Dr REBECCA O'BRIEN's Outputs (16)

Promoting Activity, Independence and Stability in Early Dementia and Mild Cognitive Impairment: the PrAISED research programme, including a randomised controlled trial (2025)
Journal Article
Harwood, R. H., Goldberg, S. E., van Der Wardt, V., Brand, A., Booth, V., Di Lorito, C., Hoare, Z., Hancox, J., Bajwa, R., Burgon, C., Howe, L., Cowley, A., Bramley, T., Long, A., Lock, J., Bosco, A., Tucker, R., Robertson, K., Ward, M., Ward, A., …Masud, T. (in press). Promoting Activity, Independence and Stability in Early Dementia and Mild Cognitive Impairment: the PrAISED research programme, including a randomised controlled trial. Programme Grants for Applied Research, https://doi.org/10.3310/PLNV0118

Background
Hidradenitis suppurativa (HS) is a long-term skin condition where evidence for management after first-line treatment fails is limited and practice varies across the UK. Medical and surgical treatment options are potential avenues of treat... Read More about Promoting Activity, Independence and Stability in Early Dementia and Mild Cognitive Impairment: the PrAISED research programme, including a 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., 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.

The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia (PrAISED) (2023)
Journal Article
Lorito, C. D., Van Der Wardt, V., Pollock, K., Howe, L., Booth, V., Logan, P., Gladman, J., Masud, T., Das Nair, R., Goldberg, S., Vedhara, K., O'Brien, R., Adams, E., Cowley, A., Bosco, A., Hancox, J., Burgon, C., Bajwa, R., Lock, J., Long, A., …Harwood, R. H. (2023). The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia (PrAISED). Age and Ageing, 52(8), Article afad166. https://doi.org/10.1093/ageing/afad166

Background. The PRomoting Activity, Independence and Stability in Early Dementia (PrAISED) study delivered an exercise and functional activity programme to participants living with dementia. A Randomised Controlled Trial (RCT) showed no measurable be... Read More about The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia (PrAISED).

Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners (2023)
Journal Article
Pilnick, A., O'Brien, R., Beeke, S., Goldberg, S., Murray, M., & Harwood, R. H. (2023). Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners. Health Expectations, 26(6), 2461-2474. https://doi.org/10.1111/hex.13834

Background: Actors portraying simulated patients are widely used in communication skills training in healthcare, but debates persist over the authenticity of these interactions. However, healthcare professionals value simulation‐based training becaus... Read More about Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners.

Chronic pain in people living with dementia: challenges to recognising and managing pain, and personalising intervention by phenotype (2023)
Journal Article
Collins, J. T., Harwood, R. H., Cowley, A., Di Lorito, C., Ferguson, E., Minicucci, M. F., Howe, L., Masud, T., Ogliari, G., O'Brien, R., Azevedo, P. S., Walsh, D. A., & Gladman, J. R. (2023). Chronic pain in people living with dementia: challenges to recognising and managing pain, and personalising intervention by phenotype. Age and Ageing, 52(1), Article afac306. https://doi.org/10.1093/ageing/afac306

Pain is common in people with dementia, and pain can exacerbate the behavioural and psychological symptoms of dementia. Effective pain management is challenging, not least in people with dementia. Impairments of cognition, communication and abstract... Read More about Chronic pain in people living with dementia: challenges to recognising and managing pain, and personalising intervention by phenotype.

Promoting Activity, Independence and Stability in early dementia and mild cognitive impairment (PrAISED): A randomised controlled trial (2023)
Preprint / Working Paper
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., O’Brien, R., Kearney, F., Kowalewska, K., …Masud, T. Promoting Activity, Independence and Stability in early dementia and mild cognitive impairment (PrAISED): A randomised controlled trial

Background Dementia is associated with frailty leading to increased risks of falls and hospitalisations. Interventions are required to maintain functional ability, strength and balance.

Design Multi-centre parallel group randomised controlled tria... Read More about Promoting Activity, Independence and Stability in early dementia and mild cognitive impairment (PrAISED): A randomised controlled trial.

The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia (2022)
Preprint / Working Paper
Di Lorito, C., van der Wardt, V., Pollock, K., Howe, L., Booth, V., Logan, P., Gladman, J., Masud, T., das Nair, R., Goldberg, S., vedhara, K., O'Brien, R., Adams, E., Cowley, A., Bosco, A., Hancox, J., Burgon, C., Bajwa, R., Lock, J., Long, A., …Harwood, R. (2022). The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia

Background The PRomoting Activity, Independence and Stability in Early Dementia (PrAISED) study delivered an exercise and functional activity programme to participants living with dementia. A Randomised Controlled Trial (RCT) showed no measurable ben... Read More about The facilitators and barriers to improving functional activity and wellbeing in people with dementia: A qualitative study from the Process Evaluation of Promoting Activity, Independence and Stability in Early Dementia.

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.

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.

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.

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.

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.

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., Thomson, L., Murray, M., Parry, R., Kearney, F., Baxendale, B., Sartain, K., & 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.

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.

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.

Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting (2017)
Journal Article
Allwood, R., Pilnick, A., O'Brien, R., Goldberg, S., Harwood, R. H., & Beeke, S. (2017). Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting. Social Science and Medicine, 191, 212-225. https://doi.org/10.1016/j.socscimed.2017.09.014

Around a quarter of hospital beds in the UK are occupied by patients living with dementia (PWD), and communication impairments are common across all types of dementia, often exacerbated by the hospital environment. Unsurprisingly, healthcare professi... Read More about Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting.