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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...

A smartphone 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. (in press)
A smartphone intervention to improve obesity-related health behaviors of adolescents across Europe: An iterative co-design and feasibility study. JMIR mHealth and uHealth, 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...

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. (in press)
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 (...

Are self-reported telemonitored blood pressure readings affected by end-digit preference: a prospective cohort study in Scotland

Journal Article
Parker, R. A., Paterson, M., Padfield, P., Pinnock, H., Hanley, J., Hammersley, V. S., …McKinstry, B. (2018)
Are self-reported telemonitored blood pressure readings affected by end-digit preference: a prospective cohort study in Scotland. BMJ Open, 8(1), e019431. https://doi.org/10.1136/bmjopen-2017-019431
Objective Simple forms of blood pressure (BP) telemonitoring require patients to text readings to central servers creating an opportunity for both entry error and manipulati...