Evidence
Alert

Two commonly used pressure redistributing mattresses are similar for preventing pressure ulcers but differ on price

The choice of mattress used in hospital makes no difference to whether adults develop pressure ulcers, or how quickly, but differ on price. This large NIHR-funded trial included 2,029 participants at high risk of developing pressure ulcers and found fewer pressure ulcers overall than expected (7.9%). Half of about 2,000 participants in this large NIHR-funded ...

Alert

Online patient feedback is mostly positive — but is not being used effectively

People are increasingly reading online feedback from other patients to gauge service quality but fewer people go online to write feedback themselves. Health organisations and professionals are not currently effective at using this feedback to improve services. These findings come from an NIHR-funded study which used five research streams to provide an overview of online patient ...

Alert

Group cognitive behavioural courses may reduce fatigue from rheumatoid arthritis

Fatigue can be one of the most difficult symptoms to cope with for people with rheumatoid arthritis and this study found that group cognitive behavioural courses may help. This NIHR-funded study compared six weekly group sessions plus a booster session with a single brief one-to-one meeting. Both groups also received an educational booklet. It took ...

Themed Review

Improving Care by Using Patient Feedback

Summary Both staff and patients want feedback from patients about the care to be heard and acted upon and the NHS has clear policies to encourage this. Doing this in practice is, however, complex and challenging. This report features nine new research studies about using patient experience data in the NHS.  These show what organisations ...

Alert

MRI and ultrasound scans are both helpful in assessing Crohn’s disease; MRI is slightly more accurate

Two types of scan, MRI and ultrasound, work well when used for staging and monitoring Crohn’s disease. MRI is more accurate. Researchers compared a form of magnetic resonance (MR) imaging that includes an oral contrast agent, with ultrasound scans. They aimed to see which was better able to detect the presence and extent of active ...

Alert

Working in groups with ongoing support is valued by people with severe obesity trying to lose weight

People with severe obesity, a BMI of 35kg/m² or more, value the support and motivation they get from weight management programmes that include group-based interventions. However, commissioners and service managers should consider how to maintain adequate support and motivation once programmes end. Although previous studies have assessed the impact of non-surgical weight management programmes for ...

Collection

My Signals - Patients, 2019

In My Signals, health and social care staff and service users tell us what research is important to them and why they feel others need to know about it. In this collection, we asked seven members of the public to tell us which Signals have interested them most and explain why they feel the findings ...

Alert

Twenty mph speed zones reduce the danger to pedestrians and cyclists

Introducing 20mph speed zones reduces road traffic accidents, including those suffered by pedestrians and cyclists. Speed zones use physical obstacles such as road narrowing, speed bumps and chicanes, whereas speed limits only use signs and lines. The evidence was inconclusive on whether limiting speed to 20mph alone was effective, without the traffic calming. There was ...

Alert

Voucher rewards do not reduce frequency of cannabis use or relapse in people with early psychosis

Contingency management - the use of positive reinforcement in the form of supermarket vouchers to shape behaviour - makes no difference in the frequency of cannabis use or relapse rates in those with early psychosis. Although psychotic symptoms initially decrease, these changes are not sustained over the longer term and are no better than with ...

Alert

Holistic services in advanced lung disease can help people cope better with breathlessness

Services providing holistic health care can improve the psychological well-being of people who are living with breathlessness associated with chronic or advanced lung disease, such as lung cancer or chronic obstructive pulmonary disease. Breathlessness is a distressing symptom in which feelings of fear and helplessness, social isolation, high levels of anxiety and significant carer burden ...

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