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59 results

Telemonitoring at scale for hypertension in primary care: An implementation study

Journal Article
Hammersley, V., Parker, R., Paterson, M., Hanley, J., Pinnock, H., Padfield, P., …McKinstry, B. (2020)
Telemonitoring at scale for hypertension in primary care: An implementation study. PLoS Medicine, 17(6), e1003124. https://doi.org/10.1371/journal.pmed.1003124
Background While evidence from randomised controlled trials shows that telemonitoring for hypertension is associated with improved blood pressure (BP) control, healthcare syst...

A mobile phone intervention to improve obesity-related health behaviors of adolescents across Europe: An iterative co-design and feasibility study

Journal Article
Martin, A., Caon, M., Adorni, F., Andreoni, G., Ascolese, A., Atkinson, S., …McKinstry, B. (2020)
A mobile phone intervention to improve obesity-related health behaviors of adolescents across Europe: An iterative co-design and feasibility study. JMIR mHealth and uHealth, 8(3), https://doi.org/10.2196/14118
Background: Promotion of physical activity, healthy eating, adequate sleep and reduced sedentary behavior in adolescents is a major priority globally given the current increas...

Promoting healthy teenage behaviour across three European countries through the use of a novel smartphone technology platform, PEGASO fit for future: study protocol of a quasi-experimental, controlled, multi-Centre trial

Journal Article
Puigdomenech, E., Martin, A., Lang, A., Adorni, F., Gomez, S. F., McKinstry, B., …on behalf of the PEGASO Fit For Future Consortium, . (2019)
Promoting healthy teenage behaviour across three European countries through the use of a novel smartphone technology platform, PEGASO fit for future: study protocol of a quasi-experimental, controlled, multi-Centre trial. BMC Medical Informatics and Decision Making, 19(1), https://doi.org/10.1186/s12911-019-0958-x
Background Behaviour change interventions targeting physical activity, diet, sleep and sedentary behaviour of teenagers show promise when delivered through smartphones. Howeve...

The 4 ‘A’s test for detecting delirium in acute medical patients: a diagnostic accuracy study

Journal Article
MacLullich, A. M., Shenkin, S. D., Goodacre, S., Godfrey, M., Hanley, J., Stíobhairt, A., …Gray, A. (2019)
The 4 ‘A’s test for detecting delirium in acute medical patients: a diagnostic accuracy study. Health Technology Assessment, 23(40), 1-194. https://doi.org/10.3310/hta23400
Background: Delirium is a common and serious neuropsychiatric syndrome, usually triggered by illness or drugs. It remains underdetected. One reason for this is a lack of brief...

Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the Confusion Assessment Method

Journal Article
Shenkin, S., Fox, C., Godfrey, M., Siddiqi, N., Goodacre, S., Young, J., …MacLullich, A. (2019)
Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the Confusion Assessment Method. BMC Medicine, 17, https://doi.org/10.1186/s12916-019-1367-9
Background: Delirium affects >15% of hospitalised patients but is grossly underdetected, contributing to poor care. The 4 ‘A’s Test (4AT; www.the4AT.com) is a short delirium a...

Evaluating a large-scale roll out of blood pressure telemonitoring using routinely acquired data

Journal Article
McKinstry, B., Hammersley, V., Parker, R., Pinnock, H., Padfield, P., Hanley, J., …Steventon, A. (2019)
Evaluating a large-scale roll out of blood pressure telemonitoring using routinely acquired data. British Journal of General Practice, 69(suppl 1), https://doi.org/10.3399/bjgp19x703529
Background: 1.2 million appointments in Scottish primary care annually are used solely for checking blood pressure (BP). While evidence from randomised controlled trials (RCTs...

Challenges and barriers to optimising sedation in intensive care: a qualitative study in eight Scottish intensive care units

Journal Article
Kydonaki, K., Hanley, J., Huby, G., Antonelli, J., & Walsh, T. (2019)
Challenges and barriers to optimising sedation in intensive care: a qualitative study in eight Scottish intensive care units. BMJ Open, 9, https://doi.org/10.1136/bmjopen-2018-024549
Objectives: Various strategies to promote light sedation are highly recommended in recent guidelines, as deep sedation is associated with suboptimum patient outcomes. Yet, the...

Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies

Journal Article
Hanley, J., Pinnock, H., Paterson, M., & McKinstry, B. (2018)
Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies. BMC family practice, 19(1), 118. https://doi.org/10.1186/s12875-018-0814-6
Background: Telemonitoring for long term conditions such as hypertension and diabetes has not been widely adopted despite evidence of efficacy in trials and policy support. Th...

Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study

Journal Article
Sheppard, J. P., Martin, U., Gill, P., Stevens, R., Hobbs, F. R., Mant, J., …McManus, R. J. (2018)
Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study. British medical journal, 361, k2478. https://doi.org/10.1136/bmj.k2478
Objectives: Triaging patients with suspected high blood pressure for ambulatory blood pressure monitoring (ABPM), on the basis of their clinic blood pressure and characteristi...

Protocol for validation of the 4AT, a rapid screening tool for delirium: a multicentre prospective diagnostic test accuracy study

Journal Article
Shenkin, S. D., Fox, C., Godfrey, M., Siddiqi, N., Goodacre, S., Young, J., …MacLullich, A. M. (2018)
Protocol for validation of the 4AT, a rapid screening tool for delirium: a multicentre prospective diagnostic test accuracy study. BMJ Open, 8(2), https://doi.org/10.1136/bmjopen-2016-015572
INTRODUCTION: Delirium is a severe neuropsychiatric syndrome of rapid onset, commonly precipitated by acute illness. It is common in older people in the emergency department (...
8 results

Who benefits from cardiovascular risk reduction programmes? Building a Scottish observatory to measure the impact of blood pressure (BP) telemonitoring and future cardiovascular risk reduction interve...

2020 - 2023
The British Heart Foundation is partnering the Scottish Government in supporting the roll out of an evidence based BP telemonitoring initiative (scale up BP) in order to facilitate increased detection...
Funder: British Heart Foundation | Value: £192,845

Increasing medication adherence among adults with atrial fibrillation: A Medical Research Council complex intervention framework development and feasibility study.

2019 - 2021
Atrial fibrillation (AF) is a common abnormal heart rhythm affecting more than 1-million people in Scotland. People with AF are five-times more likely to have a stroke and twice as likely to die, comp...
Funder: Chief Scientists Office | Value: £283,191

Five year records based follow up of people who participated in the Telescot hypertension and COPD trials

2018 - 2019
Five year records based follow up of the participants in two telemonitoring trials will be carried out for the following reasons 1. Chronic Obstructive Pulmonary Disease (COPD) is an incurable, progre...
Funder: Edinburgh Napier Funded

Exploring the use of activity tracking and mobile phone based feedback integrated with health care records to increase activity levels and reduce sedentary behaviour in people with type 2 diabetes

2018 - 2020
The benefits of exercise and reduced sedentary behavior on health and wellbeing are important for the whole population, but for those with type 2 diabetes they have particular benefits in enhancing bl...
Funder: NHS Lothian | Value: £4,600

Scale-up BP: Implementing evidence-based hypertension research at scale

2015 - 2017
To determine the feasibility of carrying out a phase 4 study on the clinical and health economic impact of implementing telemonitoring of BP as routine practice for the majority of patients with raise...
Funder: Chief Scientists Office | Value: £2,291

Remote respiratory rate monitoring in COPD

2013 - 2015
An estimated 3.7 million people live with chronic obstructive pulmonary disease (COPD) in the UK, predicted to increase by one-third by 2030, costing the NHS £1.2 billion/yr. Over 50% of costs are du...
Funder: Chief Scientists Office

Nursing & Cardiac or Pulmonary Rehabilitation

2008 - 2011
Funder: NHS Lothian

Public health, nurse-led blood pressure monitoring

2008 - 2012
Funder: Bupa Foundation | Value: £233,524

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