8 results on '"Joanna Dawes"'
Search Results
2. Digital home monitoring for capturing daily fluctuation of symptoms; a longitudinal repeated measures study: Long Covid Multi-disciplinary Consortium to Optimise Treatments and Services across the NHS (a LOCOMOTION study)
- Author
-
Samantha Jones, Helen Davies, Stavros Petrou, Simon de Lusignan, Carlos Echevarria, Iram Qureshi, Trisha Greenhalgh, Jonathan Clarke, Johnny Collett, Helen Dawes, Ben Glampson, Joseph Kwon, Vasa Curcin, Brendan Delaney, Clare Rayner, Erik Mayer, Gayathri Delanerolle, Manoj Sivan, Daryl O’Connor, Darren C Greenwood, Mike Horton, Sarah Elkin, Mauricio Barahona, Nawar Diar Bakerly, Rachael Evans, Ruairidh Milne, Anton Pick, Ghazala Mir, Joanna Dawes, Amy Parkin, Stephen Halpin, Nick Preston, Alexander Casson, Tomas Ward, Harsha Master, Emma Tucker, Maedeh Mansoubi, Aishwarya Bhatia, Himanshu Vashisht, Leisle Ezekiel, Phaedra Leveridge, Flo Read, Ian Tuckerbell, Willie Muhlhausen, Zaccheus Falope, Jacqui Morris, Amy Rebane, Ana Belen Espinosa Gonzalez, Sareeta Baley, Annette Rolls, Emily Bullock, Megan Ball, Shehnaz Bashir, Joanne Elwin, and Denys Prociuk
- Subjects
Medicine - Abstract
Introduction A substantial proportion of COVID-19 survivors continue to have symptoms more than 3 months after infection, especially of those who required medical intervention. Lasting symptoms are wide-ranging, and presentation varies between individuals and fluctuates within an individual. Improved understanding of undulation in symptoms and triggers may improve efficacy of healthcare providers and enable individuals to better self-manage their Long Covid. We present a protocol where we aim to develop and examine the feasibility and usability of digital home monitoring for capturing daily fluctuation of symptoms in individuals with Long Covid and provide data to facilitate a personalised approach to the classification and management of Long Covid symptoms.Methods and analysis This study is a longitudinal prospective cohort study of adults with Long Covid accessing 10 National Health Service (NHS) rehabilitation services in the UK. We aim to recruit 400 people from participating NHS sites. At referral to study, 6 weeks and 12 weeks, participants will complete demographic data (referral to study) and clinical outcome measures, including ecological momentary assessment (EMA) using personal mobile devices. EMA items are adapted from the COVID-19 Yorkshire Rehabilitation Scale items and include self-reported activities, symptoms and psychological factors. Passive activity data will be collected through wrist-worn sensors. We will use latent class growth models to identify trajectories of experience, potential phenotypes defined by co-occurrence of symptoms and inter-relationships between stressors, symptoms and participation in daily activities. We anticipate that n=300 participants provide 80% power to detect a 20% improvement in fatigue over 12 weeks in one class of patients relative to another.Ethics and dissemination The study was approved by the Yorkshire & The Humber—Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Findings will be disseminated in peer-reviewed publications and presented at conferences.Trial registration number ISRCTN15022307.
- Published
- 2023
- Full Text
- View/download PDF
3. Hospital-based preventative interventions for people experiencing homelessness in high-income countries: A systematic review
- Author
-
Serena A. Luchenski, Joanna Dawes, Robert W. Aldridge, Fiona Stevenson, Shema Tariq, Nigel Hewett, and Andrew C. Hayward
- Subjects
Homeless persons ,Prevention ,Hospital ,Social determinants of health ,Multicomponent interventions ,Health inequalities ,Medicine (General) ,R5-920 - Abstract
Summary: Background: People experiencing homelessness have significant unmet needs and high rates of unplanned care. We aimed to describe preventative interventions, defined in their broadest sense, for people experiencing homelessness in a hospital context. Secondary aims included mapping outcomes and assessing intervention effectiveness. Methods: We searched online databases (MEDLINE, Embase, PsycINFO, HMIC, CINAHL, Web of Science, Cochrane Library) from 1999–2019 and conducted backward and forward citation searches to 31 December 2020 (PROSPERO CRD42019154036). We included quantitative studies in emergency and inpatient settings measuring health or social outcomes for adults experiencing homelessness in high income countries. We assessed rigour using the “Quality Assessment Tool for Quantitative Studies” and summarised findings using descriptive quantitative methods, a binomial test, a Harvest Plot, and narrative synthesis. We used PRISMA and SWiM reporting guidelines. Findings: Twenty-eight studies identified eight intervention types: care coordination (n=18); advocacy, support, and outreach (n=13); social welfare assistance (n=13); discharge planning (n=12); homelessness identification (n=6); psychological therapy and treatment (n=6); infectious disease prevention (n=5); and screening, treatment, and referrals (n=5). The evidence strength was weak (n=16) to moderate (n=10), with two high quality randomised controlled trials. We identified six outcome categories with potential benefits observed for psychosocial outcomes, including housing (11/13 studies, 95%CI=54.6–98.1%, p=0.023), healthcare use (14/17, 56.6–96.2%, p=0.013), and healthcare costs (8/8, 63.1–100%, p=0.008). Benefits were less likely for health outcomes (4/5, 28.3–99.5%, p=0.375), integration with onward care (2/4, 6.8–93.2%, p=1.000), and feasibility/acceptability (5/6, 35.9–99.6%, p=0.219), but confidence intervals were very wide. We observed no harms. Most studies showing potential benefits were multi-component interventions. Interpretation: Hospital-based preventative interventions for people experiencing homelessness are potentially beneficial, but more rigorous research is needed. In the context of high needs and extreme inequities, policymakers and healthcare providers may consider implementing multi-component preventative interventions. Funding: SL is supported by an NIHR Clinical Doctoral Research Fellowship (ICA-CDRF-2016-02-042). JD is supported by an NIHR School of Public Health Research Pre-doctoral Fellowship (NU-004252). RWA is supported by a Wellcome Clinical Research Career Development Fellowship (206602).
- Published
- 2022
- Full Text
- View/download PDF
4. The impact of the COVID-19 pandemic on people experiencing homelessness (PEH): a qualitative interview study with PEH and service providers in the UK
- Author
-
Joanna Dawes, Tom May, Daisy Fancourt, and Alexandra Burton
- Abstract
People experiencing homelessness (PEH) faced unique challenges during the COVID-19 pandemic, including changes to accommodation availability, societal restrictions impacting access to essentials like food, and services moving to online and re-mote access. This in-depth qualitative research aims to add to the existing, but limited research exploring how the pandemic affected PEH. 33 semi-structured qualitative interviews (22 with PEH during the pandemic and 11 with homelessness sector service providers) were undertaken in the United Kingdom between April 2021 and January 2022. Interviews were audio-recorded, transcribed and analysed using reflexive thematic analysis. To ensure consistency of coding, 10% of interviews were coded by two researchers. The PEH sample was 50% female, aged 24 – 59 years, 59% white British, and included people who had lived in hostels/hotels, with friends/family, and on the streets during the COVID-19 pandemic. Providers came from varied services, including support charities, housing, and addiction services. Five key themes were identified: i) the understanding of and adherence to public health guidance and restrictions; ii) the experience of people accommodated by the ‘Everyone In’ initiative; iii) the impact of social distancing guidelines on PEH experiences in public spaces; iv) the importance of social support and connections to others; and, v) how homelessness services adapted their provision. Policy makers and public health communicators must learn from PEH to maximize the effectiveness of future public health strategies. Housing providers and support services should recognize the implications of imposing a lack of choice on people who need accommodation during a public health emergency. The loss of usual support for PEH triggered a loss of ability to rely on usual ‘survival strategies’, which negatively influenced their health. This research highlights successes and difficulties in supporting PEH during the COVID-19 pandemic and informs planning for similar public health events.
- Published
- 2022
5. Dual-task walking and automaticity after Stroke: Insights from a secondary analysis and imaging sub-study of a randomised controlled trial
- Author
-
Johnny Collett, Daan Meester, Melanie K. Fleming, Joanna Dawes, Derick T Wade, Andy Meaney, Helen Dawes, Emad Al-Yahya, Heidi Johansen-Berg, Piergiorgio Salvan, Janet Cockburn, and Andrea Dennis
- Subjects
Adult ,030506 rehabilitation ,medicine.medical_specialty ,medicine.medical_treatment ,Automaticity ,Physical Therapy, Sports Therapy and Rehabilitation ,Walking ,gait ,law.invention ,rehabilitation ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Gait (human) ,Randomized controlled trial ,law ,Secondary analysis ,Dual task walking ,medicine ,Humans ,dual-task interference ,Stroke ,Rehabilitation ,business.industry ,Evaluative Studies ,medicine.disease ,Walking Speed ,Preferred walking speed ,Exercise Test ,functional MRI ,0305 other medical science ,business ,human activities ,030217 neurology & neurosurgery - Abstract
Objective: To test the extent to which initial walking speed influences dual-task performance after walking intervention, hypothesising that slow walking speed affects automatic gait control, limiting executive resource availability. Design: A secondary analysis of a trial of dual-task (DT) and single-task (ST) walking interventions comparing those with good (walking speed ⩾0.8 m s−1, n = 21) and limited (walking speed −1, n = 24) capacity at baseline. Setting: Community. Subjects: Adults six-months post stroke with walking impairment. Interventions: Twenty sessions of 30 minutes treadmill walking over 10 weeks with (DT) or without (ST) cognitive distraction. Good and limited groups were formed regardless of intervention received. Main measures: A two-minute walk with (DT) and without (ST) a cognitive distraction assessed walking. fNIRS measured prefrontal cortex activation during treadmill walking with (DT) and without (ST) Stroop and planning tasks and an fMRI sub-study used ankle-dorsiflexion to simulate walking. Results: ST walking improved in both groups (∆baseline: Good = 8.9 ± 13.4 m, limited = 5.3±8.9 m, Group × time = P Conclusion: In individual who walk slowly it may be difficult to improve dual-task walking ability. Registration: ISRCTN50586966
- Published
- 2021
6. OP76 Hospital-based preventative health services for people experiencing homelessness: systematic review and narrative synthesis
- Author
-
Fiona Stevenson, Shema Tariq, Serena Luchenski, Robert W Aldridge, Joanna Dawes, and Andrew Hayward
- Subjects
Health services ,Nursing ,Narrative ,Hospital based ,Psychology - Published
- 2021
7. Comparing the Effectiveness of Blood Flow Restriction and Traditional Heavy Load Resistance Training in the Post-Surgery Rehabilitation of Anterior Cruciate Ligament Reconstruction Patients: A UK National Health Service Randomised Controlled Trial
- Author
-
Bruce Paton, Fares S. Haddad, Thomas Clarke, Luke Hughes, Conor Gissane, Daniel McCarthy, Benjamin Rosenblatt, Graham Ferris, Stephen D. Patterson, and Joanna Dawes
- Subjects
Adult ,Male ,medicine.medical_specialty ,Anterior cruciate ligament reconstruction ,Sports medicine ,medicine.medical_treatment ,Pain ,Physical Therapy, Sports Therapy and Rehabilitation ,Hamstring Muscles ,State Medicine ,law.invention ,Quadriceps Muscle ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Randomized controlled trial ,law ,Medicine ,Humans ,Pain Management ,Orthopedics and Sports Medicine ,Single-Blind Method ,030212 general & internal medicine ,Muscle Strength ,Range of Motion, Articular ,Leg press ,Rehabilitation ,Anterior Cruciate Ligament Reconstruction ,business.industry ,Anterior Cruciate Ligament Injuries ,Resistance Training ,030229 sport sciences ,Constriction ,United Kingdom ,Effusion ,Torque ,Regional Blood Flow ,Physical therapy ,Female ,Range of motion ,business ,Hamstring - Abstract
We implemented a blood flow restriction resistance training (BFR-RT) intervention during an 8-week rehabilitation programme in anterior cruciate ligament reconstruction (ACLR) patients within a National Health Service setting. To compare the effectiveness of BFR-RT and standard-care traditional heavy-load resistance training (HL-RT) at improving skeletal muscle hypertrophy and strength, physical function, pain and effusion in ACLR patients following surgery. 28 patients scheduled for unilateral ACLR surgery with hamstring autograft were recruited for this parallel-group, two-arm, single-assessor blinded, randomised clinical trial following appropriate power analysis. Following surgery, a criteria-driven approach to rehabilitation was utilised and participants were block randomised to either HL-RT at 70% repetition maximum (1RM) (n = 14) or BFR-RT (n = 14) at 30% 1RM. Participants completed 8 weeks of biweekly unilateral leg press training on both limbs, totalling 16 sessions, alongside standard hospital rehabilitation. Resistance exercise protocols were designed consistent with standard recommended protocols for each type of exercise. Scaled maximal isotonic strength (10RM), muscle morphology of the vastus lateralis of the injured limb, self-reported function, Y-balance test performance and knee joint pain, effusion and range of motion (ROM) were assessed at pre-surgery, post-surgery, mid-training and post-training. Knee joint laxity and scaled maximal isokinetic knee extension and flexion strength at 60°/s, 150°/s and 300°/s were measured at pre-surgery and post-training. Four participants were lost, with 24 participants completing the study (12 per group). There were no adverse events or differences between groups for any baseline anthropometric variable or pre- to post-surgery change in any outcome measure. Scaled 10RM strength significantly increased in the injured limb (104 ± 30% and 106 ± 43%) and non-injured limb (33 ± 13% and 39 ± 17%) with BFR-RT and HL-RT, respectively, with no group differences. Significant increases in knee extension and flexion peak torque were observed at all speeds in the non-injured limb with no group differences. Significantly greater attenuation of knee extensor peak torque loss at 150°/s and 300°/s and knee flexor torque loss at all speeds was observed with BFR-RT. No group differences in knee extensor peak torque loss were found at 60°/s. Significant and comparable increases in muscle thickness (5.8 ± 0.2% and 6.7 ± 0.3%) and pennation angle (4.1 ± 0.3% and 3.4 ± 0.1%) were observed with BFR-RT and HL-RT, respectively, with no group differences. No significant changes in fascicle length were observed. Significantly greater and clinically important increases in several measures of self-reported function (50-218 ± 48% vs. 35-152 ± 56%), Y-balance performance (18-59 ± 22% vs. 18-33 ± 19%), ROM (78 ± 22% vs. 48 ± 13%) and reductions in knee joint pain (67 ± 15% vs. 39 ± 12%) and effusion (6 ± 2% vs. 2 ± 2%) were observed with BFR-RT compared to HL-RT, respectively. BFR-RT can improve skeletal muscle hypertrophy and strength to a similar extent to HL-RT with a greater reduction in knee joint pain and effusion, leading to greater overall improvements in physical function. Therefore, BFR-RT may be more appropriate for early rehabilitation in ACLR patient populations within the National Health Service.
- Published
- 2019
8. Examination of the comfort and pain experienced with blood flow restriction training during post-surgery rehabilitation of anterior cruciate ligament reconstruction patients: A UK National Health Service trial
- Author
-
Daniel McCarthy, Conor Gissane, Thomas Clarke, Fares S. Haddad, Bruce Paton, Stephen D. Patterson, Joanna Dawes, Luke Hughes, Benjamin Rosenblatt, and Graham Ferris
- Subjects
Adult ,Male ,medicine.medical_specialty ,Anterior cruciate ligament reconstruction ,Anterior cruciate ligament ,medicine.medical_treatment ,Physical Exertion ,Physical Therapy, Sports Therapy and Rehabilitation ,State Medicine ,law.invention ,Tendons ,Randomized controlled trial ,law ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Autografts ,Muscle, Skeletal ,Leg press ,Pain Measurement ,Rating of perceived exertion ,Rehabilitation ,Anterior Cruciate Ligament Reconstruction ,business.industry ,Resistance Training ,General Medicine ,United Kingdom ,medicine.anatomical_structure ,Knee pain ,Regional Blood Flow ,Physical therapy ,Female ,medicine.symptom ,business ,Hamstring - Abstract
Examine the comfort and pain experienced with blow flow restriction resistance training (BFR-RT) compared to standard care heavy load resistance training (HL-RT) during anterior cruciate ligament reconstruction (ACLR) patient rehabilitation. Randomised controlled trial. United Kingdom National Health Service. Twenty eight patients undergoing unilateral ACLR surgery with hamstring autograft were recruited. Following surgery participants were block randomised to either HL-RT at 70% repetition maximum (1RM) (n = 14) or BFR-RT (n = 14) at 30% 1RM and completed 8 weeks of twice weekly unilateral leg press training on both limbs. Perceived knee pain, muscle pain and rating of perceived exertion (RPE) were assessed using Borg's (1998) RPE and pain scales during training. Knee pain was also assessed 24 h post-training. There were no adverse events. Knee pain was lower with BFR-RT during (p 0.05) for both BFR-RT and HL-RT. ACLR patients experienced less knee joint pain and reported similar ratings of perceived exertion during and following leg press exercise with BFR-RT compared to traditional HL-RT. BFR-RT may be more advantageous during the early phases of post-surgery ACLR rehabilitation. [Abstract copyright: Copyright © 2019. Published by Elsevier Ltd.]
- Published
- 2019
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.