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Nicola Walsh's Outputs (101)

The experiences of patients with musculoskeletal conditions accessing first contact physiotherapy practitioner appointments in general practice in the UK: A qualitative study (2024)
Journal Article

Background: First Contact Physiotherapy Practitioners (FCPPs) provide expert care for patients with musculoskeletal (MSK) conditions in General Practice. Access to FCPPs can facilitate timely care and efficient use of health services. However, there... Read More about The experiences of patients with musculoskeletal conditions accessing first contact physiotherapy practitioner appointments in general practice in the UK: A qualitative study.

Patient perspectives of general practice consultation for musculoskeletal disorders: A qualitative study (2024)
Journal Article

Background: Musculoskeletal disorders (MSKDs) are a significant reason for general practice consultations in the United Kingdom. Current models of care include consultation with a General Practitioner (GP) or a First Contact Physiotherapy Practitione... Read More about Patient perspectives of general practice consultation for musculoskeletal disorders: A qualitative study.

Improving patients’ experiences of diagnosis and treatment of vertebral fracture: Co-production of knowledge sharing resources (2024)
Journal Article

Background: Osteoporosis involves changes to bones that makes them prone to fracture. The most common osteoporotic fracture is vertebral, in which one or more spinal vertebrae collapse. People with vertebral fracture are at high risk of further fract... Read More about Improving patients’ experiences of diagnosis and treatment of vertebral fracture: Co-production of knowledge sharing resources.

Challenges and enablers to implementation of the Additional Roles Reimbursement Scheme in primary care: A qualitative study (2024)
Journal Article

BACKGROUND: The Additional Roles Reimbursement Scheme (ARRS) was set up to recruit 26 000 additional staff into general practice by 2024, with the aim of increasing patient access to appointments. Despite the potential benefits of integrating ARRS pr... Read More about Challenges and enablers to implementation of the Additional Roles Reimbursement Scheme in primary care: A qualitative study.

Optimising the implementation of evidence-based osteoarthritis guidelines in primary care: Development of a Knowledge Mobilisation Toolkit (2024)
Journal Article

Objective: Implementing clinical guidelines for osteoarthritis (OA) in primary care is complex. Whilst international guidelines detail what best practice for OA looks like, little is known about how this is best implemented. Limited resources are ava... Read More about Optimising the implementation of evidence-based osteoarthritis guidelines in primary care: Development of a Knowledge Mobilisation Toolkit.

From sceptic to believer: Acceptability of cognitive muscular therapy TM, a new intervention for knee osteoarthritis (2023)
Journal Article

Background: Cognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, b... Read More about From sceptic to believer: Acceptability of cognitive muscular therapy TM, a new intervention for knee osteoarthritis.

Systematic co-development and testing of a digital behaviour change intervention for osteoarthritis and physical activity: Theoretical mapping and acceptability study (2023)
Journal Article

Objective: Osteoarthritis (OA) affects 8.75 million people in the UK. Physical activity (PA) is recommended as a core treatment, yet nearly half of people with OA are inactive. Accessible and user-friendly interventions are needed to motivate people... Read More about Systematic co-development and testing of a digital behaviour change intervention for osteoarthritis and physical activity: Theoretical mapping and acceptability study.

Adaptation and implementation of a shared decision-making tool from one health context to another: Partnership approach using mixed methods (2023)
Journal Article

Background: Osteoarthritis is a leading cause of pain and disability. Knee osteoarthritis accounts for nearly four-fifths of the burden of osteoarthritis internationally, and 10% of adults in the United Kingdom have the condition. Shared decision-mak... Read More about Adaptation and implementation of a shared decision-making tool from one health context to another: Partnership approach using mixed methods.

The emergent UK drug dependency and opioid addiction debate: Implications for physiotherapy independent prescribers (2023)
Presentation / Conference Contribution

Background: Legislative change in the UK in 2013, enabled physiotherapists holding a post graduate non-medical prescribing qualification to independently prescribe certain drugs that assist in patient management. Prescribing in physiotherapy is highl... Read More about The emergent UK drug dependency and opioid addiction debate: Implications for physiotherapy independent prescribers.

Development of evidence-based guidelines for the treatment and management of periprosthetic hip infection: The inform guidelines (2023)
Journal Article

Aims Periprosthetic hip-joint infection is a multifaceted and highly detrimental outcome for patients and clinicians. The incidence of prosthetic joint infection reported within two years of primary hip arthroplasty ranges from 0.8% to 2.1%. Costs of... Read More about Development of evidence-based guidelines for the treatment and management of periprosthetic hip infection: The inform guidelines.

The impact of remote consultations on the health and wellbeing of first contact physiotherapists in primary care: A mixed methods study (2023)
Journal Article

Background: First Contact Physiotherapists (FCPs) were introduced to reduce demands on GPs by providing improving access to expert musculoskeletal care. FCPs experience similar workplace stressors to GPs and there is an emerging concern that remote c... Read More about The impact of remote consultations on the health and wellbeing of first contact physiotherapists in primary care: A mixed methods study.

Development and validation of multivariable prediction models for in-hospital death, 30-day death, and change in residence after hip fracture surgery and the 'stratify-hip' algorithm (2023)
Journal Article

To develop and validate the stratify-hip algorithm (multivariable prediction models to predict those at low, medium, and high risk across in-hospital death, 30-day death, and residence change after hip fracture). Multivariable Fine-Gray and logistic... Read More about Development and validation of multivariable prediction models for in-hospital death, 30-day death, and change in residence after hip fracture surgery and the 'stratify-hip' algorithm.

What do people with osteoarthritis think about using a digital behaviour change intervention to support physical activity? (2022)
Presentation / Conference Contribution

Background
Osteoarthritis (OA) affects 8.75 million people in the UK. Physical activity (PA) is recommended as a core treatment, yet nearly half of people with OA are inactive. Accessible and user-friendly interventions are needed to motivate people... Read More about What do people with osteoarthritis think about using a digital behaviour change intervention to support physical activity?.

The challenges of managing Complex Regional Pain Syndrome throughout the care pathway - reporting therapists' perspectives (2022)
Presentation / Conference Contribution

Background and Aims
Complex Regional Pain Syndrome (CRPS) is a severe chronic pain condition which usually occurs following limb trauma[1] and causes significant burden to individuals and society. The UK has a small number of specialist CRPS centres... Read More about The challenges of managing Complex Regional Pain Syndrome throughout the care pathway - reporting therapists' perspectives.

A feasibility randomised controlled trial of a Fibromyalgia self-management programme for adults in a community setting with a nested qualitative study (FALCON) (2022)
Journal Article

Background: Fibromyalgia is a condition associated with widespread musculoskeletal pain, fatigue and sleep problems. Fibromyalgia treatment guidelines recommend non-pharmacological interventions and the development of self-management skills. An examp... Read More about A feasibility randomised controlled trial of a Fibromyalgia self-management programme for adults in a community setting with a nested qualitative study (FALCON).

Allied healthcare professionals interventions for complex regional pain syndrome - which work? A systematic review of the literature (2022)
Journal Article

Background/Aims
Complex regional pain syndrome (CRPS) is a severe chronic pain condition which usually occurs following limb trauma. Also associated with a range of signs and symptoms, including limb oedema, sensitivity to touch, skin colour and tem... Read More about Allied healthcare professionals interventions for complex regional pain syndrome - which work? A systematic review of the literature.

A tailored app for the self-management of musculoskeletal conditions: Evidencing a logic model of behavior change (2022)
Journal Article

Background: Musculoskeletal conditions such as joint pain are a growing problem, affecting 18.8 million people in the United Kingdom. Digital health interventions (DHIs) are a potentially effective way of delivering information and supporting self-ma... Read More about A tailored app for the self-management of musculoskeletal conditions: Evidencing a logic model of behavior change.

Developing a self-management intervention to manage hypermobility spectrum disorders (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS): An analysis informed by behaviour change theory (2021)
Journal Article

Purpose: Hypermobility Spectrum Disorders (HSD) and Hypermobile Ehlers-Danlos Syndrome (hEDS) are heritable connective tissue disorders associated with joint instability and pain, but with scant guidance for supporting patients. The aim was to determ... Read More about Developing a self-management intervention to manage hypermobility spectrum disorders (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS): An analysis informed by behaviour change theory.

E27: Evidencing the behaviour change model underpinning a personalised and tailored app for low back pain (2020)
Presentation / Conference Contribution

Purpose: Self-management of low back pain is supported by national guidance (Savigny 2016, Foster et al, 2018, ). Digital modalities have gained traction as a potentially effective way of delivering information and education. It is vital to evaluate... Read More about E27: Evidencing the behaviour change model underpinning a personalised and tailored app for low back pain.

Facilitating activity and self-management for people with arthritic knee, hip or lower back pain (FASA): A cluster randomised controlled trial (2020)
Journal Article

Chronic musculoskeletal pain including osteoarthritis (OA) can significantly limit the functional independence of individuals. The spine and hip and knee are predominantly affected; management guidelines for each recommend exercise and education to s... Read More about Facilitating activity and self-management for people with arthritic knee, hip or lower back pain (FASA): A cluster randomised controlled trial.

A systematic review of non-pharmacologic interventions to reduce anxiety in adults in advance of diagnostic imaging procedures (2020)
Journal Article

© 2020 The College of Radiographers Objectives: Anticipation of a diagnostic imaging (DI) procedure, particularly one involving advanced technology, can provoke feelings of anxiety in patients. Anxiolytics (anxiety reducing drugs) can be used to redu... Read More about A systematic review of non-pharmacologic interventions to reduce anxiety in adults in advance of diagnostic imaging procedures.

Patient acceptability of the physiotherapy first contact practitioner role in primary care: A realist informed qualitative study (2020)
Journal Article

Background: Approximately 30% of general practitioner (GP) consultations are due to musculoskeletal disorders (MSKDs). Physiotherapists are trained to assess, diagnose and treat MSKDs and provide an alternative to GP consultation for primary care pat... Read More about Patient acceptability of the physiotherapy first contact practitioner role in primary care: A realist informed qualitative study.

A feasibility randomised controlled trial of a fibromyalgia self-management programme in a community setting with a nested qualitative study (FALCON): Study protocol (2020)
Journal Article

Background: Fibromyalgia (FM) is a complex long-term condition associated with chronic widespread pain, fatigue, sleep problems, memory and concentration difficulties and irritable bowel syndrome. Current guidelines for the treatment of FM recommend... Read More about A feasibility randomised controlled trial of a fibromyalgia self-management programme in a community setting with a nested qualitative study (FALCON): Study protocol.

Promoting engagement in physical activity in early rheumatoid arthritis: A proof‐of‐concept intervention study (2020)
Journal Article

Objective(s): The aim of this study is to test the feasibility and acceptability of promoting engagement in physical activity in early rheumatoid arthritis (PEPA-RA) to inform a future trial.
Design: A ‘proof of concept’ study was carried out.
Sett... Read More about Promoting engagement in physical activity in early rheumatoid arthritis: A proof‐of‐concept intervention study.

Fibromyalgia self‐management: Mapping the behaviour change techniques used in a practice‐based programme (2020)
Journal Article

Background: Fibromyalgia (FM) is a complex long-term condition associated with pain, fatigue and concentration difficulties. There is limited robust evidence for the effectiveness of pharmacological treatments for FM, with current guidelines recommen... Read More about Fibromyalgia self‐management: Mapping the behaviour change techniques used in a practice‐based programme.

Mixed methods study of clinicians' perspectives on barriers to implementation of treat to target in psoriatic arthritis (2020)
Journal Article

Objectives: In treat to target (T2T), the patient is treated to reach and maintain specified and sequentially measured goals, such as remission or low disease activity. T2T in psoriatic arthritis (PsA) has demonstrated improved clinical and patient-r... Read More about Mixed methods study of clinicians' perspectives on barriers to implementation of treat to target in psoriatic arthritis.

Understanding the psychosocial impact of Joint Hypermobility Syndrome and Ehlers-Danlos Syndrome Hypermobility Type: A qualitative interview study (2019)
Journal Article

Purpose: Little attention has been paid to psychosocial factors in Joint Hypermobility Syndrome and Ehlers–Danlos Syndrome (hypermobility type). This study sought to identify the psychosocial impact by examining participants’ lived experiences; and i... Read More about Understanding the psychosocial impact of Joint Hypermobility Syndrome and Ehlers-Danlos Syndrome Hypermobility Type: A qualitative interview study.

Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity (2019)
Journal Article

© 2019 The Author(s). Background: Fatigue is a major symptom of rheumatoid arthritis (RA). There is some evidence that physical activity (PA) may be effective in reducing RA fatigue. However, few PA interventions have been designed to manage fatigue... Read More about Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity.

The lived experience of Joint Hypermobility and Ehlers-Danlos Syndromes: a systematic review and thematic synthesis (2019)
Journal Article

© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. Background: Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome (EDS) are heritable connective tissue disorders characterised by joint instability, pain, anxiety, depre... Read More about The lived experience of Joint Hypermobility and Ehlers-Danlos Syndromes: a systematic review and thematic synthesis.

The psychosocial impact of Joint Hypermobility Syndrome and Ehlers-Danlos Syndrome (Hypermobility Type): A qualitative interview study (2018)
Presentation / Conference Contribution

Background: Existing research examining those with Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome (Hypermobility Type) (EDS-HT) has predominately focused on factors such as pain, range of movement and physical function. However psychos... Read More about The psychosocial impact of Joint Hypermobility Syndrome and Ehlers-Danlos Syndrome (Hypermobility Type): A qualitative interview study.

Digital behaviour change interventions to facilitate physical activity in osteoarthritis: A systematic review (2018)
Journal Article

© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group. Background: Digital behaviour change interventions (DBCIs) might offer an opportunity to support people with osteoarthritis (OA) to self-manage and monitor their levels of physic... Read More about Digital behaviour change interventions to facilitate physical activity in osteoarthritis: A systematic review.

Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: A mixed methods review (2018)
Journal Article

© 2018 The Cochrane Collaboration. Background: Chronic peripheral joint pain due to osteoarthritis (OA) is extremely prevalent and a major cause of physical dysfunction and psychosocial distress. Exercise is recommended to reduce joint pain and impro... Read More about Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: A mixed methods review.

Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS) (2016)
Journal Article

© 2016 Hurley et al. Background: The Medical Research Council framework provides a useful general approach to designing and evaluating complex interventions, but does not provide detailed guidance on how to do this and there is little evidence of how... Read More about Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS).

Community-based exercise and physical activity programmes led by exercise professionals for osteoarthritis (2016)
Journal Article

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:. To assess the benefits and harms of community-based exercise and physical activity programmes led by non-healthcare exercise professionals for osteoarthritis, co... Read More about Community-based exercise and physical activity programmes led by exercise professionals for osteoarthritis.

Developing a web-based version of an exercise-based rehabilitation program for people with chronic knee and hip pain: A mixed methods study (2016)
Journal Article

Abstract
Background: Osteoarthritis is highly prevalent and has enormous personal and socioeconomic impact. Enabling Self-management and Coping with Arthritic Pain through Exercise (ESCAPE-pain) is an integrated rehabilitation program that helps peo... Read More about Developing a web-based version of an exercise-based rehabilitation program for people with chronic knee and hip pain: A mixed methods study.

Physical activity engagement in early rheumatoid arthritis: a qualitative study to inform intervention development (2015)
Journal Article

© 2015 Chartered Society of Physiotherapy Background Physical activity (PA) in patients with rheumatoid arthritis (RA) is lower than in the general population. PA can improve physical function in RA, decrease chronic inflammation and reduce pain, wit... Read More about Physical activity engagement in early rheumatoid arthritis: a qualitative study to inform intervention development.

What outcome measures are commonly used for Complex Regional Pain Syndrome clinical trials? A systematic review of the literature (2015)
Journal Article

© 2015 European Pain Federation - EFIC®. Background and objective Complex Regional Pain Syndrome (CRPS) is a chronic pain condition, often triggered by trauma to a limb and characterized by sensory, motor, autonomic and trophic changes within the aff... Read More about What outcome measures are commonly used for Complex Regional Pain Syndrome clinical trials? A systematic review of the literature.

The impact of cortical remapping interventions on pain and disability in chronic low back pain: A systematic review (2015)
Journal Article

© 2014 Chartered Society of Physiotherapy. Background: Cortical change, in the manner of cortical remapping is a common feature of and potential driver for chronic low back pain (CLBP). Novel interventions such as graded motor imagery (GMI) and mirro... Read More about The impact of cortical remapping interventions on pain and disability in chronic low back pain: A systematic review.

The potential use of physical activity to help manage fatigue in rheumatoid arthritis: Lessons from other long-term conditions (2014)
Journal Article

Background: Fatigue is a major symptom of RA and the need for effective interventions is evident. Programmes based upon physical activity (PA) have been shown to improve patient reported fatigue in other long term conditions (LTCs). To inform the dev... Read More about The potential use of physical activity to help manage fatigue in rheumatoid arthritis: Lessons from other long-term conditions.

Transcutaneous electrical nerve stimulation as an adjunct to education and exercise for knee osteoarthritis: A randomized controlled trial (2014)
Journal Article

Objective To determine the additional effects of transcutaneous electrical nerve stimulation (TENS) for knee osteoarthritis (OA) when combined with a group education and exercise program (knee group). Methods The study was a randomized, sham-controll... Read More about Transcutaneous electrical nerve stimulation as an adjunct to education and exercise for knee osteoarthritis: A randomized controlled trial.

Managing Osteoarthritis in Primary Care: Exploring Healthcare Professionals' Views on a Multiple-Joint Intervention Designed to Facilitate Self-Management (2014)
Journal Article

© 2014 John Wiley & Sons, Ltd. Aim: Osteoarthritis (OA) is one of the most common musculoskeletal conditions and a major cause of chronic pain and disability. Self-management of OA through education and exercise are recommended as core treatments.... Read More about Managing Osteoarthritis in Primary Care: Exploring Healthcare Professionals' Views on a Multiple-Joint Intervention Designed to Facilitate Self-Management.

Exercise interventions and patient beliefs for people with chronic hip and knee pain: A mixed methods review (2013)
Journal Article

© 2013 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: Overarching objective: To improve our understanding of the complex inter-relationship between pain, psychosocial effects, ph... Read More about Exercise interventions and patient beliefs for people with chronic hip and knee pain: A mixed methods review.

Exercise and self-management for people with chronic knee, hip or lower back pain: A cluster randomised controlled trial of clinical and cost-effectiveness. Study protocol (2013)
Journal Article

Objectives: Chronic musculoskeletal pain and osteoarthritis can significantly limit the functional independence of individuals, and given that 25% of the population experience these problems, the socioeconomic impact is immense. Exercise and self-man... Read More about Exercise and self-management for people with chronic knee, hip or lower back pain: A cluster randomised controlled trial of clinical and cost-effectiveness. Study protocol.

Long-Term outcomes and costs of an integrated rehabilitation program for chronic knee pain: A pragmatic, cluster randomized, controlled trial (2012)
Journal Article

Chronic joint pain is a major cause of pain and disability. Exercise and self-management have short-term benefits, but few studies follow participants for more than 6 months. We investigated the long-term (up to 30 months) clinical and cost effective... Read More about Long-Term outcomes and costs of an integrated rehabilitation program for chronic knee pain: A pragmatic, cluster randomized, controlled trial.

Health beliefs before and after participation on an exercised-based rehabilitation programme for chronic knee pain: Doing is believing (2010)
Journal Article

Background. To explore the health beliefs, experiences, treatment and expectations of people with chronic knee pain, and investigate if, how and why these change after taking part on an integrated exercise-based rehabilitation programme - Enabling Se... Read More about Health beliefs before and after participation on an exercised-based rehabilitation programme for chronic knee pain: Doing is believing.

Long-term clinical benefits and costs of an integrated rehabilitation programme compared with outpatient physiotherapy for chronic knee pain (2009)
Journal Article

Background: Chronic knee pain is a major cause of disability in the elderly. Management guidelines recommend exercise and self-management interventions as effective treatments. The authors previously described a rehabilitation programme integrating e... Read More about Long-term clinical benefits and costs of an integrated rehabilitation programme compared with outpatient physiotherapy for chronic knee pain.

Effectiveness and clinical applicability of integrated rehabilitation programs for knee osteoarthritis (2009)
Journal Article

Purpose of review Knee osteoarthritis is a common and increasing cause of pain and disability. Exercise and self-management interventions reduce pain and improve function. These interventions are usually delivered separately but, theoretically, the b... Read More about Effectiveness and clinical applicability of integrated rehabilitation programs for knee osteoarthritis.

Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: A cluster randomized trial (2007)
Journal Article

Objective. Chronic knee pain is a major cause of disability and health care expenditure, but there are concerns about efficacy, cost, and side effects associated with usual primary care. Conservative rehabilitation may offer a safe, effective, afford... Read More about Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: A cluster randomized trial.

Economic evaluation of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain (2007)
Journal Article

Objective. To conduct an economic evaluation of the Enabling Self-Management and Coping with Arthritic Knee Pain through Exercise (ESCAPE-knee pain) program. Methods. Alongside a clinical trial, we estimated the costs of usual primary care and partic... Read More about Economic evaluation of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain.

Integrated exercise and self-management programmes in osteoarthritis of the hip and knee: a systematic review of effectiveness (2006)
Journal Article

© 2006 Maney Publishing. The aim of this systematic review was to investigate the clinical effects of integrated exercise and self-management programmes on pain and function in patients with hip and knee osteoarthritis, and to determine the cost-effe... Read More about Integrated exercise and self-management programmes in osteoarthritis of the hip and knee: a systematic review of effectiveness.

Understanding the acceptability of delivering a Fibromyalgia Self-Management Programme in the community (FALCON): Qualitative findings
Presentation / Conference Contribution

Purpose: Fibromyalgia (FM) is a complex long-term condition affecting up to 5.4% of the UK population. It is associated with chronic widespread pain, fatigue, stiffness, sleep problems, memory and concentration difficulties, and irritable bowel syndr... Read More about Understanding the acceptability of delivering a Fibromyalgia Self-Management Programme in the community (FALCON): Qualitative findings.