Examples of Questions Submitted

Would a parent-delivered programme of training for paediatric ward staff improve the effectiveness of communication with disabled children and their parents in hospitals? Asked on: 01/08/2011 This question has become part of the project Hospital Communications What are the benefits and costs of providing peer support to parents of children with disability? Asked on: 30/09/2011 This question has become part of the project Peer Support How close are we coming to developing truly effective treatment for acute skin conditions such as Atopic Eczema beyond 'surface' treatments such as Steroid and Immune Suppressant? Asked on: 25/10/2011 What are the effects of peer support on the mental wellbeing of parents of infants cared for in a neonatal intensive care unit? Asked on: 20/12/2011 In patients having mid urethral retropubic tapes inserted, does suturing the vaginal skin subcuticularly reduce the risk of feeling a lump in the vagina post operatively when compared to a locking continous suture? Asked on: 09/12/2011 What is the evidence based function of an adult mental health inpatient ward? Asked on: 11/12/2011 In women with genital prolapse do shelf/gellhorn pessaries need to be changed? Asked on: 12/12/2011 We are interested in children from socially disadvantaged backgrounds. These children are much more likely to experience psychological distress/ recieve psychiatric diagnoses. We want to do a systematic review loooking at what treatments for mental health problems in children from disadvantaged communities are effective. Not all studies that could be included in this will be trials. We hope to gain an understanding of what interventions work for children who are facing social exclusion i Asked on: 20/12/2011 Might routine standardised diagnostic assessment improve clinical outcome and access to Evidence Based Practice in Child and Adolescent Mental Health Services? Asked on: 20/12/2011 Do simple nutritional interventions in care/nursing home residents reduce hospital admission rates? Asked on: 05/01/2012 Do the current dietary recommendations/ guidelines reflect the increasing evidence of the influence nutrition on mental health? (and if so are they implemented in practice? If not what are the overall messages about the influence of nutrition on mental health?) Asked on: 06/01/2012 Would access to urgent clinic appointments reduce crisis incidence or hospital admissions in Parkinsons patients? Asked on: 06/01/2012 This question has become part of the project Patient Initiated Clinics –Patients with Parkinson’s Disease Looking after our frail elderly-systematic support for Devon care home residents Devon has a large elderly population. Certain areas such as Budleigh Salterton have been estimated to be 20 years ahead of the demographic time bomb that will affect the whole of the UK with the highest percentage of people over the age of 85 years. A consequence of this is a large local population who live in residential and nursing homes. These patients are frail with multiple co-morbidities and complex care nee Asked on: 08/01/2012 This question has become part of the project Pro-forma based review of elderly care home residents To what extent can barriers or perceived barriers to testing, diagnosis and treatment for infectious diseases, particularly Hepatitis C Virus (HCV) among migrant workers in Devon and Cornwall be addressed by peer educators from within their own communities? Asked on: 09/01/2012 Is flucloxacillin superior to co-amoxiclav for treatment of surgical site infections after colonic surgery? Asked on: 09/01/2012 Can new genetic technologies help in diagnosis of wound infection? Asked on: 18/01/2012 Can a wound care pathway improve management of wound care in the community? Asked on: 18/01/2012 Should pregnant women after IVF conception be considered high risk for perinatal complications compared to spontaneous conceptions? Asked on: 20/01/2012 Do hospital in-patients benefit from an enforced rest period? Asked on: 21/01/2012 Does stroke-specific training of staff in care homes improve the care of stroke survivors in this setting? What is the best mode of delivery? Asked on: 23/01/2012 Is functional electrical stimulation using skin surface electrodes on the lower limb (a) effective at improving the function and quality of life of people with MS and stroke that have a foot drop; (b) who is it effective with; and (c) is it cost-effective? Asked on: 23/01/2012 Can nudge theory be used to improve compliance in physiotherapy practice Asked on: 24/01/2012 How can we best configure care pathways for Bipolar Disorders within primary care psychological therapies services? Asked on: 25/01/2012 Do active computer games have therapeutic and/or social benefits for children with motor impairments? Asked on: 26/01/2012 What are the ‘trigger’ factors for older carers (65 and over) that lead them to cease their caring role? Asked on: 26/01/2012 Would providing a “Congratulations You’re a Dad!” pack to young fathers ( Asked on: 26/01/2012 Does the implementation of personalised care planning in a primary care setting have a positive impact on healthcare utilisation (reduction) for people aged 65 and over living with 2 or more long term conditions? Asked on: 26/01/2012 Will dental patients have a perceived improvement in their Oral Health Related Quality of Life (OHRQoL) if their dentist has an increased knowledge and understanding of the concept of OHRQoL? OR Will an increased knoweldge of OHRQoL improve the appropriateness of treatment as perceived by the patient? Asked on: 26/01/2012 Is ‘Steady On’, a falls prevention programme using volunteers in Cornwall, effective and can it be implemented into practice? Asked on: 26/01/2012 What are the barriers and enablers for non mental health providers (General Practitioners, Care of Elderly and Neurology Consultants) to deliver a quality dementia diagnosis experience for individuals? (Leading on from this, what skills and competencies are required for a ‘good’ delivery of dementia diagnosis?) Asked on: 26/01/2012 Are multidisciplinary team meetings cost-effective in improving colorectal cancer patients' treatment outcomes? Asked on: 26/01/2012 Has the introduction of the smoking ban in public places led to a decrease in the number of smokers with a history of smoking-related disease in Cornwall and Devon? Has there been a reduction in the incidence of smoking-related diseases in Cornwall and Devon since the introduction of the smoking ban in public places? Asked on: 27/01/2012 Conventional psychological interventions, such as cognitive behavioural therapy (CBT) and problems solving, have limited efficacy in depressed people with chronic physical health problems. Some conventional interventions can even make depression worse in this group. What is needed are cost-effective psychosocial approaches that address depression, stress and medical outcomes in the population of people with chronic physical health problems and depression. The over-arching aim of our research is Asked on: 27/01/2012 This question has become part of the project Mindfulness-based CBT for depression with chronic physical health problems Does the use of a novel telehealth system (MYQuOL-T)to support greater patient involvement in prioritising and monitoring healthcare outcomes improve the delivery of care to individuals with chronic or incurable illness? MYQuOL-T is a web-based method for patients to identify, describe, prioritise and monitor problems that are important to them, and to evaluate the impact of therapeutic interventions. The tool has been developed with children and young adults receiving palliative care. Many o Asked on: 27/01/2012 The over-arching aim of our research is to develop and evaluate a service level intervention to reduce the impact of persistent medically unexplained symptoms and syndromes (henceforth persistent MUS) on affected individuals, on the healthcare system and on the economy. Research question: Is it possible to identify reliably patients with persistent MUS from data routinely collected by primary care practices? Asked on: 27/01/2012 What is the impact on physical and mental well being of using outdoor spaces such as gardens for those with dementia? Asked on: 27/01/2012 Would a programme of training for a multi disciplinary team of staff in acute and community settings improve access to and quality of care for people with dementia with the aim of reducing behavioural and psychological symptoms and longer term health care expenditure. Asked on: 27/01/2012 When there is good evidence to support the value of counselling and CBT as phychological therapies, why has the funding been cut in Plymouth so that there is no longer this support for teenagers and young adults. This was until recently supplied by The Zone. Asked on: 27/01/2012 Would setting up e email addresses for certain specialities as an advice line for GPS reduce refral rates ? Asked on: 27/01/2012 Hospital at Home – to determine the clinical and financial effectiveness of a comprehensive high intensity multi-disciplinary team in enabling appropriate admission avoidance and early hospital discharge for frail older people. Non-elective admissions to hospital represent 65% of hospital bed days in England. The avoidance of emergency hospital admissions is of interest because of the high and rising unit cost of these admissions and also because of the disruption they cause to elective healt Asked on: 29/01/2012 Does bariatric surgery for morbid obesity have better or worse long term outcomes (>4 years post operative) for general health and quality of life than other methods of weight loss? Asked on: 29/01/2012 To determine the benefits of supporting patients with dementia in hospital with social activities volunteers. Asked on: 29/01/2012 Can the provision of cardiac computed tomographic angiography service for patients with acute chest pain reduce unnecessary emergency admissions? Asked on: 30/01/2012 1) What is the effectiveness and cost-effectiveness of lifestyle modification interventions to control vascular diseases in older people with cognitive impairment or dementia? 2) Are lifestyle modification interventions to control vascular diseases less effective in older people with cognitive impairment or dementia? Asked on: 30/01/2012 Which is the effectiveness of non-pharmacological interventions to treat major depression among older people with dementia? Asked on: 30/01/2012 Would an enhanced training package for health professionals breaking bad news, developed and delivered in collaboration with those who have received a chronic and progressive life limiting diagnosis, improve patient outcomes? Asked on: 30/01/2012 Following a lower limb fracture, do people who weight bear despite weight bearing restrictions, have different outcomes than those who follow advice and comply to their weight bearing restrictions. Asked on: 30/01/2012 Identifying best practice in involving secondary care specialists in managing the referral process from GPs to healthcare providers. What is the most cost effective way of involving secondary care clinical specialists in the referral management process? Does consultant sifting of referrals from General Practitioners (GPs) reduce unnecessary referrals, and improve patient care and satisfaction? Asked on: 30/01/2012 Does the provision of community/social interventions in rural areas reduce or prevent depression in people who are socially isolated? Asked on: 30/01/2012 What are the barriers to young riders, aged 16-24, using safety features while riding motorcycles to help to reduce casualty risk (e.g. protective clothing and high visibility items)? What are the most effective methods of promoting use and raising awareness of the benefits of safety features? Asked on: 30/01/2012 For patients with relapsing-remitting multiple sclerosis would a programme combining dietary advice, exercise and mindfulness meditation be as effective as the current disease modifying drugs (DMDs), more cost effective and lead to improved patient outcomes and satisfaction? Asked on: 30/01/2012 Would a training package improve the ability of diabetics to appraise the quality of the information and advice that they receive from sources other than their health care professionals (HCPs), thereby improving self-management and patient outcomes? Asked on: 30/01/2012 What cognitive tests are appropriate to aid diagnosis of dementia in older person from ethnic minority community in the UK? Asked on: 30/01/2012 Is any particular model of delivering dental services most suited to the needs of older people with dementia? Asked on: 30/01/2012 P: staff and carers of people with dementia I: Training others to using specific eating and drinking strategies C: usual and functional care O: frequency of aspiration, BMI, nutritional status and overall quality of life etc of people with dementia Asked on: 30/01/2012 Question – Can an organisational intervention, combining identification in general practice with assessment and ongoing care provided by a collaboration between IAPT (Improving Access to Psychological Therapies) and GPs, improve outcomes for individuals who have been taking antidepressants for more than six months and are not currently receiving specialist mental health services, compared to treatment as usual? Asked on: 30/01/2012 What is the most cost effective way of commissioning the specialist care of people with established Rheumatoid Arthritis (RA)? Is it more efficient, and equally safe and acceptable, to commission care on a “case basis” when compared to that commissioned per episode of care delivered? Asked on: 31/01/2012 Which behaviour change techniques specified in breastfeeding training manuals for health care professionals, breastfeeding counsellors and peer support workers are most effective at increasing breastfeeding initiation and duration amongst young mothers in the UK? Asked on: 01/01/1970 P: Overweight children with migraine I: weight management programme leading to weight reduction C: similar programme incl exercise without weight reduction O:reduction in migraine frequency / severity / PEDMidas score Asked on: 31/01/2012 Are there any robust clinical features or serological markers that can identify Invasive Group A Streptococcal Infection in Children and Young People in the Emergency Department setting? Asked on: 01/02/2012 I AM INTERESTED IN WHETHER NARROW BAND IMAGING IS BETTER AT DETECTING HIGH GRADE SUPERFICIAL BLADDER CANCER AND WHETHER WE SHOULD BE USING IT AS STANDARD PRACTICE FOR BLADDER BIOPSIES AND TURBT. THERE HAVE BEEN NO DECENT RANDOMISED CONTROLLED TRIALS SPECIFICALLY LOOKING AT THIS QUESTION AND I WOULD LIKE TO SET UP A TRIAL AT DERRIFORD HOSPITAL Asked on: 03/03/2012 Experiencing a first Grandmal Seizure in a possible Epileptic patient. Treatment and Diagnosis in an Epileptic Specialist centre under Specialist Epileptic Neurologists ensuring correct medication and education, then with monitored aftercare in the NHS system. To reduce deaths, wrong diagnosis and wrong medication,inadequate care leading to SUDEP. To create a greater awareness of the condition and admit it is a life threatening illness to be managed correctly with care. Asked on: 22/05/2012 Could treatment with rivastigmine (Exelon patches)improve cognitive and functional abilities and reduce behavioural symptoms in patients with vascular dementia? Asked on: 25/09/2012 The clinical effectiveness of nutritional advice in the prevention of excessive weight gain during pregnancy in overweight women Asked on: 26/09/2012 How effective are transdermal nicotine patches in treatment for smoking cessation compared with self-help packs or no treatment at all? Asked on: 26/09/2012 Do patient involvement groups lead to more patient focused research being published Asked on: 26/09/2012 Is intravitreal injection with Bevacizumab as required, superior to standard treatment with Ranibizumab once monthly, for the neovascular acute macular degeneration in the UK population? Asked on: 26/09/2012 IV zilandronate vs. oral alendronic acid in treating osteoperosis Asked on: 26/09/2012 What is the alternative for the DOTS CAT1 & CAT2 medicine in RNTCP of WHO? Is there any rationality of heavy dosing with so many drugs, antibiotics to nutritionally deficient people in third world countries who aslo suffer from AIDS? Asked on: 20/01/2013 How could we implement a structured training package delivered by a multidisciplinary team to people with Type 2 diabetes within 3 months of being identified as high risk of foot ulcers, with the aim of reducing the presentations of foot complications? Asked on: 06/04/2011 This question has become part of the project Diabetic Footcare Can group singing help long term aphasia? Asked on: 25/05/2011 This question has become part of the project Group Singing for Aphasia Is an internet based (Behavioural Activation) treatment for post-natal depression (MUMiCBT) effective in reducing symptoms of depression? Asked on: 25/05/2011 This question has become part of the project Netmums (i) Are telephone follow-up consultations safe and effective in the management of thyroid disease? And (ii) Does a nurse-led telephone follow-up clinic in gynaecology reduce unnecessary out-patient appointments? Asked on: 16/11/2010 This question has become part of the project Telecon-Thyroid Can screening intervals for diabetic digital retinal photography be individualised, to enhance screening performance and cost-effectiveness, on the basis of individual clinical risk? Asked on: 01/01/1970 This question has become part of the project Assessing Diabetic Retinopathy Screening Intervals - PenCHORD How should services be configured to obtain maximum benefit from thrombolysis for acute ischaemic stroke in the South West Peninsula in the present and future? Asked on: 02/10/2009 This question has become part of the project Stroke Pathways - PenCHORD Is the ARNI (Action for Rehabilitation from Neurological Injury) rehabilitation training technique effective in increasing functionality, improving activity and improving autonomy in people who are between 1 and 5 years after their stroke. Asked on: 14/04/2009 This question has become part of the project ReTrain What school level interventions would improve social and emotional behaviour among primary school children? Do the Enable / Thrive programme and Incredible Years teacher classroom management programme improve social and emotional behaviour among primary school children? Asked on: 02/10/2009 This question has become part of the project Supporting Teachers and Children in Schools Can vitamin D supplements be used to prevent dementia and cognitive decline in older adults with mild to moderate cognitive impairment? Asked on: 03/04/2010 This question has become part of the project Vitamin D and Cognitive Health: the DCog Project Does implementation of a package of Pelvic Floor Muscle Training (PFMT) administered by primary care nurses result in fewer referrals to secondary care for urinary incontinence (UI)? Asked on: 29/04/2010 This question has become part of the project Pelvic Floor Muscle Training Is the Green Gym® more effective than indoor exercise for sustained long-term weight-loss and increased health in young adults with obesity? Asked on: 03/04/2010 This question has become part of the project Green Gym test question librarians, information specialist, information professional provide information for patient care, value of information provided, systematic review, resources, save lives, improve research Asked on: 15/06/2013