Anne Förster
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View article: Interventions to reduce sedentary behaviour in community-dwelling older adults: a mixed-method review
Interventions to reduce sedentary behaviour in community-dwelling older adults: a mixed-method review Open
Background Older adults are the fastest-growing and most sedentary group in society. As sedentary behaviour is associated with deleterious health outcomes, reducing sedentary time may improve overall well-being. This mixed-methods systemat…
View article: Maximising pain services for frail older adults, the views of healthcare professionals and commissioners: findings from the pain in older people with frailty (POPPY) study
Maximising pain services for frail older adults, the views of healthcare professionals and commissioners: findings from the pain in older people with frailty (POPPY) study Open
Background Chronic pain is common among older adults with frailty and its management often remains suboptimal, despite evidence for the benefits of biopsychosocial treatment approaches being found for other populations. The Pain in Older P…
View article: Qualitative investigation of the experiences of older people living with persistent pain and frailty and their decision to seek support: findings from the POPPY-Q study
Qualitative investigation of the experiences of older people living with persistent pain and frailty and their decision to seek support: findings from the POPPY-Q study Open
Objectives Persistent pain is common among older people living with frailty and can impact on their daily living, mobility, social interactions and sleep. However, healthcare support to mitigate impact is lacking in this population. The Pa…
View article: Maximising pain services for frail older adults, the views of healthcare professionals and commissioners: findings from the Pain in Older People with Frailty (POPPY) study
Maximising pain services for frail older adults, the views of healthcare professionals and commissioners: findings from the Pain in Older People with Frailty (POPPY) study Open
Background Chronic pain is common among older adults with frailty and its management often remains suboptimal, despite evidence for the benefits of biopsychosocial treatment approaches being found for other populations. The Pain in Older P…
View article: Development of methods to identify digitally excluded older people, and tailoring of interventions to meet their digital needs: a protocol for a mixed-methods study (the INCLUDE study)
Development of methods to identify digitally excluded older people, and tailoring of interventions to meet their digital needs: a protocol for a mixed-methods study (the INCLUDE study) Open
Introduction Digital inclusion (which includes skills, accessibility and connectivity to the internet and digital devices) is a ‘super social determinant of health’ because it affects many aspects of life that influence health. Older peopl…
View article: Privacy-Preserving Approach for Early Detection of Long-Lie Incidents: A Pilot Study with Healthy Subjects
Privacy-Preserving Approach for Early Detection of Long-Lie Incidents: A Pilot Study with Healthy Subjects Open
(1) Background: Detecting long-lie incidents—where individuals remain immobile after a fall—is essential for timely intervention and preventing severe health consequences. However, most existing systems focus only on fall detection, neglec…
View article: Home-based Extended Rehabilitation for Older People with Frailty (HERO): a Randomised Controlled Trial
Home-based Extended Rehabilitation for Older People with Frailty (HERO): a Randomised Controlled Trial Open
Objective To evaluate whether home-based extended rehabilitation for older people with frailty after hospitalisation with an acute illness or injury can improve physical health-related quality of life and is cost-effective. Trial design Pr…
View article: Experiences and views of conversations about recovery and prognosis on the stroke unit: findings from semistructured interviews with professionals
Experiences and views of conversations about recovery and prognosis on the stroke unit: findings from semistructured interviews with professionals Open
Objectives Providing information about the process of poststroke recovery, and individuals’ likely outlook can be challenging for professionals, which may lead to avoidance of this important issue, leaving patients’ and carers’ needs unmet…
View article: Process evaluation exploring implementation and delivery of a home-based extended exercise intervention for older people with frailty: the HERO trial
Process evaluation exploring implementation and delivery of a home-based extended exercise intervention for older people with frailty: the HERO trial Open
Background Frailty is an especially significant consequence of ageing with resulting physical decline. Some studies suggest that exercise can reduce the deleterious effects of ageing and have a positive impact on functional ability and qua…
View article: Co-producing an intervention to reduce sedentary behaviour in community-dwelling older adults aged ≥ 75 informed by behaviour change theory
Co-producing an intervention to reduce sedentary behaviour in community-dwelling older adults aged ≥ 75 informed by behaviour change theory Open
Background Older adults are the fastest-growing and most sedentary group in society. With sedentary behaviour associated with negative health outcomes, reducing sedentary time may improve overall well-being. Adults aged ≥ 75 years are unde…
View article: Developing a national platform for delivering efficient trials for people living with stroke: the Life after Stroke Platform (LEAP)
Developing a national platform for delivering efficient trials for people living with stroke: the Life after Stroke Platform (LEAP) Open
Background In the UK, over 100,000 people have a stroke annually. Over 1.3 million live with the effects of stroke, including problems with mobility, communication, cognition, anxiety, depression and fatigue. Previous research has tested s…
View article: Protocol for a feasibility study evaluating a supported self-management intervention for stroke survivors with aphasia (StarStep study)
Protocol for a feasibility study evaluating a supported self-management intervention for stroke survivors with aphasia (StarStep study) Open
Background There is a growing evidence base to support the use of self-management interventions for improving quality of life after stroke. However, stroke survivors with aphasia have been underrepresented in research to date. It is theref…
View article: Using the Behaviour Change Wheel to develop an intervention to improve conversations about recovery on the stroke unit
Using the Behaviour Change Wheel to develop an intervention to improve conversations about recovery on the stroke unit Open
Background Understanding recovery is important for patients with stroke and their families, including how much recovery is expected and how long it might take. These conversations can however be uncomfortable for stroke unit staff, particu…
View article: Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis
Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis Open
Background Sustaining independence is important for older people, but there is insufficient guidance about which community health and care services to implement. Objectives To synthesise evidence of the effectiveness of community services …
View article: Development of the Community-based complex Interventions to sustain Independence in Older People (CII-OP) typology: a qualitative synthesis of interventions in randomised controlled trials
Development of the Community-based complex Interventions to sustain Independence in Older People (CII-OP) typology: a qualitative synthesis of interventions in randomised controlled trials Open
Introduction Community-based services to sustain independence for older people have varying configurations. A typology of these interventions would improve service provision and research by providing conceptual clarity and enabling the ide…
View article: Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis
Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis Open
Objective To synthesise evidence of the effectiveness of community based complex interventions, grouped according to their intervention components, to sustain independence for older people. Design Systematic review and network meta-analysi…
View article: What are the priorities for research of older people living in their own home, including those living with frailty? A systematic review and content analysis of studies reporting older people’s priorities and unmet needs
What are the priorities for research of older people living in their own home, including those living with frailty? A systematic review and content analysis of studies reporting older people’s priorities and unmet needs Open
Background There is limited evidence regarding the needs of older people, including those living with frailty, to inform research priority setting. Objectives This systematic review aimed to identify the range of research priorities of com…
View article: SEEKING ANSWERS FOR UNCERTAINTIES: GATHERING AND ORGANIZING CARE HOME UNCERTAINTIES: THE SEARCH U STUDY
SEEKING ANSWERS FOR UNCERTAINTIES: GATHERING AND ORGANIZING CARE HOME UNCERTAINTIES: THE SEARCH U STUDY Open
Introduction and method Staff providing care to residents must manage uncertainties whilst using their judgement and making decisions about care. Residents and their relatives may also have questions and ideas about how care could be impro…
View article: Intervention to reduce sedentary behaviour and improve outcomes after stroke (Get Set Go): a study protocol for the process evaluation of a pilot cluster randomised controlled trial (RECREATE)
Intervention to reduce sedentary behaviour and improve outcomes after stroke (Get Set Go): a study protocol for the process evaluation of a pilot cluster randomised controlled trial (RECREATE) Open
Introduction Stroke survivors spend long periods of time engaging in sedentary behaviour (SB) even when their functional recovery is good. In the RECREATE programme, an intervention aimed at reducing SB (‘Get Set Go’) will be implemented a…
View article: 1600 COMMUNITY-BASED COMPLEX INTERVENTIONS TO SUSTAIN INDEPENDENCE IN OLDER PEOPLE: SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS
1600 COMMUNITY-BASED COMPLEX INTERVENTIONS TO SUSTAIN INDEPENDENCE IN OLDER PEOPLE: SYSTEMATIC REVIEW AND NETWORK META-ANALYSIS Open
Introduction Sustaining independence is important for older people, but there is insufficient guidance about which community services to implement. Methods Systematic review and network meta-analysis (NMA; PROSPERO CRD42019162195) to synth…
View article: RECREATE: a study protocol for a multicentre pilot cluster randomised controlled trial (cRCT) in UK stroke services evaluating an intervention to reduce sedentary behaviour in stroke survivors (Get Set Go) with embedded process and economic evaluations
RECREATE: a study protocol for a multicentre pilot cluster randomised controlled trial (cRCT) in UK stroke services evaluating an intervention to reduce sedentary behaviour in stroke survivors (Get Set Go) with embedded process and economic evaluations Open
Introduction Sedentary behaviour (sitting or lying during waking hours without being otherwise active) is strongly associated with adverse health outcomes, including all-cause, cancer and cardiovascular mortality in adults. Stroke survivor…
View article: Risk-of-bias assessment using Cochrane's revised tool for randomized trials (RoB 2) was useful but challenging and resource-intensive: observations from a systematic review
Risk-of-bias assessment using Cochrane's revised tool for randomized trials (RoB 2) was useful but challenging and resource-intensive: observations from a systematic review Open
The RoB 2 tool and guidance are useful but resource-intensive and challenging to implement. Critical appraisal tools and reporting guidelines should detail risk of bias implementation. Improved guidance focusing on implementation could ass…
View article: Developing the evidence and associated service models to support older adults living with frailty to manage their pain and to reduce its impact on their lives: protocol for a mixed-method, co-design study (The POPPY Study)
Developing the evidence and associated service models to support older adults living with frailty to manage their pain and to reduce its impact on their lives: protocol for a mixed-method, co-design study (The POPPY Study) Open
Introduction The Pain in Older People with Frailty Study is a mixed-method, co-design study, which aims to develop the content, implementation strategies, service and professional guidance to support older adults with frailty to manage the…
View article: Researchers’ Experiences of the Challenges of Conducting Two Randomised Controlled Trials in Care Homes
Researchers’ Experiences of the Challenges of Conducting Two Randomised Controlled Trials in Care Homes Open
The population of older people in care homes has been under-represented in health research, possibly due to the complexity and challenges of conducting research in this setting. This article describes the challenges faced and solutions fou…
View article: Using consensus methods to prioritize modifiable risk factors for development of manifestations of frailty in hospitalized older adults
Using consensus methods to prioritize modifiable risk factors for development of manifestations of frailty in hospitalized older adults Open
Aim The aim of the study was to reach consensus on modifiable risk factors for a novel system of care to address Manifestations of Frailty in hospitalized older adults. Design Consensus study. Method A modified nominal group technique, inc…