Publications by authors named "Lawrie L"

Article Synopsis
  • The study looks at a new method to help control heavy bleeding in trauma patients, using a special balloon to block blood flow temporarily.
  • It compares this method with regular care to see which one is better at keeping patients alive after serious injuries.
  • The research involves patients in major hospitals in the UK and checks various health outcomes over time to find out the best approach for treatment.
View Article and Find Full Text PDF

Background: TikTok is one of the most-used and fastest-growing social media platforms in the world, and recent reports indicate that it has become an increasingly popular source of news and information in the United States. These trends have important implications for public health because an abundance of health information exists on the platform. Women are among the largest group of TikTok users in the United States and may be especially affected by the dissemination of health information on TikTok.

View Article and Find Full Text PDF

Importance: Bleeding is the most common cause of preventable death after trauma.

Objective: To determine the effectiveness of resuscitative endovascular balloon occlusion of the aorta (REBOA) when used in the emergency department along with standard care vs standard care alone on mortality in trauma patients with exsanguinating hemorrhage.

Design, Setting, And Participants: Pragmatic, bayesian, randomized clinical trial conducted at 16 major trauma centers in the UK.

View Article and Find Full Text PDF

This study was designed to test the effects of two message features (source and level of autonomy support) that are commonly found in short-form social media (e.g. TikTok) videos about Pap tests.

View Article and Find Full Text PDF

Background: Trials in pre-hospital trauma care are relatively uncommon. There are logistical and methodological challenges related to designing and delivering trials in this setting. Previous studies have assessed challenges reported in individual trials rather than across the pre-hospital trial landscape to identify over-arching factors.

View Article and Find Full Text PDF

Background: Healthcare technologies are becoming more commonplace, however clinical and patient perspectives regarding the use of technology in the management of childhood asthma have yet to be investigated. Within a clinical trial of asthma management in children, we conducted a qualitative process evaluation that provided insights into the experiences and perspectives of healthcare staff and families on (i) the use of smart inhalers to monitor medication adherence and (ii) the use of algorithm generated treatment recommendations.

Methods: We interviewed trial staff (n = 15) and families (n = 6) who were involved in the trial to gauge perspectives around the use of smart inhalers to monitor adherence and the algorithm to guide clinical decision making.

View Article and Find Full Text PDF

Objectives: The effective implementation of a fast-changing healthcare delivery innovation, such as robotic-assisted surgery (RAS), into a healthcare system, can be affected (both positively and negatively) by external contextual factors. As part of a wider project investigating ways to optimise the implementation of RAS, this qualitative study aimed to uncover current issues of RAS and predictions about the future of robotic surgery. We refer to 'current issues' as the topical and salient challenges and opportunities related to the introduction of RAS in the UK healthcare system, from the perspectives of key stakeholders involved in the delivery and implementation of RAS.

View Article and Find Full Text PDF

Background: The evidence on what strategies can improve recruitment to clinical trials in maternity care is lacking. As trial recruiters, maternity healthcare professionals (MHCPs) perform behaviours (e.g.

View Article and Find Full Text PDF
Article Synopsis
  • Scientists are studying how to make robotic surgery (RAS) work better by understanding what helps or stops people from using it.
  • They talked to different people involved in surgeries to find out their thoughts and feelings about RAS and what changes need to happen.
  • The study found that there are three important stages for making RAS easier to use: before it starts, while it's being introduced, and once it’s established, and each stage has its own challenges and benefits.
View Article and Find Full Text PDF
Article Synopsis
  • Clinical trials involve a lot of steps that can be complicated, especially when trying to recruit certain patient groups and ensuring doctors can deliver treatments properly.
  • This study used a special method called a "behavioural science approach" to figure out how to make trial processes like recruitment and treatment delivery better.
  • By talking to staff from the UK-REBOA trial, researchers found 24 ways to improve how people behave during trials to make them work more effectively.
View Article and Find Full Text PDF

Objectives: To identify studies that applied behavioural approaches to issues of recruitment and/or retention to trials; to describe these approaches; and to identify gaps for future research.

Design: Systematic mapping review of research undertaken in clinical trials within peer-reviewed sources. Review participants were individuals involved in clinical trials, including trial staff, participants, potential participants and former participants.

View Article and Find Full Text PDF

Background: The benefit of fractional exhaled nitric oxide (FeNO) in guiding asthma treatment is uncertain. We evaluated the efficacy of adding FeNO to symptom-guided treatment in children with asthma versus only symptom-guided treatment.

Methods: RAACENO was a multicentre, parallel, randomised, controlled, phase 3 trial done in 35 secondary care centres and 17 primary care recruitment sites (only seven primary care sites managed to recruit patients) in the UK.

View Article and Find Full Text PDF

Objective: To conduct a behavioral investigation, using the Theoretical Domains Framework (TDF), to identify barriers and enablers to maternity healthcare professionals (HCP) inviting all eligible women to participate in a maternity care trial.

Study Design And Setting: We invited HCP recruiters from maternity care trials in high priority research areas including, diabetes, preeclampsia and breastfeeding, from across Ireland and the UK, to take part in a semi-structured interview. Data collection was informed by the TDF, followed by inductive thematic analysis and deductive mapping to the TDF.

View Article and Find Full Text PDF

Objectives: Older adults tend to have poorer Theory of Mind (ToM) than their younger counterparts, and this has been shown in both Western and Asian cultures. We examined the role of working memory (WM) in age differences in ToM, and whether this was moderated by education and culture (the United Kingdom vs. Malaysia).

View Article and Find Full Text PDF

Objectives: To use the Theoretical Domains Framework (TDF) to identify barriers and enablers to participant retention in trials requiring questionnaire return and/or attendance at follow-up clinics.

Study Design And Setting: We invited participants (n = 607) from five pragmatic effectiveness trials, who missed at least one follow-up time point (by not returning a questionnaire and/or not attending a clinic visit), to take part in semistructured telephone interviews. The TDF informed both data collection and analysis.

View Article and Find Full Text PDF

Planning ability is important in everyday functioning, and a key measure to assess the preparation and execution of plans is the Tower of London (ToL) task. Previous studies indicate that older adults are often less accurate than the young on the ToL and that there may be cultural differences in performance on the task. However, potential interactions between age and culture have not previously been explored.

View Article and Find Full Text PDF

People with multiple sclerosis (pwMS) who experience higher levels of anger also report poorer quality of life (QoL). This qualitative study explored the subjective experience of anger amongst pwMS, and how anger influenced their lives. A series of semi-structured, face-to-face interviews were conducted with 20 pwMS.

View Article and Find Full Text PDF
Article Synopsis
  • People feel like they are in control of their actions based on how they think about their intentions and actions.
  • Viewing events from different perspectives (like first-person or third-person) can change how much control they feel over their actions.
  • In studies, looking at things from a third-person perspective made participants feel less responsible for both good and bad actions, but this feeling was stronger for bad actions.
View Article and Find Full Text PDF

Older adults perceive less intense negative emotion in facial expressions compared to younger counterparts. Prior research has also demonstrated that mood alters facial emotion perception. Nevertheless, there is little evidence which evaluates the interactive effects of age and mood on emotion perception.

View Article and Find Full Text PDF

Objective: To examine family health team (FHT) members' perspectives and experiences of interprofessional collaboration and perceived benefits.

Design: Qualitative case study using semistructured interviews.

Setting: Fourteen FHTs in urban and rural Ontario.

View Article and Find Full Text PDF

Primary care reform involving interprofessional team-based care is a global phenomenon. In Ontario, Canada, 150 Family Health Teams (FHTs) have been approved in the past few years. The transition to a FHT is complex involving many changes and the processes for collaborative teamwork are not clearly delineated.

View Article and Find Full Text PDF

The chaperonins are key molecular complexes, which are essential in the folding of proteins to produce stable and functionally competent protein conformations. One member of the chaperonin group of proteins is TCP1 (chaperonin containing t-complex polypeptide 1, or CCT), but little is known about this protein in tumours. In this study, we used comparative proteomic analysis to show that t-complex protein subunits TCP1 beta and TCP1 epsilon are over-expressed in colorectal adenocarcinomas.

View Article and Find Full Text PDF

Heterogeneous ribonucleoprotein K (hnRNP K) is a member of the hnRNP family which has several different cellular roles including transcription, mRNA shuttling, RNA editing and translation. Several reports implicate hnRNP K having a role in tumorigenesis, for instance hnRNP K increases transcription of the oncogene c-myc and hnRNP K expression is regulated by the p53/MDM 2 pathway. In this study comparing normal colon to colorectal cancer by proteomics, hnRNP K was identified as being overexpressed in this type of cancer.

View Article and Find Full Text PDF

Reporting health data for large urban areas presents numerous challenges. In the case of Toronto, Ontario, amalgamation in 1998 merged six census subdivisions into one mega-city, resulting in the disappearance of standard reporting units. A population-based approach was used to define new health planning areas.

View Article and Find Full Text PDF