Adrian Edwards
Datos Biográficos
| ID | 3604150 |
|---|---|
| NOMBRE | Adrian Edwards |
| NOMBRES | Adrian |
| APELLIDO | Edwards |
| FIRMA | EDWARDS A |
| AFILIACIONES | Cardiff University |
| ORCID | 0000-0001-7432-2828 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 43 |
| TOTAL DE CITAS | 47 |
| TOTAL COMO AUTOR | 43 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1941 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Interventions that support women, girls, and people who menstruate to participate in physical activity
Adults (age 18–64 years) are recommended 150–300 min of moderate-to-vigorous or 75–150 min of vigorous-intensity physical activity per week. Irrespective, the number of women not meeting recommended physical activity is 5% higher than men globally. Women, girls and people who menstruate face multiple barriers to physical activity participation, including gender bias, low perceived exercise competence, and insufficient support from peers and/or fa…
Cost‐Effectiveness of a Personalised Self‐Management Intervention for People Living With Long Covid
BACKGROUND: In the United Kingdom, at least 1.9 million people are estimated to have experienced long Covid, of which 1.3 million have symptoms lasting for more than a year. The Long CovId Personalised Self-managemenT support EvaluatioN (LISTEN) trial evaluated the effectiveness and cost-effectiveness of a co-designed personalised self-management support intervention for non-hospitalised people living with long Covid. METHODS: We conducted a prag…
Recommendations for a Communication Strategy to Support Informed Decision‐Making About Self or Clinician Sampling for Cervical Screening in the UK
BACKGROUND: Cervical screening for high-risk Human Papillomavirus subtypes is offered to those eligible in the UK via the NHS cervical screening programmes. However, uptake of cervical screening continues to remain below the national target of 80%. Groups less likely to participate include people from low socioeconomic groups, ethnic minority backgrounds, younger/older age and/or LGBTQ group identity. The cervical screening-eligible population co…
Interventions to mitigate the risks of Covid-19 for people experiencing homelessness and their effectiveness
Methodological approaches to measuring mental health in a cost-of-living crisis
Experiences and views of people who frequently call emergency ambulance services
INTRODUCTION: People who call emergency ambulances frequently are often vulnerable because of health and social circumstances, have unresolved problems or cannot access appropriate care. They have higher mortality rates. Case management by interdisciplinary teams can help reduce demand for emergency services and is available in some UK regions. We report results of interviews with people who use emergency ambulance services frequently to understa…
Perceptions of the Impact of Comorbidity on the Bowel Cancer Screening Programme
INTRODUCTION: The impact of multiple health conditions on bowel cancer screening is currently unknown. We explored the impact of multiple health conditions on bowel cancer screening perceptions, experience and clinical management decisions following a positive stool test. METHODS: Semi-structured qualitative interviews were conducted remotely with Bowel Screening Wales staff (n = 16) stratified by regional location and role and with screening par…
Understanding how shared decision‐making approaches and patient aids influence patients with advanced cancer when deciding on palliative treatments and care
The cost of implementing the Covid-19 shielding policy in Wales
This is the first evaluation of the cost of the measures put in place to support those identified to shield in Wales. However, no data on opportunity cost was available. The true costs of shielding including its budget impact and opportunity costs need to be investigated to decide whether shielding is a worthwhile policy for future health emergencies
Senior clinical and business managers’ perspectives on the influence of different funding mechanisms, and barriers and enablers to implementing models of employing General Practitioners in or alongsid…
Training in health coaching skills for health professionals who work with people with progressive neurological conditions
BACKGROUND: Supporting people to self-manage their long-term conditions is a UK policy priority. Health coaching is one approach health professionals can use to provide such support. There has been little research done on how to train clinicians in health coaching or how to target training to settings where it may be most effective. OBJECTIVE: To develop theories to describe how training health professionals in health coaching works, for whom and…
Using Visual Timelines in Telephone Interviews
Visual timeline methods have been used as part of face-to-face qualitative interviewing with vulnerable populations to uncover the intricacies of lived experiences, but little is known about whether visual timelines can be effectively used in telephone interviews. In this article, we reflect on the process of using visual timelines in 16 telephone interviews with women as part of the 'STarting a family when you have an Autoimmune Rheumatic diseas…
Coproduction and health
BACKGROUND: Coproduction is an approach increasingly recognized across public services internationally. However, awareness of the term and the barriers and facilitators to its implementation in the NHS are not widely understood. This study examines clinician and public perceptions of coproduction within the context of the Prudent Healthcare initiative. OBJECTIVES: To provide insights into how coproduction is viewed by clinicians and the public an…
“What would you recommend doctor?”—Discourse analysis of a moment of dissonance when sharing decisions in clinical consultations
BACKGROUND: Proven benefits of Shared Decision Making (SDM) include improved patient knowledge, involvement and confidence in making decisions. Although widely advocated in policy, SDM is still not widely implemented in practice. A common patient-reported barrier is feeling that "doctor knows best"; thus, patients often defer decisions to the clinician. OBJECTIVE: To examine the nature of the discourse when patients ask clinicians for a treatment…
Improving cancer symptom awareness and help-seeking among adults living in socioeconomically deprived communities in the UK using a facilitated health check
Retrospectively registered with ISRCTN (Ref: ISRCTN16872545 ) on 12.01.2018
Feasibility and acceptability of a cancer symptom awareness intervention for adults living in socioeconomically deprived communities
Recruitment was feasible in community and healthcare settings, with good reach to adults from low socioeconomic groups. The health check intervention was acceptable and demonstrated potential for improved cancer awareness and symptom presentation, especially for non-specific symptoms, in communities most affected by cancer
Patients’ views on the use of an Option Grid for knee osteoarthritis in physiotherapy clinical encounters
BACKGROUND: are a type of decision support tool specifically designed to be used during clinical encounters. OBJECTIVE: To explore patients' views of the Option Grid encounter tool used in clinical consultations with physiotherapists, in comparison with usual care, within a patient population who are likely to be disadvantaged by age and low health literacy. METHODS: Semi-structured interviews with 72 patients (36 who had been given an Option Gri…
End‐of‐life care decisions for haemodialysis patients – ‘We only tend to have that discussion with them when they start deteriorating’
BACKGROUND: Haemodialysis patients receive very little involvement in their end-of-life care decisions. Issues relating to death and dying are commonly avoided until late in their illness. This study aimed to explore the experiences and perceptions of doctors and nurses in nephrology for involving haemodialysis patients in end-of-life care decisions. METHODS: A semi-structured qualitative interview study with 15 doctors and five nurses and themat…
Managing, making sense of and finding meaning in advanced illness
Coping plays an essential role in maintaining the wellbeing of patients with cancer. A number of different coping responses and strategies have been identified in the literature. The value and relevance of meaning based coping theory has also been emphasised, including Antonovosky's Sense of Coherence (SoC) theory. Ten patients with advanced lung cancer were interviewed up to three times. A total of twenty in depth interviews were carried out, fu…
Barriers to cancer symptom presentation among people from low socioeconomic groups
The complex interaction between individual characteristics and socio-environmental factors is important for understanding cancer symptom presentation behaviour, especially in the context of socioeconomic deprivation. Interventions targeted at deprived communities should take into account the wider social influences on symptom presentation behaviour
‘Distributed health literacy’
BACKGROUND: The role of one's social network in the process of becoming health literate is not well understood. We aim to explain the 'distributed' nature of health literacy and how people living with a long-term condition draw on their social network for support with health literacy-related tasks such as managing their condition, interacting with health professionals and making decisions about their health. DESIGN: This paper reports a longitudi…
Knowledge is not power for patients
Shared Decision Making
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is …
The development of health literacy in patients with a long-term health condition
Patients with a long-term condition can develop health literacy skills over time and put their skills into practice in becoming more active in healthcare consultations. Our findings have implications for developing health literacy interventions aimed at patient involvement in healthcare processes and improved self-management of long-term conditions
The Ovimbundu Under Two Sovereignties
Originally published in 1962, this study discusses the changes in the life of the Ovimbundu from the time of their caravan trade in slaves, rubber, and ivory down to the more recent period when the organization of their chiefdoms was influenced by the Catholic missions, Portuguese administration and wage labour
The Politics of Cultural Difference in Northern Cameroon
The historical constitution of a multi-ethnic society the Fulbe ethnic category and its incorporative potential the Gbaya ethnic category - peripheralization or political mobilization? the Mbororo ethnic category - distinction and exclusion situation, agency and structure in inter-ethnic relations violence and the politics of difference in global and local perspective an epilogue on ethnicity
Using Visual Timelines in Telephone Interviews
Visual timeline methods have been used as part of face-to-face qualitative interviewing with vulnerable populations to uncover the intricacies of lived experiences, but little is known about whether visual timelines can be effectively used in telephone interviews. In this article, we reflect on the process of using visual timelines in 16 telephone interviews with women as part of the 'STarting a family when you have an Autoimmune Rheumatic diseas…
Managing, making sense of and finding meaning in advanced illness
Coping plays an essential role in maintaining the wellbeing of patients with cancer. A number of different coping responses and strategies have been identified in the literature. The value and relevance of meaning based coping theory has also been emphasised, including Antonovosky's Sense of Coherence (SoC) theory. Ten patients with advanced lung cancer were interviewed up to three times. A total of twenty in depth interviews were carried out, fu…
The study of religion in West Africa 1959-1969
Art and the Anthropologists
The relation of art and the anthropologists has been a rather curious one. Up to about 1930, the atmosphere of self-confident and self-taught eclecticism, characteristic of Victorian intellectual life, continued to hang over social anthropology, and favoured the keeping up of a fairly wide range of interests, including some awareness of primitive art, meaning the art of those peoples outside the great literate civilisations, and there are books f…
Monica Wilson
Whether or not beauty is in the eye of the beholder, history surely is. 'We do not', said A. J. P. Taylor somewhere, 'understand the present by the past, but the past by the present.' For an historian this is courageous, for an anthropologist it would be trite. Even at undergraduate level, social anthropology teaches one to see how often the appeal to history is just the excuse for, or the indictment of, the present; what Chesterton, I think, cal…
The study of religion in West Africa 1959-1969
Art and the Anthropologists
The relation of art and the anthropologists has been a rather curious one. Up to about 1930, the atmosphere of self-confident and self-taught eclecticism, characteristic of Victorian intellectual life, continued to hang over social anthropology, and favoured the keeping up of a fairly wide range of interests, including some awareness of primitive art, meaning the art of those peoples outside the great literate civilisations, and there are books f…
L'Afrique et ses formes de vie spirituelle
God Above and God Below
Religious syncretism is a currently fashionable topic, both among anthropologists and theologians. To the anthropologist, syncretism offers not only fascinating field material, but also important theoretical questions. Supposing two or more world religions are present in the same culture, as is the case with the Sinhalese of Sri Lanka. Will the internal logic of the world religion oblige its adherents to reinterpret the culture? Or will the commo…
Is ‘shared decision‐making’ feasible in consultations for upper respiratory tract infections? Assessing the influence of antibiotic expectations using discourse analysis
OBJECTIVES: To examine the discourse of consultations in which conflict occurs between parents and clinicians about the necessity of antibiotics to treat an upper respiratory tract infection. To appraise the feasibility of shared decision-making in such consultations. DESIGN: A qualitative study using discourse analysis techniques. SETTING: A general practice with 12 500 patients in an urban area of Cardiff, Wales. PARTICIPANTS: Two consultations…
The Politics of Cultural Difference in Northern Cameroon
The historical constitution of a multi-ethnic society the Fulbe ethnic category and its incorporative potential the Gbaya ethnic category - peripheralization or political mobilization? the Mbororo ethnic category - distinction and exclusion situation, agency and structure in inter-ethnic relations violence and the politics of difference in global and local perspective an epilogue on ethnicity
Consumers’ views of quality in the consultation and their relevance to ‘shared decision‐making’ approaches
Background There is a recognized need to assess the effects of shared decision‐making and other communication interventions. However, the outcomes usually assessed for evidence of ‘effectiveness’ are determined by researchers and have not been based on consumers’ views. Aim This study aimed to identify the important outcomes of consultations for consumers, and to compare with those reported in the current literature. Setting and participants Fort…
The development of a new site-specific measure of quality of life for breast problems
The problematic of decision‐sharing
Shared decision‐making is increasingly advocated as a means of interacting with patients but there is also a widely accepted view that many factors will militate against this ideal. While some patients may not wish to take on the responsibility of decision‐making, it is also evident that many find it difficult to assimilate probabilities about future events and overestimate the likelihood of some outcomes, especially when terms such as ‘stroke’, …
Evolving the multiple roles of ‘patients’ in health‐care research
Objective This paper offers ‘consumer‐led’ reflections by steering group members of a patient‐centred research study involving consumer advocates, patients’ associations and patients, throughout the whole study, from pre‐ to post‐study phases. Original Study Design The study: ‘Shared decision making and risk communication in general practice’ incorporated systematic reviews, psychometric evaluation of outcome measures, and quantitative, qualitati…
Exploring doctor and patient views about risk communication and shared decision‐making in the consultation
Background There have been significant conceptual developments regarding shared decision‐making (SDM) and assessments of people's hypothetical preferences for involvement in treatment or care decisions. There are few data on the perceptions of patients and professionals about SDM in actual practice. Objective To explore, from paired doctor–patient interviews, participants’ perceptions of SDM in the consultation and the level of consensus between …
The Option scale
Objective To examine the psychometric properties of a revised scale, named ‘observing patient involvement in decision making’ (OPTION), by analysing its reapplication to a sample of routine primary care consultations. The OPTION instrument assesses to what degree clinicians involve patients in decision making. Design Cross‐sectional assessment of medical interaction by two calibrated raters. Setting Primary care. Participants Twenty‐one general p…
Decision aids for familial breast cancer
Background There is increasing need for accessible information about familial breast cancer for those facing complex decisions around genetic testing, screening and treatment. Information currently includes leaflets and computerized decision aids, offering interactive interfaces to clarify complex choices. Objective Exploration of users’ views and reactions to three decision aids for genetic testing for breast cancer using focus groups. Setting A…
The ethics of risk communication in lifestyle interventions
Background: Broader patient access to information, expanding clinical options and greater accommodation of patients' personal values makes clinical decision-processes increasingly complex. Given the challenges and implications of risk communication, it is important to explore what is happening when clinicians adopt different approaches to consultations. Aim: To perform an ethical analysis of personal risk communication based around a scenario of …
Absolute risk representation in cardiovascular disease prevention
Consumers and GPs shared preferences for risk representation formats. Both groups liked the option to combine formats and tailor the risk information to reflect a specific individual's risk, to maximise understanding and provide a good basis for discussion
Understanding surgery choices for breast cancer
Objective To describe the evidence about factors influencing breast cancer patients’ surgery choices and the implications for designing decision support in reference to an extended Theory of Planned Behaviour (TPB) and the Common Sense Model of Illness Representations (CSM). Background A wide range of factors are known to influence the surgery choices of women diagnosed with early breast cancer facing the choice of mastectomy or breast conservati…
The importance and complexity of regret in the measurement of ‘good’ decisions
Shared Decision Making
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is …
The development of health literacy in patients with a long-term health condition
Patients with a long-term condition can develop health literacy skills over time and put their skills into practice in becoming more active in healthcare consultations. Our findings have implications for developing health literacy interventions aimed at patient involvement in healthcare processes and improved self-management of long-term conditions
Knowledge is not power for patients
‘Distributed health literacy’
BACKGROUND: The role of one's social network in the process of becoming health literate is not well understood. We aim to explain the 'distributed' nature of health literacy and how people living with a long-term condition draw on their social network for support with health literacy-related tasks such as managing their condition, interacting with health professionals and making decisions about their health. DESIGN: This paper reports a longitudi…
Barriers to cancer symptom presentation among people from low socioeconomic groups
The complex interaction between individual characteristics and socio-environmental factors is important for understanding cancer symptom presentation behaviour, especially in the context of socioeconomic deprivation. Interventions targeted at deprived communities should take into account the wider social influences on symptom presentation behaviour
Patients’ views on the use of an Option Grid for knee osteoarthritis in physiotherapy clinical encounters
BACKGROUND: are a type of decision support tool specifically designed to be used during clinical encounters. OBJECTIVE: To explore patients' views of the Option Grid encounter tool used in clinical consultations with physiotherapists, in comparison with usual care, within a patient population who are likely to be disadvantaged by age and low health literacy. METHODS: Semi-structured interviews with 72 patients (36 who had been given an Option Gri…
End‐of‐life care decisions for haemodialysis patients – ‘We only tend to have that discussion with them when they start deteriorating’
BACKGROUND: Haemodialysis patients receive very little involvement in their end-of-life care decisions. Issues relating to death and dying are commonly avoided until late in their illness. This study aimed to explore the experiences and perceptions of doctors and nurses in nephrology for involving haemodialysis patients in end-of-life care decisions. METHODS: A semi-structured qualitative interview study with 15 doctors and five nurses and themat…
Medicine (28 obras) · Nursing (22 obras) · Psychology (22 obras) · Patient-Provider Communication in Healthcare (16 obras) · Qualitative research (14 obras) · Family medicine (12 obras) · Computer Science (11 obras) · Health care (10 obras) · Political science (10 obras) · Sociology (10 obras)