Publications
66 results found
Soukup Ascensao T, 2024, 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
Healey A, Soukup T, Sevdalis N, et al., 2024, Cost-effectiveness of a Novel Hypoglycaemia Programme: The 'HARPdoc vs BGAT' RCT., Diabet Med
AIMS: To assess the cost-effectiveness of HARPdoc (Hypoglycaemia Awareness Restoration Programme for adults with type 1 diabetes and problematic hypoglycaemia despite optimised care), focussed upon cognitions and motivation, versus BGAT (Blood Glucose Awareness Training), focussed on behaviours and education, as adjunctive treatments for treatment-resistant problematic hypoglycaemia in type 1 diabetes, in a randomised controlled trial. METHODS: Eligible adults were randomised to either intervention. Quality of life (QoL, measured using EQ-5D-5L); cost of utilisation of health services (using the adult services utilization schedule, AD-SUS) and of programme implementation and curriculum delivery were measured. A cost-utility analysis was undertaken using quality-adjusted life years (QALYs) as a measure of trial participant outcome and cost-effectiveness was evaluated with reference to the incremental net benefit (INB) of HARPdoc compared to BGAT. RESULTS: Over 24 months mean total cost per participant was £194 lower for HARPdoc compared to BGAT (95% CI: -£2498 to £1942). HARPdoc was associated with a mean incremental gain of 0.067 QALYs/participant over 24 months post-randomisation: an equivalent gain of 24 days in full health. The mean INB of HARPdoc compared to BGAT over 24 months was positive: £1521/participant, indicating comparative cost-effectiveness, with an 85% probability of correctly inferring an INB > 0. CONCLUSIONS: Addressing health cognitions in people with treatment-resistant hypoglycaemia achieved cost-effectiveness compared to an alternative approach through improved QoL and reduced need for medical services, including hospital admissions. Compared to BGAT, HARPdoc offers a cost-effective adjunct to educational and technological solutions for problematic hypoglycaemia.
Podlewska AM, Batzu L, Soukup T, et al., 2024, The PD-Ballet study: study protocol for a randomised controlled single-blind hybrid type 2 clinical trial evaluating the effects of ballet dancing on motor and non-motor symptoms in Parkinson's disease, BMC Complementary Medicine and Therapies, Vol: 24, ISSN: 2662-7671
BACKGROUND: To date, beneficial effects of multimodal exercise programmes on Parkinson's disease (PD) have focused on motor symptoms and little attention has been paid to the potential effects of such programmes on the non-motor symptoms of PD, which are now universally known as one of the key drivers of quality of life and a key unmet need. We aim to explore clinical effectiveness of a ballet-based dance programme in addressing non-motor and motor symptoms of Parkinson's disease across all stages of progression. METHODS: A randomised, single-blind, controlled trial of 160 people with Parkinson's across all motor stages (Participants will be stratified into three groups of motor advancement: Hoehn and Yahr (HY) stages I and II being Mild Group, HY Stage III being Moderate Group and HY Stages IV and V being Severe Group) will be randomly allocated to either an intervention or a control group using an independent randomisation body. The primary outcome is an improvement in non-motor symptoms as measured by the Movement Disorders Society Non-Motor Scale (MDS-NMS). The intervention protocol consists of 12 one-weekly dance sessions led by English National Ballet. Each session is followed by a 'tea and biscuit' social time. Control group follows standard clinical pathway and joins the 'tea and biscuit' to control for any positive effects of social interactions. All participants are assessed at baseline, immediately after completion of the intervention and 3-6 months later to explore any potential longitudinal effects. DISCUSSION: To our knowledge, no adequately powered study has explored the effects of a dance-based intervention on non-motor symptoms of Parkinson's disease, assessing these on both holistic and granular levels. We also aim to stratify participants in accordance with their motor state as assessed by. HY staging to explore specific effects on the symptoms at the initial, moderate and complex stages of the disease. If successful, this trial provides first evi
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-
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
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.
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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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
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
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
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
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