Chris Todd
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View article: Mediators implementation and delivery: the falls management exercise programme (FaME)
Mediators implementation and delivery: the falls management exercise programme (FaME) Open
Background When implementing multicomponent interventions, fidelity to the intervention is key for reproducible outcomes. This study investigates the main influences on the fidelity (implementation strategy fidelity and intervention delive…
View article: Social media-based health education plus exercise programme (SHEEP) to improve muscle function among community-dwelling young-old adults with possible sarcopenia: A feasibility study
Social media-based health education plus exercise programme (SHEEP) to improve muscle function among community-dwelling young-old adults with possible sarcopenia: A feasibility study Open
Possible sarcopenia is common among community-dwelling young-old adults, yet effective social media interventions remain scarce. We developed a TikTok-based multi-component program (SHEEP) integrating health education and exercise via co-d…
View article: Physical activity interventions for hospitalised people living with dementia: systematic review and meta-analysis
Physical activity interventions for hospitalised people living with dementia: systematic review and meta-analysis Open
Purpose People living with dementia are vulnerable to adverse outcomes of hospitalisation, such as functional decline and deconditioning. The aim of this review was to examine the effectiveness of hospital-based interventions involving phy…
View article: The influence of ethnicity on frailty in a United Kingdom (UK) population
The influence of ethnicity on frailty in a United Kingdom (UK) population Open
There is variation in the occurrence of frailty across Greater Manchester across ethnic groups, with higher frequency among those of Asian or Asian British descent and lower frequency among those of Black or Black British descent. This stu…
View article: Tailoring ultrahigh index plasmonic combinatorial metamaterials for SEIRA and SERS by tuning the fill fraction
Tailoring ultrahigh index plasmonic combinatorial metamaterials for SEIRA and SERS by tuning the fill fraction Open
Plasmonic materials with strong mid-infrared resonances allow enhanced molecular sensing, but obtaining the required high field enhancements in easily constructed geometries is challenging. Multilayer aggregates (MLaggs) of close-packed go…
View article: Exploring the barriers and facilitators to effective communication with people with age-related hearing loss in community pharmacy settings
Exploring the barriers and facilitators to effective communication with people with age-related hearing loss in community pharmacy settings Open
Participants identified a need to improve pharmacists' capacity to implement communication adaptations for people with hearing loss, for which pharmacists suggested digital interventions, and to visibly recognise sensory needs, to promote …
View article: Frailty indices based on routinely collected data: a scoping review
Frailty indices based on routinely collected data: a scoping review Open
A frailty index (FI) is a frailty assessment tool calculated as the proportion of the number of health-related deficits an individual has to the total number of variables in the index. Routinely collected clinical and administrative data c…
View article: Factors influencing fall prevention programmes across three regions of the UK: the challenge of implementing and spreading the Falls Management Exercise (FaME) programme in a complex landscape
Factors influencing fall prevention programmes across three regions of the UK: the challenge of implementing and spreading the Falls Management Exercise (FaME) programme in a complex landscape Open
Background The occurrence of falls in adults 65+ years remains a common and costly issue worldwide. There is current evidence to suggest that falls can be prevented using evidence-based strength and balance interventions, such as the six-m…
View article: Does concern about falling predict future falls in older adults? A systematic review and meta-analysis
Does concern about falling predict future falls in older adults? A systematic review and meta-analysis Open
Background The 2022 World Falls Guidelines recommend assessing concerns (or ‘fears’) about falling in multifactorial fall risk assessments. However, the evidence base for this recommendation is limited. This review evaluated the evidence f…
View article: Area-level socioeconomic inequalities in activities of daily living disability-free life expectancy in England: a modelling study
Area-level socioeconomic inequalities in activities of daily living disability-free life expectancy in England: a modelling study Open
National Institute for Health and Care Research Policy Research Unit in Healthy Ageing.
View article: Evidence on non-pharmacological interventions for preventing or reversing physical frailty in community-dwelling older adults aged over 50 years: overview of systematic reviews
Evidence on non-pharmacological interventions for preventing or reversing physical frailty in community-dwelling older adults aged over 50 years: overview of systematic reviews Open
The evidence synthesised in this overview of reviews suggests physical activity containing an aspect of resistance training is beneficial at reversing frailty status and preventing frailty progression. Nutrition interventions alone were in…
View article: Differences in the risk of frailty based on care receipt, unmet care needs and socio-economic inequalities: A longitudinal analysis of the English Longitudinal Study of Ageing
Differences in the risk of frailty based on care receipt, unmet care needs and socio-economic inequalities: A longitudinal analysis of the English Longitudinal Study of Ageing Open
Individuals starting to receive care (paid or unpaid) and people in the poorest wealth quintile are target groups for interventions aimed at delaying the onset of frailty.
View article: Diet therapy (The 8×5 Diet) for adults living with bile acid diarrhoea: protocol for a feasibility randomised controlled trial
Diet therapy (The 8×5 Diet) for adults living with bile acid diarrhoea: protocol for a feasibility randomised controlled trial Open
Introduction A national research priority for people living with bile acid diarrhoea (BAD) is effective treatment options to improve their quality of life. This study aims to evaluate the feasibility of conducting a randomised controlled t…
View article: Social media-based Health Education plus Exercise Program (SHEEP) to improve muscle function among young-old adults with possible sarcopenia in the community: A feasibility study protocol
Social media-based Health Education plus Exercise Program (SHEEP) to improve muscle function among young-old adults with possible sarcopenia in the community: A feasibility study protocol Open
Background Despite the comparatively high prevalence of possible sarcopenia among young-old adults in the community, there is currently no available and effective social media-based intervention to increase the awareness and change the beh…
View article: Rehabilitation for Physical Frailty in Lung Transplant Candidates: A Systematic Review
Rehabilitation for Physical Frailty in Lung Transplant Candidates: A Systematic Review Open
Purpose: Physical frailty is prevalent in lung transplant (LTx) candidates and is linked to adverse outcomes preoperatively and postoperatively. Exercise is beneficial in optimizing exercise capacity and quality of life in candidates, but …
View article: Adapting the Germ Defence Web-Based Intervention to Improve Infection Prevention and Control in Care Homes: Interview Study Among Care Home Staff
Adapting the Germ Defence Web-Based Intervention to Improve Infection Prevention and Control in Care Homes: Interview Study Among Care Home Staff Open
Background Infection prevention and control (IPC) is vital in care homes as it can reduce morbidity and mortality by 30%. Ensuring good IPC practice is a perennial challenge in the varied and complex context of care homes. Behavior change …
View article: The association between delirium and falls in older adults in the community: a systematic review and meta-analysis
The association between delirium and falls in older adults in the community: a systematic review and meta-analysis Open
Objective Systematically review and critically appraise the evidence for the association between delirium and falls in community-dwelling adults aged ≥60 years. Methods We searched EMBASE, MEDLINE, PsycINFO, Cochrane Database of Systematic…
View article: Effectiveness of digital health exercise interventions on muscle function and physical performance in older adults with possible, confirmed or severe sarcopenia: a protocol for a systematic review
Effectiveness of digital health exercise interventions on muscle function and physical performance in older adults with possible, confirmed or severe sarcopenia: a protocol for a systematic review Open
Introduction Sarcopenia is characterised by the progressive weakening of muscle function that occurs with age. This condition frequently leads to frailty, disability and even death. Research on sarcopenia prevention is growing. Digital hea…
View article: The association between frailty, care receipt and unmet need for care with the risk of hospital admissions
The association between frailty, care receipt and unmet need for care with the risk of hospital admissions Open
Background Frailty is characterised by a decline in physical, cognitive, energy, and health reserves and is linked to greater functional dependency and higher social care utilisation. However, the relationship between receiving care, or re…
View article: Understanding the experiences of older adult participants and individuals involved in the delivery of a physical activity programme based on participatory approaches: A qualitative analysis
Understanding the experiences of older adult participants and individuals involved in the delivery of a physical activity programme based on participatory approaches: A qualitative analysis Open
Background The present study aimed to understand the experiences of older adult participants and service deliverers involved in a UK‐based physical activity programme, developed using participatory approaches. Methods Focus groups and one‐…
View article: Adapting the Germ Defence Web-Based Intervention to Improve Infection Prevention and Control in Care Homes: Interview Study Among Care Home Staff (Preprint)
Adapting the Germ Defence Web-Based Intervention to Improve Infection Prevention and Control in Care Homes: Interview Study Among Care Home Staff (Preprint) Open
BACKGROUND Infection prevention and control (IPC) is vital in care homes as it can reduce morbidity and mortality by 30%. Ensuring good IPC practice is a perennial challenge in the varied and complex context of care homes. Behavior change…
View article: Experiences and Views of Older Adults of South Asian, Black African, and Caribbean Backgrounds About the Digitalization of Primary Care Services Since the COVID-19 Pandemic: Qualitative Focus Group Study
Experiences and Views of Older Adults of South Asian, Black African, and Caribbean Backgrounds About the Digitalization of Primary Care Services Since the COVID-19 Pandemic: Qualitative Focus Group Study Open
Background The COVID-19 pandemic from 2020 to 2022 prompted governments worldwide to enforce lockdowns and social restrictions, alongside the rapid adoption of digital health and care services. However, there are concerns about the potenti…
View article: 83 Barriers and Enablers to Interrupting Sedentary Behaviour when Working from Home in a Desk-Based Occupation: A Qualitative Exploration of the Older Employee Experience
83 Barriers and Enablers to Interrupting Sedentary Behaviour when Working from Home in a Desk-Based Occupation: A Qualitative Exploration of the Older Employee Experience Open
Purpose Those employed in desk-based occupations sit for large amounts of their working day, often in long uninterrupted bouts, exposing them to the health risks associated with sedentary behaviour (SB). With more workplaces offering home-…
View article: Overall mortality for community‐dwelling adults over 50 years at risk of malnutrition
Overall mortality for community‐dwelling adults over 50 years at risk of malnutrition Open
Background It is well reported that malnutrition in acute care is associated with poorer health outcomes including increased mortality. However, the consequences of malnutrition on survival in community settings is uncertain. Malnutrition …
View article: Healthy Eating and Active Lifestyle after Bowel Cancer (HEAL ABC)—feasibility randomised controlled trial
Healthy Eating and Active Lifestyle after Bowel Cancer (HEAL ABC)—feasibility randomised controlled trial Open
Background Evidence from cohort studies indicates that a healthy lifestyle can improve cancer survival but evidence from randomised controlled trials (RCT) is lacking. Thus, this study tested the feasibility of conducting a lifestyle inter…
View article: Implementation of a digital exercise programme in health services to prevent falls in older people
Implementation of a digital exercise programme in health services to prevent falls in older people Open
Background StandingTall uses eHealth to deliver evidence-based balance and functional strength exercises. Clinical trials have demonstrated improved balance, reduced falls and fall-related injuries and high adherence. This study aimed to e…
View article: Frailty: a global health challenge in need of local action
Frailty: a global health challenge in need of local action Open
Frailty is a complex, age-related clinical condition that involves multiple contributing factors and raises the risk of adverse outcomes in older people. Given global population ageing trends, the growing prevalence and incidence of frailt…