Research Projects

Current research projects

Project Lead Project Outline

1. Care of older people who fall (SAFER 2)

Funded by: HTA

Prof. Helen Snooks Swansea University

Evaluation of the clinical and cost-effectiveness of assessment and referral of older people who fall by emergency ambulance paramedics to appropriate community care (RCT).

www.saferproject.org

2. Computerised clinical decision support for paramedics in the care of patients who may not need Emergency Department care (SAFER 3)

Funded in principle: HTA
Prof. Helen Snooks Swansea University

Evaluation of the costs, benefits and safety of hand-held computerised clinical decision support for on-scene assessment and management of 999 patients with problems that may not require acute hospital care (RCT).

3. PARAMEDIC trial:  costs and effectiveness of automatic chest compression in cardiac arrest

Funded by: HTA

Dr Simon Gates Warwick Uni
Welsh Lead: Andrew Jenkins, WAST

Randomised controlled trial of costs, safety and effects of LUCAS device – does it improve survival from out of hospital cardiac arrest?

4. Predictive risk stratification: Impact on care for people with or at risk of chronic conditions (PRISMATIC)

Funded by: NIHR SDO

Prof. Helen Snooks Swansea University

Examination of the process of introducing a predictive risk stratification model (PRISM) in Wales and assessment of the effects on the delivery of care to patients living with or at risk of developing a chronic condition, and to those with no perceived risk.

 5. Models of regulation and governance of pre-hospital emergency care responders and practitioners - a comparative study Funded by: Irish Prehospital Emergency Care Council

Angela Evans Swansea University

Review of how Ireland’s experience of pre-hospital emergency care regulation and governance compares to other international systems.
6. Service User Involvement in TRUST research activity Funded by: NISCHR Prof. Helen Snooks Swansea University  Involving service users effectively in TRUST research activity.

7. Chronic Conditions Management (CCM) framework for research and evaluation

Funded by: WORD
Prof. Helen Snooks Swansea University  Development and implementation of a framework for evaluation of the CCM policy in Wales

8. Paramedic Supplied “Take Home” Naloxone Feasibility Study

Chris Moore Welsh Ambulance Services NHS Trust

This study aims to investigate whether the supply of Take Home Naloxone (THN) kits by paramedics in the out of hospital setting is a feasible intervention, and to gather data related to case incidence, use and user follow up response rates, in preparation for a definitive, multicentre trial.
9. Biomedical research unit Prof Adrian Evans ABM University Health Board

Swansea University and ABM University Health Board is situated in an area of social and economic deprivation which has significant impact on lifestyles and health profiles of many individuals.  As a consequence, this area has some of the highest rates of thromboembolic disease in the UK. Moreover, it has a high rate of specific cancers and respiratory disease linked to lifestyle factors and ABM Hospitals see an above average number of acute illness and injury. 

All of these conditions are known to have a detrimental effect on the coagulation system leading to the development of abnormal blood clots causing a poor outcome in terms of morbidity and mortality.  Furthermore, these conditions have associated inflammatory, immunological and environmental causes which have a further adverse effect on the coagulation system compounding these poor outcomes. At best, current worldwide coagulation tests can only be an adjunct to early diagnosis, therapeutic monitoring and screening in these patient groups. For this reason, a translational programme exists between the Colleges of Medicine, Engineering, and the NHS which has developed a new biomarker with improved diagnostic potential.  The proposed Biomedical Research Unit will explore this new biomarker in designated integrated and standardised clinical research pathways.
10. Service User Involvement in TRUST Swansea University Involving service users in research is encouraged as a way to improve research quality, relevance and accountability and is recommended as good practice.  TRUST has developed expertise in involving service users in management of the network and in associated research development groups and research projects.
11. Do Children who move have poorer health and educational outcomes? Hayley Hutchings The aim of the study is to explore the relationship between frequency of house moves with health outcomes and educational achievement of children up to the age of 8 years using the Wales Electronic Cohort for Children (WECC) dataset.
12. Collaboration for Accident Prevention and Injury Control (CAPIC) Prof Ronan Lyons

This is a capacity building grant to provide support for injury prevention through: advocacy, providing the basis of an infrastructure to support a network of practitioners, the provision of information to facilitate the adoption of good practice, the provision of practical tools and guidance, supporting training of the multi-disciplinary workforce, and undertaking

research to enhance our knowledge of effective interventions.
13. TIME Study (Timing/delivery of Injury Messages – a qualitative Evaluation) Prof Ronan Lyons This is a qualitative research study which involves in-depth interviews with pregnant women and parents of young children undertaken to understand the sources of information they access and have confidence in about the prevention of childhood injuries, particularly in the home. The research aims to identify trusted sources of information (or gaps) in order to inform Children in Wales on how to improve injury prevention activities.
14. Tools to address Childhood Trauma, Injury and Children’s Safety (TACTICS) Prof Ronan Lyons This is a 27 country wide European Union project which aims to support child injury prevention through the provision of enhanced child safety report cards for all countries, explore the relationship between child injury and inequity across countries, and examine the feasibility of developing and implementing a Child Safety index for national states.  It will also identify factors which promote or hinder the uptake of evidence based good practice in relation to prevention.
15. Prognostic factors and outcomes for medical emergency admissions Dr Stephen E Roberts There are often large differences in prognosis following admission as an emergency across hospitals in the UK. Although some of this variation is linked to differences in the types of patient who are admitted to different hospitals – in terms of their age and how ill they are – the reasons for much of the variation in death rates is not known. It is also unclear whether this variation across hospitals extends to morbidity outcome measures including hospital infections and high rates of readmission.  We have designed a large record linkage study across England and Wales that will gain important new insight into factors that are, increasingly, thought to have a possible influence on mortality after emergency hospitalisation.
16. Joint Action on monitoring Injuries in Europe (JAMIE) Prof Ronan Lyons This is a 33 country project which aims to develop a European wide system of monitoring the incidence and burden of injuries in order to support the development of policy and evaluate the impact of policy level interventions on injury prevention.  It involves reviews of practice in different parts of the world and the use of an international expert advisory board to decide on the implementation of datasets, consideration of the best statistical approaches to population estimation of incidence and burden, and the implementation of the system by member states.
17. Evaluation of NPT Air Quality Alert System Prof Ronan Lyons This project will use a mixed methods approach to meet the requirements of the evaluation brief. This includes the creation of a cohort of users with matched population level controls to measure the impact of the system on subsequent health service utilisation; analysis of routine data on air pollution linked to ‘live’ alerts; qualitative interviews with those who do and do not take up the offer of the air quality alert system; review of documents and materials and literature review.
18. Title Qualitative health assessment following pulmonary rehabilitation treatment for COPD: A mixed method consultation study with patients, carers and professionals Prof Frances Rapport Little research to date has qualitatively examined the immediate effects of the Pulmonary Rehabilitation (PR) programme on COPD patients, or the views of patients and carers’ regarding long-term, health-related quality of life (HRQL) issues. It has been recognised that quantitative tools may not be sufficient to fully capture the experience of the patient and that a better understanding of how PR improves patient QOL could affect the design of PR programmes. This study will clarify the overall health impact of PR on COPD from the patient, carer and clinician perspective.
19. How do people with chronic conditions experience care in Hywel Dda? Effect of the locality care model. Sian Morrison-Rees

This study proposes to conduct telephone interviews with patients with chronic conditions to describe how they experience their care and to measure effect of the Community Resource Teams (CRTs) and locality working. 900 people with chronic conditions living in Hywel Dda area took part in an all-Wales survey undertaken by Swansea University in 2008. All those who consented to followup will be contacted by telephone. One third will live in armarthenshire, an area with established locality working and CRTs. We will also conduct qualitative interviews with 30 new respondents, identified by random telephone dialling. People will be asked about their health-related quality of life, willingness/ability to self manage and satisfaction with care received for their chronic condition. Results in Carmarthenshire will be compared with those from other parts of Hywel Dda to assess any effects from the new locality approach. All

results will be compared against those obtained in 2008 to identify changed patient experience in Hywel Dda since the chronic conditions policy was implemented.