Category / Research themes

New multicentre international trial published in world leading respiratory medicine journal

Prof Alison McConnell of HSS’s iWell Research Centre has been part of an international, multi-centre placebo-controlled trial of adjunctive inspiratory muscle training for patients with chronic obstructive pulmonary disease (COPD). The trial, published in this month’s edition of the journal Thorax (impact factor 8.272) tested whether the addition of specific training of the inspiratory muscles enhanced the benefits to patients of traditional pulmonary rehabilitation programmes. It’s well-established that when undertaken separately, both interventions are effective; improving exercise tolerance, breathlessness and quality of life. However, there has been great controversy about whether adding the two interventions together provides superior outcomes.

The trial involved five centres in Europe and Canada, and 219 patients with COPD, taking 6 years to complete. The data indicated that exercise endurance time and breathlessness improved to a greater extent in patients who received rehabilitation plus inspiratory muscle training. The study also found that, irrespective of group allocation, those participants who achieved the greatest improvement in their inspiratory muscle function, also showed the greatest improvements in functional and clinical outcomes.

The full paper is available via Open Access here:

http://thorax.bmj.com/content/thoraxjnl/early/2018/06/18/thoraxjnl-2017-211417.full.pdf

Latest editorial on Nepal by Dr. Regmi in FHSS

Last week the Journal of Manmoham Memorial Institute of Health Sciences based in Nepal published as its editorial ‘What can we learn from the Nepal Health Facility Survey 2015. [1]  The Nepal Health Facility Survey 2015 is a first of its kind.  It is a much needed start to help analyse and improve the workings of the country’s health system.  This is very important and timely as one of the targets of the Sustainable Development Goals (SDG) is to reduce premature mortality by one-third from non-communicable diseases.  Success in this effort will depend on the concerted efforts on health facilities (for both health promotion, prevention and management) for an early and optimal care. The editorial also raises some of the ethical and methodological issues associated with the first ever Nepal Health Facility Survey 2015.  The lead author of the editorial is Dr. Pramod Regmi and our co-authors include Prof. Padam Simkhada (Visiting Faculty in the Faculty of Health & Social Sciences).  The Journal of Manmoham Memorial Institute of Health Sciences is an Open Access journal hence freely available to scholars and politicians and health managers across the globe, including those based in low-income countries such as Nepal.

 

Reference:

  1. Regmi, P., van Teijlingen, E., Simkhada, P, Kurmi, O, Pant, P. (2017) What can we learn from the Nepal Health Facility Survey 2015? Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 3(1): 1-5

 

ERASMUS 2017: Promoting autonomy for people with dementia using ICT applications

The end of 2017 brought about the start of the second successful ERASMUS funded project for Dr Ben Hicks (psychology lecturer and member of ADRC) and Professor Wen Tang (Head of Creative Technology Department). Working alongside European partners from Slovenia (Alzheimer’s Slovenia), Greece (Aristotle University of Thessaloniki), Spain (Alzheimer’s Castellon and the University of Valencia) and Turkey (Alzheimer’s Turkey), the two year project aims to develop an e-platform that raises awareness and promotes the use of Information and Communication Technology (ICT) to enhance the autonomy of people with dementia and their care partners.

The first meeting was held in Castellon, Spain, at the Universitat Jaume 1 on the 18-19th December 2017 and was attended by Ben and Natalia Adamczewska (ADRC). Over the course of two days, the proposed research plan and outcomes of the project were discussed in more detail and tasks were assigned to each of the European partners. This included establishing an Advisory Group of people with dementia, care partners and practitioners to inform the development of the project as well as conducting a review of best practice within this field.

Although it is only early days, there was a real buzz around the meeting, as the partners discussed the project and the potential beneficial impact it could have for people living with dementia across Europe. The second meeting for the project team is planned for April/May 2018.

If you would like further information on the research please contact Ben on bhicks@bournemouth.ac.uk