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Outputs (99)

Using healthcare systems data for outcomes in clinical trials: issues to consider at the design stage (2024)
Journal Article
Toader, A., Campbell, M. K., Quint, J. K., Robling, M., Sydes, M. R., Thorn, J., …Williamson, P. (2024). Using healthcare systems data for outcomes in clinical trials: issues to consider at the design stage. Trials, 25(1), Article 94. https://doi.org/10.1186/s13063-024-07926-z

Background: Healthcare system data (HSD) are increasingly used in clinical trials, augmenting or replacing traditional methods of collecting outcome data. This study, PRIMORANT, set out to identify, in the UK context, issues to be considered before t... Read More about Using healthcare systems data for outcomes in clinical trials: issues to consider at the design stage.

Realist Evaluation Comparison of Dementia-Friendly Communities in England and the Netherlands (2024)
Journal Article
Chadborn, N. H., Thijssen, M., Logan, P., Radford, K., & Graff, M. (2024). Realist Evaluation Comparison of Dementia-Friendly Communities in England and the Netherlands. Health and Social Care in the Community, 2024, Article 5576029. https://doi.org/10.1155/2024/5576029

Introduction. Dementia-friendly communities coordinate activities and events which offer social inclusion and participation of people with dementia. Initiatives can include memory cafés, sports, and tourist and heritage visits. This study explored ho... Read More about Realist Evaluation Comparison of Dementia-Friendly Communities in England and the Netherlands.

Evaluation of a COVID‐19 fundamental nursing care guideline versus usual care: The COVID‐NURSE cluster randomized controlled trial (2023)
Journal Article
Richards, D. A., Bollen, J., Jones, B., Melendez-Torres, G. J., Hulme, C., Cockcroft, E., …Wootton, S. (in press). Evaluation of a COVID‐19 fundamental nursing care guideline versus usual care: The COVID‐NURSE cluster randomized controlled trial. Journal of Advanced Nursing, https://doi.org/10.1111/jan.15959

Aim: To evaluate the impact of usual care plus a fundamental nursing care guideline compared to usual care only for patients in hospital with COVID‐19 on patient experience, care quality, functional ability, treatment outcomes, nurses' moral distress... Read More about Evaluation of a COVID‐19 fundamental nursing care guideline versus usual care: The COVID‐NURSE cluster randomized controlled trial.

The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia (PrAISED) (2023)
Journal Article
Lorito, C. D., Van Der Wardt, V., Pollock, K., Howe, L., Booth, V., Logan, P., …Harwood, R. H. (2023). The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia (PrAISED). Age and Ageing, 52(8), Article afad166. https://doi.org/10.1093/ageing/afad166

Background. The PRomoting Activity, Independence and Stability in Early Dementia (PrAISED) study delivered an exercise and functional activity programme to participants living with dementia. A Randomised Controlled Trial (RCT) showed no measurable be... Read More about The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia (PrAISED).

The impact of ageing on adults with cerebral palsy (2023)
Journal Article
Bell, B., Shah, S., Coulson, N., McLaughlin, J., Logan, P., Luke, R., & Avery, A. J. (2023). The impact of ageing on adults with cerebral palsy. British Journal of General Practice Open, 7(4), Article 0028. https://doi.org/10.3399/BJGPO.2023.0028

Background Cerebral palsy (CP) is one of the most common neurological disorders in children and results in lifelong physical impairments. Adults with CP have approximately the same life expectancy as their non-disabled peers, so helping them to stay... Read More about The impact of ageing on adults with cerebral palsy.

The co-design of an exercise-based, lifestyle intervention for people with venous leg ulcers; a self-care, expert-supported strategy for a chronic condition (2023)
Journal Article
McIntosh, E., Horspool, M., Levesley, M., Logan, P., & Klonizakis, M. (2023). The co-design of an exercise-based, lifestyle intervention for people with venous leg ulcers; a self-care, expert-supported strategy for a chronic condition. International Wound Journal, 20(7), 2528-2539. https://doi.org/10.1111/iwj.14117

Exercise is recommended as an adjunct treatment, alongside compression therapy to increase venous leg ulcer (VLU) wound healing times, however, there are no published programmes available that support patients to exercise at home on their own. To dev... Read More about The co-design of an exercise-based, lifestyle intervention for people with venous leg ulcers; a self-care, expert-supported strategy for a chronic condition.

“We Just Don’t Know Where They Are”: The Geographical Distribution of Exercise Classes for Older People, Including Those Living with Dementia in the East Midlands (2023)
Journal Article
Long, A., Timmons, S., Di Lorito, C., Booth, V., & Logan, P. (2023). “We Just Don’t Know Where They Are”: The Geographical Distribution of Exercise Classes for Older People, Including Those Living with Dementia in the East Midlands. International Journal of Environmental Research and Public Health, 20(3), Article 2142. https://doi.org/10.3390/ijerph20032142

Older people living with dementia are advised to exercise to remain independent. Although several exercise classes for older people take place across the UK, there is limited information about the geographical distribution of these classes. This stud... Read More about “We Just Don’t Know Where They Are”: The Geographical Distribution of Exercise Classes for Older People, Including Those Living with Dementia in the East Midlands.

Approaches to co-production of research in care homes: a scoping review (2022)
Journal Article
Bowles, F. V., Logan, P. A., Timmons, S., & Robinson, K. R. (2022). Approaches to co-production of research in care homes: a scoping review. Research Involvement and Engagement, 8(1), Article 74. https://doi.org/10.1186/s40900-022-00408-z

Background: Using the technique of co-production to develop research is considered good practice. Co-production involves the public, practitioners and academics working together as equals throughout a research project. Co-production may help develop... Read More about Approaches to co-production of research in care homes: a scoping review.

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.

An investigation of Reablement or restorative homecare interventions  and outcome effects: A systematic review of randomised control trials (2022)
Journal Article
Bennett, C., Allen, F., Hodge, S., & Logan, P. (2022). An investigation of Reablement or restorative homecare interventions  and outcome effects: A systematic review of randomised control trials. Health and Social Care in the Community, 30(6), e6586-e6600. https://doi.org/10.1111/hsc.14108

The effect of Reablement, a multi-faceted intervention is unclear, specifically, which interventions improve outcomes. This Systematic Review evaluates randomised controlled trials (RCTs) describing Reablement investigating the population, interventi... Read More about An investigation of Reablement or restorative homecare interventions  and outcome effects: A systematic review of randomised control trials.

Pre- and post-operative voice therapy (PaPOV): Development of an intervention for patients with benign vocal fold lesions (2022)
Journal Article
White, A., Carding, P., Booth, V., & Logan, P. (2023). Pre- and post-operative voice therapy (PaPOV): Development of an intervention for patients with benign vocal fold lesions. International Journal of Language and Communication Disorders, 58(1), 94-110. https://doi.org/10.1111/1460-6984.12771

Background: Pre- and post-operative voice therapy may improve voice and quality-of-life outcomes for patients undergoing phonosurgery to remove benign vocal fold lesions (BVFLs). However, what constitutes voice therapy in this population is poorly de... Read More about Pre- and post-operative voice therapy (PaPOV): Development of an intervention for patients with benign vocal fold lesions.

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.

Clinical and cost-effectiveness of a personalised health promotion intervention enabling independence in older people with mild frailty (‘HomeHealth’) compared to treatment as usual: study protocol for a randomised controlled trial (2022)
Journal Article
Frost, R., Avgerinou, C., Goodman, C., Clegg, A., Hopkins, J., Gould, R. L., …Walters, K. (2022). Clinical and cost-effectiveness of a personalised health promotion intervention enabling independence in older people with mild frailty (‘HomeHealth’) compared to treatment as usual: study protocol for a randomised controlled trial. BMC Geriatrics, 22(1), Article 485. https://doi.org/10.1186/s12877-022-03160-x

Background: Frailty is clinically associated with multiple adverse outcomes, including reduced quality of life and functioning, falls, hospitalisations, moves to long-term care and mortality. Health services commonly focus on the frailest, with highe... Read More about Clinical and cost-effectiveness of a personalised health promotion intervention enabling independence in older people with mild frailty (‘HomeHealth’) compared to treatment as usual: study protocol for a randomised controlled trial.

Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with COVID-19 caused by infection with the SARS-COV-2 virus: Results from the ‘COVID-NURSE’survey (2022)
Journal Article
Sugg, H. V. R., Richards, D. A., Russell, A. M., Burnett, S., Cockcroft, E. J., Thompson Coon, J., …Whear, R. (2023). Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with COVID-19 caused by infection with the SARS-COV-2 virus: Results from the ‘COVID-NURSE’survey. Journal of Advanced Nursing, 79(3), 1003-1017. https://doi.org/10.1111/jan.15261

Aims: To identify strategies used by registered nurses and non-registered nursing care staff in overcoming barriers when providing fundamental nursing care for non-invasively ventilated inpatients with COVID-19. Design: Online survey with open-ended... Read More about Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with COVID-19 caused by infection with the SARS-COV-2 virus: Results from the ‘COVID-NURSE’survey.

The COVID-19 pandemic has highlighted the need to invest in care home research infrastructure (2022)
Journal Article
Gordon, A. L., Rick, C., Juszczak, E., Montgomery, A., Howard, R., Guthrie, B., …Tate, V. (2022). The COVID-19 pandemic has highlighted the need to invest in care home research infrastructure. Age and Ageing, 51(3), Article afac052. https://doi.org/10.1093/ageing/afac052

The COVID-19 pandemic resulted in catastrophic levels of morbidity and mortality for care home residents. Despite this, research platforms for COVID-19 in care homes arrived late in the pandemic compared with other care settings. The Prophylactic The... Read More about The COVID-19 pandemic has highlighted the need to invest in care home research infrastructure.

‘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.

Rehabilitation potential in older people living with frailty: a systematic mapping review (2021)
Journal Article
Cowley, A., Goldberg, S. E., Gordon, A. L., & Logan, P. A. (2021). Rehabilitation potential in older people living with frailty: a systematic mapping review. BMC Geriatrics, 21(1), Article 533. https://doi.org/10.1186/s12877-021-02498-y

Background: Following periods of acute ill-health and injury, older people are frequently assessed and provided with rehabilitation services. Healthcare practitioners are required to make nuanced decisions about which patients are likely to benefit f... Read More about Rehabilitation potential in older people living with frailty: a systematic mapping review.

Exploring the benefits and barriers to Nordic walking in people with Parkinson's disease: a feasibility study (2021)
Journal Article
McCracken, S., Logan, P., Anthony, K., & Parr, J. (2021). Exploring the benefits and barriers to Nordic walking in people with Parkinson's disease: a feasibility study. British Journal of Neuroscience Nursing, 17(5), 193-202. https://doi.org/10.12968/bjnn.2021.17.5.193

Background - Nordic Walking (NW) has shown promising outcomes for people with Parkinson’s Disease (PwPD). Aim - To explore implementation of NW in the National Health Service. Method - Literature review and feasibility study. PwPD joined an e... Read More about Exploring the benefits and barriers to Nordic walking in people with Parkinson's disease: a feasibility study.

Impact of COVID‐19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review (2021)
Journal Article
Whear, R., Abbott, R. A., Bethel, A., Richards, D. A., Logan, P. A., Garside, R., …Thompson Coon, J. (2022). Impact of COVID‐19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review. Journal of Advanced Nursing, 78(1), 78-108. https://doi.org/10.1111/jan.15047

Aim This systematic review identifies, appraises and synthesizes the evidence on the provision of fundamental nursing care to hospitalized patients with a highly infectious virus and the effectiveness of adaptations to overcome barriers to care.... Read More about Impact of COVID‐19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review.

Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight (2021)
Journal Article
Goodwin, R., Moffatt, F., Hendrick, P., Stynes, S., Bishop, A., & Logan, P. (2021). Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight. Physiotherapy, 113, 209-216. https://doi.org/10.1016/j.physio.2021.08.003

Objective: First Contact Physiotherapy (FCP) is a primary care model where expert musculoskeletal (MSK) physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity. The authors report the qualitative... Read More about Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight.

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.

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

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

COVID-NURSE: evaluation of a fundamental nursing care protocol compared with care as usual on experience of care for noninvasively ventilated patients in hospital with the SARS-CoV-2 virus—protocol for a cluster randomised controlled trial (2021)
Journal Article
Richards, D. A., Sugg, H. V., Cockcroft, E., Cooper, J., Cruickshank, S., Doris, F., …Romanczuk, L. (2021). COVID-NURSE: evaluation of a fundamental nursing care protocol compared with care as usual on experience of care for noninvasively ventilated patients in hospital with the SARS-CoV-2 virus—protocol for a cluster randomised controlled trial. BMJ Open, 11(5), Article e046436. https://doi.org/10.1136/bmjopen-2020-046436

Introduction Patient experience of nursing care is correlated with safety, clinical effectiveness, care quality, treatment outcomes and service use. Effective nursing care includes actions to develop nurse–patient relationships and deliver physical a... Read More about COVID-NURSE: evaluation of a fundamental nursing care protocol compared with care as usual on experience of care for noninvasively ventilated patients in hospital with the SARS-CoV-2 virus—protocol for a cluster randomised controlled trial.

Keeping adults physically active after falls management exercise (FaME) programmes end: Development of a physical activity maintenance intervention (2021)
Journal Article
Sarah, A., Kendrick, D., Logan, P., & Orton, E. (2021). Keeping adults physically active after falls management exercise (FaME) programmes end: Development of a physical activity maintenance intervention. Pilot and Feasibility Studies, 7, Article 108. https://doi.org/10.1186/s40814-021-00844-w

Background: Falls prevention exercise programmes help to improve muscle strength, balance, physical function and reduce falling rates in older adults. Improvements in muscle strength, balance and physical function are reversed if older adults do not... Read More about Keeping adults physically active after falls management exercise (FaME) programmes end: Development of a physical activity maintenance intervention.

Exploring rehabilitation potential in older people living with frailty: a qualitative focus group study (2021)
Journal Article
Cowley, A., Goldberg, S. E., Gordon, A. L., Kerr, M., & Logan, P. (2021). Exploring rehabilitation potential in older people living with frailty: a qualitative focus group study. BMC Geriatrics, 21(1), 1-11. https://doi.org/10.1186/s12877-021-02107-y

Background: Rehabilitation interventions are frequently cited as key in supporting frail older people’s recovery following periods of decompensation and acute ill-health. Clinicians are required to make decisions about a patient’s potential to respon... Read More about Exploring rehabilitation potential in older people living with frailty: a qualitative focus group study.

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.

‘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.

Protocol for the process evaluation of the Promoting Activity, Independence and stability in early Dementia (PrAISED), following changes required by the COVID-19 pandemic (2020)
Journal Article
Di Lorito, C., Bosco, A., Goldberg, S., das Nair, R., O'Brien, R., Howe, L., …Harwood, R. (2020). Protocol for the process evaluation of the Promoting Activity, Independence and stability in early Dementia (PrAISED), following changes required by the COVID-19 pandemic. BMJ Open, 10(8), https://doi.org/10.1136/bmjopen-2020-039305

Introduction. The PrAISED Randomised Controlled Trial (RCT) is evaluating a home-based, face-to-face, individually tailored, activity and exercise programme for people living with dementia. Social distancing requirements following the COVID-19 pandem... Read More about Protocol for the process evaluation of the Promoting Activity, Independence and stability in early Dementia (PrAISED), following changes required by the COVID-19 pandemic.

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.

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.

A randomised feasibility study assessing an intervention to keep adults physically active after falls management exercise programmes end (2020)
Journal Article
Audsley, S., Kendrick, D., Logan, P., Jones, M., & Orton, E. (2020). A randomised feasibility study assessing an intervention to keep adults physically active after falls management exercise programmes end. Pilot and Feasibility Studies, 6, Article 37. https://doi.org/10.1186/s40814-020-00570-9

Background: Physical inactivity contributes to disability and falls in older adults. Falls prevention exercise (FaME) programmes improve physical activity, physical function and reduce falling rates. Improvements in physical function reduce, and fall... Read More about A randomised feasibility study assessing an intervention to keep adults physically active after falls management exercise programmes end.

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

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

First point of contact physiotherapy; a qualitative study (2020)
Journal Article
Logan, P., Goodwin, R., Moffatt, F., Timmons, S., Chadborn, N., & Hendrick, P. (2020). First point of contact physiotherapy; a qualitative study. Physiotherapy, 108, 29-36. https://doi.org/10.1016/j.physio.2020.02.003

© 2020 The Authors Objectives: First point of contact physiotherapy (FPCP) provides patients direct access to a physiotherapist. Literature demonstrates efficacy of FPCP. Evidence has highlighted the need for cultural shifts from both patient and pro... Read More about First point of contact physiotherapy; a qualitative 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.

Reflections on qualitative data analysis training for PPI partners and its implementation into practice (2019)
Journal Article
Cowley, A., Kerr, M., Darby, J., & Logan, P. (2019). Reflections on qualitative data analysis training for PPI partners and its implementation into practice. Research Involvement and Engagement, 5(1), Article 22. https://doi.org/10.1186/s40900-019-0156-0

Service users should be involved in every part of the research process, including analysis of qualitative research data such as interviews and focus groups. To enhance their participation, confidence and contributions, training and support for both t... Read More about Reflections on qualitative data analysis training for PPI partners and its implementation into practice.

Regaining Confidence after Stroke (RCAS): a feasibility randomised controlled trial (RCT) (2019)
Journal Article
Horne, J. C., Hooban, K. E., Lincoln, N. B., & Logan, P. (2019). Regaining Confidence after Stroke (RCAS): a feasibility randomised controlled trial (RCT). Pilot and Feasibility Studies, 5, 1-12. https://doi.org/10.1186/s40814-019-0480-z

Background: The Regaining Confidence after Stroke Course (RCAS) was designed to facilitate adjustment for people with stroke discharged from rehabilitation. The aim of the trial was to evaluate the feasibility of conducting a randomised trial to comp... Read More about Regaining Confidence after Stroke (RCAS): a feasibility randomised controlled trial (RCT).

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

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

Barriers and facilitators of loaded self-managed exercises and physical activity in people with patellofemoral pain: understanding the feasibility of delivering a multi-centred randomised controlled trial, a UK qualitative study (2019)
Journal Article
Smith, B. E., Moffatt, F., Hendrick, P., Bateman, M., Selfe, J., Rathleff, M. S., …Logan, P. (2019). Barriers and facilitators of loaded self-managed exercises and physical activity in people with patellofemoral pain: understanding the feasibility of delivering a multi-centred randomised controlled trial, a UK qualitative study. BMJ Open, 9(6), https://doi.org/10.1136/bmjopen-2018-023805

Objectives: There is an emergent body of evidence supporting exercise therapy and physical activity in the management of musculoskeletal pain. The purpose of this study was to explore potential barriers and facilitators with patients and physiotherap... Read More about Barriers and facilitators of loaded self-managed exercises and physical activity in people with patellofemoral pain: understanding the feasibility of delivering a multi-centred randomised controlled trial, a UK qualitative study.

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

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

A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study (2019)
Journal Article
Smith, B. E., Hendrick, P., Bateman, M., Moffatt, F., Skovdal Rathleff, M., Selfe, J., …Logan, P. (2019). A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study. BMC Musculoskeletal Disorders, 20, Article 129. https://doi.org/10.1186/s12891-019-2516-1

Background: A novel loaded self-managed exercise programme that includes pain education and self-management strategies may result in better outcomes for people with patellofemoral pain (PFP). However, establishing program feasibility is an essential... Read More about A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study.

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

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

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

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

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

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

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).

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

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

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

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

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.

Clinical assessment of depth sensor based pose estimation algorithms for technology supervised rehabilitation applications (2018)
Journal Article
Sarsfield, J., Brown, D., Sherkat, N., Langensiepen, C., Lewis, J., Taheri, M., …Hughes, E. (2019). Clinical assessment of depth sensor based pose estimation algorithms for technology supervised rehabilitation applications. International Journal of Medical Informatics, 121, 30-38. https://doi.org/10.1016/j.ijmedinf.2018.11.001

Encouraging rehabilitation by the use of technology in the home can be a cost-effective strategy, particularly if consumer-level equipment can be used. We present a clinical qualitative and quantitative analysis of the pose estimation algorithms of a... Read More about Clinical assessment of depth sensor based pose estimation algorithms for technology supervised rehabilitation applications.

Musculoskeletal pain and exercise—challenging existing paradigms and introducing new (2018)
Journal Article
Smith, B. E., Hendrick, P., Bateman, M., Holden, S., Littlewood, C., Smith, T. O., & Logan, P. (2018). Musculoskeletal pain and exercise—challenging existing paradigms and introducing new. British Journal of Sports Medicine, 53(14), 907-912. https://doi.org/10.1136/bjsports-2017-098983

Traditional pain models that describe tissue pathology as a source of nocioceptive input directly linked with pain expression, have been insufficient for assessing and treating musculoskeletal pain. The need for pain to be avoided or alleviated as m... Read More about Musculoskeletal pain and exercise—challenging existing paradigms and introducing new.

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.

The experience of living with patellofemoral pain—loss, confusion and fear-avoidance: a UK qualitative study (2018)
Journal Article
Smith, B. E., Moffatt, F., Hendrick, P., Bateman, M., Rathleff, M. S., Selfe, J., …Logan, P. (2018). The experience of living with patellofemoral pain—loss, confusion and fear-avoidance: a UK qualitative study. BMJ Open, 8(1), Article e018624. https://doi.org/10.1136/bmjopen-2017-018624

Objectives: To investigate the experience of living with patellofemoral pain. Design: Qualitative study design using semi-structured interviews, and analysed thematically using the guidelines set out by Braun and Clarke. Setting: A National... Read More about The experience of living with patellofemoral pain—loss, confusion and fear-avoidance: a UK qualitative study.

Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis (2018)
Journal Article
Smith, B. E., Selfe, J., Thacker, D., Hendrick, P., Bateman, M., Moffatt, F., …Logan, P. (2018). Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PLoS ONE, 13(1), Article e0190892. https://doi.org/10.1371/journal.pone.0190892

Background: Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of... Read More about Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis.

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.

Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain (2017)
Journal Article
Smith, B. E., Hendrick, P., Bateman, M., Moffatt, F., Rathleff, M. S., Selfe, J., …Logan, P. (2017). Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain. Pilot and Feasibility Studies, 4(24), https://doi.org/10.1186/s40814-017-0167-2

Background: Patellofemoral pain (PFP) is one of the most common forms of knee pain in adults under the age of 40, with a prevalence of 23% in the general population. The long-term prognosis is poor, with only one third of people pain-free 1 year afte... Read More about Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain.

Should exercises be painful in the management of chronic musculoskeletal pain?: a systematic review and meta-analysis (2017)
Journal Article
Smith, B. E., Hendrick, P., Smith, T. O., Bateman, M., Moffatt, F., Rathleff, M. S., …Logan, P. (2017). Should exercises be painful in the management of chronic musculoskeletal pain?: a systematic review and meta-analysis. British Journal of Sports Medicine, 51(23), https://doi.org/10.1136/bjsports-2016-097383

Background: Chronic musculoskeletal disorders are a prevalent and costly global health issue. A new form of exercise therapy focused on loading and resistance programmes that temporarily aggravates a patient’s pain has been proposed. The object of th... Read More about Should exercises be painful in the management of chronic musculoskeletal pain?: a systematic review and meta-analysis.

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

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

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

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

Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists (2017)
Journal Article
Smith, B. E., Hendrick, P., Bateman, M., Moffatt, F., Rathleff, M. S., Selfe, J., …Logan, P. (2017). Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists. BMC Musculoskeletal Disorders, 18, Article 181. https://doi.org/10.1186/s12891-017-1539-8

Background: Patellofemoral pain (PFP) is considered one of the commonest forms of knee pain. This study aimed to identify how physiotherapists in the United Kingdom (UK) currently manage patellofemoral pain (PFP), particularly in relation to exercise... Read More about Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists.

Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence (2017)
Journal Article
Horne, J., Lincoln, N., & Logan, P. (2017). Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence. Clinical Rehabilitation, 31(11), 1529-1537. https://doi.org/10.1177/0269215517705424

Objective: To design, develop and psychometrically evaluate a stroke specific measure of confidence, the Confidence after Stroke Measure (CaSM) Design: Cross-sectional Setting: Adults in the community Participants: Stroke survivors and healthy eld... Read More about Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence.

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.

The Community In-reach Rehabilitation and Care Transition (CIRACT) clinical and cost-effectiveness randomisation controlled trial in older people admitted to hospital as an acute medical emergency (2016)
Journal Article
Sahota, O., Pulikottil-Jacob, R., Marshall, F., Montgomery, A., Tan, W., Sach, T., …Waring, J. (in press). The Community In-reach Rehabilitation and Care Transition (CIRACT) clinical and cost-effectiveness randomisation controlled trial in older people admitted to hospital as an acute medical emergency. Age and Ageing, 46(1), https://doi.org/10.1093/ageing/afw149

Objective: To compare the clinical and cost-effectiveness of a Community In-reach Rehabilitation and Care Transition (CIRACT) service with the traditional hospital-based rehabilitation (THB-Rehab) service. Design: Pragmatic randomised controlled... Read More about The Community In-reach Rehabilitation and Care Transition (CIRACT) clinical and cost-effectiveness randomisation controlled trial in older people admitted to hospital as an acute medical emergency.

Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR): study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture (2016)
Journal Article
Williams, N. H., Roberts, J. L., Ud Din, N., Totton, N., Charles, J. M., Hawkes, C. A., …Wilkinson, C. (2016). Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR): study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture. BMJ Open, 6(10), 1-13. https://doi.org/10.1136/bmjopen-2016-012422

Objective: To conduct a rigorous feasibility study for a future definitive parallel-group randomised controlled trial (RCT) and economic evaluation of an enhanced rehabilitation package for hip fracture. Setting: Recruitment from 3 acute hospitals... Read More about Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR): study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture.

A systematic mapping review of outdoor activities and mobility in care homes (2016)
Journal Article
King, A., Chadborn, N., Gordon, A. L., & Logan, P. A. (2016). A systematic mapping review of outdoor activities and mobility in care homes. Journal of Advanced Nursing, 72(S1), https://doi.org/10.1111/jan.13079

Background: Care home residents should be offered opportunities to participate in meaningful activities in an environment of their choice (National Institute for Health and Care Excellence, 2013). Whilst outdoor activities and mobility are believed t... Read More about A systematic mapping review of outdoor activities and mobility in care homes.

Understanding the theoretical underpinning of the exercise component in a fall prevention programme for older adults with mild dementia: a realist review protocol (2016)
Journal Article
Booth, V., Harwood, R. H., Hood, V., Masud, T., & Logan, P. A. (2016). Understanding the theoretical underpinning of the exercise component in a fall prevention programme for older adults with mild dementia: a realist review protocol. Systematic Reviews, 5, Article 119. https://doi.org/10.1186/s13643-016-0212-x

Background Older adults with mild dementia are at an increased risk of falls. Preventing those at risk from falling requires complex interventions involving patient-tailored strength- and balance-challenging exercises, home hazard assessment, visu... Read More about Understanding the theoretical underpinning of the exercise component in a fall prevention programme for older adults with mild dementia: a realist review protocol.

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.

Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis – the Community In-reach Rehabilitation And Care Transition (CIRACT) study (2016)
Journal Article
Sahota, O., Pulikottil-Jacob, R., Marshall, F., Montgomery, A., Tan, W., Sach, T., …Waring, J. (2016). Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis – the Community In-reach Rehabilitation And Care Transition (CIRACT) study. Health Services and Delivery Research, 4(7), https://doi.org/10.3310/hsdr04070

Background: Older people represent a significant proportion of patients admitted to hospital as a medical emergency. Compared with the care of younger patients, their care is more challenging, their stay in hospital is much longer, their risk of ho... Read More about Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis – the Community In-reach Rehabilitation And Care Transition (CIRACT) study.

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.

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.

Patellofemoral pain: challenging current practice – a case report (2015)
Journal Article
Smith, B. E., Hendrick, P., & Logan, P. (2016). Patellofemoral pain: challenging current practice – a case report. Manual Therapy, 22, https://doi.org/10.1016/j.math.2015.09.002

Patellofemoral pain (PFP) is a common problem in young people, with 1 in 6 suffering at any one time. It is unclear which management approach is the optimal method for treating PFP in the long term, with traditional physiotherapy examination focusing... Read More about Patellofemoral pain: challenging current practice – a case report.

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.

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

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

Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services: an observational cohort study (2015)
Journal Article
McCluskey, A., Ada, L., Kelly, P. J., Middleton, S., Goodall, S., Grimshaw, J. M., …Karageorge, A. (2015). Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services: an observational cohort study. BMC Health Services Research, 15, Article 296. https://doi.org/10.1186/s12913-015-0952-7

Background: Community participation is often restricted after stroke, due to reduced confidence and outdoor mobility. Australian clinical guidelines recommend that specific evidence-based interventions be delivered to target these restrictions, such... Read More about Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services: an observational cohort study.

The Association of Specific Executive Functions and Falls Risk in People with Mild Cognitive Impairment and Early-Stage Dementia (2015)
Journal Article
Harwood, R., Logan, P., van der Wardt, V., Logan, P. A., Hood, V., Booth, V., …Harwood, R. H. (2015). The Association of Specific Executive Functions and Falls Risk in People with Mild Cognitive Impairment and Early-Stage Dementia. Dementia and Geriatric Cognitive Disorders, 40(3-4), 178-185. https://doi.org/10.1159/000433523

Background/Aims: Impairment in executive function is associated with a heightened risk for falls in people with mild cognitive impairment (MCI) and dementia. The purpose of this study was to determine which aspects of executive function are assoc... Read More about The Association of Specific Executive Functions and Falls Risk in People with Mild Cognitive Impairment and Early-Stage Dementia.

Systematic review of the epidemiology of non-collision injuries occurring to older people during use of public buses in high income countries (2015)
Journal Article
Kendrick, D., Drummond, A. E., Logan, P., Barnes, J., & Worthington, E. (2015). Systematic review of the epidemiology of non-collision injuries occurring to older people during use of public buses in high income countries. Journal of Transport and Health, 2(3), https://doi.org/10.1016/j.jth.2015.06.002

Each year more than 6,000 people are injured on public buses in the UK, approximately half of whom are aged 65 or over. This review synthesises the published literature on the epidemiology of non-collision injuries occurring in older people using pub... Read More about Systematic review of the epidemiology of non-collision injuries occurring to older people during use of public buses in high income countries.

Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews (2015)
Journal Article
Harwood, R., Booth, V., Booth, V., Logan, P., Harwood, R. H., & Hood, V. (2015). Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews. International Journal of Therapy and Rehabilitation, 22(6), 289-296. https://doi.org/10.12968/ijtr.2015.22.6.289

Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia. Method: A critical, systematic, review of review method was used. Five large electronic databas... Read More about Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews.

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.

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?.

The Community In-Reach and Care Transition (CIRACT) clinical and cost-effectiveness study: study protocol for a randomised controlled trial (2015)
Journal Article
Watson, A., Charlesworth, L., Jacob, R., Kendrick, D., Logan, P., Marshall, F., …Sahota, O. (2015). The Community In-Reach and Care Transition (CIRACT) clinical and cost-effectiveness study: study protocol for a randomised controlled trial. Trials, 16(41), https://doi.org/10.1186/s13063-015-0551-2

Background Older people represent a significant proportion of patients admitted to hospital. Their care compared to younger patients is more challenging, length of stay is longer, risk of hospital-acquired problems higher and the risk of being re-... Read More about The Community In-Reach and Care Transition (CIRACT) clinical and cost-effectiveness study: study protocol for a randomised controlled trial.

First for stroke: using the Microsoft ‘Kinect’ as a facial paralysis stroke rehabilitation tool (2014)
Journal Article
Breedon, P., Russell, A., Logan, P., Newell, O., O’Brien, B., Edmans, J., …Hall, P. (2014). First for stroke: using the Microsoft ‘Kinect’ as a facial paralysis stroke rehabilitation tool. International Journal of Integrated Care, 14(8), https://doi.org/10.5334/ijic.1760

There are around 152,000 incidents of stroke each year in the UK, with 16% of cases having long lasting facial weakness. Most strokes occur after 65 years of age and with people living longer the number of sufferers will continue to increase, making... Read More about First for stroke: using the Microsoft ‘Kinect’ as a facial paralysis stroke rehabilitation tool.

Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia (2014)
Journal Article
Van der Wardt, V., Patel, D. R. K., Gondek, D., Pollock, K., Logan, P., das Nair, R., & Harwood, R. H. (2014). Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia. European Geriatric Medicine, 5(Supp.1), S238. https://doi.org/10.1016/s1878-7649%2814%2970657-6

Introduction: Physical exercise has a positive effect on cognitive functioning, mobility and activities of daily living in people with dementia (Forbes & al., 2013; Pitkälä & al., 2013). Most exercise studies employ motivational strategies to support... Read More about Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia.

Support and assessment for Fall Emergency Referrals (SAFER 1): cluster randomised trial of computerised clinical decision support for paramedics (2014)
Journal Article
Quinn, T. J., Snooks, H. A., Carter, B., Dale, J., Foster, T., Humphreys, I., …Russell, I. T. (2014). Support and assessment for Fall Emergency Referrals (SAFER 1): cluster randomised trial of computerised clinical decision support for paramedics. PLoS ONE, 9(9), Article e106436. https://doi.org/10.1371/journal.pone.0106436

Objective: To evaluate effectiveness, safety and cost-effectiveness of Computerised Clinical Decision Support (CCDS) for paramedics attending older people who fall. Design: Cluster trial randomised by paramedic; modelling. Setting: 13 ambulance... Read More about Support and assessment for Fall Emergency Referrals (SAFER 1): cluster randomised trial of computerised clinical decision support for paramedics.

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.

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).

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.

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.

The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients (2012)
Journal Article
Walker, M. F., Sunderland, A., Fletcher-Smith, J., Drummond, A. E., Logan, P., Edmans, J. A., …Taylor, J. L. (2012). The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients. Clinical Rehabilitation, 26(8), https://doi.org/10.1177/0269215511431089

Objective: To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. Design: Pilot randomized controlled trial. Setting: Inpatient stroke rehabilitation service. Subj... Read More about The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients.

Thinking falls - taking action: development of a guide to action for falls prevention tool (GtA) (2010)
Journal Article
Robertson, K., Logan, P. A., Conroy, S. P., Dodds, V., Gordon, A. L., Challands, L., …Burn, A. (2010). Thinking falls - taking action: development of a guide to action for falls prevention tool (GtA). British Journal of Community Nursing, 15(8),

Clinical guidelines and research papers help clinicians measure and understand the risk of falling in their older clients but very few provide the assessor with recommendations as to which interventions they can use to reduce the risk of a fall. T... Read More about Thinking falls - taking action: development of a guide to action for falls prevention tool (GtA).