Miriam Santer
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View article: Weekly versus daily bathing for people with eczema: results of the Eczema Bathing online randomised controlled trial
Weekly versus daily bathing for people with eczema: results of the Eczema Bathing online randomised controlled trial Open
Background Questions about washing are a high priority for people with eczema (syn. atopic dermatitis, atopic eczema) but are rarely the focus of randomised controlled trials (RCTs). Objectives To assess the impact of weekly bathing compar…
View article: Delivering a primary care review for people prescribed opioids for persistent pain: facilitators and barriers facing practice pharmacists
Delivering a primary care review for people prescribed opioids for persistent pain: facilitators and barriers facing practice pharmacists Open
Background People living with persistent non-cancer pain often are prescribed opioids long-term, despite a lack of evidence for their long-term effectiveness and safety. This study informed the design of a new practice pharmacist-led revie…
View article: Experiences of Social Relationships for Adults Living With Multiple Long‐Term Conditions: A Qualitative Interview Study
Experiences of Social Relationships for Adults Living With Multiple Long‐Term Conditions: A Qualitative Interview Study Open
Background Social relationships are important for self‐management and outcomes of multiple long‐term conditions (MLTC). Previous research indicates MLTC negatively impacts social relationships and people living with MLTC do not feel adequa…
View article: Social media recruitment enhances participant diversity in dermatology clinical trial: findings from the SAFA trial
Social media recruitment enhances participant diversity in dermatology clinical trial: findings from the SAFA trial Open
Recruitment and retention of participants remain critical challenges in clinical trials, often requiring innovative approaches to ensure sufficient enrolment and sustained engagement. Social media advertising offers the potential to reach …
View article: Evaluating a primary care pharmacist-led intervention to reduce opioid use for persistent non-cancer pain: the PROMPPT cluster randomised controlled trial protocol
Evaluating a primary care pharmacist-led intervention to reduce opioid use for persistent non-cancer pain: the PROMPPT cluster randomised controlled trial protocol Open
Background Addressing the need for evidence-based interventions to reduce opioid use for persistent pain, we developed the PROMPPT intervention ( P roactive clinical R eview of patients taking O pioid M edicines long-term for persistent P…
View article: PA14 Spironolactone for the treatment of acne vulgaris affecting female patients aged 18 years and under: results from a UK and Irish survey
PA14 Spironolactone for the treatment of acne vulgaris affecting female patients aged 18 years and under: results from a UK and Irish survey Open
Acne vulgaris (acne) is a common condition that causes psychological and social morbidity, with peak prevalence from 15 to 20 years (Layton AM, Ravenscroft J. Adolescent acne vulgaris: current and emerging treatments. Lancet Child Adolesc …
View article: Competencies and clinical guidelines for managing acne with isotretinoin in general practice: a scoping review
Competencies and clinical guidelines for managing acne with isotretinoin in general practice: a scoping review Open
Background Acne is a common, chronic, and burdensome disease. There is evidence of delayed and inequitable patient access to isotretinoin. Overuse of antibiotics in patients with acne raises antimicrobial stewardship concerns. Aim To ident…
View article: ‘We’re all doing different things’ — exploring primary care practitioners' perspectives of managing distress: a qualitative study
‘We’re all doing different things’ — exploring primary care practitioners' perspectives of managing distress: a qualitative study Open
Background Distinguishing emotional distress from mental health problems such as anxiety and depression can be difficult for clinicians. Both commonly present and are managed in primary care. There are likely to be important differences in…
View article: Clustering of Multimorbidity and Social Care Needs: 10-year all-cause mortality in a cohort study of more than 7 million people
Clustering of Multimorbidity and Social Care Needs: 10-year all-cause mortality in a cohort study of more than 7 million people Open
Summary Background Research on multimorbidity, commonly defined as the presence of two or more long term conditions, has predominantly focused on biological and clinical needs. However, unmet social care needs (SCNs), including, for exampl…
View article: A multidimensional framework for mapping social need to electronic health records in people with multimorbidity
A multidimensional framework for mapping social need to electronic health records in people with multimorbidity Open
Social needs are sociocultural and economic factors influencing health and quality of life, including, for example, mobility limitations or financial difficulties. Multimorbidity - the presence of two or more long-term conditions (LTCs)- i…
View article: Stakeholder Involvement in the Development of a New Proactive Clinical Review of Patients Prescribed Opioid Medicines Long‐Term for Persistent Pain in Primary Care
Stakeholder Involvement in the Development of a New Proactive Clinical Review of Patients Prescribed Opioid Medicines Long‐Term for Persistent Pain in Primary Care Open
Background Stakeholder involvement is a core element of the Medical Research Council (MRC) framework for developing and evaluating complex interventions, but approaches to involve stakeholders are not well‐reported. We outline how stakehol…
View article: Co-producing a randomized controlled trial on the frequency of bathing in eczema: description of a citizen science approach
Co-producing a randomized controlled trial on the frequency of bathing in eczema: description of a citizen science approach Open
Background Eczema is a prevalent, chronic, itchy skin condition that often persists into adulthood and significantly affects the quality of life of patients and their families. With no cure available at present, effective management is cru…
View article: Supporting self-care for eczema in the community: the Eczema Care Online research programme including two RCTs
Supporting self-care for eczema in the community: the Eczema Care Online research programme including two RCTs Open
Background Eczema is a common condition with significant impact on quality of life. The main cause of treatment failure is non-use of prescribed treatments because treatments are time-consuming to apply; they may sting when first applied t…
View article: Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online)
Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) Open
View article: The association of loneliness and social isolation with multimorbidity over 14 years in older adults in England: A population-based cohort study
The association of loneliness and social isolation with multimorbidity over 14 years in older adults in England: A population-based cohort study Open
An independent bidirectional association exists between loneliness and multimorbidity. Interventions targeting loneliness may prevent or delay multimorbidity and also improve wellbeing for people with multimorbidity.
View article: The Eczema Bathing Study: Weekly versus daily bathing for people with eczema? Protocol of an online, randomised controlled trial
The Eczema Bathing Study: Weekly versus daily bathing for people with eczema? Protocol of an online, randomised controlled trial Open
Background A priority setting partnership for eczema (syn atopic eczema, atopic dermatitis) has identified that bathing frequency is a key area of patient interest. However, there are nolarge, high-quality randomised controlled trials (RC…
View article: Developing consensus on priorities for preconception care in the general practice setting in the UK: Study protocol
Developing consensus on priorities for preconception care in the general practice setting in the UK: Study protocol Open
Background Preconception medical, behavioural and socioeconomic risk factors are common among people of reproductive age and can impact pregnancy and offspring outcomes. In line with clinical guidance, primary care practitioners are encour…
View article: Interventions delivered by primary or community healthcare professionals to support people living at home with dementia with activities of daily living: a systematic review and narrative synthesis
Interventions delivered by primary or community healthcare professionals to support people living at home with dementia with activities of daily living: a systematic review and narrative synthesis Open
Background Most people living with dementia live in their own home supported by family carers. One of the most challenging problems they face is managing toilet-use and continence. Carers have repeatedly asked for better advice from health…
View article: Value of using artificial intelligence derived clusters by health and social care need in Primary Care: A qualitative interview study
Value of using artificial intelligence derived clusters by health and social care need in Primary Care: A qualitative interview study Open
Purpose People living with MLTCs attending consultations in primary care frequently have unmet social care needs (SCNs), which can be challenging to identify and address. Artificial intelligence (AI) derived clusters could help to identify…
View article: The Eczema Bathing Study: Weekly versus daily bathing for people with eczema? Protocol of an online, randomised controlled trial
The Eczema Bathing Study: Weekly versus daily bathing for people with eczema? Protocol of an online, randomised controlled trial Open
Background A priority setting partnership for eczema (syn atopic eczema, atopic dermatitis) has identified that bathing frequency is a key area of patient interest. However, there are nolarge, high-quality randomised controlled trials (RCT…
View article: 24 - Development and evaluation of a novel intervention to support clinicians to provide continence guidance to family carers of people living with dementia at home
24 - Development and evaluation of a novel intervention to support clinicians to provide continence guidance to family carers of people living with dementia at home Open
View article: Self-management interventions for chronic widespread pain including fibromyalgia: a systematic review and qualitative evidence synthesis
Self-management interventions for chronic widespread pain including fibromyalgia: a systematic review and qualitative evidence synthesis Open
Supporting behavioural self-management is increasingly important in the care for chronic widespread pain (CWP), including fibromyalgia. Understanding peoples' experiences of these interventions may elucidate processes and mechanisms that l…
View article: Clinical and cost-effectiveness of spironolactone in treating persistent facial acne in women: SAFA double-blinded RCT
Clinical and cost-effectiveness of spironolactone in treating persistent facial acne in women: SAFA double-blinded RCT Open
Background Acne is common, can cause significant impact on quality of life and is a frequent reason for long-term antibiotic use. Spironolactone has been prescribed for acne in women for many years, but robust evidence is lacking. Objectiv…
View article: Developing consensus on priorities for preconception care in the general practice setting in the UK: study protocol
Developing consensus on priorities for preconception care in the general practice setting in the UK: study protocol Open
Background Preconception medical, behavioural and socioeconomic risk factors are common among people of reproductive age and can impact pregnancy and offspring outcomes. In line with clinical guidance, primary care practitioners are encour…
View article: Capturing and reporting topical treatment use in childhood eczema: lessons for data collection in eczema trials
Capturing and reporting topical treatment use in childhood eczema: lessons for data collection in eczema trials Open
Background Emollients and topical corticosteroids (TCS) prevent and treat flares in eczema. However, topical treatment use is poorly recorded and reported in clinical trials. There is no clear consensus of how best to capture and summarize…
View article: The role of general practitioners in the management of patients with acne using isotretinoin: Protocol for a scoping review of clinical practice guidelines
The role of general practitioners in the management of patients with acne using isotretinoin: Protocol for a scoping review of clinical practice guidelines Open
Background Acne is the most common inflammatory skin disease, affecting most teenagers and many adults. Acne imposes physical, psychological, social and fiscal burdens, with additional concerns around antimicrobial stewardship. Isotretinoi…
View article: Prevalence and risk factors for milk allergy overdiagnosis in the BEEP trial cohort
Prevalence and risk factors for milk allergy overdiagnosis in the BEEP trial cohort Open
Background Cow's milk allergy (CMA) overdiagnosis in young children appears to be increasing and has not been well characterised. We used a clinical trial population to characterise CMA overdiagnosis and identify individual‐level and prima…
View article: Practice and Community Nurses’ Views and Experiences of Helping People Manage Risk Factors for Recurrent Lower Limb Cellulitis: A Qualitative Interview Study
Practice and Community Nurses’ Views and Experiences of Helping People Manage Risk Factors for Recurrent Lower Limb Cellulitis: A Qualitative Interview Study Open
Background Cellulitis is a painful infection of the skin and underlying tissues, commonly affecting the lower leg. Approximately one-third of people experience recurrence. Nurses who work in general practice (practice nurses) and see peopl…
View article: Designing a primary care pharmacist-led review for people treated with opioids for persistent pain: a multi-method qualitative study
Designing a primary care pharmacist-led review for people treated with opioids for persistent pain: a multi-method qualitative study Open
Background Opioids are frequently prescribed for persistent non-cancer pain despite limited evidence of long-term effectiveness and risk of harm. Evidence-based interventions to address inappropriate opioid prescribing are lacking. Aim To …
View article: ‘Either something's wrong, or I'm a terrible parent’: A systematic review of parent experiences of illness‐related interpretations for unsettled babies
‘Either something's wrong, or I'm a terrible parent’: A systematic review of parent experiences of illness‐related interpretations for unsettled babies Open
Aims To explore parents' experiences of unsettled babies and medical labels. Design Qualitative systematic review, thematic synthesis and development of a conceptual model. Review Methods Systematic review and thematic synthesis of primary…