16 results match your criteria: "8964University College London Hospitals NHS Foundation Trust[Affiliation]"

Penile cancer is a rare malignancy which HIV infection appears to increase the risk of. The magnitude of this risk and the pathogenesis remain unclear. A comprehensive review of the literature was undertaken using conventional search strategies.

View Article and Find Full Text PDF

Collective Narrative practices, such as Tree of life and Beads of life groups, have intentions of bringing people together to share their specialist knowledge and build a sense of community. We wanted to respond to the COVID-19 pandemic through making these groups accessible online to young people living with health conditions in order to counter the social isolation and disconnectedness created by the pandemic. This paper discusses our specific online adaptations for both these groups as well as online 'Peer training' events.

View Article and Find Full Text PDF

Introduction And Aims: Mindfulness has been shown to be an effective group intervention for adults and children living with a range of medical conditions. Recently, research has also explored the impact of mindfulness interventions offered to parents of children with health conditions. Few studies have examined whether the mode of delivery (face-to-face vs online) has an impact on outcomes.

View Article and Find Full Text PDF

'Away Days' in the National Health Service are a protected time away from usual tasks where a team comes together. They can have different intentions, including connecting team members and establishing team bonds. This paper describes using a Narrative Therapy approach called "The Journey of Life" to run away days.

View Article and Find Full Text PDF

Introduction: Chronic Pain is increasingly affecting young people, their quality of life and wellbeing including education, social life and mental health. Current Western approaches to psychological support for Chronic Pain often focus on 'pain management' and learning skills and strategies from professionals, making use of Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT) and psychoeducation approaches in individual and group interventions. As a Paediatric Psychology service, we have trialled groups running over multiple weeks informed by these approaches and experienced low attendance rates.

View Article and Find Full Text PDF

There is growing evidence for the benefits of therapeutic groups for children and young people living with chronic health conditions. As a paediatric health service, we regularly run 12 different groups, most of which are informed by a Narrative Therapy approach, with new groups routinely created to respond to the changing needs of children and young people. In this paper, we describe how we have stayed connected to our vision and values in developing and delivering group interventions, sharing our process which integrates different methods of participation and involvement to ensure young people's voices are centred.

View Article and Find Full Text PDF

Introduction And Aims: The Beads of Life (BOL) approach uses a narratively informed methodology 'to enable children and young people to make sense of their cancer journey in ways that make them stronger'. We will share feedback from BOL groups and reflect on changes made over time.

Method: Between 2014 and 2019, we have run 14 groups.

View Article and Find Full Text PDF

Aims: To explore the experiences of young people who take on a peer mentoring role within a psycho-oncology service narrative therapy informed 'Beads of Life' group.

Method: Eight semi-structured interviews were conducted with these 'Peer Trainers' and analysed using Interpretive Phenomenological Analysis.

Results: Three superordinate themes emerged: , , and .

View Article and Find Full Text PDF

Loss associated with subtractive health service change: The case of specialist cancer centralization in England.

J Health Serv Res Policy

October 2022

Professor of Health Care Organisation and Management, Department of Applied Health Research, 4919University College London, London, UK.

Article Synopsis
  • Major system changes, like the centralization of cancer services in England, can lead to stress and feelings of loss among staff when surgical sites are reduced.
  • Through interviews and observational data, the study found that the reduction of services caused perceived devaluation among staff, impacting their motivation and retention of skills.
  • While some strategies were implemented to help staff cope, leaders often failed to provide adequate emotional support, and their responses to staff concerns were sometimes dismissive.
View Article and Find Full Text PDF

Developing, Nurturing, and Sustaining an Adolescent and Young Adult-Centered Culture of Care.

Qual Health Res

May 2022

School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey.

Adolescents and young adults have unique needs which differ from those of children or adults. In the United Kingdom, we have dedicated services, which are diverse in how they are managed and delivered. A multiple-case study was conducted in young people's cancer services in four geographical regions of England.

View Article and Find Full Text PDF

Male genital lichen sclerosus (MGLSc) is a chronic inflammatory dermatosis that predominantly affects uncircumcised males. Several aetiological factors have been described, with growing evidence supporting chronic urine exposure of susceptible epithelium being crucial to its pathogenesis. We describe a 45-year-old man with a 2-year history of MGLSc at the site of a urethrocutaneous fistula secondary to a penile piercing.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to understand how healthcare professionals in a London provider network worked together during a major change involving the centralization of cancer surgery.
  • Researchers used interviews, observations, and document reviews to analyze collaboration, building on existing healthcare models.
  • Although organizations set shared goals and encouraged leadership, they faced challenges like building trust, sharing knowledge, and overcoming resistance to centralization, highlighting the need for further research on the sustainability of these collaborative efforts.
View Article and Find Full Text PDF

Understanding impact of the coronavirus pandemic (COVID-19) on Adolescents and Young Adults (AYA) with cancer is important to inform care. Online survey of 16-24 year olds receiving cancer treatment at eight cancer centres in the UK. We measured: self-perceived increased anxiety since COVID-19, impact of COVID-19 on treatment, life and relationships, PHQ-8, GAD and the two-item Connor-Davidson Resilience Scale (CD-RISC).

View Article and Find Full Text PDF

Introduction And Aims: Treatment for childhood and adolescent brain tumours is often intensive, with significant neurocognitive and psycho-social late effects (Zeltzer et al., 2009). This feasibility Study aimed to inform the development of a cognitive rehabilitation and psycho-social group intervention for Teenage and Young Adult (TYA) survivors of brain tumours.

View Article and Find Full Text PDF

Introduction: Erectile dysfunction (ED) affects more than 150 million men worldwide, with deleterious effects on quality of life. ED is known to be associated with ischemic heart disease but the impact of ED in patients with peripheral arterial disease (PAD) is unknown. We assessed the prevalence and severity of ED in patients with PVD.

View Article and Find Full Text PDF