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All Outputs (24)

The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine (2025)
Journal Article
Bullock, L., Tyler, N., Fleming, J., Clark, E. M., Thomas, S., Gidlow, C., Iglesias-Urrutia, C. P., Horne, R., Bentley, I., Hawarden, A., Peel, N., Gregson, C. L., Ralston, S. H., Protheroe, J., Lefroy, J., Ryan, S., O’Neill, T. W., Mallen, C., Jinks, C., & Paskins, Z. (2025). The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine. Rheumatology, https://doi.org/10.1093/rheumatology/keaf413

Objectives Only 12% of people recommended fracture prevention medicines remain on treatment 1 year post fracture. The improving uptake of Fracture Prevention treatments (iFraP) intervention aims to improve shared decision-making (SDM) about, and upta... Read More about The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine.

The relationship between pain and depression and anxiety in people with inflammatory arthritis: A systematic review (2025)
Journal Article
Cox, N., Hawarden, A., Kettle, C., Bajpai, R., Farooq, S., Twohig, H., Muller, S., & Scott, I. C. (2025). The relationship between pain and depression and anxiety in people with inflammatory arthritis: A systematic review. Seminars in Arthritis and Rheumatism, 74, 152808. https://doi.org/10.1016/j.semarthrit.2025.152808

This PROSPERO-registered (CRD42023411823) systematic review synthesised literature on the associations between pain and depression/anxiety in inflammatory arthritis, including the direction of effect, relationship mediators, and treatment impacts. Pr... Read More about The relationship between pain and depression and anxiety in people with inflammatory arthritis: A systematic review.

Osteoporosis care in primary care settings: a national UK e-survey (2025)
Journal Article
Hawarden, A., Bullock, L., Cox, N. M., Nicholls, E., Protheroe, J., Jinks, C., & Paskins, Z. (2025). Osteoporosis care in primary care settings: a national UK e-survey. Archives of Osteoporosis, 20(1), Article 109. https://doi.org/10.1007/s11657-025-01591-8

Summary: An electronic survey of 341 UK primary care staff identified barriers to evidence-based osteoporosis care including low confidence in clinical skills, the complex nature of decision-making, insufficient incentivisation and lack of systematic... Read More about Osteoporosis care in primary care settings: a national UK e-survey.

Getting to what matters for people with osteoporosis in clinical consultations with and without conversation aids: A videographic analysis (2025)
Journal Article
Hawarden, A., Bullock, L., García, M. L., Hartasanchez, S. A., Maraboto, A., Jinks, C., Kunneman, M., Hargraves, I., Horne, R., Montori, V. M., & Paskins, Z. (2025). Getting to what matters for people with osteoporosis in clinical consultations with and without conversation aids: A videographic analysis. Patient Education and Counseling, 137(August 2025), Article 109171. https://doi.org/10.1016/j.pec.2025.109171

To evaluate if, and how, clinicians elicit and address health and medicine beliefs in osteoporosis consultations, and to evaluate the impact of a conversation aid (CA) on clinician behaviour. Secondary analysis of 107 video-recorded consultations fro... Read More about Getting to what matters for people with osteoporosis in clinical consultations with and without conversation aids: A videographic analysis.

A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol (2024)
Journal Article
Bullock, L., Nicholls, E., Cherrington, A., Butler-Walley, S., Clark, E. M., Fleming, J., Leyland, S., Bentley, I., Thomas, S., Iglesias-Urrutia, C. P., Webb, D., Smith, J., Bathers, S., Lewis, S., Clifford, A., Siciliano, M., Protheroe, J., Ryan, S., Lefroy, J., Dale, N., …Paskins, Z. (2024). A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol. NIHR Open Research, https://doi.org/10.3310/nihropenres.13571.2

Background
Good quality shared decision-making (SDM) conversations involve people with, or at risk of osteoporosis and clinicians collaborating to decide, where appropriate, which evidence-based medicines best fit the person’s life, beliefs, and val... Read More about A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol.

Ethnicity differences in those attending and not attending a single centre UK fracture liaison service (2024)
Journal Article
Mitchell, S., Hawarden, A., Bullock, L., & Paskins, Z. (2024). Ethnicity differences in those attending and not attending a single centre UK fracture liaison service. Archives of Osteoporosis, 19(1), Article 68. https://doi.org/10.1007/s11657-024-01431-1

Background
Fracture liaison services (FLS) are concerned with the systematic identification of people that have sustained low trauma fractures to provide: an assessment of bone health; assessment of fracture (including bone density scan) and falls r... Read More about Ethnicity differences in those attending and not attending a single centre UK fracture liaison service.

Exploring practice and perspectives on shared decision-making about osteoporosis medicines in Fracture Liaison Services: the iFraP development qualitative study (2024)
Journal Article
Bullock, L., Manning, F., Hawarden, A., Fleming, J., Leyland, S., Clark, E. M., Thomas, S., Gidlow, C., Iglesias-Urrutia, C. P., Protheroe, J., Lefroy, J., Ryan, S., O’Neill, T. W., Mallen, C., Jinks, C., & Paskins, Z. (2024). Exploring practice and perspectives on shared decision-making about osteoporosis medicines in Fracture Liaison Services: the iFraP development qualitative study. Archives of Osteoporosis, 19(1), Article 50. https://doi.org/10.1007/s11657-024-01410-6

Summary
Interviews and focus groups with patients, FLS clinicians, and GPs identified challenges relating to clinical and shared decision-making about bone health and osteoporosis medicines. Findings will inform the development of the multicomponent... Read More about Exploring practice and perspectives on shared decision-making about osteoporosis medicines in Fracture Liaison Services: the iFraP development qualitative study.

A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol. (2024)
Journal Article
Bullock, L., Nicholls, E., Cherrington, A., Butler-Walley, S., Clark, E. M., Fleming, J., Leyland, S., Bentley, I., Thomas, S., Iglesias-Urrutia, C. P., Webb, D., Smith, J., Bathers, S., Lewis, S., Clifford, A., Siciliano, M., Protheroe, J., Ryan, S., Lefroy, J., Dale, N., …Paskins, Z. (2024). A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol. NIHR Open Research, 4(14), 14. https://doi.org/10.3310/nihropenres.13571.1

BackgroundGood quality shared decision-making (SDM) conversations involve people with, or at risk of osteoporosis and clinicians collaborating to decide, where appropriate, which evidence-based medicines best fit the person's life, beliefs, and value... Read More about A person-centred consultation intervention to improve shared decision-making about, and uptake of, osteoporosis medicines (iFraP): a pragmatic, parallel-group, individual randomised controlled trial protocol..

Experiences of living with hip osteoarthritis and of receiving advice, education and ultrasound-guided intra-articular hip injection in the hip injection trial. A qualitative study (2023)
Journal Article
Holden, M. A., Hawarden, A., Paskins, Z., Roddy, E., Mallen, C. D., Liddle, J., Bourton, A., Jinks, C., & trial team, H. (2023). Experiences of living with hip osteoarthritis and of receiving advice, education and ultrasound-guided intra-articular hip injection in the hip injection trial. A qualitative study. Musculoskeletal Care, https://doi.org/10.1002/msc.1830

Objectives: The Hip Injection Trial (HIT) compared the effectiveness of adding a single ultrasound-guided intra-articular injection of either corticosteroid and local anaesthetic, or local anaesthetic alone, to advice and education among people with... Read More about Experiences of living with hip osteoarthritis and of receiving advice, education and ultrasound-guided intra-articular hip injection in the hip injection trial. A qualitative study.

The relationship between pain and depression and anxiety in patients with inflammatory arthritis: a systematic review protocol (2023)
Journal Article
Cox, N., Hawarden, A., Bajpai, R., Farooq, S., Twohig, H., Muller, S., & Scott, I. C. (2024). The relationship between pain and depression and anxiety in patients with inflammatory arthritis: a systematic review protocol. Rheumatology International, 44, 435–440. https://doi.org/10.1007/s00296-023-05450-y

Pain is a major challenge for patients with inflammatory arthritis (IA). Depression and anxiety are common comorbidities in IA, associating with worse outcomes. How they relate to pain is uncertain, with existing systematic reviews (a) mainly conside... Read More about The relationship between pain and depression and anxiety in patients with inflammatory arthritis: a systematic review protocol.

Incorporating FRAX into a nurse-delivered integrated care review: a multi-method qualitative study. (2023)
Journal Article
Hawarden, A., Bullock, L., Chew-Graham, C., Herron, D., Hider, S., Jinks, C., Erandie Ediriweera De Silva, R., Machin, A., & Paskins, Z. (2023). Incorporating FRAX into a nurse-delivered integrated care review: a multi-method qualitative study. British Journal of General Practice Open (BJGP Open), 7(2), https://doi.org/10.3399/BJGPO.2022.0146

Background: People with inflammatory rheumatological conditions (IRCs) are at increased risk of common comorbidities including osteoporosis.

Aim: To explore the barriers to and facilitators of implementing nurse-delivered fracture risk assessments... Read More about Incorporating FRAX into a nurse-delivered integrated care review: a multi-method qualitative study..

Effect of a 2-week interruption in methotrexate treatment versus continued treatment on COVID-19 booster vaccine immunity in adults with inflammatory conditions (VROOM study): a randomised, open label, superiority trial. (2022)
Journal Article
Abhishek Abhishek, P., Boyton, P. R. J., Peckham, N., Áine McKnight, P., Coates, L. C., Bluett, J., Barber, V., Cureton, L., Francis, A., Appelbe, D., Eldridge, L., Julier, P., Valdes, P. A. M., Brooks, T., Rombach, I., Altmann, P. D. M., Nguyen-Van-Tam, P. J. S., Williams, P. H. C., Cook, J. A., study investigators, V., …Jones, C. (2022). Effect of a 2-week interruption in methotrexate treatment versus continued treatment on COVID-19 booster vaccine immunity in adults with inflammatory conditions (VROOM study): a randomised, open label, superiority trial. Lancet Respiratory Medicine, 840 - 850. https://doi.org/10.1016/S2213-2600%2822%2900186-2

BACKGROUND: Immunosuppressive treatments inhibit vaccine-induced immunity against SARS-CoV-2. We evaluated whether a 2-week interruption of methotrexate treatment immediately after the COVID-19 vaccine booster improved antibody responses against the... Read More about Effect of a 2-week interruption in methotrexate treatment versus continued treatment on COVID-19 booster vaccine immunity in adults with inflammatory conditions (VROOM study): a randomised, open label, superiority trial..

P117 Exploring experiences of Fracture Liaison Services and perceptions of a new decision tool to support patient and clinician decisions: a focus group study (2021)
Journal Article
Bullock, L., Jinks, C., Hawarden, A., Crawford-Manning, F., Leyland, S., Fleming, J., Clark, E. M., Cottrell, E., Edwards, J., Paskins, Z., & Management Group, I. S. (2021). P117 Exploring experiences of Fracture Liaison Services and perceptions of a new decision tool to support patient and clinician decisions: a focus group study. Rheumatology, 60(Supplement_1), https://doi.org/10.1093/rheumatology/keab247.113

Evaluation of quality and readability of online patient information on osteoporosis and osteoporosis drug treatment and recommendations for improvement (2021)
Journal Article
Crawford Manning, F., Greenall, C., Hawarden, A., Bullock, L., Leyland, S., Jinks, C., Protheroe, J., & Paskins, Z. (2021). Evaluation of quality and readability of online patient information on osteoporosis and osteoporosis drug treatment and recommendations for improvement. Osteoporosis International, 32, pages1567–1584. https://doi.org/10.1007/s00198-020-05800-7

Purpose: Identify commonly accessed patient information resources about osteoporosis and osteoporosis drug treatment, appraise the quality and make recommendations for improvement. Methods: Patient information resources were purposively sampled and t... Read More about Evaluation of quality and readability of online patient information on osteoporosis and osteoporosis drug treatment and recommendations for improvement.

Public priorities for osteoporosis and fracture research: results from a focus group study (2020)
Journal Article
Hawarden, A., Jinks, C., Mahmood, W., Bullock, L., Blackburn, S., Gwilym, S., & Paskins, Z. (2020). Public priorities for osteoporosis and fracture research: results from a focus group study. Archives of Osteoporosis, 15, 89. https://doi.org/10.1007/s11657-020-00766-9

Summary
Four focus groups were conducted with members of the public to identify important areas for future osteoporosis research. Participants identified priorities to increase public awareness of osteoporosis, reduce delays in diagnosis, improve co... Read More about Public priorities for osteoporosis and fracture research: results from a focus group study.

Quality and effectiveness of osteoporosis treatment decision aids: a systematic review and environmental scan (2020)
Journal Article
Paskins, Z., Torres Roldan, V. D., Hawarden, A. W., Bullock, L., Meritxell Urtecho, S., Torres, G. F., Morera, L., Espinoza Suarez, N. R., Worrall, A., Blackburn, S., Chapman, S., Jinks, C., & Brito, J. P. (2020). Quality and effectiveness of osteoporosis treatment decision aids: a systematic review and environmental scan. Osteoporosis International, 31, 1837–1851. https://doi.org/10.1007/s00198-020-05479-w

Decision aids (DAs) are evidence-based tools that support shared decision-making (SDM) implementation in practice; this study aimed to identify existing osteoporosis DAs and assess their quality and efficacy; and to gain feedback from a patient advis... Read More about Quality and effectiveness of osteoporosis treatment decision aids: a systematic review and environmental scan.

Qualitative findings from the Hip Injection Trial (HIT): experiences of living with hip osteoarthritis and receiving trial treatments (2020)
Journal Article
Paskins., Holden., Mallen., Jinks., Hawarden., & Roddy. (2020). Qualitative findings from the Hip Injection Trial (HIT): experiences of living with hip osteoarthritis and receiving trial treatments. Rheumatology. https://doi.org/10.1093/rheumatology/keaa111.125

Background
The HIT trial compared ultrasound-guided intra-articular hip injection (USGI) of triamcinolone acetonide and 1% lidocaine hydrochloride combined with best current treatment (BCT) with (i) BCT alone and (ii) an USGI of 1% lidocaine only co... Read More about Qualitative findings from the Hip Injection Trial (HIT): experiences of living with hip osteoarthritis and receiving trial treatments.

Decision-Making in Gynaecological Oncology Multidisciplinary Team Meetings: A Cross-Sectional, Observational Study of Ovarian Cancer Cases (2019)
Journal Article
Scott, R., Hawarden, A., Russell, B., & Edmondson, R. (2020). Decision-Making in Gynaecological Oncology Multidisciplinary Team Meetings: A Cross-Sectional, Observational Study of Ovarian Cancer Cases. Oncology Research and Treatment, 43(3), 70-77. https://doi.org/10.1159/000504260

Introduction: Multidisciplinary team (MDT) meetings are widely used across the UK to provide expert decisions and improve cancer outcomes. However, little is known about the underlying mechanisms of MDT decision-making. We investigated how decisions... Read More about Decision-Making in Gynaecological Oncology Multidisciplinary Team Meetings: A Cross-Sectional, Observational Study of Ovarian Cancer Cases.