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Published by sphereprogramme, 2017-01-06 11:39:24

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Conference  Details  &  Venue  MapSPHeRE  Team  &  Important  ContactsWelcome  by  the  Programme  DirectorSession  GuidelinesKeynote  Speaker:  Prof.  Mike  KellyKeynote  Speaker:  Prof.  Ella  ArensmanKeynote  Speaker:  Prof.  Mark  Pe crewSPHeRE  PhD  RecruitmentConference  ProgrammeSpeaker  AbstractsPoster  AbstractsList  of  Delegates

CONFERENCE  DETAILS  &  VENUE  MAPConference  VenueThe  3rd  Annual  Conference  of  the  SPHeRE  Network  will  be  held  at  the  Royal  College  of  Surgeons  in  Ireland  on  the  12th  of  January,  2017.Registra on  DeskThe  registra on  desk  will  be  located  in  the  concourse  area  of  the  Royal  College  of  Surgeons,  near  the  York  St.  entrance.  It  will  be  open  from  9:15am-10am.  An  informa on  desk  will  be  available  in  the  Exam  Hall  from  10am-6pm.Coffee  BreaksDuring  the  breaks  in  the  morning  and  a ernoon,  there  will  be  coffee,  tea  and  water  provided  in  the  Exam  Hall.LunchTea,  coffee  &  sandwiches  will  be  available  in  the  Exam  Hall.WiFi  InternetFree  Internet  AccessNetwork:  RCSI-GuestUsername:  sphere17Password:  sphere17Please  tweet  along  using  #sphere17  on  Twi erTR  2-3 TR1 Houston   Theatre TR4 St.  Stephen’s  Green Concourse Stairs  up  to   Exam  Hall York  St. York  St.  Entrance  -   Main  Recep on

SPHeRE  TEAM  &  IMPORTANT  CONTACTSSCIENTIFIC  COMMITTEE THANK  YOUDr.  Catriona  Murphy  (DCU) The  SPHeRE  Network  would  like  to  thank  Dr.  Cole e  Kelly  (NUIG)Dr.  Jennifer  McSharry  (NUIG) all  colleagues,  alumni  and  SPHeRE  Dr.  John  Cullinan  (NUIG) Scholars  who  have  contributed  to  the  Dr.  Regien  Biesma  (RCSI)Dr.  Janas  Harrington  (UCC) smooth  running  of  the  conference.  Dr.  Sheena  McHugh  (UCC) A  huge  thanks  is  also  due  to  the  RCSI  Dr.  Carol-Anne  Murphy  (UL) Conference  and  Events  team  for  their  Dr.  Rose  Galvin  (UL)Dr.  Sue  Franklin  (UL) invaluable  support.SPHERE  DIRECTORS IMPORTANT  CONTACTSProf.  Steve  Thomas  -    SPHeRE  Director  (TCD) SPHeRE  Conference  OfficeProf.  Anne  Hickey  -    SPHeRE  Co-director  (RCSI)Prof.  John  Browne  -  SPHeRE  Co-director  (UCC) Email:  [email protected] www.sphereprogramme.ieSPHeRE  TEAMDr.  Mar n  Davoren   @sphereprogramme        SPHeRE  Assistant  Director  Networks  (UCC) #sphere17Dr.  Sarah  Barry  SPHeRE  Assistant  Director  Teaching  &  Learning  (TCD)Mr  Carlos  BruenSPHeRE  Assistant  Director    Academic  Affairs  (RCSI)Mr.  Ciarán  McCarthy  SPHeRE  Programme  Co-ordinator  (RCSI)Ms.  Rebecca  Kirrane  SPHeRE  Learning  Technologist  (RCSI)Mrs.  Niamh  CorbeSPHeRE  Admin  (RCSI)Ms.  Maureen  McDadeSPHeRE  Programme  Admin  (UCC)Mr.  Ciarán  McCarthy  Programme  Admin  (TCD)Ms.  Laura  PhelanResearch  Manager  (RCSI)

WELCOME  FROM  THE  DIRECTORDear  Delegate,We  are  delighted  to  welcome  you  to  the  third  annual  SPHeRE  Network   SESSION  GUIDELINESconference.  The  conference  con nues  to  provide  a  unique  educa on  and  networking  event  for  health  service  prac oners,  policy-makers,   Please   check   the   location   and   time   of   the  and  researchers.  The  theme  of  this  year’s  conference  is  “Suppor ng   various  sessions.solu ons:  connec ng  research,  policy  and  prac ce”  and  we  are  honoured  to  showcase  the  range  of  ini a ves  in  the  popula on  health   The  Presenters  and  Chairs  are  kindly  asked  and  health  services  research  community. to  be  in  the  room  allocated  to  their  session   at   least   5   to   10   minutes   before   the   sched-­‐Over  the  last  year  the  SPHeRE  Network  expanded  to  more  than  900   uled   start   time   to   check   the   equipment   is  members  across  research,  prac ce  and  policy.  It  has  enhanced  its   working   correctly   and   presentations   are  communica on  and  engagement  through  events  (such  as  the  autumn   correctly   loaded.   It   is   recommended   that  seminar  with  Prof.  Nick  Sevdalis),  regular  emails  and  newsle ers  and   presenters  keep  a  close   track   on  time   and  adver sing  research,  capacity  building  and  dissemina on  opportuni es.   perhaps   provide   hard   copies   of   their  Following  the  2016  conference,  a  research  priori sa on  report  was   presentations  for  distribution  to  interested  compiled  based  on  your  roundtable  discussions.  This  report  was   session  participants.submi ed  to  the  SPHeRE  Steering  Group  and  ra fied  for  use  across  the  SPHeRE  Network  for  PhD  scholar  recruitment,  thesis  forma on  and   Papers   (individual   oral   presentations)   will  strategic  development.  The  report  will  be  published  on  the  SPHeRE   be   presented   in   chaired   thematic   paper  website  shortly.  Further  in  2017  we  are  very  excited  to  announce  the   sessions   and   divided   by   strand   (i.e.   best  launch  of  our  new  Diploma  in  Popula on  Health  and  Health  Services   practice   or   scientific   strand).   Each   presen-­‐Research. tation   will   be   15   minutes   long   with   a   fur-­‐ ther   5   minutes   for   discussion   and   ques-­‐The  SPHeRE  Network  wishes  to  support  all  its  members  in  connec ng   tions.research,  policy  and  prac ce.  With  this  in  mind,  we  invite  you  to  our  lunch me  SPHeRE  Network  forum.  The  aim  of  this  forum  is  to  listen  to   Posters   (individual   posters   in   IOS   A0   for-­‐members  and  understand  the  poten al  range  of  opportuni es,  events   mat)   will   be   presented   in   the   Exam   Hall.  and  communica on  which  would  be  useful  to  you.   Informal  sessions  will  be  organised  for  con-­‐ ference   participants   to   interact   with   au-­‐We  hope  that  today  proves  to  be  a  s mula ng  and  enjoyable  event  and   thors   from   10:30   –   10:55  and   from   15:20-we  look  forward  to  mee ng  you  at  future  SPHeRE  Network  events.   15:45.   Poster   presenters   are   kindly   asked   to  stand  next  to  their  poster(s)  during  both  Prof.  Steve  Thomas,  SPHeRE  Director sessions  for  discussion  and  questions.Prof.  Anne  Hickey,  SPHeRE  Co-DirectorProf.  John  Browne,  SPHERE  Co-Director

KEYNOTE  SPEAKER:  PROF.  MIKE  KELLYPrimary  Care  Unit,  Institute  of  Public  Health,  University  of  CambridgeConnecting  research,  policy  and  practiceProfessor   Mike   Kelly   is   Senior   Visiting   Fellow   in   the   Primary   Care   Unit   at   This  paper  will  draw  upon  the  experience  the   Institute  of   Public   Health   and   a   member   of   St   John’s   College   at   the   of   developing   guidelines   at   NICE   and   on  University  of  Cambridge.    Between  2005  and  2014,  when  he   retired,  he   new   research   on   health   related  was  the  Director  of  the  Centre  for  Public  Health  at  the  National  Institute   behaviour   change   to   explore   the  of  Health  and  Care  Excellence  (NICE).    There  he  led  the  teams  producing   relationship   between   research,   policy  public   health   guidelines.     In   that   role   he   worked   directly   with   senior   and  practice.    The  paper  will  begin  with  a  government  officials,  parliamentarians  and  ministers.    From  2005  to  2007   consideration   of   the   models   of   the  he   directed   the   methodology   work   stream   for   the   World   Health   relationships   between   science   and  Organisation’s  (WHO)  Commission  on  the  Social  Determinants  of  Health.     technology  and  policy  and  practice  which   emerged   in   the   1960s   and   1970s   and  He  read  Sociology  and  Economics  at  the  University  of  York.    He  undertook   describe  why  the  traditional  Anglo-Saxon  post   graduate   training   in   Sociology   at   the   University  of  Leicester   before   approach   has   been   noticeably  taking   his   PhD   in   the   Department   of   Psychiatry   at   the   University   of   unsuccessful.     It   will   be   argued   that   the  Dundee.     He   has   held   academic   appointments   at   the   Universities   of   failings   of   1970s   technology   policy   have  Leicester,   Dundee,   Abertay,   Greenwich,   Glasgow,   Manchester,   Oxford   been   transported   into   to   contemporary  and   Sheffield,   the   London  School  of   Hygiene   and   Tropical   Medicine   and   discussions   about   getting   scientific  UCL   as   well   as   Cambridge.     He   had   an   academic   career   lasting   twenty   evidence   into   policy   and   practice   in  seven   years   before   moving   into   the   National   Health   Service   to   lead   the   aspects  of  public  health  policy  in  the  UK.    Research  Team  at  the   Health  Development  Agency  and  then  moving  on   The   paper   will   reflect   on   the   ways   of  to  NICE.   moving   beyond   the   current   ways   of   thinking   with   reference   to   the   work   of  His   current   research   projects   focus   on   the   relationships   between   the   Nobel   Prize   winner   Daniel  biological  and  social  factors  in  the  patterning  of  health  inequities,  health   Kahneman.     Some   of   the   implications   of  related   behaviour   change,   end   of   life   care,   dental   public   health,   and   the   these   ideas   for   researchers,   policy  methods  and  philosophy  of  evidence  based  medicine.       makers   and   practitioners   will   be   outlined.  

KEYNOTE  SPEAKER:  PROF.  ELLA  ARENSMAN Director  of  Research,  National  Suicide  Research  Foundation;  Re-­‐ search  Professor,  Department  of  Epidemiology  and  Public  Health,   University  College  Cork,  Ireland   Self-harm  and  suicide  in  young  people:   Associated  risk  factors  and  evidence  based   interventionsSelf-harm  and  suicide  in  young  people  are   Professor  Ella  Arensman  is  Director  of  Research  with  the  National  Suicide  major  public  health  problems.  Self-harm  is   Research   Foundation   (NSRF)   and   Research   Professor   with   the  more   common   in   females   while   males   are   Department  of  Epidemiology  and  Public   Health,  University  College  Cork,  overrepresented   among   those   who   die   by   Ireland.   She   holds   an   MSc   and   PhD   from   Leiden   University,   The  suicide.   Based   on   self-harm   presentations   Netherlands.  She  is  President  of  the  International  Association  for  Suicide  to   hospital,   research   has   consistently   Prevention   (IASP)   with   members   in   more   than   70   countries.     She   has  shown  an  increase  of  self-harm  in  children   been  involved  in  research  and  prevention  into  suicide   and  self-harm  for  and   adolescents   in   recent   years.   In   30   years,   with   emphasis   on   risk   and   protective   factors   associated   with  addition,   many   self-harm   acts   in   this   age   suicide   and   self-harm   and   effectiveness   of   suicide   prevention   and   self-group   remain   ‘hidden’   from   health   harm   intervention   programmes.   In   addition   to   more   than   100   papers  services.   Self-harm   in   children   and   published   in   peer   review   journals,   she   has   published   an   extensive  adolescents   commonly   involves   self- number  of  reports  for  government  departments  and  funding  agencies.  cutting  and  intentional  drug  overdose,  and  associations   have   been   identified   with   In   Ireland,   she   played   a   key   role   in   developing   the   first   and   second  depression,   anxiety,   eating   disorders,   National   Suicide   Prevention   Programme:   Reach   Out,   2005-2014,   and  substance   abuse,   physical   and   sexual   Connecting   for   Life,   2015-2020.   She   serves   on   various   national   and  abuse  and  bullying  including  cyberbullying.   international  scientific  committees  and  she  is  an  expert  advisor  for  WHO   with   involvement   in   advisory   boards   and   delegations,   such   as   South  Suicide   clustering   is   four   times   more   Korea,  Egypt  and  Afghanistan.  She  encourages  international  collaboration  common   among   young   people   (15-24   in   suicide   prevention   and   research   by   bridging   the   gap   between  years)   than   other   age   groups.   There   are   researchers  and  policymakers  in  order  to  strengthen  the  implementation  indications   of   increasing   clustering   and   of  national  suicide  prevention  programmes.  contagion   effects   in   suicidal   behaviour  among   young   people   associated   with   the    rise   in   social   media.   In   addition,   in   small  communities  social  learning  processes  also  contribute  to  clustering  of  suicide  and  self-harm.There   is   growing   evidence   for   positive  mental   health   promotion   programmes   in  reducing   risk   factors   for   self-harm   and  strengthening   protective   factors.   A  number  of  specific  interventions,  including  Cognitive   Behaviour   Therapy   and  Dialectical   Behaviour   Therapy   have  demonstrated   positive   effects   in   reducing  risk   of   repeated   self-harm   among   young  people.   However,   the   number   of  randomised  controlled  trials  in  this  area  is  limited.  

KEYNOTE  SPEAKER:  PROF.  MARK  PETTICREWProfessor  of  Public  Health  Evalua on  in  the  Faculty  of  Public  Health  and  Policy  at  LSHTMEvidence-based  public  health  and   policy:  the  role  of  evalua onMark   Pe crew   is   Professor   of   Public   Health   Evalua on   in   the   Faculty   of   Public  health  research  differs  from  clinical  Public   Health   and   Policy   at   LSHTM.   He   is   Director   of   the   Public   Health   epidemiological   research   in   that   its   focus  Research  Consor um  (PHRC  h p://,  and  is  a  member  of   is  primarily  on  the  popula on-level  social  the   Policy   Innova on   Research   Unit   (PIRU:   h p://,   and   structural   determinants   of   individual  funded   by   the   Department   of   Health   Policy   Research   Programme.   Recent   health,   and   on   the   interven ons   that  research  includes  the  evalua on  of  the  Public  Health  Responsibility  Deal.   might   ameliorate   them,   rather   than  This   policy,   launched   in   2012,   involved   voluntary   agreements   between   having  a  primary  focus  on  individual-level  government  and  the  alcohol  and  food  industries,  among  others.  Details  of   risks.  In  par cular  public  health  is  typically  the   published   papers   appear   here:   h p:// concerned   with   the   proximal   and   distal  current-projects/public-health-responsibility-deal-evalua on.htm causes   of   health   problems,   and   their   loca on   within   complex   systems,   more  His   main   research   interests   are   in   evidence-based   policymaking,   and   the   than  with  single  exposures.  This  can  make  evalua on  of  the  health  effects  of  social  and  other  policies.  He  is  also  Co- public   health   evalua ons   challenging.  Director  with  Dr.  Karen  Lock  of  the  NIHR  School  for  Public  Health  Research   Even   well-known   epidemiological   terms  at   LSHTM   (see   h p://     Other   research   interests   are   in   and   concepts   may   have   very   different  alcohol  policy  and  tobacco  control  policy,  and  systema c  review  methods.   implica ons   when   used   in   the   context   of  He   co-chaired   the   Commi ee   which   developed   the   UK’s   new   alcohol   popula on  health.  consump on  guidelines. This   talk   will   discuss   what   “evidence”   means   in   rela on   to   public   health;   what   should   be   evaluated,   and   how;   and   what   sort   of   evidence   is   needed   for   evidence- based   public   health.   It   will   also   discuss   promising   approaches   to   evalua ng   complex   interven ons   and   complex   systems,   using   a   range   of   public   health   examples   including   tobacco,   food,   and   housing.

SPHeRE  PhD  RECRUITMENT  2017-18APPLYING  TO  THE  SPHeRE  PROGRAMMEThe  SPHeRE  PhD  Programme  in  Popula on  Health  and  Health  Services  Research  aspires  to  cul vate  world-class  researchers  through  a  four  year  full- me  structured  PhD  Programme.  The  SPHeRE  Programme  can  also  be   undertaken  over  a  longer   me  period  on  a  part- me  basis.  Only  applicants  who  intend  to  complete  the  Programme  on  a  full- me  basis  are  eligible  to  apply  for  funding,  with  a  minimum  of  six  funded  scholarships  available  per  year.  The  Programme  is  a  joint  ini a ve  of  the  Royal  College  of  Surgeons  in  Ireland,  Trinity  College  Dublin  and  University  College  Cork,   with   funded   scholars   having   the   op on   to   also   register   at   University   College   Dublin,   NUI   Galway,   Maynooth  University,  the  University  of  Limerick  or  Dublin  City  University.We  welcome  applicants  with  an  interest  in  carrying  out  research  on  health  services  and/or  popula on  health  from  all  parts  of   Ireland   and   from   a   wide   range   of   academic   and   clinical   disciplines,   including   public   health,   health   psychology,   health  economics,  health  policy,  biosta s cs,  sociology,  health  geography  and  social  science.  Specific  considera on  will  be  given  to  applicants  whose  experience  and  skills  align  with  the  SPHeRE  Research  Priori es  (see  website).  The  full- me  4  year  structured  PhD  Programme  features: 6  taught  modules  completed  in  the  first  year  of  the  programme Opportuni es  for  mul disciplinary  research Supervision  by  interna onally  renowned  Principal  Inves gatorsIn  addi on,  SPHeRE  funded  scholars  benefit  from: 8  week  specialist  rota on  in  Irish  health  related  agencies  in  the  first  year Placement  with  a  pres gious  overseas  agency  to  further  PhD  project  development  in  the  second  or  third  years. Professional  skills  training  allowance Travel  funds  to  na onal  training  days  and  interna onal  conferences Annual  s pend  of  €18,000  plus  laptop  computer  plus  PhD  feesThis   programme   provides   excellent   training   for   scholars   in   core   health   services   and   popula on   health   research   skills.  Applicants  who  have  already  secured  funding  for  their  PhD  and  applicants  who  wish  to  pursue  the  programme  on  a  part- me  basis  are  also  welcome  to  apply.  The  SPHeRE  Programme  is  subject  to  funding  by  the  Health  Research  Board.Visit  for  informa on  on  applica ons  for  the  year  commencing  October  2017.  

CONFERENCE  TIMETABLE09:15 Registration09:30 Welcome  Address  and  Overview  of  the  last  12  months  of  SPHeRE Prof.  Steve  Thomas,  Trinity  College  Dublin,  Director  of  SPHeRE09:45 Keynote  Address:  “Connecting  research,  policy  and  practice” Prof.  Mike  Kelly,  University  of  Cambridge,  Chaired  by  Prof.  Anne  Hickey,  Royal  College  of  Surgeons  in  Ireland10:30 Coffee11:00 PARALLEL  SESISONS  1 Economic  Evaluation  (TR1) Complex  Interventions  (TR2&3) Maternal  &  Child  Health  (TR4) Evidence  into  Policy  (EH) Chair:  Dr.  Eamon  O'Murchu,   Chair:  Dr.  Siobhan  Kelly,  HSE Chair:  Dr.  Colette  Kelly,  NUIG Chair:  Dr.  Laura  Murphy HIQA  11:00 Dr.  Linda  Murphy  “Cost  of  care   Ms.  Lauren  Boland    “OPTIMAL,  a   Dr.  Aimee  Fox    “Estimating  the   Dr  Marie  Sutton  11:2011:40 for  cervical  cancer  treatment  in   self-management  intervention   cost  of  pre-eclampsia  in  the   Ms  Louise  Farragher  /  12:00 Ireland:  a  health  care  payer   for  cancer  survivors”   health  system:  a  cross-sectional   Mr  Martin  Keane12:20 perspective”   analysis  using  data  from  the   Screening  for  Pregnancy  End-­‐ Dr  Anne  McCarthy points  (SCOPE)  study”   Dr  Deirdre  Mongan Dr.  Caragh  Behan    “Use  of  the   Dr.  Niamh  Merriman    “Overview   Ms.  Caragh  Flannery  “Health   Ms  Mary  Dunne  /  Ms   Net  Benefit  Framework  to  eval-­‐ of  the  StrokeCog  study:  model-­‐ care  professional’s  experiences   Mairea  Nelson uate  the  cost-effectiveness  of   ling  and  modifying  the  conse-­‐ of  lifestyle  management  in  over-­‐ Early  Intervention  in  Psychosis   quences  of  stroke-related  cogni-­‐ weight  and  obese  pregnant   –  should  the  health  service  be   tive  impairment  through  inter-­‐ women:  a  qualitative  study”   “HRB  Evidence  Centre:   willing  to  pay  to  implement  the   vention”   filling  the  knowledge  gap   intervention?”   in  evidence-informed   Dr.  Frank  Moriarty    “Economic   Ms.  Miriam  Coghlan    “Hepatitis   Dr.  Elaine  Toomey  “Using  an   policy” impact  of  potentially  inappro-­‐ C  pre-treatment  pharmacist  as-­‐ infant  feeding  intervention  to   priate  prescribing  in  older  peo-­‐ sessment:  the  development  pro-­‐ target  childhood  obesity:  Back-­‐ The  goal  of  the  Health   ple  in  Ireland:  a  Markov  model   cess  for  a  complex  intervention   ground,  rationale  and  impact  of   Research  Board’s  Evi-­‐ study”   tool”   the  HRB  Interdisciplinary  Capaci-­‐ dence  Centre  is  to  facili-­‐ ty  Enhancement  (ICE)  Childhood   tate  the  translation  of   Obesity  project”   research  to  health  policy   Ms.  Marian  Hernon  “Costing   Mr.  Niall  Turner  “A  Clinical  Trial   Dr.  Karen  Matvienko-Sikar     and  practice.  Through  a   self-management  for  chronic   of  Supported  Employment  (IPS)   “Development  of  an  evidence- series  of  short  presenta-­‐ musculoskeletal  pain  condi-­‐ and  the  Workplace  Fundamen-­‐ based  pilot  intervention  to  pro-­‐ tions,  we  will  provide  an   tions  in  the  Irish  Primary  Care   tals  Module  with  People  Attend-­‐ mote  healthy  infant  feeding  be-­‐ overview  of  our  role  and   setting”   ing  an  Irish  Early  Intervention  for   haviours  in  Irish  primary  care:   contribution  to  evidence- Psychosis  Service”   The  HRB  Interdisciplinary  Capac-­‐ informed  decision- ity  Enhancement  (ICE)  Childhood   making  in  healthcare;   Obesity  project”   highlighting  opportuni-­‐ ties,  challenges  and  les-­‐ Ms.  Helen  O'Donnell  The  po-­‐ Dr.  Frank  Doyle  “Medical  Stu-­‐ Ms.  Emily  Kelleher  “Translation   sons  learned  throughout   tential  budget  impact  of  PCSK9   dent  Intervention  to  Promote   of  a  multidisciplinary  family- the  evidence  synthesis   inhibitors  in  Ireland   Effective  Nicotine  Dependence   focused  childhood  weight  man-­‐ and  knowledge  broker-­‐ and  Tobacco  Healthcare  (MIND- agement  programme  to  the  real   ing  process. THE-GAP):  Feasibility  random-­‐ world  setting:  Barriers  and  facili-­‐ ised  trial  (NCT02601599)”   tators  to  success”  

CONFERENCE  TIMETABLE12:40 Lunch13:30 Keynote  Address:  “Self-harm  and  suicide  in  young  people:  Associated  risk  factors  and  evidence  based  interventions” Prof.  Ella  Arensman,  National  Suicide  Research  Foundation,  Chaired  by  Prof.  Kate  Irving,  Dublin  City  University PARALLEL  SESSIONS  2 Diabetes  (TR1) Healthcare  Reform  (TR2&3) Dementia  (TR4) Access  to  Healthcare  (EH) Chair:  Dr.  Patrick  Moore,  TIL-­‐ Chair:  Dr.  Niamh  O'Rourke,   Chair:  Dr.  Anne-Marie  Miller,   Chair:  Dr.  Teresa  Maguire,   DA   Department  of  Health Dementia  and  Neurodegener-­‐ Department  of  Health ation  Network  Ireland14:20 Ms.  Kate  O’Neill  “Health  ser-­‐ Dr.  Conor  Foley   Ms.  Suzanna  Dooley   Dr.  Padhraig  Ryan  14:40 vice  utilisation  and  related  15:00 costs  associated  with  diabe-­‐ “Understanding  perspectives   “Assessing  Functional  Re-­‐ “Interaction  Analytics  for  Au-­‐ tes”   on  major  system  change:  Ex-­‐ tained  Communication  Skills  in   tomatic  Assessment  of  Com-­‐ ploring  the  impact  of  public   Dementia:  A  scoping  review”   munication  Quality  in   consultation  on  the  imple-­‐ Healthcare”   mentation  of  urgent  and   emergency  care  system  re-­‐ configuration”   Dr.  Jenny  McSharry  “Exploring   Ms.  Brenda  Lynch   Dr.  Louise  Hopper  “A  National   Ms.  Bridget  Johnston   Barriers  and  Facilitators  to   ”Diminished  improvements  in   Dementia  Registry  for  Ireland:   “Assessing  Financial  Protec-­‐ Attendance  at  Diabetes  Struc-­‐ outcome  indicators  for  emer-­‐ A  Feasibility  Analysis“   tion  in  Ireland:  The  Affordabil-­‐ tured  Education  Programmes   gency  conditions  in  national   ity  of  Private  Health  Expendi-­‐ in  Ireland:  A  Qualitative   and  regional  population  sys-­‐ ture”   Study”   tems  of  care”   Ms.  Lucy  Whiston  “Patient   Dr.  Fiona  Keogh    “The  Use  of   Mr.  Kieran  Walsh    “Influences   Mr.  Padraic  Fleming  “Past,   and  Family  Participation  in   National  Databases  for  Ser-­‐ on  Decision-Making  Regarding   Present  and  Future:  Mapping   Healthcare  Design  and  Deliv-­‐ vice  Planning:  An  analysis  of   the  Prescription  of  Antipsy-­‐ day-service  provision  for  peo-­‐ ery-  Delphi  Technique  Experi-­‐ regional  differences  in  the   chotics  to  Nursing  Home  Resi-­‐ ple  with  intellectual  disabili-­‐ ments  to  identify  the  intensity   provision  of  disability  ser-­‐ dents  with  Dementia:  A  Sys-­‐ ties  over  15  years”   and  composition  of  an  inter-­‐ vices”   tematic  Review  of  Qualitative   vention  to  encourage  partici-­‐ Evidence”   pation  in  an  outpatient  psychi-­‐ atric  service  and  an  outpatient   type  2  diabetes  service  in  Dub-­‐ lin,  Ireland”  15:20 Coffee  &  Moderated  Poster  Presentations15:50 Keynote  Address:  “Evidence-based  public  health  and  policy:  the  role  of  evaluation” Prof.  Mark  Petticrew,  London  School  of  Hygiene  and  Tropical  Medicine,  Chaired  by  Prof.  Steve  Thomas,  Trinity  College  Dublin16:35 Closing  Address16:40 Wine  and  Cheese  Reception  &  Poster  Prize

POSTER  PRESENTATIONS HEALTH  OF  OLDER  PEOPLE  A1 Fiona Keogh Genio A  Community  Supports  Model  for  People  with  Demen a:  A  service  design  process   Irish  Hospice   connec ng  research  and  prac ceA2 Deirdre Shanagher Founda on Suppor ng  People  with  Demen a  to  Die  at  Home  in  IrelandA3 Frank Moriarty RCSI UCC Characterising  poten ally  inappropriate  prescribing  of  proton  pump  inhibitors  in  older  A4 David O  Riordan people  in  primary  care  from  1997  to  2012  in  Ireland UCC Prevalence  of  prescribing  issues  in  older  European  adults:  findings  from  the  TRUST  A5 Aoife Fleming trial. UCCA6 Aoife Fleming A  feasibility  study  of  an  an microbial  stewardship  interven on  in  long  term  care   facili es  in  Ireland An microbial  suscep bility  of  Long  Term  Care  Facility  and  General  Prac ce  urine   samples  in  the  greater  Cork  region.A7 Joanna McHugh  Power Na onal  College  of   Targe ng  appropriate  users  of  a  befriending  service:  Recommenda ons  from   Ireland Qualita ve  and  Quan ta ve  StudiesA8 Paula Byrne NUIG Who  use  sta ns  and  why?  A  cross-sec onal  analysis  of  sta n  u lisa on  in  the  context   TCD of  cardiovascular  risk  and  socio-demographic  factorsA9 Deirdre Connolly Arts  and  Health:  impact  of  a  dance  programme  on  health  and  well-being  of  older   adults HEALTHCARE  DELIVERYB1 Caragh Behan DETECT  /  HSE What  price  my  health?  Barriers  to  a ending  servicesB2 Bridget Johnston TCD Pa ents’  and  Caregivers’  Preferences  for  Services  and  Support  Near  the  End  of  Life:   Evidence  from  a  Discrete  Choice  ExperimentB3 Aoife Mc  Gillicuddy UCC The  knowledge,  a tudes  and  beliefs  of  pa ents  and  healthcare  professionals  around   oral  medicine  modifica on:  A  qualita ve  systema c  reviewB4 Alison Keogh Development  of  a  coding  process  to  explore  physiotherapist’s  fidelity  to  the  delivery  of   UCC behaviour  change  techniques  within  a  theory  based,  group  self-management   interven onB5 Orna Fennelly UCC Evalua on  of  Advanced  Prac ce  Physiotherapy  Musculoskeletal  Services  in  IrelandB6 Milou Fredrix NUIG Goal  se ng  as  a  behaviour  change  technique  in  diabetes  self-management:  A   systema c  review  examining  effec veness  and  content  of  goal  se ng  interven onsB7 Lisa Mellon RCSI The  INCATM  (Inhaler  Compliance  AssessmentTM):  Valida on  against  Established   Measures  of  Adherence. INTERVENTIONS  &  TECHNOLOGIESC1 Paulina Jeleniewska Cys c  Fibrosis   CF  VIEW:  A  WEB-BASED  PATIENT  PORTAL  FOR  PEOPLE  WITH  CYSTIC  FIBROSIS Registry  of  IrelandC2 Caroline Hurley UCC Risk  based  monitoring  (RBM)  tools  for  clinical  trials:  a  systema c  reviewC3 Sarah  Jane Flaherty UCC Do  exis ng  mobile  apps  support  healthier  food  purchasing  behaviour?C4 Stephanie Haugh Centre  for  Pain   Systema c  Review  with  Network  Meta-Analysis  of  the  Modali es  used  to  deliver   Research eHealth  Interven ons  for  Chronic  PainC5 Marita Hennessy NUI  Galway Interven ons  delivered  by  health  professionals  from  concep on  to  age  two  to  prevent   childhood  overweight/obesity:  a  systema c  review  of  randomised  controlled  trialsC6 Ciara Melle Na onal  Cancer   The  development  of  outcome  key  performance  indicators  for  systemic  an -cancer   Control  Programme therapy  using  a  modified  Delphi  methodC7 Angeline Traynor NUIG The  effec veness  of  informa on  and  communica on  technology-based  psychological   interven ons  for  paediatric  chronic  pain:  systema c  review,  meta-analysis  and   interven on  content  analysisC8 Eimear Morrissey NUIG Interven ons  to  enhance  medica on  adherence  in  hypertension:  a  systema c  review,   meta-analysis  and  content  analysis

POSTER  PRESENTATIONS POPULATION  HEALTHD1 Eamon O  Murchu Health  Informa on   Clinical  and  Cost-effec veness  of  Smoking  Cessa on  Interven ons  in  Ireland and  Quality  AuthorityD2 Fergal O'Shaughnessy RCSI/Rotunda   Risk  factors  for  venous  thromboembolism  among  women  delivering  in  an  Irish  urban   Hospital obstetric  se ng.D3 Órla Gilheaney TCD Surveying  the  prevalence  and  nature  of  oropharyngeal  dysphagia  experienced  by   adults  presen ng  with  temporomandibular  disorders.D4 Keishia Taylor TobaccoFree   Why  are  Adolescents  in  One-Parent-Families  More  Likely  to  Smoke? Research  Ins tuteD5 Aine Ryan RCSI What  is  the  impact  of  physical  ac vity  and  func on  on  the  development  and  worsening   of  Mul morbidity?D6 Emily Kelleher UCC Recrui ng  families  to  a  community-based,  mul -disciplinary  childhood  weight- management  programme:  an  Irish  ExperienceD7 Aoife Gallagher Examining  the  evidence  of  a  shared  understanding  in  working  with  school-aged   UL children  and  young  people  with  speech,  language  and  communica on  needs  (SLCN)  in  D8 Garre Greene mainstream  educa on;  an  integra ve  literature  review. RCSI Exploring  sex  differences  in  adherence  to  inhaled  medica ons  in  pa ents  with  COPDD9 Anne e Burns RCSI Provision  of  smoking  cessa on  care  in  a  psychiatric  se ng  in  Ireland POLICYE1 Joanne Given Ulster  University Public  a tudes  in  Northern  Ireland  to  linkage  and  sharing  of  health  dataE2 Rose McCaul Health  Service   Knowledge  and  A tudes  of  Frontline  Prac oners  on  Government  Policy  to  Reduce   Execu ve Alcohol  Consump on  in  IrelandE3 Silvia Gallagher TCD Massive  Online  Open  Courses  (MOOCs)  for  health  research  dissemina on  and  strategic   policymaking:  An  examina on  of  learner  experiences  of  two  health-specific  MOOCs MENTAL  HEALTHF1 Nerilee Ceatha Tusla,  Child  and   \"Mastering  wellness\":  LGBT  wellbeing  through  interest  sharing Family  AgencyF2 Rebecca Dennehy UCC Exploring  cyberbullying  from  the  perspec ve  of  young  people:  Collabora ng  with  a   youth  advisory  group  in  the  design  of  the  CY:BER  Study Cluain  Mhuire  F3 Tara Nesbi Community  Mental   An  exploratory  study  of  the  extent  of  social  exclusion  among  people  with  schizophrenia Health  ServicesF4 Michelle O'Driscoll UCC The  Effects  of  Mindfulness-Based  Interven ons  for  Health  and  Social  Care   Undergraduate  Students  –  A  Systema c  Review  of  the  Literature

SPEAKER  ABSTRACTS ,   Evidence  Centre  -  HRBHRB  Evidence  Centre:  Filling  the  knowledge  gap  in  evidence-informed  policyMarie  Su on    Lousie  Farragher  Deirdre  Mongan    Mar n  Keane  Anne  McCarthy    Deirdre  Mongan  Mary  Dunne    Maria  Nelson            The  goal  of  the  HRB  Evidence  Centre  is  to  produce   mely,  robust  and  policy-oriented  evidence  reviews  to  facilitate  the  transla on  of  research  to  health  policy.  Through  a  series  of  short  presenta ons,  we  will  provide  an  overview  of  the  Centre’s  role  and  its  contribu ons  to  evidenced-informed  health  policy.  We  begin  by  describing  the  Centre’s  incep on  and  the  process  of  stakeholder  engagement,  from  formula ng  research  ques ons  to  promo ng  implementa on  of  findings  in  health  strategy  (MS).  This  will  be  followed  by  a  summary  of  the  approach  to  searching,  iden fying,  and  synthesising  relevant  literature  to  address  the  research  ques ons  within  the  short   meframe  dictated  by  policy  need  (LF/MK).  Two  presenta ons  will  summarise  the  process  from  evidence  through  knowledge  into  prac ce.  The  first  will  describe  the  role  of  the  most  recent  scien fic  evidence  in  the  development  of  a  new  na onal  food  pyramid  and  healthy  ea ng  guidelines  (AMcC),  while  the  second  will  describe  the  transla on  of  research  evidence  to  alcohol  policy  (DM).  Finally,  the  exper se  and  impact  of  health  librarians  and  their  commitment  to  ‘making  the  evidence  evident’  to  researchers,  prac oners,  and  policymakers  will  be  outlined  (MN/MD).  The  session  will  highlight  opportuni es,  challenges  and  lessons  learned  throughout  the  evidence  synthesis  and  knowledge  brokering  process.Behan,  Caragh  -  DETECT  /  HSEUse  of  the  Net  Benefit  Framework  to  evaluate  the  cost-effectiveness  of  Early  Intervention  in  Psychosis  –  should  the  health  service  be  willing  to  pay  to  implement  the  intervention?Caragh  Behan    Paul  McCrone    Brendan  Kennelly    Eric  Roche    Catherine  McDonough    Mary  Clarke    Early  Interven on  in  psychosis  (EIP)  is  one  of  the  Na onal  Clinical  Programmes.    The  NB  framework  facilitates  evalua on  of  where  the  maximum  effect  of  an  interven on  is  likely  to  be.    126  par cipants  from  an  EI  service  and  79  par cipants  with  best  prac ce  treatment  as  usual  (TAU)  were  included.    Costs  were  defined  as  the  cost  to  the  health  service  and  effects  were  defined  as  relapse  requiring  admission  or  home-care.The  NB  sta s c  for  a  range  of  values  of  willingness  to  pay  was  calculated.  Each  replica on  was  plo ed  on  a  cost-effec veness  acceptability  curve  to  demonstrate  the  probability  that  EI  was  cost-effec ve  for  a  given  value  of  willingness  to  pay.The  NB  to  society  of  EI  was  €299  per  relapse  avoided  (where  society  was  not  willing  to  pay  anything  to  avoid  a  relapse)  and  the  probability  that  EI  was  CE  was  0.53.  Following  adjustment  the  probability  that  EI  was  CE  rose  to  0.97.    Subgroup  analysis  showed  that  the  probability  that  EI  was  CE  was  higher  in  people  with  func onal  psychosis  and  lower  in  the  youth  popula on.Extending  evalua on  to  include  the  impact  of  a  mental  health  interven on  on  society  is  necessary.  The  impact  of  mental  illness  goes  beyond  mor-­‐bidity  and  mortality  to  lost  produc vity.Black,  Lindsay  -  UCCChildcare  arrangements  and  risk  of  childhood  overweight  and  obesity:  a  systematic  reviewLindsay  Black    Karen  Matvienko-Sikar    Patricia  Kearney                      Background:  Over  80%  of  preschool-aged  children  experience  some  form  of  non-parental  care.  Childcare  arrangements  have  the  poten al  to  influ-­‐ence  weight  outcomes,  through  daily  dietary  and  ac vity  pa erns,  but  exis ng  evidence  is  inconsistent.  This  review  aims  to  systema cally  evaluate  the  effects  of  childcare  type  on  childhood  obesity  risk.Methods:  PubMed,  CINAHL,  EMBASE,  Science  Direct,  and  Scopus  were  systema cally  searched.  Observa onal  studies  quan fying  an  associa on  between  childcare  type  up  to  age  5,  and  childhood  weight  outcomes,  were  included.  Study  quality  was  assessed  using  The  Cochrane  Risk  of  Bias  Tool.Results:  Twenty-four  studies  met  the  inclusion  criteria  (127,529  children).  Thirteen  studies  reported  an  increased  risk  of  obesity;  nine  studies  related  to  informal  care  (e.g.  a  grandparent)  and  four  studies  related  to  centre-based  care.  Early  informal  care  (<3  years)  was  par cularly  obesogenic.  All  seven  studies  repor ng  a  decreased  risk  of  obesity  related  to  later  centre  care  use  (>3  years).  Socioeconomic  status,  early  commencement  age  (<1  year)  and  intensive  childcare  hours  also  influenced  outcomes.Conclusion:  Early  informal  care  confers  an  increased  risk  of  childhood  obesity,  while  later  centre  care  use  can  be  protec ve.  Further  research  is  nec-­‐essary  to  understand  the  mechanisms  driving  these  rela onships.  Preventa ve  measures  implemented  in  early  childcare  se ngs  could  abate  future  obesity.

SPEAKER  ABSTRACTSBoland,  Lauren  -  TCDOPTIMAL,  a  self-management  intervention  for  cancer  survivorsLauren  Boland    Deirdre  Connolly    Sinead  Cuffe    Cliona  Grant    Kathleen  Benne          Background:  Cancer  survivors  experience  problems  such  as  fa gue,  anxiety  and  depression  resul ng  in  social  isola on  and  decreased  ac vity  par ci-­‐pa on  (Foster  &  Fenlon,  2011;  Shneerson  et  al.  2015).  OPTIMAL  is  a  six-week,  occupa onal  therapy  led,  self-management  programme  designed  to  develop  self-management  skills  and  knowledge.  A  randomised  control  trial  is  underway  to  examine  the  effec veness  of  OPTIMAL  for  cancer  survi-­‐vors  on  ac vity  par cipa on  and  quality  of  life.Methods:  This  study  employed  a  mixed  methods  approach  using  an  RCT  and  focus  groups.  Eligible  par cipants  are  up  to  two  years  post-treatment.  Self-repor ng  ques onnaires  are  completed  at  baseline  and  three  months  post-interven on.  Qualita ve  data  is  collected  to  assess  the  acceptability  of  the  interven on.Results:  At  present,  three  OPTIMAL  programmes  have  been  facilitated.  Data  collec on  for  the  third  programme  is  underway.  Preliminary  analysis  from  the  first  two  programmes  indicates  improvements  in  anxiety,  depression  and  ac vity  par cipa on  with  sustained  improvements  at  three  month  follow-up  in  addi on  to  increased  self-efficacy  and  quality  of  life.  Group  security,  peer  support  and  goal  se ng  were  iden fied  as  key  compo-­‐nents  for  improving  confidence  and  self-efficacy.  Discussion:  Early  indica ons  are  that  OPTIMAL  appears  to  provide  a  direct  benefit  to  cancer  survivors  by  increasing  ac vity  par cipa on  and  em-­‐powering  par cipants  with  self-management  skills  and  knowledge.Coghlan,  Miriam  -  St.  James's  HospitalHEPATITIS  C  PRE-TREATMENT  PHARMACIST  ASSESSMENT:  THE  DEVELOPMENT  PROCESS  FOR  A  COMPLEX  INTERVENTION  TOOLMiriam  Coghlan    Aisling  O'Leary    Suzanne  Norris    Colm  Bergin                The  skill  base  rela ng  to  the  use  of  direct  ac ng  an -virals  (DAAs)  to  treat  Hepa s  C  (HCV)  is  confined  to  specialist  centres  in  Ireland.  There  is  a  need  for  an  expanded  model  of  care  to  upscale  treatment.  Pharmacist  interven ons  including  medica on  reconcilia on  and  drug-drug  interac on  review  are  key  steps  for  op mum  HCV  treatment.  A  novel  pre-treatment  pharmacist  assessment  complex  interven on  tool  (CIT)  which  is  devel-­‐oped,  validated,  implemented  and  impact  assessed  has  the  poten al  to  support  devolvement  of  DAA  therapy  to  secondary  and  primary  care.  Purpose:To  describe  the  design  and  development  of  a  novel  CIT  for  HCV  pa ents  treated  with  DAA-based  therapy.Methods:  A  process  review  of  the  pharmaceu cal  care  pathway  for  HCV  pa ents  in  a  hospital  clinic  was  undertaken.  Pharmaceu cal  care  tasks  were  described  qualita vely,  forming  the  basis  for  the  CIT.  A  mul disciplinary  group  was  formed  to  reach  consensus  on  guiding  principles  for  CIT  design.  Results:  The  research  group  provided  feedback  in  seven  rounds.  A  total  of  27  recommenda ons  were  received.  Four  dis nct  CIT  domains  were  iden-­‐ fied  and  developed  including  pa ent  characteris cs,  medica on  reconcilia on,  proposed  HCV  treatment  review  and  DDIs.Conclusion:  The  process  of  CIT  development  is  dynamic.  This  study  describes  the  ini al  phase  of  systema c  CIT  design.Dooley,  Suzanna  -  TCDAssessing  Functional  Retained  Communication  Skills  in  Dementia:  A  scoping  review.Suzanna  Dooley    Margaret  Walshe                            Introduc on:  Cogni ve-communica on  difficul es  are  a  characteris c  feature  of  demen a.    The  perceived  lack  of  tools  to  evaluate  retained  com-­‐munica on  skills  impacts  on  clinicians’  ability  to  direct  management.  This  study  aims  to  review  readily  available  cogni ve-communica on  assess-­‐ments  for  people  with  demen a  with  the  objec ve  of  direc ng  research  in  this  area.      Method:  A  scoping  review  of  the  literature  was  conducted  using  an  established  scoping  review  model.    Cogni ve-communica on  assessments  vali-­‐dated  in  English  with  people  with  demen a  met  the  inclusion  criteria.    A  search  of  8  electronic  databases  (PubMed,  EMBASE,  Web  of  Science,  Sci-­‐ence  Direct,  general  internet  searches  and  3  relevant  databases  in  speech  pathology)  was  undertaken.  Five  cogni ve-communica on  assessments  were  eligible  for  inclusion.  Two  reviewers  independently  analysed  and  assessed  methodological  quality.  Results:  None  of  these  cogni ve-communica on  assessments  were  suitable  for  administra on  at  all  stages  of  demen a  and  only  1  of  the  5  was  validated  for  a  range  of  demen a  sub  types.    None  evaluated  conversa on  ability  or  involved  primary  communica on  partners,  which  is  required  to  directly  inform  implementa on  of  communica on  strategies  to  maximise  retained  communica on  skills.    Conclusion:  No  high  quality  cogni ve-communica on  assessments  currently  exist  that  meet  the  standards  set  out  by  the  reviewers.  Direc ons  for  the  development  of  new  measures  are  provided  for  research  and  prac ce.

SPEAKER  ABSTRACTSDoyle,  Frank  -  RCSIMedical  Student  INtervention  to  Promote  Effective  Nicotine  Dependence  and  Tobacco  HEalthcare  (MIND-THE-GAP):  Feasibility  randomised  trial  (NCT02601599)Frank  Doyle                                  Background:  Hospitalised  smokers  receive  subop mal  smoking  cessa on  care.  Medical  students  are  poten ally  an  untapped  interven on  resource,  but  no  studies  have  inves gated  this.Aims:  To  determine  the  feasibility  of  medical  students  providing  cessa on  care.Methods:  2-arm  pilot  RCT  with  qualita ve  process  evalua on.    67  smokers  were  randomized  (33  interven on,  34  usual  care),  with  33  students  ran-­‐domly  assigned  to  counsel  1  interven on  smoker  each.  Telephone  follow-up  at  3-months  (6-month  follow-up  is  ongoing)  assessed  mo va on  to  quit  (primary  outcome)  and  several  secondary  outcomes  (e.g.  7  day  point  prevalent  abs nence,  and  ra ngs  of  student’s  knowledge/helpfulness).  Focus  group  interviews  were  conducted.Results:  Groups  did  not  differ  in  mo va on  to  quit.  At  3  months,  interven on  pa ents  were  somewhat  more  likely  than  usual  care  to  report  being  abs nent  (penalized  imputa on  (17.8%  vs.  3.6%;  OR=5.9;  95%  CI  0.64  to  53.9).    Pa ents  rated  students  as  being  “very”  knowledgeable  about  qui ng  and  “quite  a  bit”  helpful.  Qualita ve  results  showed  students  were  happy  to  deliver  the  interven on;  were  cri cal  of  current  cessa on  care;  felt  constrained  by  their  inability  to  prescribe  cessa on  medica ons  and  wanted  to  include  cessa on  counselling  in  their  normal  history  taking.Conclusions:  It  appears  feasible  for  medical  students  to  be  effec ve  cessa on  interven onists,  but  a  defini ve  trial  is  needed.Flannery,  Caragh  -  NUI  GalwayHealth  care  professional’s  experiences  of  lifestyle  management  in  overweight  and  obese  pregnant  women:  a  qualitative  studyCaragh  Flannery    Sheena  McHugh    Colin  Bradley    Fionnuala  McAuliffe    Patricia  Kearney    Molly  Byrne    Obesity  during  pregnancy  is  associated  with  a  number  of  complica ons  including  gesta onal  diabetes  mellitus  (GDM).  At  present,  li le  is  known  about  the  challenges  faced  by  heath  care  professionals  (HCPs)  in  preven ng,  managing  and  addressing  obesity.  Therefore  the  aim  of  this  study  is  to  explore  HCPs’  experiences  of  providing  lifestyle  management  for  overweight  and  obese  pregnant  women.  Semi-structured  interviews  were  conducted  with  a  purposive  sample  of  HCPs  from  Cork  University  Maternity  Hospital  (CUMH)  (n=10)  and  General  Prac oners  (GPs)  in  the  Cork  and  Kerry  region  (n=7).  The  interviews  were  recorded  and  transcribed  into  NVivo  V.10  so ware.  Thema c  analysis  is  on-going.Preliminary  results  iden fied  'knowledge  of  weight  management’  and  the  lack  of  ‘antenatal  services’  as  key  challenges.    A  lack  of  knowledge  was  evident  on  risks,  complica ons  and  how  best  to  ini ate  a  conversa on  around  overweight  and  obesity  in  pregnancy.  HCPs  opinions  on  what  is  con-­‐sidered  appropriate  weight  gain  varied.  Lifestyle  factors  were  not  rou nely  discussed  with  the  women  and  furthermore,  a  lack  of  clarity  was  evident  between  HCPs  and  GPs  in  terms  of  responsibility  and  who  should  deliver  lifestyle  advice.  The  results  from  this  study  will  be  used  to  inform  the  development  of  a  lifestyle  interven on  for  overweight  and  obese  pregnant  women.Fleming,  Padraic  -  NUI,  MaynoothPast,  Present  and  Future:  Mapping  day-service  provision  for  people  with  intellectual  disabilities  over  15  yearsPadraic  Fleming    Sinead  McGilloway    Sarah  Barry                      Background:  The  study  involved  a  trend  mapping  exercise  designed  to  assess  changes  in  day-service  provision  in  Ireland,  set  against  a  global  para-­‐digm  shi  towards  person-centred  plans,  individualised  and  self-directed  supports.  Methods:  Secondary  data  from  the  Na onal  Intellectual  Disability  Database  were  mapped,  at  three  year  intervals,  from  1998–2013  according  to  the  most  popular  day-services  used.  Upton's  chi-square  was  used  to  test  for  sta s cally  significant  differences.Results:  During  the  15-year  period  fewer  people  availed  of  day-services  as  a  propor on  of  the  general  popula on  (0.58%  to  0.53%  (p  <0.001).  Ob-­‐serva ons  included:  more  male  service  users  (5.3%  to  8.7%,  p  <0.001);  a  downward  trend  in  younger  people  (aged  <35)  availing  of  services;  and  an  emerging  urban/rural  divide.  Type  of  day-service  provision  did  not  change  drama cally,  despite  changing  demands.  Finally,  person-centred  plans  more  than  doubled  from  37.1%  to  78.7%.  Conclusion:  Emergent  trends  can  inform  future  direc on  of  disability  services  and  funding  alloca on.  Trends  should  be  monitored  closely  and  ser-­‐vices  adjusted,  if  necessary,  to  meet  demographic  changes.  Tradi onal  service  providers  need  to  ac vely  par cipate  in  the  ongoing  transi on  to-­‐wards  individualised  funding  ini a ves,  offering  a  suite  of  supports  that  is  driven  by  demand  rather  than  supply  and  is  tailored  for  individual  needs  rather  than  popula on-based  needs.

SPEAKER  ABSTRACTSFoley,  Conor  -  UCCUnderstanding  perspectives  on  major  system  change:  Exploring  the  impact  of  public  consultation  on  the  implementation  of  urgent  and  emergency  care  system  reconfiguration.Conor  Foley    Elsa  Droog    Orla  Healy    Sheena  McHugh    Claire  Buckley    John  Browne    Background:  A  series  of  reconfigura on  programmes  have  recently  been  implemented  in  the  urgent  and  emergency  care  system  in  Ireland.  This  study  inves gated  whether  consulta on  ac vi es  undertaken  prior  to  reconfigura on  of  urgent  and  emergency  care  services  influenced  stakehold-­‐er  perspec ves,  and  impacted  on  its  successful  implementa on.Methods:  A  compara ve  case-study  approach  was  used  to  explore  reconfigura on  in  three  regions.  Documentary  analysis  of  reconfigura on  plan-­‐ning  reports  was  used  to  iden fy  planned  public  consulta on  ac vi es.  Semi-structured  interviews  with  74  stakeholders  explored  their  perspec ves  on  the  process  of  reconfigura on,  consulta on  ac vi es  and  public  responses.  Framework  analysis  was  used,  integra ng  induc ve  and  deduc ve  approaches.  Results:  Despite  similar  reconfigura on  objec ves  across  cases,  approaches  to  public  consulta on  differed  considerably.  Regions  that  presented  the  public  with  the  reconfigura on  plan  alone  and  failed  to  engage  in  large-scale  public  consulta on  experienced  greater  public  opposi on  and  difficulty  in  implemen ng  changes.  Consulta on  ac vi es  that  included  a  range  of  stakeholders  and  con nued  throughout  the  reconfigura on  process  ap-­‐peared  to  largely  address  public  concerns,  resul ng  in  smoother  implementa on.Conclusions:  The  presenta on  of  ‘expert’  evidence  alone  is  not  enough  to  convince  communi es  of  the  benefits  of  reconfigura on.  Genuine  and  ongoing  consulta on  is  required  to  address  community  concerns  about  losing  access  to  services  and  ease  the  implementa on  process.Fox,  Aimee  -  UCCEstimating  the  cost  of  pre-eclampsia  in  the  health  system:  a  cross-sectional  analysis  using  data  from  the  Screening  for  Pregnancy  Endpoints  (SCOPE)  study.Aimee  Fox    Sheena  McHugh    John  Browne    Ali  Khashan    Tony  Fitzgerald    Patricia  Kearney    Objec ve:  Es mate  the  cost  of  pre-eclampsia  from  the  Health  Service  Execu ve  (HSE)  perspec ve  using  exis ng  data  from  the  Screening  for  Preg-­‐nancy  Endpoints  (SCOPE)  study.  Methods:  SCOPE  is  an  interna onal  observa onal  prospec ve  study  of  “healthy”  nulliparous  women.  Using  the  Irish  cohort,  women  with  pre-eclampsia  and  a  10%  sample  of  women  without  were  selected.  Health  service  use  (HSU)  data  was  extracted  from  consen ng  par cipants’  medical  records.  Unit  costs  were  extracted  from  two  Irish  studies  and  the  HSE  Ready-Reckoner  of  Hospital  ac vity  and  costs.  T-tests  were  used  to  iden fy  differences  in  costs  while  propensity  score  matching  was  applied  to  control  for  confounding  factors  and  isolate  the  effect  of  pre-eclampsia  on  ma-­‐ternity  costs.Results:  Within  the  cohort,  67  developed  pre-eclampsia.  Data  were  available  on  HSU  for  these  women  and  171  controls.  Ini al  results  show  signifi-­‐cant  differences  (p<0.05)  in  total  maternity  costs  between  women  with  and  without  pre-eclampsia  (€5062  Vs.  €3712).  A er  propensity  score  match-­‐ing,  47  subject  pairs  were  retained  and  the  difference  in  maternity  costs  between  both  groups  is  es mated  at  €621.  Conclusion:  Results  will  be  extrapolated  to  examine  maternity  costs  at  popula on-level  based  on  the  prevalence  of  pre-eclampsia  in  Ireland.  The  results  will  allow  policy-makers  efficiently  allocate  resources  for  this  group  of  women.Hernon,  Marian  -  UCDCosting  self-management  for  chronic  musculoskeletal  pain  conditions  in  the  Irish  Primary  Care  setting.Marian  Hernon    James  F  O'Mahony    Charles  Normand    Deirdre  A  Hurley                Chronic  musculoskeletal  pain  imposes  a  substan al  economic  burden.  Self-management  (SM)  is  a  poten ally  cost-effec ve  treatment;  however,  the  cost  of  delivering  a  SM  programme  in  Irish  primary  care  (PC)  physiotherapy  is  unknown.  Cos ng  in  the  Irish  healthcare  context  can  be  problema c  as  rou nely  published  costs  are  scarce;  thus  this  study  presents  the  methods  and  sources  applied  to  cost  SM  and  related  resource  use.  This  study  was  conducted  alongside  a  randomised  controlled  feasibility  trial  exploring  SM  compared  to  usual  physiotherapy  care  (SOLAS  ISRCTN49875385).  Cos ng  was  conducted  from  the  societal  perspec ve;  capturing  health  service,  pa ents/caregivers,  and  broader  society  costs.  Resource  use  was  captured  using  validated  pa ent  (n=120)  self-report  cost  ques onnaires  at  baseline  and  6  months.  Costs  of  delivering  the  interven on  were  cap-­‐tured  using  trial  records  and  treatment  forms.  Pa ent-reported  resource  use  included  outpa ent,  GP,  physiotherapist,  prac ce  nurse,  medica on,  informal  care,  and  produc vity  loss.  Key  challenges  to  cos ng  included  a  lack  of  published  up-to-date  unit  costs  for  PC  prac oners;  cos ng  medica-­‐ ons  in  a  complex  reimbursement  system;  and  cos ng  private  healthcare.  To  address  this,  UK  methodologies  were  followed  where  appropriate,  and  over  16  different  sources  were  combined  to  generate  unit  costs.  This  study  provides  detailed  guidance  and  strategies  on  cos ng  in  an  Irish  healthcare  context.

SPEAKER  ABSTRACTSHopper,  Louise  -  DCUA  National  Dementia  Registry  for  Ireland:  A  Feasibility  AnalysisLouise  Hopper    Suzanne  Hughes    Teresa  Burke    Kate  Irving                Background:  There  is  an  acknowledged  urgent  need  to  gather  valid  epidemiological  data  in  Ireland  that  provides  accurate  and  reliable  es mates  of  current  and  future  demen a  prevalence  and  facilitates  the  development  of  effec ve  demen a  health  and  social  policy.  This  study,  commissioned  by  the  Alzheimer  Society  of  Ireland,  examined  the  feasibility  of  developing  a  Na onal  Demen a  Registry  for  Ireland.  Methods:  Na onal  and  interna onal  pa ent  registry  literature  was  reviewed  to  iden fy  registry  func ons,  models,  best-prac ce  guidelines,  and  the  legal,  ethical,  clinical,  technology,  and  financial  issues  relevant  to  the  crea on  of  a  demen a  registry  in  Ireland.  Following  ethical  approval,  we  con-­‐ducted  two  focus  groups  with  people  with  demen a  and  twenty-one  expert  interviews  with  representa ves  from  Irish  and  UK  research,  health,  and  social  care  organisa ons,  Irish  pa ent  registries  and  interna onal  demen a  registries.  Discussions  followed  an  agreed  structure,  were  audio-recorded,  transcribed  and  analysed  using  induc ve  content  analysis.  Results:  Six  themes  emerged  from  these  analyses:  registry  func on;  registry  data;  data  collec on;  data  management;  registry  governance  and  legis-­‐la on.  Three  cross-cu ng  superordinate  themes  were  also  iden fied:  benefits  and  risks,  barriers  and  facilitators,  and  demen a-specific  challenges.  Conclusion:  These  findings  provide  an  evidence-base  from  which  we  draw  key  conclusions  and  recommend  ac ons  to  develop  a  comprehensive  Na onal  Demen a  Registry  for  Ireland.Johnston,  Bridget  -  TCDAssessing  Financial  Protection  in  Ireland:  The  Affordability  of  Private  Health  ExpenditureBridget  Johnston    John  Cylus    Sara  Burke    Stephen  Thomas                Background:  Financial  protec on  is  considered  one  of  the  core  components  of  Universal  Health  Care  (UHC)  as  out-of-pocket  payments  (OOPs)  and  other  expenditure  related  to  health  services  can  result  in  financial  hardship  for  households,  or  may  act  as  a  barrier  to   mely  access.  The  aim  of  this  research  is  to  explore  the  affordability  of  private  health  expenditure  (PHE)  for  Irish  households  and  the  extent  to  which  they  are  financially  protect-­‐ed  when  accessing  services.Methods:  Expenditure  data  was  taken  from  the  Household  Budget  Survey  (HBS)  2009-2010.  Total  equivalised  household  expenditure  comprises  all  consump on  reported  by  households.  Private  health  expenditure  comprises  three  components  of  costs:  1)  out-of-pocket  payments  (OOPs);  2)  social  care;  and  3)  private  health  insurance  (PHI)  premiums.  Analysis  was  conducted  using  Stata  13.1.  Results:  PHE  comprised  5.2%  of  total  household  expenditure  (2009-2010).  Approximately  60%  of  PHE  was  on  OOPs  and  social  care,  with  the  remain-­‐ing  40%  going  towards  PHI  premiums.  Over  15%  of  Irish  households  had  unaffordable  PHE.  Inequitable  access  to  health  and  social  care  also  exists.Conclusion:  A  significant  propor on  of  households  were  not  well-protected  from  expenses  when  accessing  health  or  social  care  services.  Addi onal-­‐ly,  over  20%  of  households  paid  for  PHI  despite  being  fully  covered  in  the  public  system.Kelleher,  Emily  -  UCCTranslation  of  a  multi-disciplinary  family-focused  childhood  weight  management  programme  to  the  real-world  setting:  Barriers  and  facilitators  for  successEmily  Kelleher    Janas  Harrington    Frances  Sheily    Ivan  Perry    Sheena  McHugh          Research  suggests  that  community-based  weight  management  programmes  can  be  effec ve  in  trea ng  paediatric  obesity.  However,  the  majority  of  these  programmes  are  feasibility  trials  whose  findings  have  yet  to  be  replicated  in  the  real-world.  We  explore  the  barriers  and  facilitators  experi-­‐enced  by  those  implemen ng  a  government-funded,  mul -component  childhood  weight  management  programme  in  the  community  se ng.  Semi-structured  interviews  were  conducted  with  a  purposive  sample  of  29  stakeholders  responsible  for  implemen ng  the  programme.  Thema c  analysis  was  used  to  iden fy  barriers  and  facilitators  which  were  then  mapped  onto  six  levels  of  influen al  factors  outlined  by  Grol  and  Wensing:  the  innova on,  individual  professional,  pa ent,  social  context,  organisa onal  context  and  external  environment.  This  framework  describes  how  barriers  and  facilitators  can  be  iden fied  and  used  for  the  development  of  implementa on  strategies  to  facilitate  desired  change.  This  study  highlights  the  complexi es  associated  with  implemen ng  a  childhood  weight  management  programme  in  the  community  from  a  wide  range  of  stakeholder  perspec ves.  Results  suggest  the  assignment  of  clear  roles  and  responsibili es,  provision  of  sufficient  training  and  resources  as  well  as  organisa onal  support  play  pivotal  roles  in  overcoming  barriers  to  change.  This  evidence  should  be  used  to  develop  an  implementa on  plan  to  support  the  transla on  of  efficacious  interven ons  into  real  world  se ngs.

SPEAKER  ABSTRACTSKeogh,  Fiona  -  GenioThe  Use  of  National  Databases  for  Service  Planning:  An  analysis  of  regional  differences  in  the  provision  of  disability  servicesRoy  McConkey    Fionnola  Kelly    Fiona  Keogh    Sarah  Craig                Background:  The  Na onal  Intellectual  Disability  Database  (NIDD)  collects  data  for  persons  with  an  intellectual  disability  in  Ireland  who  are  in  receipt  of,  or  need  specialist  services.  Data  from  the  NIDD  was  analysed  by  Community  Healthcare  Organisa on  area  (CHOs)  for  two  cohorts  -  2009  and  2014,  to  determine  changes  in  service  provision  and  use  over  a  period  of  significant  policy  development  and  fiscal  change.  Method:  The  adult  popula on  was  iden fied  in  the  two  cohorts.  Movements  and  changes  in  service  provision  were  tracked  using  the  personal  iden-­‐ fier  for  each  record.  Data  were  analysed  by  CHO  area  to  describe  pa erns  of  service  use  and  changes.  Mul variate  analysis  was  used  to  determine  predictors  of  service  provision.Results:  The  number  of  adults  on  the  NIDD  increased  by  4.4%.  There  is  marked  varia on  across  CHOs  with  prevalence  rates  from  3.52  to  6.18  per  1,000  popula on,  a  twofold  difference  in  numbers  in  congregated  se ngs  and  marked  differences  between  day  service  types.  CHO  area  was  a  more  significant  predictor  of  type  of  residen al  placement  than  age  or  level  of  disability.Conclusion:  This  data  provides  a  benchmark  against  which  measures  to  reduce  inequali es,  along  with  the  impact  of  policy  implementa on  on  ser-­‐vice  provision  and  service  use,  can  be  tracked.Lynch,  Brenda  -  UCCDiminished  improvements  in  outcome  indicators  for  emergency  conditions  in  national  and  regional  population  systems  of  careBrenda  Lynch    Tony  Fitzgerald    Paul  Corcoran    Orla  Healy    Claire  Buckley    John  Browne    Background:  This  research  aims  to  assess  whether  na onal  and  regional  popula on  outcomes  for  emergency  condi ons  have  improved  with  system  reconfigura on,  while  accoun ng  for  the  financial  restric ons  imposed  by  the  recession  of  2008.    Methods:  Case  fatality  ra os  (CFRs)  were  constructed  for  selected  serious  emergency  condi ons  (SECs)  for  2002-2014.  The  na onal  trend  was  ana-­‐lysed  using  joinpoint  analysis.  The  trends  in  regional  and  county  CFR  varia on  were  inves gated  using  a  log-linear  regression,  then  graphing  results  using  funnel  plots  to  iden fy  “out  of  control”  areas.  County  CFRs  were  compared  for  the  first  and  last  3  years  (2002-2004;  2012-2014)  and  variability  between  coun es  was  inves gated.Results:  An  annual  decrease  (2·∙1%)  of  the  total  SEC  CFRs  were  seen  na onally.  Joinpoint  analysis  showed  an  Annual  Percentage  Change  (APC)  of  -3·∙4  [-4·∙4,  -2·∙4]  between  2002  and  2007,  slowing  over  the  most  recent  years  of  2007-2014  (APC  =  -1·∙2  [-1·∙9,-0·∙5]).  The  constructed  funnel  plots  reveal  that  regional  results  hide  varia on  that  exists  at  a  county  level.Conclusion:  Since  2007  the  rate  of  CFR  improvement  has  slowed.  This  coincided  with  the  restric on  of  financial  resources.  The  changes  may  also,  in  part,  reflect  the  impact  of  the  fragmented  implementa on  of  acute  reconfigura on  at  a  regional  level.Matvienko-Sikar,  Karen  -  UCCDevelopment  of  an  evidence-based  pilot  intervention  to  promote  healthy  infant  feeding  behaviours  in  Irish  primary  care:  The  HRB  Interdisciplinary  Capacity  Enhancement  (ICE)  Childhood  Obesity  projectKaren  Matvienko-Sikar    Elaine  Toomey    Michelle  Queally    Molly  Byrne    Patricia  Kearney          Background:  Childhood  obesity  is  a  serious  public  health  concern.  Early  infant  feeding  prac ces  are  modifiable  factors  that  can  influence  childhood  overweight  and  obesity.  This  presenta on  describes  the  development  of  an  infant  feeding  interven on.Methods:  Interven on  development  is  structured  into  work-packages  according  to  interven on  mapping  (IM)  stages.  In  work-Package  1  infant  feed-­‐ing  literature  is  synthesised  to  form  an  evidence  base.  Work-Package  2  explores  health  service  and  stakeholder  needs  and  experiences  to  inform  selec on  of  interven on  components,  methods,  outcomes  and  objec ves.  This  work  package  will  also  inform  development  of  an  interven on  pro-­‐gramme  plan.  Work  package  3  involves  implemen ng  and  evalua ng  the  pilot  interven on.  Results:  Quan ta ve  and  qualita ve  evidence  are  being  conducted  in  Work-Package  1.  For  Work-Package  2  a  series  of  qualita ve  interviews  will  be  conducted  with  healthcare  providers  and  parents.  Work-Package  3  will  consist  of  a  pilot  trial  of  the  interven on  with  concurrent  economic  and  pro-­‐cess  evalua ons.  Conclusion:  Interven on  mapping  is  a  structured  approach  to  evidence-based  interven on  development.  The  proposed  approach  will  ensure  the  rigorous  development  of  an  appropriate,  feasible  and  acceptable  early  infant  feeding  interven on.

SPEAKER  ABSTRACTSMc  Sharry,  Jenny  -  NUI,  GalwayExploring  Barriers  and  Facilitators  to  Attendance  at  Diabetes  Structured  Education  Programmes  in  Ireland:  A  Qualitative  StudyJenny  Mc  Sharry    Margaret  Humphreys    Sean  F.  Dinneen    Molly  Byrne                Background:  Despite  evidence  that  structured  educa on  programmes  can  improve  outcomes  in  Type  2  Diabetes  (T2DM),  a endance  rates  in  Ireland  are  low.  The  aim  of  this  study  was  to  explore  barriers  and  facilitators  to  a endance  at  T2DM  structured  educa on  programmes  in  Ireland.Methods:  People  with  T2DM  who  had  a ended,  or  been  invited  to  a end,  at  one  of  three  structured  educa on  programmes  (CODE,  DESMOND  and  X-PERT)  and  educators  from  each  of  the  programmes  took  part  in  semi-structured  telephone  interviews.  Interviews  were  audio-taped,  transcribed  and  analysed  using  induc ve  thema c  analysis.Results:  15  people  with  T2DM  and  14  educators  were  interviewed.  People  with  T2DM  who  a ended  programmes  were  overwhelmingly  posi ve  about  their  experience.  Reasons  for  non-a endance  included  not  knowing  programmes  were  available,  not  understanding  the  poten al  benefits,  and  not  wan ng  to  admit  to  the  reality  of  diabetes.  Analysis  also  revealed  innova ons  to  increase  a endance  developed  by  educators  in  different  areas,  and  the  central  role  of  healthcare  professionals  in  promo ng  structured  educa on.  Conclusions:  People  with  T2DM  see  clear  benefits  of  structured  educa on  but  need  informa on  and  encouragement  from  their  healthcare  team  to  support  a endance.  The  findings  from  this  study  will  inform  the  development  of  an  interven on  to  increase  a endance  at  structured  educa on  programmes  in  Ireland.Merriman,  Niamh  -  RCSIOverview  of  the  StrokeCog  study:  modelling  and  modifying  the  consequences  of  stroke-related  cognitive  impairment  through  interventionNiamh  Merriman    Eithne  Sexton    Nora-Ann  Donnelly    Maev-Ann  Wren    Kathleen  Benne    Anne  Hickey    Background:  Cogni ve  impairment  (CI)  is  a  pervasive  deficit  a er  stroke.  Cogni ve  rehabilita on  has  received  considerably  less  research  a en on  than  physical  rehabilita on.  The  aim  of  StrokeCog  is  to  1)  model  the  progression,  costs  and  outcomes  of  post-stroke  CI,  2)  develop  and  pilot-test  a  post-stroke  cogni ve  interven on,  and  3)  evaluate  the  cost-effec veness  of  alterna ve  hypothe cal  interven ons.Methods:  Data  will  be  collected  on  the  epidemiology  and  costs  of  post-stroke  CI  using  literature  review,  secondary  data  analysis  and  pa ent-level  surveys,  and  analysed  using  regression  and  survival  analysis.  The  interven on  design  will  be  informed  by  systema c  review  of  exis ng  interven ons  and  a  qualita ve  study  with  pa ents,  caregivers  and  healthcare  professionals,  and  will  be  tested  using  a  pilot  randomised  controlled  trial  (RCT).  Decision-analy c  modelling  will  be  applied  to  findings  from  the  RCT,  and  epidemiological  and  economic  analyses,  to  evaluate  the  poten al  cost-effec veness  of  hypothe cal  interven ons.Results:  An  epidemiological  modelling  pla orm  and  meta-dataset  will  be  produced  and  available  for  evalua on  of  alterna ve  treatment  strategies  for  post-stroke  CI.  Evidence  for  the  feasibility,  effec veness  and  cost-effec veness  of  a  pilot  interven on  for  post-stroke  CI  will  be  generated.Conclusions:  The  research  findings  will  support  the  planning  of  cost-effec ve  treatment  strategies  addressing  post-stroke  CI  in  hospital  and  commu-­‐nity  se ngs  in  Ireland.Moriarty,  Frank  -  RCSIEconomic  impact  of  potentially  inappropriate  prescribing  in  older  people  in  Ireland:  a  Markov  model  studyFrank  Moriarty    Kathleen  Benne    Caitriona  Cahir    Tom  Fahey                Background:  Poten ally  inappropriate  prescribing  (PIP)  is  prevalent  but  only  direct  medica on  costs  have  been  assessed  to  date.  This  study  aims  to  determine  the  economic  impact  of  adverse  effects  associated  with  three  common  types  of  PIP  (long-term  use  of  non-steroidal  an -inflammatory  drugs  (NSAIDs),  benzodiazepines,  and  proton  pump  inhibitors  (PPIs)  at  maximal  dose).Methods:  Markov  models  were  developed  incorpora ng  the  adverse  effects  of  each  PIP  (e.g.  falls  and  fractures  for  benzodiazepines).  Models  were  populated  with  published  es mates  of  probabili es,  Irish  health  system  costs  (2014  euro),  and  u li es  and  were  run  on  a  cohort  of  65  year  olds  over  35  one-year  cycles  with  discoun ng  at  5%.  Probabilis c  sensi vity  analysis  es mated  confidence  intervals  (CI)  for  cost  and  quality-adjusted  life  year  (QALY)  differences  between  each  PIP  and  an  appropriate  non-PIP  alterna ve.Results:  The  largest  incremental  cost  and  effect  was  for  benzodiazepines  compared  to  no  pharmacotherapy  (€3,470,  95%CI  €2,434,  €5,001;  -0.07  QALYs,  95%CI  -0.089,  -0.047),  followed  by  maximal  dose  PPIs  rela ve  to  maintenance  dose  PPIs  (€989,  95%CI  -€69,  €2,127;  -0.01  QALYs,  95%CI  -0.029,  0.003),  and  NSAIDs  compared  to  paracetamol  (€806,  95%CI  €415,  €1,346;  -0.07  QALYs,  95%CI  -0.131,  -0.026).Conclusion:  Poten ally  inappropriate  use  of  long-term  benzodiazepines  and  NSAIDs  were  associated  with  significantly  increased  costs  and  reduced  QALYs.

SPEAKER  ABSTRACTSMurphy,  Linda  -  HIQACost  of  care  for  cervical  cancer  treatment  in  Ireland:  a  health  care  payer  perspectiveLinda  Murphy    Michelle  O'Neill    Patricia  Harrington    Conor  Teljeur    Maírín  Ryan          Background:  We  es mated  the  cost  of  cervical  cancer  treatment  in  Ireland  to  inform  a  health  technology  assessment  of  HPV  tes ng  as  the  primary  screening  method  for  preven on  of  cervical  cancer.Method:  Costs  and  resource  use  associated  with  screening,  treatment  (including  treatment  planning),  and  follow-up  were  es mated.  Stage-specific  treatment  pathways  were  derived  from  guidelines  and  expert  opinion.  Costs  and  resource  use  were  informed  by  CervicalCheck,  HIPE,  a  previous  HTA,1  the  NCRI,  expert  opinion  and  the  literature  with  unit  costs  derived  from  2015  DRG  costs.  Chemotherapy  drug  costs  were  informed  by  hospital  pharmacy  departments.  Results:  Average  per  pa ent  costs  ranged  from  €21,000  (FIGO  Stage  1)  to  €63,000  (FIGO  Stage  3).  Pallia ve  care  costs  were  es mated  as  €38,000  in  the  last  year  of  life  based  on  a  recent  economic  evalua on.2  Costs  associated  with  pallia ve  care  and  complica ons  influence  costs  par cularly  in  the  later  stages  of  disease.  For  example,  ureteric  stents  for  hydronephrosis  are  required  in  approximately  46%  of  FIGO  Stage  3  pa ents.  With  regu-­‐lar  stent  replacements  required,  it  was  es mated  that  this  could  be  as  high  as  58%  of  the  total  per  pa ent  costs  based  on  a  five  years  post  diagnosis  (excluding  pallia ve  care).Conclusion:  This  study  demonstrates  the  value  of  considering  all  costs  outside  standard  treatment  as  they  may  largely  influence  the  overall  per  pa-­‐ ent  costs.  The  lower  costs  of  trea ng  early  stage  disease  highlight  the  importance  of  early  disease  detec on.O'Neill,  Kate  -  UCCHealth  service  utilisation  and  related  costs  associated  with  diabetesKate  O'Neill    Sheena  McHugh    Marsha  Tracey    Anthony  Fitzgerald    Patricia  Kearney          Introduc on:  With  the  prevalence  of  diabetes  rising  globally,  its  impact  on  health  services  is  of  increasing  interest  (1).  Our  aim  is  to  examine  the  incremental  health  service  use  associated  with  diabetes  and  es mate  its  cost  in  Ireland.  Methods:  Cross-sec onal  analysis  of  a  na onally  representa ve  cohort  aged  ≥50  years.  Self-reported  health  service  use  in  the  previous  12  months  included  number  of  GP  visits,  out-pa ent  department  visits,  hospital  admissions  and  a endance  at  ancillary  services.  Mul variate  nega ve  binomial  regression  was  used  to  es mate  the  associa on  between  diabetes  and  frequency  of  visits.  Average  marginal  effects  were  applied  to  unit  costs  and  extrapolated  to  the  total  popula on  to  calculate  incremental  healthcare  costs  for  diabetes.  Results:  Among  8,105  par cipants,  doctor-diagnosis  of  diabetes  was  reported  by  634  individuals  (weighted  prevalence:  8.0%  [95%CI:7.4%-8.6%]).  People  with  diabetes  reported  higher  health  service  use  for  all  services.  In  fully  adjusted  models,  diabetes  was  independently  associated  with  1.48  (95%CI:1.09-1.87)  addi onal  GP  visits  per  annum,  0.96  (95%CI:0.72-1.20)  out-pa ent  visits  and  0.10  (95%CI:0.03-0.16)  hospital  admissions.  The  in-­‐cremental  cost  for  this  addi onal  health  service,  na onally,  is  an  es mated  €68,973,359  for  a  12-month  period.  Conclusion:  Given  the  increasing  prevalence  of  diabetes  and  an  ageing  popula on  (2),  these  findings  will  be  essen al  in  informing  future  diabetes  policy.Ryan,  Padhraig  -  TCDInteraction  Analytics  for  Automatic  Assessment  of  Communication  Quality  in  HealthcarePadhraig  Ryan    Charles  Normand    Carl  Vogel    Saturnino  Luz    Joe  Clarke    Glyn  Elwyn    Background:  Medical  communica on  influences  pa ent  outcomes.  This  project  harnesses  new  \"ar ficial  intelligence\"  technologies  to  assess  medical  communica on  skills.Methods:  We  gathered  audiovisual  recordings  of  simulated  acute  care  emergencies  from  Galway  University  Hospital  (10  hours).  These  simula ons  are  conducted  for  training  of  medical  interns.  Two  \"junior  doctors\"  and  a  nurse  respond  to  a  scripted  crisis  such  as  cardiopulmonary  arrest.  We  are  applying  computa onal  analysis  to  these  recordings.  This  research  shall  develop  new,  automated  tools  to  parameterise  features  such  as:  • the  speed  at  which  a  clinician  speaks    • turn-taking  (how  o en  a  pa ent  speaks,  how  long  before  a  pa ent  is  interrupted)    • use  of  medical  terminology    • chronological  mapping  of  key  concepts    • body  movement  such  as   me  spent  at  the  bedside  examining  a  pa-­‐ent.Techniques  are  based  on  machine  learning.  This  complements  the  exis ng  gold  standard,  assessment  by  an  expert  human.  The  goal  is  to  improve  the  scalability  and  affordability  of  quality  assessment,  and  to  generate  a  new  tool  for  medical  educators.Results:  Preliminary  findings  will  be  discussed.  The  project  is  expanding  into  clinical  areas  such  as  undergraduate  educa on  and  general  prac ce.  This  Health  Research  Award  study  is  funded  by  the  Health  Research  Board  (2016  -  2019).

SPEAKER  ABSTRACTSToomey,  Elaine  -  NUI,  GalwayUsing  an  infant  feeding  intervention  to  target  childhood  obesity:  Background,  rationale  and  impact  of  the  The  HRB  Interdisciplinary  Capacity  En-­hancement  (ICE)  Childhood  Obesity  projectElaine  Toomey    Karen  Matvienko-Sikar    Michelle  Queally    Molly  Byrne    Patricia  Kearney          Childhood  obesity  is  a  global  public  health  challenge  with  social,  psychological  and  economic  consequences.  Parents’  early  feeding  prac ces,  includ-­‐ing  the   ming  of  introduc on  to  solids  and  the  types  of  foods  introduced,  contribute  to  the  ae ology  of  overweight  and  obesity.  Early  childhood  feeding  prac ces  and  age-onset  of  weaning  are  thus  key  modifiable  behaviours  for  improving  infant  feeding  and  nutri on,  and  for  reducing  risk  of  overweight  and  obesity.  This  presenta on  will  discuss  the  current  HRB  ICE  funded  project  on  designing,  evalua ng  and  implemen ng  a  complex  early  infant  feeding  interven on  to  tackle  childhood  obesity.  An  overview  of  and  introduc on  to  the  ICE  obesity  project  will  be  presented  ini ally.  Determinants  and  consequences  of  childhood  obesity  will  be  discussed,  and  the  increasing  focus  on  interven on  during  infancy  will  be  highlighted.  The  usefulness  of  the  Irish  childhood  vaccina on  schedule  for  interven on  development  will  also  be  discussed.  This  will  be  followed  by  a  discussion  of  the  research  aims  and  poten al  impacts.Turner,  Niall  -  St  John  of  Gods    Mental  Health  ServiceA  Clinical  Trial  of  Supported  Employment  (IPS)  and  the  Workplace  Fundamentals  Module  with  People  Attending  an  Irish  Early  Intervention  for  Psy-­chosis  Service.Niall  Turner    Lisa  Ferguson    Michelle  Hills    Felicity  Fanning    Tara  Nesbi    Mary  Clarke    Extensive  unemployment  exists  amongst  people  with  psycho c  condi ons.    Individual  Placement  and  Support  (IPS)  has  been  shown  to  be  an  effec-­‐ ve  voca onal  interven on  elsewhere  but  it  has  not  been  studied  in  Ireland.    This  study  inves gated  the  outcomes  of  IPS  and  a  job  reten on  pro-­‐gramme  on  produc vity  and  social  inclusion  in  an  Irish  context.  A  pre-post  design  was  u lised.    Twenty  men  and  19  women  with  psycho c  condi ons  took  part.    An  occupa onal  history  interview  gathered  data  on  recent  and  past  occupa onal  engagement.    A  standardised  instrument  for  measuring  social  inclusion  was  also  administered.    For  sta s cal  analysis  descrip ve  sta s cs,  correla onal  and  the  T-test  were  used.  At  an  18  month  follow-up,  17  par cipants  (50%)  were  categorized  as  having  a  posi ve  produc ve  role  at  both   me  points.    On  average  par cipants  had  a  produc ve  role  for  62%  of  their  follow  up  period.    The  quan ty  of   me  spent  in  a  produc ve  role  correlated  with  par cipants’  percep on  of  their  level  of  social  inclusion.    The  findings  demonstrate  that  people  with  first  episode  psycho c  condi ons  can  return  to  employment/or  educa on  as  well  as  retaining  these  roles  given  the  appropriate  interven ons.    This  enables  a  greater  sense  of  social  inclusion.    Despite  strong  evidence,  extensive  rollout  of  IPS  con nues  to  be  a  challenge.Walsh,  Kieran  -  UCCInfluences  on  Decision-Making  Regarding  the  Prescription  of  Antipsychotics  to  Nursing  Home  Residents  with  Dementia:  A  Systematic  Review  of  Qualitative  EvidenceKieran  Walsh    Rebecca  Dennehy    Carol  Sinno    John  Browne    Stephen  Byrne    Suzanne  Timmona    Background:  An psycho c  prescribing  is  prevalent  in  nursing  home  (NH)  residents  with  demen a,  despite  the  known  risks  and  limited  evidence  of  benefit.  Studies  have  a empted  to  understand  this  con nuing  phenomenon  u lising  qualita ve  research  methods.  However,  no  study  has  ever  a empted  to  synthesise  this  evidence,  with  the  aim  of  developing  novel  insights  to  gain  a  deeper  understanding.  Methods:  Six  databases  were  searched  electronically  from  incep on  to  July  2016.  Studies  were  included  if  they  u lised  qualita ve  methods  of  both  data  collec on  and  analysis,  and  explored  an psycho c  prescribing  in  NHs.  The  Cri cal  Appraisal  Skills  Programme  assessment  tool  for  qualita ve  research  was  u lised  for  quality  appraisal.  The  7-step  meta-ethnographic  approach  was  u lised  to  synthesise  studies.  The  Confidence  in  the  Evi-­‐dence  from  Reviews  of  Qualita ve  research  approach  was  u lised  to  assess  the  confidence  in  individual  review  findings.  Results:  Of  1534  ar cles  iden fied,  18  met  the  inclusion  criteria.    Five  concepts  were  found  to  be  influen al  on  decision-making:  Organisa onal  Ca-­‐pacity;  Individual  Professional  Capacity;  Communica on  and  Collabora on;  A tudes;  Regula ons  and  Guidelines.Conclusion:  This  systema c  review  iden fies  the  key  influences  on  an psycho c  prescribing  to  NH  residents  with  demen a,  and  will  assist  with  the  development  of  future  targeted  interven ons.

SPEAKER  ABSTRACTSWhiston,  Lucy  -  TCDPatient  and  Family  Participation  in  Healthcare  Design  and  Delivery-  Delphi  Technique  Experiments  to  identify  the  intensity  and  composition  of  an  intervention  to  encourage  participation  in  an  outpatient  psychiatric  service  and  an  outpatient  type  2  diabetesLucy  Whiston    Joe  Barry    Catherine  Darker                      Pa ent  and  family  par cipa on  is  when  the  views  of  pa ents  and  family  are  sought  and  taken  into  account  in  healthcare  changes.  This  study  aims  to  iden fy  the  most  appropriate  intensity  and  type  of  par cipa on  in  the  design  and  delivery  of  services  from  a  psychiatry  and  type  2  diabetes  per-­‐spec ve.  Separate  three  round  Delphi  Technique  Experiments  were  conducted  with  a  panel  of  31  par cipants  from  an  outpa ent  psychiatry  service  and  a  panel  of  29  par cipants  from  an  outpa ent  type  2  diabetes  service.  Each  panel  included  pa ents,  family  members  and  clinicians.  Pa ents  vo ng  on  changes  was  supported  by  87.1%  (n=27/31)  of  the  psychiatry  panel  and  72.4%  (n=21/29)  of  the  diabetes  panel.  The  psychiatry  panel  agreed  on  pa ents  being  involved  at  all   mes  (73.3%  n=22/30)  but  the  diabetes  panel  agreed  on  pa ent  par cipa on  as  problems  arise  (82.8%  n=24/29).  Family  involvement  in  discussions  was  supported  by  65.7%  (n=23/35)  of  the  psychiatry  panel  and  72.0%  (n=18/25)  of  the  diabetes  panel.  Both  panels  agreed  on  the  need  for  par cipa on  training  for  all  stakeholders.There  is  consensus  between  pa ents,  family  members  and  clinicians  on  the  level  of  intensity  and  composi on  of  par cipa on.  Opportuni es  for  par cipa on  need  to  be  developed  and  implemented  alongside  training  for  all  stakeholders.

POSTER  ABSTRACTSBehan,  Caragh  -  DETECT  /  HSEWhat  price  my  health?  Barriers  to  attending  servicesCaragh  Behan    Sarah  Masterson    Eric  Roche    Brendan  Kennelly    Paul  McCrone    Mary  ClarkeThe  cost  of  psychosis  to  the  health  service  has  been  examined  in  detail,  however  li le  is  known  about  the  personal  cost  of  psychosis.    People  with  medical  cards  have  care  free  at  the  point  of  access,  however  many  people  have  no  care  or  insurance  and  may  have  large  out-of-pocket  expenditure.  This  study  examines  out-of-pocket  and  personal  costs  in  a  cohort  of  people  (n=206)  with  a  first  episode  psychosis.  Informa on  was  collected  on  costs  accrued  during  the  first  year  of  care  a er  presenta on  including  medical  costs,  travel  costs  and  childcare  for  those  a ending  mental  health  services  who  required  it.People  with  no  access  to  free  medical  care  incur  large  costs  to  enter  care.    Once  they  enter  the  health  system,  the  cost  of  medical  care  decreases  and  the  personal  costs  to  the  individuals  or  their  family  members  increase  in  terms  of   me,  travel  and  opportunity  cost.  The  cost  of  medica on  in  those  with  no  medical  card  is  substan al.High  costs  may  preclude  many  from  obtaining  op mal  care.  This  has  implica ons  for  compliance  with  treatment  regimes.  Enquiring  about  expenses  people  incur  can  reveal  poten al  barriers  to  treatment  which  have  implica ons  for  people  running  a  mental  health  service,  policymakers  and  service  planners  designing  complex  interven ons.Burns,  Anne e  -  RCSIProvision  of  smoking  cessation  care  in  a  psychiatric  setting  in  IrelandAnne e  Burns    James  Lucey    Judith  Strawbridge    Luke  Clancy    Frank  Doyle        Introduc on:  Rates  of  smoking  among  inpa ents  in  psychiatric  se ngs  in  Ireland  are  unknown,  as  are  rates  of  provision  of  smoking  cessa on  advice.  We  aimed  to  determine  the  following  in  an  ongoing  survey  in  St  Patrick’s  University  Hospital:  inpa ent  smoking  prevalence;  e-cigare e  usage;  mo va-­‐ on  to  quit;  advice  received;  and  quit-rates  3-months  later.  Methods:  To  date  223  inpa ents  across  7  wards  have  been  interviewed,  assessing    data  including  demographic  informa on,  smoking  history  (including  e-cigare e  usage)  and  quit  a empts,  mo va on  to  stop  smoking  scale  (MTSS),  Fagerstrom  Test  for  Nico ne  Dependence  (FTND)  and  a tudes  towards  cessa on  advice.  Smokers’  casenotes  were  also  reviewed  for  recording  of  smoking  status  and  recording  of  any  cessa on  advice  delivered,  and  quit  rates  were  assessed  at  three  months,  including  a  carbon  monoxide  test  for  those  who  report  qui ng.  Results:  Current  smoking  prevalence  was  35%  (n=78/223).  Of  the  49  smokers  for  whom  follow-up  has  already  been  completed,  12  (24.5%)  reported  qui ng.  All  data  collec on  including  baseline  interviews,  casenote  review  and  three  month  follow-ups  will  be  completed  by  January  2017.  Conclusions:  In  this  ongoing  study,  current  smoking  prevalence  among  psychiatric  inpa ents  appears  to  be  higher  than  that  of  the  general  popula on  and  general  hospital  inpa ents,  although  higher  quit  rates  at  3-months  are  reported.Byrne,  Paula  -  NUI,  GalwayWho  use  statins  and  why?  A  cross-sectional  analysis  of  statin  utilisation  in  the  context  of  cardiovascular  risk  and  socio-demographic  factorsPaula  Byrne    John  Cullinan    Caitriona  Murphy    Susan  Smith              Background:  There  have  been  significant  increases  in  the  u lisa on  of  sta ns  for  the  primary  and  secondary  preven on  of  cardiovascular  disease  (CVD)  over  the  last  decades.  Our  aim  was  to  describe  the  prevalence  of  sta n  u lisa on  by  people  aged  over  50  and  the  factors  associated  with  the  likeli-­‐hood  of  using  a  sta n.Methods:  Cross-sec onal  analysis  of  cardiovascular  risk  and  socio-demographic  factors  associated  with  sta n  u lisa on  from  The  Irish  Longitudinal  Study  on  Ageing    (n=5,618).  The  prevalence  of  sta n  u lisa on  was  calculated  according  to  age,  gender  and  diagnoses.  The  likelihood  of  sta n  u lisa-­‐ on  was  es mated  using  mul variate  logis c  regression  models.Results:  30%  of  the  sample  was  taking  sta ns.  Sta n  u lisa on  increased  with  age.  57%  of  men  and  73%  of  women  taking  sta ns  did  not  have  estab-­‐lished  CVD.  Polypharmacy  was  significantly  associated  with  sta n  u lisa on  (OR  3.53;  CI  2.84-4.39),  as  were  living  with  a  spouse  or  partner  and  fre-­‐quency  of  GP  visits.  There  was  no  associa on  with  other  socio-demographic  or  CVD  risk  factors.Conclusion:  Sta n  u lisa on  was  highest  among  those  with  established  CVD  but  65%  of  all  users  did  not  have  CVD.  It  may  be  appropriate  to  consider  whether  widespread  use  of  sta ns  in  some  low-risk  categories  represents  the  best  use  of  scarce  resources.

POSTER  ABSTRACTSCeatha,  Nerilee  -  Tusla,  Child  and  Family  AgencyM\" astering  wellness\":  LGBT  wellbeing  through  interest  sharingNerilee  Ceatha                                The  consensus  that  LGBT  people  are  at  greater  mental  health  risk  is  problema sed.  Aligning  itself  with  emergent  trends,  the  study  posi ons  itself  with-­‐in  the  small  body  of  research  inves ga ng  LGBT  posi ve  mental  health.  The  dearth  of  research  on  LGBT  community  involvement  in  interest  sharing  is  puzzling  in  light  of  research  with  the  general  popula on  on  social  well-being  through  community  involvement.  Qualita ve  methods  in  exploratory  studies  are  considered  par cularly  effec ve  in  researching  areas  that  are  under-researched.  Ten  in-depth  interviews  were  conducted  with  11  people  who  self-  iden fy  as  lesbian  (5),  gay  (4),  bisexual  (1)  or  transgender  (1).  Diversity  was  priori sed  regarding  the  breadth  of  LGBT  spor ng,  crea ve,  and  social  interests,  within  and  outside  the  LGBT  communi es.  Interviews  were  transcribed  and  coded  using  thema c  analysis  with  an  emerging  theme  of  “mastering  wellness”  highligh ng  interest  sharing  as  pivotal  in  enhancing  mental  health.  The  findings  suggests  LGBT  people  are  ac ve  agents  in  mas-­‐tering  wellness  on  their  own  terms,  with  interest  sharing,  within  and  outside  LGBT  groups,  promo ng  vitality.  In  contrast  with  the  general  popula on,  par cipants’  confidence  and  openness  in  discussing  mental  health  suggests  poten ally  s gma sed  communi es  simultaneously  challenge  ar ficial  binary  constructs  of  normal/abnormal  regarding  their  LGBT  iden es  and  their  mental  health.Connolly,  Deirdre  -  TCDArts  and  Health:  impact  of  a  dance  programme  on  health  and  well-being  of  older  adultsDeirdre  Connolly    Lore a  Yurick    Robert  Connor    Lynn  O'Toole              Background:  'Well-Dance'  is  designed  for  community-dwelling  older  adults.    Methods:  A  mixed  methods  study  explored  the  impact  of  'Well-Dance’  on  mobility,  mood,  ac vity  par cipa on  and  quality  of  life.  Data  were  collected  at  three   me  points  using  quan ta ve  and  qualita ve  measures.  Results:  Eighty-three  people  par cipated  in  'Well-Dance'  over  six  months.  Par cipants  were  mainly  female  with  a  mean  age  of  70  years.  All  measures  improved  following  par cipa on  in  Well-Dance  with  significant  improvements  in  mobility  and  quality  of  life  (p=0.002  and  p=0.010).  Over  a  quarter  (27%)  of  par cipants  had  a  fall  in  the  previous  year.  For  this  sub-group  their  fear  of  falling  reduced  and  their  mobility  improved  significantly  (p=0.05).  Par cipants  reported  improvements  in  concentra on,  memory  and  spa al  awareness.  Well-Dance  was  perceived  as  an  ac vity  that  focused  on  individ-­‐uals’  abili es  and  therefore  increased  par cipants’  confidence  for  engaging  in  other  ac vi es.Conclusion:  The  majority  of  na onal  and  interna onal  health-related  policies  iden fy  the  need  to  develop  interven ons  to  increase  people’s  ac vity  par cipa on.  The  findings  of  this  study  suggest  that  Well-Dance  is  an  effec ve  health  promo on  interven on  to  increase  ac vity  par cipa on  of  older  adults  with  chronic  diseases.  Future  research  is  required  to  confirm  these  findings  and  inves gate  the  impact  of  Well-Dance  on  specific  chronic  diseas-­‐es  and  mul morbidity.Dennehy,  Rebecca  -  UCCExploring  cyberbullying  from  the  perspective  of  young  people:  Collaborating  with  a  youth  advisory  group  in  the  design  of  the  CY:BER  StudyRebecca  Dennehy    Mary  Cronin    Paul  Corcoran    Ella  Arensman              Background:  Cyberbullying  is  harmful  to  the  physical  and  mental  health  of  young  people.  Progress  in  addressing  it  has  been  hindered  by  a  lack  of  con-­‐sensus  about  the  concept  and  its  defini on.  The  voice  of  young  people  is  largely  absent  from  the  current  discourse.  This  paper  aims  to  describe  the  process  of  collabora ng  with  a  youth  advisory  group  in  the  design  of  a  study  to  explore  cyberbullying  from  the  perspec ve  of  young  people.  Method:  An  advisory  group  comprising  16  Transi on  Year  students  from  4  schools  was  established.  It  met  with  researchers  3   mes  in  a  local  youth  centre.  Enabling  techniques  such  as  ranking,  concept  mapping  and  focus  groups  were  used  to  explore  cyberbullying  and  review  dra  research  materi-­‐als.  Data  was  collated  and  analysed  thema cally.  Results:  A  conceptual  understanding  of  cyberbullying  and  key  topics  for  explora on  in  data  collec on  were  co-generated.  The  advisory  group  iden fied  terminology,  issues  of  concern  and  social  media  that  were  not  previously  known  to  the  researchers.  Recruitment  strategies  and  data  collec on  meth-­‐ods  were  discussed  and  consensus  reached  on  the  most  suitable  approach.  Conclusion:  The  advisory  group  contributed  a  contemporary  perspec ve  to  the  research  design  that,  without  their  par cipa on,  would  not  otherwise  have  been  accessible  to  the  researchers.

POSTER  ABSTRACTSFennelly,  Orna  -  UCDEvaluation  of  Advanced  Practice  Physiotherapy  Musculoskeletal  Services  in  IrelandOrna  Fennelly    Catherine  Blake    Oliver  Fitzgerald    Roisin  Breen    Caitriona  Cunningham        Background:  In  2011,  Advanced  Prac ce  Physiotherapists  (APPs)  were  introduced  into  orthopaedic  and  rheumatology  services  at  16  hospital  sites,  to  work  alongside  Consultants.  The  aim  of  their  implementa on  was  to  reduce  orthopaedic  and  rheumatology  outpa ent  wai ng   mes.  To  evaluate  the  new  APP  service,  this  research  was  completed  on  the  2014  Na onal  APP  Database;  with  the  objec ves  of  profiling  pa ent  caseload  and  documen ng  assessment  outcomes.Methods:Data  submi ed  by  APPs  to  the  Na onal  Database,  were  analysed  using  descrip ve  sta s cs.Results:APPs  assessed  16,577  pa ents,  with  knee  (22%),  lower  back  (21%)  and  shoulder  disorders  (14%)  most  prevalent.  Median  appointment  wai ng   me  was  167  days.  The  APPs  independently  assessed  70.7%  of  those,  with  no  consultant  input  required.  Assessment  Outcomes:• Referral  for  clinical  imaging:  n=  7,010  (27%)    • Musculoskeletal  injec ons:  n=  685  (4%)    • Referral  for  physiotherapy:  n=6,715  (40%)      • Referral  to  orthopaedic/rheumatology  services:  n=2,818  (17%)      • Surgical  interven on:  n=360  (2%)    • Guided  injec on:  n=44  (0.3%)Conclusion:APP  services  represent  a  fast,  resource  efficient  pathway  for  the  management  of  musculoskeletal  disorders  in  Ireland.  Na onal  service  data  will  enable  ongoing  service  evalua on  and  monitoring  of  key  performance  indicators.Flaherty,  Sarah  Jane  -  UCCDo  existing  mobile  apps  support  healthier  food  purchasing  behaviour?Sarah  Jane  Flaherty    Mary  McCarthy    Alan  Collins    Fionnuala  McAuliffe              Background:  Suppor ng  healthier  food  purchasing  behaviour  is  an  objec ve  of  many  dietary  interven ons  but  achieving  long-term  change  has  proven  difficult.  U lisa on  of  habit  theory  in  interven on  design  may  be  beneficial  with  strategies  proposed  by  van’t  Riet  et  al.  (2011).  Mobile  apps  offer  a  poten ally  effec ve  approach  for  interven on  delivery  but  some  fail  to  adequately  integrate  theory  and  user  quality  components.  The  aim  is  to  assess  exis ng  mobile  apps  on  their  integra on  of  these  components  relevant  to  food  purchasing  behaviour.  Method:  Using  pre-defined  exclusion  criteria  a  sample  of  eleven  apps  were  assessed.  User  quality  was  assessed  using  the  Mobile  App  Ra ng  Scale  (MARS).  Behaviour  change  techniques  (BCTs)  (Michie  et  al.,  2013)  were  assigned  to  each  strategy  and  used  to  score  theory  integra on.Results:  There  is  a  lack  of  focus  on  food  purchasing  behaviour  with  most  focusing  on  behavioural  outcomes.  Integra on  of  behaviour  change  theory  and  user  quality  components  was  adequate  but  no  significant  rela onship  between  these  components  was  seen.Conclusion:  Exis ng  apps  have  poten al  to  support  healthier  food  purchasing  behaviour  but  improvements  in  design  are  needed  to  maximise  their  effec veness.  Future  work  will  assess  the  importance  of  behaviour  change  and  user  quality  components  to  the  user  to  inform  effec ve  interven on  development.Fleming,  Aoife  -  UCCA  feasibility  study  of  an  antimicrobial  stewardship  intervention  in  long  term  care  facilities  in  Ireland.Aoife  Fleming    Colin  Bradley    John  Browne    Stephen  Byrne              Background:  The  aim  of  this  study  was  to  assess  the  feasibility  of  a  pharmacist  delivered  an microbial  stewardship  (AMS)  interven on  in  Long  Term  Care  Facili es  (LTCF)  to  reduce  the  high  levels  of  an microbial  prescribing.Methods:  The  study  recruited  9  LTCFs  and  the  interven on  content  of  audit  &  feedback  and  point  of  care  C  reac ve  protein  test  was  delivered  in  4  LTCFs.  An microbial  prescribing  data  was  collected  from  1st  Sept-30th  April  2014  and  the  interven on  was  delivered  in  December  2013.  The  5  control  LTCFs  had  no  interven on.  Semi-structured  interviews  were  conducted  with  a  sample  of  par cipants  to  collect  feedback  and  the  findings  were  the-­‐ma cally  analysed.  Ethical  approval  was  obtained  from  the  Clinical  Research  Ethics  Commi ee  of  the  Cork  teaching  hospitals.Results:  While  the  interven on  was  acceptable  and  well  received,  there  was  no  significant  difference  in  the  quan ty  of  an microbials  prescribed  be-­‐fore  and  a er  the  interven on.  Uptake  of  the  POC-CRP  tes ng  was  low.  Interes ng  pa erns  of  an microbial  prescribing  were  found.Conclusion:  This  feasibility  study  was  well  received  by  par cipants.  Future  implementa on  of  interven ons  in  LTCFs  must  consider  the  impact  of  con-­‐textual  factors  of  the  LTCF  se ng.  Notable  trends  in  the  pa erns  of  prescribing  provide  the  basis  for  future  AMS  strategies  in  LTCFs.

POSTER  ABSTRACTSFleming,  Aoife  -  UCCAntimicrobial  susceptibility  of  Long  Term  Care  Facility  and  General  Practice  urine  samples  in  the  greater  Cork  region.Aoife  Fleming    Louise  Barry    Stephen  Byrne    Michael  Pren ce              Background:Urinary  tract  infec ons  (UTI)  are  one  the  leading  causes  of  infec on  and  an microbial  prescribing  in  the  long  term  care  facility  (LTCF)  se ng.  The  aim  of  this  study  was  to  inves gate  pa erns  of  an microbial  suscep bility  in  urine  samples  submi ed  to  the  Microbiology  Laboratory  at  Cork  University  Hospital  (CUH)  from  LTCFs  in  the  greater  Cork  region.  Methods:A  retrospec ve  analysis  of  the  an microbial  suscep bili es  of  urine  samples  submi ed  to  the  microbiology  laboratory  at  CUH  in  quarter  one  of  2011  to  2014  was  conducted.  LTCF  and  primary  care  suscep bili es  were  compared  using  Chi  square  sta s cs.  Ethical  approval  was  obtained.  Results:4,256  samples  were  included.  Overall,  the  LTCF  urine  samples  were  less  suscep ble  than  GP    samples  to  the  an microbials  recommended  in  the  na onal  UTI  guidelines;  trimethoprim,  nitrofurantoin,  cephalexin,  co-amoxiclav,  ciprofloxacin  and  amoxicillin  (p<0.001).  Important  trends  in  an mi-­‐crobial  suscep bility  over  the   me  period  were  noted.  A  significant  reduc on  in  suscep bility  to  co-amoxiclav  was  found  between  Q1  2011  and  Q1  2014  in  both  LTCF  and  GP  se ngs.  Conclusions:This  study  provides  important  informa on  which  will  contribute  to  the  revision  of  LTCF  an microbial  prescribing  guidelines  in  the  future.  This  study  highlights  the  need  for  con nuous  surveillance  of  an microbial  suscep bility  trends  in  LTCFs.Fredrix,  Milou  -  NUI,  GalwayGoal  setting  as  a  behaviour  change  technique  in  diabetes  self-management:  A  systematic  review  examining  effectiveness  and  content  of  goal  setting  interventions:Milou  Fredrix    Jenny  Mcsharry    Caragh  Flannery    Molly  Byrne    Sean  Dinneen        Background  :  Diabetes  is  quickly  becoming  one  of  the  most  challenging  public  health  issues.  Managing  diabetes  properly  depends  on  complex  self-  management  by  the  pa ent.  Experts  in  diabetes  care  have  been  developing  interven on  programmes  to  improve  diabetes  self-management.  Goal  se ng  is  a  widely  used  behaviour  change  tool  in  diabetes  interven ons.  This  review  aimed  to  summarise  the  effects  of  goal  se ng  interven ons  on  diabetes  outcomes.  Furthermore  it  examines  which  behaviour  change  techniques  (BCTs)  are  most  frequently  used  within  these  interven ons.Methods:  A  systema c  literature  review  was  conducted.  Published  interven on  studies,  targe ng  diabe c  control,  which  incorporated  goal  se ng  as  a  core  interven on  component,  were  included.  Types  of  goal  se ng  techniques  were  categorised  using  a  taxonomy  of  BCTs.  Result:  12  interven ons  were  included.  Significant  but  modest  post-interven on  improvements  in  HbA1C  were  found  among  diabetes  pa ents.  The  BCTs  most  commonly  used  in  goal  se ng  interven ons  were  iden fied.  The  most  commonly  used  BCT  was  ‘goal  se ng  (behaviour)’.  Effects  of  individ-­‐ual  BCTs  could  not  be  established  due  to  low  numbers  of  studies.Discussion:  Goal  se ng  interven ons  were  beneficial  for  HbA1C  improvements.  However  more  research  is  needed,  as  substan al  heterogeneity  and  poten al  biases  were  present.  Furthermore  paucity  of  interven on  studies  made  iden fying  the  effects  of  individual  BCTs  limited.Gallagher,  Silvia  -  TCDMassive  Online  Open  Courses  (MOOCs)  for  health  research  dissemination  and  strategic  policymaking:  An  examination  of  learner  experiences  of  two  health-specific  MOOCsSilvia  Gallagher                                Background:  Massive  Online  Open  Courses  (MOOCs)  are  educa onal  courses  freely  offered  to  large  numbers  of  the  general  public  by  third  level  ins tu-­‐ ons  through  online  pla orms.  This  research  explored  how  MOOCs  can  be  a  successful  means  for  health  researchers  and  policymakers  to  disseminate  health  research  and  educa on,  align  course  content  with  health  educa on  policy,  and  generate  knowledge  from  learners  about  public  health  concerns  for  strategic  benefit.Methods:  Three  itera ons  of  two  Trinity  College  Dublin  health-specific  MOOCs  (Strategies  for  Successful  Ageing,  and  Exercise  Prescrip on  for  the  Pre-­‐ven on  and  Treatment  of  Disease)  were  analysed  using  large  scale  qualita ve  analysis  of  learner  comments,  and  pre  and  post  course  survey  results  focusing  on  the  percep ons  and  experiences  of  learners.Results:  A  total  of  19,269  learners  accessed  three  MOOC  itera ons.  Post  survey  results  described  high  course  sa sfac on  and  engagement  with  course  materials.  Qualita ve  thema c  analysis  of  learner  comments  (n=113,001)  detailed  key  thema c  elements  presented  by  learners.  These  thema c  ele-­‐ments  can  support  future  policy  making  strategies  and  health  research  prac ces.  Conclusion:  MOOCs  can  offer  a  solu on  to  public  health  informa on  dissemina on  on  a  large  scale  and  generate  informa on  about  the  needs  of  the  public  to  policy  makers  and  health  researchers.

POSTER  ABSTRACTSGallagher,  Aoife  -  ULExamining  the  evidence  of  a  shared  understanding  in  working  with  school-aged  children  and  young  people  with  speech,  language  and  communication  needs  (SLCN)  in  mainstream  education;;  an  integrative  literature  review.Aoife  Gallagher    Carol-Anne  Murphy    Paul  Conway    Alison  Perry              Background:  Effec ve  inter-disciplinary  collabora on  (IDC)  is  a  policy  goal  in  mee ng  the  needs  of  school-aged  children  with  SLCN.  In  prac ce,  howev-­‐er,  IDC  is  difficult  to  achieve,  o en  due  to  a  lack  of  a  shared  conceptual  understanding  between  those  involved.  We  examined  the  literature  for  evi-­‐dence  of  a  shared  understanding  between  the  disciplines  in  mee ng  the  needs  of  this  popula on.  Method:  Different  search  frames/strategies  were  used  to  gain  a  comprehensive  sample  of  the  empirical,  theore cal  and  policy  literature  across  the  disciplines.  Papers  were  independently  screened  and  appraised  for  quality  by  two  researchers  prior  to  inclusion.  Key  concepts  were  extracted  and  coded.  Reciprocal  transla onal  analysis  was  carried  out  to  explore  similari es  and  differences  within  the  data.  Results:  From  7978  retrieved  papers,  72  met  our  criteria  for  inclusion  with  95%  inter-rater  agreement.  Fundamental  ideological  differences  emerged  between  the  disciplines;  however,  some  shared  concepts  were  also  iden fied.  Conclusion:  IDC  is  a  policy  goal  but  is  difficult  to  achieve  in  prac ce.  We  iden fied  many  conceptual  differences  between  health  and  educa on  in  mee ng  the  needs  of  children  with  SLCN.  The  findings  of  the  study  indicate  that  the  development  of  a  conceptual  framework  is  warranted  in  order  to  support  a  shared  understanding  between  prac onersGilheaney,  Órla  -  TCDSurveying  the  prevalence  and  nature  of  oropharyngeal  dysphagia  experienced  by  adults  presenting  with  temporomandibular  disorders.Órla  Gilheaney    Lina  Zgaga    Leo  Stassen    Margaret  Walshe              Temporomandibular  disorders  (TMDs)  cause  pain  and  dysfunc on  of  the  temporomandibular  joint,  restricted  movement,  and  fa gue,  and  can  cause  swallowing  disorders/oropharyngeal  dysphagia  (OD).  However,  the  prevalence  of  TMD-related  OD  is  under-explored.  This  research  aims  to  determine  OD  sign/symptom  prevalence  in  adult  pa ents  and  inves gates  common  interven ons.A  survey  inves ga ng  ae ology,  signs/symptoms,  and  interven ons  was  carried  out  with  TMD  pa ents  presen ng  at  2  specialist  centres.    Consecu ve  recruitment  was  used  over  a  4-month  period  in  2016.81  par cipants  (mean  age:43  years)  presented  with  joint  (49.38%)  and  pain  disorders  (30.86%),  and  TMDs  of  unknown  ae ology  (19.75%).  Diagnoses  included:  arthralgia  (4.94%);  myalgia  (13.58%);  myofascial  pain  (11.11%);  disc  displacement  (without  reduc on  (WOR):22.22%;  with  reduc on  (WR):22.22%);  degenera ve  joint  disease  (2.50%);  rheumatoid  arthri s  (1.23%),  and  subluxa on  (2.50%).  78  (96.26%)  reported  OD  signs/symptoms.  Disc  displacements  caused  symptoms  most  frequently,  including  mas catory  impairment  (WOR:88.88%;  WR:88.88%),  pain  (WOR:83.33%;  WR:94.44%),  fa gue  (WOR:77.77%;  WR:83.33%),  and  dietary  modifica ons  (WOR:77.77%;  WR:66.66%).  Interven ons  included  heat  (43.2%),  ice  (25%),  facial-massage  (33.3%),  and  use  of  straws  (27.1%).OD  is  prevalent  in  TMDs,  despite  limited  research.  Interven ons  varied  with  no  evidence  suppor ng  efficacy.    Further  research  should  address  TMD-related  OD,  evidence-based  interven ons,  and  promote  collabora on  across  disciplines  responsible  for  managing  TMD-related  OD  (e.g.:  Speech  and  Language  Therapy,  maxillofacial  surgery,  den stry).Given,  Joanne  -  Ulster  UniversityPublic  attitudes  in  Northern  Ireland  to  linkage  and  sharing  of  health  dataJoanne  Given    Helen  Dolk    Gillian  Robinson                    Background:  Our  objec ve  was  to  assess  public  a tudes  in  Northern  Ireland  towards  health  data  linkage  and  sharing.  Methods:  The  2015  Life  and  Times  survey  included  a  module  on  ‘Public  understanding  and  views  of  sharing  of  health  data,  data  linking,  and  relevant  safeguards’.  1,202  respondents  completed  the  survey  with  descrip ve  sta s cs  and  Chi  squared  tests  used  to  explore  their  answers.Results:  GP  surgeries  and  the  NHS  were  most  trusted  to  ‘keep  informa on  or  data  that  they  have  about  people  secure  and  use  it  appropriately’  with  smaller  percentages  trus ng  government  departments  and  academic  researchers.  Trust  plummeted  when  it  came  to  commercial  organisa ons  and  chari es.  More  than  2/3rds  supported  the  sharing  and  linking  of  de-iden fied  health  data  for  research  where  there  was  public  benefit.    Sharing  data  with  commercial  organisa ons  was  seen  as  less  acceptable,  although  support  increased  where  there  was  poten al  for  greater  public  benefit.Nearly  1/3rd  felt  that  data  should  only  be  shared  for  research  if  there  is  explicit  consent,  even  if  this  means  that  the  research  is  impossible.  This  a tude  was  associated  with  low  trust  in  organisa ons.Conclusion:Public  support  for  data  sharing  is  linked  to  trust  in  organisa ons;  data  protec on  measures  and  the  percep on  of  public  benefit.

POSTER  ABSTRACTSGreene,  Garre  -  RCSIExploring  sex  differences  in  adherence  to  inhaled  medications  in  patients  with  COPDGarre  Greene    Ronan  Conroy    Richard  Costello    Frank  Doyle              Background:  Maintaining  proper  adherence  to  prescribed  medica on  poses  a  major  difficulty  in  the  treatment  of  respiratory  illness.  Recent  work  has  shown  that  adherence  is  moderated  by  several  psychosocial  factors,  including  depression,  social  support,  health  literacy,  and  cogni ve  ability,  which  may  themselves  be  dependent  on  sex/gender.Methods:  Using  the  recently-developed  Inhaler  Compliance  Assessment  (INCA),  we  assess  the  adherence  of  204  COPD  pa ents  to  inhaled  medica on  over  a  period  of  3  months.  We  inves gate  a  number  of  poten al  psychosocial  mediators  of  adherence,  and  analyse  the  effects  of  sex/gender  differ-­‐ences  and  demographic  factors  on  these  measures.Results:  While  overall  adherence  does  not  display  any  significant  sex-differences,  results  suggest  that  the  determinants  of  non-adherence  may  be  sex-specific.  In  par cular,  while  cogni ve  ability  is  found  to  be  a  significant  predictor  of  non-adherence  in  women  (effect  size:  0.4,  95%  CI:  [0.14,  0.66]),  this  effect  is  weaker  and  non-significant  for  men.  Likewise,  health  literacy  is  significantly  predic ve  of  adherence  in  men  (effect  size:  -0.25,  95%  CI:  [-0.47,  -0.02]),  but  is  not  among  women.  No  other  factors  were  found  to  be  significantly  predic ve  of  adherence,  in  either  sex  or  combined.Conclusion:  Our  results  suggest  that  non-adherence  to  inhaled  medica on  may  result  from  dis nct  sex/gender  mediated  behaviours.Haugh,  Stephanie  -  Centre  for  Pain  ResearchSystematic  Review  with  Network  Meta-Analysis  of  the  Modalities  used  to  deliver  eHealth  Interventions  for  Chronic  PainStephanie  Haugh    Brian  Sla ery    Kady  Francis    Laura  O'Connor    Ka e  Barre    Brian  McGuireBackground:  Tradi onal  approaches  to  interven ons  for  chronic  pain  are  subject  to  constraints  (e.g.  labour  intensive).  To  negate  these,  researchers  have  begun  administering  interven ons  via  technologies.  The  objec ve  of  this  systema c  review  and  network-meta-analysis  (NMA)  is  to  evaluate  the  treatment  modali es  (e.g.  internet)  delivering  interven ons  for  chronic  pain.Methods:  RCT’s  inves ga ng  technologically  delivered  interven ons  for  adults  with  chronic  pain  were  included.  Reviewers  assessed  the  eligibility  of  studies,  extracted  data  and  assessed  the  risk  of  bias.  A  random-effects  NMA  was  created  in  a  Bayesian  framework.  Results:  The  search  returned  16,515  studies  with  16,416  excluded  (duplicates  (1,925);   tle  and  abstract  (14,590)).  101  papers  were  assessed  based  on  full  text;  24  studies  across  9  arms  were  included.  They  were  at  a  low  to  moderate  risk  of  bias.  The  NMA  indicated  that  telephone  supported  interven-­‐ ons  were  the  most  effec ve  with  a  33.43%  chance  that  non-psychological  telephone  was  the  best  modality.  Heterogeneity  was  low  (tau-squared=0.08)  and  addi onal  covariates  did  not  add  to  the  model.  Discussion:  Findings  from  this  study  will  assist  pa ents  and  researchers  to  make  informed  decisions  regarding  which  modali es  deliver  more  effec ve  interven ons,  require  further  inves ga on  and  whether  any  modality  should  be  avoided.  However,  there  are  significant  limita ons  (li le  direct  evi-­‐dence,  pooling  of  interven ons).Hennessy,  Marita  -  NUI,  GalwayInterventions  delivered  by  health  professionals  from  conception  to  age  two  to  prevent  childhood  overweight/obesity:  a  systematic  review  of  randomised  controlled  trialsMarita  Hennessy    Molly  Byrne    Elaine  Toomey    Hazel  Wolstenholme    Caroline  Heary        Childhood  obesity  is  a  global  health  challenge.  In  Ireland,  one  in  four  three-year  olds  is  overweight/obese.  The  antenatal  period  and  infancy  are  cri cal  windows  for  the  development  of  overweight/obesity,  as  a  number  of  risk  factors  emerge  during  this  period,  e.g.  high  infant  birthweight  and  rapid  weight  gain.  There  are  a  number  of  modifiable  risk  factors  therefore  which  are  amenable  to  interven on.  While  the  number  of  interven ons  targe ng  this  period  is  increasing,  results  are  mixed.  Furthermore,  it  is  not  known  which  interven on  components  determine  effec veness.  Health  professionals  can  play  an  important  role  in  preven ng  childhood  obesity  in  part  due  to  the  large  number  of  rou ne  contacts  they  have  with  parents.This  paper  will  present  the  ini al  findings  of  a  systema c  review  of  the  evidence  for  the  effec veness  of  health  professional-delivered  interven ons  to  promote  obesity  preven on  in  children  under  the  age  of  two,  and  the  behaviour  change  theories  and/or  techniques  associated  with  interven on  out-­‐comes.  Interven on  procedures  are  coded  using  the  Behaviour  Chance  Technique  (BCT)  Taxonomy  while  the  methodological  quality  of  studies  is  as-­‐sessed  using  the  Cochrane  Collabora on  tool  for  assessing  the  risk  of  bias.  By  be er  understanding  the  most  effec ve  and  transferable  components,  early  life  obesity  preven on  interven ons  can  be  op mised/re-developed.

POSTER  ABSTRACTSHurley,  Caroline  -  UCCRisk  based  monitoring  (RBM)  tools  for  clinical  trials:  a  systematic  reviewCaroline  Hurley    Frances  Shiely    Jessica  Power    Mike  Clarke    Joseph  Eustace    Patricia  KearneyIntroduc on  In  November  2016,  the  Integrated  Addendum  to  ICH-GCP  E6  (R2)  will  advise  trial  sponsors  to  develop  a  risk-based  approach  to  clinical  trial  monitoring.  This  new  process  is  commonly  known  as  risk  based  monitoring  (RBM).  This  review  aims  to  iden fy  and  examine  tools  that  guide  RBM.  Methods:  Review  of  published  and  grey  literature  using  a  detailed  search-strategy  and  cross-checking  of  reference  lists.  This  review  included  academic  and  commercial  instruments  that  met  the  Organisa on  for  Economic  Co-opera on  and  Development  (OECD)  classifica on  of  RBM  tools.Results  :  Twenty-four  tools  were  eligible  for  inclusion.      Eight  were  paper  based  or  electronic  ques onnaires  and  16  operated  as  Service  as  a  System  (SaaS).    Risk  associated  with  the  inves ga onal  medicinal  product  (IMP),  phase  of  the  clinical  trial  and  study  popula on  were  examined  by  all  tools  and  suitable  mi ga on  guidance  through  on-site  and  centralised  monitoring  was  provided.Conclusion  :  RBM  tools  for  clinical  trials  are  rela vely  new,  their  features  and  use  varies  widely  and  they  con nue  to  evolve.      Equivalence  tes ng  is  required  to  determine  if  RBM  strategies  directed  by  paper  based  and  SaaS  based  RBM  tools  are  comparable.  Such  research  could  be  embedded  within  mul -centre  clinical  trials  and  conducted  as  a  SWAT  (Study  within  a  Trial).Jeleniewska,  Paulina  -  Cys c  Fibrosis  Registry  of  IrelandCF  VIEW:  A  WEB-BASED  PATIENT  PORTAL  FOR  PEOPLE  WITH  CYSTIC  FIBROSISPaulina  Jeleniewska    Godfrey  Fletcher    Gerardine  Doyle    Edward  McKone    Cecily  Kelleher    Abaigeal  JacksonIn  2016,  the  CF  Registry  of  Ireland  developed  CFView  -  a  pa ent  portal  providing  secure  electronic  access  to  Pa ents’  Registry  records.  A  mul -factorial  randomised  control  design  was  adopted  to  evaluate  outcomes  in  CF  teenagers  and  adults  with  access  to  CFView  and  educa onal  CF  videos.    Prior  to  the  implementa on  of  CFView,  an  online  survey  of  parent  and  adults’  perspec ves  on  electronic  access  to  registry  records  was  administered.  Our  aim  is  to  describe  survey  results,  report  on  CFView  ac va on  and  usage  metrics,  baseline  health  literacy  and  quality  of  life  measures.  An  Internet-based  survey  was  administered  by  SurveyMonkey  in  September  2015.  Portal  account  ac va on  and  usage  metrics  were  obtained  from  Web  server  log  and  video  analy cs  files.  Par cipants’  level  of  health  literacy  and  quality  of  life  was  measured  using  validated  ques onnaires  CFQ-R  and  HLS-EU-Q16.    Of  the  148  survey  respondents,  58%  rou nely  documented  clinical  informa on  from  hospital  visits  and  86%  were  interested  in  online  access  to  their  registry  record.    Since  March  2016,  >270  pa ents  were  recruited  to  the  study.    Of  the  124  par cipants  eligible  to  access  their  registry  record,  48%  have  done  so.    Pa ents  are  interested  in  accessing  their  own  registry  health  record.    The  evalua on  of  outcomes  in  study  par cipants  is  ongoing.Johnston,  Bridget  -  TCDPatients’  and  Caregivers’  Preferences  for  Services  and  Support  Near  the  End  of  Life:  Evidence  from  a  Discrete  Choice  ExperimentBridget  Johnston    Karen  Ryan    Charles  Normand                    Background:  Discrete  choice  experiments  (DCEs)  require  individuals  to  make  trade-offs  and  state  their  preferences  between  two  or  more  hypothe cal  sets  of  a ributes.  Their  choices  make  it  possible  to  determine  if  the  a ributes  influence  preferences  and  their  rela ve  value.  This  study  aimed  to  evalu-­‐ate  and  compare  preferences  for  support  among  pa ents  and  caregivers  receiving  different  models  of  specialist  pallia ve  care  (SPC).Methods:  Respondents  made  choices  between  combina ons  of  a ributes  including:  access  to  informa on;  symptom  burden;  monthly  costs;  caregiver  burden;  shared  decision-making;  place  of  care;  arranging  access  to  services;  and  access  to  SPC.  The  data  were  analysed  using  probit  and  latent  class  regression.Results:  66  pa ents  and  69  caregivers  were  interviewed.  Pa ents  preferred  barrier-free  access  to  advice,  ongoing  support  from  SPC  and  reduced  symp-­‐tom  burden,  while  preferences  differed  about  place  of  care,  monthly  costs  and  caregiver  burden.  Caregivers  had  strong  preferences  for  autonomous  decision-making.  Two  latent  classes  were  iden fied  for  pa ents,  three  for  caregivers.  Differences  between  latent  classes  in  both  percep ons  and  expe-­‐riences  of  SPC  were  iden fied.Conclusion:  Priori es  differ  between  pa ents  and  caregivers  and  may  be  linked  to  the  model  of  service  provision  or  experience  with  SPC.  The  disparity  in  preferences  demonstrates  the  importance  of  elici ng  preferences  from  pa ents  whenever  feasible.

POSTER  ABSTRACTSKeilthy,  Patricia  -  TCDConsultation  on  the  Development  of  the  National  Maternity  Strategy:  Research  and  Policy  ConsiderationsPatricia  Keilthy    Helen  McAvoy    Teresa  Kea ng                    Background:  Public  consulta on  is  an  important  part  of  policy  making  in  Ireland.    This  paper  discusses  the  research  considera ons  of  seeking,  analysing  and  responding  to  feedback  from  a  wide  variety  of  stakeholders,  using  the  example  of  the  consulta on  that  informed  the  development  of  the  Na onal  Maternity  Strategy  in  Ireland.    Method:  A  variety  of  respondents  from  special  interest  organisa ons,  service  users  and  professionals  responded  to  the  consulta on  (N=1324).  Quan -­‐ta ve  responses  were  analysed  using  descrip ve  sta s cs  and  qualita ve  responses  were  analysed  using  a  thema c  approach.  Results  :  The  consulta on  report  highlighted  common  themes  which  informed  the  development  of  key  policy  areas,  par cularly  in  regard  to  women-centred  care,  the  provision  of  adequate  resources,  and  the  adop on  of  a  health  and  well-being  approach.  The  main  challenge  was  that  the  sample  of  views  analysed  could  not  be  considered  as  na onally  representa ve  of  public  opinion  as  consulta on  processes,  by  their  nature,  collect  the  views  of  interested  stakeholders.  Conclusion  :  This  consulta on  demonstrated  the  ways  in  which  diverse  stakeholder  views  can  be  used  to  develop  solu ons  for  policy  and  prac ce.  Ongoing  discussion  on  the  systema c  and  scien fic  approach  to  collec ng,  analysing  and  repor ng  stakeholder  views  will  ensure  that  consulta on  con nues  to  be  a  valuable  contribu on  to  policy  making  in  Ireland.Kelleher,  Emily  -  UCCRecruiting  families  to  a  community-based,  multi-disciplinary  childhood  weight-management  programme:  an  Irish  Experience.Emily  Kelleher    Janas  Harrington    Grace  O'Malley    Frances  Shiely    Ivan  Perry        Background:  Governments  and  health  systems  worldwide  have  developed  programmes  for  trea ng  childhood  obesity.  Concerns  exist  regarding  their  uptake.  Aim:  To  describe  the  recruitment  process  for  W82GO;  a  government-funded,  mul disciplinary  pilot  weight  management  programme  for  fami-­‐lies  of  children  with  obesity  and  to  present  par cipa on  and  reten on  rates.  Methods:  Children  aged  4-7  years  were  screened  in  school  via  school  public  health  nurses  (n=2064).  Eligible  children  (obese  ≥98th  percen le)  were  iden fied  and  their  families  subsequently  offered  an  ini al  assessment  and  a  place  on  the  pilot  programme.  Results:  The  screening  process  iden fied  121  children  who  were  eligible  for  ini al  assessment.  Of  this  121,  school  public  health  nurses  reported  having  referred  94  (77.6%)  families.  Less  than  half  (n=42)  of  families  accepted  the  invita on  to  the  ini al  assessment  and  of  this,  19  (20.2%)  subsequently  started  the  programme.  Just  eight  families  completed  the  programme.  Conclusion:  Although  almost  80%  of  eligible  families  were  referred  to  the  programme,  par cipa on  and  reten on  rates  were  low.  Special  a en on  should  be  given  to  developing  strategies  to  boost  recruitment  and  minimise  a ri on,  and  further  research  is  required  to  explore  the  factors  influencing  these  low  levels  of  engagement.Keogh,  Fiona  -  GenioA  Community  Supports  Model  for  People  with  Dementia:  A  service  design  process  connecting  research  and  practiceFiona  Keogh    Elaine  Healy    Mary  McGuire                    Background:  Suppor ng  people  with  demen a  (PWD)  to  remain  in  the  community  is  a  priority  of  the  Na onal  Demen a  Strategy.  The  HSE  &  Genio  Demen a  Programme  developed  models  across  mul ple  sites  to  support  PWD  to  live  well  in  their  communi es  and  avoid  premature  entry  into  resi-­‐den al  care.  Several  research  studies  evaluated  different  elements  of  the  Programme.Method:  An  itera ve,  consulta ve  process  was  designed  to  develop  a  comprehensive,  evidence  and  prac ce-based  Community  Supports  Model  (CSM),  including  the  most  effec ve  elements  of  the  innova ons  across  the  sites  based  on  the  site  research  and  evidence  of  best  prac ce  interna onally.  Suc-­‐cessive  dra s  of  the  design  were  developed  following  workshops  with  researchers,  innova on  sites,  PWD  and  senior  HSE  managers  with  feedback  from  a  wider  group  via  survey  monkey.Results:  Elements  in  the  final  model  include  a  range  of  personalised  supports  to  maintain  ability  and  connec on,  such  as  respite  and  assis ve  technolo-­‐gy;  facilitated  by  a  Demen a  Coordinator  working  with  a  mul -stakeholder  Demen a  Consor um;  all  based  on  underpinning  enablers  of  training/educa on  and  an  informed  community.  Conclusion:  The  CSM  for  PWD  represents  a  synthesis  of  research  and  prac ce  which  is  being  used  to  inform  and  shape  demen a  services  in  Ireland  in  line  with  the  Na onal  Demen a  Strategy.

POSTER  ABSTRACTSKeogh,  Alison  -  UCDDevelopment  of  a  coding  process  to  explore  physiotherapist’s  fidelity  to  the  delivery  of  behaviour  change  techniques  within  a  theory  based,  group  self-management  interventionAlison  Keogh    James  Ma hews    Deirdre  A  Hurley                    Background:As  interven ons  underpinned  by  behaviour  change  techniques  (BCTs)  become  more  prevalent,  it  is  important  to  assess  their  implementa-­‐ on  fidelity,  to  iden fy  effec ve  components.  However,  a  lack  of  consensus  regarding  op mal  evalua on  methods  exists.  Primary  care  physiothera-­‐pists  were  trained  to  deliver  the  Self-management  of  Osteoarthri s  and  Low  back  pain  through  Ac vity  and  Skills  (SOLAS)  interven on,  which  incorpo-­‐rated  31  BCTs.  This  study  aimed  to  develop  a  rigorous  coding  process  to  explore  physiotherapists’  fidelity  to  these  BCTs.  Methods:50%  of  SOLAS  classes  (n=24)  were  audio-recorded  and  transcribed  for  coding.    Transcripts  comprised  a  mean  length  of  68.8  pages  (SD  24.6)  of  discussion  between  physiotherapists  and  a  mean  3.0  (SD  1.0)  pa ents  per  class.  A  two-stage  pilot  study  of  five  transcripts  was  undertaken  using  rater  training  (n=3),  expert  review  and  discrepancy  mee ngs,  to  develop  a  finalised  comprehensive  coding  process.  Results:Inter-rater  agreement  improved  at  each  pilot  stage;  16.9%  (ini al);  30.8%  (stage1);  and  100%  (final).  A  defini ve  coding  protocol  was  produced,  and  used  to  iden fy  the  presence,  absence,  or  par al  delivery  of  all  31  BCTs,  using  Behaviour  Change  Technique  Taxonomy  v1,  and  an  interven on  specific  manual.  Conclusion:The  pilot  process  developed  a  comprehensive,  reliable  coding  protocol  which  is  currently  being  used  to  iden fy  interven on  BCTs  within  the  SOLAS  trialMc  Gillicuddy,  Aoife  -  UCCThe  knowledge,  attitudes  and  beliefs  of  patients  and  healthcare  professionals  around  oral  medicine  modification:  A  qualitative  systematic  reviewAoife  Mc  Gillicuddy    Maria  Kelly    Abina  M  Crean    Laura  J  Sahm              Background:  Oral  medicine  modifica on  (e.g.  tablet  crushing)  is  commonly  undertaken  to  overcome  swallowing  difficul es.  However,  these  modifica-­‐ ons  can  affect  the  safety  and  efficacy  of  the  medicine  in  vivo.  The  objec ve  of  this  review  was  to  synthesize  the  qualita ve  literature  on  the  knowledge,  a tudes  and  beliefs  of  adult  pa ents  and  healthcare  professionals  (HCPs)  about  oral  medicine  modifica on.  Methods:  PubMed,  Medline,  EMBASE,  CINAHL,  PsycINFO,  Web  of  Science,  ProQuest  Databases,  Scopus,  TRIP,  CENTRAL,  CDSR  and  OpenGrey  were  searched  from  incep on  to  September  2015.    Studies  were  eligible  for  inclusion  if  they  met  the  following  criteria:  (i)  used  qualita ve  data  collec on  and  analysis  methods;  (ii)  full-text  available  in  English;  (iii)  included  adult  pa ents  who  modified  medicines  or  (iv)  carers  or  HCPs  of  such  pa ents.  A  thema c  synthesis  was  undertaken.Results:  Of  5455  records  screened,  seven  were  eligible  for  inclusion;  3  involving  HCPs  and  4  involving  pa ents.  Four  analy cal  themes  emerged:  (i)  pa ent-centred  individuality  and  variability;  (ii)  communica on;  (iii)  knowledge  and  uncertainty;  (iv)  complexity.  Conclusion:  This  systema c  review  has  highlighted  the  key  factors  influencing  medicine  modifica on.  The  findings  suggest  that  to  op mise  medicine  modifica on  prac ces  the  needs  of  individual  pa ents  should  be  systema cally  assessed  and  decision-making  should  be  supported  by  evidence  based  recommenda ons  with  mul disciplinary  input.McCaul,  Rose  -  Health  Service  Execu veKnowledge  and  Attitudes  of  Frontline  Practitioners  on  Government  Policy  to  Reduce  Alcohol  Consumption  in  IrelandRose  McCaul                                Background :  Alcohol  consump on  in  Ireland  is  rated  fi h  highest  in  the  OECD  countries.    Measures  to  reduce  consump on  were  proposed  in  2013,  a  Government  response  to  the  Na onal  Substance  Misuse  Strategy  (NSMS)  report.  Environmental  Health  Officer’s  (EHO’s)  were  iden fied  to  enforce  the  Public  Health  (Alcohol)  Bill  regarding  availability,  sales  and  marke ng.  Aims:  The  purpose  of  this  study  was  to  ascertain  the  knowledge  and  a tudes  of  EHO’s  to  the  sale  and  consump on  of  alcohol  in  Ireland  and  their  views  of  legisla on  enforcement.  The  research  aimed  to  iden fy  the  supports  required  for  the  effec ve  implementa on  of  this  legisla on  by  the  Envi-­‐ronmental  Health  Service.Methods      :  The  study  was  a  single  method  approach,  using  a  previously  validated  ques onnaire.  An  addi onal  sec on  included  ques ons  on  the  EHO’s  view  of  their  enforcement  role.Results  :  There  was  large  agreement  among  EHO’s  that  effec ve  policies  for  alcohol  control  will  protect  popula on  health  and  save  lives.  Over  two  thirds  of  respondents  believed  that  effec ve  implementa on  of  legisla on  to  reduce  alcohol  consump on  would  be  facilitated  by  the  ac ve  involve-­‐ment  of  EHOs  in  the  prepara on  stage.  The  majority  of  EHO’s  agreed  that  alcohol  strength  should  be  contained  on  the  label;  however  there  was  a  low  level  of  understanding  of  the  HSE  ’Low  Risk  Drinking  Guidelines’.Conclusions:  Engagement  is  needed  between  policy  makers,  EHO’s  and  other  stakeholders  during  the  formula on  of  legisla on.  Training  resources  are  required  for  educa ng  EHO’s  on  the  epidemiology  of  alcohol  related  disease  and  adequate  staffing  resources  are  needed  to  sustain  enforcement.  A  

POSTER  ABSTRACTSMcHugh  Power,  Joanna  -  NCITargeting  appropriate  users  of  a  befriending  service:  Recommendations  from  Qualitative  and  Quantitative  Studies.Joanna  Power    Caoimhe  Hannigan    Sile  Carney    Anne  Murphy    Frank  Kee    Brian  LawlorBackground:  Befriending  services  are  currently  delivered  to  many  older  Irish  adults.  Recent  reports  indicate  that  many  recipients  do  not  experience  isola on,  and  thus  may  be  less  likely  to  benefit  from  service  use.  Since  the  resources  of  such  services  are  limited,  it  is  important  to  strategically  target  individuals  who  stand  to  benefit  most  from  such  services.  Methods:  A  mixed  methodological  design  was  used,  integra ng  the  findings  of  a)  a  qualita ve  study  in  which  older  users  of  a  befriending  service  were  interviewed,  and  b)  analysis  of  two  na onal  longitudinal  cohort  studies  of  ageing.  Interpreta ve  Phenomenological  Analysis  and  growth  curve  models  were  used  to  analyse  the  datasets.  Results:  Qualita ve  study  par cipants  did  not  o en  cite  loneliness  or  social  isola on  as  reasons  for  using  befriending  services.  Meanwhile,  Social  Asym-­‐metry,  a  novel  concept  describing  the  discrepancy  between  loneliness  and  social  isola on,  is  predic ve  of  many  clinically  relevant  outcomes.  Conclusion:  Neither  loneliness  nor  social  isola on  alone  may  be  suitable  for  iden fying  individuals  who  stand  to  benefit  from  befriending  services.  Social  Asymmetry  may  be  a  useful  alterna ve  to  iden fying  individuals  who  are  lonely  rela ve  to  their  levels  of  isola on.  This  suscep bility  to  loneli-­‐ness  may  help  to  iden fy  individuals  who  would  stand  to  benefit  most  from  service  uptake.Melle ,  Ciara  -  Na onal  Cancer  Control  ProgrammeThe  development  of  outcome  key  performance  indicators  for  systemic  anti-cancer  therapy  using  a  modified  Delphi  methodCiara  Melle                                Introduc on:Systemic  an -cancer  therapy  (SACT)  is  a  common  but  toxic  treatment  for  cancer  that  o en  has  significant  side  effects.  Key  performance  indicators  (KPIs)  provide  a  tool  to  measure  the  quality  of  health  services.    Methods:A  mul -stakeholder  panel  of  pa ent  advocates  and  health  professionals  (n=35)  rated  the  importance  of  the  KPIs  and  outcome  areas  from  the  literature  over  four  Delphi  rounds.    Par cipants  also  rated  KPIs  on  validity,  reliability,  acceptability  and  feasibility  and  provided  comments  on  barriers  and  facilitators  to  implementa on.  Results:26  KPIs  reached  agreement  on  level  of  importance,  of  which  nine  were  priori sed.  The  KPIs  were  in  the  areas  of  (i)  death  within  30  days  of  receiving  SACT  (2),  (ii)  Neutropenic  sepsis  (2),  (iii)  assessment  of  advanced  cancer  pa ents  for  pallia ve  care  needs  (1),  (iv)  medica on  errors  from  SACT  treatment  (1),  (v)  pa ent  informa on  on  treatment  plan  and  side  effects  (1),  (vi)  mul disciplinary  team  discussion  (1)  and  (vii)   meframe  from  surgery  to  SACT  (1).    Conclusion:While  the  focus  of  the  study  was  on  outcome  KPIs,  the  indicators  that  emerged  from  the  study  were  a  mixture  of  outcome  and  process  measures.  The  set  of  nine  priori sed  KPIs  represent  a  star ng  point  for  the  performance  measurement  of  SACT  services.Mellon,  Lisa  -  RCSIThe  INCATM  (Inhaler  Compliance  AssessmentTM):  Validation  against  Established  Measures  of  Adherence.Ka e  Moran    Frank  Doyle    Imran  Sulaiman    Kathleen  Benne    Garre  Green    Lisa  MellonSubop mal  adherence  is  common  in  Chronic  Obstruc ve  Pulmonary  Disease  (COPD).  The  Inhaler  Compliance  AssessmentTM  (INCATM)  is  a  novel  audio-recording  device  objec vely  measuring   ming  and  proficiency  of  inhaler  use.  This  study  aimed  to  validate  INCATM  against  established  adherence  measures,  and  explore  discriminant  and  predic ve  validity  for  clinical  outcomes.Prospec ve  observa onal  study;  184  COPD  pa ents  used  an  INCATM-enabled  salmeterol/flu casone  inhaler  for  one-month  post-discharge.  Data  col-­‐lected  at  recruitment  (in  hospital)  and  follow-up  (by  phone).  Area  under  the  curve  metric  calculated  for  INCATM  A empted  and  Actual  adherence.  Correla ons  conducted  with  dose-counter,  self-report  and  prescrip on  refill  for  concurrent  validity.  Discriminant  validity  for  known-groups  (independent  t-tests)  and  predic ve  validity  for  health  status  and  quality-of-life  (regressions)  inves gated.Actual  adherence  rate  was  23%.  Actual  and  A empted  adherence  significantly  correlated  with  Doses  Used  rate;  A empted  adherence  weakly  associat-­‐ed  with  prescrip on  refill.  Good  INCATM  adherence  discriminated  be er  cogni ve  and  lung  func oning.  A empted  adherence  predicted  health  status,  but  not  quality-of-life.  Actual  adherence,  incorpora ng   ming  and  technique,  was  poor.  INCATM  did  not  strongly  correlate  with  self-report  or  prescrip on  refill;  but  was  sig-­‐nificantly  associated  with  dose-counter  adherence.  The  discriminant  and  predic ve  validity  of  INCATM  suggests  the  u lity  of  INCATM  as  a  screening  tool,  iden fying  poor  adherers  and  those  at  risk  of  adverse  outcomes.

POSTER  ABSTRACTSMoriarty,  Frank  -  RCSICharacterising  potentially  inappropriate  prescribing  of  proton  pump  inhibitors  in  older  people  in  primary  care  from  1997  to  2012  in  IrelandFrank  Moriarty    Kathleen  Benne    Caitriona  Cahir    Tom  Fahey              Background:  Concerns  have  been  raised  regarding  overuse  of  proton  pump  inhibitors  (PPIs).  This  study  characterises  prescribing  of  PPIs  and  co-prescribed  medicines  in  older  people  from  1997  to  2012  and  assesses  factors  associated  with  high-dose  use  in  long-term  PPI  users.Methods:  This  repeated  cross-sec onal  study  of  pharmacy  claims  data  included  individuals  aged  ≥65  eligible  for  the  GMS  scheme  in  the  Eastern  Health  Board  region  in  1997,  2002,  2007,  and  2012  (78,489-133,884  individuals).  PPI  prescribing  prevalence  per  year  was  categorised  by  dura on  (≤  or  >8  weeks),  dosage,  and  co-prescribed  medica ons.  Logis c  regression  in  long-term  PPI  users  determined  if  demographic  and  medica on  factors  were  associated  with  being  prescribed  a  maximal  dose  rather  than  a  maintenance  dose  PPI.  Results:  Half  of  this  older  popula on  received  a  PPI  in  the  years  2007  and  2012.  Long-term  use  (>8  weeks)  of  maximal  doses  rose  from  0.8%  in  1997  to  23.6%  in  2012.  While  some  ulcerogenic  medica ons  were  significantly  associated  with  maximal  PPI  doses,  NSAID  (adjusted  OR  0.85,  95%CI  0.81-0.88)  or  aspirin  use  and  older  age  were  significantly  associated  with  lower  odds  of  maximal  PPI  dose.Conclusion:  Long-term  maximal  dose  PPI  prescribing  is  highly  prevalent  in  older  popula ons  and  is  not  consistently  associated  with  gastrointes nal  bleeding  risk  factors.Morrissey,  Eimear  -  NUI,  GalwayInterventions  to  enhance  medication  adherence  in  hypertension:  a  systematic  review,  meta-analysis  and  content  analysisEimear  Morrissey    Hannah  Durand    Robby  Nieuwlaat    Tamara  Navarro    Brian  Haynes    Gerard  MolloyBackground:  The  objec ve  of  this  systema c  review  is  to  evaluate  the  effec veness  of  medica on  adherence  interven ons  for  hypertension.  We  aimed  to  iden fy  what  barriers  and  facilitators  the  interven ons  may  have  been  targe ng  and  how  these  might  be  related  to  the  effect  size  on  BP.Methods:  This  review  is  a  hypertension-specific  update  to  the  previous  Cochrane  Review  by  Nieuwlaat  et  al.  (2014)  on  interven ons  to  enhance  medi-­‐ca on  adherence.    A  systema c  literature  search  was  carried  out,  a  meta-analysis  was  conducted  and  addi onally,  theore cal  factors  in  interven ons  were  iden fied  using  the  Theore cal  Domains  Framework.Results:  The  meta-analysis  found  a  modest  main  effect  on  SBP  (MD  -2.71mmHg,  95%  CI  -4.17  to  -1.26)  and  DBP  (MD  -1.25  mmHg,  95%  CI  -1.72  to  -0.79).  The  rela onship  between  the  total  number  of   mes  the  domains  were  coded  within  an  interven on  and  change  of  SBP  (r = −0.234,  p  =  .335)  and  DBP  was  not  significant  (r = −0.080,  p  =  .732).Discussion:  This  review  and  meta-analysis  of  interven ons  documented  significant  but  modest  post-interven on  improvements  in  BP  outcomes  among  hypertensive  pa ents.  However  this  is  a  tenta ve  finding  as  substan al  heterogeneity  and  poten al  biases  were  present.  It  is  impera ve  that  future  adherence  research  comprehensively  reports  methodology.Nesbi ,  Tara  -  Cluain  Mhuire  Community  Mental  Health  ServicesAn  exploratory  study  of  the  extent  of  social  exclusion  among  people  with  schizophreniaNiall  Turner    Lisa  Ferguson    Michele  Hill    Tara  Nesbi    Eadbhard  O’Callaghan    Paul  O'MahonyEmpirical  studies  on  the  extent  of  social  exclusion  among  Irish  people  diagnosed  with  schizophrenia  are  scarce.    The  aim  of  this  study  was  to  examine  data  on  the  specifics  of  social  exclusion  among  two  Irish  cohorts  of  people  diagnosed  with  schizophrenia  and  related  condi ons.  38  par cipants  were  recruited  in  2009  and  33  were  recruited  in  2013  as  part  of  two  different  projects  in  a  programme  of  schizophrenia  research  being  conducted  in  Ireland.    The  2013  cohort  had  a  shorter  mean  dura on  of  illness.    Analysis  was  conducted  separately  on  data  that  was  collected  with  each  cohort  using  a  stand-­‐ardized  interview  schedule.    In  each  cohort  the  same  two  areas  of  social  inclusion  emerged  as  problema c  –  having  something  produc ve  to  do  and  being  close  to  someone  in  the  community.    However  the  groups  differed  on  the  extent  of  perceived  s gma  reported;  those  with  the  longer  mean  dura-­‐ on  of  illness  reported  a  higher  level.  The  findings  demonstrate  that  Irish  people  with  schizophrenia  experience  social  exclusion  irrespec ve  of  dura-­‐ on.    Greater  integra on  of  affected  people  into  the  workforce  or  educa on  system  would  ameliorate  the  extent  of  social  exclusion  they  experience.    As  part  of  its  EU  membership  Ireland  is  obliged  to  ensure  the  social  inclusion  of  all  its  ci zens.

POSTER  ABSTRACTSO  Murchu,  Eamon  -  HIQAClinical  and  Cost-effectiveness  of  Smoking  Cessation  Interventions  in  IrelandEamon  O  Murchu    Patrick  Moran    Linda  Murphy    Patricia  Harrington    Mairin  Ryan    Conor  TeljeurIntroduc on:  Currently,  the  prevalence  of  smoking  stands  at  23%  in  Ireland,  and  15.7%  of  all  deaths  from  April  2015  to  March  2016  were  a ributable  to  smoking.  Smoking  cessa on  interven ons  currently  available  include  the  following:   Nico ne  Replacement  Therapy,  E-cigare es,  Vareniclin,   Bu-­‐propion,  Behavioural  Interven ons  The  aim  of  this  study  is  to  perform  an  evidence-based  analysis  of  the  clinical  and  cost-effec veness  of  the  exis ng  mix  of  smoking  cessa on  treat-­‐ments.  Methods:Electronic  searches  were  conducted  to  iden fy  RCTs  comparing  any  eligible  smoking  cessa on  interven on  to  another  eligible  interven on  or  no  treatment.  Searches  were  also  carried  out  for  recent  systema c  reviews  of  eligible  smoking  cessa on  interven ons.14  relevant,  high-quality  Cochrane  Reviews  were  iden fied.  The  results  of  these  were  combined  with  the  updated  search  for  studies  that  emerged  since  the  original  review  was  published.Results:  For  the  clinical  effec veness  review,  effect  sizes  will  be  expressed  as  the  rela ve  risk  (RR)  of  a  smoker  having  abstained  from  smoking  in  the  interven on  group  compared  with  control  group.  The  cost-effec veness  analysis  will  examine  the  value  of  any  proposed  change  by  calcula ng  how  much  more  or  less  it  would  cost  per  person  who  successfully  quits  for  a  range  of  different  combina ons  of  smoking  cessa on  interven ons.O  Riordan,  David  -  UCCPrevalence  of  prescribing  issues  in  older  European  adults:  findings  from  the  TRUST  trial.David  O  Riordan    Kieran  Walsh    Carol  Sinno    Rose  Galvin    Stephen  Byrne    Patricia  M  KearneyBackground  :  Poten ally  inappropriate  prescribing  (PIP)  includes  the  prac ce  of  administering  poten ally  adversely  interac ng  medicines,  medicines  with  rela ve  and  absolute  contraindica ons  and  unnecessary  medicines.The  aim  of  the  study  was  to  es mate  the  prevalence  of  PIP  and  poten ally  prescribing  omissions  (PPOs)  using  a  subset  of  the  Screening  Tool  of  Older  Persons  Prescrip ons/Screening  Tool  to  Alert  doctors  to  Right  Treatment,  (STOPP/START)  criteria  version  2  based  on  community  dwelling  European  adults  aged  ≥65  years  randomised  to  the  TRUST  (Thyroid  hormone  Replacement  for  Untreated  older  adults  with  Subclinical  hypothyroidism;  a  random-­‐ised  placebo-controlled  Trial)  study.Methods:  A  subset  of  the  STOPP/START  criteria  were  used  as  informa on  rela ng  to  drug  strength,  dose  and  dura on  of  prescrip ons  in  the  TRUST  dataset  was  not  available.    Therefore  51  PIP  indicators  and  22  PPO  indicators  were  applied.Results  :  Data  on  532  randomised  pa ents  were  analysed.  The  overall  prevalence  of  PIP  in  Ireland,  Switzerland  and  the  Netherlands  was  8.7%  (n=10),  16.7%  (n=27)  and  12.5%  (n=32)  respec vely.  The  overall  prevalence  of  PPOs  was  14%  (n=16),  25.3%  (n=41),  24%  (n=61)  respec vely.  Conclusion:  These  findings  indicate  that  PIP  and  PPOs  are  prevalent  in  older  European  adults  randomised  to  a  clinical  trial  using  a  subset  of  the  STOPP/START  version  2  criteria.O'Donnell,  Helen  -  TCDTHE  POTENTIAL  BUDGET  IMPACT  OF  PCSK9  INHIBITORS  IN  IRELANDHelen  O'Donnell    Laura  McCullagh    Michael  Barry                    BACKGROUND:This  analysis  aims  to  quan fy  the  poten al  drug  budget  impact  of  PCSK9  inhibitors  in  Ireland  associated  with  various  reimbursement  scenarios  dependent  on  the  nature  and  severity  of  cardiovascular  disease.  METHODS:Age  and  gender  adjusted  prevalence  es mates  of  ischaemic  car-­‐diovascular  disease  were  calculated  from  Wave  1  of  the  Irish  Longitudinal  Study  on  Aging  (TILDA).  Subgroups  examined  included  the  single  and  joint  prevalence  of  myocardial  infarc on  (MI),  angina,  stroke,  transient  ischaemic  a ack  and  history  of  >1  MI  or  Stroke.  The  propor on  of  pa ents  above  a  recommended  LDL-C  threshold  of  2.5mmol/L  was  informed  by  TILDA.  The  prevalence  es mates  obtained  were  applied  to  current  na onal  popula on  sta s cs  and  mul plied  by  the  annual  cost  of  PCSK9  therapy  in  Ireland.  100%  PCSK9  uptake  was  assumed;  this  was  explored  in  sensi vity  analysis.  RESULTS:The  poten al  annual  budget  impact  for  the  respec ve  cohorts  is  as  follows:  any  history  of  Ischaemic  Cardiovascular  Disease:  €438  million;  Angina:  €221.6  million;  MI:  €185.5  million;  Stroke:  €65.4  million,  TIA:  €82.4  million;  MI  or  Stroke:  €237.4  million;  ≥2  MI:  €42.4  million;  ≥2  Strokes:  €11.4million;  MI  and  Stroke:€12.8  million;  ≥2  Major  Events  (MI  or  Stroke):  €55  million.  CONCLUSIONS:The  poten al  budget  impact  associated  with  PCSK9  inhibitor  therapy  is  substan al  and  should  be  considered  in  any  decision  to  reimburse.

POSTER  ABSTRACTSO'Driscoll,  Michelle  -  UCCThe  Effects  of  Mindfulness-Based  Interventions  for  Health  and  Social  Care  Undergraduate  Students  –  A  Systematic  Review  of  the  LiteratureMichelle  O'Driscoll    Stephen  Byrne    Aoife  Mc  Gillicuddy    Sharon  Lambert    Laura  J.  Sahm        Background:  Healthcare  students  experience  stress  due  to  high  workloads  and  pressure  to  perform.  Wellness  is  increasingly  viewed  as  an  essen al  professional  competency,  which  may  be  suitably  incorporated  into  degree  courses  through  mindfulness  training.  This  systema c  review  iden fied  and  cri cally  appraised  the  literature  on  the  effects  of  mindfulness  on  health  and  social  care  undergraduate  students.Methods:  PubMed,  EMBASE,  Psych  Info,  CINAHL,  The  Cochrane  Library  and  Academic  Search  Complete  were  searched  from  incep on  to  31/3/2016.  Key  journals  and  references  were  also  examined.  Studies  that  delivered  Mindfulness-Based  Stress  Reduc on,  Mindfulness-Based  Cogni ve  Therapy,  or  a  course  closely  modelled  on  these,  to  health  or  social  care  undergraduate  students  were  included.  The  search  strategy  yielded  eleven  papers,  and  a  narra ve  synthesis  was  conducted.  Results:  Eleven  studies,  represen ng  students  from  medicine,  nursing  and  psychology  met  the  inclusion  criteria.  The  most  common  measurement  tools  were;  the  Five  Facet  Mindfulness  Ques onnaire,  the  General  Health  Ques onnaire  and  the  measure  of  Subjec ve  Wellbeing.  Stress,  mood,  anxiety,  and  mindfulness  levels  improved,  with  gender  and  personality  likely  to  affect  results.  Conclusion:  Mindfulness  may  produce  benefits  for  health  and  social  care  undergraduate  students  in  areas  including  stress,  mood,  and  anxiety.  Further  studies  are  required  to  increase  our  knowledge  of  this  area.O'Shaughnessy,  Fergal  -  RCSI/Rotunda  HospitalRisk  factors  for  venous  thromboembolism  among  women  delivering  in  an  Irish  urban  obstetric  setting.Fergal  O'Shaughnessy    Brian  Cleary    Fionnuala  Ni  Ainle    Kathleen  Benne              Background:  Knowledge  and  awareness  of  risk  factors  for  venous  thromboembolism  (VTE)  is  essen al  to  iden fy  women  who  require  thromboprophy-­‐laxis.Methods:  In  the  Rotunda  Hospital,  VTE  risk  assessment  is  carried  using  an  electronic  tool  called  ‘Thrombocalc’.  VTE  risk  assessments  completed  be-­‐tween  September  2014  and  December  2015  were  included  in  this  study.  Descrip ve  sta s cs  were  used  to  describe  the  prevalence  of  risk  factors  among  women  delivering  babies  in  the  Rotunda  Hospital.Results:  Data  were  collected  from  8,380  women.  The  majority  (n  =  6719,  80.2%)  had  at  least  1  VTE  risk  factor.  Obesity,  maternal  age,  caesarean  sec on  delivery  and  parity  were  the  most  commonly  iden fied  risk  factors  [34%  (n=2818),  31%  (n=2589),  29%  (n=2461)  and  18%  (n=1497)  respec vely].  In-­‐creased  BMI  and  caesarean  sec on  was  reported  in  almost  60%  of  high-risk  women  (n  =  114  and  n  =  116  respec vely).  In  1,356  women  (16%)  all  VTE  risk  factors  developed  during  the  intra-  and  postpartum  period.  Conclusion:  Most  women  have  at  least  one  risk  factor  for  pregnancy-associated  VTE.  Labour  is  a  dynamic  process  and  repeated  VTE  risk  assessment  is  essen al  throughout  pregnancy  and  into  the  postpartum  period  to  ensure  all  risk  factors  are  iden fied.Ryan,  Aine  -  RCSIWhat  is  the  impact  of  physical  activity  and  function  on  the  development  and  worsening  of  Multimorbidity?Aine  Ryan    Catríona  Murphy    Fiona  Boland    Rose  Galvin    Susan  M.  Smith        Background:  Mul morbidity  is  recognised  interna onally  as  having  a  serious  impact  on  health  outcomes.  Physical  ac vity  is  associated  with  be er  health  and  psychological  well-being.  The  aim  of  this  study  was  to  iden fy  the  impact  of  physical  ac vity  and  func on  on  the  development  and  worsen-­‐ing  of  mul morbidity.Methods:  Using  The  Irish  Longitudinal  Study  on  Ageing  (TILDA)  we  analysed  par cipants  >50  years  with  and  without  mul morbidity.  Mul morbidity  defined  as  the  presence  of  ≥2  chronic  condi ons.  Physical  ac vity  and  func on  were  measured  using  the  Interna onal  Physical  Ac vity  Ques onnaire  (IPAQ),  gait  speed  and  grip  strength.  Logis c  regression  analyses  were  conducted.Result:  Twenty-eight  chronic  condi ons  were  included  in  analyses.  638/2235  par cipants  without  mul morbidity  and  1005/2588  with  mul morbidity  developed  new  condi on/s  in  Wave  2,  two  years  later.  Gait  speed  and  grip  strength  both  demonstrated  a  significant  associa on  in  both  groups  with  faster  gait  speed  and  stronger  grip  strength  reducing  the  likelihood  of  developing  new  condi on/s.  The  IPAQ  demonstrated  no  significant  results  in  both  groups  however  trends  showed  increased  physical  ac vity  reduced  the  risk  of  developing  mul morbidity.      Conclusions:  These  results  indicate  that  physical  ac vity  and  func on  do  impact  the  accrual  of  condi ons  over   me.  Physical  ac vity  interven ons  are  essen al  to  improve  health  outcomes  and  reduce  healthcare  costs.

POSTER  ABSTRACTSShanagher,  Deirdre  -  Irish  Hospice  Founda onSupporting  People  with  Dementia  to  Die  at  Home  in  IrelandDeirdre  Shanagher    Sarah  Cronin    Marie  Lynch                    Aim:  The  aim  was  to  explore  components  of  care  which  support  a  person  with  demen a  who  accessed  the  night  nursing  service  to  die  at  home.  Design:  A  mixed  methods  approach  was  used.  Quan ta ve  data  from  a  na onal  night  nursing  service  was  accessed.  Supplementary  informa on  from  specialist  pallia ve  care  teams  (SPCT)  was  gathered  for  52  demen a  referrals  to  the  night  nursing  service  between  May  and  December  2015.Analysis:  Data  retrieved  was  analysed.  Findings  were  compared  against  the  literature  available  on  dying  at  home.Results:• The  availability  of  family/  friends  to  provide  care  to  a  person  with  demen a  appears  to  be  a  key  determinant  to  them  staying  at  home    • Having  a  suppor ve  GP  was  important  for  a  large  number  of  the  sample.    • The  decision  to  stay  at  home  was  made  by  the  person  with  demen a  or  their  families  in  over  50%  of  the  sample    • The  majority  of  the  sample  were  referred  to  specialist  pallia ve  care  teams  in  their  last  week(s)  of  life.Access  to  formal  supports  and  care  packages  varied  throughout  the  countryTaylor,  Keishia  -  TobaccoFree  Research  Ins tuteWhy  are  Adolescents  in  One-Parent-Families  More  Likely  to  Smoke?Keishia  Taylor    Sheila  Keogan    Luke  Clancy                    Background:  Belonging  to  a  one-parent-family  (OPF)  is  associated  with  youth  smoking,  but  the  reasons  are  unclear.  Socio-economic  resources  and  intra-family  rela onships  have  been  suggested  as  mediators  for  other  nega ve  outcomes  for  OPFs;  this  study  examines  such  factors  in  rela on  to  smoking  among  Irish  adolescents.Methods:  Secondary  analysis  of  ESPAD  survey  data  from  2028  Irish  15-16  year-olds  was  conducted.  The  rela onships  between  ever-smoking,  OPF,  mothers’  educa on,  mother-child  rela onship  and  parental  monitoring  were  examined  using  binary  logis c  regression,  controlling  for  gender.Results:  These  predictors  were  significant  in  the  final  model  [χ2(8)=247.57,p<.005,n=1696],  except  for  gender.  A  model  including  only  OPF  and  gender  suggested  that  those  in  an  OPF  were  more  than  twice  as  likely  (95%CI=1.71-2.76)  to  have  smoked  than  those  living  with  two  parents,  but  including  the  other  predictors  reduced  the  odds  ra o  to  1.83  (95%CI=1.40-2.38).  The  effect  of  OPF  on  smoking  was  stronger  than  maternal  educa on  but  weaker  than  maternal  rela onship  and  parental  monitoring.Conclusion:  The  associa on  between  OPF  and  smoking  was  not  accounted  for  by  maternal  educa on,  mother-child  rela onship  and  parental  monitor-­‐ing.  This  does  not  explain  why  OPF  adolescents  are  more  likely  to  smoke  but  suggests  that  certain  aspects  of  paren ng  are  relevant  to  youth  smoking  and  deserve  further  research.Traynor,  Angeline  -  NUI,  GalwayThe  effectiveness  of  information  and  communication  technology-based  psychological  interventions  for  paediatric  chronic  pain:  systematic  review,  meta-analysis  and  intervention  content  analysisAngeline  Traynor    Eimear  Morrissey    Jonathan  Egan    Brian  McGuire              This  systema c  review  and  meta-analysis  examined  the  effects  of  technology-based  therapies  for  the  management  of  pediatric  chronic  pain.    Methods:  Published  and  unpublished  randomized  controlled  trials  of  psychological  interven ons  trea ng  children  (<18  years)  with  chronic  pain  condi ons  were  selected.    Pain  symptoms,  disability,  depression  and  quality  of  life  outcomes  were  extracted.  Interven on  content  was  assessed  in  terms  of  (i)  the  the-­‐ore cal  basis,  (ii)  the  presence  or  absence  of  behaviour  change  techniques  and  the  characteris cs  of  interven on  delivery.  Risk  of  bias  was  assessed  and  quality  of  the  evidence  was  rated  using  GRADE.  Results:  Nine  of  ten  included  studies  were  assessed  using  random  effects  meta-analyses.    Head-­‐ache  pain  was  reduced  post-treatment  (odds  ra o  (OR)  =  3.44,  95%  confidence  interval  (CI)  1.73  to  6.81,  z  =  3.54,  p  <  0.001,  (NNTB)  =  3.91).  No  effects  were  found  for  reducing  headache  pain  at  follow-up.  Across  pain  condi ons,  there  were  no  beneficial  effects  of  ICT-delivered  therapies  for  disability,  depression  or  quality  of  life  at  post-treatment  or  follow-up.  The  most  common  characteris cs  of  interven on  content  and  delivery  were  iden fied.    Conclusions:  technology-based  therapies  may  be  beneficial  in  reducing  headache  pain  intensity  at  post-treatment.  However,  there  is  considerable  uncertainty  around  these  es mates  of  effect.    Implica ons  for  prac ce  and  research  are  discussed.

LIST  OF  DELEGATESMr Doug Beaton Health  Service  Execu veDr Declan Bedford RCSIDr Caragh Behan DETECT/  UCDDr Regien Biesma RCSIMs Lindsay Black University  College  CorkMs Lauren Boland Trinity  College  DublinMs Maria Burke HSE Centre  for  Health  Policy  and  Management,  Trinity  College  Dr Sara Burke DublinMs Anne e Burns RCSIMs Paula Byrne SPHeRE Cannon Health  Research  Board Aoife Carr VhiDr Bernade e Ceatha Tusla,  Child  &  Family  AgencyMs Nerilee Clarke Health  Research  BoardDr Patricia Cody HRBDr Anne Coen DCUMs Ann-Marie Coghlan St.  James's  Hospital/Trinity  CollegeMs Miriam Coy UCDMs Deirdre Craig HRBDr Sarah Cutliffe University  College  DublinMs Alana Daly NUI  Galway Dennehy University  College  Cork Stephen Donnelly ESRIMs Rebecca Dooley Trinity  College  DublinMs Nora-Ann Dovey RCSI-MUBMs Suzanna Doyle Depatment  of  HealthProf Susan Doyle Health  Research  BoardMs Claire Duggan-Walls Health  Research  BoardMs Anne Dunne Health  Research  BoardMs Kay Farragher Health  Research  Board Fennelly University  College  Dublin Mary Flaherty University  College  Cork Louise Flannery Na onal  University  of  Ireland,  GalwayMs Orna Fleming Maynooth  University,  IrelandMs Sarah  Jane Fleming University  College  CorkMs Caragh Foley UCCMr Padraic Fox University  College  CorkDr Aoife Franklin University  of  LimerickDr Conor Fredrix NUI  GalwayDr Aimee Gajewska Royal  College  of  Surgeons  in  IrelandProf Sue Gallagher Trinity  College  DublinMiss Milou Gallagher Sphere  scholarMrs Katarzyna Galvin Health  Research  BoardDr Silvia Gibney Department  of  HealthMs Aoife Gilheaney TCDDr Brian Gilligan University  College  CorkDr Sarah Given Ulster  UniversityMs Órla Greene RCSIMs Kathleen Grimes Tallaght  HospitalDr Joanne GarreDr Tamasine

Miss Hannah Grove LIST  OF  DELEGATESDr Kathleen HarkinMs Stephanie Haugh Maynooth  UniversityProf Catherine Hayes SPHeRE  ScholarDr Caroline Heary Centre  for  Pain  ResearchMs Marita Hennessy Trinity  college  dublinMs Marian Hernon NUI,  GalwayDr Louise Hopper NUI  GalwayProf Frances Horgan University  College  DublinMrs Elaine Howard Dublin  City  UniversityMs Elaine Howard RCSIProf Deirdre Hurley GenioMs Caroline Hurley GenioMr Terence Hynes University  College  DublinDr Kate Irving University  College  CorkProf Kate Irving Department  of  HealthMs Samira Jabakhanji DCUMrs Isabelle Jeffares DCUMiss Paulina Jeleniewska Royal  College  of  Surgeons  in  IrelandMrs Bridget Johnston RCSIMr Mar n Keane Cys c  Fibrosis  Registry  of  IrelandMs Aine Kearns Trinity  CollegeMs Teresa Kea ng Health  Research  BoardDr Conor Keegan UCCMs Emily Kelleher Ins tute  of  Public  HealthDr Cole e Kelly Economic  and  Social  Research  Ins tuteDr Aine Kelly University  College  CorkDr Siobhan Kennelly NUI  GalwayMs Fiona Keogh Saint  John  of  God  Hospitaller  ServicesMs Alison Keogh HSE,  Connolly  and  Social  Care  DivisionMs Lorna Kerin GenioMs Claire Kerins University  College  DublinMs Ailbhe Lamont Love  Knowledge  ConsultancyDr Jean Long Na onal  University  of  Ireland,  GalwayMs Brenda Lynch Health  Research  BoardMr Jamie Madden Health  Research  BoardMr Alan Maddock University  College  CorkDr Teresa Maguire RCSIMs Gillian Maher Trinity  CollegeMs Molly Manning Department  of  HealthMs Molly Ma sson UCCDr Karen Matvienko-Sikar University  of  LimerickMs Aoife Mc  Gillicuddy RCSIDr Jenny Mc  Sharry University  College  CorkDr Anne McCarthy University  College  CorkDr Hazel McCarthy NUI  GalwayMs Rose McCaul Health  Research  BoardMs Sara McQuinn Irish  Cancer  SocietyMs Emer Meighan Health  Service  Execu veMs Ciara Melle Dublin  City  University Sage  Support  &  Advocacy  Service  for  Older  People Na onal  Cancer  Control  Programme,  HSE

LIST  OF  DELEGATESDr Lisa Mellon RCSIDr Niamh Merriman RCSIDr Anne-Marie Miller Demen a  and  Neurodegenera on  Network  IrelandDr Deirdre Mongan Health  Research  BoardDr Annalisa Montesan Health  Research  BoardDr Patrick Moore TILDA,  Trinity  CollegeMs Tara Moore Department  of  Health Moran Department  of  Health Niamh Moriarty Royal  College  of  Surgeons  in  IrelandDr Frank Morrissey NUIGMs Eimear Mullen HSEMs Louise Murphy Health  Research  BoardDr Laura Murphy Dublin  City  UniversityDr Catriona Murphy RCSIDr Mark Murphy HIQADr Linda Murphy HIQADr Linda Nelson Health  Research  Board Nesbi St  John  of  God Mairea NíChobhthaigh Department  of  HealthMiss Tara O  Murchu HIQAMs Bróna O  Riordan University  College  CorkDr Eamon O'  Shea Dublin    City  UniversityMr David O'Connor HSEMs Emma O'Dea University  of  Limerick O'Doherty Maynooth  University Aisling O'Donnell Trinity  College  DublinMs Aine O'Driscoll HRBMs Siobhain O'Driscoll University  College  CorkMs Helen O'Driscoll University  College  Cork O'Neill UCC Mairead O'Nolan Health  Research  BoardMs Michelle O'Philbin DCUMs Michelle O'Rourke Department  of  HealthMs Kate O'Shaughnessy RCSI/Rotunda  HospitalDr Gerald Power Queen's  University  BelfastMs Laura Power Queens  University  BelfastDr Niamh Ra er RCSIMr Fergal Rigby Maynooth  UniversityDr Joanna Rohde RCSI Ryan TCD Joanna Ryan RCSIDr Natasha Shanagher Irish  Hospice  Founda onProf Jan Shannon Department  of  HealthMs Daniela Sinclair Health  Research  BoardDr Padhraig Smith Trinity  College  DublinMs Áine Stone University  College  Cork Su on Health  Research  Board Deirdre Taylor TobaccoFree  Research  Ins tute Sinead Toomey Na onal  University  of  Ireland  GalwayDr Hamish Traynor Na onal  University  of  Ireland  GalwayMs AmeliaMs AmyDr MarieMs KeishiaDr ElaineMs Angeline

Ms Louise Tully LIST  OF  DELEGATESMr Niall TurnerMr Kieran Walsh NUI  GalwayMs Caroline Walsh St  John  of  Gods  Community  Mental  Health  ServiceDr Mary Walsh UCCDr Mark Ward RCSIMs Lucy Whiston RCSI  Hosptals TCD TCD

SPHeRE  Conference  Office THANK  YOU  FOR  ATTENDINGEmail:  [email protected] We  look  forward  to  seeing  you  at  further  SPHeRE  [email protected]        #sphere17

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