Clinical Research Directory

Evaluating Knowledge Mobilization Sustainability Approaches

The overarching objective of the current study is to evaluate the effectiveness, acceptability, strategy use, and maintenance of behaviour change of different stress management sustainability groups. Furthermore, the study aims to examine how these sustainability groups and maintenance of behaviour change may impact student wellness in the long term. Specifically, objective 1 sought to compare three commonly employed approaches for sustainability of stress management strategy use (workshop booster sessions, online community drop-ins, digital infographic reminders) and an inactive control group (no support) in terms of their (1.1) effectiveness on wellness outcomes (i.e., stress, healthy and unhealthy coping capacity, mindfulness, coping self-efficacy, and well-being), (1.2) acceptability, (1.3) strategy use, and (1.4) maintenance of behaviour change over time. It was hypothesized that the community drop-in sustainability group would have greater effectiveness, strategy use, and maintenance of behaviour change compared to the other sustainability groups and inactive control. This hypothesis aligns with the literature across both sustainability supports and maintenance of behaviour change-related indices, suggesting that social support is a key element to sustained strategy use. No specific hypothesis was made for which sustainability approach would be rated as most (H1.2) acceptable given this is a novel area of research. Objective 2 sought to examine (2.1) whether maintenance of behaviour change at post (T2) predicted wellness outcomes (i.e., stress, healthy and unhealthy coping capacity, mindfulness, coping self-efficacy, and well-being) at 6-month follow-up (T4), and whether this relationship was differentially moderated by sustainability group. It was hypothesized (H2.1) that maintenance of behaviour change at post would positively predict healthy coping, mindfulness, coping self-efficacy, and well-being and negatively predict stress and unhealthy coping at the 6-month follow-up and that this would be moderated by sustainability group (i.e., workshop booster sessions, online community drop-ins, digital infographic reminders).

Exploration of Acceptability of Alcohol Interventions

This is a mixed-methods study consisting of a qualitative assessment the acceptability of psychosocial interventions, delivered by clinical staff. The study will also investigate the correlation between demographic variables and engagement with a North West England, NHS-led, alcohol care service, amongst the patient population.

ePlatform for Promoting Health in Schools

There are few public health and educational policies specifically aimed at promoting physical activity, healthy dietary habits, and reducing sedentary behaviour among adolescents from socially disadvantaged backgrounds. ePro-Schools will co-design, pilot and evaluate an evidence-based program, delivered via a modular eHealth platform, to promote physical activity and healthy eating, and reduce time in sedentary behaviours. A profound co-creation process involving adolescents, school staff, and policymakers-alongside the adaptation of previous interventions by consortium members-will support the program's development. The ePro-Schools platform will contain modules for adolescents and their parents, teachers and school administration. Although the platform will be implemented through schools, it will include content to be implemented outside the school setting. The intervention program will be evaluated through a randomised controlled trial conducted in six secondary schools in Central Catalonia that aims to include 1000 adolescents. Schools have been randomised (1:1) into an intervention and a waiting-list control group. The evaluation of the program includes effectiveness, cost-effectiveness and process evaluation. Physical activity, sedentary behaviour and eating habits are the primary effectiveness outcomes of the trial. Secondary outcomes include fitness, water consumption, quality of life, depressive symptoms, social isolation and sleep quality. Using implementation science methodology, ePro-Schools will co-design transferable evidence-based practices and methodologies and guidance for scaling up the platform with policymakers and stakeholders, as well as informing specialists, policymakers and the general public.

STICK2IT - Understanding Why People Do or Do Not Stick With Exercise Treatment for Achilles Tendinopathy

Achilles tendinopathy is a common condition that causes pain and stiffness in the tendon at the back of the ankle. It can make walking, exercise, work, and everyday activities difficult. The main recommended treatment is a programme of progressive tendon-loading exercises, usually supported by an NHS physiotherapist. These exercises can help improve pain and function, but many people find them hard to continue over time. This means that, even though the treatment can work well, some people do not get the full benefit because they are unable to keep up with the exercise programme as advised. People with Achilles tendinopathy often describe worries about making the tendon worse, uncertainty about whether pain during exercise is safe, low confidence, slow progress, and difficulty fitting exercises into daily life. These challenges may be even greater for people from underserved groups, including those living with long-term health conditions, financial pressures, language barriers, or other forms of disadvantage. At present, there is limited research exploring these experiences in a structured way, especially in routine NHS care. The aim of this study is to understand what helps or makes it harder for people to stick with NHS-prescribed progressive tendon-loading exercises for Achilles tendinopathy. The study will focus particularly on the experiences of people who may be at higher risk of poor outcomes or reduced access to support. Up to 30 adults with experience of Achilles tendinopathy and previous NHS physiotherapy treatment will take part in a one-to-one interview. Interviews will last up to 45 minutes and can take place in person, online, or by telephone, depending on what suits the participant best. Participants will be asked about their experiences of living with Achilles tendon pain, being given exercise treatment, and trying to follow that treatment in everyday life. The information from these interviews will be analysed to identify the main barriers and supports affecting exercise adherence. The findings will be used to build a clearer understanding of the behavioural factors that influence whether people are able to continue with treatment. This will help inform the future development of a targeted support approach to improve adherence to exercise-based rehabilitation for Achilles tendinopathy in NHS practice. The long-term goal of the study is to help make treatment more effective, more personalised, and more suitable for people from a wide range of backgrounds, including those whose needs are often overlooked in research and healthcare design.

Rectangular Collimation in Pediatric Dentistry

This project aims to investigate whether simple behavioural interventions, such as pictorial framing and traffic-light-color-coding, can positively influence pediatric dentists' decision-making in adopting rectangular collimation over round collimation for dental radiographs taken in clinical practice.

The Effect of Transtheoretical Model Based Healthy Internet Use Programme on Problematic Internet Use, Social Skills and Self-Efficacy Level

Adolescence is an important developmental stage to promote positive behaviours and prevent psychological difficulties. Internet addiction problems are more common among children and adolescents worldwide. During adolescence, when many changes such as maturation and gaining autonomy are experienced, the internet is used to escape from responsibilities in life and to cope with adaptation problems. Internet addiction brings many different problems such as changing behavioural changes, deterioration in social functions, and decrease in academic success. For this reason, psychosocial and model-based interventions are important in reducing adolescents' internet addiction and ensuring safe internet use. It is emphasised that behavioural interventions and awareness practices should be started at an early age to reduce problematic internet use (Ding \& Li,.2023). Since adolescents spend most of their time at school, schools are very important for the acquisition of healthy behaviours (Throuvala, et al. 2019; Yeun \& Han, 2016). Providing access to students in schools is necessary to reach more students and prepare a suitable learning environment (Throuvala, et al 2019). When the literature is examined, it is proven that school-based programmes are effective for adolescents to develop positive behaviours on various issues (Spaas et al 2023; Grande et al 2023). Especially in schools, it is necessary to support healthy internet use and self-efficacy with awareness studies that will prevent adolescents' internet addiction through educational programmes. TTM or mindfulness programmes applied to different age groups have been found to be effective in reducing internet use problems (Chang et al 2023; Hafez et al 2023). However, school-based studies on reducing problematic internet use in Turkey are very few. It is important to conduct school-based internet addiction studies in order to benefit science and society in terms of this deficiency in Turkey. In this study, it was aimed to determine the effect of Transtheoretical (Behaviour Change) Model and Mindfulness-Based Healthy Internet Use Programme on problematic internet use, social skills and self-efficacy levels of adolescents. This study aims to determine the effect of Transtheoretical Model Based Healthy Internet Use Programme Supported by Mindfulness Exercise on Problematic Internet Use, Social Skills and Self-Efficacy Level. This research is a randomised controlled study designed in experimental type, pre-test post-test design. The research will be conducted in Namık Kemal Secondary School in Meram district of Konya province. The sample group was determined as 37 intervention and 37 control groups, totalling 66 students. The pre-test data of the intervention and control groups will be collected by the researcher in the classroom environment before the programme starts and the post-test data will be collected after the programme is completed. In order to determine the sociodemographic characteristics of the students and to form appropriate groups, the Personal Information Form created by the researcher will be used to determine the Internet addiction levels of the students, the Internet Addiction Scale will be used to determine the Internet addiction levels of the students, the Self-Efficacy Scale for Children and the Social Emotional Learning Skills Scale will be used to evaluate the self-efficacy of the students. In the study, data will be collected in two stages (pre-test and post-test) based on self-report with a face-to-face questionnaire form in the classroom environment. At the end of the programme, it is expected that students' internet addiction will decrease and their social support and self-efficacy levels will increase.