Leah Avery
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View article: Service User Experiences and Perspectives of Social Prescribing Services for Mental Health
Service User Experiences and Perspectives of Social Prescribing Services for Mental Health Open
To explore service user experiences and perspectives of social prescribing for mental health and to develop theoretically informed strategies to optimise their experience. This qualitative study utilises semi-structured interviews with par…
View article: A Pathway to Type 2 Diabetes Remission: Weight Reduction and A1C Improvements Are Facilitated by a Low-Calorie Diet Including Diabetes-Specific Nutritional Formula and the Use of Digitally Enabled Reinforcement
A Pathway to Type 2 Diabetes Remission: Weight Reduction and A1C Improvements Are Facilitated by a Low-Calorie Diet Including Diabetes-Specific Nutritional Formula and the Use of Digitally Enabled Reinforcement Open
This article reports on the feasibility and effectiveness of a 12-week program, including a low-calorie diet using a diabetes-specific nutritional formula meal replacement, a digitally enabled self-management app, and coaching, on measurab…
View article: Feasibility of a digital lifestyle intervention (VITALISE) to support weight loss in patients with MASLD in routine secondary care
Feasibility of a digital lifestyle intervention (VITALISE) to support weight loss in patients with MASLD in routine secondary care Open
Objective Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common liver disease worldwide. Weight loss, achieved by changes to lifestyle behaviours, is the recommended management approach. However, patients find…
View article: When should I rotate? Clerkship timing of students who successfully match in OBGYN (Preprint)
When should I rotate? Clerkship timing of students who successfully match in OBGYN (Preprint) Open
BACKGROUND Medical students are routinely advised to rotate in their specialty of interest later in the year, likely to gain clinical experience, improve their clerkship performance, and therefore garner positive recommendations or perfor…
View article: Living with pain and Parkinson’s developing an understanding of the impact, trajectory and pain management needs: a qualitative interview study protocol
Living with pain and Parkinson’s developing an understanding of the impact, trajectory and pain management needs: a qualitative interview study protocol Open
Introduction Pain is reported as one of the most troubling symptoms for people with Parkinson’s (PwP); however, the literature exploring their lived experience of pain and how to manage it is limited. Pain affects PwP at all stages of thei…
View article: 39 Feasibility of an evidence and theory-informed behavioural intervention ‘BeActive-HF’ designed to increase physical activity levels of adults with heart failure
39 Feasibility of an evidence and theory-informed behavioural intervention ‘BeActive-HF’ designed to increase physical activity levels of adults with heart failure Open
Background: Heart failure (HF) affects approximately 1 million people in the United Kingdom (UK). It has a large symptomatic burden that impacts negatively on quality of life. Increasing physical activity (PA) can improve symptoms of HF an…
View article: Exploring service providers’ perceptions of the barriers and enablers to recruitment of service users into social prescribing research
Exploring service providers’ perceptions of the barriers and enablers to recruitment of service users into social prescribing research Open
Objective To explore the views of social prescribing service providers on the barriers and enablers to recruitment of service users in social prescribing research.Design A qualitative study design, using semi-structured interviews with soc…
View article: Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis
Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis Open
Introduction This review quantifies the mean treatment effect of exercise-based interventions on balance and falls risk in people with COPD. Methods A structured search strategy (2000–2023) was applied to eight databases to identify studie…
View article: Barriers and Facilitators to the Design and Delivery of Social Prescribing Services to Support Adult Mental Health: Perspectives of Social Prescribing Service Providers
Barriers and Facilitators to the Design and Delivery of Social Prescribing Services to Support Adult Mental Health: Perspectives of Social Prescribing Service Providers Open
Objective . To elicit the barriers and facilitators experienced by social prescribing service providers when designing and delivering social prescribing services to support adult mental health. Design . Semistructured interviews were condu…
View article: Serum levels of fibrogenesis biomarkers reveal distinct endotypes predictive of response to weight loss in advanced nonalcoholic fatty liver disease
Serum levels of fibrogenesis biomarkers reveal distinct endotypes predictive of response to weight loss in advanced nonalcoholic fatty liver disease Open
Background: NAFLD is associated with activation of fibroblasts and hepatic fibrosis. Substantial patient heterogeneity exists, so it remains challenging to risk-stratify patients. We hypothesized that the amount of fibroblast activity, as …
View article: Identifying the active ingredients of training interventions for healthcare professionals to promote and support increased levels of physical activity in adults with heart failure: a systematic review
Identifying the active ingredients of training interventions for healthcare professionals to promote and support increased levels of physical activity in adults with heart failure: a systematic review Open
Heart failure (HF) is characterised by breathlessness and fatigue that impacts negatively on patients' intentions to prioritise physical activity (PA). Healthcare professionals (HCPs) experience challenges when motivating patients to incre…
View article: Testing the Effects of App-Based Motivational Messages on Physical Activity and Resting Heart Rate Through Smartphone App Compliance in Patients With Vulnerable Coronary Artery Plaques: Protocol for a Microrandomized Trial
Testing the Effects of App-Based Motivational Messages on Physical Activity and Resting Heart Rate Through Smartphone App Compliance in Patients With Vulnerable Coronary Artery Plaques: Protocol for a Microrandomized Trial Open
Background Achieving the weekly physical activity recommendations of at least 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic exercise is important for reducing cardiometabolic risk, but evidence shows…
View article: Service user perspectives on social prescribing services for mental health in the UK: a systematic review
Service user perspectives on social prescribing services for mental health in the UK: a systematic review Open
Aim: To thematically synthesise adult service users’ perspectives on how UK-based social prescribing services support them with their mental health management. Methods: Nine databases were systematically searched up to March 2022. Eligible…
View article: Feasibility and acceptability of an evidence-informed digital intervention to support self-management in people with non-alcoholic fatty liver disease: protocol for a non-randomised feasibility study (VITALISE)
Feasibility and acceptability of an evidence-informed digital intervention to support self-management in people with non-alcoholic fatty liver disease: protocol for a non-randomised feasibility study (VITALISE) Open
Background Non-alcoholic fatty liver disease (NAFLD) represents a spectrum of disease ranging from simple fatty liver to non-alcoholic steatohepatitis, cirrhosis, liver cancer and liver failure. NAFLD affects up to 30–40% of adults in West…
View article: Testing the Effects of App-Based Motivational Messages on Physical Activity and Resting Heart Rate Through Smartphone App Compliance in Patients With Vulnerable Coronary Artery Plaques: Protocol for a Microrandomized Trial (Preprint)
Testing the Effects of App-Based Motivational Messages on Physical Activity and Resting Heart Rate Through Smartphone App Compliance in Patients With Vulnerable Coronary Artery Plaques: Protocol for a Microrandomized Trial (Preprint) Open
BACKGROUND Achieving the weekly physical activity recommendations of at least 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic exercise is important for reducing cardiometabolic risk, but evidence show…
View article: Non-pharmacological and non-invasive interventions for chronic pain in people with chronic obstructive pulmonary disease: A systematic review without meta-analysis
Non-pharmacological and non-invasive interventions for chronic pain in people with chronic obstructive pulmonary disease: A systematic review without meta-analysis Open
Pain appears to be a meaningful issue for many individuals with COPD. However, intervention heterogeneity and issues with methodological quality limit certainty about the effectiveness of currently available non-pharmacological interventio…
View article: Identifying behavioural barriers and facilitators to engaging men in a community-based lifestyle intervention to improve physical and mental health and well-being
Identifying behavioural barriers and facilitators to engaging men in a community-based lifestyle intervention to improve physical and mental health and well-being Open
Background There are few community-based lifestyle interventions designed to target physical and mental health of men. We conducted a qualitative focus group study with men to explore their perceived barriers and facilitators to uptake and…
View article: Habitual physical activity levels of adults with heart failure: systematic review and meta-analysis
Habitual physical activity levels of adults with heart failure: systematic review and meta-analysis Open
Objective To conduct a systematic review and meta-analysis to quantify habitual physical activity (PA) levels of patients with heart failure (HF) and assess the quality of reporting of device-assessed PA. Methods Eight electronic databases…
View article: White kidney bean extract as a nutraceutical: effects on gut microbiota, alpha-amylase inhibition, and user experiences
White kidney bean extract as a nutraceutical: effects on gut microbiota, alpha-amylase inhibition, and user experiences Open
White kidney bean extract (WKBE) is a nutraceutical often advocated as an anti-obesity agent. The main proposed mechanism for these effects is alpha-amylase inhibition, thereby slowing carbohydrate digestion and absorption. Thus, it is pos…
View article: Systematic development and feasibility testing of a multibehavioural digital prehabilitation intervention for patients approaching major surgery (iPREPWELL): A study protocol
Systematic development and feasibility testing of a multibehavioural digital prehabilitation intervention for patients approaching major surgery (iPREPWELL): A study protocol Open
Improving outcomes for people undergoing major surgery, specifically reducing perioperative morbidity and mortality remains a global health challenge. Prehabilitation involves the active preparation of patients prior to surgery, including …
View article: Systematic development and feasibility testing of a multibehavioural digital prehabilitation intervention for patients approaching major surgery (iPREPWELL): A study protocol
Systematic development and feasibility testing of a multibehavioural digital prehabilitation intervention for patients approaching major surgery (iPREPWELL): A study protocol Open
Improving outcomes for people undergoing major surgery, specifically reducing perioperative morbidity and mortality remains a global health challenge. Prehabilitation involves the active preparation of patients prior to surgery, including …
View article: Feasibility, acceptability, and fidelity of Physical Activity Routines After Stroke (PARAS): a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community-dwelling adult stroke survivors
Feasibility, acceptability, and fidelity of Physical Activity Routines After Stroke (PARAS): a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community-dwelling adult stroke survivors Open
Background Low levels of habitual physical activity and high levels of sedentary behaviour are commonly observed post-stroke. We aimed to assess the feasibility, acceptability and fidelity of a multifaceted, theory- and evidence-informed s…
View article: Exploring factors influencing uptake and adherence to a home-based prehabilitation physical activity and exercise intervention for patients undergoing chemotherapy before major surgery (ChemoFit): a qualitative study
Exploring factors influencing uptake and adherence to a home-based prehabilitation physical activity and exercise intervention for patients undergoing chemotherapy before major surgery (ChemoFit): a qualitative study Open
Objectives Preoperative exercise training can improve cardiorespiratory fitness before major surgery. However, little is known about what influences participation and adherence in high-risk patient groups. We identified barriers and facili…
View article: A feasibility trial of prehabilitation before oesophagogastric cancer surgery using a multi-component home-based exercise programme: the ChemoFit study
A feasibility trial of prehabilitation before oesophagogastric cancer surgery using a multi-component home-based exercise programme: the ChemoFit study Open
Background Treatment for locally advanced oesophagogastric adenocarcinoma involves neoadjuvant chemotherapy which has a negative impact on patient fitness. Using ‘prehabilitation’ to increase activity levels and fitness may affect physiolo…
View article: Impact of an intensive lifestyle program on low attenuation plaque and myocardial perfusion in coronary heart disease: A randomised clinical trial protocol
Impact of an intensive lifestyle program on low attenuation plaque and myocardial perfusion in coronary heart disease: A randomised clinical trial protocol Open
IMPORTANCE: The evidence that maintaining a healthy body weight in conjunction with healthier eating patterns, exercise training, and reduced stress can improve clinical outcomes in patients with atherosclerotic cardiovascular disease is s…
View article: Effectiveness and active ingredients of social prescribing interventions targeting mental health: a systematic review
Effectiveness and active ingredients of social prescribing interventions targeting mental health: a systematic review Open
Objective This study aims to establish the effectiveness and active ingredients of UK-based social prescribing interventions targeting mental health and well-being outcomes. Design Systematic review adhering to Preferred Reporting Items fo…
View article: Using intervention mapping to develop and facilitate implementation of a multifaceted behavioural intervention targeting physical activity and sedentary behaviour in stroke survivors: Physical Activity Routines After Stroke (PARAS): intervention development study
Using intervention mapping to develop and facilitate implementation of a multifaceted behavioural intervention targeting physical activity and sedentary behaviour in stroke survivors: Physical Activity Routines After Stroke (PARAS): intervention development study Open
A systematic development process using intervention mapping resulted in a multi-faceted evidence- and theory-informed intervention (Physical Activity Routines After Stroke - PARAS) for delivery by community stroke rehabilitation teams.
View article: Changing healthcare professionals' non-reflective processes to improve the quality of care
Changing healthcare professionals' non-reflective processes to improve the quality of care Open
Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impact on the behaviours of healt…