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Professor Rowan Harwood's Outputs (25)

RCT-based Social Return on Investment (SROI) of a Home Exercise Program for People With Early Dementia Comparing In-Person and Blended Delivery Before and During the COVID-19 Pandemic (2024)
Journal Article
Doungsong, K., Hartfiel, N., Gladman, J., Harwood, R., & Edwards, R. T. (2024). RCT-based Social Return on Investment (SROI) of a Home Exercise Program for People With Early Dementia Comparing In-Person and Blended Delivery Before and During the COVID-19 Pandemic. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61, https://doi.org/10.1177/00469580241246468

Regular exercise and community engagement may slow the rate of function loss for people with dementia. However, the evidence is uncertain regarding the cost-effectiveness and social return on investment (SROI) of home exercise with community referral... Read More about RCT-based Social Return on Investment (SROI) of a Home Exercise Program for People With Early Dementia Comparing In-Person and Blended Delivery Before and During the COVID-19 Pandemic.

RCT-based Social Return on Investment (SROI) of a home exercise programme for people with early dementia comparing in-person and blended delivery before and during the COVID-19 pandemic (2023)
Preprint / Working Paper
Doungsong, K., Hartfiel, N., Gladman, J., Harwood, R. H., & Edwards, R. T. (2023). RCT-based Social Return on Investment (SROI) of a home exercise programme for people with early dementia comparing in-person and blended delivery before and during the COVID-19 pandemic

Background Regular exercise and community engagement may slow the rate of function loss for people with dementia. However, the evidence is uncertain regarding the cost-effectiveness and social return on investment (SROI) of home exercise with communi... Read More about RCT-based Social Return on Investment (SROI) of a home exercise programme for people with early dementia comparing in-person and blended delivery before and during the COVID-19 pandemic.

005 Association between prescription drugs and vaccines commonly prescribed to older people and bullous pemphigoid: a UK population-based study (2023)
Journal Article
Swiderski, M., Vinogradova, Y., Knaggs, R., Harman, K., Harwood, R., Prasad, V., Persson, M. S. M., Figueredo, G., Layfield, C., & Gran, S. (2023). 005 Association between prescription drugs and vaccines commonly prescribed to older people and bullous pemphigoid: a UK population-based study. British Journal of Dermatology, 188(Supplement_4), Article ljad113.005. https://doi.org/10.1093/bjd/ljad113.005

Bullous pemphigoid (BP) is the most common autoimmune blistering skin disease, manifested by painful itching of the skin and mucous membranes. Despite high mortality, poor quality of life and increasing incidence in older people, BP can be overlooked... Read More about 005 Association between prescription drugs and vaccines commonly prescribed to older people and bullous pemphigoid: a UK population-based study.

Social return on investment of home exercise and community referral for people with early dementia (2021)
Preprint / Working Paper
Hartfiel, N., Gladman, J., Harwood, R., & Edwards, R. T. (2021). Social return on investment of home exercise and community referral for people with early dementia

Background Exercise can improve physical function and slow the progression of dementia. However, uncertainty exists around the cost-effectiveness of exercise programmes for people with early dementia.

Objective The aim is to determine whether a ho... Read More about Social return on investment of home exercise and community referral for people with early dementia.

Tele-Rehabilitation for People with Dementia during the COVID-19 Pandemic: A Case-Study from England (2021)
Journal Article
Di Lorito, C., Duff, C., Rogers, C., Tuxworth, J., Bell, J., Fothergill, R., Wilkinson, L., Bosco, A., Howe, L., O’Brien, R., Godfrey, M., Dunlop, M., van der Wardt, V., Booth, V., Logan, P., Cowley, A., & Harwood, R. H. (2021). Tele-Rehabilitation for People with Dementia during the COVID-19 Pandemic: A Case-Study from England. International Journal of Environmental Research and Public Health, 18(4), Article 1717. https://doi.org/10.3390/ijerph18041717

Introduction: The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. The Lincolnshire partnership National Health Service (NHS) foundation Trust successfully delive... Read More about Tele-Rehabilitation for People with Dementia during the COVID-19 Pandemic: A Case-Study from England.

Deconditioning in people living with dementia during the COVID-19 pandemic: findings from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation (2020)
Preprint / Working Paper
Lorito, C. D., Masud, T., Gladman, J., Godfrey, M., Dunlop, M., & Harwood, R. H. (2020). Deconditioning in people living with dementia during the COVID-19 pandemic: findings from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation

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 empirically gathered in people living with dementia.

O... Read More about Deconditioning in people living with dementia during the COVID-19 pandemic: findings from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation.

Psychiatry and the geriatric syndromes - Creating constructive interfaces (2017)
Journal Article
Thacker, S., Skelton, M., & Harwood, R. (2017). Psychiatry and the geriatric syndromes - Creating constructive interfaces. BJPsych Bulletin, 41(2), 71-75. https://doi.org/10.1192/pb.bp.115.051649

Integrating mental and physical healthcare is difficult to achieve because of professional and organisational barriers. Psychiatrists recognise the problems resulting from fragmentation of services and want continuity of care for patients, but commis... Read More about Psychiatry and the geriatric syndromes - Creating constructive interfaces.

A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls (2010)
Journal Article
Conroy, S., Kendrick, D., Harwood, R., Gladman, J., Coupland, C., Sach, T., Drummond, A., Youde, J., Edmans, J., & Masud, T. (2010). A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls. Age and Ageing, 39(6), 704–710. https://doi.org/10.1093/ageing/afq096

Objective:

To determine the clinical effectiveness of a day hospital-delivered multifactorial falls prevention programme, for community-dwelling older people at high risk of future falls identified through a screening process.

Design:

Mult... Read More about A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls.

A foundation doctor's guide to clerking the confused older patient (2010)
Journal Article
Winstanley, L., Glew, S., & Harwood, R. (2010). A foundation doctor's guide to clerking the confused older patient. British Journal of Hospital Medicine, 75(Sup5), Article M79. https://doi.org/10.12968/hmed.2010.71.sup5.47934

Confusion is a common cause of acute admissions, encompassing dementia, delirium and depression (Bostwick, 2000). Because of this diagnostic challenge, acute confusion is often misdiagnosed and undertreated; one study found this to be the case in 94%... Read More about A foundation doctor's guide to clerking the confused older patient.

Is looped nasogastric tube feeding more effective than conventional nasogastric tube feeding for dysphagia in acute stroke? (2007)
Journal Article
Beavan, J. R., Conroy, S., Leonardi-Bee, J., Bowling, T., Gaynor, C., Gladman, J., Good, D., Gorman, P., Harwood, R., Riley, J., Sach, T., & Sunman, W. (2007). Is looped nasogastric tube feeding more effective than conventional nasogastric tube feeding for dysphagia in acute stroke?. Trials, 8(19), 1-6. https://doi.org/10.1186/1745-6215-8-19

Background

Dysphagia occurs in up to 50% of patients admitted to hospital with acute strokes with up to 27% remaining by seven days. Up to 8% continue to have swallowing problems six months after their stroke with 1.7% still requiring enteral feed... Read More about Is looped nasogastric tube feeding more effective than conventional nasogastric tube feeding for dysphagia in acute stroke?.

Cross-cultural validation of the London handicap scale and comparison of handicap perception between Chinese and UK populations (2007)
Journal Article
See Kit Lo, R., Chi Yui Kwok, T., Oi Yue Cheng, J., Yang, H., Jiang Yuan, H., Harwood, R., & Woo, J. (2007). Cross-cultural validation of the London handicap scale and comparison of handicap perception between Chinese and UK populations. Age and Ageing, 36(5), 544–548. https://doi.org/10.1093/ageing/afm052

Objective:

To validate the London Handicap Scale on populations from diverse cultures by comparing handicap perceptions in Mainland (Sichuan) Chinese, Hong Kong Chinese and UK subjects.

Method:

Utility ratings of 10 real life health scenar... Read More about Cross-cultural validation of the London handicap scale and comparison of handicap perception between Chinese and UK populations.

Health status and assessed need for a cohort of older people admitted to nursing and residential homes. (2003)
Journal Article
Rothera, I., Jones, R., Harwood, R., Avery, A., & Waite, J. (2003). Health status and assessed need for a cohort of older people admitted to nursing and residential homes. Age and Ageing, 32(3), 303–309. https://doi.org/10.1093/ageing/32.3.303

Objective: 

To investigate dependency and health status of a cohort of older people admitted for long term nursing or residential care and to compare these findings with assessments conducted by social services departments prior to placement.

D... Read More about Health status and assessed need for a cohort of older people admitted to nursing and residential homes..

Quality of accommodation and risk of depression in later life: An analysis of prospective data from the Gospel Oak Project (2002)
Journal Article
Stewart, R., Prince, M., Harwood, R., Whitley, R., & Mann, A. (2002). Quality of accommodation and risk of depression in later life: An analysis of prospective data from the Gospel Oak Project. International Journal of Geriatric Psychiatry, 17(12), 1091-1098. https://doi.org/10.1002/gps.749

Objective

To investigate the association between observer-rated quality of internal accommodation and risk of onset of depression.

Design

A secondary analysis of data from a cross-sectional survey of residents aged 65 or over in a north Lond... Read More about Quality of accommodation and risk of depression in later life: An analysis of prospective data from the Gospel Oak Project.

Cross-cultural validation of the London Handicap scale in Hong Kong Chinese (2001)
Journal Article
Lo, R., Harwood, R., Woo, J., Yeung, F., & Ebrahim, S. (2001). Cross-cultural validation of the London Handicap scale in Hong Kong Chinese. Clinical Rehabilitation, 15(2), 177 - 185. https://doi.org/10.1191/026921501670857768

Study objective:

To investigate the cross-cultural validity of London Handicap Scale in Hong Kong Chinese.

Design:

Ratings of the utility of 10 hypothetical health scenarios were given by groups of HK Chinese subjects. Measured scores were... Read More about Cross-cultural validation of the London Handicap scale in Hong Kong Chinese.