Publications by authors named "J M Greenaway"

Article Synopsis
  • The study focuses on aiding Children with Medical Complexity (CMC) as they transition to adult healthcare, addressing gaps in support and coordination that negatively impact their care.
  • PITCare is a randomized controlled trial involving 154 CMC and their caregivers, assessing an intensive transition support program that connects patients with a multidisciplinary team for two years post-18.
  • Outcomes will include successful care transition rates and patient satisfaction, with qualitative interviews to gather insights on the experience of various stakeholders, while ethics approval has been secured for the study.
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Background: Poorly supported transitions from pediatric to adult healthcare can lead to negative health outcomes for youth and their families. To better understand the current landscape of healthcare transition care across Canada, the Canadian Health Hub in Transition (the "Transition Hub", established in 2019) identified a need to: (1) describe programs and services supporting the transition from pediatric to adult healthcare across Canada; and (2) identify strengths, barriers, and gaps affecting the provision of transition services.

Methods: Our project included two iterative steps: a national survey followed by a qualitative descriptive study.

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The learned predictiveness effect refers to the tendency for predictive cues to attract greater attention and show faster learning in subsequent tasks. However, in typical designs, the predictiveness of each cue (its objective cue-outcome correlation) is confounded with the degree to which it is informative for making the correct response on each trial (a feature we term choice relevance). In four experiments, we tested the unique contributions of cue-outcome correlation and choice relevance to the learned predictiveness effect by manipulating the outcome choices available on each trial.

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Background: Lynch syndrome is a hereditary cancer disease resulting in an increased risk of colorectal cancer. Herein, findings are reported from an emergency clinical service implemented during the COVID-19 pandemic utilizing faecal immunochemical testing ('FIT') in Lynch syndrome patients to prioritize colonoscopy while endoscopy services were limited.

Methods: An emergency service protocol was designed to improve colonoscopic surveillance access throughout the COVID-19 pandemic in England for people with Lynch syndrome when services were extremely restricted (1 March 2020 to 31 March 2021) and promoted by the English National Health Service.

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Background: The British Society of Gastroenterology has recommended the Edinburgh Dysphagia Score (EDS) to risk-stratify dysphagia referrals during the endoscopy COVID recovery phase.

Aims: External validation of the diagnostic accuracy of EDS and exploration of potential changes to improve its diagnostic performance.

Methods: A prospective multicentre study of consecutive patients referred with dysphagia on an urgent suspected upper gastrointestinal (UGI) cancer pathway between May 2020 and February 2021.

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