Outputs (50)

From theory to practice: using the Normalization Process Theory and Theoretical Domains Framework to understand implementation of decarbonization in general practice (2025)
Journal Article
Nunes, A. R., Atherton, H., Dahlmann, F., Eccles, A., Geddes, O., Gregg, M., Karaba, F., Spencer, R., Twohig, H., & Dale, J. (2025). From theory to practice: using the Normalization Process Theory and Theoretical Domains Framework to understand implementation of decarbonization in general practice. Family Practice, 42(4), cmaf050. https://doi.org/10.1093/fampra/cmaf050

Background: Decarbonization in general practice is a critical step toward achieving a net zero healthcare system. Understanding the factors that facilitate or hinder the implementation of environmentally sustainable practices is essential for effecti... Read More about From theory to practice: using the Normalization Process Theory and Theoretical Domains Framework to understand implementation of decarbonization in general practice.

Perceptions and Significance of Long Covid Diagnoses From the Perspectives of Children and Young People With Long Covid, Their Parents and Professionals (2025)
Journal Article
Faux‐Nightingale, A., Saunders, B., Burton, C., Chew‐Graham, C. A., Somayajula, G., Twohig, H., & Welsh, V. (2025). Perceptions and Significance of Long Covid Diagnoses From the Perspectives of Children and Young People With Long Covid, Their Parents and Professionals. Health Expectations, 28(3), 1-11. https://doi.org/10.1111/hex.70318

Introduction: Long Covid, the patient‐preferred term, describes symptoms persisting after an acute Covid‐19 infection. Understanding the importance and meaning of a Long Covid diagnosis to children and young people (CYP), their families and professio... Read More about Perceptions and Significance of Long Covid Diagnoses From the Perspectives of Children and Young People With Long Covid, Their Parents and Professionals.

The importance of diagnosis from the perspectives of young people with Long COVID, their parents, and healthcare professionals (2025)
Presentation / Conference Contribution
Faux-Nightingale, A., Saunders, B., Burton, C., Chew-Graham, C. A., Somayajula, G., Twohig, H., & Welsh, V. (2025, March). The importance of diagnosis from the perspectives of young people with Long COVID, their parents, and healthcare professionals. Presented at BJGP Research and Publishing conference, The Lowry Hotel, Manchester, England

Background Long COVID describes symptoms persisting after an acute COVID-19 infection.

Aim This study explores the meaning and importance of a Long COVID diagnosis from the perspectives of children and young people (CYP) with Long COVID, their par... Read More about The importance of diagnosis from the perspectives of young people with Long COVID, their parents, and healthcare professionals.

Healthcare use and its variation in people with fibromyalgia: a systematic review protocol (2025)
Journal Article
Byrne, A., Twohig, H., Muller, S., & Scott, I. (2025). Healthcare use and its variation in people with fibromyalgia: a systematic review protocol. Primary Health Care Research & Development, 26, 1-5. https://doi.org/10.1017/S1463423625000362

Aim:
A crucial step towards improving the care of people with fibromyalgia is understanding current practice. Our systematic review aims to address this by synthesising the global evidence around healthcare use in people with fibromyalgia, including... Read More about Healthcare use and its variation in people with fibromyalgia: a systematic review protocol.

P055 Gabapentinoid use and the risk of fractures in patients with inflammatory arthritis: nested case-control study in the Clinical Practice Research Datalink Aurum (2025)
Presentation / Conference Contribution
Scott, I. C., Daud, N., Bailey, J., Twohig, H., Hider, S., Mallen, C. D., Jordan, K. P., & Muller, S. (2025, April). P055 Gabapentinoid use and the risk of fractures in patients with inflammatory arthritis: nested case-control study in the Clinical Practice Research Datalink Aurum. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Gabapentinoids are increasingly prescribed in inflammatory arthritis (IA), despite no trial evidence for efficacy at managing pain in this population. Observational studies in non-IA populations suggest gabapentinoids are associated w... Read More about P055 Gabapentinoid use and the risk of fractures in patients with inflammatory arthritis: nested case-control study in the Clinical Practice Research Datalink Aurum.

P194 Prescribing of bisphosphonates and their impact on the risk of fractures in patients with polymyalgia rheumatica (PMR) in England: a cohort study and target-trial in the Clinical Practice Research Datalink Aurum (2025)
Presentation / Conference Contribution
Twohig, H., Jenkinson, D., Bailey, J., Hider, S., Scott, I., & Muller, S. (2025, April). P194 Prescribing of bisphosphonates and their impact on the risk of fractures in patients with polymyalgia rheumatica (PMR) in England: a cohort study and target-trial in the Clinical Practice Research Datalink Aurum. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims PMR is a common indication for long-term glucocorticoid (GC) treatment with real-world data on GC treatment in PMR showing that one quarter of patients continue them for >4 years. People with PMR have a 63% increased risk of fractu... Read More about P194 Prescribing of bisphosphonates and their impact on the risk of fractures in patients with polymyalgia rheumatica (PMR) in England: a cohort study and target-trial in the Clinical Practice Research Datalink Aurum.

P102 Pain management and its variation by deprivation in patients with inflammatory arthritis: the PAIN PATH survey (2025)
Presentation / Conference Contribution
Scott, I. C., Daud, N., Hider, S., Paskins, Z., Twohig, H., Halliday, N., Mallen, C. D., Jordan, K. P., & Muller, S. (2025, April). P102 Pain management and its variation by deprivation in patients with inflammatory arthritis: the PAIN PATH survey. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims UK-based electronic health record studies show that many patients with inflammatory arthritis (IA) receive opioid and gabapentinoid prescriptions - particularly in areas of deprivation - despite little and no evidence for efficacy, re... Read More about P102 Pain management and its variation by deprivation in patients with inflammatory arthritis: the PAIN PATH survey.

P057 The relationship between pain and mental health in people with inflammatory arthritis: a systematic review (2025)
Presentation / Conference Contribution
Cox, N., Hawarden, A., Kettle, C., Bajpai, R., Farooq, S., Twohig, H., Muller, S., & Scott, I. (2025, April). P057 The relationship between pain and mental health in people with inflammatory arthritis: a systematic review. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Pain is common in inflammatory arthritis (IA) and understanding how to best treat it is important. Depression/anxiety are prevalent IA-comorbidities. The evidence they associate with pain is uncertain. This PROSPERO-registered (CRD420... Read More about P057 The relationship between pain and mental health in people with inflammatory arthritis: a systematic review.

A systematic review of the clinical effectiveness of dry powder inhalers in maintenance treatment and in treatment of acute exacerbations of asthma in children (2025)
Journal Article
Twohig, H., Franklin, L., Carroll, W., Corp, N., Jackson, E., Mallen, C., Ruan, B., Yapp, L., Van Der Windt, D., & Smith, J. (2025). A systematic review of the clinical effectiveness of dry powder inhalers in maintenance treatment and in treatment of acute exacerbations of asthma in children. Paediatric Respiratory Reviews, 1-37. https://doi.org/10.1016/j.prrv.2025.04.005

Background
Dry powder inhalers (DPIs) are a lower-carbon option than pressurised metered dose inhalers (pMDIs). However, DPIs require a forceful inhalation to achieve good lung deposition and there is uncertainty as to whether younger children can e... Read More about A systematic review of the clinical effectiveness of dry powder inhalers in maintenance treatment and in treatment of acute exacerbations of asthma in children.

Reducing pressurised metered dose inhaler prescriptions for asthma to reduce carbon emissions: a qualitative study of healthcare professional perspectives (2025)
Journal Article
Franklin, L., Mallen, C., & Twohig, H. (in press). Reducing pressurised metered dose inhaler prescriptions for asthma to reduce carbon emissions: a qualitative study of healthcare professional perspectives. British Journal of General Practice Open (BJGP Open), 1-17. https://doi.org/10.3399/BJGPO.2024.0208

Background
Prescribing of pressurised metered dose inhalers (pMDIs) is a key NHS carbon hotspot and reducing the number of these devices prescribed will help achieve NHS net zero targets.

Aim
To explore primary healthcare professionals’ perspe... Read More about Reducing pressurised metered dose inhaler prescriptions for asthma to reduce carbon emissions: a qualitative study of healthcare professional perspectives.