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Article ; Online: What happens after James Lind Alliance Priority Setting Partnerships? A qualitative study of contexts, processes and impacts.

Staley, Kristina / Crowe, Sally / Crocker, Joanna C / Madden, Mary / Greenhalgh, Trisha

2020 Volume 6, Page(s) 41

Abstract: Background: The James Lind Alliance (JLA) supports priority setting partnerships (PSPs ...

Abstract	Background: The James Lind Alliance (JLA) supports priority setting partnerships (PSPs) in which patients, carers and health professionals collaborate to identify a Top 10 list of research priorities. Few studies have examined how partnerships plan for the post-prioritisation phase, or how context and post-PSP processes influence the fortunes of priorities. This evaluation aimed to explore these questions. Methods: We selected a diverse sample of 20 interviewees who had knowledge of 25 PSPs. Thirteen interviewees had led a PSP, either from a university, patient organisation or charity. Three were patients who had taken part in a PSP workshop. Four others, three researchers and one funder, had worked with JLA PSP priorities to develop research proposals. We analysed the data thematically, exploring how success was understood and achieved. Results: The JLA PSPs had different histories, funding sources, goals and stakeholders. Whilst their focus was on generating priority research topics, PSPs' wider impacts included enhanced status and greater confidence for individuals, as well as relationship-building and network strengthening for the organisations involved. To follow through on a Top 10, additional work was needed to refine broad priority topics into research questions and match them with appropriate funding sources. Commitment to post-PSP action from partners appeared to increase the chance that priority topics would be followed through to funded studies. Academic publications could alert researchers to a PSP's outputs, but not all PSPs had the capacity to produce them. A Top 10 list potentially influences funding decisions through direct funding, themed calls or as a prompt in open calls. Influence on funders appears to depend on alignment between a priority and the funder's remit, culture and values. Conclusion: The history and context of a JLA PSP have a major influence on its impact. Our findings suggest that there is no universal formula for success, but that greater resource and attention should be given to what happens after prioritisation. Further research is needed on what works best in what circumstances. Overall, we conclude that a wider cultural change in the research world is needed for JLA PSPs to achieve their goal of shaping the research agenda.
Language	English
Publishing date	2020-07-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2834246-X
ISSN	2056-7529 ; 2056-7529
ISSN (online)	2056-7529
ISSN	2056-7529
DOI	10.1186/s40900-020-00210-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: What happens after James Lind Alliance Priority Setting Partnerships? A qualitative study of contexts, processes and impacts

Kristina Staley / Sally Crowe / Joanna C. Crocker / Mary Madden / Trisha Greenhalgh

Research Involvement and Engagement, Vol 6, Iss 1, Pp 1-

2020 Volume 10

Abstract: Abstract Background The James Lind Alliance (JLA) supports priority setting partnerships (PSPs ...

Abstract	Abstract Background The James Lind Alliance (JLA) supports priority setting partnerships (PSPs) in which patients, carers and health professionals collaborate to identify a Top 10 list of research priorities. Few studies have examined how partnerships plan for the post-prioritisation phase, or how context and post-PSP processes influence the fortunes of priorities. This evaluation aimed to explore these questions. Methods We selected a diverse sample of 20 interviewees who had knowledge of 25 PSPs. Thirteen interviewees had led a PSP, either from a university, patient organisation or charity. Three were patients who had taken part in a PSP workshop. Four others, three researchers and one funder, had worked with JLA PSP priorities to develop research proposals. We analysed the data thematically, exploring how success was understood and achieved. Results The JLA PSPs had different histories, funding sources, goals and stakeholders. Whilst their focus was on generating priority research topics, PSPs’ wider impacts included enhanced status and greater confidence for individuals, as well as relationship-building and network strengthening for the organisations involved. To follow through on a Top 10, additional work was needed to refine broad priority topics into research questions and match them with appropriate funding sources. Commitment to post-PSP action from partners appeared to increase the chance that priority topics would be followed through to funded studies. Academic publications could alert researchers to a PSP’s outputs, but not all PSPs had the capacity to produce them. A Top 10 list potentially influences funding decisions through direct funding, themed calls or as a prompt in open calls. Influence on funders appears to depend on alignment between a priority and the funder’s remit, culture and values. Conclusion The history and context of a JLA PSP have a major influence on its impact. Our findings suggest that there is no universal formula for success, but that greater resource and attention should be ...
Keywords	Patient and public involvement ; James Lind Alliance ; Priority setting partnerships ; Research priorities ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	306
Language	English
Publishing date	2020-07-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book: Red Flags bei schweren Wirbelsäulenerkrankungen

Greenhalgh, Sue / Selfe, James / Simader, Rainer

Diagnostik und Therapie

2021

Title translation	Red flags and blue lights
Author's details	Sue Greenhalgh, James Selfe ; übersetzt von: Rainer Simader, Wien ; mit einem Geleitwort von: Laura Finucane und Chris Mercer
Keywords	Rückenschmerz ; Wirbelsäulenkrankheit ; Differentialdiagnose ; Physikalische Therapie
Subject	Physiotherapie ; Differentialdiagnostik ; Differenzialdiagnostik ; Differenzialdiagnose ;RR ; Wirbelsäulenerkrankung ; Wirbelsäulenbelastung ; Dorsopathie ; Rückenleiden ; Rückenschmerzen
Language	German
Size	IX, 147 Seiten, Illustrationen, 18.7 cm x 11.1 cm
Edition	2. Auflage
Publisher	Elsevier
Publishing place	München
Publishing country	Germany
Document type	Book
Note	1. deutsche Ausgabe, Übersetzung der 2. englischsprachigen Ausgabe
HBZ-ID	HT020952092
ISBN	978-3-437-45565-0 ; 3-437-45565-6 ; 9783437063060 ; 3437063065
Database	Catalogue ZB MED Medicine, Health

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Book ; Online: Being Modern

Shiach, Morag / James, Frank / Greenhalgh, Paul / Bud , Robert

2018

Abstract: In the early decades of the twentieth century, engagement with science was commonly used as an emblem of modernity. This phenomenon is now attracting increasing attention in different historical specialties. Being Modern builds on this recent scholarly ... ...

Abstract	In the early decades of the twentieth century, engagement with science was commonly used as an emblem of modernity. This phenomenon is now attracting increasing attention in different historical specialties. Being Modern builds on this recent scholarly interest to explore engagement with science across culture from the end of the nineteenth century to approximately 1940.Addressing the breadth of cultural forms in Britain and the western world from the architecture of Le Corbusier to working class British science fiction, Being Modern paints a rich picture. Seventeen distinguished contributors from a range of fields including the cultural study of science and technology, art and architecture, English culture and literature examine the issues involved. The book will be a valuable resource for students, and a spur to scholars to further examination of culture as an interconnected web of which science is a critical part, and to supersede such tired formulations as Science and culture
Keywords	Science (General) ; Social sciences (General) ; History (General) ; History of Central Europe ; Kultur ; Wissenschaft ; Geschichte 1890-1940
Subject	Bürgerliche Wissenschaft ; Wissenschaften
Size	1 electronic resource (438 p.)
Publisher	UCL Press
Document type	Book ; Online
Note	English ; Open Access
HBZ-ID	HT020101309
ISBN	9781787353930 ; 1787353931
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article: The Threshold of the State: Civil Defence, the Blackout and the Home in Second World War Britain.

Greenhalgh, James

20 century British history

2017 Volume 28, Issue 2, Page(s) 186–208

Abstract: This article reconsiders the way that the British state extended its control of the home during the Second World War, using the implementation of air raid precautions and the blackout as a lens through which to view the state's developing attitudes to ... ...

Abstract	This article reconsiders the way that the British state extended its control of the home during the Second World War, using the implementation of air raid precautions and the blackout as a lens through which to view the state's developing attitudes to domestic space. Presented here is not the familiar story of pitch-dark, dangerous streets or altered cityscapes of fear and destruction; instead, by examining personal testimony the article inverts traditional treatments of the blackout to look at the interior of dwellings, demonstrating how the realities of total warfare impinged upon the psychological elements that constituted the home. What emerges not only expands historical understandings of the wartime experience of civilians, it also shows civil defence measures as highly visible points on an often antagonistic trajectory of state interactions with citizens concerning the privacy and security of the dwelling in the modern city. The requirements of civil defence, I argue, were not merely the product of exceptional wartime circumstances, but symptomatic of long-standing attempts to open up dwellings to state scrutiny. These attempts had both a significant pre-war lineage and, crucially, implications beyond the end of the war in private homes and on social housing estates.
Language	English
Publishing date	2017-06-01
Publishing country	England
Document type	Journal Article
ZDB-ID	2077480-1
ISSN	1477-4674 ; 0955-2359
ISSN (online)	1477-4674
ISSN	0955-2359
DOI	10.1093/tcbh/hwx009
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Article ; Online: The lived experiences of UK physiotherapists involved in Cauda Equina Syndrome litigation. A qualitative study.

Yeowell, Gillian / Leech, Rachel / Greenhalgh, Susan / Willis, Emma / Selfe, James

PloS one

2023 Volume 18, Issue 9, Page(s) e0290882

Abstract: Background: Cauda Equina Syndrome is a serious spinal pathology, which can have life changing physical and psychological consequences and is highly litigious. Litigation can have negative personal and professional effects on the healthcare professionals ...

Abstract	Background: Cauda Equina Syndrome is a serious spinal pathology, which can have life changing physical and psychological consequences and is highly litigious. Litigation can have negative personal and professional effects on the healthcare professionals cited in a clinical negligence claim. There is an absence of research looking at the experience of the physiotherapist and as such, it is unknown the impact litigation is having on them. This study explored the lived experiences of UK physiotherapists in relation to Cauda Equina Syndrome litigation. Methods: A qualitative design, informed by Gadamerian hermeneutic phenomenology, using semi-structured interviews was used to explore participants' lived experiences of litigation. Interviews were audio-recorded and transcribed verbatim. Findings were analysed using an inductive thematic analysis framework. Nvivo software was used to facilitate analysis. The study is reported in accordance with the consolidated criteria for reporting qualitative (COREQ) research. Results: 40 interviews took place online or over the phone, with physiotherapists and stakeholders. Four themes were found; 'litigation effects', 'it feels personal', 'learning from litigation' and 'support and training'. Conclusion: This is the first study to investigate the lived experiences of litigation in UK physiotherapists. Involvement in clinical negligence affected physiotherapists' physical and mental wellbeing and impacted their clinical practice. Most physiotherapists felt litigation was a personal attack on them and their ability to do their job. Physiotherapists highlighted perceptions of a 'blame culture' and perceived stigma associated with the claim, which often led to a lack of sharing and learning from litigation. Physiotherapists emphasised the need for emotional support for those going through a legal claim and that training was needed to understand the process of litigation and range of potential outcomes.
MeSH term(s)	Humans ; Physical Therapists ; Cauda Equina Syndrome ; Qualitative Research ; Malpractice ; United Kingdom
Language	English
Publishing date	2023-09-14
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0290882
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Article ; Online: Comparison of Different Methods of Measuring Finger Range of Motion via Telehealth.

Bettencourt, Kory / Parry, Ingrid / Yelvington, Miranda / Taylor, Sandra / Greenhalgh, David / James, Michelle A

The Journal of hand surgery

2023

Abstract: Purpose: This study examined the accuracy and reliability of measuring total motion of the fingers via telehealth using the following three different methods: (1) goniometry, (2) visual estimation, and (3) electronic protractor. Measurements were ... ...

Abstract	Purpose: This study examined the accuracy and reliability of measuring total motion of the fingers via telehealth using the following three different methods: (1) goniometry, (2) visual estimation, and (3) electronic protractor. Measurements were compared with in-person measurement, which was assumed to be the reference standard. Methods: Thirty clinicians measured finger range of motion from prerecorded videos of a mannequin hand with articulating fingers, which was posed in extension and flexion that simulated a telehealth visit, using a goniometer with results blinded to the clinician (blinded goniometry), visual estimation, and an electronic protractor, in random order. Total motion was calculated for each finger and for all four fingers in sum. The experience level, familiarity with measuring finger range of motion, and opinions of measurement difficulty were assessed. Results: Measurement with the electronic protractor was the only method equivalent to the reference standard within 20°. Remote goniometer and visual estimation did not fall within the acceptable error margin of equivalence, and both underestimated total motion. Electronic protractor also had the highest interrater reliability (intraclass correlation [upper limit, lower limit], 0.95 [0.92, 0.95]); goniometry (intraclass correlation, 0.94 [0.91, 0.97]) was nearly identical, whereas visual estimation (intraclass correlation, 0.82 [0.74, 0.89]) was much lower. Clinicians' experience and familiarity with range of motion measurements had no relationship with the findings. Clinicians reported visual estimation as the most difficult (80%) and electronic protractor as the easiest method (73%). Conclusions: This study showed that traditional in-person forms of measurement underestimate finger range of motion via telehealth; a new computer-based method (ie, electronic protractor) was found to be more accurate. Clinical relevance: The use of an electronic protractor can be beneficial to clinicians measuring range of motion in patients virtually.
Language	English
Publishing date	2023-06-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	605716-0
ISSN	1531-6564 ; 0363-5023
ISSN (online)	1531-6564
ISSN	0363-5023
DOI	10.1016/j.jhsa.2023.03.018
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Mobilising context as complex and dynamic in evaluations of complex health interventions.

Murdoch, Jamie / Paparini, Sara / Papoutsi, Chrysanthi / James, Hannah / Greenhalgh, Trisha / Shaw, Sara E

BMC health services research

2023 Volume 23, Issue 1, Page(s) 1430

Abstract: Background: The relationship between healthcare interventions and context is widely conceived as involving complex and dynamic interactions over time. However, evaluations of complex health interventions frequently fail to mobilise such complexity, ... ...

Abstract	Background: The relationship between healthcare interventions and context is widely conceived as involving complex and dynamic interactions over time. However, evaluations of complex health interventions frequently fail to mobilise such complexity, reporting context and interventions as reified and demarcated categories. This raises questions about practices shaping knowledge about context, with implications for who and what we make visible in our research. Viewed through the lens of case study research, we draw on data collected for the Triple C study (focused on Case study, Context and Complex interventions), to critique these practices, and call for system-wide changes in how notions of context are operationalised in evaluations of complex health interventions. Methods: The Triple C study was funded by the Medical Research Council to develop case study guidance and reporting principles taking account of context and complexity. As part of this study, a one-day workshop with 58 participants and nine interviews were conducted with those involved in researching, evaluating, publishing, funding and developing policy and practice from case study research. Discussions focused on how to conceptualise and operationalise context within case study evaluations of complex health interventions. Analysis focused on different constructions and connections of context in relation to complex interventions and the wider social forces structuring participant's accounts. Results: We found knowledge-making practices about context shaped by epistemic and political forces, manifesting as: tensions between articulating complexity and clarity of description; ontological (in)coherence between conceptualisations of context and methods used; and reified versions of context being privileged when communicating with funders, journals, policymakers and publics. Conclusion: We argue that evaluations of complex health interventions urgently requires wide-scale critical reflection on how context is mobilised - by funders, health services researchers, journal editors and policymakers. Connecting with how scholars approach complexity and context across disciplines provides opportunities for creatively expanding the field in which health evaluations are conducted, enabling a critical standpoint to long-established traditions and opening up possibilities for innovating the design of evaluations of complex health interventions.
MeSH term(s)	Humans ; Delivery of Health Care ; Health Services
Language	English
Publishing date	2023-12-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-023-10354-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Defensive medicine: A symptom of uncertainty?

Finucane, Laura M / Greenhalgh, Susan M / Mercer, Christopher / Selfe, James

Musculoskeletal science & practice

2022 Volume 60, Page(s) 102558

Abstract: Defensive medicine is a well-documented phenomenon and refers to the practice of over-cautious management of patients, leading to excessive clinical activity such as over-investigation, unnecessary appointments and additional interventions. Adopting this ...

Abstract	Defensive medicine is a well-documented phenomenon and refers to the practice of over-cautious management of patients, leading to excessive clinical activity such as over-investigation, unnecessary appointments and additional interventions. Adopting this approach is not in the best interest of patients and can lead to clinical reasoning being replaced by lists, guidelines and algorithms which do not consider the complexity of a patients presentation or the reasoning inherent in good clinical judgement. The drivers of defensive medicine are varied and include a high level of uncertainty alongside other factors including clinical experience with past cases, system pressures and patient expectations. This paper explores these drivers and considers strategies on how best to avoid a defensive medicine approach. It reinforces the need to adopt a patient centred focus and use sound clinical reasoning to support the management of patients.
MeSH term(s)	Defensive Medicine ; Humans ; Motivation ; Patient-Centered Care/trends ; Uncertainty
Language	English
Publishing date	2022-03-29
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2022.102558
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Article ; Online: Medico-legal litigation of UK physiotherapists in relation to cauda equina syndrome: a multimethods study.

Yeowell, Gillian / Leech, Rachel / Greenhalgh, Susan / Willis, Emma / Selfe, James

BMJ open

2022 Volume 12, Issue 7, Page(s) e060023

Abstract: Objective: The aim was to investigate the extent of cauda equina syndrome (CES) litigation and explore the process of medico-legal litigation in relation to physiotherapy in the UK.: Design: A multimethods inquiry that followed on from a previously ... ...

Abstract	Objective: The aim was to investigate the extent of cauda equina syndrome (CES) litigation and explore the process of medico-legal litigation in relation to physiotherapy in the UK. Design: A multimethods inquiry that followed on from a previously conducted scoping literature review was undertaken to address the aim. This included freedom of information requests and direct communication with relevant stakeholders and organisations. Results: A total of 2496 CES claims were found in the UK between 2012 and 2020. 51 of these were attributed to physiotherapists. There was little information available to physiotherapists regarding the legal process of litigation and much of this information was not from a physiotherapist's perspective. Conclusion: This is the first study that has investigated the extent and process of CES litigation in physiotherapy in the UK. The extent of CES litigation appears to be high considering CES is a rare spinal condition. Furthermore, the extent of CES litigation is suspected to be considerably higher than the data reported in this study due to the issues identified in how CES claims are recorded. Finally, there is no clearly articulated, easily accessible information describing the process and support available for physiotherapists in receipt of a legal claim.
MeSH term(s)	Cauda Equina Syndrome ; Humans ; Physical Therapists ; Social Problems ; Spine ; United Kingdom
Language	English
Publishing date	2022-07-12
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2021-060023
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