Imperial College London

Dr Athina Belsi

Faculty of MedicineDepartment of Surgery & Cancer

Senior Teaching Fellow
 
 
 
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Contact

 

+44 (0)20 3312 1100a.belsi Website

 
 
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Location

 

Paterson WingSt Mary's Campus

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Summary

 

Publications

Publication Type
Year
to

39 results found

Boyles RH, Alexander CM, Belsi A, Strutton PHet al., 2024, Are clinical prediction rules used in spinal cord injury care? A survey of practice, Topics in Spinal Cord Injury Rehabilitation, Vol: 30, Pages: 45-58, ISSN: 1082-0744

BACKGROUND: Accurate outcome prediction is desirable post spinal cord injury (SCI), reducing uncertainty for patients and supporting personalized treatments. Numerous attempts have been made to create clinical prediction rules that identify patients who are likely to recover function. It is unknown to what extent these rules are routinely used in clinical practice. OBJECTIVES: To better understand knowledge of, and attitudes toward, clinical prediction rules amongst SCI clinicians in the United Kingdom. METHODS: An online survey was distributed via mailing lists of clinical special interest groups and relevant National Health Service Trusts. Respondents answered questions about their knowledge of existing clinical prediction rules and their general attitudes to using them. They also provided information about their level of experience with SCI patients. RESULTS: One hundred SCI clinicians completed the survey. The majority (71%) were unaware of clinical prediction rules for SCI; only 8% reported using them in clinical practice. Less experienced clinicians were less likely to be aware. Lack of familiarity with prediction rules was reported as being a barrier to their use. The importance of clinical expertise when making prognostic decisions was emphasized. All respondents reported interest in using clinical prediction rules in the future. CONCLUSION: The results show widespread lack of awareness of clinical prediction rules amongst SCI clinicians in the United Kingdom. However, clinicians were positive about the potential for clinical prediction rules to support decision-making. More focus should be directed toward refining current rules and improving dissemination within the SCI community.

Journal article

Sein E, Belsi A, Morgenstern C, Terzidou V, Patel Ret al., 2023, The early determinants of career choices for medical students following an obstetrics and gynaecology placement: mixed methods study, BJOG: an International Journal of Obstetrics and Gynaecology, ISSN: 1470-0328

ObjectiveTo explore the impact of attending a clinical placement in considering a career in obstetrics and gynaecology.DesignMixed methods study.SettingLondon Medical School.PopulationFifth year medical students attending a clinical placement in obstetrics and gynaecology.MethodsBetween January 2021 and January 2022, questionnaires were used and semi-structured focus groups conducted, which were audio-recorded. Descriptive statistics were conducted and a framework analysis on transcribed focus groups.Main outcome measureThe impact of the clinical placement on career choice.ResultsSix main themes were identified from the analysis; three contributing to considering a career in obstetrics and gynaecology; pregnancy is not an illness, extraordinary experience of observing childbirth and variable specialty and three themes emerged contributing to not considering a career; lack of work–life balance, high stakes specialty and the emotional toll. Even at an undergraduate level, medical students exhibited concerns about the long-term feasibility of achieving work–life balance and avoiding professional burnout, which was partly attributed to the responsibility of looking after both the woman and their baby.ConclusionsObstetrics and gynaecology is perceived as an exciting and variable speciality by medical students. Students’ experiences on the labour ward during a clinical placement appear to contribute to the consideration of a career in obstetrics and gynaecology. Students should be given opportunities to discuss their concerns about obstetrics, particularly over the potential psychological impact of adverse/traumatic birth events. It is crucial to provide a realistic introduction to obstetrics, to recruit enthusiastic junior doctors who will be resilient to the pressures of the speciality, to avoid burnout and minimise attrition rates.

Journal article

Sein E, Patel R, Terzidou V, Belsi Aet al., 2023, Early determinants of career choice in obstetrics and gynaecology: Mixed methods study, Publisher: WILEY, Pages: 141-141, ISSN: 1470-0328

Conference paper

Sein E, Belsi A, Terzidou V, Patel Ret al., 2023, The meaning of 'traumatic birth event' to obstetricians: Mixed methods study, Publisher: WILEY, Pages: 142-142, ISSN: 1470-0328

Conference paper

Sein E, Patel R, Terzidou V, Belsi Aet al., 2023, Early determinants of career choice in obstetrics and gynaecology: Mixed methods study, Publisher: WILEY, Pages: 141-141, ISSN: 1470-0328

Conference paper

Sein E, Belsi A, Terzidou V, Patel Ret al., 2023, The meaning of 'traumatic birth event' to obstetricians: Mixed methods study, Publisher: WILEY, Pages: 142-142, ISSN: 1470-0328

Conference paper

Johansson L, Belsi A, Croker H, Dronsfield S, Goff L, Hutchinson J, Thomas N, Willicombe M, Surendran Set al., 2023, Health communication and self-care: the Wellbeing And Lifestyle in Transplantation study (WALT)., Publisher: ELSEVIER IRELAND LTD, Pages: 101-101, ISSN: 0738-3991

Conference paper

Clunie G, Belsi A, Roe J, Sandhu G, McGregor A, Alexander Cet al., 2023, “Is there something wrong with your voice?” A qualitative study of the voice concerns of people with laryngotracheal stenosis, International Journal of Language and Communication Disorders, Vol: 58, Pages: 376-389, ISSN: 1368-2822

BackgroundAcquired laryngotracheal stenosis (LTS) is a rare condition that causes breathlessness and dyspnoea. Patients have reconstructive airway surgery to improve their breathing difficulties, but both LTS and the surgery can cause voice difficulties. The existing evidence base for management of the voice difficulties for adults with LTS focuses on symptoms. There is limited information to provide clinical guidance for speech and language therapists (SLTs), and limited understanding of the impact of voice changes on adults with LTS. AimTo investigate the lived experience of adults with laryngotracheal stenosis (LTS), who have had reconstructive surgery; here focussing on voice concerns with the aim of guiding clinical care for SLTs.Methods & ProceduresA phenomenological, qualitative study design was used. Focus groups and semi-structured interviews were completed with adults living with LTS who had had reconstructive surgery. Audio-recordings were transcribed and inductive thematic analysis was used by the research team to identify themes and sub-themes. Outcomes & ResultsA total of 24 participants (5 focus groups and 2 interviews) took part in the study before thematic saturation was identified in analysis. Three main themes were identified specific to the experience of living with LTS: the Medical, Physical and Emotional journey. All participants referenced voice difficulties as they related to each of these overall themes. Sub-themes directly related to voice included: experience of surgery, information provision, staff expertise/complacency, symptoms, symptom management, identity, support networks, impact on life and living with a chronic condition. Conclusions & ImplicationsIn this qualitative study participants have described the integral part voice difficulties play in their lived experience of LTS and reconstructive surgery. This is considered in the context of their clinical care and the need for individualised management and information prov

Journal article

Turner S, Belsi A, McGregor AH, 2022, Issues faced by people with amputation(s) during lower limb prosthetic rehabilitation: a thematic analysis, Prosthetics and Orthotics International, Vol: 46, Pages: 61-67, ISSN: 0309-3646

Background: Successful rehabilitation is essential to improve the physical and mental outcomes of people with lower limb amputation(s). Individuals have different goals and expectations of successful rehabilitation and experience issues that affect their quality of life.Objectives: To determine factors affecting lower limb prosthetic rehabilitation from people with amputation(s), important for studies focusing on prosthetic and socket design and fitting because they provide context of need and user issues.Study design: Thematic analysis of semistructured interviews.Methods: Ten people with amputation(s) were self-selected from a survey identifying factors affecting lower limb prosthetic rehabilitation. The telephone interviews were semistructured exploring the biggest impactors on and frustrations with rehabilitation and the socket. A thematic analysis was completed by following the undermentioned steps: familiarization, coding, generating themes, reviewing themes, defining and naming themes, and reporting.Results: Five distinct but interrelated themes were identified: External to Prosthesis, Body Impactors, Consequences of Ill-Fit, Prosthesis Irritants, and Work and Social Impact. Those living with amputation(s) mentioned prosthetic-related issues affecting their work and social life, including difficulties wearing their prosthesis all day, the socket's rigidity, and the ability to participate in hobbies.Conclusions: The study provides new insights into the issues experienced during prosthetic rehabilitation, highlighting impacts beyond just physical health consequences. The study provides an evidence base for areas of the rehabilitation journey which could be improved to improve the quality of life of people with amputation(s)

Journal article

Turner S, Belsi A, McGregor AH, 2022, Issues faced by prosthetists and physiotherapists during lower-limb prosthetic rehabilitation: a thematic analysis, Frontiers in Rehabilitation Sciences, Vol: 2, ISSN: 2673-6861

Successful prosthetic rehabilitation is essential to improve the physical and mental outcomes of people with lower-limb amputation. Evaluation of prosthetic services from a prosthesis user perspective have been published and commissioned by the national bodies, however, the perspectives of clinicians working with service users during rehabilitation have not to date been sought. We sought to determine factors impacting lower-limb prosthetic rehabilitation from a clinician’s perspective to inform studies focusing on prosthetic and socket design and fitting. Six clinician (2 prosthetists, 4 physiotherapists) interviewees were self-selected from a survey exploring issues and frustrations during lower-limb prosthetic rehabilitation. Semi-structured interviews explored the impactors on and frustrations with rehabilitation and the prosthetic socket. A thematic analysis was subsequently conducted to identify themes in the responses. Five themes were identified: Service Disparity, Body Impactors, Consequences of Ill-Fit, Prosthesis Irritants, and Limitations of Practice. Each theme, though distinct, relates to the others either as a cause or consequence and should be viewed as such. Addressing the themes will have benefits beyond the issues addressed but also expand into the other themes. This study provides an insight into the clinician perspectives on lower-limb prosthetic rehabilitation, which has not been formally documented to date.

Journal article

Belsi A, Eves S, Frame K, Murtagh Get al., 2021, Lessons Learnt and Implemented from the first online Simulated Patient Sessions in Clinical Communication at Imperial College London, International Conference for Communication in Healthcare 2021

Conference paper

Belsi A, Susannah E, Murtagh G, Frame Ket al., 2021, First Year students' experiences from online teaching of clinical communication skills at Imperial College London School of Medicine, International Conference on Communication in Healthcare 2021

Conference paper

Clunie GM, Belsi A, Roe JWG, Alexander CM, Sandhu G, McGregor Aet al., 2021, Not just dyspnoea: swallowing as a concern for adults with laryngotracheal stenosis undergoing airway reconstruction, Dysphagia, Vol: 37, Pages: 365-374, ISSN: 0179-051X

Acquired laryngotracheal stenosis (LTS) is a rare condition causing dyspnea and stridor. Patients often require multiple surgical procedures with no guarantee of a definitive outcome. Difficulty swallowing is a recognised problem associated with LTS and the reconstructive surgeries required to manage the condition. The breathlessness patient’s experience impacts on swallowing, and the vulnerable structures of the larynx are implicated during complex surgeries. This leads to dysphagia post-surgery, with some patients experiencing more chronic symptoms depending on the biomechanical impact of the surgery, or a pre-existing dysphagia. Despite this there is limited observational research about the dysphagia associated with LTS, with no exploration of the patient experience. Our aim was to investigate patient experience of living with LTS focussing on dysphagia in order to guide clinical practice. A qualitative study was completed using focus groups and semi-structured interviews with 24 patients who have had reconstructive surgery for LTS. Thematic analysis was used to identify three over-arching themes: The Physical Journey, The Emotional Journey and The Medical Journey. Key sub-themes included the importance of self-management and control, presence of symptoms, benefits of therapy, living with a life-long condition, fear and anxiety, autonomy, medicalisation of normal processes and the dichotomy between staff expertise and complacency. Swallowing was connected to all themes. The results are reviewed with consideration of the wider literature of lived experience particularly in relation to other chronic conditions and those that carry a high symptom burden such as head and neck cancer. Future clinical and research recommendations have been made. Akin to other clinical groups, adults with LTS are keen that management of their swallowing is person-centred and holistic.

Journal article

Clunie G, Belsi A, Roe J, Alexander C, Sandhu G, McGregor Aet al., 2020, Not Just Dyspnoea – Swallowing as a Concern for Adults with Laryngotracheal Stenosis Who Undergo Reconstructive Surgery?, UK Swallowing Research Group 2020 Conference

Conference paper

Belsi A, Murtagh G, 2018, Peer tutoring in clinical communication teaching: the experience of 1st year students and their peer tutors, MedEdPublish, Vol: 7, ISSN: 2312-7996

This study explored the impact of peer tutoring in Clinical Communication teaching as it was expressed in the views of Year 1 students and their Peer Tutors at Imperial College London.Methods: a mixed methods approach was used combining questionnaires and focus groups. Quantitative findings were analysed using SPSS v23 and qualitative findings were analysed using Framework Methodology.Results: the findings suggest a very positive experience for both Year 1 students and their Peer Tutors with the former reporting feeling supported to practice and improve on their Clinical Communication Skills in a collaborative environment, being taught and learning from peers who would share their past educational experiences. No significant differences were found between students taught by Peer Tutors and those taught by Course Tutors. Peer Tutors on the other hand, reported an equally positive experience, which gave them an insight into teaching, improved their leadership and feedback skills, enhanced their confidence and helped them reflect on their own Clinical Communication skills.Conclusion: peer tutoring has many advantages as an educational method in medical education and Clinical Communication teaching and should be promoted in medical curricula.

Journal article

Belsi A, Papi E, McGregor AH, 2016, The impact of wearable technology on psychosocial factors of osteoarthritis management: a qualitative study, BMJ Open, Vol: 6, ISSN: 2044-6055

Objectives To identify the impact the use of wearable technology could have in patients with osteoarthritis in terms of communication with healthcare providers and patients’ empowerment to manage their condition.Design Qualitative study using focus groups with patients with osteoarthritis; data from patients’ responses were analysed using Framework Methodology.Participants 21 patients with knee osteoarthritis from the London area (age range 45–65 years) participated in a total of four focus groups. Recruitment continued until data saturation.Setting The study was conducted in a university setting.Results Patients’ responses suggested a positive attitude on the impact wearable technology could have on the management of osteoarthritis. It was perceived that the use of wearable devices would benefit patients in terms of feeling in control of their condition, providing them with awareness of their progress, empowering in terms of self-management and improving communication with their clinician.Conclusions This paper suggests positive patient perspectives on the perceived benefits wearable technology could have on the management of osteoarthritis. The data that could be collected with the use of wearable technology could be beneficial both to patients and clinicians. The information obtained from this study suggests that introducing wearable technology into patient-centred care could enhance patient experience in the field of osteoarthritis and beyond.

Journal article

Papi E, Belsi A, McGregor AH, 2015, A knee monitoring device and the preferences of patients living with osteoarthritis: A qualitative study, BMJ Open, Vol: 5, ISSN: 2044-6055

Journal article

Greenfield G, Ignatowicz AM, Belsi A, Pappas Y, Car J, Majeed A, Harris Met al., 2014, Wake up, wake up! It's me! It's my life! patient narratives on person-centeredness in the integrated care context: a qualitative study., BMC Health Services Research, Vol: 14, ISSN: 1472-6963

BackgroundPerson-centered care emphasizes a holistic, humanistic approach that puts patients first, at the center of medical care. Person-centeredness is also considered a core element of integrated care. Yet typologies of integrated care mainly describe how patients fit within integrated services, rather than how services fit into the patient¿s world. Patient-centeredness has been commonly defined through physician¿s behaviors aimed at delivering patient-centered care. Yet, it is unclear how `person-centeredness¿ is realized in integrated care through the patient voice. We aimed to explore patient narratives of person-centeredness in the integrated care context.MethodsWe conducted a phenomenological, qualitative study, including semi-structured interviews with 22 patients registered in the Northwest London Integrated Care Pilot. We incorporated Grounded Theory approach principles, including substantive open and selective coding, development of concepts and categories, and constant comparison.ResultsWe identified six themes representing core `ingredients¿ of person-centeredness in the integrated care context: ¿Holism¿, ¿Naming¿, ¿Heed¿, ¿Compassion¿, ¿Continuity of care¿, and ¿Agency and Empowerment¿, all depicting patient expectations and assumptions on doctor and patient roles in integrated care. We bring examples showing that when these needs are met, patient experience of care is at its best. Yet many patients felt `unseen¿ by their providers and the healthcare system. We describe how these six themes can portray a continuum between having own physical and emotional `Space¿ to be `seen¿ and heard vs. feeling `translucent¿, `unseen¿, and unheard. These two conflicting experiences raise questions about current typologies of the patient-physician relationship as a `dyad¿, the meanings patients attributed to `care&

Journal article

Belsi A, Asimakopoulou K, Donaldson N, Gallagher Jet al., 2014, Motivation to study dental professions in one London Dental Institute, EUROPEAN JOURNAL OF DENTAL EDUCATION, Vol: 18, Pages: 24-30, ISSN: 1396-5883

Journal article

Curry N, Harris M, Gunn L, Pappas Y, Blunt I, Soljak M, Mastellos N, Holder H, Smith J, Majeed A, Ignatowicz A, Greaves F, Belsi A, Costin-Davis N, Jones Nielsen JD, Greenfield G, Cecil E, Patterson S, Bardsley Met al., 2013, Integrated care pilot in north west London: a mixed methods evaluation

Journal article

Curry N, Harris M, Gunn LH, Pappas Y, Blunt I, Soljak M, Mastellos N, Holder H, Smith J, Majeed A, Ignatowicz A, Greaves F, Belsi A, Costin-Davis N, Jones Nielsen JD, Greenfield G, Cecil E, Patterson S, Car J, Bardsley Met al., 2013, Integrated care pilot in north west London: a mixed methods evaluation, International Journal of Integrated Care, Vol: 13, ISSN: 1568-4156

Journal article

Belsi A, Gonzalez-Maffe J, Jones K, Wright D, Gallagher JEet al., 2013, Care home managers’ views of dental services for older people living in nursing and residential homes in inner city London, Community Dental Health

Journal article

Pappas Y, Ignatowicz A, Jones Nielsen J, Belsi A, Mastellos N, Costin-Davis N, Patterson S, Greenfield G, Greaves F, Harris Met al., 2013, NHS North West London Integrated Care Pilot: Year one evaluation

Report

Durkan C, Belsi A, Johnson R, Gallagher Jet al., 2012, Summary of: Career choice, pathways and continuing professional development of dental nurses at one institution, BRITISH DENTAL JOURNAL, Vol: 213, Pages: 68-69, ISSN: 0007-0610

Journal article

Durkan C, Belsi A, Johnson R, Gallagherand Jet al., 2012, Career choice, pathways and continuing professional development of dental nurses at one institution, BRITISH DENTAL JOURNAL, Vol: 213, ISSN: 0007-0610

Journal article

Belsi A, Ghotane SG, Asimakopoulou K, Gallagher JEet al., 2012, Final-year Hygiene/Therapy Students’ Career Aspirations in One London Dental Institute (oral presentation), International Association for Dental Research General Session

Conference paper

Belsi A, Asimakopoulou K, Gallagher JE, 2012, Professional Mobility Within Dentistry: The Case Of Dental Care Professionals at King’s College London Dental Institute (poster presentation), British Association for the Study of Community Dentistry, Spring Scientific Meeting

Conference paper

Belsi A, Asimakopoulou K, Gallagher JE, 2011, Hygiene/Therapy students' motivation to study in one London dental school, BSODR Meeting (Oral Presentation), British Society for Oral and Dental Research

Conference paper

Belsi A, Gallagher JE, Asimakopoulou K, 2011, Personality profile of students entering dentistry, hygiene/therapy and dental nursing at one London dental institute., Eur J Dent Educ, Vol: 15, Pages: 80-84

INTRODUCTION: King's College London Dental Institute (KCLDI) is the largest school in the UK, training dental professionals: Dentists, Hygienists/Therapists and Dental Nurses. Although previous work has examined dental students, there is a dearth of studies on the personality profile of students of hygiene/therapy and dental nursing. OBJECTIVE: To investigate the personality profile of students studying dentistry, hygiene/therapy and dental nursing at KCLDI, by programme, sex and ethnicity. METHODS AND MATERIALS: All entrants into dentistry, hygiene/therapy and dental nursing at KCLDI were invited to participate in the study. A self report questionnaire including the brief version of the Five-Factor Model and personal details was administered to the 218 recruited students in groups and under supervised conditions. RESULTS:   One-way ANOVA on data from 148 questionnaires revealed significant differences; the medical graduate entrants to dentistry appeared to have a more extraverted profile than hygiene/therapy entrants (P<0.04). The graduate entrants to dentistry were more open to experiences than the direct entrants (P<0.03) and the dental nursing trainees (P<0.03). The medical graduate entrants also appeared more open to experiences than the dental nursing trainees; the latter also appeared to have a more sensitive profile compared to the medical entry students (P<0.03). No differences were found between groups in agreeableness and conscientiousness. CONCLUSIONS: The findings suggest the presence of personality differences between entrants to dentistry, hygiene/therapy and dental nursing. The implications of these findings are discussed.

Journal article

Belsi A, Asimakopoulou K, Gallagher JE, 2010, Personality profile of students entering dentistry at King’s College London, (Poster presentation), 4th Scientific Meeting of the Pan European Federation of International Association of Dental Research

Conference paper

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