Publications
64 results found
Soukup Ascensao T, 2023, Implementation of streamlining measures in selecting and prioritising complex cases for the cancer multidisciplinary team meeting: a mini review of the recent developments, Frontiers in Health Services, ISSN: 2813-0146
Soukup T, Stewart GD, Lamb BW, 2023, Defining an evidence-based strategy for streamlining cancer multidisciplinary team meetings., Lancet Oncol, Vol: 24, Pages: 1061-1063
Baker N, Bick D, Bamber L, et al., 2023, A mixed methods systematic review exploring infant feeding experiences and support in women with severe mental illness, MATERNAL AND CHILD NUTRITION, Vol: 19, ISSN: 1740-8695
Thusini S, Soukup T, Chua K-C, et al., 2023, How is return on investment from quality improvement programmes conceptualised by mental healthcare leaders and why: a qualitative study, BMC HEALTH SERVICES RESEARCH, Vol: 23
Soukup T, Cross S, Chua K-C, et al., 2023, Associations between clinical and implementation outcomes of two psychoeducational programmes for type 1 diabetes in an effectiveness-implementation hybrid type 2 clinical trial, Publisher: BMC, ISSN: 1748-5908
Sadler E, Khadjesari Z, Ziemann A, et al., 2023, Case management for integrated care of older people with frailty in community settings, Cochrane Database of Systematic Reviews, Vol: 2023, Pages: 1-119, ISSN: 1469-493X
BackgroundAgeing populations globally have contributed to increasing numbers of people living with frailty, which has significant implications for use of health and care services and costs. The British Geriatrics Society defines frailty as "a distinctive health state related to the ageing process in which multiple body systems gradually lose their inbuilt reserves". This leads to an increased susceptibility to adverse outcomes, such as reduced physical function, poorer quality of life, hospital admissions, and mortality. Case management interventions delivered in community settings are led by a health or social care professional, supported by a multidisciplinary team, and focus on the planning, provision, and co‐ordination of care to meet the needs of the individual. Case management is one model of integrated care that has gained traction with policymakers to improve outcomes for populations at high risk of decline in health and well‐being. These populations include older people living with frailty, who commonly have complex healthcare and social care needs but can experience poorly co‐ordinated care due to fragmented care systems.ObjectivesTo assess the effects of case management for integrated care of older people living with frailty compared with usual care.Search methodsWe searched CENTRAL, MEDLINE, Embase, CINAHL, Health Systems Evidence, and PDQ Evidence and databases from inception to 23 September 2022. We also searched clinical registries and relevant grey literature databases, checked references of included trials and relevant systematic reviews, conducted citation searching of included trials, and contacted topic experts.Selection criteriaWe included randomised controlled trials (RCTs) that compared case management with standard care in community‐dwelling people aged 65 years and older living with frailty.Data collection and analysisWe followed standard methodological procedures recommended by Cochrane and the Effective Practice and Organisation
Soukup T, Lamb BW, Green JSA, et al., 2023, Analysis of communication styles underpinning clinical decision-making in cancer multidisciplinary team meetings, Frontiers in Psychology, Vol: 14, Pages: 1-13, ISSN: 1664-1078
INTRODUCTION: In cancer care, multidisciplinary team (MDT) meetings are the gold standard. While they are trying to maximize productivity on the back of the steadily increasing workload, growing cancer incidence, financial constraints, and staff shortages, concerns have been raised with regards to the quality of team output, as reported by Cancer Research UK in 2017: "Sometimes we discuss up to 70 patients. This is after a whole day of clinics, and we do not finish until after 19.00. Would you want to be number 70?". This study aimed to explore systematically some of the dynamics of group interaction and teamwork in MDT meetings. MATERIALS AND METHODS: This was a prospective observational study conducted across three MDTs/university hospitals in the United Kingdom. We video-recorded 30 weekly meetings where 822 patient cases were reviewed. A cross-section of the recordings was transcribed using the Jefferson notation system and analyzed using frequency counts (quantitative) and some principles of conversation analysis (qualitative). RESULTS: We found that, across teams, surgeons were the most frequent initiators and responders of interactional sequences, speaking on average 47% of the time during case discussions. Cancer nurse specialists and coordinators were the least frequent initiators, with the former speaking 4% of the time and the latter speaking 1% of the time. We also found that the meetings had high levels of interactivity, with an initiator-responder ratio of 1:1.63, meaning that for every sequence of interactions initiated, the initiator received more than a single response. Lastly, we found that verbal dysfluencies (laughter, interruptions, and incomplete sentences) were more common in the second half of meetings, where a 45% increase in their frequency was observed. DISCUSSION: Our findings highlight the importance of teamwork in planning MDT meetings, particularly with regard to Cancer Research UK in 2017 cognitive load/fatigue and decision-
Soukup T, Winters D, Chua K-C, et al., 2023, Evaluation of changes to work patterns in multidisciplinary cancer team meetings due to the COVID-19 pandemic: A national mixed-method survey study, Cancer Medicine, Vol: 12, Pages: 8729-8741, ISSN: 2045-7634
BackgroundIt is not well understood the overall changes that multidisciplinary teams (MDTs) have had to make in response to the COVID-19 pandemic, nor the impact that such changes, in addition to the other challenges faced by MDTs, have had on decision-making, communication, or participation in the context of MDT meetings specifically.MethodsThis was a mixed method, prospective cross-sectional survey study taking place in the United Kingdom between September 2020 and August 2021.ResultsThe participants were 423 MDT members. Qualitative findings revealed hybrid working and possibility of virtual attendance as the change introduced because of COVID-19 that MDTs would like to maintain. However, IT-related issues, slower meetings, longer lists and delays were identified as common with improving of the IT infrastructure necessary going forward. In contrast, virtual meetings and increased attendance/availability of clinicians were highlighted as the positive outcomes resulting from the change. Quantitative findings showed significant improvement from before COVID-19 for MDT meeting organisation and logistics (M = 45, SD = 20) compared to the access (M = 50, SD = 12, t(390) = 5.028, p = 0.001), case discussions (M = 50, SD = 14, t(373) = −5.104, p = 0.001), and patient representation (M = 50, SD = 12, t(382) = −4.537, p = 0.001) at MDT meetings.DiscussionOur study explored the perception of change since COVID-19 among cancer MDTs using mixed methods. While hybrid working was preferred, challenges exist. Significant improvements in the meeting organisation and logistics were reported. Although we found no significant perceived worsening across the four domains investigated, there was an indication in this direction for the case discussions warranting further ‘live’ assessments of MDT meetings.
Cross S, Soukup T, Chua KC, et al., 2023, Associations between clinical and implementation outcomes of two psychoeducational programmes for treatment-resistant problematic hypoglycaemia in type 1 diabetes in an effectiveness-implementation hybrid type 2 clinical trial, Publisher: WILEY, ISSN: 0742-3071
Smith EL, Soukup T, Hill L, et al., 2023, Assessing fidelity of delivery of psycho-educational interventions for problematic hypoglycaemia in type 1 diabetes: An analysis from the HARPdoc randomised controlled trial, Publisher: WILEY, ISSN: 0742-3071
Amiel SA, Divilly P, Soukup T, et al., 2023, An intervention to address treatment-resistant hypoglycaemia becomes cost-effective through improved quality of life and reduced health service use: The HARPdoc randomised controlled trial, Publisher: WILEY, ISSN: 0742-3071
Amiel S, Soukup T, Divilly P, et al., 2023, AN INTERVENTION TO ADDRESS TREATMENT RESISTANT HYPOGLYCAEMIA BECOMES COST-EFFECTIVE THROUGH IMPROVED QUALITY OF LIFE AND FEWER ADMISSIONS. THE HARPDOC RANDOMISED CONTROLLED TRIAL, Publisher: MARY ANN LIEBERT, INC, Pages: A76-A76, ISSN: 1520-9156
Thusini S, Milenova M, Nahabedian N, et al., 2022, The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review (vol 22, 1492, 2022), BMC HEALTH SERVICES RESEARCH, Vol: 22
Thusini ST, Milenova M, Nahabedian N, et al., 2022, The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review, BMC HEALTH SERVICES RESEARCH, Vol: 22
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- Citations: 2
Thusini S, Milenova M, Nahabedian N, et al., 2022, Identifying and understanding benefits associated with return-on-investment from large-scale healthcare Quality Improvement programmes: an integrative systematic literature review, BMC HEALTH SERVICES RESEARCH, Vol: 22
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- Citations: 1
Soukup T, Lamb BW, Morbi A, et al., 2022, Cancer multidisciplinary team meetings: impact of logistical challenges on communication and decision-making, BJS OPEN, Vol: 6, ISSN: 2474-9842
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- Citations: 3
Kariyawasam D, Soukup T, Parsons J, et al., 2022, Protocol for a feasibility study and process evaluation of a psychosocially modelled diabetes education programme for young people with type 1 diabetes: the Youth Empowerment Skills (YES) programme, BMJ OPEN, Vol: 12, ISSN: 2044-6055
Estevao C, Lopez MB, Davis RE, et al., 2022, Evaluation of a community-based performance arts programme for people who have experienced stroke in the UK: protocol for the SHAPER-Stroke Odysseys study, BMJ OPEN, Vol: 12, ISSN: 2044-6055
Soukup T, Davis RE, Lopez MB, et al., 2022, Study protocol: randomised controlled hybrid type 2 trial evaluating the scale-up of two arts interventions for postnatal depression and Parkinson's disease, BMJ OPEN, Vol: 12, ISSN: 2044-6055
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- Citations: 2
D'Lima D, Soukup T, Hull L, 2022, Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application, Publisher: FRONTIERS MEDIA SA, ISSN: 1748-5908
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- Citations: 6
Lamb BW, Miah S, Skolarus TA, et al., 2021, Development and Validation of a Short Version of the Metric for the Observation of Decision-Making in Multidisciplinary Tumor Boards: MODe-Lite, ANNALS OF SURGICAL ONCOLOGY, Vol: 28, Pages: 7577-7588, ISSN: 1068-9265
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- Citations: 3
Estevao C, Bind R, Fancourt D, et al., 2021, SHAPER-PND trial: clinical effectiveness protocol of a community singing intervention for postnatal depression, BMJ OPEN, Vol: 11, ISSN: 2044-6055
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- Citations: 3
Lamb BW, Miah S, Soukup T, 2021, ASO Author Reflections: The Pursuit of Digitalised Quality Improvement Assessment Tools for Cancer Multidisciplinary Teams, ANNALS OF SURGICAL ONCOLOGY, Vol: 28, Pages: 7589-7590, ISSN: 1068-9265
Soukup T, Sevdalis N, Green JSA, et al., 2021, Making Tumor Boards More Patient-Centered: Let's Start With the Name, JCO ONCOLOGY PRACTICE, Vol: 17, Pages: 591-+, ISSN: 2688-1527
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- Citations: 6
Winters DA, Soukup T, Sevdalis N, et al., 2021, The cancer multidisciplinary team meeting: in need of change? History, challenges and future perspectives, BJU INTERNATIONAL, Vol: 128, Pages: 271-279, ISSN: 1464-4096
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- Citations: 22
Soukup T, Murtagh GM, Lamb BW, et al., 2021, Gaps and overlaps in cancer multidisciplinary team communication: analysis of speech, Small Group Research, Vol: 52, Pages: 189-219, ISSN: 1046-4964
Guided by the principles of conversation analysis, we examined the communication practices used to negotiate levels of participation in cancer multidisciplinary team meetings and their implications for patient safety. Three cancer teams participated. Thirty-six weekly meetings were video recorded, encompassing 822 case reviews. A cross-section was transcribed using Jefferson notation. We found a low frequency of gaps between speakers (3%), high frequency of overlaps (24%), and no-gaps-no-overlaps (73%), suggesting fast turn transitions. Securing a turn to speak is challenging due to a systematic reduction in turn-taking opportunities. We contribute to group research with the development of a microlevel methodology for studying multidisciplinary teams.
Estevao C, Fancourt D, Dazzan P, et al., 2021, Scaling-up Health-Arts Programmes: the largest study in the world bringing arts-based mental health interventions into a national health service, BJPSYCH BULLETIN, Vol: 45, Pages: 32-39, ISSN: 2056-4694
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- Citations: 12
Soukup T, Sevdalis N, Green JSA, et al., 2021, Quality improvement for cancer multidisciplinary teams: lessons learned from the Anglian Germ Cell Cancer Collaborative Group, BRITISH JOURNAL OF CANCER, Vol: 124, Pages: 313-314, ISSN: 0007-0920
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- Citations: 3
Soukup T, Murtagh G, Lamb BW, et al., 2021, Degrees of multidisciplinarity underpinning care planning for patients with cancer in weekly multidisciplinary team meetings: conversation analysis, Journal of Multidisciplinary Healthcare, Vol: 14, Pages: 411-424, ISSN: 1178-2390
Purpose: Despite an increase in research on multidisciplinary team (MDT) meetings, the implementation of MDT-driven decision-making, ie, its fidelity, remains unstudied. We report fidelity using an observational protocol measuring degree to which MDTs in their weekly meetings in the UK adhere to 1) the stages of group decision-making as per the ‘Orientation-Discussion-Decision-Implementation’ framework, and 2) cancer guidelines on the composition and characteristics of their weekly meetings produced by the UK’s Department of Health, UK’s National Cancer Action Team, Cancer Research UK, World Health Organization, and The Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales.Patients and Methods: This is a prospective cross-sectional observational study of MDT meetings in the UK. Breast, colorectal, and gynecological cancer MDTs across three hospitals in the UK were video recorded over 12 weekly meetings, respectively, encompassing 822 case-reviews. A cross-section of 24 case-reviews was analysed with the main outcomes being adherence to the ‘Orientation-Discussion-Decision-Implementation’ framework, and the cancer guidelines.Results: Eight percent of case-reviews in the MDT meetings involved all five core disciplines including surgeons, oncologists, radiologists, histopathologists, and specialist cancer nurses, and 38% included four. The majority of case-reviews (54%) were between two (25%) or three (29%) disciplines only. Surgeons (83%) and oncologists (8%) most consistently engaged in all stages of decision-making. While all patients put forward for MDT meeting were actually reviewed, 4% of them either bypassed the orientation (case presentation), and 8% did not articulate the final decision to the entire team.Conclusion: We found that, despite being a set policy, cancer case-reviews in MDT meetings are not entirely MDT-driven, with more than half of the case-reviews not adhering to the cancer guideli
Soukup T, Lamb BW, Shah NJ, et al., 2020, Relationships Between Communication, Time Pressure, Workload, Task Complexity, Logistical Issues and Group Composition in Transdisciplinary Teams: A Prospective Observational Study Across 822 Cancer Cases, FRONTIERS IN COMMUNICATION, Vol: 5
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- Citations: 4
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