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All Outputs (429)

Clinical management following self-harm in a UK-wide primary care cohort (2016)
Journal Article
Chew-Graham. (2016). Clinical management following self-harm in a UK-wide primary care cohort. Journal of Affective Disorders, 182-188. https://doi.org/10.1016/j.jad.2016.03.013

Background
Little is known about the clinical management of patients in primary care following self-harm.

Methods
A descriptive cohort study using data from 684 UK general practices that contributed to the Clinical Practice Research Datalink (CP... Read More about Clinical management following self-harm in a UK-wide primary care cohort.

The epidemiology of self-harm in a UK wide primary care patient cohort, 2001-2013 (2016)
Journal Article
Chew-Graham. (2016). The epidemiology of self-harm in a UK wide primary care patient cohort, 2001-2013. BMC Psychiatry, 53. https://doi.org/10.1186/s12888-016-0753-5

Background
Most of the research conducted on people who harm themselves has been undertaken in secondary healthcare settings. Little is known about the frequency of self-harm in primary care patient populations. This is the first study to describe t... Read More about The epidemiology of self-harm in a UK wide primary care patient cohort, 2001-2013.

Clinical effectiveness and cost-effectiveness of collaborative care for depression in UK primary care (CADET): a cluster randomised controlled trial (2016)
Report
Richards, D. A., Bower, P., Chew-Graham, C., Gask, L., Lovell, K., Cape, J., Pilling, S., Araya, R., Kessler, D., Barkham, M., Bland, J. M., Gilbody, S., Green, C., Lewis, G., Manning, C., Kontopantelis, E., Hill, J. J., Hughes-Morley, A., & Russell, A. Clinical effectiveness and cost-effectiveness of collaborative care for depression in UK primary care (CADET): a cluster randomised controlled trial. Medical Research Council, HTA, NIHR

Background
Collaborative care is effective for depression management in the USA. There is little UK evidence on its clinical effectiveness and cost-effectiveness.

Objective
To determine the clinical effectiveness and cost-effectiveness of collab... Read More about Clinical effectiveness and cost-effectiveness of collaborative care for depression in UK primary care (CADET): a cluster randomised controlled trial.

Evaluating a complex model designed to increase access to high quality primary mental health care for under-served groups: a multi-method study. (2016)
Journal Article
Chew-Graham, C. (2016). Evaluating a complex model designed to increase access to high quality primary mental health care for under-served groups: a multi-method study. BMC Health Services Research, 58 -?. https://doi.org/10.1186/s12913-016-1298-5

BACKGROUND: Many people with mental distress are disadvantaged because care is not available or does not address their needs. In order to increase access to high quality primary mental health care for under-served groups, we created a model of care w... Read More about Evaluating a complex model designed to increase access to high quality primary mental health care for under-served groups: a multi-method study..

Mirtazapine added to selective serotonin reuptake inhibitors for treatment-resistant depression in primary care (MIR trial): study protocol for a randomised controlled trial (2016)
Journal Article
Tallon, D., Wiles, N., Campbell, J., Chew-Graham, C., Dickens, C., Macleod, U., Peters, T. J., Lewis, G., Anderson, I. M., Gilbody, S., Hollingworth, W., Davies, S., & Kessler, D. (2016). Mirtazapine added to selective serotonin reuptake inhibitors for treatment-resistant depression in primary care (MIR trial): study protocol for a randomised controlled trial. Trials, 17, 66. https://doi.org/10.1186/s13063-016-1199-2

Background
People with depression are usually managed in primary care and antidepressants are often the first-line treatment, but only one third of patients respond fully to a single antidepressant. This paper describes the protocol for a randomised... Read More about Mirtazapine added to selective serotonin reuptake inhibitors for treatment-resistant depression in primary care (MIR trial): study protocol for a randomised controlled trial.

Soliciting additional concerns in the primary care consultation and the utility of a brief communication intervention to aid solicitation: a qualitative study (2016)
Journal Article
Chew-Graham. (2016). Soliciting additional concerns in the primary care consultation and the utility of a brief communication intervention to aid solicitation: a qualitative study. Patient Education and Counseling, 724-732. https://doi.org/10.1016/j.pec.2015.12.005

Objective
To investigate the perspectives of general practitioners (GPs) on the practice of soliciting additional concerns (ACs) and the acceptability and utility of two brief interventions (prompts) designed to aid the solicitation.

Methods
Eig... Read More about Soliciting additional concerns in the primary care consultation and the utility of a brief communication intervention to aid solicitation: a qualitative study.

Improving the care of people with long-term conditions in primary care: (2015)
Journal Article
Healey, E. L., Jinks, C., Tan, V. A., Chew-Graham, C. A., Lawton, S. A., Nicholls, E., Finney, A. G., Porcheret, M., Cooper, V., Lewis, M., Dziedzic, K. S., Wathall, S., & Mallen, C. D. (2015). Improving the care of people with long-term conditions in primary care:. Journal of Comorbidity, 2015(5), 135-149. https://doi.org/10.15256/joc.2015.5.60

Background
Long-term conditions (LTCs) are important determinants of quality of life and healthcare expenditure worldwide. Whilst multimorbidity is increasingly the norm in primary care, clinical guidelines and the delivery of care remain focused on... Read More about Improving the care of people with long-term conditions in primary care:.

‘I’m managing my diabetes between two worlds’: Beliefs and experiences of diabetes management in British South Asians on holiday in the East: a qualitative study (2015)
Journal Article
Patel, N. R., Kennedy, A., Blickem, C., Reeves, D., & Chew-Graham, C. (in press). ‘I’m managing my diabetes between two worlds’: Beliefs and experiences of diabetes management in British South Asians on holiday in the East: a qualitative study. Journal of Diabetes Research, Article 5436174. https://doi.org/10.1155/2016/5436174

Background. Diabetes is disproportionately high among British South Asians compared to the general UK population. Whilst the migrant British South Asians group has received most attention on research related to diabetes management, little considerati... Read More about ‘I’m managing my diabetes between two worlds’: Beliefs and experiences of diabetes management in British South Asians on holiday in the East: a qualitative study.

The triple whammy anxiety depression and osteoarthritis in long-term conditions (2015)
Journal Article
Jinks, Chew-Graham, Mallen, & Healey. (2015). The triple whammy anxiety depression and osteoarthritis in long-term conditions. BMC Family Practice, Article 163. https://doi.org/10.1186/s12875-015-0346-2

Improving the management of people with long-term conditions is a key priority of the UK National Health Service. Whilst the coexistence of two or more long-term conditions in one person is increasingly the norm in primary care, guidelines and delive... Read More about The triple whammy anxiety depression and osteoarthritis in long-term conditions.

Symptom perceptions and help-seeking behaviour prior to lung and colorectal cancer diagnoses: a qualitative study. (2015)
Journal Article
McLachlan, S., Mansell, G., Sanders, T., Yardley, S., van der Windt, D., Brindle, L., Chew-Graham, C., & Little, P. (2015). Symptom perceptions and help-seeking behaviour prior to lung and colorectal cancer diagnoses: a qualitative study. Family Practice, 568 - 577. https://doi.org/10.1093/fampra/cmv048

BACKGROUND: Lung and colorectal cancer are common and have high UK mortality rates. Early diagnosis is important in reducing cancer mortality, but the literature on lung and colorectal cancers suggests many people wait for a considerable time before... Read More about Symptom perceptions and help-seeking behaviour prior to lung and colorectal cancer diagnoses: a qualitative study..

Communicating Cardiovascular Disease Risk to People with Psoriasis: What Techniques do Practitioners Use? (2015)
Journal Article
Keyworth, C., Nelson, P. A., Chew-Graham, C. A., Kane, K., Pearce, C. J., Griffiths, C. E. M., Chisholm, A., & Cordingley, L. (2016). Communicating Cardiovascular Disease Risk to People with Psoriasis: What Techniques do Practitioners Use?. International Journal of Behavioral Medicine, 23(2), 168-178. https://doi.org/10.1007/s12529-015-9517-8

Background
Psoriasis can be associated with unhealthy lifestyle behaviours such as smoking, excess alcohol use and insufficient physical activity, consequently increasing cardiovascular disease (CVD) risk. Health care practitioners are expected to d... Read More about Communicating Cardiovascular Disease Risk to People with Psoriasis: What Techniques do Practitioners Use?.

Common and unique associated factors for medically unexplained chronic widespread pain and chronic fatigue. (2015)
Journal Article
McBeth, J., Tomenson, B., Chew-Graham, C., Macfarlane, G., Jackson, J., Littlewood, A., & Creed, F. (2015). Common and unique associated factors for medically unexplained chronic widespread pain and chronic fatigue. Journal of Psychosomatic Research, 484 - 491. https://doi.org/10.1016/j.jpsychores.2015.10.004

OBJECTIVE: Chronic widespread pain and chronic fatigue share common associated factors but these associations may be explained by the presence of concurrent depression and anxiety. METHODS: We mailed questionnaires to a randomly selected sample of pe... Read More about Common and unique associated factors for medically unexplained chronic widespread pain and chronic fatigue..

Revealing hidden depression in older people: a qualitative study within a randomised controlled trial (2015)
Journal Article
Chew-Graham. (2015). Revealing hidden depression in older people: a qualitative study within a randomised controlled trial. BMC Family Practice, https://doi.org/10.1186/s12875-015-0362-2

Background
The prevalence of depressive symptoms in older people may be as high as 20 %. Depression in older people is associated with loss, loneliness and physical co-morbidities; it is known to be under-diagnosed and under-treated. Older people ma... Read More about Revealing hidden depression in older people: a qualitative study within a randomised controlled trial.

'I should have taken that further' - missed opportunities during cardiovascular risk assessment in patients with psoriasis in UK primary care settings: a mixed-methods study. (2015)
Journal Article
Chew-Graham. (2015). 'I should have taken that further' - missed opportunities during cardiovascular risk assessment in patients with psoriasis in UK primary care settings: a mixed-methods study. Health Expectations, 1121-1137. https://doi.org/10.1111/hex.12404

BACKGROUND: Unhealthy lifestyle is common in psoriasis, contributing to worsening disease and increased cardiovascular disease (CVD) risk. CVD risk communication should improve patients' understanding of risk and risk-reducing behaviours; however, th... Read More about 'I should have taken that further' - missed opportunities during cardiovascular risk assessment in patients with psoriasis in UK primary care settings: a mixed-methods study..

Access to healthcare for long-term conditions in women involved in street-based prostitution: a qualitative study (2015)
Journal Article
Chew-Graham. (2015). Access to healthcare for long-term conditions in women involved in street-based prostitution: a qualitative study. BMC Family Practice, https://doi.org/10.1186/s12875-015-0331-9

Background
Women involved in street-based prostitution (SBP) have well-documented health problems specific to their occupation, but access to care for other chronic health problems has not been explored. Primary care is seen as the optimal context t... Read More about Access to healthcare for long-term conditions in women involved in street-based prostitution: a qualitative study.

Modelling self-management pathways for people with diabetes in primary care (2015)
Journal Article
Penn, M. L., Kennedy, A. P., Vassilev, I. I., Chew-Graham, C. A., Protheroe, J., Rogers, A., & Monks, T. (2015). Modelling self-management pathways for people with diabetes in primary care. BMC Family Practice, 112 - ?. https://doi.org/10.1186/s12875-015-0325-7

BACKGROUND: Self-management support to facilitate people with type 2 diabetes to effectively manage their condition is complex to implement. Organisational and system elements operating in relation to providing optimal self-management support in prim... Read More about Modelling self-management pathways for people with diabetes in primary care.

The ‘ENHANCE’ long-term condition review: Identifying co-morbid joint pain, depression and anxiety in patients with long-term conditions (2015)
Presentation / Conference Contribution
Tan, V., Jinks, C., Porcheret, M., Chew-Graham, C. A., Cooper, V., Healey, E. L., Morden, A., Lawton, S. A., Dziedzic, K. S., Mallen, C., & Finney, A. G. (2015, July). The ‘ENHANCE’ long-term condition review: Identifying co-morbid joint pain, depression and anxiety in patients with long-term conditions. Presented at Health Service Research Network conference (HSRN) Conference (Nottingham), Nottingham Conference Centre, Burton Street, Nottingham, UK