Professor Rowan Harwood's Outputs (60)

Atypical presentation of COVID-19 in a frail older person (2020)
Journal Article
Tay, H. S., & Harwood, R. (2020). Atypical presentation of COVID-19 in a frail older person. Age and Ageing, 49(4), 523-524. https://doi.org/10.1093/ageing/afaa068

Common symptoms of pandemic coronavirus disease (COVID-19) include fever and cough.We describe a 94-year-old man
with well-controlled schizoaffective disorder, who presented with non-specific and atypical symptoms: delirium, low-grade
pyrexia and a... Read More about Atypical presentation of COVID-19 in a frail older person.

‘Socialised care futility’ in the care of older people in hospital who call out repetitively: an ethnographic study (2020)
Journal Article
Beaver, J., Goldberg, S. E., Edgley, A., & Harwood, R. (2020). ‘Socialised care futility’ in the care of older people in hospital who call out repetitively: an ethnographic study. International Journal of Nursing Studies, 107, Article 103589. https://doi.org/10.1016/j.ijnurstu.2020.103589

Background

People living with dementia may call out repetitively, sometimes called disruptive vocalisation, or verbal agitation. In literature and policy, patients who call out repetitively are assumed to be expressing an unmet need, which should... Read More about ‘Socialised care futility’ in the care of older people in hospital who call out repetitively: an ethnographic study.

A randomised controlled trial of an exercise intervention promoting activity, independence and stability in older adults with mild cognitive impairment and early dementia (PrAISED) - A Protocol (2019)
Journal Article
Bajwa, R. K., Goldberg, S. E., Van Der Wardt, V., Burgon, C., Di Lorito, C., Godfrey, M., Dunlop, M., Logan, P., Masud, T., Gladman, J., Smith, H., Hood-Moore, V., Booth, V., Das Nair, R., Pollock, K., Vedhara, K., Edwards, R. T., Jones, C., Hoare, Z., Brand, A., & Harwood, R. H. (2019). A randomised controlled trial of an exercise intervention promoting activity, independence and stability in older adults with mild cognitive impairment and early dementia (PrAISED) - A Protocol. Trials, 20(1), Article 815. https://doi.org/10.1186/s13063-019-3871-9

© 2019 The Author(s). Background: People with dementia progressively lose cognitive and functional abilities. Interventions promoting exercise and activity may slow decline. We developed a novel intervention to promote activity and independence and p... Read More about A randomised controlled trial of an exercise intervention promoting activity, independence and stability in older adults with mild cognitive impairment and early dementia (PrAISED) - A Protocol.

Promoting activity, Independence and stability in early dementia (PrAISED): a, multisite, randomised controlled, feasibility trial (2019)
Journal Article
Goldberg, S. E., van der Wardt, V., Brand, A., Burgon, C., Bajwa, R., Hoare, Z., Logan, P. L., Harwood, R. H., & on behalf of the PrAISED Study Group. (2019). Promoting activity, Independence and stability in early dementia (PrAISED): a, multisite, randomised controlled, feasibility trial. BMC Geriatrics, 19(1), Article 353. https://doi.org/10.1186/s12877-019-1379-5

BACKGROUND: We tested the feasibility of delivering and evaluating a complex therapy intervention which aimed to promote activity and independence for people with early dementia (PrAISED). Feasibility questions were on: recruitment, randomisation, in... Read More about Promoting activity, Independence and stability in early dementia (PrAISED): a, multisite, randomised controlled, feasibility trial.

End-of-life care for frail older people (2019)
Journal Article
Harwood, R. H., & Enguell, H. (2019). End-of-life care for frail older people. BMJ Supportive and Palliative Care, https://doi.org/10.1136/bmjspcare-2019-001953

Most people die when they are old, but predicting exactly when this will occur is unavoidably uncertain. The health of older people is challenged by multimorbidity, disability and frailty. Frailty is the tendency to crises or episodes of rapid deteri... Read More about End-of-life care for frail older people.

Factors influencing adherence to home-based strength and balance exercises among older adults with mild cognitive impairment and early dementia: Promoting Activity, Independence and Stability in Early Dementia (PrAISED) (2019)
Journal Article
Hancox, J. E., van der Wardt, V., Pollock, K., Booth, V., Vedhara, K., & Harwood, R. H. (2019). Factors influencing adherence to home-based strength and balance exercises among older adults with mild cognitive impairment and early dementia: Promoting Activity, Independence and Stability in Early Dementia (PrAISED). PLoS ONE, 14(5), Article e0217387. https://doi.org/10.1371/journal.pone.0217387

Background
Older adults with dementia are at a high risk of losing abilities and of accidental falls. Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is a 12-month person-centred exercise and activity programme which aims... Read More about Factors influencing adherence to home-based strength and balance exercises among older adults with mild cognitive impairment and early dementia: Promoting Activity, Independence and Stability in Early Dementia (PrAISED).

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

Objective: This focus group study aimed to explore how to motivate people with mild cognitive impairment (MCI) or dementia and their carers to engage in exercise and physical activity.

Methods: Four focus groups were conducted with six people with... Read More about Physical activity engagement strategies in people with dementia – a focus group study.

What palliative care can learn from geriatric medicine (2019)
Journal Article
Enguell, H., & Harwood, R. H. (2019). What palliative care can learn from geriatric medicine. British Journal of Hospital Medicine, 80(2), 86-90. https://doi.org/10.12968/hmed.2019.80.2.86

Most people die when they are old, with multiple pathologies, and while living with frailty or dementia. These circumstances need the specialist skills of geriatric medicine. Death may not be unexpected, but survival and restoration of function are u... Read More about What palliative care can learn from geriatric medicine.

Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review (2018)
Journal Article
Pilnick, A., Trusson, D., Beeke, S., O 'brien, R., Goldberg, S., & Harwood, R. H. (2018). Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review. BMC Medical Education, 18, Article 267. https://doi.org/10.1186/s12909-018-1381-1

Background: This paper responds to previously published debate in this journal around the use of sociolinguistic methods in communication skills training (CST), which has raised the significant question of how far consultations with simulated patient... Read More about Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review.

What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence (2017)
Journal Article
Buswell, M., Goodman, C., Roe, B., Russell, B., Norton, C., Harwood, R., Fader, M., Harari, D., Drennan, V. M., Malone, J. R., Madden, M., & Bunn, F. (2017). What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence. Journal of the American Medical Directors Association, 18(9), 752-760.e1. https://doi.org/10.1016/j.jamda.2017.05.025

The prevalence of fecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of what is effective in the reduction and management of FI in care homes. Using realist synthesis, 6 potential program theories o... Read More about What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence.

Managing Faecal INcontinence in people with advanced dementia resident in Care Homes (FINCH) study: a realist synthesis of the evidence (2017)
Journal Article
Goodman, C., Harwood, R., Norton, C., Buswell, M., Russell, B., Harari, D., Roe, B., Rycroft-Malone, J., Drennan, V. M., Fader, M., Maden, M., Cummings, K., & Bunn, F. (2017). Managing Faecal INcontinence in people with advanced dementia resident in Care Homes (FINCH) study: a realist synthesis of the evidence. Health Technology Assessment, 21(42), https://doi.org/10.3310/hta21420

Making difficult decisions with older patients on medical wards (2017)
Journal Article
Khizar, B., & Harwood, R. H. (2017). Making difficult decisions with older patients on medical wards. Clinical Medicine, 17(4), 353-356. https://doi.org/10.7861/clinmedicine.17-4-353

Decision making with older people can be difficult because of medical complexity, uncertainty (about prognosis, treatment effectiveness and priorities), difficulties brought by cognitive and communication impairment and the multiple family and other... Read More about Making difficult decisions with older patients on medical wards.

Management of Fecal Incontinence in Older People With Dementia Resident in Care Homes: A Realist Synthesis—The FINCH Study (2017)
Journal Article
Roe, B., Goodman, C., Russell, B., Buswell, M., Norton, C., Harari, D., Harwood, R., Malone, J. R., Drennan, V. M., Fader, M., Maden, M., & Bunn, F. (2017). Management of Fecal Incontinence in Older People With Dementia Resident in Care Homes: A Realist Synthesis—The FINCH Study. Journal of the American Medical Directors Association, 18(9), 750-751. https://doi.org/10.1016/j.jamda.2017.06.001

Where next for delirium research? (2017)
Journal Article
Harwood, R. H., & Teale, E. (2018). Where next for delirium research?. International Journal of Geriatric Psychiatry, 33(11), 1512-1520. https://doi.org/10.1002/gps.4696

Clinicians who manage delirium must do so without key information required for evidence‐based practice, not least lack of any clearly effective treatment for established delirium. Both the nature of delirium and the methods used to research it contri... Read More about Where next for delirium research?.

Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis (2015)
Journal Article
Goodman, C., Rycroft Malone, J., Norton, C., Harari, D., Harwood, R., Roe, B., Russell, B., Fader, M., Buswell, M., Drennan, V. M., & Bunn, F. (2015). Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis. BMJ Open, 5(7), Article e007728. https://doi.org/10.1136/bmjopen-2015-007728

Introduction Faecal incontinence (FI) is the involuntary loss of liquid or solid stool that is a social or hygienic problem. The prevalence of FI in residents of care homes is high, but it is not an inevitable consequence of old age or dementia. Ther... Read More about Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis.

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

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

Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial (2011)
Journal Article
Edmans, J., Conroy, S., Harwood, R., Lewis, S., Elliott, R. A., Logan, P., Bradshaw, L., Franklin, M., & Gladman, J. (2011). Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial. Trials, 12, Article 200. https://doi.org/10.1186/1745-6215-12-200

Background
Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this... Read More about Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial.

Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial (2010)
Journal Article
Beavan, J., Paul Conroy, S., Harwood, R., Gladman, J. R., Leonardi-Bee, J., Sach, T., Bowling, T., Sunman, W., & Gaynor, C. (2010). Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial. Age and Ageing, 39(5), 624-630. https://doi.org/10.1093/ageing/afq088

Background: nasogastric tube (NGT) feeding is commonly used after stroke, but its effectiveness is limited by frequent dislodgement.

Objective: the objective of the study was to evaluate looped NGT feeding in acute stroke patients with dysphagia.... Read More about Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial.

An evaluation of a specialist multiagency home support service for older people with dementia using qualitative methods (2007)
Journal Article
Rothera, I., Jones, R., Harwood, R., Avery, A. J., Fisher, K., James, V., Shaw, I., & Waite, J. (2008). An evaluation of a specialist multiagency home support service for older people with dementia using qualitative methods. International Journal of Geriatric Psychiatry, 23(1), 65-72. https://doi.org/10.1002/gps.1841

Background
Standard home care support for people with dementia has been criticised in statutory inspection reports, and may lead to unnecessary crises, hospital or care home admissions.

Objective
To establish whether a specialist multiagency hom... Read More about An evaluation of a specialist multiagency home support service for older people with dementia using qualitative methods.

Measurement of health-related quality of life for people with dementia: Development of a new instrument (DEMQOL) and an evaluation of current methodology (2005)
Journal Article
Smith, S. C., Lamping, D. L., Banerjee, S., Harwood, R., Foley, B., Smith, P., Cook, J., Murray,, . J., Prince, M., Levin, E., Mann, A., & Knapp, M. (2005). Measurement of health-related quality of life for people with dementia: Development of a new instrument (DEMQOL) and an evaluation of current methodology. Health Technology Assessment, 9(10), https://doi.org/10.3310/hta9100

Objectives: To develop and validate a psychometrically rigorous measure of health-related quality of life (HRQoL) for people with dementia: DEMQOL.

Data sources: Literature review. Expert opinion. Interviews and questionnaires.

Review methods:... Read More about Measurement of health-related quality of life for people with dementia: Development of a new instrument (DEMQOL) and an evaluation of current methodology.