Publications by authors named "Carla Girling"
Background: Preventative inhaled treatments preserve lung function and reduce exacerbations in cystic fibrosis (CF). Self-reported adherence to these treatments is over-estimated. An online platform (CFHealthHub) has been developed with patients and clinicians to display real-time objective adherence data from dose-counting nebulisers, so that clinical teams can offer informed treatment support.
View Article and Find Full Text PDFAim: Guidelines benefit patients and clinicians by distilling evidence into easy-to-read recommendations. The literature around the management of haemorrhoids is immense and guidelines are invaluable to improve treatment integrity and patient outcomes. We identified current haemorrhoid guidelines and assessed them for quality and consistency.
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- - Daily inhaled therapy is crucial for maintaining lung health in people with cystic fibrosis (PwCF), but measuring adherence to therapy can be complicated due to varying treatment regimens among patients.
- - This study utilizes historical data from the UK CF Registry (2011-2015) to create a prediction rule for identifying current Psuedomonas aeruginosa (PA) status in PwCF, achieving high accuracy rates in predictions.
- - By effectively identifying patients with chronic PA infection using past registry data, the researchers aim to improve adherence monitoring and quality assessments of care across different medical centers.
Article Synopsis
- A study checked how much inhaled medicine people with cystic fibrosis (CF) received compared to how much they actually used.
- It found that many people had more medicine than they needed, leading to a waste of money—about £1,124 per person on average.
- The results show that people who didn't use their medicine as much wasted the most, suggesting that it's important to help people use their medicines properly.
Psychological therapists commonly fail to adhere to treatment protocols in everyday clinical practice. In part, this pattern of drift is attributable to anxious therapists being less likely to undertake some elements of evidence-based therapies - particularly the exposure-based elements. This study considers what facets of anxiety (cognitive, behavioral, physiological) are related to junior clinicians' reported use of cognitive-behavioral therapy techniques.
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