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All Outputs (309)

Developing a community-based psycho-social intervention with older people and third sector workers for anxiety and depression: a qualitative study. (2017)
Journal Article
Kingstone, T., Burroughs, H., Bartlam, B., Ray, M., Proctor, J., Shepherd, T., …Chew-Graham, C. A. (2017). Developing a community-based psycho-social intervention with older people and third sector workers for anxiety and depression: a qualitative study. BMC Family Practice, https://doi.org/10.1186/s12875-017-0648-7

BACKGROUND: One-in-five people in the UK experience anxiety and/or depression in later life. However, anxiety and depression remain poorly detected in older people, particularly in those with chronic physical ill health. In the UK, a stepped care app... Read More about Developing a community-based psycho-social intervention with older people and third sector workers for anxiety and depression: a qualitative study..

Integrating case finding and initial management for osteoarthritis, anxiety and depression into routine primary care nurse-led long-term condition reviews: results from the enhance pilot trial (2017)
Journal Article
Jinks, C., Nicholls, E., Liddle, J., Healey, E., Evans, A., Chew-Graham, C., …Team, E. (2017). Integrating case finding and initial management for osteoarthritis, anxiety and depression into routine primary care nurse-led long-term condition reviews: results from the enhance pilot trial. Annals of the Rheumatic Diseases, 76(S2), 1433-1433. https://doi.org/10.1136/annrheumdis-2017-eular.2473

Background Co-morbid osteoarthritis (OA), anxiety and depression are undermanaged in primary care yet have significant impact on pain, disability and outcomes of other long-term conditions (LTCs). Objectives To test the feasibility and acceptabili... Read More about Integrating case finding and initial management for osteoarthritis, anxiety and depression into routine primary care nurse-led long-term condition reviews: results from the enhance pilot trial.

Premature death among primary care patients with a history of self-harm (2017)
Journal Article
Chew-Graham. (2017). Premature death among primary care patients with a history of self-harm. Annals of Family Medicine, 246-254. https://doi.org/10.1370/afm.2054

PURPOSE Self-harm is a public health problem that requires a better understanding of mortality risk. We undertook a study to examine premature mortality in a nationally representative cohort of primary care patients who had harmed themselves. METH... Read More about Premature death among primary care patients with a history of self-harm.

Clinical assessment and management of multimorbidity: NICE guideline (2017)
Journal Article
Chew-Graham. (2017). Clinical assessment and management of multimorbidity: NICE guideline. British Journal of General Practice (BJGP), 235 - 236. https://doi.org/10.3399/bjgp17X690857

The National Institute for Health and Care Excellence (NICE) has published a guideline on the assessment and management of patients with multimorbidity.1 Multimorbidity is defined as the presence of two or more long-term conditions and is increasingl... Read More about Clinical assessment and management of multimorbidity: NICE guideline.

The effects of implementing a point-of-care electronic template to prompt routine anxiety and depression screening in patients consulting for osteoarthritis (the Primary Care Osteoarthritis Trial): A cluster randomised trial in primary care (2017)
Journal Article
Mallen, C. D., Nicholl, B. I., Lewis, M., Bartlam, B., Green, D., Jowett, S., …Peat, G. (2017). The effects of implementing a point-of-care electronic template to prompt routine anxiety and depression screening in patients consulting for osteoarthritis (the Primary Care Osteoarthritis Trial): A cluster randomised trial in primary care. PLoS Medicine, e1002273 -?. https://doi.org/10.1371/journal.pmed.1002273

BACKGROUND: This study aimed to evaluate whether prompting general practitioners (GPs) to routinely assess and manage anxiety and depression in patients consulting with osteoarthritis (OA) improves pain outcomes. METHODS AND FINDINGS: We conducted a... Read More about The effects of implementing a point-of-care electronic template to prompt routine anxiety and depression screening in patients consulting for osteoarthritis (the Primary Care Osteoarthritis Trial): A cluster randomised trial in primary care.

What do older people experiencing loneliness think about primary care or community based interventions to reduce loneliness?: a qualitative study in England (2017)
Journal Article
Chew-Graham. (2017). What do older people experiencing loneliness think about primary care or community based interventions to reduce loneliness?: a qualitative study in England. Health and Social Care in the Community, 1733-1742. https://doi.org/10.1111/hsc.12438

Loneliness in later life is a common problem with poor health outcomes. However, interventions to prevent or ameliorate loneliness have a weak evidence base. The views of older people experiencing or at risk of loneliness in the community are importa... Read More about What do older people experiencing loneliness think about primary care or community based interventions to reduce loneliness?: a qualitative study in England.

Musculoskeletal pain and co-morbid insomnia in adults; a population study of the prevalence and impact on restricted social participation. (2017)
Journal Article
Baker, S., McBeth, J., Chew-Graham, C. A., & Wilkie, R. (2017). Musculoskeletal pain and co-morbid insomnia in adults; a population study of the prevalence and impact on restricted social participation. BMC Family Practice, 17 - ?. https://doi.org/10.1186/s12875-017-0593-5

BACKGROUND: Comorbidity is common in patients consulting in primary care. Musculoskeletal pain and insomnia each increase the risk of the other. Co-occurrence may pose an increased burden on well-being. However, the prevalence and impact of co-existi... Read More about Musculoskeletal pain and co-morbid insomnia in adults; a population study of the prevalence and impact on restricted social participation..

Feasibility of training practice nurses to deliver a psychosocial intervention within a collaborative care framework for people with depression and long-term conditions (2016)
Journal Article
Chew-Graham. (2016). Feasibility of training practice nurses to deliver a psychosocial intervention within a collaborative care framework for people with depression and long-term conditions. BMC Nursing, https://doi.org/10.1186/s12912-016-0190-2

Background Practice nurses (PNs) deliver much of the chronic disease management in primary care and have been highlighted as appropriately placed within the service to manage patients with long-term physical conditions (LTCs) and co-morbid depressio... Read More about Feasibility of training practice nurses to deliver a psychosocial intervention within a collaborative care framework for people with depression and long-term conditions.

Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis (2016)
Journal Article
Chew-Graham, C. (2016). Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Internal Medicine, 195-205. https://doi.org/10.1001/jamainternmed.2016.7674

Importance Burnout is prevalent in physicians and can have a negative influence on performance, career continuation, and patient care. Existing evidence does not allow clear recommendations for the management of burnout in physicians. Objective... Read More about Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis.

Long-term cost-effectiveness of collaborative care (vs usual care) for people with depression and comorbid diabetes or cardiovascular disease: a Markov model informed by the COINCIDE randomised controlled trial (2016)
Journal Article
Camacho, E. M., Ntais, D., Coventry, P., Bower, P., Lovell, K., Chew-Graham, C., …Davies, L. M. (2016). Long-term cost-effectiveness of collaborative care (vs usual care) for people with depression and comorbid diabetes or cardiovascular disease: a Markov model informed by the COINCIDE randomised controlled trial. BMJ Open, 6(10), e012514. https://doi.org/10.1136/bmjopen-2016-012514

Objectives To evaluate the long-term cost-effectiveness of collaborative care (vs usual care) for treating depression in patients with diabetes and/or coronary heart disease (CHD). Setting 36 primary care general practices in North West England.... Read More about Long-term cost-effectiveness of collaborative care (vs usual care) for people with depression and comorbid diabetes or cardiovascular disease: a Markov model informed by the COINCIDE randomised controlled trial.

GPs' experiences of dealing with parents bereaved by suicide: a qualitative study. (2016)
Journal Article
Chew-Graham, C. (2016). GPs' experiences of dealing with parents bereaved by suicide: a qualitative study. British Journal of General Practice (BJGP), e737 - e746. https://doi.org/10.3399/bjgp16X686605

BACKGROUND: Suicide prevention is an NHS priority in England. Bereavement by suicide is a risk factor for suicide, but the needs of those bereaved by suicide have not been addressed, and little is known about how GPs support these patients, and how t... Read More about GPs' experiences of dealing with parents bereaved by suicide: a qualitative study..

The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis. (2016)
Journal Article
Fry, M., McLachlan, S., Purdy, S., Sanders, T., Kadam, U. T., & Chew-Graham, C. A. (2016). The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis. BMC Family Practice, https://doi.org/10.1186/s12875-016-0537-5

BACKGROUND: The aim of this study was to use secondary analysis to interrogate a qualitative data set to explore the experiences of patients living with heart failure. METHODS: The data-set comprised interviews with 11 patients who had participated i... Read More about The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis..

Suicide risk in primary care patients diagnosed with a personality disorder: a nested case control study. (2016)
Journal Article
Doyle, M., While, D., Mok, P. L., Windfuhr, K., Ashcroft, D. M., Kontopantelis, E., …Webb, R. T. (2016). Suicide risk in primary care patients diagnosed with a personality disorder: a nested case control study. BMC Family Practice, 106 - ?. https://doi.org/10.1186/s12875-016-0479-y

BACKGROUND: Personality disorder (PD) is associated with elevated suicide risk, but the level of risk in primary care settings is unknown. We assessed whether PD among primary care patients is linked with a greater elevation in risk as compared with... Read More about Suicide risk in primary care patients diagnosed with a personality disorder: a nested case control study..

Widespread pain and depression are key modifiable risk factors associated with reduced social participation in older adults: A prospective cohort study in primary care. (2016)
Journal Article
Wilkie, R., Blagojevic-Bucknall, M., Belcher, J., Chew-Graham, C., Lacey, R. J., & McBeth, J. (2016). Widespread pain and depression are key modifiable risk factors associated with reduced social participation in older adults: A prospective cohort study in primary care. Medicine, 95(31), Article e4111. https://doi.org/10.1097/MD.0000000000004111

In older adults, reduced social participation increases the risk of poor health-related quality of life, increased levels of inflammatory markers and cardiovascular disease, and increased mortality. Older adults frequently present to primary care, wh... Read More about Widespread pain and depression are key modifiable risk factors associated with reduced social participation in older adults: A prospective cohort study in primary care..

Primary care-based screening for cardiovascular risk factors in patients with psoriasis. (2016)
Journal Article
Chew-Graham. (2016). Primary care-based screening for cardiovascular risk factors in patients with psoriasis. British Journal of Dermatology, 348 -356. https://doi.org/10.1111/bjd.14557

BACKGROUND: Studies assessing cardiovascular disease (CVD) risk factors in patients with psoriasis have been limited by selection bias, inappropriate controls or a reliance on data collected for clinical reasons. OBJECTIVES: To investigate whether sc... Read More about Primary care-based screening for cardiovascular risk factors in patients with psoriasis..

A qualitative study of patient and professional perspectives of health care services for multiple sclerosis: implications for service development and policy (2016)
Journal Article
Chew-Graham. (2016). A qualitative study of patient and professional perspectives of health care services for multiple sclerosis: implications for service development and policy. Health and Social Care in the Community, 848-857. https://doi.org/10.1111/hsc.12369

Multiple sclerosis (MS) is a chronic degenerative condition, with heterogeneous symptoms, and an unpredictable prognosis. Previous literature suggests patients' experiences of healthcare are unsatisfactory. Primary care may play a key role in the man... Read More about A qualitative study of patient and professional perspectives of health care services for multiple sclerosis: implications for service development and policy.