. BMJ Open, 7(2), Article e010483. https://doi.org/10.1136/bmjopen-2015-010483

Introduction To understand the variation in performance between community hospitals, our objectives are: to measure the relative performance (cost efficiency) of rehabilitation services in community hospitals; to identify the characteristics of c... Read More about Understanding the models of community hospital rehabilitation activity (MoCHA): a mixed method study.

The effective ingredients of social care support at home for people with dementia: a literature review (2017)
Journal Article
Argyle, E., Kelly, T., Gladman, J. R., & Jones, R. (2017). The effective ingredients of social care support at home for people with dementia: a literature review. Journal of Integrated Care, 25(2), 110-119. https://doi.org/10.1108/JICA-09-2016-0032

Purpose: Formal ties between the theatre and research dissemination have only recently developed and its general efficacy is largely unknown. Here the purpose of this paper is to redress this neglect by examining the effectiveness of a research-base... Read More about The effective ingredients of social care support at home for people with dementia: a literature review.

Acetylcholinesterase activity measurement and clinical features of delirium (2016)
Journal Article
Jackson, T., Moorey, H., Sheehan, B., Maclullich, A., Gladman, J., & Lord, J. (2017). Acetylcholinesterase activity measurement and clinical features of delirium. Dementia and Geriatric Cognitive Disorders, 43(1-2), https://doi.org/10.1159/000452832

Aims: Cholinergic deficiency is commonly implicated in the pathophysiology of delirium. We aimed to investigate the relationship between directly measured serum AChE activity and (1) clinical features of delirium and (2) outcomes, among older hospita... Read More about Acetylcholinesterase activity measurement and clinical features of delirium.

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.

Effective health care for older people living and dying in care homes: a realist review (2016)
Journal Article
Goodman, C., Dening, T., Gordon, A. L., Davies, S. L., Meyer, J., Martin, F. C., …Zubair, M. (in press). Effective health care for older people living and dying in care homes: a realist review. BMC Health Services Research, 16(269), https://doi.org/10.1186/s12913-016-1493-4

Background: Care home residents in England have variable access to health care services. There is currently no coherent policy or consensus about the best arrangements to meet these needs. The purpose of this review was to explore the evidence for ho... Read More about Effective health care for older people living and dying in care homes: a realist review.

Qualitative study investigating the commissioning process for older people's services provided by third sector organisations: SOPRANO study protocol (2016)
Journal Article
Sands, G., Chadborn, N., Craig, C., & Gladman, J. R. (2016). Qualitative study investigating the commissioning process for older people's services provided by third sector organisations: SOPRANO study protocol. BMJ Open, 6(5), Article e010724. https://doi.org/10.1136/bmjopen-2015-010724

Introduction The commissioning of third sector services for older people may influence the quality, availability and coordination of services for older people. The SOPRANO study aims to understand the relationships between and processes of commissio... Read More about Qualitative study investigating the commissioning process for older people's services provided by third sector organisations: SOPRANO study protocol.

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.

Antihypertensive treatment in people with dementia (2014)
Journal Article
van der Wardt, V., Logan, P. A., Conroy, S., Harwood, R. H., & Gladman, J. R. (2014). Antihypertensive treatment in people with dementia. Journal of the American Medical Directors Association, 15(9), https://doi.org/10.1016/j.jamda.2014.03.005

Introduction The range and magnitude of potential benefits and harms of antihypertensive treatment in people with dementia has not been previously established. Method A scoping review to identify potential domains of benefits and harms of antihyp... Read More about Antihypertensive treatment in people with dementia.

The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol (2014)
Journal Article
Gordon, A. L., Goodman, C., Dening, T., Davies, S., Gladman, J. R., Bell, B. G., …Victor, C. (2014). The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol. Journal of the American Medical Directors Association, 15(9), https://doi.org/10.1016/j.jamda.2014.06.011

Long term institutional care in the UK is provided by care homes. Residents have prevalent cognitive impairment and disability, have multiple diagnoses and are subject to polypharmacy. Prevailing models of healthcare provision - ad hoc, reactive and... Read More about The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol.

Identifying patient-level health and social care costs for older adults discharged from acute medical units in England (2014)
Journal Article
Franklin, M., Berdunov, V., Edmans, J., Conroy, S., Gladman, J. R., Tanajewski, L., …Elliott, R. A. (2014). Identifying patient-level health and social care costs for older adults discharged from acute medical units in England. Age and Ageing, 43(5), https://doi.org/10.1093/ageing/afu073

Background: Acute medical units allow for those who need admission to be correctly identified, and for those who could be managed in ambulatory settings to be discharged. However, readmission rates for older people following discharge from acute medi... Read More about Identifying patient-level health and social care costs for older adults discharged from acute medical units in England.

Effective health care for older people resident in care homes: the optimal study protocol for realist review (2014)
Journal Article
Goodman, C., Gordon, A. L., Martin, F., Davies, S. L., Iliffe, S., Bowman, C., …Dening, T. (2014). Effective health care for older people resident in care homes: the optimal study protocol for realist review. Systematic Reviews, 3(1), Article 49. https://doi.org/10.1186/2046-4053-3-49

Background Care homes in the UK rely on general practice for access to specialist medical and nursing care as well as referral to therapists and secondary care. Service delivery to care homes is highly variable in both quantity and quality. This var... Read More about Effective health care for older people resident in care homes: the optimal study protocol for realist review.

Rehabilitation aimed at improving outdoor mobility for people after stroke: a multi-centre randomised controlled study (the Getting out of the House Study) (2014)
Journal Article
Logan, P. A., Armstrong, S., Avery, T., Barer, D., Barton, G., Darby, J., …Leighton, M. P. (2014). Rehabilitation aimed at improving outdoor mobility for people after stroke: a multi-centre randomised controlled study (the Getting out of the House Study). Health Technology Assessment, 18(29), 1-73. https://doi.org/10.3310/hta18290

Background: One-third of stroke patients are dependent on others to get outside their homes. This can cause people to become housebound, leading to increased immobility, poor health, isolation and misery. There is some evidence that outdoor mobility... Read More about Rehabilitation aimed at improving outdoor mobility for people after stroke: a multi-centre randomised controlled study (the Getting out of the House Study).

Undergraduate teaching in geriatric medicine: mapping the British Geriatrics Society undergraduate curriculum to Tomorrow's Doctors 2009 (2014)
Journal Article
Forrester-Paton, C., Forrester-Paton, J., Gordon, A. L., Mitchell, H. K., Bracewell, N., Mjojo, J., …Blundell, A. (2014). Undergraduate teaching in geriatric medicine: mapping the British Geriatrics Society undergraduate curriculum to Tomorrow's Doctors 2009. Age and Ageing, 43(3), https://doi.org/10.1093/ageing/afu024

Introduction: in 2008, the British Geriatrics Society (BGS) developed the Recommended Undergraduate Curriculum in Geriatric Medicine. This was subsequently mapped to the second edition of Tomorrows' Doctors (TD2, 2003). Following the publication of t... Read More about Undergraduate teaching in geriatric medicine: mapping the British Geriatrics Society undergraduate curriculum to Tomorrow's Doctors 2009.

Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards (2014)
Journal Article
Goldberg, S. E., Whittamore, K. H., Pollock, K., Harwood, R. H., & Gladman, J. R. (2014). Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards. International Journal of Nursing Studies, 51(10), https://doi.org/10.1016/j.ijnurstu.2014.02.002

Background: Around half of people aged over 70 admitted as an emergency to general hospital have dementia, delirium or both. Dissatisfaction is often expressed about the quality of hospital care. A medical and mental health unit was developed to pr... Read More about Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards.

The treatment of hypertension in people with dementia: a systematic review of observational studies (2014)
Journal Article
Welsh, T., Gladman, J. R., & Gordon, A. L. (2014). The treatment of hypertension in people with dementia: a systematic review of observational studies. BMC Geriatrics, 14(1), Article 19. https://doi.org/10.1186/1471-2318-14-19

Background Hypertension is very common in older people and a number of trials of antihypertensives have demonstrated benefit from treatment in even the oldest old. However, people with dementia were significantly under-represented in these studies a... Read More about The treatment of hypertension in people with dementia: a systematic review of observational studies.

Health status of UK care home residents: a cohort study (2014)
Journal Article
Gordon, A. L., Franklin, M., Bradshaw, L., Logan, P., Elliott, R., & Gladman, J. R. (2014). Health status of UK care home residents: a cohort study. Age and Ageing, 43(1), https://doi.org/10.1093/ageing/aft077

Background: UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents’ health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than... Read More about Health status of UK care home residents: a cohort study.

The treatment of hypertension in care home residents: a systematic review of observational studies (2014)
Journal Article
Welsh, T., Gladman, J. R., & Gordon, A. L. (2014). The treatment of hypertension in care home residents: a systematic review of observational studies. Journal of the American Medical Directors Association, 15(1), https://doi.org/10.1016/j.jamda.2013.06.012

Aim: To describe the prevalence of hypertension in care home residents, its treatment, change in treatment over time, and the achievement of blood pressure (BP) control. Method: The PubMed, Cochrane, Embase, and PsychINFO databases were searched fo... Read More about The treatment of hypertension in care home residents: a systematic review of observational studies.

UK medical teaching about ageing is improving but there is still work to be done: the Second National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine (2013)
Journal Article
Gordon, A. L., Blundell, A., Dhesi, J. K., Forrester-Paton, C., Forrester-Paton, J., Mitchell, H. K., …Gladman, J. R. (2014). UK medical teaching about ageing is improving but there is still work to be done: the Second National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine. Age and Ageing, 43(2), 293-297. https://doi.org/10.1093/ageing/aft207

Introduction: in 2008, a UK national survey of undergraduate teaching about ageing and geriatric medicine identified deficiencies, including failure to adequately teach about elder abuse, pressure ulcers and bio- and social gerontology. We repeated t... Read More about UK medical teaching about ageing is improving but there is still work to be done: the Second National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine.

Experiences of family carers of older people with mental health problems in the acute general hospital: a qualitative study (2013)
Journal Article
Clissett, P., Porock, D., Harwood, R. H., & Gladman, J. R. (2013). Experiences of family carers of older people with mental health problems in the acute general hospital: a qualitative study. Journal of Advanced Nursing, 69(12), https://doi.org/10.1111/jan.12159

Aims To explore the experiences of family carers of people with cognitive impairment during admission to hospital. Background Providing appropriate care in acute hospitals for people with co-morbid cognitive impairment, especially dementia or de... Read More about Experiences of family carers of older people with mental health problems in the acute general hospital: a qualitative study.

The evidence for treating hypertension in older people with dementia: a systematic review (2013)
Journal Article
Beishon, L. C., Harrison, J. K., Harwood, R. H., Robinson, T. G., Gladman, J., & Conroy, S. (2014). The evidence for treating hypertension in older people with dementia: a systematic review. Journal of Human Hypertension, 28(5), 283-287. https://doi.org/10.1038/jhh.2013.107

Hypertension and dementia commonly co-exist in older people, yet guidance is lacking on how to manage these co-existing conditions. The aim of this systematic review was to assess the evidence for the treatment of hypertension in older people with de... Read More about The evidence for treating hypertension in older people with dementia: a systematic review.

The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families (2013)
Journal Article
Clissett, P., Porock, D., Harwood, R. H., & Gladman, J. R. (2013). The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families. International Journal of Nursing Studies, 50(11), https://doi.org/10.1016/j.ijnurstu.2013.03.001

Background Person-centred care has been identified as the ideal approach to caring for people with dementia. Developed in relation to long stay settings, there are challenges to its implementation in acute settings. However, international policy i... Read More about The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families.

Preparation to care for confused older patients in general hospitals: a study of UK health professionals (2013)
Journal Article
Griffiths, A., Knight, A., Harwood, R. H., & Gladman, J. R. (2014). Preparation to care for confused older patients in general hospitals: a study of UK health professionals. Age and Ageing, 43(4), 521-527. https://doi.org/10.1093/ageing/aft171

Background and Objective: in the UK, two-thirds of patients in general hospitals are older than 70, of whom half have dementia or delirium or both. Our objective was to explore doctors, nurses and allied health professionals' perceptions of their pre... Read More about Preparation to care for confused older patients in general hospitals: a study of UK health professionals.

REFINE (REducing Falls in In-patieNt Elderly) using bed and bedside chair pressure sensors linked to radio-pagers in acute hospital care: a randomised controlled trial (2013)
Journal Article
Sahota, O., Drummond, A., Kendrick, D., Grainge, M. J., Vass, C., Sach, T., …Avis, M. (2014). REFINE (REducing Falls in In-patieNt Elderly) using bed and bedside chair pressure sensors linked to radio-pagers in acute hospital care: a randomised controlled trial. Age and Ageing, 43(2), 247-253. https://doi.org/10.1093/ageing/aft155

Background: falls in hospitals are a major problem and contribute to substantial healthcare burden. Advances in sensor technology afford innovative approaches to reducing falls in acute hospital care. However, whether these are clinically effective a... Read More about REFINE (REducing Falls in In-patieNt Elderly) using bed and bedside chair pressure sensors linked to radio-pagers in acute hospital care: a randomised controlled trial.

Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial (2013)
Journal Article
Edmans, J., Bradshaw, L., Franklin, M., Gladman, J. R., & Conroy, S. (2013). Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial. BMJ, 347(7932), Article 9. https://doi.org/10.1136/bmj.f5874

Objective To evaluate the effect of specialist geriatric medical management on the outcomes of at risk older people discharged from acute medical assessment units. Design Individual patient randomised controlled trial comparing intervention with u... Read More about Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial.

Disruption, control and coping: responses of and to the person with dementia in hospital (2013)
Journal Article
Porock, D., Clissett, P., Harwood, R. H., & Gladman, J. R. (2015). Disruption, control and coping: responses of and to the person with dementia in hospital. Ageing and Society, 35(1), https://doi.org/10.1017/S0144686X13000561

This qualitative study aimed to gain insight into the experience of hospitalisation from the perspectives of the older person with dementia, their family care-giver and other patients sharing the ward (co-patients). Non-participant observation of car... Read More about Disruption, control and coping: responses of and to the person with dementia in hospital.

Explaining the barriers to and tensions in delivering effective healthcare in UK care homes: a qualitative study (2013)
Journal Article
Robbins, I., Gordon, A., Dyas, J., Logan, P. A., & Gladman, J. R. (2013). Explaining the barriers to and tensions in delivering effective healthcare in UK care homes: a qualitative study. BMJ Open, 3(7), Article e003178. https://doi.org/10.1136/bmjopen-2013-003178

Objective: To explain the current delivery of healthcare to residents living in UK care homes. Design: Qualitative interview study using a grounded theory approach. Setting: 6 UK care homes and primary care professionals serving the homes. P... Read More about Explaining the barriers to and tensions in delivering effective healthcare in UK care homes: a qualitative study.

Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs (2013)
Journal Article
Bradshaw, L., Goldberg, S. E., Lewis, S. A., Whittamore, K., Gladman, J. R., Jones, R. G., & Harwood, R. H. (2013). Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs. Age and Ageing, 42(5), https://doi.org/10.1093/ageing/aft074

BACKGROUND: two-thirds of older patients admitted as an emergency to a general hospital have co-existing mental health problems including delirium, dementia and depression. This study describes the outcomes of older adults with co-morbid mental heal... Read More about Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs.

The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards (2013)
Journal Article
Whittamore, K. H., Goldberg, S. E., Gladman, J. R., Bradshaw, L. E., Jones, R. G., & Harwood, R. H. (2013). The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards. International Journal of Geriatric Psychiatry, 29(1), https://doi.org/10.1002/gps.3961

Keywords: older person;delirium;Delirium Rating Scale;validity;prognosis;diagnosis;general hospital Objectives This paper aimed to measure the prevalence and outcomes of delirium for patients over 70 admitted to a general hospital for acute medica... Read More about The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards.

Why are family carers of people with dementia dissatisfied with general hospital care?: a qualitative study (2012)
Journal Article
Jurgens, F. J., Clissett, P., Gladman, J. R., & Harwood, R. H. (2012). Why are family carers of people with dementia dissatisfied with general hospital care?: a qualitative study. BMC Geriatrics, 12(57), Article 1. https://doi.org/10.1186/1471-2318-12-57

Background Families and other carers report widespread dissatisfaction with general hospital care for confused older people. Methods We undertook a qualitative interviews study of 35 family carers of 34 confused older patients to ascertain their... Read More about Why are family carers of people with dementia dissatisfied with general hospital care?: a qualitative study.

Are we teaching our students what they need to know about ageing? Results from the National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine (2010)
Journal Article
Gordon, A., Blundell, A. G., Gladman, J. R., & Masud, T. (2010). Are we teaching our students what they need to know about ageing? Results from the National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine. Age and Ageing, 29(3), https://doi.org/10.1093/ageing/afq011

Introduction - Learning about ageing and the appropriate management of older patients is important for all doctors. This survey set out to evaluate what medical undergraduates in the UK are taught about ageing and geriatric medicine and how this tea... Read More about Are we teaching our students what they need to know about ageing? Results from the National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine.

REFINE (Reducing Falls in In-patient Elderly): a randomised controlled trial (2009)
Journal Article
Vass, C. D., Sahota, O., Drummond, A., Kendrick, D., Gladman, J., Sach, T., …Grainge, M. (2009). REFINE (Reducing Falls in In-patient Elderly): a randomised controlled trial. Trials, 10, Article 83. https://doi.org/10.1186/1745-6215-10-83

Background: Falls in hospitals are common, resulting in injury and anxiety to patients, and large costs to NHS organisations. More than half of all in-patient falls in elderly people in acute care settings occur at the bedside, during transfers or wh... Read More about REFINE (Reducing Falls in In-patient Elderly): a randomised controlled trial.

Multifactorial day hospital intervention to reduce falls in high risk older people in primary care: a multi-centre randomised controlled trial [ISRCTN46584556] (2006)
Journal Article
Masud, T., Coupland, C., Drummond, A. E., Gladman, J. R., Kendrick, D., Sach, T., …Conroy, S. (2006). Multifactorial day hospital intervention to reduce falls in high risk older people in primary care: a multi-centre randomised controlled trial [ISRCTN46584556]. Trials, 7(1), Article 10. https://doi.org/10.1186/1745-6215-7-5

Falls in older people are a major public health concern in terms of morbidity, mortality and cost. Previous studies suggest that multifactorial interventions can reduce falls, and many geriatric day hospitals are now offering falls intervention progr... Read More about Multifactorial day hospital intervention to reduce falls in high risk older people in primary care: a multi-centre randomised controlled trial [ISRCTN46584556].

A randomised controlled trial of a care home rehabilitation service to reduce long-term institutionalisation for elderly people (2004)
Journal Article
Fleming, S. A., Blake, H., Gladman, J. R., Hart, E., Lymbery, M., Dewey, M. E., …Miller, P. (in press). A randomised controlled trial of a care home rehabilitation service to reduce long-term institutionalisation for elderly people. Age and Ageing, 33(4), https://doi.org/10.1093/ageing/afh126

Objectives: to evaluate the effect of a care home rehabilitation service on institutionalisation, health outcomes and service use. Design: randomised controlled trial, stratified by Barthel ADL index, social service sector and whether living alone... Read More about A randomised controlled trial of a care home rehabilitation service to reduce long-term institutionalisation for elderly people.

Sleep in care homes
Journal Article
Gordon, A., & Gladman, J. R. Sleep in care homes. Reviews in Clinical Gerontology, 20(4),

Sleep problems in older adults are common and disturbance in sleep is associated with increased mortality. These problems are more pronounced in the care home population because of institutional factors and a high prevalence of frailty and comorbidi... Read More about Sleep in care homes.

Care homes, their communities, and resilience in the face of the COVID-19 pandemic: interim findings from a qualitative study
Working Paper
Marshall, F., Gordon, A. L., Gladman, J. R., & Bishop, S. (2020). Care homes, their communities, and resilience in the face of the COVID-19 pandemic: interim findings from a qualitative study

Background: From late February 2020, English care homes rapidly adapted their practices in response to the COVID-19 pandemic. In addition to accommodating new guidelines and policies, staff had to adjust to rapid reconfiguration of services external... Read More about Care homes, their communities, and resilience in the face of the COVID-19 pandemic: interim findings from a qualitative study.