Publications by authors named "Roger Ede"
Background: Approximately 30% of patients experience substantial improvement in depression after 2 months without treatment, and 45% with antidepressants. The smallest worthwhile difference (SWD) refers to an intervention's smallest beneficial effect over a comparison patients deem worthwhile given treatment burdens (harms, expenses and inconveniences), but is undetermined for antidepressants.
Objective: Estimating the SWD of commonly prescribed antidepressants for depression compared to no treatment.
Background: Participation in clinical research is associated with better patient outcomes and higher staff retention and satisfaction rates. Nevertheless, patient recruitment to mental health studies is challenging due to a reliance on clinician or patient referrals (standard approach). To empower patients and make healthcare research more equitable, we explored a novel researcher-led approach, called 'Count Me In' (CMI).
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- The COVID-19 pandemic led to an increase in the use of telepsychiatry, prompting a study to assess the opinions and preferences of service users, carers, and clinicians about its effectiveness.
- The study involved surveys and focus groups across four sites in the UK and Italy, revealing that telepsychiatry is convenient for specific follow-ups but lacks effectiveness in building therapeutic relationships and assessing acute mental states.
- Results indicated differing perceptions between clinicians and service users/carers about the quality of telepsychiatry during the pandemic, highlighting the need for a tailored hybrid care model that includes stakeholder preferences and further training for clinicians on telepsychiatry.
Article Synopsis
- The study investigates the impact of COVID-19 on the use of telepsychiatry, comparing data from 2020 with two previous years (2018 and 2019) across two UK mental health trusts.
- Findings show a significant increase in mental health service activity during 2020, with remote consultations surging by 3.5 to 6 times from February to June.
- For patients with dementia, remote consultations had lower non-attendance rates compared to in-person visits, while the overall health outcomes improved only in patients with organic conditions.
Objective: Recruitment to clinical research in the National Health Service remains challenging. One barrier is accessing patients to discuss research participation. Two general approaches are used in the United Kingdom to facilitate this: an 'opt-in' approach (when clinicians communicate research opportunities to patients) and an 'opt-out' approach (all patients have the right to be informed of relevant research opportunities).
View Article and Find Full Text PDFEarly Childhood Vision Screening in Hawai'i Utilizing a Hand-Held Screener.
Hawaii J Med Public Health
September 2015
The goal of early childhood vision screening is to detect subnormal vision and amblyopic risk factors that threaten visual development so that treatment can be initiated early to yield the highest benefit. Hand-held, portable, instrument-based vision screening devices can be used in children as young as 6 months of age. We assessed the feasibility of hand-held photoscreeners to screen for vision disorders in pre-school children in Hawai'i.
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