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All Outputs (49)

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..

E055 Exploring patient and clinician understanding of bone density (DXA) scan results: qualitative findings from the INDEX study (2025)
Presentation / Conference Contribution
Kettle, C., Manning, F., Henderson, B., Griffin, J., Knapp, K., Butterworth, J., Jinks, C., Bullock, L., & Paskins, Z. (2025, April). E055 Exploring patient and clinician understanding of bone density (DXA) scan results: qualitative findings from the INDEX study. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Dual-energy X-ray absorptiometry (DXA) scans are routinely performed to assess bone mineral density (BMD), diagnose osteoporosis, refine fracture risk assessment and inform osteoporosis medicine decisions. The INDEX (understandINg bon... Read More about E055 Exploring patient and clinician understanding of bone density (DXA) scan results: qualitative findings from the INDEX study.

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.

P069 The acceptability of ePROMs in the routine care of patients with inflammatory arthritis and its variation across patient groups: a mixed-methods study (2025)
Presentation / Conference Contribution
Cox, N., Kettle, C., Wang, H., Dutta, S., Packham, J., Galloway, J., Hill, J., Muller, S., Hider, S., Paskins, Z., Bullock, L., & Scott, I. (2025, April). P069 The acceptability of ePROMs in the routine care of patients with inflammatory arthritis and its variation across patient groups: a mixed-methods study. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims Electronic patient-reported outcome measures (ePROMs) can facilitate innovative, holistic care for people with inflammatory arthritis (IA). The crucial first step in their implementation is understanding their feasibility and acceptab... Read More about P069 The acceptability of ePROMs in the routine care of patients with inflammatory arthritis and its variation across patient groups: a mixed-methods study.

P084 Implementing an osteoporosis shared decision-making intervention in Fracture Liaison Services: interview findings from the iFraP process evaluation (2025)
Presentation / Conference Contribution
Bullock, L., Cherrington, A., Clark, E. M., Fleming, J., Bentley, I., Nicholls, E., Webb, D., Smith, J., Lewis, S., Horne, R., O’Neill, T. W., Mallen, C. D., Jinks, C., & Paskins, Z. (2025, April). P084 Implementing an osteoporosis shared decision-making intervention in Fracture Liaison Services: interview findings from the iFraP process evaluation. Poster presented at British Society for Rheumatology Annual Conference 2025, Manchester Central Convention Complex, Manchester, England, UK

Background/Aims High quality shared decision-making (SDM) conversations involve people with or at risk of osteoporosis and clinicians working together to reach decisions about care. The improving uptake of Fracture Prevention drug treatments (iFraP)... Read More about P084 Implementing an osteoporosis shared decision-making intervention in Fracture Liaison Services: interview findings from the iFraP process evaluation.

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.

Physiotherapists' Experiences and Perceived Acceptability of Delivering a Knee Bracing Intervention for People With Symptomatic Knee Osteoarthritis in a Randomised Trial (PROP OA): A Qualitative Study (2024)
Journal Article
Bullock, L., Holden, M. A., Jinks, C., Atiah Asamane, E., Herron, D., Borrelli, B., Callaghan, M. J., Birrell, F., Halliday, N., Marshall, M., Sowden, G., Ingram, C., McBeth, J., Dziedzic, K., Foster, N. E., Jowett, S., Lawton, S., Mallen, C. D., & Peat, G. (2024). Physiotherapists' Experiences and Perceived Acceptability of Delivering a Knee Bracing Intervention for People With Symptomatic Knee Osteoarthritis in a Randomised Trial (PROP OA): A Qualitative Study. Musculoskeletal Care, 22(4), Article e70021. https://doi.org/10.1002/msc.70021

Objectives: To explore physiotherapists' experiences and perceived acceptability of delivering a bracing intervention for knee osteoarthritis (OA) in the ‘PROvision of braces for Patients with knee OA’ (PROP OA) randomised controlled trial. Method: S... Read More about Physiotherapists' Experiences and Perceived Acceptability of Delivering a Knee Bracing Intervention for People With Symptomatic Knee Osteoarthritis in a Randomised Trial (PROP OA): A Qualitative Study.

Protocol for a mixed methods process evaluation for a randomised controlled trial to improve shared decision-making about, and uptake of, osteoporosis medicines: the iFraP study (2024)
Other
Bullock, L., Cherrington, A., Clark, E. M., Fleming, J., Bentley, I., Nicholls, E., Webb, D., Smith, J., Bathers, S., Lewis, S., Horne, R., O'Neill, T. W., Mallen, C. D., Jinks, C., & Paskins, Z. (2024). Protocol for a mixed methods process evaluation for a randomised controlled trial to improve shared decision-making about, and uptake of, osteoporosis medicines: the iFraP study

Background
High quality shared decision-making (SDM) conversations involve people with or at risk of osteoporosis and clinicians working together to decide, where appropriate, which evidence-based medicines best fit the person’s life, beliefs, and v... Read More about Protocol for a mixed methods process evaluation for a randomised controlled trial to improve shared decision-making about, and uptake of, osteoporosis medicines: the iFraP study.

A person-centred primary care pharmacist-led osteoporosis review for optimising medicines (PHORM): a protocol for the development and co-design of a model consultation intervention (2024)
Journal Article
Sturrock, A., Grabrovaz, M., Bullock, L., Clark, E., Finch, T., Haining, S., Helliwell, T., Horne, R., Hyde, R., Maidment, I., Pryor, C., Statham, L., & Paskins, Z. (2024). A person-centred primary care pharmacist-led osteoporosis review for optimising medicines (PHORM): a protocol for the development and co-design of a model consultation intervention. BMJ Open, 14(11), https://doi.org/10.1136/bmjopen-2024-085323

Introduction: Adherence to medicines in osteoporosis is poor, with estimated 1 year persistence rates between 16% and 60%. Poor adherence is complex, relating to combinations of fear of side effects, beliefs about medication being unnecessary, doubts... Read More about A person-centred primary care pharmacist-led osteoporosis review for optimising medicines (PHORM): a protocol for the development and co-design of a model consultation intervention.

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.

E041 Feasibility and acceptability of electronic patient reported outcome measures in the routine care of people with inflammatory arthritis: Haywood Arthritis Portal study (2024)
Presentation / Conference Contribution
Cox, N., Kettle, C., Wang, H., Dutta, S., Packham, J., Galloway, J., Hill, J., Muller, S., Hider, S., Paskins, Z., Bullock, L., & Scott, I. C. (2024, April). E041 Feasibility and acceptability of electronic patient reported outcome measures in the routine care of people with inflammatory arthritis: Haywood Arthritis Portal study. Poster presented at British Society for Rheumatology Annual Conference 2024

Background/Aims Electronic patient-reported outcome measures (ePROMs) assessing disease activity, function, pain, and quality of life can facilitate innovative inflammatory arthritis (IA) care, such as automating patient-initiated follow-up. This mix... Read More about E041 Feasibility and acceptability of electronic patient reported outcome measures in the routine care of people with inflammatory arthritis: Haywood Arthritis Portal 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.

775 BRACING ACCEPTABILITY AND ADHERENCE FOR KNEE OSTEOARTHRITIS: FINDINGS FROM A QUALITATIVE STUDY IN THE PROP-OA MULTICENTRE TRIAL (2024)
Presentation / Conference Contribution
Jinks, C., Holden, M., Asaname, E., Bullock, L., Herron, D., Halliday, N., Armitt, G., Bathers, S., Birrell, F., Borrelli, B., Browell, R., Callaghan, M. J., Dobb, K., Dziedzic, K. S., Felson, D., Foster, N., Hartshorne, E., Huckfield, L., Humphries, K., Ingram, C., …Peat, G. (2024, April). 775 BRACING ACCEPTABILITY AND ADHERENCE FOR KNEE OSTEOARTHRITIS: FINDINGS FROM A QUALITATIVE STUDY IN THE PROP-OA MULTICENTRE TRIAL. Poster presented at 2024 OARSI World Congress on Osteoarthritis, Vienna, Austria

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.

Reviews for multimorbidity risk in people with inflammatory conditions: a qualitative study. (2024)
Journal Article
Gray, L., Bullock, L., Chew-Graham, C. A., Jinks, C., Paskins, Z., & Hider, S. (in press). Reviews for multimorbidity risk in people with inflammatory conditions: a qualitative study. British Journal of General Practice Open (BJGP Open), BJGPO.2024.0011. https://doi.org/10.3399/BJGPO.2024.0011

People with inflammatory rheumatological conditions (IRCs) are at high risk of developing other conditions including cardiovascular disease and mood disorders. To explore perspectives of people with IRCs and healthcare practitioners (HCPs) on the con... Read More about Reviews for multimorbidity risk in people with inflammatory conditions: a qualitative study..

Protocol for a trial-based economic evaluation analysis of a complex digital health intervention including a computerised decision support tool: the iFraP intervention (2024)
Journal Article
Siciliano, M., Bathers, S., Bentley, I., Bullock, L., Cherrington, A., Clark, E., Fleming, J., Jinks, C., Lewis, S., Mallen, C., Nicholls, E., O'Neill, T., Smith, J., Webb, D., Paskins, Z., & Iglesias-Urrutia, C. (in press). Protocol for a trial-based economic evaluation analysis of a complex digital health intervention including a computerised decision support tool: the iFraP intervention. NIHR Open Research, 4(15), https://doi.org/10.3310/nihropenres.13575.1

Background
Digital health interventions (DHI) are associated with significant promise. In recent years, the need to assess the value of these healthcare technologies has motivated a debate regarding the suitability of existing economic evaluation me... Read More about Protocol for a trial-based economic evaluation analysis of a complex digital health intervention including a computerised decision support tool: the iFraP intervention.

2005 How do emergency ambulance clinicians decide what to do for older adults who have fallen? An analysis of qualitative survey data (2024)
Presentation / Conference Contribution
Gunson, I., Bullock, L., Kingstone, T., & Bucknall, M. 2005 How do emergency ambulance clinicians decide what to do for older adults who have fallen? An analysis of qualitative survey data

Introduction Around 10% of calls received by English ambulance services are for older adults who have fallen1; with an ageing population there are significant care provision needs. Decision-making on the treatment for people who fall, can impact thei... Read More about 2005 How do emergency ambulance clinicians decide what to do for older adults who have fallen? An analysis of qualitative survey data.