205 results found
Roberts NJ, Kidd L, Kirkwood K, et al., 2021, How is the education component of pulmonary rehabilitation delivered in practice--Is it patient-centred?, CLINICAL RESPIRATORY JOURNAL, Vol: 15, Pages: 835-842, ISSN: 1752-6981
Roberts NJ, Kidd L, Kirkwood K, et al., 2020, What Tools and Resources do Pulmonary Rehabilitation Teams use to Deliver Education?, Publisher: EUROPEAN RESPIRATORY SOC JOURNALS LTD, ISSN: 0903-1936
Partridge MR, 2020, Green respiratory healthcare: need for proportionality, THORAX, Vol: 75, Pages: 369-369, ISSN: 0040-6376
Vaghela U, Moss J, Partridge M, et al., 2019, Digitalising the personalised asthma action plan (PAAP) - a multi-perspective qualitative study, European-Respiratory-Society (ERS) International Congress, Publisher: EUROPEAN RESPIRATORY SOC JOURNALS LTD, ISSN: 0903-1936
Keeley D, Partridge M, 2019, Standardised emergency inhaled treatment packs for asthma and COPD, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 69, Pages: 284-284, ISSN: 0960-1643
Keeley D, Partridge MR, 2019, Emergency MDI and spacer packs for asthma and COPD, LANCET RESPIRATORY MEDICINE, Vol: 7, Pages: 380-382, ISSN: 2213-2600
Roberts NJ, Kidd L, Kirkwood K, et al., 2018, A systematic review of the content and delivery of education in pulmonary rehabilitation programmes, Respiratory Medicine, Vol: 145, Pages: 161-181, ISSN: 0954-6111
IntroductionPulmonary rehabilitation (PR) is a core component of Chronic Obstructive Pulmonary Disease (COPD) management with well recognized benefits. While suggestions for educational content within pulmonary rehabilitation have been detailed in clinical guidance, it is unclear what educational content is delivered as part of pulmonary rehabilitation, who delivers it, and how it is delivered.MethodsA systematic review was conducted to identify what educational content is delivered as part of pulmonary rehabilitation, how is this delivered and who delivers it. Databases were searched from 1981 to 2017 using multiple search terms related to “pulmonary rehabilitation” and “education”.ResultsFourteen studies were identified. This included 6 survey studies, 5 quasi-experimental studies and 3 RCTs. Five key topics that were consistently included within PR programmes were identified as:1) Anxiety/depression and stress management.2) Early recognition of signs of infection.3) Dyspnea and symptom management.4) Nutrition.5) Techniques using inhalers and nebulizers.Broader topics such as welfare/benefits, sexuality, and advance care directives did not frequently feature. Only four studies used tools to measure knowledge or learning pre and post rehabilitation in an attempt to evaluate the effectiveness of the education delivered as part of PR.ConclusionsThe delivery of education in PR programmes is variable and does not follow suggested educational topics. Education needs to take a patient centered motivational approach to ensure effective delivery. Further research into appropriate educational outcome measures are needed, in order to evaluate the changes in behaviour associated with education.
Mydin HH, Ampikaipakan S, Shayaa S, et al., 2018, The effect of an asthma awareness campaign on social media users, 28th International Congress of the European-Respiratory-Society (ERS), Publisher: EUROPEAN RESPIRATORY SOC JOURNALS LTD, ISSN: 0903-1936
Chung KF, Partridge M, 2018, Green respiratory health care: time for us all to act, Respirology, Vol: 23, Pages: 452-454, ISSN: 1323-7799
Roberts NJ, Ward M, Patel I, et al., 2018, Reflections on integrated care from those working in and leading integrated respiratory teams, London Journal of Primary Care, Vol: 10, Pages: 24-30, ISSN: 1757-1472
The concept of integrated care has been advocated for many years to address some of the challenges faced by the NHS. This report examines the experiences of respiratory healthcare specialists working in an integrated role. Twelve qualitative telephone interviews were undertaken with a range of integrated respiratory specialists and their teams working in both hospitals and the community. A descriptive and thematic approach to data analysis was adopted.Participants were very enthusiastic about their roles and saw themselves as ambassadors for this new way of working. Several key themes were identified from the analysis which participants identified as barriers or enablers to the successful undertaking of an integrated respiratory specialist role. These included the participants’ previous work experience and background, the range of multi-disciplinary expertise within or needed for the team, the structure of the team leadership and the measurement of outcomes to evaluate the team. Participants identified the need for clear job descriptions and roles, shared training and standards and appropriate outcome evaluation. More research is needed to understand how these new ways of working are developing and how they can be evaluated.
Edelmann C, Ghiassi R, Vogt DR, et al., 2017, A pictorial Sleepiness and Sleep Apnoea Scale to recognize individuals with high risk for obstructive sleep apnea syndrome, Nature and Science of Sleep, Vol: 9, Pages: 253-265, ISSN: 1179-1608
Effing TW, Vercoulen JH, Bourbeau J, et al., 2016, Definition of a COPD self-management intervention: International Expert Group consensus, European Respiratory Journal, Vol: 48, Pages: 46-54, ISSN: 1399-3003
There is an urgent need for consensus on what defines a chronic obstructive pulmonary disease (COPD) self-management intervention. We aimed to obtain consensus regarding the conceptual definition of a COPD self-management intervention by engaging an international panel of COPD self-management experts using Delphi technique features and an additional group meeting.In each consensus round the experts were asked to provide feedback on the proposed definition and to score their level of agreement (1=totally disagree; 5=totally agree). The information provided was used to modify the definition for the next consensus round. Thematic analysis was used for free text responses and descriptive statistics were used for agreement scores.In total, 28 experts participated. The consensus round response rate varied randomly over the five rounds (ranging from 48% (n=13) to 85% (n=23)), and mean definition agreement scores increased from 3.8 (round 1) to 4.8 (round 5) with an increasing percentage of experts allocating the highest score of 5 (round 1: 14% (n=3); round 5: 83% (n=19)).In this study we reached consensus regarding a conceptual definition of what should be a COPD self-management intervention, clarifying the requisites for such an intervention. Operationalisation of this conceptual definition in the near future will be an essential next step.
Roberts NJ, Patel IS, Partridge MR, 2016, The diagnosis of COPD in primary care; gender differences and the role of spirometry, RESPIRATORY MEDICINE, Vol: 111, Pages: 60-63, ISSN: 0954-6111
Partridge MR, Baxter N, 2016, Integrated care: respiratory medicine ready and waiting., Future Hosp J, Vol: 3, Pages: 37-39, ISSN: 2055-3323
A less hospital-centric approach to healthcare with specialists working nearer to patients in the community has been strongly advocated in several recent publications. In the field of respiratory medicine a team approach to the care of those with long-term respiratory conditions has been in practise for decades with such integrated approaches being shown to significantly improve outcomes. This approach is now gaining momentum with an increasing number of UK respiratory specialists undertaking sessions outside hospitals. Specific suggestions regarding the scope of this work, training, mentorship and governance have now been suggested by the specialist British Thoracic Society.
Partridge MR, 2015, Television Advertising of Medicines Unexpected Consequences?, AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, Vol: 192, Pages: 2-3, ISSN: 1073-449X
Drakatos P, Ghiassi R, Jarrold I, et al., 2015, The use of an online pictorial Epworth Sleepiness Scale in the assessment of age and gender specific differences in excessive daytime sleepiness, JOURNAL OF THORACIC DISEASE, Vol: 7, Pages: 897-902, ISSN: 2072-1439
Chung KF, Partridge M, Tetley TD, 2014, Abraham ("Abe") Guz: a life devoted to breathing and breathlessness, EUROPEAN RESPIRATORY JOURNAL, Vol: 44, Pages: 1423-1425, ISSN: 0903-1936
Reddel HK, Jenkins CR, Partridge MR, 2014, Self-management support and other alternatives to reduce the burden of asthma and chronic obstructive pulmonary disease, INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, Vol: 18, Pages: 1396-1406, ISSN: 1027-3719
Partridge MR, 2014, Medicine: a rethink? Are entrants to the profession and the way it is organised fit for purpose?, CLINICAL MEDICINE, Vol: 14, Pages: 225-228, ISSN: 1470-2118
Partridge MR, 2014, Enhancing the diagnosis and management of COPD in Primary care., Multidiscip Respir Med, Vol: 9, ISSN: 1828-695X
Burgel P-R, Paillasseur J-L, Partridge M, et al., 2013, Impact of age-related comorbidities on the risk of COPD exacerbations in subjects with severe airflow limitation: A pan-European study, EUROPEAN RESPIRATORY JOURNAL, Vol: 42, ISSN: 0903-1936
Partridge MR, 2013, Redefining Medicine, Transforming Healthcare: The Lee Kong Chian School of Medicine, ANNALS ACADEMY OF MEDICINE SINGAPORE, Vol: 42, Pages: 165-167, ISSN: 0304-4602
Roberts NJ, Boyd KA, Briggs AH, et al., 2012, Nurse led versus lay educators support for those with asthma in primary care: a costing study, BMC PULMONARY MEDICINE, Vol: 12, ISSN: 1471-2466
Starren ES, Roberts NJ, Tahir M, et al., 2012, A centralised respiratory diagnostic service for primary care: a 4-year audit, PRIMARY CARE RESPIRATORY JOURNAL, Vol: 21, Pages: 180-186, ISSN: 1471-4418
O'Byrne L, Roberts NJ, Partridge MR, 2012, Preclinic telephone consultations: an observational cohort study, CLINICAL MEDICINE, Vol: 12, Pages: 140-145, ISSN: 1470-2118
Effing TW, Bourbeau J, Vercoulen J, et al., 2012, Self-management programmes for COPD: Moving forward, CHRONIC RESPIRATORY DISEASE, Vol: 9, Pages: 27-35, ISSN: 1479-9723
Roberts NJ, Younis I, Kidd L, et al., 2012, Barriers to the implementation of self management support in long term lung conditions., London J Prim Care (Abingdon), Vol: 5, Pages: 35-47, ISSN: 1757-1472
Background Self-management improves outcomes in asthma and COPD and is strongly recommended in national and international guidelines; however implementation of the guidelines such as use of written action plans in practice is often poor. Setting A questionnaire survey was undertaken to identify the healthcare professional barriers to implementation of self-management for asthma and COPD in West London. Question Why is self-management education not being undertaken in respiratory conditions? Methods A questionnaire was designed to elicit healthcare professionals' views about barriers to implementation of self-management in asthma and COPD. Results Response rates were 33% (58/175). Results showed strong support for guideline recommendations, however implementation was patchy. Seventy six percent of respondents discussed asthma self-management with patients; however only 47.8% of patients received a written action plan. For COPD patients, 55.1% discussed self-management, with 41% receiving a written action plan. In COPD, there was greater GP involvement and less delegation of self-management. Barriers to implementation included patient factors (compliance, literacy and patient understanding), time constraints and insufficient resources. Those who believed they had witnessed improved health outcomes with self-management (53%, 31/58) were more likely to give written action plans (78%, 24/31, 'nearly always/sometimes' gave written action plans), Nearly a third of healthcare professionals reported lacking confidence in constructing written action plans (33% 19/58; GPs 43%, nurses 43%). Conclusion Despite overwhelming evidence self-management support is still not being implemented into routine clinical practice, identified barriers included time constraints, lack of training, lack of belief in patients ability to self-manage and lack of confidence completing self-management plans. Practice implications These issues need to be addressed if self-management support is to be de
Rooney LK, Bhopal R, Halani L, et al., 2011, Promoting recruitment of minority ethnic groups into research: qualitative study exploring the views of South Asian people with asthma, JOURNAL OF PUBLIC HEALTH, Vol: 33, Pages: 604-615, ISSN: 1741-3842
Smith SM, Bell D, Hopkinson NS, et al., 2011, A review of discharge planning for people with chronic obstructive pulmonary disease at high risk for readmission, CLINICAL MEDICINE, Vol: 11, Pages: 510-511, ISSN: 1470-2118
Partridge MR, Dal Negro RW, Olivieri D, 2011, Understanding patients with asthma and COPD: insights from a European study, PRIMARY CARE RESPIRATORY JOURNAL, Vol: 20, Pages: 315-323, ISSN: 1471-4418
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