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Article ; Online: Determinants of poor glycaemic control and proteinuria in patients with type 2 diabetes: a retrospective analysis of general practice records in Ireland.

Sullivan, Maria / O'Connor, Raymond / Hannigan, Ailish

BMC primary care

2024 Volume 25, Issue 1, Page(s) 22

Abstract: Background: Analysis of general practice records can address the information gap on the epidemiology of type 2 diabetes (T2DM) in Ireland, informing practice and the development of interventions in primary care. The aim of this study was to identify ... ...

Abstract	Background: Analysis of general practice records can address the information gap on the epidemiology of type 2 diabetes (T2DM) in Ireland, informing practice and the development of interventions in primary care. The aim of this study was to identify patients with poor glycaemic control, risk factors for complications and evidence of end organ damage in a large multi-practice study and to profile their characteristics. Methods: Patients with T2DM were identified using disease coding in Health One practice management software in 41 general practices. Patients' demographics and clinical data were extracted. Rates of poor glycaemic control (glycated haemoglobin > 58 mmol/mol) and albumin creatinine ratio > 3 mg/mmol were calculated. A multilevel logistic regression analysis using both patient and practice variables was conducted. Results: Data was collected from 3188 patients of whom 29% (95% CI 28 to 31%) had poor glycaemic control, which was associated with younger age, higher BMI and higher total cholesterol. Only 42% of patients (n = 1332) had albumin creatinine ratio measured with 42% (95% CI 40 to 45%) of these having values > 3 mg/mmol. Older age groups, men, those with hypertension, eGFR < 60 ml/min/1.73m Conclusions: Analysing this large multi-practice dataset gives important information on the prevalence and characteristics of diabetic patients who are most at risk of poor outcomes. It highlights that recording of some data could be improved.
MeSH term(s)	Male ; Humans ; Aged ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/epidemiology ; Ireland/epidemiology ; Creatinine ; Glycemic Control ; Retrospective Studies ; General Practice ; Proteinuria/epidemiology ; Albumins
Chemical Substances	Creatinine (AYI8EX34EU) ; Albumins
Language	English
Publishing date	2024-01-10
Publishing country	England
Document type	Journal Article
ISSN	2731-4553
ISSN (online)	2731-4553
DOI	10.1186/s12875-023-02252-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Public and patient involvement in quantitative health research: A statistical perspective.

Hannigan, Ailish

Health expectations : an international journal of public participation in health care and health policy

2018 Volume 21, Issue 6, Page(s) 939–943

Abstract: Background: The majority of studies included in recent reviews of impact for public and patient involvement (PPI) in health research had a qualitative design. PPI in solely quantitative designs is underexplored, particularly its impact on statistical ... ...

Abstract	Background: The majority of studies included in recent reviews of impact for public and patient involvement (PPI) in health research had a qualitative design. PPI in solely quantitative designs is underexplored, particularly its impact on statistical analysis. Statisticians in practice have a long history of working in both consultative (indirect) and collaborative (direct) roles in health research, yet their perspective on PPI in quantitative health research has never been explicitly examined. Objective: To explore the potential and challenges of PPI from a statistical perspective at distinct stages of quantitative research, that is sampling, measurement and statistical analysis, distinguishing between indirect and direct PPI. Conclusions: Statistical analysis is underpinned by having a representative sample, and a collaborative or direct approach to PPI may help achieve that by supporting access to and increasing participation of under-represented groups in the population. Acknowledging and valuing the role of lay knowledge of the context in statistical analysis and in deciding what variables to measure may support collective learning and advance scientific understanding, as evidenced by the use of participatory modelling in other disciplines. A recurring issue for quantitative researchers, which reflects quantitative sampling methods, is the selection and required number of PPI contributors, and this requires further methodological development. Direct approaches to PPI in quantitative health research may potentially increase its impact, but the facilitation and partnership skills required may require further training for all stakeholders, including statisticians.
MeSH term(s)	Data Interpretation, Statistical ; Health Services Research ; Humans ; Patient Participation ; Research Design
Language	English
Publishing date	2018-06-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2119434-8
ISSN	1369-7625 ; 1369-6513
ISSN (online)	1369-7625
ISSN	1369-6513
DOI	10.1111/hex.12800
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Article ; Online: Words and numbers: a comparative study of medical and journalism students' descriptors of risk, numeracy and preferences for health risk communication.

Fallon, Eleanor / Bargary, Norma / Quinn, Fergal / Leavy, Aisling / Hannigan, Ailish

BMC medical education

2024 Volume 24, Issue 1, Page(s) 84

Abstract: Background: Given the complementary roles of health professionals and journalists in communicating health risks to patients and the public, there have been calls for physicians to work with journalists to improve the quality of health information ... ...

Abstract	Background: Given the complementary roles of health professionals and journalists in communicating health risks to patients and the public, there have been calls for physicians to work with journalists to improve the quality of health information received by the public. Understanding the preferences of medical and journalism students for the way in which health risks are communicated and their understanding of words used to describe risk is an important first step to inform interdisciplinary learning. Methods: Medical and journalism students (n = 203) completed an online survey where they were given qualitative descriptors of risk such as 'a chance', 'probably' and 'unlikely', and asked to assign a number that represents what the word means to them. Different formats of communicating risk (percentages, natural frequency and visual aids) were provided and students were asked to select and explain their preference. A thematic analysis of reasons was conducted. Numeracy and perceived mathematics ability were measured. Results: Numbers assigned to the descriptor 'A chance' had the highest variability for medical students. Numbers assigned to the descriptor 'Probably' had the highest variability for journalism students. Using visual aids was the most popular format for risk communication for both courses (56% of medical students and 40% of journalism students). Using percentages was twice as popular with journalism students compared to medical students (36% vs. 18%). Perceived mathematics ability was lower in students with a preference for natural frequencies and in journalism students, however performance on an objective numeracy scale was similar for all three formats (percentages, natural frequency and visual aids). Reasons for choosing a preferred format included good communication, eliciting a response, or learning style. Conclusions: Education on health risk communication for medical and journalism students should emphasize the need for qualitative descriptors of risk to be combined with the best available number. Students are already considering their role as future communicators of health risks and open to tailoring the mode of presentation to their audience. Further research is required on the design and evaluation of interdisciplinary workshops in health risk communication for medical and journalism students to maximise the opportunities for future inter-professional working.
MeSH term(s)	Humans ; Students, Medical ; Communication ; Educational Status ; Audiovisual Aids ; Cognition
Language	English
Publishing date	2024-01-23
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-024-05048-3
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Article ; Online: The role of the arts in enhancing data literacy: A scoping review protocol.

Hannigan, Ailish / Garry, Fran / Byrne, Conor / Phelan, Helen

PloS one

2023 Volume 18, Issue 2, Page(s) e0281749

Abstract: Data literacy has been defined as "the ability to read, work with, analyze and argue with data". The United Nations has highlighted a growing risk of inequality for people excluded from the new world of data by lack of education, language, poverty, and ... ...

Abstract	Data literacy has been defined as "the ability to read, work with, analyze and argue with data". The United Nations has highlighted a growing risk of inequality for people excluded from the new world of data by lack of education, language, poverty, and discrimination and has called for the development of data literacy at all levels of society. Responses to data are shaped by personal, social and cultural influences, as well as by trust in the source. The arts can play an important role in regulating our responses to information and increasing accessibility, engagement and sense-making of data. However, to our knowledge, to date, there has been no comprehensive review of publications on the role of the arts in the context of data literacy. This paper presents a protocol and a methodological framework to perform a scoping review to identify and map the available evidence for the role of the arts in enhancing data literacy. The review aims to provide an overview of research over the past twenty years to develop a clearer understanding of (a) which art forms are represented in the literature (b) which population groups and settings are identified (c) and the rationale for using the arts to enhance data literacy.
MeSH term(s)	Humans ; Literacy ; Language ; Review Literature as Topic
Language	English
Publishing date	2023-02-13
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.0281749
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: What strategies to address communication barriers for refugees and migrants in health care settings have been implemented and evaluated across the WHO European Region?

McGarry, Orla / Hannigan, Ailish / Almeida, Maria Manuela de / Severoni, Santino / Puthoopparambil, Soorej J. / MacFarlane, Anne

themed issues on migration and health, IX

(Health Evidence Network synthesis report ; 62)

2018

Author's details	Orla McGarry, Ailish Hannigan, Maria Manuela De Almeida, Santino Severoni, Soorej J. Puthoopparambil, Anne MacFarlane
Series title	Health Evidence Network synthesis report ; 62
Collection
Keywords	Communication Barriers ; Refugees ; Transients and Migrants ; Health Communication ; Health Policy ; Europe / https://id.nlm.nih.gov/mesh/D005060
Language	English
Size	ix, 37 Seiten, Illustrationen
Publisher	WHO Regional Office for Europe
Publishing place	Copenhagen
Publishing country	Denmark
Document type	Book
HBZ-ID	HT019990147
ISBN	978-92-890-5350-1 ; 92-890-5350-X
Database	Catalogue ZB MED Medicine, Health

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Shelf mark	Loan status	Location
2019 A 351	available for loan (reading room)	Lesesaal EG

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Article ; Online: Factors impacting on the decision of graduate entry medical school students to pursue a career in obstetrics and gynecology in Ireland.

Spain, Eimear / Tumelty, Mary-Elizabeth / Hannigan, Ailish / Cinnamond, Kaitlyn / Cheema, Ayesha / Cotter, Amanda

BMC medical education

2023 Volume 23, Issue 1, Page(s) 449

Abstract: Background: Challenges in recruiting appropriately trained obstetricians and gynaecologists have been identified across the world. Given well documented staff shortages within obstetrics and gynaecology in Ireland, it is increasingly important to ... ...

Abstract	Background: Challenges in recruiting appropriately trained obstetricians and gynaecologists have been identified across the world. Given well documented staff shortages within obstetrics and gynaecology in Ireland, it is increasingly important to understand the factors which influence medical students to choose or reject a career in the speciality. The aim of this study was to ascertain the perceptions of final year graduate entry medical students of obstetrics and gynaecology, including the factors which may influence a student's decision to pursue in a career in the speciality. Methods: Paper-based surveys of graduate entry medical students (n = 146) were conducted at the beginning and end of a six week rotation in obstetrics and gynaecology in Ireland. Responses to the surveys pre- and post-rotation were matched and changes in career choices, merits and demerits over time were analysed. All analysis was conducted using SPSS for Windows version 25. Results: The responses of 72 students to both questionnaires could be matched (response rate of 49.3%). No male students expressed an interest in obstetrics, gynaecology or both as a first choice of career in the pre rotation survey. Obstetrics as a first choice of career increased from 6.9% pre rotation to 19.4% post rotation (p = 0.04) and this increase was seen in male and female students. Gynaecology as a first choice increased slightly from 1.4 to 4.2% (p = 0.50) and the dual speciality increased from 6.9 to 13.9% (p = 0.23). Students identified many merits of obstetrics pre-rotation with more than 60% identifying it as exciting, interesting fulfilling and challenging. However, incompatibility with family life was cited as a demerit by 72% of respondents and 68.1% identified fear of litigation as a demerit. Participants were less positive overall about the merits of a career in gynaecology with less than 40% viewing it as exciting, fulfilling, and varied. Conclusions: While respondents were positive about the merits of a career in obstetrics and gynecology, concerns remain about work-life balance, career opportunities, and the high-risk nature of the specialty. These concerns should be addressed by the profession and policy makers if they wish to attract sufficient numbers to address anticipated need in the coming years. Gender differences in speciality choice were also evident. If males are to be recruited into obstetrics and gynaecology, consideration should be given to the positive impact of internship.
MeSH term(s)	Male ; Female ; Humans ; Gynecology/education ; Obstetrics/education ; Ireland ; Schools, Medical ; Career Choice ; Students, Medical ; Surveys and Questionnaires
Language	English
Publishing date	2023-06-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-023-04425-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Using administrative health data for palliative and end of life care research in Ireland: potential and challenges.

Kelly, Maria / O'Brien, Katie M / Hannigan, Ailish

HRB open research

2021 Volume 4, Page(s) 17

Abstract: ... ...

Abstract	Background
Language	English
Publishing date	2021-05-26
Publishing country	Ireland
Document type	Journal Article
ISSN	2515-4826
ISSN (online)	2515-4826
DOI	10.12688/hrbopenres.13215.2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: How often do patients attend general practice, how often are they referred to hospital, and how do multi-morbidity and polypharmacy affect general practice attendance and referral rates?

O'Regan, Andrew / Glynn, Liam / Niranjamn, Vikram / O'Connor, Raymond / Hannigan, Ailish

Rural and remote health

2023 Volume 23, Issue 1, Page(s) 8106

Abstract: Background: As prevalence of multimorbidity and polypharmacy rise, healthcare systems must respond to these challenges. Data are needed from general practice on specific metrics of healthcare utilisation. This research aims to establish the rates of ... ...

Abstract	Background: As prevalence of multimorbidity and polypharmacy rise, healthcare systems must respond to these challenges. Data are needed from general practice on specific metrics of healthcare utilisation. This research aims to establish the rates of attendance to general practice and referral to hospital; and how age, multi-morbidity and polypharmacy affect them. Methods: This was a retrospective study of general practices in a university-affiliated education and research network, consisting of 72 practices. Records from a random sample of 100 patients aged 50 years and over who attended each participating practice in the previous 2 years were analysed. Through manual record searching, data were collected on patient demographics, number of chronic illnessesand medications, numbers of attendances to the general practitioner (GP), practice nurse, home visits and referrals to a hospital doctor. Attendance and referral rates were expressed per person-years for each demographic variable and the ratio of attendance to referral rate was also calculated. Results: Of the 72 practices invited to participate, 68 (94%) accepted, providing complete data on a total of 6603 patients' records and 89,667 consultations with the GP or practice nurse; 50.1% of patients had been referred to hospital in the previous 2 years. The attendance rate to general practice was 4.94 per person per year and the referral rate to the hospital was 0.6 per person per year, giving a ratio of over eight attendances for every referral. Increasing age, number of chronic illnesses and number of medications were associted with increased attendance rates to the GP and practice nurse and home visits but did not significantly increase the ratio of attendance to referral rate. Discussion: As age, morbidity and number of medications rise, so too do all types of consultations in general practice. However, the rate of referral remains relatively stable. General practice must be supported to provide person-centred care to an ageing population with rising rates of multi-morbidity and polypharmacy.
MeSH term(s)	Humans ; Middle Aged ; Aged ; Multimorbidity ; Retrospective Studies ; Polypharmacy ; General Practice ; General Practitioners ; Referral and Consultation ; Hospitals ; Prevalence
Language	English
Publishing date	2023-01-10
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2105620-1
ISSN	1445-6354 ; 1445-6354
ISSN (online)	1445-6354
ISSN	1445-6354
DOI	10.22605/RRH8106
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Specialist palliative cancer care in acute hospitals and place of death: a population study.

Kelly, Maria / O'Brien, Katie M / Hannigan, Ailish

BMJ supportive & palliative care

2020 Volume 12, Issue e1, Page(s) e94–e102

Abstract: Objective: This study compares the characteristics and place of death of patients with cancer receiving specialist palliative care in acute hospitals with those who do not.: Methods: All patients with incident invasive cancer in Ireland (1994-2016 ... ...

Abstract	Objective: This study compares the characteristics and place of death of patients with cancer receiving specialist palliative care in acute hospitals with those who do not. Methods: All patients with incident invasive cancer in Ireland (1994-2016 inclusive), excluding non-melanoma skin cancer, who attended a cancer centre and died in 2016 were identified from cancer registry data. Patients were categorised based on a diagnosis code 'Encounter for palliative care' from linked hospital episode data. Place of death was categorised from death certificate data. Data were analysed using descriptive statistics, χ Results: Of n=4103 decedents identified, 62% had a hospital-based palliative care encounter in the year preceding death. Age (p<0.001), marital status (p=0.017), deprivation index (p<0.001) and health board region (p=0.008) were independent predictors of having a palliative care encounter. Place of death differed by palliative care encounter group: 45% of those with an encounter died in hospital versus 50% without an encounter, 33% vs 16% died in a hospice and 18% vs 28% died at home (p<0.001). Conclusion: Almost two-thirds of patients with cancer who attended a cancer centre and died in 2016 had a palliative care encounter. They were younger, less likely to be married and more likely to be from deprived areas. Having accounted for sociodemographic factors, there was evidence of regional variation in receiving care. Demographic and clinical factors and the provision of health services in a region need to be considered together when assessing end-of-life care.
MeSH term(s)	Hospice Care ; Hospices ; Humans ; Neoplasms/therapy ; Palliative Care ; Retrospective Studies ; Terminal Care
Keywords	covid19
Language	English
Publishing date	2020-09-11
Publishing country	England
Document type	Journal Article
ISSN	2045-4368
ISSN (online)	2045-4368
DOI	10.1136/bmjspcare-2020-002232
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Article ; Online: Association between work status and depression in informal caregivers: a collaborative modelling approach.

O'Neill, Aoife / Gallagher, Stephen / Hannigan, Ailish / Robinson, Katie

European journal of public health

2021 Volume 32, Issue 1, Page(s) 59–65

Abstract: Background: Care is regularly provided on an informal basis by family and friends and it is well established that caregivers experience high rates of depression. The majority of research on caregivers tends to focus on older, full-time caregivers, with ... ...

Abstract	Background: Care is regularly provided on an informal basis by family and friends and it is well established that caregivers experience high rates of depression. The majority of research on caregivers tends to focus on older, full-time caregivers, with less attention paid to working caregivers (in paid employment). The aim of this study is to explore the impact of work status on depression in caregivers. Methods: A sample of individuals from the 2014 European Social Survey dataset, aged 18 and older, who reported being a caregiver, were investigated (n = 11 177). Differences in sociodemographic, mental and physical health and social network variables, between working and non-working caregivers, were investigated. Hierarchical logistic regression models were used to investigate associations between the caregivers' work status and depression. This study was developed in partnership with a panel of caregivers who contributed to the conceptualization and interpretation of the statistical analysis. Results: Findings showed that 51% of caregivers reported being in paid employment. Non-working caregivers were more likely to be female, older, widowed, have lower education levels and provide intensive caring hours. They were also more likely to report depressive symptoms than working caregivers after controlling for sociodemographic, social networks and intensity of caring (adjusted odds ratio = 1.77, 95% confidence interval = 1.54-2.03). The panel considered policies to support continued work important as a means of maintaining positive mental health for caregivers. Conclusions: Supportive policies, such as flexible working and care leave, are recommended to allow caregivers to continue in paid work and better manage their health, caring and working responsibilities.
MeSH term(s)	Adolescent ; Caregivers/psychology ; Depression/epidemiology ; Employment ; Female ; Friends ; Humans ; Male ; Mental Health
Language	English
Publishing date	2021-11-24
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1129243-x
ISSN	1464-360X ; 1101-1262
ISSN (online)	1464-360X
ISSN	1101-1262
DOI	10.1093/eurpub/ckab178
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