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BACKGROUND Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke. We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions. STRATEGY Searches were conducted in 14 databases, including MEDLINE (1980-January 2014). We included randomized controlled trials(More)
The authors sought to identify the correlates of mental health services utilization and unmet need for these services among a sample of adolescent males. We hypothesized that our findings would replicate and extend those of the recent Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) study, which found that parental factors play a(More)
AIM The aim of this article is to examine the approach of interpretative phenomenological analysis (IPA) and to add to discussions regarding the contribution that the approach can make to healthcare research. BACKGROUND Interpretative phenomenological analysis is an approach to qualitative, experiential research that has been gaining in momentum and(More)
AIMS AND OBJECTIVES Understanding the experiences of stroke patients and their carers during the early days following discharge from hospital is an important aspect of providing appropriate care during this crucial time. BACKGROUND Due to the diverse changes that can result from a stroke, adjustment to returning home may raise many issues for those(More)
BACKGROUND Early aggressive therapy can reduce the mortality associated with severe sepsis but this relies on prompt recognition, which is hindered by variation among published severity criteria. Our aim was to test the performance of different severity scores in predicting mortality among a cohort of hospital inpatients with sepsis. METHODS We(More)
BACKGROUND We tested a theory that mind mapping could be used as a tool in qualitative research to transcribe and analyse an interview. METHOD We compared results derived from mind mapping with those from interpretive phenomenological analysis by examining patients' and carers' perceptions of a new nurse-led service. RESULTS Mind mapping could be used(More)
BACKGROUND A core concept behind patient-centred approaches is the need to treat people with, and preserve, dignity in care settings. People receiving palliative care are one group who may have particularly sensitive needs in terms of their condition, symptoms and life expectancy. Dignity is more likely to be violated in hospital settings. Given the high(More)
PURPOSE The incidence of stroke is of global concern, and the rates of recurrence are high. Many risk factors are related to lifestyle behaviours and, as such, are amenable to change. Implementation of effective secondary prevention interventions is essential; however, little is known about influences on participation and adherence. This review and(More)
OBJECTIVE The purpose of this study was to assess the feasibility and acceptability of the Patient Dignity Question (PDQ) 'what do I need to know about you as a person to take the best care of you that I can?', as a person-centred intervention for patients with palliative needs in the acute hospital setting in Scotland, UK. METHOD To test the feasibility(More)
BACKGROUND Implementing effective antenatal care models is a key global policy goal. However, the mechanisms of action of these multi-faceted models that would allow widespread implementation are seldom examined and poorly understood. In existing care model analyses there is little distinction between what is done, how it is done, and who does it. A new(More)