Posted on March 5, 2016 by Niroshan Siriwardena

Making it Happen – CaHRU attend 999 EMS Research Forum conference in Newcastle

Members of the CaHRU team together with colleagues from East Midlands Ambulance Service NHS Trust attended the 999 EMS Research Forum conference, ‘Making it happen: delivering research in pre-hospital care’ at the Assembly Rooms in Newcastle on 1 March 2016. The event was organised by the 999 EMS Forum in collaboration with North East Ambulance Service NHS Trust and Newcastle University.

The conference was opened by Yvonne Ormston, Chief Executive of North East Ambulance Service and introduced by Prof Helen Snooks, Professor of Health Services Research at Swansea University and chair of the EMS 999 Research Forum. The opening keynote was given by Dr Simon Woods of Newcastle University on ‘Ethics and consent in pre-hospital research’. This was followed by a number of oral presentations from the highest scoring abstracts submitted to the conference. This included a presentation by Dr Mohammad Iqbal, research associate at East Midlands Ambulance Service NHS Trust and research fellow at CaHRU, who presented his doctoral study, ‘Non randomised control study of the effectiveness of a novel pain assessment tool for use by paramedics’. After the oral presentations there was a further keynote from Dr Chris Price of Newcastle University on ‘Delivering safe pre-hospital research: a stroke perspective’.

Poster sessions included a presentation from Fiona Togher, graduate research assistant at CaHRU on her doctoral research, ‘Refining questionnaire items in a Patient Reported Experience Measure (PREM) designed for users of NHS ambulance services: Question Appraisal Study’. The afternoon session included a workshop given by Prof Niro Siriwardena and Dr Adele Langlois supported by Dr Stephanie Armstrong, on ‘Ethics and consent in pre-hospital research’, which form part of the Network exploring Ethics of Ambulance Trials funded by the Wellcome Trust. The workshop was well attended and generated ideas on consent, confidentiality, and privacy in relation to ambulance trials as well as ideas on future research.

The final keynote was given by Dutch researcher, and acute physician, Dr Prabath Nanayakkara on his ‘Research in the pre-hospital management of sepsis: opportunities and challenges’. The conference was closed by Prof Siriwardena, with prizes presented to the best research, best poster, research most likely to affect practice and best use of data, and thanks given to the organisers for an excellent and memorable event.

Posted on March 5, 2016 by Niroshan Siriwardena

East Midlands Academic Health Science Network (EMAHSN) Patient and Public Involvement event

Viet-Hai Phung from CaHRU recently attended the East Midlands Academic Health Science Network Patient and Public Involvement (PPI) event at Nottingham’s Trent Vineyard on 24 February 2016. This provided an opportunity to share learning and best practice in PPI across the health and social care sectors. Viet-Hai, iscurrently undertaking a PhD focusing on the seldom-heard group of people recently arrived in England from EU accession countries, found the event thought-provoking.

Yvonne Coghill, who is Director of Workforce Race Equality Standard Implementation for NHS England, introduced the event. She used the Thomas Jefferson statement that: “There is nothing more unequal than the equal treatment of unequal people“, suggesting that it is equity, rather than equality, that the NHS should focus on. There then followed a keynote speech by Anu Singh, the Director of PPI and Insight at NHS England. She gave practical suggestions about how the NHS can use PPI meaningfully.

After the opening speeches, representatives from projects targeting seldom-heard groups (Roma, people with learning disabilities, young carers, minority ethnic groups with long-term conditions) talked about how they engaged with them. All four emphasised the importance of actively seeking out their target groups, as well as helping them to help themselves.

A masterclass on involving minority ethnic groups, run by Haseeb Ahmad and Jo Ryder from Leicester City Clinical Commissioning Group (CCG), provided suggestions on how to effectively involve minority ethnic groups, including taking time to establish and build relationships and making links with professionals on the ground, who may act as gatekeepers to other key community figures. After lunch, a session on running engagement events stressed the importance of clarity about the desired outcomes and that interactive methods, such as voting technology, can be effective at engaging participants.

At the close, EMAHSN announced that they have opened up funding of up to £1,500 each for up to 10 PPI groups to support their work in the East Midlands. There were plenty of practical ideas to consider when engaging, and building relationships, with these groups.

By Viet-Hai Phung

Posted on February 17, 2016 by Niroshan Siriwardena

CAHRU/LIH improvement science and research methods seminar: Mixed methods

The first of this year’s series of CaHRU/LIH (Community and Health Research Unit/Lincoln Institute for Health) improvement science and research methods seminars was given by Prof Siriwardena on mixed methods on 16 February 2016. Improvement and implementation science benefits from the use of mixed research designs which combine quantitative and qualitative methods to show not only what happened but also why and how this might have occurred. Mixed methods approaches are a subset of multiple methods which involve more than one type of qualitative or quantitative method.

The seminar covered principles such as definitions, theoretical approaches (such as pragmatism and transformation), basic and advanced (including case study) designs and approaches to data integration and transformation. This was then applied to examples of mixed methods designs used by CaHRU in a previous programme of research: the Ambulance Services Cardiovascular Quality Initiative (ASCQI). ASCQI was a national project, led by CaHRU and East Midlands Ambulance Service NHS Trust, designed to improve care for people presenting to ambulance services with heart attack or stroke using a large-scale quality improvement collaborative (QIC), evaluated using a multiple case-study design.

ASCQI involved gathering quantitative and qualitative data to describe what effect the QIC had, and how improvements, if they did occur, were brought about. Integration of data was carried out using techniques such annotated control charts showing time series data together with what was implemented, pattern matching comparing what services did and whether improvements occurred (doi: 10.1186/1748-5908-9-17), and comparison of quantitative and qualitative data from an online questionnaire (doi: 10.1111/jep.12438). Attendees were finally asked to consider a mixed methods question and think about research designs which they might use to answer it.

Thank you to all those staff and students who attended. Details of future seminars will be posted on the CaHRU and the LIH sites shortly.

[su_document url=”https://communityandhealth.dev.lincoln.ac.uk/files/2016/02/Mixed-methods_Siriwardena.pdf” responsive=”no”]Multi-morbidity, goal-oriented care, the community and equity[/su_document]

Posted on February 10, 2016 by Niroshan Siriwardena

Dr Stephanie Armstrong joins CAHRU’s NEAT project team

Dr Stephanie Armstrong joined CaHRU this month to work on the Wellcome Trust funded ‘Network exploring Ethics in Ambulance Trials (NEAT)’ project. She says, “I come to Community and Health Research Unit from a rather diverse background having begun my academic life in the field of Zoology. I completed a PhD in Zoology from Trinity College, Dublin in 2006, where my work focussed on the nutrition and behaviour of large captive herbivores and in particular zebra.

In 2004 I joined Sparsholt College, Hampshire as a lecturer in the Equine Studies section and worked my way up to Head of Department for Animal Management Higher Education. This career path however, took me away from hands on research and, after working for Sparsholt College for 7 years, I realised that I needed a change of direction. With that in mind I undertook an MSc in Forensic Anthropology at the University of Lincoln, reigniting my passion for research. I also hold degrees in Equine Studies and Herbal Medicine.

As a result I have extensive experience in a wide range of research both quantitative and qualitative ranging from novel animal behaviour studies to in-depth systematic reviews. My research interests lie within the areas of ethics and human rights.” The NEAT project is CaHRU’s first Wellcome Trust grant, led by Prof Siriwardena in collaboration with Dr Adele Langlois from the School of Social and Political Sciences.

By Stephanie Armstrong

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