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Prof ROWAN HARWOOD's Outputs (42)

Proactive integrated consultation-liaison psychiatry and time spent in hospital by older medical inpatients in England (The HOME Study): a multicentre, parallel-group, randomised controlled trial (2024)
Journal Article
Sharpe, M., Walker, J., van Niekerk, M., Toynbee, M., Magill, N., Frost, C., White, I. R., Walker, S., Duarte, A., Owens, C., Dickens, C., Price, A., Sharpe, M., Walker, J., van Niekerk, M., Toynbee, M., Magill, N., Frost, C., White, I. R., Walker, S., …Yousif, M. (2024). Proactive integrated consultation-liaison psychiatry and time spent in hospital by older medical inpatients in England (The HOME Study): a multicentre, parallel-group, randomised controlled trial. Lancet Psychiatry, 11(9), 684-695. https://doi.org/10.1016/s2215-0366%2824%2900188-3

Background: Older people admitted to hospital in an emergency often have prolonged inpatient stays that worsen their outcomes, increase health-care costs, and reduce bed availability. Growing evidence suggests that the biopsychosocial complexity of t... Read More about Proactive integrated consultation-liaison psychiatry and time spent in hospital by older medical inpatients in England (The HOME Study): a multicentre, parallel-group, randomised controlled trial.

New horizons in clinical practice guidelines for use with older people (2024)
Journal Article
Martin, F. C., Quinn, T. J., Straus, S. E., Anand, S., van der Velde, N., & Harwood, R. H. (2024). New horizons in clinical practice guidelines for use with older people. Age and Ageing, 53(7), Article afae158. https://doi.org/10.1093/ageing/afae158

Globally, more people are living into advanced old age, with age-associated frailty, disability and multimorbidity. Achieving equity for all ages necessitates adapting healthcare systems. Clinical practice guidelines (CPGs) have an important place in... Read More about New horizons in clinical practice guidelines for use with older people.

Social participation in the promoting activity, independence and stability in early dementia (PrAISED), a home-based therapy intervention for people living with dementia: a realist evaluation (2024)
Journal Article
Lorito, C. D., Pollock, K., Booth, V., Howe, L., Goldberg, S., Godfrey, M., Dunlop, M., Harwood, R. H., Van Der Wardt, V., & Lorito, C. D. (2024). Social participation in the promoting activity, independence and stability in early dementia (PrAISED), a home-based therapy intervention for people living with dementia: a realist evaluation. BMC Geriatrics, 24(1), Article 615. https://doi.org/10.1186/s12877-024-05086-y

Background: Interventions promoting social activity may reduce behavioural psychological symptoms and improve quality of life in people living with dementia. This study aimed to identify social benefits for participants living with dementia in the co... Read More about Social participation in the promoting activity, independence and stability in early dementia (PrAISED), a home-based therapy intervention for people living with dementia: a realist evaluation.

Establishing a research partnership to investigate functional loss and rehabilitation towards the end of life (2024)
Journal Article
Maddocks, M., Brighton, L. J., Connell, L., Cowley, A., Laird, B., Peryer, G., …Harwood, R. (2024). Establishing a research partnership to investigate functional loss and rehabilitation towards the end of life. Health Technology Assessment, 1-12. https://doi.org/10.3310/pthc7598

Background
Functional loss, the inability to perform necessary or desired tasks, is a common consequence of life-limiting illnesses and associated symptoms (pain, fatigue, breathlessness, etc.) and causes suffering for patients and families. Rehabil... Read More about Establishing a research partnership to investigate functional loss and rehabilitation towards the end of life.

Adapted problem adaptation therapy for depression in mild to moderate Alzheimer's disease dementia: A randomized controlled trial (2024)
Journal Article
Howard, R., Cort, E., Rawlinson, C., Wiegand, M., Downey, A., Lawrence, V., …Gould, R. (2024). Adapted problem adaptation therapy for depression in mild to moderate Alzheimer's disease dementia: A randomized controlled trial. Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 20(4), 2990-2999. https://doi.org/10.1002/alz.13766

INTRODUCTION: Trials of effectiveness of treatment options for depression in dementia are an important priority. METHODS: Randomized controlled trial to assess adapted Problem Adaptation Therapy (PATH) for depression in mild/moderate dementia caused... Read More about Adapted problem adaptation therapy for depression in mild to moderate Alzheimer's disease dementia: A randomized controlled trial.

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.

A rehabilitation intervention to improve recovery after an episode of delirium in adults over 65 years (RecoverED): study protocol for a multi-centre, single-arm feasibility study (2023)
Journal Article
Allan, L., O'Connell, A., Raghuraman, S., Bingham, A., Laverick, A., Chandler, K., …Clare, L. (2023). A rehabilitation intervention to improve recovery after an episode of delirium in adults over 65 years (RecoverED): study protocol for a multi-centre, single-arm feasibility study. Pilot and Feasibility Studies, 9, Article 162. https://doi.org/10.1186/s40814-023-01387-y

BackgroundDelirium affects over 20% of all hospitalised older adults. Delirium is associated with a number of adverse outcomes following hospital admission including cognitive decline, anxiety and depression, increased mortality and care needs. Previ... Read More about A rehabilitation intervention to improve recovery after an episode of delirium in adults over 65 years (RecoverED): study protocol for a multi-centre, single-arm feasibility study.

Promoting Activity, Independence, and Stability in Early Dementia and mild cognitive impairment (PrAISED): randomised controlled trial (2023)
Journal Article
Harwood, R. H., Goldberg, S. E., Brand, A., van Der Wardt, V., Booth, V., Di Lorito, C., Hoare, Z., Hancox, J., Bajwa, R., Burgon, C., Howe, L., Cowley, A., Bramley, T., Long, A., Lock, J., Tucker, R., Adams, E. J., O’Brien, R., Kearney, F., Kowalewska, K., …Masud, T. (2023). Promoting Activity, Independence, and Stability in Early Dementia and mild cognitive impairment (PrAISED): randomised controlled trial. BMJ, 382, Article e074787. https://doi.org/10.1136/bmj-2023-074787

Objective To determine the effectiveness of an exercise and functional activity therapy intervention in adults with early dementia or mild cognitive impairment compared with usual care.

Design Randomised controlled trial.

Setting Participants’... Read More about Promoting Activity, Independence, and Stability in Early Dementia and mild cognitive impairment (PrAISED): randomised controlled trial.

Promoting Activity, Independence and Stability in early dementia and mild cognitive impairment (PrAISED): randomised controlled trial (2023)
Journal Article
Harwood, R. H., Goldberg, S. E., Brand, A., van Der Wardt, V., Booth, V., Di Lorito, C., …Adams, E. (2023). Promoting Activity, Independence and Stability in early dementia and mild cognitive impairment (PrAISED): randomised controlled trial. BMJ, 382, Article e074787. https://doi.org/10.1136/bmj-2023-074787

Objective: To determine the effectiveness of an exercise and functional activity therapy intervention in adults with early dementia or mild cognitive impairment compared with usual care.

Design: Randomised controlled trial.

Setting: Participant... Read More about Promoting Activity, Independence and Stability in early dementia and mild cognitive impairment (PrAISED): randomised controlled trial.

Association between pain intensity and depressive symptoms in community-dwelling adults: longitudinal findings from the Survey of Health, Ageing and Retirement in Europe (SHARE) (2023)
Journal Article
Ogliari, G., Ryg, J., Andersen-Ranberg, K., Scheel-Hincke, L. L., Collins, J. T., Cowley, A., …Masud, T. (2023). Association between pain intensity and depressive symptoms in community-dwelling adults: longitudinal findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). European Geriatric Medicine, 14(5), 1111-1124. https://doi.org/10.1007/s41999-023-00835-5

Purpose
To investigate the longitudinal associations between pain and depressive symptoms in adults.

Methods
Prospective cohort study on data from 28,515 community-dwelling adults ≥ 50 years, free from depression at baseline (Wave 5), with follo... Read More about Association between pain intensity and depressive symptoms in community-dwelling adults: longitudinal findings from the Survey of Health, Ageing and Retirement in Europe (SHARE).

Incidence of cognitive impairment and dementia after hospitalisation for pneumonia: a UK population-based matched cohort study (2023)
Journal Article
Chalitsios, C. V., Baskaran, V., Harwood, R. H., Lim, W. S., & McKeever, T. M. (2023). Incidence of cognitive impairment and dementia after hospitalisation for pneumonia: a UK population-based matched cohort study. ERJ Open Research, 9(3), Article 00328-2022. https://doi.org/10.1183/23120541.00328-2022

Background Survivors of common infections may develop cognitive impairment or dementia; however, the risk of these conditions in people hospitalised with pneumonia is not well established.

Methods A matched cohort study was conducted using Hospit... Read More about Incidence of cognitive impairment and dementia after hospitalisation for pneumonia: a UK population-based matched cohort study.

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., Tahir, M., & Harwood, R. (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, 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.

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.

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.

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.

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.

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.

Motivation as a mechanism underpinning exercise-based falls prevention programmes for older adults with cognitive impairment: a realist review (2019)
Journal Article
Booth, V., Harwood, R. H., Hancox, J. E., Hood-Moore, V., Masud, T., & Logan, P. (2019). Motivation as a mechanism underpinning exercise-based falls prevention programmes for older adults with cognitive impairment: a realist review. BMJ Open, 9(6), Article e024982. https://doi.org/10.1136/bmjopen-2018-024982

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

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.

A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study (2018)
Journal Article
Harwood, R. H., O’Brien, R., Goldberg, S. E., Allwood, R., Pilnick, A., Beeke, S., …Schneider, J. (2018). A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study. Health Services and Delivery Research, 6(41), 1-134. https://doi.org/10.3310/hsdr06410

Background
25% of hospital beds are occupied by a person living with dementia. Dementia affects expressive communication and understanding. Healthcare professionals report lack of communication skills training.
Objectives
To identify teachable ef... Read More about A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study.

The VOICE study – a before and after study of a dementia communication skills training course (2018)
Journal Article
O’Brien, R., Goldberg, S. E., Pilnick, A., Beeke, S., Schneider, J., Sartain, K., Thomson, L., Murray, M., Baxendale, B., & Harwood, R. H. (2018). The VOICE study – a before and after study of a dementia communication skills training course. PLoS ONE, 13(6), Article e0198567. https://doi.org/10.1371/journal.pone.0198567

Background

A quarter of acute hospital beds are occupied by persons living with dementia, many of whom have communication problems. Healthcare professionals lack confidence in dementia communication skills, but there are no evidence-based communic... Read More about The VOICE study – a before and after study of a dementia communication skills training course.

A development study and randomised feasibility trial of a tailored intervention to improve activity and reduce falls in older adults with mild cognitive impairment and mild dementia (2018)
Journal Article
Harwood, R. H., van der Wardt, V., Goldberg, S. E., Keamey, F., Logan, P., Hood-Moore, V., …Orrell, M. (2018). A development study and randomised feasibility trial of a tailored intervention to improve activity and reduce falls in older adults with mild cognitive impairment and mild dementia. Pilot and Feasibility Studies, 4, Article 49. https://doi.org/10.1186/s40814-018-0239-y

Background:
People with dementia progressively lose abilities and are prone to falling. Exercise- and activity-based interventions hold the prospect of increasing abilities, reducing falls, and slowing decline in cognition. Current falls prevention... Read More about A development study and randomised feasibility trial of a tailored intervention to improve activity and reduce falls in older adults with mild cognitive impairment and mild dementia.

Promoting activity, independence and stability in early dementia and mild cognitive impairment (PrAISED): development of an intervention for people with mild cognitive impairment and dementia (2018)
Journal Article
Booth, V., Harwood, R. H., Hood-Moore, V., Bramley, T., Hancox, J. E., Robertson, K., …Logan, P. (2018). Promoting activity, independence and stability in early dementia and mild cognitive impairment (PrAISED): development of an intervention for people with mild cognitive impairment and dementia. Clinical Rehabilitation, 32(7), 855-864. https://doi.org/10.1177/0269215518758149

This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless, they are intended to be of interest to a multidisciplinary audience. The competency addressed in this ar... Read More about Promoting activity, independence and stability in early dementia and mild cognitive impairment (PrAISED): development of an intervention for people with mild cognitive impairment and dementia.

Comprehensive geriatric assessment for older adults admitted to hospital (2017)
Journal Article
Ellis, G., Gardner, M., Tsiachristas, A., Langhorne, P., Burke, O., Harwood, R. H., …Shepperd, S. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews, 2017(9), Article CD006211. https://doi.org/10.1002/14651858.CD006211.pub3

© 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Background: Comprehensive geriatric assessment (CGA) is a multi-dimensional, multi-disciplinary diagnostic and therapeutic process conducted to determine the medical, mental, a... Read More about Comprehensive geriatric assessment for older adults admitted to hospital.

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., …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.

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.

How to deal with violent and aggressive patients in acute medical settings (2017)
Journal Article
Harwood, R. (2017). How to deal with violent and aggressive patients in acute medical settings. Journal of the Royal College of Physicians of Edinburgh, 47(2), 176-182. https://doi.org/10.4997/jrcpe.2017.218

Dealing with violence and aggression is an area where health professionals often feel uncertain. Standing at the interface between medicine, psychiatry and law, the best actions may not be clear, and guidelines neither consistently applicable nor exp... Read More about How to deal with violent and aggressive patients in acute medical settings.

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?.

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

Background/Aims:

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

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

Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia.

Method: A critical, systematic, review of review method was used. Five large electronic databas... Read More about Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews.

Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes (2015)
Journal Article
Gladman, J., Harwood, R., Conroy, S., Logan, P., Elliott, R., Jones, R., …Frowd, N. (2015). Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes. Programme Grants for Applied Research, 3(4), 1-410. https://doi.org/10.3310/pgfar03040

Background
This programme of research addressed shortcomings in the care of three groups of older patients: patients discharged from acute medical units (AMUs), patients with dementia and delirium admitted to general hospitals, and care home residen... Read More about Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes.

A qualitative study into the attitudes of people with mild cognitive impairment and early stages of dementia, and their carers, about falls interventions and risk (2014)
Journal Article

Introduction: Falls are a common and serious problem for older people with cognitive impairment. Successful intervention to reduce falls risk could result in great benefit to patients and their families, and reduce costs. This study examines patients... Read More about A qualitative study into the attitudes of people with mild cognitive impairment and early stages of dementia, and their carers, about falls interventions and risk.

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., …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.