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Outputs (109)

Frailty identification and management among Brazilian healthcare professionals: a survey (2024)
Journal Article
Azevedo, P. S., Caldeira De Melo, R., Thomaz de Souza, J., Frost, R., Gavin, J. P., Robinson, K., …Gordon, A. L. (in press). Frailty identification and management among Brazilian healthcare professionals: a survey. BMC Geriatrics, 24(1), Article 486. https://doi.org/10.1186/s12877-024-05020-2

Background: National and international guidelines on frailty assessment and management recommend frailty screening in older people. This study aimed to determine how Brazilian healthcare professionals (HCPs) identify and manage frailty in practice.... Read More about Frailty identification and management among Brazilian healthcare professionals: a survey.

Quality in care homes: How wearable devices and social network analysis might help (2024)
Journal Article
Thompson, C., Gordon, A., Khaliq, K., Daffu-O’Reilly, A., Willis, T., Noakes, C., & Spilsbury, K. (2024). Quality in care homes: How wearable devices and social network analysis might help. PLoS ONE, 19(5), Article e0302478. https://doi.org/10.1371/journal.pone.0302478

Social network analysis can support quality improvement in care homes but traditional approaches to social network analysis are not always feasible in care homes. Recalling contacts and movements in a home is difficult for residents and staff and doc... Read More about Quality in care homes: How wearable devices and social network analysis might help.

Investigating the Implementation of Community-Based Stroke Telerehabilitation in England; A Realist Synthesis Study Protocol (2024)
Journal Article
Chouliara, N., Cameron, T., Ballard-Ridley, S., Fisher, R. J., Kettlewell, J., Kidd, L., …Gordon, A. L. (2024). Investigating the Implementation of Community-Based Stroke Telerehabilitation in England; A Realist Synthesis Study Protocol. Healthcare, 12(10), Article 1027. https://doi.org/10.3390/healthcare12101027

Telerehabilitation (TR) shows promise as a method of remote service delivery, yet there is little guidance to inform implementation in the context of the National Health Service (NHS) in England. This paper presents the protocol for a realist synthes... Read More about Investigating the Implementation of Community-Based Stroke Telerehabilitation in England; A Realist Synthesis Study Protocol.

Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study (2024)
Journal Article
Thomas, S., Littleboy, K., Foubert, J., Nafilyan, V., Bannister, N., Routen, A., …Gordon, A. L. (2024). Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study. Age and Ageing, 53(4), Article afae071. https://doi.org/10.1093/ageing/afae071

Background: Older people with frailty are at risk of harm from immobility or isolation, yet data about how COVID-19 lockdowns affected them are limited. Falls and fractures are easily measurable adverse outcomes correlated with frailty. We investigat... Read More about Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study.

Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff (2024)
Journal Article
Rand, S., Towers, A., Allan, S., Webster, L., Palmer, S., Carroll, R., …Goodman, C. (2024). Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff. Quality of Life Research, 33, 1555-1567. https://doi.org/10.1007/s11136-024-03631-1

Purpose. Rasch analysis and exploratory factor analysis (EFA) were used to evaluate the structural validity of the ASCOT-Proxy measures completed by staff on behalf of older adults resident in care homes, by comparison to the ASCOT-SCT4, the meas... Read More about Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff.

COVID-19 in a Dutch Nursing Home: A Longitudinal Retrospective Care-Home-Level Case Study on Infection Rate, Survival Rate, and Daily Functioning (2023)
Journal Article
de Vries, D., Röhlinger, D., Everink, I., Winkens, B., Heffels, J., Gordon, A., & Schols, J. (2024). COVID-19 in a Dutch Nursing Home: A Longitudinal Retrospective Care-Home-Level Case Study on Infection Rate, Survival Rate, and Daily Functioning. Journal of Clinical Medicine, 13(1), Article 149. https://doi.org/10.3390/jcm13010149

During the pandemic, nursing homes in the Netherlands were heavily affected by COVID-19. This study assesses the impact of COVID-19 on infection rate, survival rate, and daily functioning over the course of two years among residents of a nursing home... Read More about COVID-19 in a Dutch Nursing Home: A Longitudinal Retrospective Care-Home-Level Case Study on Infection Rate, Survival Rate, and Daily Functioning.

‘Smart’ BLE wearables for digital contact tracing in care homes during the COVID-19 pandemic—a process evaluation of the CONTACT feasibility study (2023)
Journal Article
Thompson, C. A., Daffu-O’Reilly, A., Willis, T., Gordon, A., Noakes, C., Khaliq, K., …Spilsbury, K. (2023). ‘Smart’ BLE wearables for digital contact tracing in care homes during the COVID-19 pandemic—a process evaluation of the CONTACT feasibility study. Implementation Science Communications, 4(1), Article 155. https://doi.org/10.1186/s43058-023-00533-0

Background: Rapid and mass transmission of the SARS-CoV-2 virus amongst vulnerable people led to devastating effects from COVID-19 in care homes. The CONTACT intervention introduced Bluetooth Low Energy ‘smart’ wearable devices (BLE wearables) as a b... Read More about ‘Smart’ BLE wearables for digital contact tracing in care homes during the COVID-19 pandemic—a process evaluation of the CONTACT feasibility study.

Developing a list of core competencies for medical aspects of healthcare delivery in care homes: scoping review and Delphi process (2023)
Journal Article
McCarthy, L., Borley, K., Ancelin, T., Carroll, R., Chadborn, N., Blundell, A. G., & Gordon, A. L. (2023). Developing a list of core competencies for medical aspects of healthcare delivery in care homes: scoping review and Delphi process. Age and Ageing, 52(12), Article afad237. https://doi.org/10.1093/ageing/afad237

Background Care Home residents live with frailty and multiple long-term conditions. Their medical management is complex and specialised. We set out to develop a list of core competencies for doctors providing medical care in long-term care homes. M... Read More about Developing a list of core competencies for medical aspects of healthcare delivery in care homes: scoping review and Delphi process.

Data Collection in Care Homes for Older Adults: A National Survey in England (2023)
Journal Article
Hanratty, B., Wolters, A. T., Towers, A. M., Spilsbury, K., Meyer, J., Killett, A., …Goodman, C. (2023). Data Collection in Care Homes for Older Adults: A National Survey in England. Journal of Long-Term Care, 2023, 288-296. https://doi.org/10.31389/jltc.199

Context: In many countries, there is a specification for information that should be collected by care homes. So-called ‘minimum data-sets’ (MDS) are often lengthy, and report on resident health and wellbeing, staff, and facilities. In the UK, the abs... Read More about Data Collection in Care Homes for Older Adults: A National Survey in England.

Whether from a position of strength or weakness, geriatric medicine has work to do to drive up standards in health care for older people (2023)
Journal Article
Gordon, A. L., Martin, F., Mistry, S., Harwood, R. H., & Dhesi, J. (2023). Whether from a position of strength or weakness, geriatric medicine has work to do to drive up standards in health care for older people. Age and Ageing, 52(11), Article afad208. https://doi.org/10.1093/ageing/afad208

• Geriatric medicine is the largest physicianly specialty in the UK, with high levels of competition for available training posts. • Improving care of older people has been the focus of multiple national policy initiatives in the UK over the past dec... Read More about Whether from a position of strength or weakness, geriatric medicine has work to do to drive up standards in health care for older people.

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals (2023)
Journal Article
Frost, R., Robinson, K., Gordon, A., Caldeira de Melo, R., Villas-Boas, P. J. F., Azevedo, P. S., …Gavin, J. P. (2024). Identifying and Managing Frailty: A Survey of UK Healthcare Professionals. Journal of Applied Gerontology, 43(4), 402-412. https://doi.org/10.1177/07334648231206321

Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage... Read More about Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.

ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults 2 with sarcopenia: Results from the LACE trial (2023)
Journal Article
Rossios, C., Bashir, T., Achison, M., Adamson, S., Akpan, A., Aspray, T., …Kemp, P. R. (2023). ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults 2 with sarcopenia: Results from the LACE trial. PLoS ONE, 18(10), Article e0292402. https://doi.org/10.1371/journal.pone.0292402

Background Angiotensin II (AII), has been suggested to promote muscle loss. Reducing AII synthesis, by inhibiting angiotensin converting enzyme (ACE) activity has been proposed as a method to inhibit muscle loss. The LACE clinical trial was designe... Read More about ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults 2 with sarcopenia: Results from the LACE trial.

ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults with sarcopenia: Results from the LACE trial (2023)
Journal Article
Rossios, C., Bashir, T., Achison, M., Adamson, S., Akpan, A., Aspray, T., …Kemp, P. R. (2023). ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults with sarcopenia: Results from the LACE trial. PLoS ONE, 18(10), Article e0292402. https://doi.org/10.1371/journal.pone.0292402

Background: Angiotensin II (AII), has been suggested to promote muscle loss. Reducing AII synthesis, by inhibiting angiotensin converting enzyme (ACE) activity has been proposed as a method to inhibit muscle loss. The LACE clinical trial was designed... Read More about ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults with sarcopenia: Results from the LACE trial.

"Crack on": a qualitative study of care home managers experiences and responses to system-led setbacks during the crisis of the COVID- 19 Pandemic in England (2023)
Journal Article
Marshall, F., Gordon, A. L., Gladman, J. R., & Bishop, S. (2023). "Crack on": a qualitative study of care home managers experiences and responses to system-led setbacks during the crisis of the COVID- 19 Pandemic in England. European Geriatric Medicine, 14(4), 811-821. https://doi.org/10.1007/s41999-023-00804-y

Objectives: To explore care home managers’ experiences of systems working with various organisations, including statutory, third sector and private, during the second wave of the COVID-19 pandemic from Sept 2020 to April 2021 Design: An exploratory q... Read More about "Crack on": a qualitative study of care home managers experiences and responses to system-led setbacks during the crisis of the COVID- 19 Pandemic in England.

Study protocol for the use of time series forecasting and risk analyses to investigate the effect of the COVID-19 pandemic on hospital admissions associated with new-onset disability and frailty in a national, linked electronic health data setting (2023)
Journal Article
Thomas, S., Machuel, P., Foubert, J., Nafilyan, V., Bannister, N., Colvin, H., …Gordon, A. (2023). Study protocol for the use of time series forecasting and risk analyses to investigate the effect of the COVID-19 pandemic on hospital admissions associated with new-onset disability and frailty in a national, linked electronic health data setting. BMJ Open, 13(5), Article e067786. https://doi.org/10.1136/bmjopen-2022-067786

INTRODUCTION: Older people were at particular risk of morbidity and mortality during COVID-19. Consequently, they experienced formal (externally imposed) and informal (self-imposed) periods of social isolation and quarantine. This is hypothesised to... Read More about Study protocol for the use of time series forecasting and risk analyses to investigate the effect of the COVID-19 pandemic on hospital admissions associated with new-onset disability and frailty in a national, linked electronic health data setting.

Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality” (2023)
Journal Article
Großschädl, F., Schoberer, D., Eglseer, D., Lohrmann, C., Everink, I., Gordon, A. L., …Bauer, S. (2023). Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality”. International Journal of Older People Nursing, 18(3), Article e12530. https://doi.org/10.1111/opn.12530

Background: The prevalence of obesity has risen in recent decades and reached epidemic proportions worldwide. The proportion of those living with obesity is also increasing in nursing homes. This could impact the nursing care required, equipment and... Read More about Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality”.

National Early Warning Scores Following Emergency Hospital Transfer: Implications for Care Home Residents (2023)
Journal Article
Barker, R. O., Atkin, C., Hanratty, B., Kingston, A., Cooksley, T., Gordon, A. L., …Lasserson, D. S. (2023). National Early Warning Scores Following Emergency Hospital Transfer: Implications for Care Home Residents. Journal of the American Medical Directors Association, 24(5), 653-656. https://doi.org/10.1016/j.jamda.2023.01.013

Objective: Care home residents have high rates of hospital admission. The UK National Early Warning Score (NEWS2) standardizes the secondary care response to acute illness. However, the ability of NEWS2 to predict adverse health outcomes specifically... Read More about National Early Warning Scores Following Emergency Hospital Transfer: Implications for Care Home Residents.

How to Conduct International Geriatric Rehabilitation Research? (2023)
Journal Article
Haaksma, M. L., Gordon, A. L., van Dam van Isselt, E. F., Schols, J. M., Everink, I. H., Cameron, I. D., …Achterberg, W. P. (2023). How to Conduct International Geriatric Rehabilitation Research?. Journal of Clinical Medicine, 12(3), Article 951. https://doi.org/10.3390/jcm12030951

With an ageing global population and an increasing focus on aging in place, the number of people in need of geriatric rehabilitation (GR) is rapidly increasing. As current GR practice is very heterogenous, cross-country comparisons could allow us to... Read More about How to Conduct International Geriatric Rehabilitation Research?.

COVID-19 vaccine hesitancy in care home staff: A survey of Liverpool care homes (2023)
Journal Article
Tulloch, J. S., Lawrenson, K., Gordon, A. L., Ghebrehewet, S., Ashton, M., Peddie, S., & Parvulescu, P. (2023). COVID-19 vaccine hesitancy in care home staff: A survey of Liverpool care homes. Vaccine, 41(7), 1290-1294. https://doi.org/10.1016/j.vaccine.2023.01.009

Uptake of COVID-19 vaccine first doses in UK care homes has been higher among residents compared to staff. We aimed to identify causes of lower COVID-19 vaccine uptake amongst care home staff within Liverpool. An anonymised online survey was distribu... Read More about COVID-19 vaccine hesitancy in care home staff: A survey of Liverpool care homes.

Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter)-a randomised placebo-controlled feasibility trial (2022)
Journal Article
Bath, P. M., Skinner, C. J. C., Bath, C. S., Woodhouse, L. J., Areti, A., Korovesi, K., …Gordon, A. L. (2022). Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter)-a randomised placebo-controlled feasibility trial. European Geriatric Medicine, 13, 1343-1355. https://doi.org/10.1007/s41999-022-00714-5

Purpose Infections cause considerable care home morbidity and mortality. Nitric oxide (NO) has broad-spectrum anti-viral, bacterial and yeast activity in vitro. We assessed the feasibility of supplementing dietary nitrate (NO substrate) intake in ca... Read More about Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter)-a randomised placebo-controlled feasibility trial.

Development of a core outcome set for the evaluation of interventions to prevent COVID-19 in care homes (COS-COVID-PCARE Study) (2022)
Journal Article
Shepherd, V., Islam, I., Wood, F., Williamson, P. R., Goodman, C., Bath, P. M., …Hood, K. (2022). Development of a core outcome set for the evaluation of interventions to prevent COVID-19 in care homes (COS-COVID-PCARE Study). BMC Geriatrics, 22(1), Article 710. https://doi.org/10.1186/s12877-022-03395-8

Background: People living in care homes have experienced devastating impact from COVID-19. As interventions to prevent the transmission of COVID-19 are developed and evaluated, there is an urgent need for researchers to agree on the outcomes used whe... Read More about Development of a core outcome set for the evaluation of interventions to prevent COVID-19 in care homes (COS-COVID-PCARE Study).

General practitioners' role in improving health care in care homes: a realist review (2022)
Journal Article
Chadborn, N. H., Devi, R., Goodman, C., Williams, C. D., Sartain, K., & Gordon, A. L. (2022). General practitioners' role in improving health care in care homes: a realist review. Family Practice, 40(1), 119-127. https://doi.org/10.1093/fampra/cmac071

Background: Despite recent focus on improving health care in care homes, it is unclear what role general practitioners (GPs) should play. To provide evidence for future practice we set out to explore how GPs have been involved in such improvement... Read More about General practitioners' role in improving health care in care homes: a realist review.

Mandatory vaccination against COVID-19 for health and social care workers caring for older people (2022)
Journal Article
Gordon, A. L., Achterberg, W. P., & van Delden, J. J. M. (2022). Mandatory vaccination against COVID-19 for health and social care workers caring for older people. Age and Ageing, 51(4), Article afac097. https://doi.org/10.1093/ageing/afac097

The COVID-19 pandemic has particularly adversely affected older people with frailty and functional dependency. Essential regular contact with care staff has been evidenced as an important source of infection for this group. Vaccinating care staff can... Read More about Mandatory vaccination against COVID-19 for health and social care workers caring for older people.

Contextual factors influencing complex intervention research processes in care homes: A systematic review and framework synthesis (2022)
Journal Article
Peryer, G., Kelly, S., Blake, J., Burton, J. K., Irvine, L., Cowan, A., …Goodman, C. (2022). Contextual factors influencing complex intervention research processes in care homes: A systematic review and framework synthesis. Age and Ageing, 51(3), Article afac014. https://doi.org/10.1093/ageing/afac014

Background: Care homes are complex settings to undertake intervention research. Barriers to research implementation processes can threaten studies' validity, reducing the value to residents, staff, researchers and funders. We aimed to (i) identify an... Read More about Contextual factors influencing complex intervention research processes in care homes: A systematic review and framework synthesis.

Developing a minimum data set for older adult care homes in the UK: exploring the concept and defining early core principles (2022)
Journal Article
Burton, J. K., Wolters, A. T., Towers, A. M., Jones, L., Meyer, J., Gordon, A. L., …Goodman, C. (2022). Developing a minimum data set for older adult care homes in the UK: exploring the concept and defining early core principles. Lancet Healthy Longevity, 3(3), e186-e193. https://doi.org/10.1016/S2666-7568%2822%2900010-1

Reforms to social care in response to the COVID-19 pandemic, in the UK and internationally, place data at the heart of proposed innovations and solutions. The principles are not well established of what constitutes core, or minimum, data to support c... Read More about Developing a minimum data set for older adult care homes in the UK: exploring the concept and defining early core principles.

'Don't let the trial kill the intervention': how can researchers and care home teams implement complex intervention trials in care homes? (2022)
Journal Article
Shenkin, S. D., Gordon, A. L., Johnston, L., Henderson, C., & Achterberg, W. P. (2022). 'Don't let the trial kill the intervention': how can researchers and care home teams implement complex intervention trials in care homes?. Age and Ageing, 51(3), Article afac068. https://doi.org/10.1093/ageing/afac068

The profile of care homes has never been higher, and not necessarily for the best reasons[1]. The COVID-19 pandemic has had, and continues to have, a massive impact on care home residents[2] , their families, the staff and organisations who care for... Read More about 'Don't let the trial kill the intervention': how can researchers and care home teams implement complex intervention trials in care homes?.

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.

Effect of perindopril or leucine on physical performance in older people with sarcopenia: the LACE randomized controlled trial (2022)
Journal Article
The LACE study group, Achison, M., Adamson, S., Akpan, A., Aspray, T., Avenell, A., …Witham, M. D. (2022). Effect of perindopril or leucine on physical performance in older people with sarcopenia: the LACE randomized controlled trial. Journal of Cachexia, Sarcopenia and Muscle, 13(2), 858-871. https://doi.org/10.1002/jcsm.12934

BACKGROUND: This trial aimed to determine the efficacy of leucine and/or perindopril in improving physical function in older people with sarcopenia. METHODS: Placebo-controlled, parallel group, double-blind, randomized two-by-two factorial trial. We... Read More about Effect of perindopril or leucine on physical performance in older people with sarcopenia: the LACE randomized controlled trial.

The uptake and use of a minimum data set (MDS) for older people living and dying in care homes: a realist review (2022)
Journal Article
Musa, M. K., Akdur, G., Brand, S., Killett, A., Spilsbury, K., Peryer, G., …Goodman, C. (2022). The uptake and use of a minimum data set (MDS) for older people living and dying in care homes: a realist review. BMC Geriatrics, 22(1), Article 33. https://doi.org/10.1186/s12877-021-02705-w

Background: Care homes provide long term care for older people. Countries with standardised approaches to residents’ assessment, care planning and review (known as minimum data sets (MDS)) use the aggregate data to guide resource allocation, monitor... Read More about The uptake and use of a minimum data set (MDS) for older people living and dying in care homes: a realist review.

Which factors influence the prevalence of institution-acquired falls? Results from an international, multi-center, cross-sectional survey (2021)
Journal Article
Hoedl, M., Eglseer, D., Bernet, N., Everink, I., Gordon, A. L., Lohrmann, C., …Bauer, S. (2022). Which factors influence the prevalence of institution-acquired falls? Results from an international, multi-center, cross-sectional survey. Journal of Nursing Scholarship, 54(4), 462-469. https://doi.org/10.1111/jnu.12758

Purpose: Falls are a highly prevalent problem in hospitals and nursing homes with serious negative consequences such as injuries, increased care dependency, or even death. The aim of this study was to provide a comprehensive insight into institution-... Read More about Which factors influence the prevalence of institution-acquired falls? Results from an international, multi-center, cross-sectional survey.

Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance (2021)
Journal Article
van Haastregt, J. C., Everink, I. H. J., Schols, J. M. G. A., Grund, S., Gordon, A. L., Poot, E. P., …Achterberg, W. P. (2022). Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance. European Geriatric Medicine, 13(1), 291-304. https://doi.org/10.1007/s41999-021-00575-4

Purpose: To describe a guidance on the management of post-acute COVID 19 patients in geriatric rehabilitation. Methods: The guidance is based on guidelines for post-acute COVID-19 geriatric rehabilitation developed in the Netherlands, updated with re... Read More about Management of post-acute COVID-19 patients in geriatric rehabilitation: EuGMS guidance.

GPs’ involvement to improve care quality in care homes in the UK: a realist review (2021)
Journal Article
Chadborn, N. H., Devi, R., Williams, C., Sartain, K., Goodman, C., & Gordon, A. L. (2021). GPs’ involvement to improve care quality in care homes in the UK: a realist review. Health Services and Delivery Research, 9(20), 1-76. https://doi.org/10.3310/hsdr09200

Background Organising health-care services for residents living in care homes is an important area of development in the UK and elsewhere. Medical care is provided by general practitioners in the UK, and the unique arrangement of the NHS means that... Read More about GPs’ involvement to improve care quality in care homes in the UK: a realist review.

Nitric oxide for the prevention and treatment of viral, bacterial, protozoal and fungal infections (2021)
Journal Article
Bath, P. M., Coleman, C. M., Gordon, A. L., Lim, W. S., & Webb, A. J. (2021). Nitric oxide for the prevention and treatment of viral, bacterial, protozoal and fungal infections. F1000Research, 10, 1-39. https://doi.org/10.12688/f1000research.51270.2

Although the antimicrobial potential of nitric oxide (NO) is widely published, it is little used clinically. NO is a key signalling molecule modulating vascular, neuronal, inflammatory and immune responses. Endogenous antimicrobial activity is largel... Read More about Nitric oxide for the prevention and treatment of viral, bacterial, protozoal and fungal infections.

Nitric oxide for the prevention and treatment of viral, bacterial, protozoal and fungal infections [version 1; peer review: 1 approved with reservations] (2021)
Journal Article
Bath, P. M., Coleman, C. M., Gordon, A. L., Lim, W. S., & Webb, A. J. (2021). Nitric oxide for the prevention and treatment of viral, bacterial, protozoal and fungal infections [version 1; peer review: 1 approved with reservations]. F1000Research, 10, 1-34. https://doi.org/10.12688/f1000research.51270.1

Although the antimicrobial potential of nitric oxide (NO) is widely published, it is little used clinically. NO is a key signalling molecule modulating vascular, neuronal, inflammatory and immune responses. Endogenous antimicrobial activity is largel... Read More about Nitric oxide for the prevention and treatment of viral, bacterial, protozoal and fungal infections [version 1; peer review: 1 approved with reservations].

Communication during the COVID-19 Pandemic: Evaluation-Study on Self-Perceived Competences and Views of Health Care Professionals (2021)
Journal Article
Schlögl, M., Singler, K., Martinez-Velilla, N., Jan, S., Bischoff-Ferrari, H. A., Roller-Wirnsberger, R. E., …Gordon, A. L. (2021). Communication during the COVID-19 Pandemic: Evaluation-Study on Self-Perceived Competences and Views of Health Care Professionals. European Geriatric Medicine, 12(6), 1181-1190. https://doi.org/10.1007/s41999-021-00532-1

Purpose The aims of this study were to describe communication experiences while wearing a mask during COVID-19 pandemic in 2020, in order to identify possible mask-related barriers to COVID-19-adapted communications and to investigate whether the AB... Read More about Communication during the COVID-19 Pandemic: Evaluation-Study on Self-Perceived Competences and Views of Health Care Professionals.

Research into ageing and frailty (2021)
Journal Article
Gordon, A. L., Witham, M. D., Henderson, E. J., Harwood, R. H., & Masud, T. (2021). Research into ageing and frailty. Future Healthcare Journal, 8(2), e237-e242. https://doi.org/10.7861/fhj.2021-0088

Research into ageing covers opportunities and challenges posed by an older population, and research to understand the ageing processes across the lifespan. The evidence base for Comprehensive Geriatric Assessment (CGA) is well established and efforts... Read More about Research into ageing and frailty.

FebriDx point-of-care test in patients with suspected COVID-19: a pooled diagnostic accuracy study (2021)
Preprint / Working Paper
Urwin, S. G., Lendrem, B. C., Suklan, J., Green, K., Graziadio, S., Buckle, P., …Allen, A. J. FebriDx point-of-care test in patients with suspected COVID-19: a pooled diagnostic accuracy study

Background: Point-of-care (POC) tests for COVID-19 could relieve pressure on isolation resource, support infection prevention and control, and help commence more timely and appropriate treatment. We aimed to undertake a systematic review and pooled d... Read More about FebriDx point-of-care test in patients with suspected COVID-19: a pooled diagnostic accuracy study.

HEARTS, minds and souls—it is time for geriatricians to bring more to continence management (2021)
Journal Article
Schlögl, M., & Gordon, A. (2021). HEARTS, minds and souls—it is time for geriatricians to bring more to continence management. Age and Ageing, 50(5), 1508-1511. https://doi.org/10.1093/ageing/afab088

Urinary incontinence (UI), the involuntary loss of urine, is a common health condition that may decrease the quality of life and which increases in incidence and prevalence with age. Recent epidemiologic data suggest an overall prevalence of 38% in w... Read More about HEARTS, minds and souls—it is time for geriatricians to bring more to continence management.

COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice? (2021)
Journal Article
Buckle, P., Micocci, M., Tulloch, J., Kierkegaard, P., Parvulescu, P., Thompson, C., …Gordon, A. L. (2021). COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice?. Age and Ageing, 50(5), 1442-1444. https://doi.org/10.1093/ageing/afab101

COVID-19 has devastated care homes. Point of care tests (POCTs), mainly using Lateral Flow Devices (LFDs), have been deployed hurriedly without much consideration of their usability or impact on care workflow. Even after the pandemic POCTs, particula... Read More about COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice?.

Is point-of-care testing feasible and safe in care homes in England? An exploratory usability and accuracy evaluation of a point-of-care polymerase chain reaction test for SARS-CoV-2 (2021)
Journal Article
Micocci, M., Gordon, A. L., Kelly Seo, M., Joy Allen, A., Davies, K., Hayward, G., …Buckle, P. (2021). Is point-of-care testing feasible and safe in care homes in England? An exploratory usability and accuracy evaluation of a point-of-care polymerase chain reaction test for SARS-CoV-2. Age and Ageing, 50(5), 1464-1472. https://doi.org/10.1093/ageing/afab072

Introduction: Reliable rapid testing for COVID-19 is needed in care homes to reduce the risk of outbreaks and enable timely care. This study aimed to examine the usability and test performance of a point of care polymerase chain reaction (PCR) test... Read More about Is point-of-care testing feasible and safe in care homes in England? An exploratory usability and accuracy evaluation of a point-of-care polymerase chain reaction test for SARS-CoV-2.

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.

USING INTERNATIONAL COLLABORATIONS TO SHAPE RESEARCH AND INNOVATION INTO CARE HOMES IN BRAZIL: A WHITE PAPER (2020)
Journal Article
Jacinto, A. F., Achterberg, W., Wachholz, P. A., Dening, T., Dening, K. H., Devi, R., …Gordon, A. (2020). USING INTERNATIONAL COLLABORATIONS TO SHAPE RESEARCH AND INNOVATION INTO CARE HOMES IN BRAZIL: A WHITE PAPER. Journal of Nursing Home Research, 6(109-113), https://doi.org/10.14283/jnhrs.2020.28

The Brazilian care home sector is underdeveloped, and the limited available evidence suggests that care quality falls below international standards. Development of the Brazilian care home sector could be associated with better outcomes for those rece... Read More about USING INTERNATIONAL COLLABORATIONS TO SHAPE RESEARCH AND INNOVATION INTO CARE HOMES IN BRAZIL: A WHITE PAPER.

August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19 (2020)
Journal Article
Blain, H., Rolland, Y., Schols, J. M. G. A., Cherubini, A., Miot, S., O'Neill, D., …Benetos, A. (2020). August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19. European Geriatric Medicine, 11(6), Article 899-813. https://doi.org/10.1007/s41999-020-00405-z

Purpose: The European Geriatric Medicine Society (EuGMS) is launching its second interim guidance with the aim to prevent the entrance and spread of COVID-19 into long-term care facilities (LTCFs). Methods: The EuGMS gathered experts with relevan... Read More about August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19.

Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands (2020)
Journal Article
Devi, R., Martin, G., Banerjee, J., Butler, L., Pattison, T., Cruickshank, L., …Gordon, A. L. (2020). Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands. International Journal of Environmental Research and Public Health, 17(20), Article 7601. https://doi.org/10.3390/ijerph17207601

The Breakthrough Series Quality Improvement Collaborative (QIC) initiative is a well-developed and widely used approach, but most of what we know about it has come from healthcare settings. In this article, those leading QICs to improve care in care... Read More about Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands.

Seeking Answers for Care Homes during the COVID-19 pandemic (COVID SEARCH) (2020)
Journal Article
Spilsbury, K., Devi, R., Griffiths, A., Akrill, C., Astle, A., Goodman, C., …Thompson, C. (2021). Seeking Answers for Care Homes during the COVID-19 pandemic (COVID SEARCH). Age and Ageing, 50(2), 335–340. https://doi.org/10.1093/ageing/afaa201

The care and support of older people residing in long-term care facilities during the COVID-19 pandemic has created new and unanticipated uncertainties for staff. In this short report, we present our analyses of the uncertainties of care home manager... Read More about Seeking Answers for Care Homes during the COVID-19 pandemic (COVID SEARCH).

Quality improvement in long-term care settings: a scoping review of effective strategies used in care homes (2020)
Journal Article
Chadborn, N. H., Devi, R., Hinsliff-Smith, K., Banerjee, J., & Gordon, A. L. (2021). Quality improvement in long-term care settings: a scoping review of effective strategies used in care homes. European Geriatric Medicine, 12, 17-26. https://doi.org/10.1007/s41999-020-00389-w

Purpose We conducted a scoping review of quality improvement in care homes. We aimed to identify participating occupational groups and methods for evaluation. Secondly, we aimed to describe resident-level interventions and which outcomes were measur... Read More about Quality improvement in long-term care settings: a scoping review of effective strategies used in care homes.

Development of a Malaysian Undergraduate Geriatric Medicine Curriculum (2020)
Journal Article
Sallehuddin, H., Tan, M. P., Blundell, A., Gordon, A. L., & Masud, T. (2020). Development of a Malaysian Undergraduate Geriatric Medicine Curriculum. Aging Medicine and Healthcare, 11(3), 82-88. https://doi.org/10.33879/AMH.113.2020.05015

Objective: Malaysia is only beginning to age in 2020, but is expected to do this at an unprecedented rate in the next two decades. We aim to develop a national curriculum for undergraduate geriatric medicine in Malaysia to ensure future doctors are a... Read More about Development of a Malaysian Undergraduate Geriatric Medicine Curriculum.

Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities (2020)
Journal Article
Richardson, S. J., Carroll, C. B., Close, J., Gordon, A. L., O’Brien, J., Quinn, T. J., …Witham, M. D. (2020). Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities. Age and Ageing, 49(6), 901–906. https://doi.org/10.1093/ageing/afaa149

Older people are disproportionately affected by the COVID-19 pandemic, which has had a profound impact on research as well as clinical service delivery. This commentary identifies key challenges and opportunities in continuing to conduct research wit... Read More about Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities.

COVID-19 highlights the need for universal adoption of standards of medical care for physicians in nursing homes in Europe (2020)
Journal Article
O’Neill, D., Briggs, R., Holmerová, I., Samuelsson, O., Gordon, A. L., Martin, F. C., & The Special Interest Group in Long Term Care of the European Geriatric Medicine Society. (2020). COVID-19 highlights the need for universal adoption of standards of medical care for physicians in nursing homes in Europe. European Geriatric Medicine, 11(4), 645–650. https://doi.org/10.1007/s41999-020-00347-6

The nursing home sector has seen a disproportionately high number of deaths as part of the COVID-19 pandemic. This reflects, in part, the frailty and vulnerability of older people living in care homes but has also, in part, been a consequence of the... Read More about COVID-19 highlights the need for universal adoption of standards of medical care for physicians in nursing homes in Europe.

Protocol for a realist review of General Practitioners’ Role in Advancing Practice in Care Homes (GRAPE study) (2020)
Journal Article
Gordon, A. L., Devi, R., Williams, C., Goodman, C., Sartain, K., & Chadborn, N. H. (2020). Protocol for a realist review of General Practitioners’ Role in Advancing Practice in Care Homes (GRAPE study). BMJ Open, 10(6), Article e036221. https://doi.org/10.1136/bmjopen-2019-036221

Introduction Older people who live in care homes have a high level of need with complex health conditions. In addition to providing medical care to residents, general practitioners (GPs) play a role as gatekeeper for access to services, as well as l... Read More about Protocol for a realist review of General Practitioners’ Role in Advancing Practice in Care Homes (GRAPE study).

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), Article 114. https://doi.org/10.1186/s12877-020-1498-z

Setting Priorities to Inform Assessment of Care Homes’ Readiness to Participate in Healthcare Innovation: A Systematic Mapping Review and Consensus Process (2020)
Journal Article
Bunn, F., Goodman, C., Corazzini, K., Sharpe, R., Handley, M., Lynch, J., …Gordon, A. L. (2020). Setting Priorities to Inform Assessment of Care Homes’ Readiness to Participate in Healthcare Innovation: A Systematic Mapping Review and Consensus Process. International Journal of Environmental Research and Public Health, 17(3), Article 987. https://doi.org/10.3390/ijerph17030987

Organisational context is known to impact on the successful implementation of healthcare initiatives in care homes. We undertook a systematic mapping review to examine whether researchers have considered organisational context when planning, conducti... Read More about Setting Priorities to Inform Assessment of Care Homes’ Readiness to Participate in Healthcare Innovation: A Systematic Mapping Review and Consensus Process.

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.

What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus (2019)
Journal Article
van Balen, R., Gordon, A. L., Schols, J. M. G. A., Drewes, Y. M., & Achterberg, W. P. (2019). What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus. European Geriatric Medicine, 10(6), 977–987. https://doi.org/10.1007/s41999-019-00244-7

© 2019, The Author(s). Purpose: Many European countries have developed services to rehabilitate the increasing number of older people who experience an acute or subacute decrease in function after a medical event such as a hip fracture or stroke. How... Read More about What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus.

Toward common data elements for international research in long-term care homes: advancing person-centered care (2019)
Journal Article
Corazzini, K. N., Anderson, R. A., Bowers, B. J., Chu, C. H., Edvardsson, D., Fagertun, A., …Lepore, M. J. (2019). Toward common data elements for international research in long-term care homes: advancing person-centered care. Journal of the American Medical Directors Association, 20(5), 598-603. https://doi.org/10.1016/j.jamda.2019.01.123

To support person-centered, residential long-term care internationally, a consortium of researchers in medicine, nursing, behavioral, and social sciences from 21 geographically and economically diverse countries have launched the WE-THRIVE consortium... Read More about Toward common data elements for international research in long-term care homes: advancing person-centered care.

Podiatry interventions to prevent falls in older people: a systematic review and meta-analysis (2019)
Journal Article
Wylie, G., Morris, J., Witham, M., Campbell, P., Frost, H., Torrens, C., & Gordon, A. (2019). Podiatry interventions to prevent falls in older people: a systematic review and meta-analysis. Age and Ageing, 48(3), 327–336. https://doi.org/10.1093/ageing/afy189

Background: The growing number of trials evaluating podiatry interventions to prevent falls in older people indicates that evidence synthesis to determine effectiveness is timely. This systematic review examined podiatry interventions for falls preve... Read More about Podiatry interventions to prevent falls in older people: a systematic review and meta-analysis.

Advancing Long-Term Care Science Through Using Common Data Elements: Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life (2019)
Journal Article
Edvardsson, D., Baxter, R., Corneliusson, L., Anderson, R. A., Beeber, A., Boas, P. V., …Zúñiga, F. (2019). Advancing Long-Term Care Science Through Using Common Data Elements: Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life. Gerontology and Geriatric Medicine, 5, 1-15. https://doi.org/10.1177/2333721419842672

To support the development of internationally comparable common data elements (CDEs) that can be used to measure essential aspects of long-term care (LTC) across low-, middle-, and high-income countries, a group of researchers in medicine, nursing, b... Read More about Advancing Long-Term Care Science Through Using Common Data Elements: Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life.

Comparing knowledge and attitudes to dementia care in Brazilian and UK GPs to guide future decisions about educational interventions (2018)
Journal Article
Jacinto, A. F., Gordon, A. L., Samra, R., Steiner, A. B., Ferreira Sá Mayoral, V., & De Albuquerque Citero, V. (2020). Comparing knowledge and attitudes to dementia care in Brazilian and UK GPs to guide future decisions about educational interventions. Gerontology and Geriatrics Education, 41(2), 250-257. https://doi.org/10.1080/02701960.2018.1551216

Background: Dementia training for Brazilian GPs is underdeveloped. We investigated knowledge and attitudes to dementia management amongst Brazilian GPs and compared these with previous UK findings to inform future decisions about how training is stru... Read More about Comparing knowledge and attitudes to dementia care in Brazilian and UK GPs to guide future decisions about educational interventions.

Effect of non-meat, high protein supplementation on quality of life and clinical outcomes for older people living in care homes: systematic review and meta-analysis (2018)
Journal Article
Donaldson, A., Smith, T. O., Alder, S., Johnstone, A. M., De Roos, B., Aucott, L. S., …Myint, P. K. (2019). Effect of non-meat, high protein supplementation on quality of life and clinical outcomes for older people living in care homes: systematic review and meta-analysis. Nutrition Reviews, 77(2), 116-127. https://doi.org/10.1093/nutrit/nuy061

CONTEXT: Care home residents are at risk of malnutrition through reduced overall food intake, ‘anabolic resistance’ in ageing muscle and high prevalence of medical morbidity and functional dependency. There has been limited consensus regarding effect... Read More about Effect of non-meat, high protein supplementation on quality of life and clinical outcomes for older people living in care homes: systematic review and meta-analysis.

European postgraduate curriculum in geriatric medicine developed using an international modified Delphi technique (2018)
Journal Article
Roller-Wirnsberger, R., Masud, T., Vassallo, M., Zöbl, M., Reiter, R., Van Den Noortgate, N., …Singler, K. (2019). European postgraduate curriculum in geriatric medicine developed using an international modified Delphi technique. Age and Ageing, 48(2), 291-299. https://doi.org/10.1093/ageing/afy173

Background: The European Union of Medical Specialists (UEMS-GMS) recommendations for training in Geriatric Medicine were published in 1993. The practice of Geriatric Medicine has developed considerably since then and it has therefore become neces... Read More about European postgraduate curriculum in geriatric medicine developed using an international modified Delphi technique.

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.

Physical and rheological characterization of carbonated bitumen for paving applications (2017)
Journal Article
Apeagyei, A. K., & Airey, G. (2018). Physical and rheological characterization of carbonated bitumen for paving applications. Materials and Design, 140, https://doi.org/10.1016/j.matdes.2017.11.069

In the paving industry, current attempts aimed at reducing greenhouse gas emissions have focused on the development of technologies that decrease bitumen viscosity so that asphalt mixtures can be produced at temperatures that are lower than conventio... Read More about Physical and rheological characterization of carbonated bitumen for paving applications.

Indentifying published studies of care home research: an international survey of researchers (2017)
Journal Article
Burton, J. K., Quinn, T. J., Gordon, A. L., MacLullich, A. M., Reynish, E. L., & Shenkin, S. D. (2017). Indentifying published studies of care home research: an international survey of researchers. Journal of Nursing Home Research, 3(2017), https://doi.org/10.14283/jnhrs.2017.15

Collating the published research around institutional, long term care is confounded by the differing terminologies used to describe this health-care setting. We aimed to collate the descriptors used by researchers to inform the future development of... Read More about Indentifying published studies of care home research: an international survey of researchers.

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.

New horizons in geriatric medicine education and training: The need for pan-European education and training standards (2017)
Journal Article
Fisher, J. M., Masud, T., Holm, E., Roller-Wirnsberger, R., Stuck, A., Gordon, A. L., …Veninsek, G. (2017). New horizons in geriatric medicine education and training: The need for pan-European education and training standards. European Geriatric Medicine, 8(5-6), 467-473. https://doi.org/10.1016/j.eurger.2017.07.022

The ageing population ought to be celebrated as evidence for the efficacy of modern medicine, but the challenge that this demographic shift presents for 21st century healthcare systems, with increasing numbers of people living with multi-morbidity an... Read More about New horizons in geriatric medicine education and training: The need for pan-European education and training standards.

The physician’s role in perioperative management of older patients undergoing surgery (2017)
Journal Article
Gordon, A. L., Evans, B. J., & Dhesi, J. (2017). The physician’s role in perioperative management of older patients undergoing surgery. Clinical Medicine, 17(4), https://doi.org/10.7861/clinmedicine.17-4-357

Life-sustaining and life-improving surgical interventions are increasingly available to older, frailer patients, many of whom have multimorbidity. Physicians can help support perioperative multidisciplinary teams with assessment and preoperative opti... Read More about The physician’s role in perioperative management of older patients undergoing surgery.

Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review (2017)
Journal Article
Samra, R., Cox, T., Gordon, A. L., Conroy, S., Lucassen, M., & Griffiths, A. (2017). Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review. Age and Ageing, 46(6), https://doi.org/10.1093/ageing/afx058

Background: Studies have sought to identify the possible determinants of medical students’ and doctors’ attitudes towards older patients by examining relationships with a variety of demographic, educational/training, and job factors. This review coll... Read More about Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review.

Being the ‘med reg’: an exploration of junior doctors’ perceptions of the medical registrar role (2017)
Journal Article
Fisher, J. M., Garside, M. J., Brock, P., Gibson, V., Hunt, K., Wyrko, Z., & Gordon, A. L. (2017). Being the ‘med reg’: an exploration of junior doctors’ perceptions of the medical registrar role. Journal of the Royal College of Physicians of Edinburgh, 47(1), https://doi.org/10.4997/JRCPe.2017.116

The role of the medical registrar is a challenging one and is acknowledged as being a disincentive to a career in medicine for some junior doctors. We set out to build a broader understanding of the role through exploration of Foundation Doctors’ and... Read More about Being the ‘med reg’: an exploration of junior doctors’ perceptions of the medical registrar role.

Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine (2017)
Journal Article
Fisher, J. M., Garside, M. J., Brock, P., Gibson, V., Hunt, K. K., Briggs, S., & Gordon, A. L. (2017). Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine. Age and Ageing, 46(4), 672-677. https://doi.org/10.1093/ageing/afx009

Background: There is global concern that there are insufficient numbers of geriatricians to meet the needs of the ageing population. A 2005 survey described factors that influenced why UK geriatricians had chosen to specialise in the field - in the d... Read More about Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine.

Structural design of pavements incorporating foamed bitumen mixtures (2017)
Journal Article
Kuna, K., Airey, G., & Thom, N. (in press). Structural design of pavements incorporating foamed bitumen mixtures. Proceedings of the ICE - Construction Materials, https://doi.org/10.1680/jcoma.16.00039

This paper presents a rational structural design methodology termed the ‘cumulative damage approach’ for road, port and airport pavements incorporating cold bituminous mixtures with foamed bitumen. This has been developed along with a laboratory test... Read More about Structural design of pavements incorporating foamed bitumen mixtures.

Exploring gastrointestinal variables affecting drug and formulation behavior: methodologies, challenges and opportunities (2016)
Journal Article
Hens, B., Corsetti, M., Spiller, R. C., Marciani, L., Vanuytsel, T., Tack, J., …Augustijns, P. (2017). Exploring gastrointestinal variables affecting drug and formulation behavior: methodologies, challenges and opportunities. International Journal of Pharmaceutics, 519(1-2), https://doi.org/10.1016/j.ijpharm.2016.11.063

Various gastrointestinal (GI) factors affect drug and formulation behavior after oral administration, including GI transfer, motility, pH and GI fluid volume and composition. An in-depth understanding of these physiological and anatomical variables i... Read More about Exploring gastrointestinal variables affecting drug and formulation behavior: methodologies, challenges and opportunities.

Frailsafe: from conception to national breakthrough collaborative (2016)
Journal Article
Offord, N., Wyrko, Z., Downes, T., Hopper, A., Harriman, P., & Gordon, A. L. (2016). Frailsafe: from conception to national breakthrough collaborative. Acute Medicine, 15(3),

The number of people aged over 60 years worldwide is projected to rise from 605 million in 2000 to almost 2 billion by 2050, while those over 80 years will quadruple to 395 million. Two-thirds of UK acute hospital admissions are over 65, the highest... Read More about Frailsafe: from conception to national breakthrough collaborative.

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.

The development of a geriatric postgraduate education assessment instrument using a modified Delphi procedure (2016)
Journal Article
Singler, K., Gordon, A. L., Robertson, G., & Roller-Wirnsberger, R. (2016). The development of a geriatric postgraduate education assessment instrument using a modified Delphi procedure. Age and Ageing, 45(5), 716-720. https://doi.org/10.1093/ageing/afw086

There is currently wide variation in the structure and content of higher medical training in geriatric medicine across Europe and no common framework within which existing efforts can be compared. We set out to develop an audit tool to compare traini... Read More about The development of a geriatric postgraduate education assessment instrument using a modified Delphi procedure.

Active fillers’ effect on in situ performances of foam bitumen recycled mixtures (2016)
Journal Article
Betti, G., Airey, G., Jenkins, K., Marradi, A., & Tebaldi, G. (in press). Active fillers’ effect on in situ performances of foam bitumen recycled mixtures. Road Materials and Pavement Design, 18(2), https://doi.org/10.1080/14680629.2016.1213486

Cold recycling is one of the most employed rehabilitation techniques for asphalt pavements and it is becoming more and more important as reducing emissions becomes a priority in the reduction of the greenhouse effect. The main advantages of asphalt c... Read More about Active fillers’ effect on in situ performances of foam bitumen recycled mixtures.

Development of a tool to assess in-situ curing of Foamed Bitumen Mixtures (2016)
Journal Article
Kuna, K., Airey, G., & Thom, N. (2016). Development of a tool to assess in-situ curing of Foamed Bitumen Mixtures. Construction and Building Materials, 124, https://doi.org/10.1016/j.conbuildmat.2016.07.086

This paper discusses the simplest yet crucial mix design consideration of Foamed Bitumen Mixtures (FBMs); curing. The objective of the present study is to attain better understanding of the curing mechanism of FBMs and lessen the gap between laborato... Read More about Development of a tool to assess in-situ curing of Foamed Bitumen Mixtures.

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.

The development and evaluation of mini-GEMs: a short, focused, online e-learning videos in geriatric medicine (2016)
Journal Article
Garside, M. J., Fisher, J. M., Blundell, A. G., & Gordon, A. L. (in press). The development and evaluation of mini-GEMs: a short, focused, online e-learning videos in geriatric medicine. Gerontology and Geriatrics Education, https://doi.org/10.1080/02701960.2016.1165217

Mini Geriatric E-Learning Modules (Mini-GEMs) are short, focused, e-learning videos on geriatric medicine topics, hosted on YouTube, which are targeted at junior doctors working with older people. This study aimed to explore how these resources are a... Read More about The development and evaluation of mini-GEMs: a short, focused, online e-learning videos in geriatric medicine.

Development of a curriculum for advanced nurse practitioners working with older people with frailty in the acute hospital through a modified Delphi process (2016)
Journal Article

Background: advanced nurse practitioners (ANPs) are experienced nurses who undertake some activities traditionally performed by medical staff. There are four pillars of advanced practice: advanced clinical skills, leadership, education and research.... Read More about Development of a curriculum for advanced nurse practitioners working with older people with frailty in the acute hospital through a modified Delphi process.

Mix design considerations of foamed bitumen mixtures with reclaimed asphalt pavement material (2016)
Journal Article
Kuna, K., Airey, G., & Thom, N. (in press). Mix design considerations of foamed bitumen mixtures with reclaimed asphalt pavement material. International Journal of Pavement Engineering, https://doi.org/10.1080/10298436.2015.1126271

In the present work, a mix design parametric study was carried out with the aim of proposing a practical and consistent mix design procedure for foamed bitumen mixtures (FBMs). The mix design parameters that were adopted in the study are mixing and c... Read More about Mix design considerations of foamed bitumen mixtures with reclaimed asphalt pavement material.

Experimental evaluation of cohesive and adhesive bond strength and fracture energy of bitumen-aggregate systems (2015)
Journal Article
Zhang, J., Airey, G. D., & Grenfell, J. R. (2016). Experimental evaluation of cohesive and adhesive bond strength and fracture energy of bitumen-aggregate systems. Materials and Structures, 49(7), 2653-2667. https://doi.org/10.1617/s11527-015-0674-7

Degradation of asphalt pavements is an inevitable phenomenon due to the combined effects of high traffic loads and harsh environmental conditions. Deterioration can be in the form of cohesive failure of the bitumen and/or bitumen-filler mastic or by... Read More about Experimental evaluation of cohesive and adhesive bond strength and fracture energy of bitumen-aggregate systems.

Influence of aggregate mineralogical composition on water resistance of aggregate–bitumen adhesion (2015)
Journal Article
Zhang, J., Apeagyei, A. K., Airey, G. D., & Grenfell, J. R. (2015). Influence of aggregate mineralogical composition on water resistance of aggregate–bitumen adhesion. International Journal of Adhesion and Adhesives, 62, https://doi.org/10.1016/j.ijadhadh.2015.06.012

The effects of aggregate mineralogical composition on moistures sensitivity of aggregate–bitumen bonds were investigated using four aggregate types (two limestone and two granite)and two bitumen grades (40/60 penand70/100pen). Moisture sensitivity... Read More about Influence of aggregate mineralogical composition on water resistance of aggregate–bitumen adhesion.

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.

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 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.

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.

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.

European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique (2014)
Journal Article

Introduction: the rise in the number of older, frail adults necessitates that future doctors are adequately trained in the skills of geriatric medicine. Few countries have dedicated curricula in geriatric medicine at the undergraduate level. The aim... Read More about European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique.

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.

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.

Teaching and learning about dementia in UK medical schools: a national survey (2013)
Journal Article
Tullo, E. S., & Gordon, A. L. (2013). Teaching and learning about dementia in UK medical schools: a national survey. BMC Geriatrics, 13(29), Article 1. https://doi.org/10.1186/1471-2318-13-29

Background: Dementia is an increasingly common condition and all doctors, in both primary and secondary care environments, must be prepared to competently manage patients with this condition. It is unclear whether medical education about dementia i... Read More about Teaching and learning about dementia in UK medical schools: a national survey.

Pneumonia and influenza: specific considerations in care homes (2010)
Journal Article
Gordon, A., & Ewan, V. (2010). Pneumonia and influenza: specific considerations in care homes. Reviews in Clinical Gerontology, 20(1), 69-80. https://doi.org/10.1017/S0959259810000043

This review provides an update on current evidence surrounding epidemiology, treatment and prevention of lower respiratory tract infection, with special reference to pneumonia and influenza, in care home residents. The care home sector is growing an... Read More about Pneumonia and influenza: specific considerations in care homes.

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.

Cerebral misery perfusion diagnosed using hypercapnic blood-oxygenation-level-dependent contrast functional magnetic resonance imaging: a case report (2010)
Journal Article
Gordon, A. L., Goode, S., D'Souza, O., Auer, D. P., & Munshi, S. K. (2010). Cerebral misery perfusion diagnosed using hypercapnic blood-oxygenation-level-dependent contrast functional magnetic resonance imaging: a case report. Journal of Medical Case Reports, 4(1), https://doi.org/10.1186/1752-1947-4-54

Introduction Cerebral misery perfusion represents a failure of cerebral autoregulation. It is animportant differential diagnosis in post-stroke patients presenting with collapses in the presence of haemodynamically significant cerebrovascular stenos... Read More about Cerebral misery perfusion diagnosed using hypercapnic blood-oxygenation-level-dependent contrast functional magnetic resonance imaging: a case report.

Non-respiratory infections – specific considerations in care homes
Journal Article
Ewan, V., & Gordon, A. Non-respiratory infections – specific considerations in care homes. Reviews in Clinical Gerontology,

This review provides an update on current evidence surrounding the epidemiology, treatment and prevention of non-respiratory infections in care homes. It covers urinary tract infection (UTI), methicillin-resistant staphylococcus aureus (MRSA), decubi... Read More about Non-respiratory infections – specific considerations in care homes.

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.