Results: 179

For: literature review

Little good evidence available on whether periodontal disease has an impact on quality of life

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Periodontal disease is very common and is an important cause of tooth loss. While the impact of other oral conditions on quality of life the impact from periodontal disease has received less attention.  Oral health-related quality of life (OHRQoL) is a subjective construct that is multidimensional with a number of domains. There is also no [read the full story…]

Is expertise from specialist services in mainstream services best way to support people with learning disabilities and mental health needs?

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The recently published guidance from the joint commissioning panel for mental health suggested that ‘there is no universally agreed commissioning model for mental health services supporting people with learning disabilities’ and this reflects an on-going debate about the structure and delivery of services to meet the needs of this group. The commissioning guidance suggests that [read the full story…]

Interventions for smoking cessation and alcohol abuse in people with learning disabilities lack theoretical framework and clear outcome measures

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We have posted previously about increasing concerns about misuse of tobacco and alcohol amongst people with mild to moderate learning disabilities, with one review in the United States suggesting that people with learning disabilities were less likely to receive or remain in treatment. The authors of this systematic review were interested in looking at interventions [read the full story…]

Do interventions proven to improve cardiovascular disease outcomes work for individuals with severe mental illness?

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Individuals with severe mental illness (SMI) have shortened life expectancies compared to the general population. This is partly down to higher rates of chronic physical illness. Cardiovascular disease (CVD) is the leading cause of death among patients using mental health services. It is assumed that interventions used to reduce CVD are similarly effective in patients with [read the full story…]

Mindfulness can impact on quality of life for people with learning disabilities, but more research needed

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Mindfulness is an approach to life based on an ancient Buddhist practice which means paying attention to the present moment in a non-judgemental manner, which aims to increase awareness, clarity and acceptance. As a number of studies have looked at mindfulness-based interventions the authors of this narrative review set out to look at the clinical [read the full story…]

“Investment in patient improves outcomes and reduces costs” according to research

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Introduction This report, published by the Patient Information Forum (PIF) and its accompanying briefings, is aimed at policy makers, commissioners, and information specialists. It is informed by 300 research papers and experts in the area of patient information, including representatives from NHS Choices, General Practice, Informed Medical Decisions Foundation, the Health Foundation, and the Information [read the full story…]

Quality of life measures missing in studies of outcomes of pharmacological interventions in autism spectrum disorder

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Quality of life is becoming a common outcome in the reporting of trials. The authors of this literature review were interested to look systematically at the use of quality life as an outcome in pharmacological research on Autism Spectrum Disorders. Currently, the most frequently used outcome measures in such trials are measures of changes in [read the full story…]

Social inclusion for people with challenging behaviour poorly conceptualised and rarely achieved

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The topic of challenging behaviour is the most used keyword tag here at the Learning Disabilities Elf. It accounts for a good proportion of all the posts we produce, which is a reflection of course of the published literature. Recent events in the UK have thrown into sharp relief the need to ensure that vulnerable [read the full story…]

Positive Behaviour Support is effective in institutional and community settings review suggests

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How best to support people with severe learning disabilities and challenging behaviour is a question that has been thrown into sharp relief by the Winterbourne View scandal and subsequent pronouncements by Government about improving care for vulnerable adults. Clearly, managing risk and reducing harm are key components of the answer, but whilst necessary, will not [read the full story…]

Mental health disorders in young people with learning disabilities still under-recognised and often untreated in clinical practice

How important is social support in preventing depression?

In 2002, the Foundation for People with Learning Disabilities produced a landmark report on the issue of mental health and emotional well-being in young people with learning disabilities ‘Count Us In’, which looked at ways of supporting young people to be emotionally strong, through education, support, friendships and advocacy. The report followed a year long [read the full story…]