NEON (Nurture Early for Optimal Nutrition) is a participatory female health volunteer-led intervention to promote healthy nutrition in children of Bangladeshi origin in East London, who have a higher risk of diabetes, obesity and heart disease in later life than the average child in the UK.
Childhood nutrition can impact adult health status and the likelihood of chronic diseases such as diabetes as well as oral health complications – making it important to act early to prevent long term problems.
NEON used a proven model from South Asia where the introduction of female health workers into local women’s groups has significantly improved maternal and neonatal survival rates.
A new short film highlights the impact of the NEON approach in local communities, and the improvements it has made to nutrition and feeding practices.
CLAHRC researcher Dr Elena Pizzo is featured in a new podcast hosted by the International Journal of Stroke.
Dr Pizzo (below) a health economist discusses her work to improve the treatment of stroke patients in the crucial first 24 hours after the condition strikes with Managing Editor of the Journal Carmen Lahiff-Jenkin
Ischaemic stroke is the most common type of stroke, occurring when a blood clot blocks an artery cutting blood flow to part of the brain. Stroke can lead to coma, severe disability and eventually death if not treated promptly. The podcast is based on a paper Dr Pizzo published earlier this year which demonstrated the benefit of mechanical thrombectomy performed between 6 and 24 hours in acute ischemic stroke.
Mechanical clot retrieval (thrombectomy) is an intervention to remove clots when the current medical treatment (thrombolysis) is not sufficient to dissolve them.
Current economic evidence supports the intervention only within 6 hours, but the published research showed that extended thrombectomy treatment times, of up to 24 hours, may result in better long-term outcomes for a larger cohort of patients.
In the podcast, Elena presents the results of the paper and discusses the implementation of its findings in the UK
Pizzo, E., Dumba, M., & Lobotesis, K. (2019). Cost-utility analysis of mechanical thrombectomy between 6 and 24 hours in acute ischemic stroke.
International Journal of Stroke https://doi.org/10.1177/1747493019830587
New CLAHRC research shows the impact of the “Streams-AKI” app
Detection of one of the biggest killers in the NHS – Acute Kidney Injury (AKI) – has been cut from hours to minutes thanks to the introduction of a new mobile app.
Working in partnership with Deepmind and the Royal Free London NHS Foundation Trust, CLAHRC researchers based at UCL evaluated the impact of the digital intervention- an App called Streams – and the clinical pathway it underpins – on safety and clinical outcomes for inpatients at risk of AKI.
The STREAMs app sends an instant alert to NHS staff if a patients test results show they are is at risk of Acute Kidney Injury
AKI is a sudden episode of kidney failure or kidney damage defined by changes in urine output or serum creatinine – a waste product filtered by our kidneys. AKI can affect other organs such as the brain, heart, and lungs. It is common in hospital inpatients, in intensive care units, and especially older adults. AKI is estimated to cause 40,000 deaths and cost the NHS over £1 billion every year.
We compared results between the hospital site using the app versus another site not using the app. The evaluation of Streams highlighted a significant improvement in the reliability of recognition, time to treatment and reduced costs.
A short film summarises the results of our evaluation which took place from May 2017 across the Trust.
Mary Emerson, lead nurse specialist for the patient at risk and resuscitation team, with patient Edgar Ferrante.
The short film accompanies three papers published today (July 31st)
The research generated a great deal of media coverage which included an appearance on BBC Breakfast by CLAHRC Director Professor Rosalind Raine
..and a news item on the BBC website
Read the papers below
Connell A, Raine R, Martin P, Barbosa EC, Morris S, Nightingale C, Sadeghi-Alavijeh O, King D, Karthikesalingam A, Hughes C, Back T, Ayoub K, Suleyman M, Jones G, Cross J, Stanley S, Emerson M, Merrick C, Rees G, Montgomery H, Laing C Implementation of a Digitally Enabled Intervention to Detect and Treat Acute Kidney Injury Arising in Hospitalized Patients: Evaluation of Impact on Clinical Outcomes and Associated Health Care Costs
J Med Internet Res 2019;21(7):e13147 http://www.jmir.org/2019/7/e13147
Connell A, Black G, Montgomery H, Martin P, Nightingale C, King D, Karthikesalingam A, Hughes C, Back T, Ayoub K, Suleyman M, Jones G, Cross J, Stanley S, Emerson M, Merrick C, Rees G, Laing C, Raine R A Qualitative Evaluation of User Experiences of a Digitally Enabled Care Pathway in Secondary Care
J Med Internet Res 2019;21(7):e13143 http://www.jmir.org/2019/7/e13143/
Alistair Connell Hugh Montgomery, Peter Martin Claire Nightingale Omid Sadeghi-Alavijeh, Dominic KingAlan Karthikesalingam, Cian Hughes, Trevor Back, Kareem Ayoub, Mustafa Suleyman, Gareth Jones, Jennifer Cross,
Sarah Stanley, Mary Emerson, Charles Merrick, Geraint Rees, Chris Laing and Rosalind Raine Evaluation of a digitally-enabled care pathway for acute kidney injury management in hospital emergency admissions npj Digital Medicine (2019) 2:67 https://www.nature.com/articles/s41746-019-0100-6
Are you tasked with carrying out or commissioning an evaluation, but would appreciate guidance on what questions to ask, what outcomes to look for, or how to plan for an evaluation?
This one day, hands-on workshop, run by the NIHR CLAHRC North Thames Academy, addresses these challenges. It is aimed at staff from NHS Trusts, CCGs and Local Authorities. By attending, you will gain expert tips on how to design an effective evaluation, and have opportunities to consult with other delegates and facilitators about information directly related to planning your evaluation.
Having
attended the course, delegates will broadly be able to:
Develop an evaluation question
Apply a logic models and programme theory to address their evaluation questions and identify evaluation outcomes
Design a plan for conducting or commissioning an evaluation
This workshop is suitable for staff from NHS Trusts, Local Authorities and CCGs. It is not aimed at academic and/or researchers. Delegates should attend the course with an evaluation in mind. They should have previously attended our “Introduction to Evaluation” course (in person or online). As part of the course, some pre-programme preparation (approximately 3 hours) will be required.
All delegates will receive a certificate of attendance.
Cost – This course is free
for staff working in NIHR CLAHRC North Thames partner organisations (please
click here to see a list of our
partners). There is a delegate fee of £250 for other attendees.
Registration – Please complete the registration form and email to clahrc.academy@ucl.ac.uk by 5pm, 30 August 2019.
Please note, a
cancellation fee of £100 will be charged to both partner and non-partner delegates
in the event of non-attendance without notice after 5pm, Tuesday, 29th
October 2019.
Are you a nurse, allied health professional, public health or local
government member of staff who is interested in research or who has had
some exposure to research? Our workshop is suitable for staff from NHS
Trusts, CCGs, and Local Authorities who are keen to become involved in
research.
Engaging in research is a great way to address the questions that often arise in health care. It can also play a vital role in producting new evidence and new knowledge for decision-making to improve health care.
This one day, practical workshop provides an introduction to the
research process to enable NHS and local government staff to engage in
research activity. The course is run by the CLAHRC North Thames
Academy, together with the Research Design Service London (east London arm) and Clinical Research Network North Thames.
This introductory level course is a first step on the journey towards becoming “research active”, either by developing your own small project or getting involved in other ways e.g. collaborating on research studies, assisting clients / patients in your care to take part in research, being a (critical) research ‘consumer’ or helping to shape research priorities, design and delivery. We ask that participants attend the workshop with a research idea, innovation, or change that they would like to plan for, or collaborate on with researchers.
By the end of the course participants will:
Understand the research process, including the principles behind good research design and planning for dissemination and impact
Understand the different roles within a research team and identify the points at which you can become involved
Be able to apply criteria to judge the potential value and feasibility of a research project idea
Have a basic understanding of research governance and ethics requirements, and know where to find out more
Know how to involve patients and the public in every stage of research, and understand how it could benefit the research
Know how to access relevant resources or the help available across North Thames to design, plan and fund research
This workshop is not aimed at academics and/or researchers.
*e.g. you might have done a Masters level module in collecting
and analysing data, or critical appraisal of research, or have helped to
support research in your organisation or attended another one of our
Academy courses.
All participants will receive a certificate of attendance.
Cost – This course is free for staff working in NIHR CLAHRC North Thames partner organisations (a list of our partners is available on our website). There is a delegate fee of £250 for other attendees.
Please note, a cancellation fee of £100 will be charged to both partner and non-partner delegates in the event of non-attendance without notice after 5pm on 20th November 2019.
Do you
need to demonstrate the economic impact of projects in your organisation?
Do you
want to assess the outcomes and sustainability of a new service?
Are you
tasked with carrying out an economic evaluation, but don’t know where to start?
This
one day, hands-on workshop aims to provide an introduction to addressing these
challenges. It is run by the NIHR
CLAHRC North Thames Academy. The course is aimed at staff in
frontline services in the NHS and local government, who have limited experience
of conducting economic evaluations and decision making analysis.
After
attending this course, you will have the skills and knowledge to undertake your
own simple economic evaluation of a local intervention or service, and be able
to appraise other evaluations.
The course will cover:
introduce the basic principles of economic evaluation methods
explain how to assess the costs of an intervention/service
explain how to measure and value outcomes of an intervention/service
give practical examples of economic evaluation analysis
help to understand how to use of economic evaluation in decision making
offer the opportunity to discuss in small groups the economic evaluation you are doing or thinking of doing. A facilitator will help scope your economic evaluation, draft its core elements, identify the data you will need to use, think how you could overcome information or data gaps.
This
workshop is suitable for staff from NHS Trusts, Local Authorities and CCGs who
need to evaluate local programmes or services from an economic perspective as
part of their work. It is not aimed at academics and/or researchers.
In
order to be most beneficial for the participants, we invite applications from
individuals who are carrying out or soon will need to carry out an economic evaluation
of a service/intervention. In the selection process, we will give priority to
applications providing a detailed description of such projects. Groups of people working on the same
project are encouraged to apply.
No
previous knowledge of economics is required (or experience of study design and
statistics), however an
interest in economics and being comfortable with numbers is desirable.
All participants will receive a certificate of attendance.
Cost – This course is free
for staff working in NIHR CLAHRC North Thames partner organisations (please
click here to see a list of our
partners). There is a delegate fee of £250 for other attendees.
Registration – Please complete the registration form and email to clahrc.academy@ucl.ac.uk by 5pm, Friday23rd August 2019.
Please note, a cancellation fee of £100 will be charged to both partner and non-partner delegates in the event of non-attendance without notice after 5pm, Tuesday 22nd October 2019.
Over the past five years NIHR CLAHRC North Thames unique partnership of leading universities the NHS and Local Authorities, patients and industry has had a shared commitment to improving health and care and to reducing inequalities.
During the course of our work, we have identified the problems that most concern everyone across our patch ranging from poor uptake of bowel cancer screening to suboptimal asthma medication
management in school children.
We responded with innovative and high-quality applied health research that has addressed local needs and national priorities, then rapidly put findings into practice across our region and beyond. This is reflected in the volume, diversity and relevance of our research.
