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All Outputs (39)

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..

E054 Routine osteoporosis care in UK primary care settings: a national e-survey (2025)
Presentation / Conference Contribution
Hawarden, A., Cox, N., Bullock, L., Protheroe, J., Jinks, C., & Paskins, Z. (2025, April). E054 Routine osteoporosis care in UK primary care settings: a national e-survey. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Osteoporosis care is primarily delivered in primary care settings, but little is known about routine practice and implementation of evidence-based care in the UK. This e-survey aimed to examine current practice and perceptions of oste... Read More about E054 Routine osteoporosis care in UK primary care settings: a national e-survey.

E053 Persistence with zoledronate in people at increased risk of fracture: a single UK centre service evaluation (2025)
Presentation / Conference Contribution
Royle, J., Hawarden, A., Bullock, L., & Paskins, Z. (2025, April). E053 Persistence with zoledronate in people at increased risk of fracture: a single UK centre service evaluation. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Oral bisphosphonates are both cost and clinically effective in terms of fracture risk reduction. However, effective treatment with oral bisphosphonates is often compromised by suboptimal persistence. For instance, persistence with ora... Read More about E053 Persistence with zoledronate in people at increased risk of fracture: a single UK centre service evaluation.

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.

The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine using a person-centred approach (2025)
Preprint / Working Paper
Bullock, L., Tyler, N., Clark, E. M., Thomas, S., Gidlow, C., Bentley, I., Hawarden, A., Peel, N., Gregson, C. L., Ralston, S. H., Protheroe, J., Lefroy, J., O’Neill, T. W., Mallen, C., Clare, J., & Paskins, Z. (in press). The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine using a person-centred approach

Objectives The improving uptake of Fracture Prevention treatments (iFraP) intervention consists of an osteoporosis decision support tool (DST), clinician skills training, and information resources, to improve shared decision-making (SDM) about, and u... Read More about The Michael Mason Prize: Development and feasibility testing of a complex intervention to improve adherence to fracture prevention medicine using a person-centred approach.

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.

P080 Supporting shared decision-making about osteoporosis medicines: Combining multiple methods to develop the prototype iFraP intervention (2024)
Presentation / Conference Contribution
Bullock, L., Fleming, J., Clark, E. M., Leyland, S., Thomas, S., Gidlow, C., O'Neill, T. W., Iglesias-Urrutia, C. P., Hawarden, A., Manning, F., Protheroe, J., Lefroy, J., Ryan, S., Horne, R., Mallen, C. D., Jinks, C., & Paskins, Z. (2024, April). P080 Supporting shared decision-making about osteoporosis medicines: Combining multiple methods to develop the prototype iFraP intervention. Poster presented at British Society for Rheumatology Annual Conference 2024

Background/Aims Shared decision-making (SDM) is a joint process in which a person and healthcare professional work together to reach decisions about care. The iFraP (Improving uptake of Fracture Prevention drug treatments) intervention comprises comp... Read More about P080 Supporting shared decision-making about osteoporosis medicines: Combining multiple methods to develop the prototype iFraP intervention.

Current osteoporosis care in UK primary care settings: a national esurvey (2024)
Presentation / Conference
Hawarden, A., Cox, N., Bullock, L., Protheroe, J., Jinks, C., & Paskins, Z. (2024, April). Current osteoporosis care in UK primary care settings: a national esurvey. Poster presented at World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO 2024): Plenary Lectures Abstracts, London, UK

Objective: To identify current practice and perceptions of osteoporosis care in UK primary care settings.

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

A NURSE-DELIVERED FRACTURE RISK ASSESSMENT FOR PATIENTS WITH INFLAMMATORY RHEUMATOLOGICAL CONDITIONS IN PRIMARY CARE: A MIXED-METHODS STUDY (2021)
Presentation / Conference Contribution
Hawarden, A., Chew-Graham, C., Herron, D., Jinks, C., Machin, A., Hider, S., De-Silva, E. E., Bullock, L., & Paskins, Z. (2020, August). A NURSE-DELIVERED FRACTURE RISK ASSESSMENT FOR PATIENTS WITH INFLAMMATORY RHEUMATOLOGICAL CONDITIONS IN PRIMARY CARE: A MIXED-METHODS STUDY. Poster presented at WCO-IOF-ESCEO 2020, Virtual

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.