The latest edition of the CaHRU Newsletter (Summer 2016) was published in September 2016. The newsletter presents the work of the research centre over the previous three months and includes articles from the CaHRU blog covering publications, conferences and funding. The newsletter is written by members of the CaHRU team and produced by Sue Bowler, CaHRU administrator.
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Members of the CaHRU team recently attended the College of Social Science Research Showcase at the University of Lincoln on 4 July 2016. The event aimed to present the work being undertaken across the College of Social Science. The day started with registration and a poster-viewing session. Posters portrayed research from a variety of areas, ranging from animal and comparative psychology, “Dogs and humans respond to emotionally competent stimuli by producing different facial actions” (Catia Correia Caeiro, Dr Kun Guo, Prof Daniel Mills) to other topics from the Schools of Psychology, Health & Social Care and Sport & Exercise Science.
The rest of the day included presentations from across the College of Social Science, with Dr Jo Middlemass (pictured right) giving the first presentation of the day on her innovative work on the EU funded CHROMED project (Clinical Trials for Elderly Patients with Multiple Diseases), entitled “Perceptions and experiences of tele-monitoring in older patients with multi-morbidity- a qualitative study”. Other CaHRU members also gave excellent presentations including Mohammed Iqbal (“A non-randomised control study to investigate the effectiveness of a novel pain assessment tool for use by ambulance clinicians: improving prehospital pain management”), Dr Zahid Asghar (“Exploratory Cross-Sectional Study of Factors Associated with Transport to Hospital in Patients with Suspected Convulsions presenting to Ambulance Services”), Joseph Akanuwe ( pictured left “Exploring service user and practitioner perspectives of QCancer use in primary care consultations”), Viet-Hai Phung (“Delivering ambulance service care that meets the needs of EU Accession migrants in Lincolnshire”), Fiona Togher (“The use of cognitive interviews to enhance the quality of a Patient Reported Experience Measure (PREM) for use in NHS ambulance services”), Dr Stephanie Armstrong (“Network exploring the Ethics of Ambulance based clinical Trials (NEAT)”), and Despina Laparidou (“Challenges for carers of people with dementia and their support needs from health and social care providers: a qualitative study”). Overall, the event was an excellent opportunity for all researchers to present their work and ‘showcase’ the wonderful projects taking place within CaHRU.
A quick break for a final session of poster viewing was followed by the keynote speaker, Prof Martin Tovee from the School of Psychology, giving an excellent talk on “Body Image, Eating Disorders and the Media”. The day was brought to its close with a reception, where delegates had the opportunity to further discuss the presentations given earlier and share thought-provoking ideas.
By Despina Laparidou
On Wednesday 27th April, Professor Siriwardena, Viet-Hai Phung and Fiona Togher attended the launch event of the National Institute for Health Research (NIHR) themed review of prehospital care. This was held at Firth Court, University of Sheffield. The session was action-packed and included four presentations from senior prehospital care researchers whose work had been included as part the review. Within these presentations Professor Siriwardena spoke about patient outcomes and experience in relation to the ambulance service and detailed some of the work that has been undertaken within CaHRU and collaboratively with EMAS and the University of Sheffield. This included the Prehospital Outcomes for Evidence Based Evaluation (PhOEBE) programme – focussing particularly on the qualitative work we did to explore what was of value to patients that needed to access emergency ambulance care. Professor Siriwardena’s presentation was informative, insightful and particularly well received by the patient and public involvement group members that were in the audience.
Professor Tom Quinn also gave a fascinating presentation about the work undertaken by Kingston University and the University of London around the effectiveness of introducing a mechanical chest compression device into front-line emergency response vehicles. They hypothesis was that the use of mechanical devices (rather than administering manual resuscitation) should improve survival from out of hospital cardiac arrests. Interestingly though, the research team concluded from the evidence that adopting these devices routinely would not improve patient outcomes.
Following the research presentations the session continued with Daniel Mason, a member of the National Ambulance Commissioners Network sharing some of his thoughts on the research presented in the review in relation to the provider-commissioner relationship. One of the key points he highlighted was a need to include commissioners in the dissemination of key research findings that could have an impact on policy and practice. Finally, Derek Prentice, the chair of the lay group of the Royal College of Emergency Medicine reminded the delegates that ultimately the purpose of undertaking any healthcare research, not just prehospital research, is to improve the quality of care and the quality of experience provided to patients. It is patients that must remain at the centre of everything that we as researchers do.
Overall the event was a wonderful opportunity to hear about some of the major prehospital care research projects that have been undertaken with the support of NIHR funding during the last ten years. As the official event due to a close the delegates gathered over lunch and networking with colleagues with similar interests resumed. Upon reflection it was exciting to get a glimpse of the progress that has been made in the field of prehospital care research and to look forward to the contribution that CaHRU will continue to make in this area of healthcare research.
By Fiona Togher
PhD student Jolien Vos was awarded the Best PhD Project Award for her paper, ‘Care Navigation in Older People with Multimorbidity – Feasibility and Acceptability of using ICT’ at this year’s International Conference on Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE). The conference brought together experts in Computer Science and Health Sciences in Rome (Italy) on 21st and 22nd April 2016.
The conference included keynotes on ‘Can ICT Assist Learning and Living’ (by Prof. Margaret Ross) and ‘Senior Homo Digitalis’ (by Prof. Hubert Österle), together with oral sessions and poster presentations on topics such as: Telemedicine and e-Health; Monitoring, Accessibility and User Interfaces; Robotics and Devices for Independent Living and HCI for Ageing Populations. The conference addressed current challenges such as the lack of integrated systems, ethical considerations of technology in health and social care and the risks and dangers of technology in this setting.
Jolien’s PhD takes place in the area of Digital Health and Social Care and her full paper on care navigation in older people with multimorbidity was accepted for the Doctoral Consortium. Papers and presentations for the Consortium were reviewed and scored by the independent advisory board. At the end of the presentation, a general discussion and reflection was held with the doctoral student and the members of the advisory board. Having constructive discussion with senior leaders in the field and receiving their feedback provided a wonderful and invaluable opportunity for Jolien and other doctoral candidates. The paper will be included in the list of conference best papers and invited for an extended and revised version publication in a book or journal of the Institute for Systems and Technologies of Information Control and Communication (INSTICC).
By Jolien Vos
Members of the CaHRU team attended the Society for Academic Primary Care Trent Regional Spring conference on Tuesday 15 March 2016 at College Court Conference Centre in Leicester. At the meeting were Drs. Zahid Asghar and Coral Sirdifield and PhD student Joseph Akanuwe (giving oral presentations), Dr Jo Middlemass and Jolien Vos (who led a workshop on multimorbidity), and Despina Laparidou, who gave a poster presentation. Prof Siriwardena was in attendance to support the team.
The Leicester Department of Primary Care and Diabetes Centre hosted the event on behalf of the Universities of Leicester, Nottingham, Sheffield and Lincoln, and as always it proved to be a worthwhile event with excellent keynote speakers and high quality presentations of research including from members of CaHRU. The opening keynote was given by Prof Maureen Baker, a Lincolnshire GP, who spoke on the ‘Future of General Practice’, describing the current problems of underfunding and poor morale and how general practice which deals with 90% of patient contacts with 9% of NHS funding can develop in future.
In the multimorbidity workshop Jolien Vos presented her doctoral study on, ‘Care networks of older people with multimorbidity: social network analysis and qualitative study’ and led a discussion on patient vignettes derived from these. Jo Middlemass presented a European study, ‘Perceptions and experiences of telemonitoring in older patients with multimorbidity: a qualitative study’ and discussed implementation of remote monitoring technologies with delegates. They were joined by Steve Leven from Leicester who presented on the link between pay-for-performance with deprivation and multimorbidity.
Despina Laparidou gave a poster session on ‘Challenges for carers of people with dementia and their support needs from health and social care providers: a qualitative study’. After lunch, Prof Richard McManus, from Oxford presented his groundbreaking TASMINH studies on ‘Self-management of hypertension – can patients do it better?’ The answer, a qualified yes but with help from primary care practitioners, is a triumph for supported self-care.
At the final session Dr Zahid Asghar presented his work with Dr Jon Dixon (Sheffield University) and Prof Siriwardena on ambulance care for people with convulsions, ‘Exploratory cross-sectional study of factors associated with transport to hospital after suspected seizure’ and Joseph Akanuwe described his doctoral study, ‘Exploring patient and practitioner perspectives of QCancer use in primary care consultations’. The session was attended by Prof Carol Coupland from Nottingham University, one of the originators of QCancer.