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://phrc.lshtm.ac.uk/), and is a member of is primarily on the popula on-level social the Policy Innova on Research Unit (PIRU: h p://www.piru.ac.uk/), 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://www.piru.ac.uk/projects/ 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://sphr.lshtm.ac.uk/). 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 www.sphereprogramme.ie 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
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