Claire Duddy
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View article: General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review
General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review Open
Background: UK and global primary care face significant General Practitioner (GP) workforce shortages. While much research focuses on individual-level factors such as wellbeing, resilience, and professional identity, less attention has bee…
View article: General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review
General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review Open
Background: Global and United Kingdom (UK) primary care face significant General Practitioner (GP) workforce shortages. Worldwide strategies to address this issue include the introduction of additional healthcare professionals and increasi…
View article: Collaborative and integrated working between general practice and community pharmacies: A realist review of what works, for whom, and in which contexts
Collaborative and integrated working between general practice and community pharmacies: A realist review of what works, for whom, and in which contexts Open
Objectives Collaborative and integrated (C + I) working between general practice and community pharmacies has the potential to increase accessibility to services, improve service efficiency and quality of care, and reduce health care expen…
View article: Integrating Palliative Care and Heart Failure: the PalliatHeartSynthesis realist synthesis
Integrating Palliative Care and Heart Failure: the PalliatHeartSynthesis realist synthesis Open
Background Cardiovascular disease is the most common cause of death worldwide, highlighting the need for studies to determine options for palliative care within the management of patients with heart failure. Although there are promising ex…
View article: Adolescent dysmenorrhoea in general practice: tensions and uncertainties
Adolescent dysmenorrhoea in general practice: tensions and uncertainties Open
This Perspectives article reflects on findings from our systematic review about adolescent dysmenorrhoea Q, drawing on sociology of diagnosis theory. We consider tensions and uncertainties between presentation with symptoms of dysmenorrhoe…
View article: A realist review of the causes of, and current interventions to address ‘missingness’ in health care.
A realist review of the causes of, and current interventions to address ‘missingness’ in health care. Open
Background This protocol describes a realist review exploring the problem of “missingness” in healthcare, defined as the repeated tendency not to take up offers of care that has a negative impact on the person and their life chances. More …
View article: What is known about adolescent dysmenorrhoea in (and for) community health settings?
What is known about adolescent dysmenorrhoea in (and for) community health settings? Open
Introduction Dysmenorrhoea affects many adolescents with significant impacts on education and well-being. In the UK, most of the adolescents who seek care (and many never do), will do so through general practice (primary care). Knowing how…
View article: Operationalising the Recovery College model with people living with dementia: a realist review
Operationalising the Recovery College model with people living with dementia: a realist review Open
People struggling to reconcile their future alongside dementia need practical and emotional support to access and benefit from Recovery College dementia courses, ways to achieve this will be explored through a realist evaluation.
View article: General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review protocol
General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review protocol Open
Introduction There are not enough general practitioners (GPs) in the UK National Health Service. This problem is worse in areas of the country where poverty and underinvestment in health and social care mean patients experience poorer heal…
View article: Children’s, parents’ and educators’ understandings and experiences of digital resilience: A systematic review and meta-ethnography
Children’s, parents’ and educators’ understandings and experiences of digital resilience: A systematic review and meta-ethnography Open
Supporting children to be digitally resilient when facing online adversity is an increasingly important developmental task. However, conceptual knowledge underpinning digital resilience and how this operates among children and across their…
View article: A realist review of medication optimisation of community dwelling service users with serious mental illness
A realist review of medication optimisation of community dwelling service users with serious mental illness Open
Background Severe mental illness (SMI) incorporates schizophrenia, bipolar disorder, non-organic psychosis, personality disorder or any other severe and enduring mental health illness. Medication, particularly antipsychotics and mood stabi…
View article: Integrating palliative care and heart failure: a systematic realist synthesis (PalliatHeartSynthesis)
Integrating palliative care and heart failure: a systematic realist synthesis (PalliatHeartSynthesis) Open
Objectives (1) Develop a programme theory of why, for whom and in what contexts integrated palliative care (PC) and heart failure (HF) services work/do not work; (2) use the programme theory to co-produce with stakeholders, intervention st…
View article: A rapid realist review of co‐producing and co‐facilitating Recovery College Dementia Courses
A rapid realist review of co‐producing and co‐facilitating Recovery College Dementia Courses Open
Background Recovery Colleges have been established internationally as a service model for people with mental health conditions based on the principles of recovery, co‐production and adult learning. In the UK, NHS mental health services and…
View article: Protocol for a realist evaluation of Recovery College dementia courses: understanding coproduction through ethnography
Protocol for a realist evaluation of Recovery College dementia courses: understanding coproduction through ethnography Open
Introduction Support following a dementia diagnosis in the UK is variable. Attending a Recovery College course with and for people with dementia, their supporters and healthcare professionals (staff), may enable people to explore and enact…
View article: Improving the mental health and mental health support available to adolescents in out-of-home care via Adolescent-Focused Low-Intensity Life Story Work: a realist review
Improving the mental health and mental health support available to adolescents in out-of-home care via Adolescent-Focused Low-Intensity Life Story Work: a realist review Open
Objectives Life Story Work (LSW) is used to promote the mental health and well-being of children and adolescents living in out-of-home care. LSW should be offered to all but is conventionally delivered in high-intensity ways. Low-intensity…
View article: The NHS Health Check programme: a survey of programme delivery in England before and after the Covid-19 pandemic response
The NHS Health Check programme: a survey of programme delivery in England before and after the Covid-19 pandemic response Open
Background: This study investigated NHS Health Check programme delivery before and after the Covid-19 pandemic response, with a focus on support services and referral methods available to Health Check attendees. The NHS Health Check is an…
View article: A realist review of medication optimisation of community dwelling service users with serious mental illness
A realist review of medication optimisation of community dwelling service users with serious mental illness Open
Background Severe mental illness (SMI) incorporates schizophrenia, bipolar disorder, non-organic psychosis, personality disorder or any other severe and enduring mental health illness. Medication, particularly anti-psychotics and mood stab…
View article: What happens after an NHS Health Check? A survey and realist review
What happens after an NHS Health Check? A survey and realist review Open
Background The National Health Service Health Check in England aims to provide adults aged 40 to 74 with an assessment of their risk of developing cardiovascular disease and to offer advice to help manage and reduce this risk. The programm…
View article: A realist review of the causes of, and current interventions to address ‘missingness’ in health care.
A realist review of the causes of, and current interventions to address ‘missingness’ in health care. Open
Background This protocol describes a realist review exploring the problem of “missingness” in healthcare, defined as the repeated tendency not to take up offers of care that has a negative impact on the person and their life chances. More …
View article: The NHS Health Check programme: a survey of programme delivery in England before and after the Covid-19 pandemic response
The NHS Health Check programme: a survey of programme delivery in England before and after the Covid-19 pandemic response Open
Background: This study investigated NHS Health Check programme delivery before and after the Covid-19 pandemic response, with a focus on support services and referral methods available to Health Check attendees. The NHS Health Check is an…
View article: Primary care micro-teams: an international systematic review of patient and healthcare professional perspectives
Primary care micro-teams: an international systematic review of patient and healthcare professional perspectives Open
Background International trends have shifted to creating large general practices. There is an assumption that interdisciplinary teams will increase patient accessibility and provide more cost-effective, efficient services. Micro-teams have…
View article: Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol
Health visiting in the UK in light of the COVID-19 pandemic experience (RReHOPE): a realist review protocol Open
Introduction Health visiting services, providing support to under 5s and their families, are organised and delivered in very different ways in different parts of the UK. While there has been attention to the key components of health visiti…
View article: Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like? Open
Research in the quality and safety field often necessitates an approach that supports the development of an in-depth understanding of how a complex phenomenon occurs, or how an intervention works. Realist review is an increasingly popular …
View article: Community pharmacy and general practice collaborative and integrated working: a realist review protocol
Community pharmacy and general practice collaborative and integrated working: a realist review protocol Open
Introduction Increasing collaborative and integrated working between General practice (GP) and Community pharmacy (CP) is a key priority of the UK National Health Service and has been proposed as a solution to reducing health system fragme…
View article: Understanding what happens to attendees after an NHS Health Check: a realist review
Understanding what happens to attendees after an NHS Health Check: a realist review Open
Objectives The NHS Health Check offers adults aged 40–74 an assessment of their risk of developing cardiovascular disease. Attendees should be offered appropriate clinical or behavioural interventions to help them to manage or reduce these…
View article: Primary care micro-teams: a protocol for an international systematic review to describe and examine the opportunities and challenges of implementation for patients and healthcare professionals
Primary care micro-teams: a protocol for an international systematic review to describe and examine the opportunities and challenges of implementation for patients and healthcare professionals Open
Introduction There has been a recent trend towards creating larger primary care practices with the assumption that interdisciplinary teams can deliver improved and more cost-effective services to patients with better accessibility. Micro-t…
View article: Improving the mental health and mental health support available to adolescents with social care-experience via low-intensity life story work: a realist review protocol
Improving the mental health and mental health support available to adolescents with social care-experience via low-intensity life story work: a realist review protocol Open
Introduction Adolescents are the fastest growing group entering social care and are most at risk of mental ill-health. Life Story Work (LSW) is an existing transdiagnostic intervention thought to improve the well-being and mental health of…
View article: ‘Working relationships’ across difference - a realist review of community engagement with malaria research
‘Working relationships’ across difference - a realist review of community engagement with malaria research Open
Background: Community engagement (CE) is increasingly accepted as a critical aspect of health research, because of its potential to make research more ethical, relevant and well implemented. While CE activities linked to health research ha…