Publications by authors named "Bearne L"

Purpose: This study aimed to explore the experiences, expectations, attitudes and beliefs about surgery and recovery in people with neurogenic claudication, and their preferences for rehabilitation.

Methods: Semi-structured interviews were conducted with a purposive sample of 16 patients (8 female; mean age 70 years) following surgery for neurogenic claudication. Data were transcribed verbatim, analysed using reflexive thematic analysis and interpreted using the five constructs of the Integrative Model of Expectations: treatment, timeline, behaviour, outcome, and generalised expectations.

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Background: Intermittent claudication (IC) is a common pathology, affecting 4.5% of the United Kingdom population, and is associated with significant health burden if disease progresses to chronic limb-threatening ischemia (CLTI). The natural history of conservatively managed IC remains poorly described, and this study aimed to examine the rate and predictors of progression from IC to CLTI.

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  • This synthesis analyzes how the severity of intimate partner violence (IPV) relates to mental health outcomes and identifies limitations in current methods used to measure IPV severity.
  • The study reviewed 76 existing research articles, highlighting inconsistencies in IPV measurement approaches which impact the reliability of findings.
  • Results indicated that higher levels of IPV severity are generally linked to worse mental health outcomes like PTSD and depression, but individual IPV subtypes showed unclear, inconsistent effects on these outcomes.
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  • - The text reviews the effectiveness of school-based interventions aimed at promoting healthy eating among adolescents aged 10-19 years, noting that while healthy eating is crucial, poor diets are still common in this age group.
  • - A systematic search identified 17 reviews of interventions from 2000 to 2023, mostly conducted in high-income countries, with the majority rated as having high methodological quality, indicating reliable findings.
  • - Multi-component interventions, which engage students, schools, families, and communities together, were found to significantly enhance adolescents' knowledge and habits regarding healthy eating, especially when supported by technological and systemic changes.
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Aims: The study aimed to synthesize evidence of daily physical activity (PA) following Behavior-change technique (BCT)-based interventions compared to any control in individuals with peripheral arterial disease/intermittent claudication (PAD/IC); and examine the relationship between BCTs and daily PA.

Methods And Results: Systematic search of 11 databases from inception to 30/11/2022 was conducted, plus weekly email alerts of new literature until 31/8/2023. Studies comparing BCT-based interventions with any control were included.

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  • Walking is recommended for people with intermittent claudication (IC), but many struggle to participate due to their beliefs about walking treatment; thus, understanding these beliefs is essential for effective interventions.
  • The aim of the study was to create a culturally adapted Gujarati questionnaire based on the Theory of Planned Behaviour (TPB) to assess walking treatment beliefs, ensuring it is suitable and relevant for the target population.
  • The translation process involved expert evaluations for content validity and face validity, resulting in high agreement on the questionnaire items and positive feedback from participants, indicating its clarity and appropriateness.
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Objective: To understand (1) what guidance exists to assess the methodological quality of qualitative research; (2) what methods exist to grade levels of evidence from qualitative research to inform recommendations within European Alliance of Associations for Rheumatology (EULAR).

Methods: A systematic literature review was performed in multiple databases including PubMed/Medline, EMBASE, Web of Science, COCHRANE and PsycINFO, from inception to 23 October 2020. Eligible studies included primary articles and guideline documents available in English, describing the: (1) development; (2) application of validated tools (eg, checklists); (3) guidance on assessing methodological quality of qualitative research and (4) guidance on grading levels of qualitative evidence.

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Objective: The objective of this systematic review and meta-analysis was to evaluate the effectiveness of social prescribing interventions in the management of long-term conditions in adults.

Data Sources: Eleven electronic databases were searched for randomised and quasi-randomised controlled trials.

Review Methods: Outcomes of interest were quality of life, physical activity, psychological well-being and disease-specific measures.

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  • This study examines how effective social media is for spreading research evidence to health and social care practitioners, and assesses differences in effectiveness among various platforms and strategies.* -
  • The researchers reviewed 50 articles published between 2010 and 2023, focusing on elements like reach, engagement, direct dissemination, and overall impact of social media interventions in this context.* -
  • Results showed that social media interventions generally had a positive impact on dissemination metrics, though the degree of effectiveness varied across studies, with many different research designs being used.*
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Purpose: Non-weight bearing is often recommended after humeral fractures. This review aims to summarise the extent and nature of the evidence for the feasibility, acceptability, safety, and effects of early weight bearing (EWB) in people with humeral fractures, treated operatively or non-operatively. .

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Background: The National Institute of Health and Care Research (NIHR), funds, enables and delivers world-leading health and social care research to improve people's health and wellbeing. To achieve this aim, effective knowledge sharing (two-way knowledge sharing between researchers and stakeholders to create new knowledge and enable change in policy and practice) is needed. To date, it is not known which knowledge sharing techniques and approaches are used or how effective these are in creating new knowledge that can lead to changes in policy and practice in NIHR funded studies.

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Introduction: The Walking Impairment Questionnaire (WIQ) is a common and easy-to-use assessment of walking incapacity in people with claudication due to peripheral artery disease (PAD). It has four subscales: pain severity, walking distance, walking speed, and ability to climb stairs. It has not been translated into Gujarati, which limits its use in Indian subjects.

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  • Long-term conditions (LTC) significantly impact quality of life, leading to increased mortality, and there's a growing need for innovative, patient-centered care approaches such as Social Prescribing (SP) to address unmet health needs.* -
  • The study will involve focus groups and individual interviews with patients, link workers, and healthcare providers to gather insights on the effective implementation of SP services and identify key success factors.* -
  • Findings from this research will guide the development of a pilot SP service tailored for patients with long-term musculoskeletal conditions, contributing to a broader initiative to enhance patient care.*
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Objectives: This study explored the experiences and acceptability of a novel, home-based, walking exercise behaviour-change intervention (MOtivating Structured walking Activity in people with Intermittent Claudication (MOSAIC)) in adults with Peripheral Arterial Disease (PAD).

Design And Setting: Individual semi-structured audio-recorded interviews were conducted with adults with Peripheral Arterial Disease who had completed the MOSAIC intervention as part of a randomised clinical trial. Data were analysed using inductive reflexive thematic analysis and interpreted using the seven-construct theoretical framework of acceptability of healthcare interventions (TFA).

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Purpose: Evidence on rehabilitation after revision total hip replacement (THR) is inadequate and development of rehabilitation interventions is warranted. Even so, little is known about patients' experiences with revision THR rehabilitation. This study aimed to explore patients' rehabilitation exercise experiences after revision THR.

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Background: Making high-quality health and care information available to members of the general public is crucial to support populations with self-care and improve health outcomes. While attention has been paid to how the public accesses and uses health information generally (including personal records, commercial product information or reviews on healthcare practitioners and organisations) and how practitioners and policy-makers access health research evidence, no overview exists of the way that the public accesses and uses high quality health and care information.

Purpose: This scoping review aimed to map research evidence on how the public accesses and uses a specific type of health information, namely health research and information that does not include personal, product and organisational information.

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Background: Chronic musculoskeletal disorders (MSD) are a significant burden on individuals' quality of life and society and are made more complex by the presence of multimorbidity. It is recommended that interventions targeting MSD be sustainable, equitable and incorporate the biopsychosocial model of care (BPS).

Aims: A criticism of the BPS approach is that the social component of this model is not addressed adequately during the management of people with long-term MSD and that a gap exists between theory and implementation.

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Background: Effective dissemination of research to health and social care practitioners enhances clinical practice and evidence-based care. Social media use has potential to facilitate dissemination to busy practitioners.

Objective: This is a protocol for a systematic review that will quantitatively synthesize evidence of the effectiveness of social media, compared with no social media, for dissemination of research evidence to health and social care practitioners.

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Objectives: This systematic review describes the extent to which PROGRESS-Plus equity factors were considered in the eligibility criteria of trials of exercise interventions for adults with RA.

Methods: Electronic databases were searched for published (Cinahl, Embase, Medline, Physiotherapy Evidence Database), unpublished (Opengrey) and registered ongoing (International Standard Randomized Controlled Trial Number registry) randomized controlled trials (RCTs) of exercise interventions for adults with RA. Two authors independently performed study selection and quality assessment (Cochrane risk of bias tool).

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Purpose: To determine the equity in access to trials of exercise interventions for adults with intermittent claudication due to peripheral arterial disease.

Methods: Systematic electronic database searches of MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Clinical Trials, PEDRO, Opengrey, ISRCTN and ClinincalTrials.gov for randomised controlled trials of exercise interventions for adults with intermittent claudication were conducted.

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Introduction: Fibromyalgia guidelines recommend multi-modal, non-pharmacological interventions but there is limited evidence on the optimal programme. The Fibromyalgia Active Management and Exercise programme (FAME) aimed to improve function and quality of life. It consisted of 12 sessions delivered by a multidisciplinary team and incorporated education, exercise, Cognitive Behavioural Therapy and mindfulness approaches.

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Background: Foot impairments in early rheumatoid arthritis are common and lead to progressive deterioration of lower limb function. A gait rehabilitation programme underpinned by psychological techniques to improve adherence, may preserve gait and lower limb function. This study evaluated the feasibility of a novel gait rehabilitation intervention (GREAT Strides) and a future trial.

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