Professor Rowan Harwood's Outputs (60)

Intrinsic capacity and healthy ageing (2022)
Journal Article
Chhetri, J., Harwood, R., Ma, L., Michel, J. P., & Chan, P. (2022). Intrinsic capacity and healthy ageing. Age and Ageing, 51(11), Article afac239. https://doi.org/10.1093/ageing/afac239

Traditional disease-centred models fail to meet the care needs of older adults in the 21st century.

The concept of intrinsic capacity (IC), introduced by the World Health Organization (WHO), provides the opportunity to identify and monitor fundame... Read More about Intrinsic capacity and healthy ageing.

Promoting continence in older people (2022)
Journal Article
Schlögl, M., Umbehr, M. H., Habib, M. H., Wagg, A., Gordon, A. L., & Harwood, R. (2022). Promoting continence in older people. Age and Ageing, 51(9), Article afac199. https://doi.org/10.1093/ageing/afac199

The prevalence of urinary incontinence (UI) is strongly associated with increasing age. Twenty five percent of women over 80 years of age have clinically significant symptoms in population surveys, but prevalence is as high as 70% in older hospital i... Read More about Promoting continence in older people.

Impact of COVID-19 lockdown on physical exercise among participants receiving the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) intervention: a repeated measure study (2022)
Journal Article
Di Lorito, C., van der Wardt, V., O'Brien, R., Gladman, J., Masud, T., & Harwood, R. H. (2022). Impact of COVID-19 lockdown on physical exercise among participants receiving the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) intervention: a repeated measure study. BMC Geriatrics, 22(1), Article 605. https://doi.org/10.1186/s12877-022-03239-5

Background
The potential decrease in daily physical activity associated with the COVID-19 pandemic lockdowns may have a negative impact on people living with dementia. Given the limited literature around the effects of home confinement in people liv... Read More about Impact of COVID-19 lockdown on physical exercise among participants receiving the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) intervention: a repeated measure study.

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

Social Return on Investment of Home Exercise and Community Referral for People With Early Dementia (2022)
Journal Article
Hartfiel, N., Gladman, J., Harwood, R., & Tudor Edwards, R. (2022). Social Return on Investment of Home Exercise and Community Referral for People With Early Dementia. Gerontology and Geriatric Medicine, 8, https://doi.org/10.1177/23337214221106839

Exercise can improve physical function and slow the progression of dementia. However, uncertainty exists around the costeffectiveness of exercise programmes for people with early dementia. The aim of this study was to determine whether a home-based s... Read More about Social Return on Investment of Home Exercise and Community Referral for People With Early Dementia.

A systematic literature review and meta-analysis on digital health interventions for people living with dementia and Mild Cognitive Impairment (2022)
Journal Article
Di Lorito, C., Bosco, A., Rai, H., Craven, M., McNally, D., Todd, C., Booth, V., Cowley, A., Howe, L., & Harwood, R. H. (2022). A systematic literature review and meta-analysis on digital health interventions for people living with dementia and Mild Cognitive Impairment. International Journal of Geriatric Psychiatry, 37(6), https://doi.org/10.1002/gps.5730

Objectives: Digital health interventions enable services to support people living with dementia and Mild Cognitive Impairment (MCI) remotely. This literature review gathers evidence on the effectiveness of digital health interventions on physical, co... Read More about A systematic literature review and meta-analysis on digital health interventions for people living with dementia and Mild Cognitive Impairment.

Are dementia services and support organisations meeting the needs of Lesbian, Gay, Bisexual and Transgender (LGBT) caregivers of LGBT people living with dementia? A scoping review of the literature (2021)
Journal Article
Di Lorito, C., Bosco, A., Peel, E., Hinchliff, S., Dening, T., Calasanti, T., de Vries, B., Cutler, N., Fredriksen-Goldsen, K. I., & Harwood, R. H. (2022). Are dementia services and support organisations meeting the needs of Lesbian, Gay, Bisexual and Transgender (LGBT) caregivers of LGBT people living with dementia? A scoping review of the literature. Aging and Mental Health, 26(10), 1912-1921. https://doi.org/10.1080/13607863.2021.2008870

Objectives. More than 60% of people with dementia live at home, where assistance is usually provided by informal caregivers. Research on the experiences of the Lesbian, Gay, Bisexual and Transgender (LGBT) caregivers is limited. This scoping review o... Read More about Are dementia services and support organisations meeting the needs of Lesbian, Gay, Bisexual and Transgender (LGBT) caregivers of LGBT people living with dementia? A scoping review of the literature.

Deconditioning in people living with dementia during the COVID-19 pandemic: qualitative study from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation (2021)
Journal Article
Di Lorito, C., Masud, T., Gladman, J., Godfrey, M., Dunlop, M., Bosco, A., & Harwood, R. (2021). Deconditioning in people living with dementia during the COVID-19 pandemic: qualitative study from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation. BMC Geriatrics, 21, Article 529. https://doi.org/10.1186/s12877-021-02451-z

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

Avoiding repair, maintaining face: Responding to hard-to-interpret talk from people living with dementia in the acute hospital (2021)
Journal Article
Pilnick, A., O'Brien, R., Beeke, S., Goldberg, S., & Harwood, R. (2021). Avoiding repair, maintaining face: Responding to hard-to-interpret talk from people living with dementia in the acute hospital. Social Science and Medicine, 282, Article 114156. https://doi.org/10.1016/j.socscimed.2021.114156

People living with dementia (PLWD) are almost always admitted to the acute hospital for reasons unrelated to their dementia, finding themselves in the unfamiliar environment of a Health Care of Older Persons acute ward. The effect of this environment... Read More about Avoiding repair, maintaining face: Responding to hard-to-interpret talk from people living with dementia in the acute hospital.

Apathy Measures in Older Adults and People with Dementia: A Systematic Review of Measurement Properties Using the COSMIN Methodology (2021)
Journal Article
Burgon, C., Goldberg, S. E., Van Der Wardt, V., Brewin, C., & Harwood, R. H. (2021). Apathy Measures in Older Adults and People with Dementia: A Systematic Review of Measurement Properties Using the COSMIN Methodology. Dementia and Geriatric Cognitive Disorders, 50(2), 111-123. https://doi.org/10.1159/000515678

Background: Apathy is highly prevalent in dementia and is also seen in mild cognitive impairment and the general population. Apathy contributes to failure to undertake daily activities and can lead to health problems or crises. It is therefore import... Read More about Apathy Measures in Older Adults and People with Dementia: A Systematic Review of Measurement Properties Using the COSMIN Methodology.

Mixed-Methods Study on Caregiver Strain, Quality of Life, and Perceived Health (2021)
Journal Article
Di Lorito, C., Bosco, A., Godfrey, M., Dunlop, M., Lock, J., Pollock, K., Harwood, R. H., & van der Wardt, V. (2021). Mixed-Methods Study on Caregiver Strain, Quality of Life, and Perceived Health. Journal of Alzheimer's Disease, 80(2), 799-811. https://doi.org/10.3233/JAD-201257

Background:
Caring for someone with dementia is associated with negative and positive experiences. There is little evidence based on large datasets.

Objective:
To present data around the experience of caring for someone with dementia, to identif... Read More about Mixed-Methods Study on Caregiver Strain, Quality of Life, and Perceived Health.

Dysphagia due to necrotizing otitis externa (2021)
Journal Article
Dwivedi, R., Rasquinha, M., & Harwood, R. (2021). Dysphagia due to necrotizing otitis externa. Age and Ageing, 50(3), 1004-1005. https://doi.org/10.1093/ageing/afab034

An 88-year-old man presented with delirium, and subsequently developed hoarseness and oropharyngeal dysphagia. This was due to skull-based osteomyelitis from necrotizing otitis externa (NOE), causing lower cranial nerve (X, XII) palsies and venous si... Read More about Dysphagia due to necrotizing otitis externa.

The geriatrician’s role in end-of-life care (2020)
Journal Article
Ahmed, N., Ahmedzai, S. H., & Harwood, R. H. (2021). The geriatrician’s role in end-of-life care. Age and Ageing, 50(2), 366-369. https://doi.org/10.1093/ageing/afaa266

Healthcare aims to help older people to live well, but ultimately must also support them to die well. Most people die in old age, but predicting death in both short- and long-term is impossible for many, although not all, older people. Frail older pe... Read More about The geriatrician’s role in end-of-life care.

Pandemic research for older people: doing it better next time (2020)
Journal Article
Witham, M. D., Gordon, A. L., Henderson, E. J., & Harwood, R. H. (2021). Pandemic research for older people: doing it better next time. Age and Ageing, 50(2), 276-278. https://doi.org/10.1093/ageing/afaa273

Measuring physical activity levels in people with mild cognitive impairment or mild dementia (2020)
Journal Article
Van Der Wardt, V., Hancox, J. E., Burgon, C., Bajwa, R., Goldberg, S., & Harwood, R. H. (2021). Measuring physical activity levels in people with mild cognitive impairment or mild dementia. Journal of Aging and Physical Activity, 29(1), 10-16. https://doi.org/10.1123/japa.2019-0234

Measuring physical activity (PA) in people with mild cognitive impairment (MCI) or dementia can be difficult. The aim was to investigate the validity and acceptability of three different PA measurement methods.
The mixed-method analysis included 49... Read More about Measuring physical activity levels in people with mild cognitive impairment or mild dementia.

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., van der Wardt, V., Pollock, K., Booth, V., Logan, P., Godfrey, M., Dunlop, M., Horne, J., & 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.

Association of frailty with mortality in older inpatients with Covid-19: a cohort study (2020)
Journal Article
Aw, D., Woodrow, L., Ogliari, G., & Harwood, R. (2020). Association of frailty with mortality in older inpatients with Covid-19: a cohort study. Age and Ageing, 49(6), 915-922. https://doi.org/10.1093/ageing/afaa184

Background: COVID-19 has disproportionately affected older people.
Objective: to investigate whether frailty is associated with all-cause mortality in older hospital inpatients, with COVID-19.
Design: cohort study
Setting: secondary care acute hos... Read More about Association of frailty with mortality in older inpatients with Covid-19: a cohort study.

When people living with dementia say ‘no’: Negotiating refusal in the acute hospital setting (2020)
Journal Article
O'Brien, R., Beeke, S., Pilnick, A., Goldberg, S. E., & Harwood, R. H. (2020). When people living with dementia say ‘no’: Negotiating refusal in the acute hospital setting. Social Science and Medicine, 263, Article 113188. https://doi.org/10.1016/j.socscimed.2020.113188

A quarter of UK acute hospital beds are occupied by people living with dementia (PLWD). Concerns have been raised by both policy makers and carers about the quality of communication between hospital staff and PLWD. PLWD may experience communication i... Read More about When people living with dementia say ‘no’: Negotiating refusal in the acute hospital setting.

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., Logan, P., Bosco, A., & 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.

Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis (2020)
Journal Article
Di Lorito, C., Bosco, A., Booth, V., Goldberg, S., Harwood, R. H., & Van der Wardt, V. (2020). Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis. Preventive Medicine Reports, 19, Article 101139. https://doi.org/10.1016/j.pmedr.2020.101139

Adherence to physical exercise is associated with multiple benefits in people with mild cognitive impairment (MCI) and dementia. Given the gap in research, this systematic literature review aimed to determine in the context of exercise intervention s... Read More about Adherence to exercise interventions in older people with mild cognitive impairment and dementia: A systematic review and meta-analysis.