10 results on '"MORRIS, REBECCA"'
Search Results
2. Visual impairment and medication safety: a protocol for a scoping review
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Giles, Sally J., Panagioti, Maria, Riste, Lisa, Cheraghi-Sohi, Sudeh, Lewis, Penny, Adeyemi, Isabel, Davies, Karen, Morris, Rebecca, Phipps, Denham, Dickenson, Christine, Ashcroft, Darren, and Sanders, Caroline
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- 2021
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3. How mHealth can facilitate collaboration in diabetes care: qualitative analysis of co-design workshops
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Bradway, Meghan, Morris, Rebecca L., Giordanengo, Alain, and Årsand, Eirik
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- 2020
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4. Patient and public involvement in doctoral research: reflections and experiences of the PPI contributors and researcher
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Dawson, Shoba, Ruddock, Angela, Parmar, Veena, Morris, Rebecca, Cheraghi-Sohi, Sudeh, Giles, Sally, and Campbell, Stephen
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- 2020
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5. A mixed methods process evaluation of a person-centred falls prevention program
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Morris, Rebecca L., Hill, Keith D., Ackerman, Ilana N., Ayton, Darshini, Arendts, Glenn, Brand, Caroline, Cameron, Peter, Etherton-Beer, Christopher D., Flicker, Leon, Hill, Anne-Marie, Hunter, Peter, Lowthian, Judy A., Morello, Renata, Nyman, Samuel R., Redfern, Julie, Smit, De Villiers, and Barker, Anna L.
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- 2019
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6. Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis.
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Morris, Rebecca L., Sze-Ee Soh, Hill, Keith D., Buchbinder, Rachelle, Lowthian, Judy A., Redfern, Julie, Etherton-Beer, Christopher D., Hill, Anne-Marie, Osborne, Richard H., Arendts, Glenn, Barker, Anna L., and Soh, Sze-Ee
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HEALTH literacy , *RASCH models , *ACCIDENTAL fall prevention , *SOCIAL skills , *PSYCHOMETRICS , *COMPARATIVE studies , *ACCIDENTAL falls , *HOSPITAL emergency services , *RESEARCH methodology , *MEDICAL cooperation , *PREVENTIVE health services , *QUESTIONNAIRES , *RESEARCH , *STATISTICS , *INFORMATION literacy , *DATA analysis , *EVALUATION research ,RESEARCH evaluation - Abstract
Background: Health literacy is an important concept associated with participation in preventive health initiatives, such as falls prevention programs. A comprehensive health literacy measurement tool, appropriate for this population, is required. The aim of this study was to evaluate the measurement properties of the Health Literacy Questionnaire (HLQ) in a cohort of older adults who presented to a hospital emergency department (ED) after a fall.Methods: Older adults who presented to an ED after a fall had their health literacy assessed using the HLQ (n = 433). Data were collected as part of a multi-centre randomised controlled trial of a falls prevention program. Measurement properties of the HLQ were assessed using Rasch analysis.Results: All nine scales of the HLQ were unidimensional, with good internal consistency reliability. No item bias was found for most items (43 of 44). A degree of overall misfit to the Rasch model was evident for six of the nine HLQ scales. The majority of misfit indicated content overlap between some items and does not compromise measurement. A measurement gap was identified for this cohort at mid to high HLQ score.Conclusions: The HLQ demonstrated good measurement properties in a cohort of older adults who presented to an ED after a fall. The summation of the HLQ items within each scale, providing unbiased information on nine separate areas of health literacy, is supported. Clinicians, researchers and policy makers may have confidence using the HLQ scale scores to gain information about health literacy in older people presenting to the ED after a fall.Trial Registration: This study was registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12614000336684 (27 March 2014). [ABSTRACT FROM AUTHOR]- Published
- 2017
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7. Patient needs and preferences for herb-drug-disease interaction alerts: a structured interview study.
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Christensen, Carrie M., Morris, Rebecca S., Chepkemoi Kapsandoy, Seraphine, Archer, Melissa, Jinqiu Kuang, Shane-McWhorter, Laura, Bray, Bruce E., and Zeng-Treitler, Qing
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EVALUATION of medical care ,PATIENTS ,ALTERNATIVE medicine ,HOSPITALS ,INTERVIEWING ,DRUG-herb interactions ,RESEARCH methodology ,QUALITATIVE research - Abstract
Background: While complementary and alternative medicine (CAM) is commonly used in the United States and elsewhere, and hazardous interactions with prescription drugs can occur, patients do not regularly communicate with physicians about their CAM use. The objective of this study was to discover patient information needs and preferences for herb-drug-disease interaction alerts. Methods: We recruited 50 people from several locations within the University of Utah Hospital to participate in this structured interview study. They were asked to provide their preferences for the herb-drug-disease interaction alerts. Qualitative methods were used to reveal the themes that emerged from the interviews. Results: Most participants reported they had previously used, or they were currently using, CAM therapies. The majority had made the effort to inform their healthcare provider(s) about their CAM usage, although some had not. We found that most respondents were interested in receiving alerts and information about potential interactions. Many preferred to receive the alerts in a variety of ways, both in person and electronically. Conclusions: In addition to conventional medicine, many patients regularly use complementary and alternative therapies. And yet, communication between patients and providers about CAM use is not consistent. There is a demand for interventions in health care that provide timely, integrative communication support. Delivering the herb-drug-disease alerts through multiple channels could help meet critical patient information needs. [ABSTRACT FROM AUTHOR]
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- 2017
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8. Preventing Acute Kidney Injury: a qualitative study exploring 'sick day rules' implementation in primary care.
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Morris, Rebecca L., Ashcroft, Darren, Phipps, Denham, Bower, Peter, O'Donoghue, Donal, Roderick, Paul, Harding, Sarah, Lewington, Andrew, and Blakeman, Thomas
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ACUTE kidney failure prevention , *ATTITUDE (Psychology) , *CHRONIC kidney failure , *INTERVIEWING , *RESEARCH methodology , *MEDICAL office nursing , *MEDICAL personnel , *PATIENT safety , *PHARMACISTS , *GENERAL practitioners , *PRIMARY health care , *RESEARCH funding , *STATISTICAL sampling , *HEALTH self-care , *EMPLOYEES' workload , *COMORBIDITY , *QUALITATIVE research , *JUDGMENT sampling , *THEMATIC analysis , *ACUTE diseases , *TREATMENT duration - Abstract
Background: In response to growing demand for urgent care services there is a need to implement more effective strategies in primary care to support patients with complex care needs. Improving primary care management of kidney health through the implementation of 'sick day rules' (i.e. temporary cessation of medicines) to prevent Acute Kidney Injury (AKI) has the potential to address a major patient safety issue and reduce unplanned hospital admissions. The aim of this study is to examine processes that may enable or constrain the implementation of 'sick day rules' for AKI prevention into routine care delivery in primary care. Methods: Forty semi-structured interviews were conducted with patients with stage 3 chronic kidney disease and purposefully sampled, general practitioners, practice nurses and community pharmacists who either had, or had not, implemented a 'sick day rule'. Normalisation Process Theory was used as a framework for data collection and analysis. Results: Participants tended to express initial enthusiasm for sick day rules to prevent AKI, which fitted with the delivery of comprehensive care. However, interest tended to diminish with consideration of factors influencing their implementation. These included engagement within and across services; consistency of clinical message; and resources available for implementation. Participants identified that supporting patients with multiple conditions, particularly with chronic heart failure, made tailoring initiatives complex. Conclusions: Implementation of AKI initiatives into routine practice requires appropriate resourcing as well as training support for both patients and clinicians tailored at a local level to support system redesign. [ABSTRACT FROM AUTHOR]
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- 2016
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9. Implementation of a self-management support approach (WISE) across a health system: a process evaluation explaining what did and did not work for organisations, clinicians and patients.
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Kennedy, Anne, Rogers, Anne, Chew-Graham, Carolyn, Blakeman, Thomas, Bowen, Robert, Gardner, Caroline, Lee, Victoria, Morris, Rebecca, and Protheroe, Joanne
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MEDICAL care ,PRIMARY care ,HEALTH surveys ,NORMALIZATION (Sociology) ,PATIENTS - Abstract
Background Implementation of long-term condition management interventions rests on the notion of whole systems re-design, where incorporating wider elements of health care systems are integral to embedding effective and integrated solutions. However, most self-management support (SMS) evaluations still focus on particular elements or outcomes of a sub-system. A randomised controlled trial of a SMS intervention (WISE-Whole System Informing Selfmanagement Engagement) implemented in primary care showed no effect on patient-level outcomes. This paper reports on a parallel process evaluation to ascertain influences affecting WISE implementation at patient, clinical and organisational levels. Normalisation Process Theory (NPT) provided a sensitising background and analytical framework. Methods A multi-method approach using surveys and interviews with organisational stakeholders, practice staff and trial participants about impact of training and use of tools developed for WISE. Analysis was sensitised by NPT (coherence, cognitive participation, collective action and reflective monitoring). The aim was to identify what worked and what did not work for who and in what context. Results Interviews with organisation stakeholders emphasised top-down initiation of WISE by managers who supported innovation in self-management. Staff from 31 practices indicated engagement with training but patchy adoption of WISE tools; SMS was neither prioritised by practices nor fitted with a biomedically focussed ethos, so little effort was invested in WISE techniques. Interviews with 24 patients indicated no awareness of any changes following the training of practice staff; furthermore, they did not view primary care as an appropriate place for SMS. Conclusion The results contribute to understanding why SMS is not routinely adopted and implemented in primary care. WISE was not embedded because of the perceived lack of relevance and fit to the ethos and existing work. Enacting SMS within primary care practice was not viewed as a legitimate activity or a professional priority. There was failure to, in principle, engage with and identify patients' support needs. Policy presumptions concerning SMS appear to be misplaced. Implementation of SMS within the health service does not currently account for patient circumstances. Primary care priorities and support for SMS could be enhanced if they link to patients' broader systems of implementation networks and resources. [ABSTRACT FROM AUTHOR]
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- 2014
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10. Aligning everyday life priorities with people's self-management support networks: an exploration of the work and implementation of a needs-led telephone support system.
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Blickem, Christian, Kennedy, Anne, Jariwala, Praksha, Morris, Rebecca, Bowen, Robert, Vassilev, Ivaylo, Brooks, Helen, Blakeman, Tom, and Rogers, Anne
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SELF-management (Psychology) ,PRIMARY care ,SERVICES for patients ,FOCUS groups ,SENSE of coherence ,SOCIAL networks ,CHRONIC kidney failure - Abstract
Background Recent initiatives to target the personal, social and clinical needs of people with long-term health conditions have had limited impact within primary care. Evidence of the importance of social networks to support people with long-term conditions points to the need for self-management approaches which align personal circumstances with valued activities. The Patient-Led Assessment for Network Support (PLANS) intervention is a needs-led assessment for patients to prioritise their health and social needs and provide access to local community services and activities. Exploring the work and practices of patients and telephone workers are important for understanding and evaluating the workability and implementation of new interventions. Methods Qualitative methods (interviews, focus group, observations) were used to explore the experience of PLANS from the perspectives of participants and the telephone support workers who delivered it (as part of an RCT) and the reasons why the intervention worked or not. Normalisation Process Theory (NPT) was used as a sensitising tool to evaluate: the relevance of PLANS to patients (coherence); the processes of engagement (cognitive participation); the work done for PLANS to happen (collective action); the perceived benefits and costs of PLANS (reflexive monitoring). 20 patients in the intervention arm of a clinical trial were interviewed and their telephone support calls were recorded and a focus group with 3 telephone support workers was conducted. Results Analysis of the interviews, support calls and focus group identified three themes in relation to the delivery and experience of PLANS. These are: formulation of 'health' in the context of everyday life; trajectories and tipping points: disrupting everyday routines; precarious trust in networks. The relevance of these themes are considered using NPT constructs in terms of the work that is entailed in engaging with PLANS, taking action, and who is implicated this process. Conclusions PLANS gives scope to align long-term condition management to everyday life priorities and valued aspects of life. This approach can improve engagement with health-relevant practices by situating them within everyday contexts. This has potential to increase utilisation of local resources with potential cost-saving benefits for the NHS. [ABSTRACT FROM AUTHOR]
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- 2014
- Full Text
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