Clinical Research Directory

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.

"Effectiveness of Basic Nursing Educational Interventions on Primary Healthcare Paramedics: A Quasi-Experimental Approach"

Expected Significance of the Study: Improved Patient Outcomes: Paramedics often serve as the first point of contact for patients in primary healthcare settings. Ensuring that they possess adequate knowledge and skills in basic nursing care can lead to improved patient outcomes, including better management of chronic conditions, reduced incidence of complications, and enhanced overall quality of care. Enhanced Healthcare Delivery: By equipping paramedics with basic nursing care education, healthcare systems can optimize resource utilization and improve the efficiency of care delivery. Paramedics may be better equipped to handle a wider range of patient needs, reducing the burden on other healthcare professionals and streamlining the referral process. Addressing Skills Gaps: Many paramedics receive training primarily focused on emergency medical care rather than comprehensive nursing skills. This research addresses an important gap in paramedic education by evaluating the effectiveness of additional training in basic nursing care, potentially filling a critical need in the healthcare workforce. Professional Development: Providing paramedics with opportunities for ongoing education and professional development can enhance job satisfaction, increase retention rates, and contribute to a more skilled and competent workforce. This research could inform the development of training programs tailored to the specific needs of paramedics in primary healthcare settings. Cost-Effectiveness: Investing in education and training programs for paramedics may yield long-term cost savings for healthcare systems by reducing hospital admissions, emergency department visits, and unnecessary medical interventions. Assessing the effectiveness of such programs is crucial for allocating resources effectively and maximizing their impact. Evidence-Based Practice: By conducting a quasi-experimental study to evaluate the effectiveness of basic nursing care education among paramedics, this research contributes valuable evidence to the field of healthcare education and practice. Evidence-based findings can inform policy decisions, curriculum development, and clinical guidelines, ultimately benefiting both patients and healthcare providers.

Nurse-Led Discharge Program and Primary Care Outcomes: A Proof-of-concept Cluster Randomized Controlled Trial

The goal of this cluster randomized controlled trial is to evaluate whether a nurse-led primary health care (PHC) discharge intervention can improve patient activation and primary health care-related outcomes among hospitalized adult patients after discharge.

Evaluation of the Chronic Disease Co-Care Pilot Scheme

The Chronic Disease Co-Care (CDCC) Pilot Scheme is initiated for early screening and management of people with hypertension (HT), pre-diabetes mellitus (pre-DM) and diabetes mellitus (DM) in Hong Kong. This study will evaluate the quality of care, feasibility, acceptability, effectiveness and cost-effectiveness of the Scheme. This is a 12-month cohort study among the District Health Centre (DHC) or DHC Express, healthcare providers, CDCC participants and a comparison group of 1,886 non-participants. All the person-in charge, 2 family doctors and 1 of each allied health provider from each DHC/DHC Express will be administered with the questionnaires on quality of care and costing. All CDCC participants will be included in subject characteristics, among which a convenience sample of 548 will complete a telephone survey on experience, enablement and satisfaction of the CDCC Pilot Scheme. The health outcomes of 1,886 CDCC participants and 1,886 non-participants will be compared for evaluation of effectiveness and cost-effectiveness. Participant characteristics, enablement, compliance to the standards of care, and costing of CDCC Pilot Scheme will be summarized using descriptive statistics. Differences in the proportion of patients meeting treatment targeted for HT, pre-DM and DM after 12 months will be compared by chi-squared test and logistic regressions. The incremental cost-effectiveness ratio will be evaluated by comparing with the World Health Organization (WHO) threshold. This study will inform future healthcare planning and policy for manpower and resource allocation.