Publications by authors named "Kristian Hudson"

Introduction Supervised toothbrushing programmes (STPs) in nurseries and schools are effective at reducing inequalities in caries when targeted to areas of dental disease. Recent changes to government education and health policy have increased interest in STPs in England. This study aimed to establish the current level of provision of STPs in England, describe changes over time, understand associations with predictor variables, and summarise key barriers and facilitators to their implementation.

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Objectives: Rates of PTSD are up to 12 times higher in care-experienced young people (CEYP) compared to their peers. Trauma-focused CBTs (tf-CBT) are the best-evidenced treatment for youth with PTSD, yet, in practice, CEYP often struggle to access this treatment. We worked alongside services to understand barriers and facilitators of the implementation of cognitive therapy for PTSD (a type of tf-CBT) to CEYP.

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Article Synopsis
  • Frailty is an important marker used to assess risk and predict negative health outcomes in older adults, helping tailor medical care for vulnerable populations, like those with diabetes.
  • Implementing frailty screening in clinical settings faces challenges, but electronic frailty indices (eFIs) derived from electronic health records provide a promising solution for efficient and large-scale screening.
  • This paper reviews initial experiences from three organizations (UK's NHS, US Department of Veterans Affairs, and Atrium Health-Wake Forest Baptist) using eFIs, highlighting their implementation strategies and suggesting future research directions.
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Introduction Supervised toothbrushing programmes (STPs) are a cost-effective public health intervention, reducing tooth decay and health inequalities in children. However, the uptake of STPs in England is unknown. This study aimed to establish the current provision of STPs across England and summarise the barriers and facilitators to their implementation.

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Article Synopsis
  • The study investigates the implementation and effectiveness of healthcare-based Independent Domestic Violence Advisors (hIDVA) programs within maternity services across English NHS Trusts, noting improved health outcomes for users.
  • A national survey and participatory event identified that 69% of responding Trusts have hIDVA programs, with 55% operating specifically in maternity services; key factors aiding implementation are staff training and collaboration, while barriers include limited access for hIDVA staff.
  • The study highlights the need for better integration of hIDVA programs in maternity care to support pregnant individuals experiencing domestic abuse effectively.
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Aim: The aim of the study was to reach consensus on modifiable risk factors for a novel system of care to address Manifestations of Frailty in hospitalized older adults.

Design: Consensus study.

Method: A modified nominal group technique, incorporating expert group face-to-face interaction, review of existing evidence and pre/post-meeting questionnaire completion was undertaken November 2019-February 2020.

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Introduction: Symptoms of anxiety and depression in Indian adolescents are common. Schools can be opportune sites for delivery of mental health interventions. India, however, is without a evidence-based and integrated whole-school mental health approach.

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Aims: To explore the experiences of older people and ward staff to identify modifiable factors (risk factors) which have the potential to reduce development or exacerbation of manifestations of frailty during hospitalization. To develop a theoretical framework of modifiable risk factors.

Design: Qualitative descriptive study.

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Health psychology is at the forefront of developing and disseminating evidence, theories, and methods that have improved the understanding of health behaviour change. However, current dissemination approaches may be insufficient for promoting broader application and impact of this evidence to benefit the health of patients and the public. Nevertheless, behaviour change theory/methods typically directed towards health behaviours are now used in implementation science to understand and support behaviour change in individuals at different health system levels whose own behaviour impacts delivering evidence-based health behaviour change interventions.

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Background: Preventing the onset of poor mental health in adolescence is an international public health priority. Universal, whole school preventative approaches are valued for their reach, and anti-stigmatising and resilience building principles. Mindfulness approaches to well-being have the potential to be effective when delivered as a whole school approach for both young people and staff.

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School teachers report high levels of stress which impact on their engagement with pupils and effectiveness as a teacher. Early intervention or prevention approaches may support teachers to develop positive coping and reduce the experience and impact of stress. This article reviews research on one such approach: mindfulness-based interventions (MBIs) for school teachers.

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