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All Outputs (64)

Exploring the patient experience of remote hypertension management in Scotland during COVID-19: a qualitative study (2023)
Journal Article
Mchale, S., Paterson, M., Pearsons, A., Neubeck, L., Atherton, I., Guthrie, B., McKinstry, B., & Hanley, J. (2023). Exploring the patient experience of remote hypertension management in Scotland during COVID-19: a qualitative study. BMJ Open, 13(12), Article e078944. https://doi.org/10.1136/bmjopen-2023-078944

Objectives
The aim of this study was to understand how patients experienced hypertension management, with or without BP telemonitoring, during the COVID-19 pandemic.

Design, Methods, participants, and setting
This qualitative study conducted b... Read More about Exploring the patient experience of remote hypertension management in Scotland during COVID-19: a qualitative study.

Cochrane EPOC Protocol: Providing medication adherence feedback to healthcare providers. The effect on care and outcomes. Protocol for a Cochrane review update (2022)
Other
Hassett, R., Sabatier, B., Savoldelli, V., Mair, A., Hanley, J., Dima, A., & Paterson, R. (2022). Cochrane EPOC Protocol: Providing medication adherence feedback to healthcare providers. The effect on care and outcomes. Protocol for a Cochrane review update

This is a protocol for a Cochrane Review (update).

Background
Key barriers to effectively supporting adherence include poor awareness amongst healthcare professionals (HCPs), scarce clinical tools and interventions, and suboptimal patient-provide... Read More about Cochrane EPOC Protocol: Providing medication adherence feedback to healthcare providers. The effect on care and outcomes. Protocol for a Cochrane review update.

Examining the effectiveness of telemonitoring with routinely acquired blood pressure data in primary care: challenges in the statistical analysis (2021)
Journal Article
Parker, R. A., Padfield, P., Hanley, J., Pinnock, H., Kennedy, J., Stoddart, A., Hammersley, V., Sheikh, A., & McKinstry, B. (2021). Examining the effectiveness of telemonitoring with routinely acquired blood pressure data in primary care: challenges in the statistical analysis. BMC Medical Research Methodology, 21(1), Article 31 (2021). https://doi.org/10.1186/s12874-021-01219-8

Background
Scale-up BP was a quasi-experimental implementation study, following a successful randomised controlled trial of the roll-out of telemonitoring in primary care across Lothian, Scotland. Our primary objective was to assess the effect of te... Read More about Examining the effectiveness of telemonitoring with routinely acquired blood pressure data in primary care: challenges in the statistical analysis.

Atrial fibrillation self-management: a mobile telephone app scoping review and content analysis (2020)
Journal Article
Pearsons, A., Hanson, C. L., Gallagher, R., O'Carroll, R. E., Khonsari, S., Hanley, J., Strachan, F. E., Mills, N. L., Quinn, T. J., McKinstry, B., McHale, S., Stewart, S., Zhang, M., O'Conner, S., & Neubeck, L. (2021). Atrial fibrillation self-management: a mobile telephone app scoping review and content analysis. European Journal of Cardiovascular Nursing, 20(4), 305–314. https://doi.org/10.1093/eurjcn/zvaa014

Atrial fibrillation (AF) affects over 1.4 million people in the UK, resulting in a five-fold increased stroke risk and a three to four times greater risk of severe, disabling stroke. Atrial fibrillation, a chronic disease, requires monitoring, medica... Read More about Atrial fibrillation self-management: a mobile telephone app scoping review and content analysis.

Telemonitoring at scale for hypertension in primary care: An implementation study (2020)
Journal Article
Hammersley, V., Parker, R., Paterson, M., Hanley, J., Pinnock, H., Padfield, P., Stoddart, A., Park, H. G., Sheikh, A., & McKinstry, B. (2020). Telemonitoring at scale for hypertension in primary care: An implementation study. PLOS Medicine, 17(6), e1003124. https://doi.org/10.1371/journal.pmed.1003124

Background
While evidence from randomised controlled trials shows that telemonitoring for hypertension is associated with improved blood pressure (BP) control, healthcare systems have been slow to implement it, partly because of inadequate integrati... Read More about Telemonitoring at scale for hypertension in primary care: An implementation study.

A mobile phone intervention to improve obesity-related health behaviors of adolescents across Europe: An iterative co-design and feasibility study (2020)
Journal Article
Martin, A., Caon, M., Adorni, F., Andreoni, G., Ascolese, A., Atkinson, S., Bul, K., Carrion, C., Castell, C., Ciociola, V., Condon, L., Espallargues, M., Hanley, J., Jesuthasan, N., Lafortuna, C. L., Lang, A., Prinelli, F., Puidomenech Puig, E., Tabozzi, S. A., & McKinstry, B. (2020). A mobile phone intervention to improve obesity-related health behaviors of adolescents across Europe: An iterative co-design and feasibility study. JMIR mHealth and uHealth, 8(3), Article e14118. https://doi.org/10.2196/14118

Background:
Promotion of physical activity, healthy eating, adequate sleep and reduced sedentary behavior in adolescents is a major priority globally given the current increase in population health challenges of non-communicable diseases and risk fa... Read More about A mobile phone intervention to improve obesity-related health behaviors of adolescents across Europe: An iterative co-design and feasibility study.

Promoting healthy teenage behaviour across three European countries through the use of a novel smartphone technology platform, PEGASO fit for future: study protocol of a quasi-experimental, controlled, multi-Centre trial (2019)
Journal Article
Puigdomenech, E., Martin, A., Lang, A., Adorni, F., Gomez, S. F., McKinstry, B., Prinelli, F., Condon, L., Rashid, R., Caon, M., Atkinson, S., Lafortuna, C. L., Ciociola, V., Hanley, J., McCloughan, L., Castell, C., Espallargues, M., & on behalf of the PEGASO Fit For Future Consortium. (2019). Promoting healthy teenage behaviour across three European countries through the use of a novel smartphone technology platform, PEGASO fit for future: study protocol of a quasi-experimental, controlled, multi-Centre trial. BMC Medical Informatics and Decision Making, 19(1), https://doi.org/10.1186/s12911-019-0958-x

Background
Behaviour change interventions targeting physical activity, diet, sleep and sedentary behaviour of teenagers show promise when delivered through smartphones. However, to date there is no evidence of effectiveness of multicomponent smartph... Read More about Promoting healthy teenage behaviour across three European countries through the use of a novel smartphone technology platform, PEGASO fit for future: study protocol of a quasi-experimental, controlled, multi-Centre trial.

The 4 ‘A’s test for detecting delirium in acute medical patients: a diagnostic accuracy study (2019)
Journal Article
MacLullich, A. M., Shenkin, S. D., Goodacre, S., Godfrey, M., Hanley, J., Stíobhairt, A., Lavender, E., Boyd, J., Stephen, J., Weir, C., MacRaild, A., Steven, J., Black, P., Diernberger, K., Hall, P., Tieges, Z., Fox, C., Anand, A., Young, J., Siddiqi, N., & Gray, A. (2019). The 4 ‘A’s test for detecting delirium in acute medical patients: a diagnostic accuracy study. Health Technology Assessment, 23(40), 1-194. https://doi.org/10.3310/hta23400

Background: Delirium is a common and serious neuropsychiatric syndrome, usually triggered by illness or drugs. It remains underdetected. One reason for this is a lack of brief, pragmatic assessment tools. The 4 ‘A’s test (Arousal, Attention, Abbrevia... Read More about The 4 ‘A’s test for detecting delirium in acute medical patients: a diagnostic accuracy study.

Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the Confusion Assessment Method (2019)
Journal Article
Shenkin, S., Fox, C., Godfrey, M., Siddiqi, N., Goodacre, S., Young, J., Anand, A., Gray, A., Hanley, J., MacRaild, A., Steven, J., Black, P., Tieges, Z., Boyd, J., Stephen, J., Weir, C., & MacLullich, A. (2019). Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the Confusion Assessment Method. BMC Medicine, 17, Article 138. https://doi.org/10.1186/s12916-019-1367-9

Background:
Delirium affects >15% of hospitalised patients but is grossly underdetected, contributing to poor care. The 4 ‘A’s Test (4AT; www.the4AT.com) is a short delirium assessment tool designed for routine use without special training. The prim... Read More about Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the Confusion Assessment Method.

Evaluating a large-scale roll out of blood pressure telemonitoring using routinely acquired data (2019)
Presentation / Conference Contribution
McKinstry, B., Hammersley, V., Parker, R., Pinnock, H., Padfield, P., Hanley, J., Stoddart, A., & Steventon, A. Evaluating a large-scale roll out of blood pressure telemonitoring using routinely acquired data

Background: 1.2 million appointments in Scottish primary care annually are used solely for checking blood pressure (BP). While evidence from randomised controlled trials (RCTs) shows that telemonitoring of BP produces significant reductions, it has n... Read More about Evaluating a large-scale roll out of blood pressure telemonitoring using routinely acquired data.

Challenges and barriers to optimising sedation in intensive care: a qualitative study in eight Scottish intensive care units (2019)
Journal Article
Kydonaki, K., Hanley, J., Huby, G., Antonelli, J., & Walsh, T. (2019). Challenges and barriers to optimising sedation in intensive care: a qualitative study in eight Scottish intensive care units. BMJ Open, 9, Article e024549. https://doi.org/10.1136/bmjopen-2018-024549

Objectives: Various strategies to promote light sedation are highly recommended in recent guidelines, as deep sedation is associated with suboptimum patient outcomes. Yet, the challenges met by clinicians in delivering high-quality analgosedation is... Read More about Challenges and barriers to optimising sedation in intensive care: a qualitative study in eight Scottish intensive care units.

Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies (2018)
Journal Article
Hanley, J., Pinnock, H., Paterson, M., & McKinstry, B. (2018). Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies. BMC Family Practice, 19(1), 118. https://doi.org/10.1186/s12875-018-0814-6

Background: Telemonitoring for long term conditions such as hypertension and diabetes has not been widely adopted despite evidence of efficacy in trials and policy support. The Telescot programme comprised a series of seven trials and observational s... Read More about Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies.

Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study (2018)
Journal Article
Sheppard, J. P., Martin, U., Gill, P., Stevens, R., Hobbs, F. R., Mant, J., Godwin, M., Hanley, J., McKinstry, B., Myers, M., Nunan, D., & McManus, R. J. (2018). Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study. The BMJ, 361, k2478. https://doi.org/10.1136/bmj.k2478

Objectives: Triaging patients with suspected high blood pressure for ambulatory blood pressure monitoring (ABPM), on the basis of their clinic blood pressure and characteristics, may reduce the need for ABPM. This study aimed to prospectively validat... Read More about Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study.

Protocol for validation of the 4AT, a rapid screening tool for delirium: a multicentre prospective diagnostic test accuracy study (2018)
Journal Article
Shenkin, S. D., Fox, C., Godfrey, M., Siddiqi, N., Goodacre, S., Young, J., Anand, A., Gray, A., Smith, J., Ryan, T., Hanley, J., MacRaild, A., Steven, J., Black, P. L., Boyd, J., Weir, C. J., & MacLullich, A. M. (2018). Protocol for validation of the 4AT, a rapid screening tool for delirium: a multicentre prospective diagnostic test accuracy study. BMJ Open, 8(2), Article e015572. https://doi.org/10.1136/bmjopen-2016-015572

INTRODUCTION:
Delirium is a severe neuropsychiatric syndrome of rapid onset, commonly precipitated by acute illness. It is common in older people in the emergency department (ED) and acute hospital, but greatly under-recognised in these and other se... Read More about Protocol for validation of the 4AT, a rapid screening tool for delirium: a multicentre prospective diagnostic test accuracy study.

Are self-reported telemonitored blood pressure readings affected by end-digit preference: a prospective cohort study in Scotland (2018)
Journal Article
Parker, R. A., Paterson, M., Padfield, P., Pinnock, H., Hanley, J., Hammersley, V. S., Al-Remal, M., Steventon, A., & McKinstry, B. (2018). Are self-reported telemonitored blood pressure readings affected by end-digit preference: a prospective cohort study in Scotland. BMJ Open, 8(1), Article e019431. https://doi.org/10.1136/bmjopen-2017-019431

Objective Simple forms of blood pressure (BP) telemonitoring require patients to text readings to central servers creating an opportunity for both entry error and manipulation. We wished to determine if there was an apparent preference for particul... Read More about Are self-reported telemonitored blood pressure readings affected by end-digit preference: a prospective cohort study in Scotland.

Predicting Out-of-Office Blood Pressure in the Clinic for the Diagnosis of Hypertension in Primary Care: An Economic Evaluation (2017)
Journal Article
Monahan, M., Jowett, S., Lovibond, K., Gill, P., Godwin, M., Greenfield, S., Hanley, J., Hobbs, F. R., Martin, U., Mant, J., McKinstry, B., Williams, B., Sheppard, J. P., & McManus, R. J. (2017). Predicting Out-of-Office Blood Pressure in the Clinic for the Diagnosis of Hypertension in Primary Care: An Economic Evaluation. Hypertension, https://doi.org/10.1161/hypertensionaha.117.10244

Clinical guidelines in the United States and United Kingdom recommend that individuals with suspected hypertension should have ambulatory blood pressure (BP) monitoring to confirm the diagnosis. This approach reduces misdiagnosis because of white coa... Read More about Predicting Out-of-Office Blood Pressure in the Clinic for the Diagnosis of Hypertension in Primary Care: An Economic Evaluation.

Learning lessons from the analysis of patient complaints relating to staff attitudes, behaviour and communication, using the concept of emotional labour (2017)
Journal Article
Hogg, R., Hanley, J., & Smith, P. (2018). Learning lessons from the analysis of patient complaints relating to staff attitudes, behaviour and communication, using the concept of emotional labour. Journal of Clinical Nursing, 27(5-6), e1004-e1012. https://doi.org/10.1111/jocn.14121

Objectives: This paper explores the content of letters of complaint by patients and carers about the behaviour, attitudes and communication of healthcare staff.
Background: The most common focus of patient complaints in the UK and other high-income... Read More about Learning lessons from the analysis of patient complaints relating to staff attitudes, behaviour and communication, using the concept of emotional labour.

Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology (2017)
Journal Article
Kerr, S., King, C., Hogg, R., McPherson, K., Hanley, J., Brierton, M., & Ainsworth, S. (2017). Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology. BMC Pediatrics, 17(1), 158. https://doi.org/10.1186/s12887-017-0917-6

Background: Complications during pregnancy, childbirth and/or the postnatal period may result in the admission of a baby to a neonatal unit (NNU). While the survival and long-term prospects of high-risk infants are enhanced by admission, the enforced... Read More about Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology.

Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation (2017)
Journal Article
Rubio, N., Parker, R. A., Drost, E. M., Pinnock, H., Weir, C. J., Hanley, J., Mantoani, L. C., MacNee, W., McKinstry, B., & Rabinovich, R. A. (2017). Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation. International Journal of Chronic Obstructive Pulmonary Disease, 12, 1221-1231. https://doi.org/10.2147/copd.s120706

Abstract: Telehealth programs to promote early identification and timely self-management of acute exacerbations of chronic obstructive pulmonary diseases (AECOPDs) have yielded disappointing results, in part, because parameters monitored (symptoms, p... Read More about Home monitoring of breathing rate in people with chronic obstructive pulmonary disease: observational study of feasibility, acceptability, and change after exacerbation.