Publications by authors named "Rait G"

Objectives: Trans and/or gender diverse (T/GD) people in the UK are less likely to access sexual health services (SHS) than cisgender people and are more likely to report negative experiences. The British Association for Sexual Health and HIV (BASHH) developed expert recommendations for T/GD-inclusive SHS, but these lack service user perspectives. This study addressed this gap by asking T/GD people how SHS could be T/GD-inclusive.

View Article and Find Full Text PDF

Introduction: Evidence suggests that social prescribing might have a positive impact on identity, control, creativity and quality of life in people with dementia. While evidence on the benefits of social prescribing is accumulating, there is a sparsity of research on the experiences of social prescribers. This study aims to identify the challenges that social prescribers face when supporting people with dementia and their families and strategies to address these.

View Article and Find Full Text PDF

Objective: As populations age globally, there is increasing prevalence of multiple long-term conditions, such as dementia, leading to many challenges. The burden on health and care services, economic pressures, and the necessity for innovative policies to better support older people and people with dementia becomes paramount. This review explores how clinical pharmacists working in UK primary care support older people and people with dementia.

View Article and Find Full Text PDF

Background: Chlamydia is the most diagnosed bacterial sexually transmitted infection in England, but opportunistic testing remains low in general practice despite high prevalence among young people. Attempts to increase testing have been met with little success; therefore, there is a need to explore why rates remain low and how this may be improved.

Aim: To explore general practice staff perceptions of opportunistic chlamydia testing, including barriers, facilitators, interventions, and policies, using the Behaviour Change Wheel (BCW).

View Article and Find Full Text PDF

The aim of this study was to examine the association of sex/gender and other factors with the perceived helpfulness of the diagnostic process and post-diagnostic services by persons with dementia and care partners. We conducted secondary cross-sectional analysis of surveys from the 'Cognisance' project. Sex/gender and other factors (e.

View Article and Find Full Text PDF

Objectives: To evaluate the feasibility and acceptability of a primary care-based intervention for improving post-diagnostic dementia care and support (PriDem), and implementation study procedures.

Design: A non-randomised, mixed methods, feasibility study.

Setting: Seven general practices from four primary care networks (PCNs) in the Northeast and Southeast of England.

View Article and Find Full Text PDF

Objectives: Provision of personalised care planning is a national priority for people with dementia. Research suggests a lack of quality and consistency of care plans and reviews. The PriDem model of care was developed to deliver feasible and acceptable primary care-based postdiagnostic dementia care.

View Article and Find Full Text PDF

Objectives: To explore the experiences, acceptability and utility of a decision aid for family carers of people with dementia towards the end of life.

Methods: We conducted semi-structured interviews with a sample of family carers enroled into a 6-month feasibility study in England, sampling to gain a range of experiences and views, based on relationship to person they cared for (e.g.

View Article and Find Full Text PDF

Background: Acute hospital wards can be difficult places for many people living with dementia. Promoting comfort and wellbeing can be challenging in this environment. There is little evidence-based support for professionals working on acute care wards on how to respond to distress and maximise comfort and wellbeing among patients living with dementia.

View Article and Find Full Text PDF

Introduction: We aimed to investigate ethnic differences in the associations of potentially modifiable risk factors with dementia.

Methods: We used anonymised data from English electronic primary care records for adults aged 65 and older between 1997 and 2018. We used Cox regression to investigate main effects for each risk factor and interaction effects between each risk factor and ethnicity.

View Article and Find Full Text PDF

Introduction: Care is often inadequate and poorly integrated after a dementia diagnosis. Research and policy highlight the unaffordability and unsustainability of specialist-led support, and instead suggest a task-shared model, led by primary care. This study is part of the PriDem primary care led postdiagnostic dementia care research programme and will assess delivery of an evidence-informed, primary care based, person-centred intervention.

View Article and Find Full Text PDF

Introduction: There has been global investment of new ways of working to support workforce pressures, including investment in clinical pharmacists working in primary care by the NHS in the England. Clinical pharmacists are well suited to support older adults who have multiple long-term conditions and are on multiple medications. It is important to establish an evidence base for the role of clinical pharmacists in supporting older adults in primary care, to inform strategic and research priorities.

View Article and Find Full Text PDF
Article Synopsis
  • * Using the Theory of Change, the intervention was created through collaborative workshops and meetings involving various stakeholders, including care providers and those living with dementia, leading to three main focus areas: systems development, tailored care delivery, and building capacity.
  • * The process faced challenges due to the COVID-19 pandemic, but plans for a feasibility and implementation study will test whether the intervention can be effectively executed in primary care settings, with the potential for adaptation in other health and social care systems worldwide.
View Article and Find Full Text PDF

Objectives: The study aims to describe people with dementia and informal caregivers' respective experiences of support after diagnosis and compares these experiences. Additionally, we determine how people with dementia and informal caregivers who are satisfied with support differ from those dissatisfied.

Methods: A cross-sectional survey study in Australia, Canada, the Netherlands, Poland, and United Kingdom was carried out to examine people with dementia and informal caregivers experience with support (satisfaction with information, access to care, health literacy, and confidence in ability to live well with dementia).

View Article and Find Full Text PDF

Background: Dementia leads to multiple issues including difficulty in communication and increased need for care and support. Discussions about the future often happen late or never, partly due to reluctance or fear. In a sample of people living with dementia and carers, we explored their views and perceptions of living with the condition and their future.

View Article and Find Full Text PDF

Background: Advance care planning in dementia does not always happen. As dementia progresses, decisions are often left for family carers to make with professionals.

Aim: To test the feasibility and acceptability of the delivery and use of a decision aid for family carers of people with severe dementia or towards the end-of-life.

View Article and Find Full Text PDF

Introduction: We investigated the incidence of diagnosed dementia and whether age at diagnosis and survival afterward differs among the United Kingdom's three largest ethnic groups.

Methods: We used primary care electronic health records, linked Hospital Episode Statistics and mortality data for adults aged ≥65 years. We compared recorded dementia incidence 1997-2018, age at diagnosis, survival time and age at death after diagnosis in White, South Asian, and Black people.

View Article and Find Full Text PDF

Introduction: COVID-19 has disproportionately affected people living with dementia and their carers. Its effects on health and social care systems necessitated a rapid-response approach to care planning and decision-making in this population, with reflexivity and responsiveness to changing individual and system needs at its core. Considering this, a decision-aid to help families of persons with dementia was developed.

View Article and Find Full Text PDF

Background: Over the last 20 years, new contraceptive methods became available and incentives to increase contraceptive uptake were introduced. We aimed to describe temporal trends in non-barrier contraceptive prescribing in UK primary care for the period 2000-2018.

Methods: A repeated cross-sectional study using patient data from the IQVIA Medical Research Data (IMRD) database.

View Article and Find Full Text PDF

Background: How contraceptive formulation, dose, duration of therapy and mode of delivery affects the risk of inflammatory bowel disease (IBD) is poorly described.

Aim: To examine associations between types of hormonal contraception and development of IBD.

Methods: This was a nested case-control study using IQVIA Medical Research Data.

View Article and Find Full Text PDF
Article Synopsis
  • The study addresses the high prevalence of vitamin D deficiency in children with chronic kidney disease (CKD) and aims to create a population pharmacokinetic (PK) model for colecalciferol to improve dosing recommendations.
  • Data from 83 children with CKD were analyzed using a complex modeling approach to understand how factors like kidney disease type and serum creatinine affect vitamin D levels.
  • The findings suggest that using a weight-based dosing strategy for colecalciferol can optimize vitamin D levels and reduce the risk of overdose in this population.
View Article and Find Full Text PDF

Background: The balance of benefits and harms associated with enteral tube feeding for people with severe dementia is not clear. An increasing number of guidelines highlight the lack of evidenced benefit and potential risks of enteral tube feeding. In some areas of the world, the use of enteral tube feeding is decreasing, and in other areas it is increasing.

View Article and Find Full Text PDF

Background: Family carers of people living with dementia often need support with making decisions about care. Many find end-of-life care decisions particularly difficult. The aim of this article is to present an evidence- and theoretical-based process for developing a decision aid to support family carers of people with dementia towards the end-of-life.

View Article and Find Full Text PDF

Background: Eating and drinking problems are common among people living with later-stage dementia, yet few studies have explored their perspectives.

Objective: This study aimed to explore how people living with mild dementia understand possible future eating and drinking problems and their perspectives on assistance.

Design: Qualitative study using semi-structured interviews.

View Article and Find Full Text PDF