Publications by authors named "Emma Stanmore"

Background: Despite the comparatively high prevalence of possible sarcopenia among young-old adults in the community, there is currently no available and effective social media-based intervention to increase the awareness and change the behavior of the target population to prevent sarcopenia. Using co-design methodology, we developed a multicomponent intervention strategy of health education and exercise for sarcopenia prevention utilizing the TikTok platform.

Objectives: The primary purpose of this study is to examine the feasibility and acceptability of the social media-based intervention to enhance muscle function in community-dwelling young-old adults with possible sarcopenia.

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This systematic review aims to identify the effectiveness of digital health applications (apps) to increase physical activity (PA) or prevent malnutrition in community-dwelling older adults. Searches were conducted in June 2023 across seven electronic databases (MEDLINE, PsycINFO, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica database, Allied and Complementary Medicine Database, and Cochrane Central Register of Controlled Trials), and grey literature were searched via google scholar. Data from studies that met the inclusion criteria were extracted.

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Introduction: People with type 2 diabetes can experience diabetes distress which can negatively affect health outcomes. Non-pharmacological interventions such as mindfulness can help address diabetes distress. However, face-to-face programmes can be constrained by cost, poor accessibility and lack of availability.

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Article Synopsis
  • Sarcopenia is an age-related condition that causes muscle weakness, leading to frailty and increased risk of disability and death, highlighting the need for effective prevention strategies.
  • The study intends to evaluate the effectiveness of digital health exercise interventions on improving muscle strength, mass, and physical performance in older adults diagnosed with sarcopenia.
  • Various databases and trial registries will be searched for clinical trials on this topic, and data will be synthesized to assess the risk of bias and possibly conduct a meta-analysis if enough compatible studies are found.
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The purpose of this study was to explore Chinese older adults' experiences of using digital health interventions and their perspectives of a digital falls prevention program (KOKU), to explore acceptability for its use in their daily life. Participants' needs and preferences will be incorporated into the existing KOKU digital program to improve user-experience, engagement and digital inclusion of Chinese older adults living in the UK. Conducting interviews with Chinese older adults in community settings provide a better understanding of cultural factors when co-designing digital health applications.

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South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status among minority ethnic groups. However, it is unclear how South Asian people view and perceive the use of digital health technologies to support their health needs.

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Introduction: Falls prevention is a global priority given its substantial impact on older adults and cost to healthcare systems. Advances in telerehabilitation technology such as `exergaming' show potential for delivering accessible, engaging exercise programs for older adults. This study aimed to establish the feasibility, acceptability and usability of exergaming in sheltered housing.

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Objectives: There is no precedent for the use of social media in preventing sarcopenia. The aim of this study is to develop a social media-based intervention programme for the young-old population in the community in China to improve their awareness and behaviours regarding sarcopenia prevention.

Study Design: Using guidelines for developing complex interventions, this study was divided into two main phases: a co-development phase and a preliminary test phase.

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Background: Digital health tools can support behavior change and allow interventions to be scalable at a minimal cost. Keep-on-Keep-up Nutrition (KOKU-Nut) is a free, tablet-based app that focuses on increasing physical activity and improving the dietary intake of older adults based on UK guidelines. The intervention targets an important research area identified as a research priority reported by the James Lind Alliance priority setting partnership for malnutrition.

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Article Synopsis
  • - Possible sarcopenia, characterized by low muscle strength, is more prevalent in older adults living in the community compared to confirmed or severe cases, highlighting a need for effective intervention strategies.
  • - There is a lack of non-pharmacological interventions for possible sarcopenia, especially regarding health education, as older adults show low awareness of the condition, prompting the need for immediate outreach methods, such as social media.
  • - This study outlines a protocol for designing a social media-based intervention aimed at preventing sarcopenia, involving two phases of co-designing with community members, including focus groups and interviews to refine the intervention approach.
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Background: In 2016, the Canada-International HIV and Rehabilitation Research Collaborative established a framework of research priorities in HIV, aging and rehabilitation. Our aim was to review and identify any new emerging priorities from the perspectives of people living with HIV, clinicians, researchers, and representatives from community organizations.

Methods: We conducted a multi-stakeholder international consultation with people living with HIV, researchers, clinicians and representatives of community-based organizations.

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Introduction: During the Coronavirus (Covid-19) pandemic, physiotherapists changed rapidly to working remotely. Research demonstrates the benefits of remote physiotherapy, but little is known about its implementation in practice.

Purpose: Explore the take-up and delivery of remote physiotherapy during the pandemic in the United Kingdom.

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Article Synopsis
  • Osteoporosis is a global health issue that significantly affects postmenopausal women, yet most research has focused on clinical aspects rather than personal experiences, particularly in non-Western contexts like Oman.
  • A study involving 15 Omani women was conducted through remote interviews to explore their personal experiences with osteoporosis, particularly how it impacts their religious, cultural, and financial lives.
  • Findings revealed that despite the challenges of osteoporosis, women utilize religious practices like prayer and Quranic recitation, as well as traditional herbal remedies, as coping mechanisms for managing pain and maintaining their quality of life.
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Background: South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status among minority ethnic groups. However, it is unclear how South Asian people view and perceive the use of digital health technologies to support their health needs.

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Background: Sarcopenia is a progressive, age-related muscle disease that, if left untreated, imposes significant personal, social, and economic burdens.

Objective: To compile and document the nature and extent of existing studies exploring non-pharmacological interventions as a strategy to prevent or treat possible sarcopenia or sarcopenia in community-dwelling older adults.

Method: Thirteen databases were searched up from January 2010 to March 2023 and filters were limited to English and Chinese language.

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This article discusses the practical applications of artificial intelligence in digital physical activity and falls prevention interventions for older adults. It notes the range of technologies that can be used to collect digital datasets on older adult health and how machine learning algorithms can be applied to these to improve our understanding of physical activity and falls. In particular, these advanced computational techniques could help personalize exercises, feedback, and notifications to older people, improve adherence to and reduce attrition from digital health interventions, and enhance monitoring by providing predictive analytics on the physiological and environmental conditions that contribute to physical activity and falls in aging populations.

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Article Synopsis
  • This scoping review aims to explore non-pharmacological interventions for preventing sarcopenia among older adults living in the community, with the goal of reducing illness and improving life quality.
  • The methodology involves a comprehensive search of various databases and grey literature, focusing on studies published from 2010 to 2022, and will follow specific guidelines to ensure thoroughness and clarity in reporting.
  • Findings will be analyzed to summarize existing research, highlight gaps, and inform future studies, with results shared in academic journals and relevant community forums.
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Article Synopsis
  • The study aimed to review and synthesize research on the experiences of postmenopausal women living with osteoporosis, focusing on how the condition affects their daily lives.
  • A systematic search identified 17 qualitative studies (involving a total of 334 women), revealing that osteoporosis and related fractures hinder women’s daily activities and significantly alter their routines due to pain.
  • The findings highlight the importance of providing tailored health information to improve health literacy and management strategies for postmenopausal women with osteoporosis.
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Background: Physical activity leads to improvements in morbidity, mortality, and quality of life, especially when it is progressive, challenging, and regular. There is strong evidence that strength and balance exercises decrease the risk of falling. However, traditional exercises may be tedious and not very motivating for participants.

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Purpose: To review the feasibility, acceptability, and effects of physiotherapy when delivered remotely.

Materials And Methods: CINAHL, MEDLINE, EBM Reviews, and Cochrane Library databases (January 2015-February 2022) were searched and screened for papers (of any design) investigating remote physiotherapy. Data were extracted by two independent raters.

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Aim: This study aims to synthesize evidence on nurses' involvement in artificial intelligence research for managing falls in older adults.

Background: Artificial intelligence techniques are used to analyse health datasets to aid clinical decision making, patient care and service delivery but nurses' involvement in this area of research for managing falls in older adults remains unknown.

Evaluation: A scoping review was conducted.

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Purpose: Limited information is available concerning primary care providers' encountered barriers and facilitators when implementing falls prevention and providing interventions in a real-life setting. This study aimed to identify barriers and facilitators when i) implementing a falls risk assessment strategy at GP practices and among community nurses and ii) providing evidence-based falls prevention interventions in a real-life setting to independently living, frail older people.

Methods: A researcher's journal was maintained during the implementation of a falls risk assessment strategy, which entailed notes from informal conversations with GPs, practice nurses and community nurses.

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Objective: To identify the clinical and biomechanical characteristics associated with falls in people with RA.

Methods: A total of 436 people ≥60 years of age with RA completed a 1 year prospective survey of falls in the UK. At baseline, questionnaires recorded data including personal and medical history, pain and fatigue scores, health-related quality of life (HRQoL), physical activity and medication history.

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Background: Falls, associated injuries and fear-of-falling are common in adults with RA. Fear-of-falling can be a major consequence of, and as debilitating as falling, resulting in a cycle of activity restriction, reduced quality of life, institutionalisation and potentially increase risk of falls. The objective of this study was to examine the relationship between fear-of-falling and risk factors associated with fear-of-falling in adults with rheumatoid arthritis (RA) over a 1 year period.

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Functional limitationscommonly affect patients with knee osteoarthritis (OA) which reduces quality of life. The Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain) is an evidence-based programme identified to be suitable for adaptation for the Malaysian health care system. It is important to understand the acceptance from a sociocultural context of the ESCAPE-pain programme from the perspectives of patients with knee OA and healthcare professionals.

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