Reaching Structurally Vulnerable Populations Using Low-Barrier COVID-19 Testing Clinics Co-Created with Community-Based Organizations.

Background: The COVID-19 pandemic disproportionately affected people from structurally vulnerable communities. There was a need to improve COVID-19 testing in these communities to reduce viral spread and connect to treatment.

Objective: We created a partnership between an academic medical center and three community-based organizations (CBOs) to offer low-barrier COVID-19 walk-up testing clinics in Portland, Maine.

The impact of including carers in museum programmes for people with dementia: a realist review.

: "In the moment" museum programmes for people with dementia (PwD) are an increasingly popular way of supporting people to live well. Most programmes include carers, though it is not well understood what effects, if any, their inclusion has. This review aimed to understand how including carers in museum programmes impacts the PwD, the carer, and the relationship between them.

'Not at the diagnosis point': Dealing with contradiction in autism assessment teams.

Social science literature has documented how the concept of diagnosis can be seen as an interactive process, imbued with uncertainty and contradiction, which undermines a straightforward notion of diagnosis as a way to identify underlying biological problems that cause disease. We contribute to this body of work by examining the process of resolving contradiction in autism diagnosis for adults and adolescents. Autism is a useful case study as diagnosis can be a complex and protracted process due to the heterogeneity of symptoms and the necessity to interpret behaviours that may be ambiguous.

Interventions to support recovery following an episode of delirium: A realist synthesis.

Objectives: Persistent delirium is associated with poor outcomes in older adults but little is known about how to support longer-term recovery from delirium. The aim of this review was to identify and synthesise literature to understand mechanisms of recovery from delirium as a basis for designing an intervention that enables more effective recovery.

Methods: A systematic search of literature relevant to the research question was conducted in two phases.

Patients' experiences of seeking help for emotional concerns in primary care: doctor as drug, detective and collaborator.

Background: NICE guidelines for the management of emotional concerns in primary care emphasise the importance of communication and a trusting relationship, which is difficult to operationalise in practice. Current pressures in the NHS mean that it is important to understand care from a patient perspective. This study aimed to explore patients' experiences of primary care consultations for emotional concerns and what patients valued when seeking care from their GP.

Barriers and facilitators to GP-patient communication about emotional concerns in UK primary care: a systematic review.

Background: In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns.

Objective: To update and synthesize literature on barriers and facilitators to GP-patient communication about emotional concerns in UK primary care.

Design: Systematic review and qualitative synthesis.

"Every structure we're taught goes out the window": General practitioners' experiences of providing help for patients with emotional concerns'.

Up to 40% of general practitioners (GP) consultations contain an emotional component. General practitioners (GPs) have to provide care with limited time and resources. This qualitative study aimed to explore how GPs care for patients experiencing emotional concerns within the constraints of busy clinical practice.