Helen Baxter

Learn More
OBJECTIVES To determine the relative importance of factors that influence patient choice in the booking of general practice appointments for two health problems. METHODS Two discrete choice experiments incorporated into a survey of general practice patients and qualitative methods to support survey development. RESULTS An overall response of 94%(More)
We considered the prevalence of epilepsy and associated health service utilization for a population with intellectual disability. Registers for epilepsy and intellectual disability were created using a range of datasets. Of 1,595 people with an intellectual disability, 257 (16.1%) had epilepsy. Standardized activity ratios were 3.07 (95% CI 3.00 to 3.15),(More)
BACKGROUND Adults with a learning disability frequently have unmet health needs. The cause for this is complex and may be related to difficulties in accessing usual primary care services. Health checks have been widely recommended as a solution to this need. AIM To determine the likelihood that a structured health check by the primary care team supported(More)
OBJECTIVE To investigate the effectiveness of facilitated physical activity as an adjunctive treatment for adults with depression presenting in primary care. DESIGN Pragmatic, multicentre, two arm parallel randomised controlled trial. SETTING General practices in Bristol and Exeter. PARTICIPANTS 361 adults aged 18-69 who had recently consulted their(More)
BACKGROUND Several interventions are available for management of obsessive-compulsive disorder in adults, but few studies have compared their relative efficacy in a single analysis. We aimed to simultaneously compare all available treatments using both direct and indirect data. METHODS In this systematic review and network meta-analysis, we searched the(More)
BACKGROUND Depression is one of the most common reasons for consulting a General Practitioner (GP) within the UK. Whilst antidepressants have been shown to be clinically effective, many patients and healthcare professionals would like to access other forms of treatment as an alternative or adjunct to drug therapy for depression. A recent systematic review(More)
BACKGROUND Case studies from the US suggest that Advanced Access appointment systems lead to shorter delays for appointments, reduced workload, and increased continuity of care. AIM To determine whether implementation of Advanced Access in general practice is associated with the above benefits in the UK. DESIGN OF STUDY Controlled before-and-after and(More)
OBJECTIVE The TREAting Depression with physical activity (TREAD) study investigated the cost-effectiveness of a physical activity intervention, in addition to usual general practitioner care, as a treatment for people with depression. DESIGN An individually randomised, pragmatic, multicentre randomised controlled trial with follow-up at 4, 8 and 12(More)
BACKGROUND Few trials have evaluated the effectiveness of psychological treatment in improving depression by the end of pregnancy. This is the first pilot randomised controlled trial (RCT) of individual cognitive behavioural therapy (CBT) looking at treating depression by the end of pregnancy. Our aim was to assess the feasibility of delivering a CBT(More)
Research has suggested that prenatal depression may be associated with disrupted maternal responses to infant stimuli, with depressed pregnant women not showing the bias toward distressed infants as that observed in nondepressed pregnant women. The current study examined the effects of depression on self- reported responses to infant stimuli, in early(More)