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Author = Smith, Susan M.;
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Displaying Results 1 - 17 of 17 on page 1 of 1
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Behavioural/cognitive-behavioural group-based parenting interventions for children age 3-12 with early onset conduct problems
(2010)
Furlong, Mairéad; McGilloway, Sinéad; Bywater, Tracey; Hutchings, Judy; Donnelly, Micha...
Behavioural/cognitive-behavioural group-based parenting interventions for children age 3-12 with early onset conduct problems
(2010)
Furlong, Mairéad; McGilloway, Sinéad; Bywater, Tracey; Hutchings, Judy; Donnelly, Michael; Smith, Susan M.; O'Neill, Ciaran
Abstract:
This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness of behavioural/cognitive-behavioural group-based parenting interventions for children with early onset conduct problems in improving a) child behaviour outcomes and b) parenting skills and parental mental health. To critically appraise and summarise current evidence on the incremental resource use, costs and cost-effectiveness of behavioural/cognitive-behavioural group-based parenting interventions when compared to treatment as usual.
http://mural.maynoothuniversity.ie/6207/
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Changing illness perceptions in patients with poorly controlled type 2 diabetes, a randomised controlled trial of a family-based intervention: protocol and pilot study
(2007)
McKeogh, Karen; White, Patricia; Smith, Susan M.; McGilloway, Sinéad; O'Dowd, Tom;...
Changing illness perceptions in patients with poorly controlled type 2 diabetes, a randomised controlled trial of a family-based intervention: protocol and pilot study
(2007)
McKeogh, Karen; White, Patricia; Smith, Susan M.; McGilloway, Sinéad; O'Dowd, Tom; Gibney, James
Abstract:
Background: This paper presents the pilot study and protocol for a randomised controlled trial to test the effectiveness of a psychological, family-based intervention to improve outcomes in those with poorly controlled type 2 diabetes. The intervention has been designed to change the illness perceptions of patients with poorly controlled type 2 diabetes, and their family members. It is a complex psychological intervention, developed from the Self-Regulatory Model of Illness Behaviour. The important influence the family context can have in psychological interventions and diabetes management is also recognised, by the inclusion of patients' family members. Methods/design: We aim to recruit 122 patients with persistently poorly controlled diabetes. Patients are deemed to have persistent poor control when at least two out of their last three HbA1c readings are 8.0% or over. Patients nominate a family member to participate with them, and this patient/family member dyad is randomly...
http://mural.maynoothuniversity.ie/9292/
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Cross-sectional analysis of the prevalence and predictors of statin utilisation in Ireland with a focus on primary prevention of cardiovascular disease
(2018)
Byrne, Paul; Cullinan, John; Murphy, Catriona; Smith, Susan M.
Cross-sectional analysis of the prevalence and predictors of statin utilisation in Ireland with a focus on primary prevention of cardiovascular disease
(2018)
Byrne, Paul; Cullinan, John; Murphy, Catriona; Smith, Susan M.
Abstract:
Objective To describe the prevalence of statin utilisation by people aged over 50 years in Ireland and the factors associated with the likelihood of using a statin, focusing particularly on those using statins for primary prevention of cardiovascular disease (CVD). Methods This is a cross-sectional analysis of cardiovascular risk and sociodemographic factors associated with statin utilisation from wave 1 of The Irish Longitudinal Study on Ageing. A hierarchy of indications for statin utilisation, consisting of eight mutually exclusive levels of CVD-related diagnoses, was created. Participants were assigned one level of indication. The prevalence of statin utilisation was calculated. The likelihood that an individual was using a statin was estimated using a multivariable logistic regression model, controlling for cardiovascular risk and sociodemographic factors. Results In this nationally representative sample (n=5618) of community-dwelling participants aged 50 years and over, 1715 (...
http://doras.dcu.ie/22243/
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Development of a complex intervention to promote appropriate prescribing and medication intensification in poorly controlled type 2 diabetes mellitus in irish general practice
(2018)
Murphy, Mark E.; Byrne, Molly; Zarabzadeh, Atieh; Corrigan, Derek; Fahey, Tom; Smith, S...
Development of a complex intervention to promote appropriate prescribing and medication intensification in poorly controlled type 2 diabetes mellitus in irish general practice
(2018)
Murphy, Mark E.; Byrne, Molly; Zarabzadeh, Atieh; Corrigan, Derek; Fahey, Tom; Smith, Susan M.
Abstract:
Background: Poorly controlled type 2 diabetes mellitus (T2DM) can be seen as failure to meet recommended targets for management of key risk factors including glycaemic control, blood pressure and lipids. Poor control of risk factors is associated with significant morbidity, mortality and healthcare costs. Failure to intensify medications for patients with poor control of T2DM when indicated is called clinical inertia and is one contributory factor to poor control of T2DM. We aimed to develop a theory and evidence-based complex intervention to improve appropriate prescribing and medication intensification in poorly controlled T2DM in Irish general practice. Methods: The first stage of the Medical Research Council Framework for developing and evaluating complex interventions was utilised. To identify current evidence, we performed a systematic review to examine the effectiveness of interventions targeting patients with poorly controlled T2DM in community settings. The Behaviour Change...
http://hdl.handle.net/10379/13043
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Family‐based interventions for adults with type 2 diabetes mellitus
(2018)
Matrook, Khadija A.; Cowman, Seamus; Dovey, Susan M.; Smith, Susan M.; McGilloway, Siné...
Family‐based interventions for adults with type 2 diabetes mellitus
(2018)
Matrook, Khadija A.; Cowman, Seamus; Dovey, Susan M.; Smith, Susan M.; McGilloway, Sinéad; Whitford, David L.
Abstract:
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effects of family based interventions to improve outcomes in people with type 2 diabetes mellitus and to consider where possible which components of the interventions are more effective.
http://mural.maynoothuniversity.ie/13208/
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Impact analysis studies of clinical prediction rules relevant to primary care: a systematic review
(2016)
Wallace, Emma; Uijen, Maike J M; Clyne, Barbara; Zarabzadeh, Atieh; Keogh, Claire; Galv...
Impact analysis studies of clinical prediction rules relevant to primary care: a systematic review
(2016)
Wallace, Emma; Uijen, Maike J M; Clyne, Barbara; Zarabzadeh, Atieh; Keogh, Claire; Galvin, Rose; Smith, Susan M.; Fahey, Tom
Abstract:
OBJECTIVES: Following appropriate validation, clinical prediction rules (CPRs) should undergo impact analysis to evaluate their effect on patient care. The aim of this systematic review is to narratively review and critically appraise CPR impact analysis studies relevant to primary care. SETTING: Primary care. PARTICIPANTS: Adults and children. INTERVENTION: Studies that implemented the CPR compared to usual care were included. STUDY DESIGN: Randomised controlled trial (RCT), controlled before-after, and interrupted time series. PRIMARY OUTCOME: Physician behaviour and/or patient outcomes. RESULTS: A total of 18 studies, incorporating 14 unique CPRs, were included. The main study design was RCT (n=13). Overall, 10 studies reported an improvement in primary outcome with CPR implementation. Of 6 musculoskeletal studies, 5 were effective in altering targeted physician behaviour in ordering imaging for patients presenting with ankle, knee and neck musculoskeletal injuries. Of 6 cardiova...
http://hdl.handle.net/10344/4998
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Improving risk factor management for patients with poorly controlled type 2 diabetes: a systematic review of healthcare interventions in primary care and community settings
(2017)
Murphy, Mark E; Byrne, Molly; Galvin, Rose; Boland, Fiona; Fahey, Tom; Smith, Susan M.
Improving risk factor management for patients with poorly controlled type 2 diabetes: a systematic review of healthcare interventions in primary care and community settings
(2017)
Murphy, Mark E; Byrne, Molly; Galvin, Rose; Boland, Fiona; Fahey, Tom; Smith, Susan M.
Abstract:
Objectives Poorly controlled type 2 diabetes mellitus (T2DM) is a major international health problem. Our aim was to assess the effectiveness of healthcare interventions, specifically targeting patients with poorly controlled T2DM, which seek to improve glycaemic control and cardiovascular risk in primary care settings. Design Systematic review. Setting Primary care and community settings. Included studies Randomised controlled trials (RCTs) targeting patients with poor glycaemic control were identified from Pubmed, Embase, Web of Science, Cochrane Library and SCOPUS. Poor glycaemic control was defined as HbA1c over 59 mmol/mol (7.5%). Interventions Interventions were classified as organisational, patient-oriented, professional, financial or regulatory. Outcomes Primary outcomes were HbA1c, blood pressure and lipid control. Two reviewers independently assessed studies for eligibility, extracted data and assessed study quality. Meta-analyses were undertaken where appropriate using ra...
http://hdl.handle.net/10344/5953
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Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials
(2016)
Clyne, Barbara; Fitzgerald, Ciaran; Quinlan, Aisling; Hardy, Colin; Galvin, Rose; Fahey...
Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials
(2016)
Clyne, Barbara; Fitzgerald, Ciaran; Quinlan, Aisling; Hardy, Colin; Galvin, Rose; Fahey, Tom; Smith, Susan M.
Abstract:
OBJECTIVES: To perform a systematic review to determine the effectiveness of interventions designed to reduce potentially inappropriate prescribing (PIP) in community-dwelling older adults.DESIGN: Systematic review and narrative synthesis.SETTING: Primary and community care.PARTICIPANTS: Community-dwelling older adults.MEASUREMENTS: The primary outcome was change in PIP measured using implicit or explicit tools. Studies were grouped into organizational, professional, financial, regulatory, and multifaceted interventions.RESULTS: Twelve randomized controlled trials were identified with baseline PIP prevalence of 18% to 100%. Four of six organizational interventions reported a reduction in PIP, particularly through pharmacists conducting medication reviews. Evidence of the effectiveness of multi-disciplinary teams was weak. Both of the two professional (targeting prescriber's directly) interventions were computerized clinical decision support interventions and were effective in d...
http://hdl.handle.net/10344/6094
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Prevalence of prescribing in pregnancy using the Irish primary care research network: a pilot study
(2015)
Dillon, Paul; O'Brien, Kirsty K.; McDonnell, Ronan; Donnelly-Swift, Erica; Galvin,...
Prevalence of prescribing in pregnancy using the Irish primary care research network: a pilot study
(2015)
Dillon, Paul; O'Brien, Kirsty K.; McDonnell, Ronan; Donnelly-Swift, Erica; Galvin, Rose; Roche, Adam; Cronin, Kate; Walsh, David R; Schelten, Rowan; Smith, Susan M.; Fahey, Tom
Abstract:
Background: To establish the prevalence and patterns of prescribing to pregnant women in an Irish primary care setting. Methods: We reviewed electronic healthcare records routinely collected in primary care, of pregnant women attending nine Dublin-based General Practices affiliated to the Irish Primary Care Research Network (IPCRN) for antenatal care between January 2007 and October 2013 (n = 2,361 pregnancies). Results: Excluding folic acid, 46.8% (n = 1,104) of pregnant women were prescribed at least one medication. Amoxicillin (11.1%, n = 263) and co-amoxiclav (8.0%, n = 190) were the most commonly prescribed medication followed by topical clotrimazole (4.9%, n = 117), salbutamol inhalers (4.1%, n = 96) and paracetamol (4.0%, n = 95). General Medical Services (GMS) patients were more likely to receive a prescription than private patients (OR 2.81; 95%CI (2.28, 3.47)). We applied the US FDA pregnancy-risk categories as a proxy measure of prescribing appropriateness, with FDA Categ...
http://hdl.handle.net/10344/4755
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Psychological Family Intervention for Poorly Controlled Type 2 Diabetes
(2011)
Keogh, Karen M.; Smith, Susan M.; White, Patricia; McGilloway, Sinéad; Kelly, Alan; Gib...
Psychological Family Intervention for Poorly Controlled Type 2 Diabetes
(2011)
Keogh, Karen M.; Smith, Susan M.; White, Patricia; McGilloway, Sinéad; Kelly, Alan; Gibney, James; O'Dowd, Tom
Abstract:
OBJECTIVE: To evaluate the effectiveness of a psychological, family-based intervention to improve diabetes-related outcomes in patients with poorly controlled type 2 diabetes. METHODS: This study was a randomized controlled trial of a psychological family-based intervention targeted at individuals with poorly controlled type 2 diabetes. Recruitment and follow-up occurred at specialist diabetes clinics. Patients were randomly allocated to an intervention group (n=60) or a control group (n=61). Poor control was defined as at least 2 of the patient's last 3 glycated hemoglobin (A1C) readings at >8.0%. The intervention consisted of 2 sessions delivered by a health psychologist to the patient and a family member in the patient's home, with a third session involving a 15-minute follow-up telephone call. RESULTS: At 6-month follow-up, the intervention group reported significantly lower mean A1C levels than the control group (8.4% [SD=0.99%] vs 8.8% [SD=1.36%]; P=.04). The i...
http://mural.maynoothuniversity.ie/9283/
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Reducing potentially inappropriate prescribing for older people in primary care: cost-effectiveness of the opti-script intervention
(2018)
Gillespie, Paddy; Clyne, Barbara; Raymakers, Adam; Fahey, Tom; Hughes, Carmel M.; Smith...
Reducing potentially inappropriate prescribing for older people in primary care: cost-effectiveness of the opti-script intervention
(2018)
Gillespie, Paddy; Clyne, Barbara; Raymakers, Adam; Fahey, Tom; Hughes, Carmel M.; Smith, Susan M.
Abstract:
Objectives: This study examines the cost-effectiveness of the OPTI-SCRIPT intervention on potentially inappropriate prescribing in primary care. Methods: Economic evaluation, using incremental cost-effectiveness and cost utility analyses, conducted alongside a cluster randomized controlled trial of twenty-one general practices and 196 patients, to compare a multifaceted intervention with usual practice in primary care in Ireland. Potentially inappropriate prescriptions (PIPs) were determined by a pharmacist. Incremental costs, PIPs, and quality-adjusted life-years (QALYs) at 12-month follow-up were estimated using multilevel regression. Uncertainty was explored using cost-effectiveness acceptability curves. Results: The intervention was associated with a nonsignificant mean cost increase of Euro407 (95 percent CIs, -357-1170), a significant mean reduction in PIPs of 0.379 (95 percent CI, 0.092-0.666), and a nonsignificant mean increase in QALYs of 0.013 (95 percent CIs, -0.016-0.042...
http://hdl.handle.net/10379/11644
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Self–monitoring and other non–pharmacological interventions to improve the management of hypertension in primary care: a systematic review
(2010)
Glynn, Liam G.; Murphy, Andrew W.; Smith, Susan M.; Schroeder, Kunt; Fahey, Tom
Self–monitoring and other non–pharmacological interventions to improve the management of hypertension in primary care: a systematic review
(2010)
Glynn, Liam G.; Murphy, Andrew W.; Smith, Susan M.; Schroeder, Kunt; Fahey, Tom
Abstract:
Background Patients with high blood pressure (hypertension) in the community frequently fail to meet treatment goals: a condition labelled as ‘uncontrolled’ hypertension. The optimal way to organise and deliver care to hypertensive patients has not been clearly identified. Aim To determine the effectiveness of interventions to improve control of blood pressure in patients with hypertension. Design of study Systematic review of randomised controlled trials. Setting Primary and ambulatory care. Method Interventions were categorised as following: selfmonitoring; educational interventions directed to the patient; educational interventions directed to the health professional; health professional- (nurse or pharmacist) led care; organisational interventions that aimed to improve the delivery of care; and appointment reminder systems. Outcomes assessed were mean systolic and diastolic blood pressure, control of blood pressure and proportion of patients followed up at clinic. Results Sevent...
http://hdl.handle.net/10344/9181
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Supporting prescribing in older people with multimorbidity and significant polypharmacy in primary care (sppire): a cluster randomised controlled trial protocol and pilot
(2018)
McCarthy, Caroline; Clyne, Barbara; Corrigan, Derek; Boland, Fiona; Wallace, Emma; Mori...
Supporting prescribing in older people with multimorbidity and significant polypharmacy in primary care (sppire): a cluster randomised controlled trial protocol and pilot
(2018)
McCarthy, Caroline; Clyne, Barbara; Corrigan, Derek; Boland, Fiona; Wallace, Emma; Moriarty, Frank; Fahey, Tom; Hughes, Carmel; Gillespie, Paddy; Smith, Susan M.
Abstract:
Background: Multimorbidity, defined as the presence of at least two chronic conditions, becomes increasingly common in older people and is associated with poorer health outcomes and significant polypharmacy. The National Institute for Clinical Excellence (NICE) recently published a multimorbidity guideline that advises providing an individualised medication review for all people prescribed 15 or more repeat medicines. This study incorporates this guideline and aims to assess the effectiveness of a complex intervention designed to support general practitioners (GPs) to reduce potentially inappropriate prescribing and consider deprescribing in older people with multimorbidity and significant polypharmacy in Irish primary care. Methods: This study is a cluster randomised controlled trial, involving 30 general practices and 450 patients throughout Ireland. Practices will be eligible to participate if they have at least 300 patients aged 65 years and over on their patient panel and if th...
http://hdl.handle.net/10379/12718
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Translating policy into practice: a case study in the secondary prevention of coronary heart disease
(2018)
Prior, Lindsay; Wilson, Joanne; Donnelly, Michael; Murphy, Andrew W.; Smith, Susan M.; ...
Translating policy into practice: a case study in the secondary prevention of coronary heart disease
(2018)
Prior, Lindsay; Wilson, Joanne; Donnelly, Michael; Murphy, Andrew W.; Smith, Susan M.; Byrne, Mary; Byrne, Molly; Cupples, Margaret E.
Abstract:
Background This paper focuses on the relationships between health policy' as it is embodied in official documentation, and health practice' as reported and reflected on in the talk of policy-makers, health professionals and patients. The specific context for the study involves a comparison of policies relating to the secondary prevention of coronary heart disease (CHD) in the two jurisdictions of Ireland - involving as they do a predominantly state funded (National Health Service) system in the north and a mixed health-care economy in the south. The key question is to determine how the detail of health policy as contained in policy documents connects to and gets translated into practice and action. Methods The data sources for the study include relevant health-care policy documents (N=5) and progress reports (N=6) in the two Irish jurisdictions, and semi-structured interviews with a range of policy-makers (N=28), practice nurses (14), general practitioners (12) and patient...
http://hdl.handle.net/10379/13524
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What is the impact of physical activity and physical function on the development of multimorbidity in older adults over time? A population based cohort study.
(2018)
Ryan, Aine; Murphy, Catriona; Boland, Fiona; Galvin, Rose; Smith, Susan M.
What is the impact of physical activity and physical function on the development of multimorbidity in older adults over time? A population based cohort study.
(2018)
Ryan, Aine; Murphy, Catriona; Boland, Fiona; Galvin, Rose; Smith, Susan M.
Abstract:
Background. Multimorbidity is recognised internationally as having a serious impact on health outcomes. It is associated with reduced quality of life, increased healthcare utilisation and future functional decline. Physical activity is associated with good health and psychological well-being. The aim of this study was to identify the impact of physical activity and physical function on the development and worsening of multimorbidity over time. Methods. Using The Irish Longitudinal Study on Ageing (TILDA), we analysed 4,823 participants >50 years with and without multimorbidity. Multimorbidity was defined as the presence of ≥2 chronic conditions. Development of multimorbidity was measured as the accrual of additional conditions over a two year period. Physical activity and physical function were measured using the International Physical Activity Questionnaire (IPAQ), gait speed (m/sec) and grip strength (kg). Results. Sixteen groups of chronic conditions were included in analyses....
http://doras.dcu.ie/22212/
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What Is the impact of physical activity and physical function on the development of multimorbidity in older adults over time? A population-based cohort study
(2018)
Ryan, Aine; Murphy, Catriona; Boland, Fiona; Galvin, Rose; Smith, Susan M.
What Is the impact of physical activity and physical function on the development of multimorbidity in older adults over time? A population-based cohort study
(2018)
Ryan, Aine; Murphy, Catriona; Boland, Fiona; Galvin, Rose; Smith, Susan M.
Abstract:
Background: Multimorbidity is recognized internationally as having a serious impact on health outcomes. It is associated with reduced quality of life, increased health care utilization, and future functional decline. Physical activity is associated with good health and psychological well-being. The aim of this study was to identify the impact of physical activity and physical function on the development and worsening of multimorbidity over time. Methods: Using The Irish Longitudinal Study on Ageing (TILDA), we analyzed 4,823 participants ≥50 years with and without multimorbidity. Multimorbidity was defined as the presence of ≥2 chronic conditions. Development of multimorbidity was measured as the accrual of additional conditions over a 2-year period. Physical activity and physical function were measured using the International Physical Activity Questionnaire (IPAQ), gait speed (m/sec), and grip strength (kg). Results: Sixteen groups of chronic conditions were included in analyses. 5...
http://hdl.handle.net/10344/6640
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Who use statins and why? A cross-sectional analysis of statin utilisation in the context of cardiovascular risk and socio-demographic factors
(2017)
Byrne, Paula; Cullinan, John; Murphy, Catriona; Smith, Susan M.
Who use statins and why? A cross-sectional analysis of statin utilisation in the context of cardiovascular risk and socio-demographic factors
(2017)
Byrne, Paula; Cullinan, John; Murphy, Catriona; Smith, Susan M.
Abstract:
Background: There have been significant increases in the utilisation of statins for the primary and secondary prevention of cardiovascular disease (CVD) over the last decades. Our aim was to describe the prevalence of statin utilisation by people aged over 50 and the factors associated with the likelihood of using a statin. Methods: Cross-sectional analysis of cardiovascular risk and socio-demographic factors associated with statin utlisation from The Irish Longitudinal Study on Ageing (n=5,618). The prevalence of statin utlisation was calculated according to age, gender and diagnoses. The likelihood of statin utlisation was estimated using multivariate logistic regression models. Results: 30% of the sample was taking statins. Statin utlisation increased with age. 57% of men and 73% of women taking statins did not have established CVD. Polypharmacy was significantly associated with statin utlisation (OR 3.53; CI 2.84-4.39), as were living with a spouse or partner and frequency of GP...
http://doras.dcu.ie/21758/
Displaying Results 1 - 17 of 17 on page 1 of 1
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Dublin City University (3)
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University of Limerick (6)
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