John Dinsmore

Publications (5) View all

• Source

  Available from: Sarah Byford

  Article: Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial.

  Mike J Crawford, Helen Killaspy, Thomas R E Barnes, Barbara Barrett, Sarah Byford, Katie Clayton, John Dinsmore, Siobhan Floyd, Angela Hoadley, Tony Johnson, Eleftheria Kalaitzaki, Michael King, Baptiste Leurent, Anna Maratos, Francis A O'Neill, David P Osborn, Sue Patterson, Tony Soteriou, Peter Tyrer, Diane Waller
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  ABSTRACT: To evaluate the clinical effectiveness of group art therapy for people with schizophrenia and to test whether any benefits exceed those of an active control treatment. Three arm, rater blinded, pragmatic, randomised controlled trial. Secondary care services across 15 sites in the United Kingdom. 417 people aged 18 or over, who had a diagnosis of schizophrenia and provided written informed consent to take part in the study. Participants, stratified by site, were randomised to 12 months of weekly group art therapy plus standard care, 12 months of weekly activity groups plus standard care, or standard care alone. Art therapy and activity groups had up to eight members and lasted for 90 minutes. In art therapy, members were given access to a range of art materials and encouraged to use these to express themselves freely. Members of activity groups were offered various activities that did not involve use of art or craft materials and were encouraged to collectively select those they wanted to pursue. The primary outcomes were global functioning, measured using the global assessment of functioning scale, and mental health symptoms, measured using the positive and negative syndrome scale, 24 months after randomisation. Main secondary outcomes were levels of group attendance, social functioning, and satisfaction with care at 12 and 24 months. 417 participants were assigned to either art therapy (n=140), activity groups (n=140), or standard care alone (n=137). Primary outcomes between the three study arms did not differ. The adjusted mean difference between art therapy and standard care at 24 months on the global assessment of functioning scale was -0.9 (95% confidence interval -3.8 to 2.1), and on the positive and negative syndrome scale was 0.7 (-3.1 to 4.6). Secondary outcomes did not differ between those referred to art therapy or those referred to standard care at 12 or 24 months. Referring people with established schizophrenia to group art therapy as delivered in this trial did not improve global functioning, mental health, or other health related outcomes. Current Controlled Trials ISRCTN46150447.
  BMJ (Clinical research ed.). 01/2012; 344:e846.
• Source

  Available from: John Dinsmore

  Article: Weight Care Project: Health professionals' attitudes and ability to assess body weight status - study protocol.

  Anne Moorhead, Vivien Coates, Diane Hazlett, Alison Gallagher, Kathy Murphy, Geraldine Nolan, John Dinsmore
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  ABSTRACT: Health professionals working in primary care and public health have opportunities to address body weight status issues with their patients through face-to-face contact. The objectives of this all-Ireland project are: 1. to assess the attitudes, current practices/behaviours and knowledge of key health professional groups on body weight status; 2. to assess the health professional groups' ability to identify body weight status in both adults and children. The health professional groups are: (a) community related public health nurses; (b) school public health nurses; (c) GPs and practice nurses (primary care); and (d) occupational health nurses (workplace) from both Northern Ireland and the Republic of Ireland. This all-Ireland multi-disciplinary project follows a mixed methods approach using both quantitative and qualitative methodologies, and consists of four components:1. Literature review - to explore the role of health professionals in managing obesity through spontaneous intervention in a variety of health promotion settings.2. Telephone interviews and focus groups - to gain an in-depth insight into the views of health professionals in assessing body weight status.3. Survey (primarily online but also paper-based) - to determine the attitudes, current practices/behaviours and knowledge of health professionals in assessing body weight status.4. Online evaluation study - an online interactive programme will be developed to assess health professionals' ability to identify the body weight status of adults and children. This project will assess and report the attitudes, current practices/behaviours and knowledge of key health professional groups within Northern Ireland and the Republic of Ireland on body weight status, and their ability to identify body weight status in both adults and children. The results of this project will generate recommendations for clinical practice in managing obesity, which may inform policy guidelines.
  BMC Public Health 03/2011; 11:202. · 2.00 Impact Factor
• Thesis: Stroke, Illness Perception and Quality of Life

  John Dinsmore
  11/2009, Degree: PhD, Supervisor: Dr. Vivienne Crawford
• Source

  Available from: John Dinsmore

  Article: Stroke Presentation and Hospital Management: Comparison of Neighbouring Healthcare Systems with Differing Health Policies

  Crawford VLS, Dinsmore J, Stout RW, Donellan C, O'Neill D, McGee H
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  ABSTRACT: Background and Purpose— Acute stroke care is shaped by healthcare policies. Differing policies in similar populations allow for assessment of policy impact on health and healthcare outcomes. The purpose of this study was to compare stroke presentation and hospital care in two adjacent healthcare systems with differing healthcare policies. Methods— Interviews and chart review of consecutive acute stroke admissions in Northern Ireland (n=103) and the Republic of Ireland (n=100). Results— Marked regional contrasts were evident for key aspects of hospital care. Northern Ireland performed significantly better on 15 of 16 quality of care (Sentinel Audit) items. Delivery on standards was significantly better in Northern Ireland for early assessment (Northern Ireland 72%; Republic of Ireland 54%, P<0.01), multidisciplinary review (Northern Ireland 69%; Republic of Ireland 31%, P<0.001), medications review (Northern Ireland 54%; Republic of Ireland 19%, P<0.001), and for discharge-rehabilitation planning (Northern Ireland 83%; Republic of Ireland 8%, P<0.001). Preadmission prescription of advised cardiovascular medications was similar between regions for antihypertensives and anticoagulants but significantly higher in Northern Ireland for antiplatelets (Northern Ireland 65%; Republic of Ireland 38%, P=0.001) and lipid-regulating medication (Northern Ireland 44%; Republic of Ireland 26%; P=0.006). Prescribing levels increased in both regions and all medication categories by discharge but with significantly lower levels in Northern Ireland for antihypertensives (Northern Ireland 60%; Republic of Ireland 75%, P=0.025). Northern Ireland patients were more functionally dependent (mean Barthel Index 10.5 versus 12.7 [Republic of Ireland], P=0.013) and less aphasic (mean Frenchay Aphasia Screening Test 17.8 versus 16.8 [Republic of Ireland], P=0.022). Conclusions— In similar neighboring acute stroke populations, differing healthcare policies were associated with significant differences in processes of patient care. Policy reform is an important tool in ensuring optimal stroke care delivery.
  Stroke. 04/2009; 40:2143 - 2148.
• Article: Stroke presentation and hospital management: comparison of neighboring healthcare systems with differing health policies.

  Vivienne L S Crawford, John G Dinsmore, Robert W Stout, Claire Donnellan, Desmond O'Neill, Hannah McGee
  [show abstract] [hide abstract]
  ABSTRACT: Acute stroke care is shaped by healthcare policies. Differing policies in similar populations allow for assessment of policy impact on health and healthcare outcomes. The purpose of this study was to compare stroke presentation and hospital care in two adjacent healthcare systems with differing healthcare policies. Interviews and chart review of consecutive acute stroke admissions in Northern Ireland (n=103) and the Republic of Ireland (n=100). Marked regional contrasts were evident for key aspects of hospital care. Northern Ireland performed significantly better on 15 of 16 quality of care (Sentinel Audit) items. Delivery on standards was significantly better in Northern Ireland for early assessment (Northern Ireland 72%; Republic of Ireland 54%, P<0.01), multidisciplinary review (Northern Ireland 69%; Republic of Ireland 31%, P<0.001), medications review (Northern Ireland 54%; Republic of Ireland 19%, P<0.001), and for discharge-rehabilitation planning (Northern Ireland 83%; Republic of Ireland 8%, P<0.001). Preadmission prescription of advised cardiovascular medications was similar between regions for antihypertensives and anticoagulants but significantly higher in Northern Ireland for antiplatelets (Northern Ireland 65%; Republic of Ireland 38%, P=0.001) and lipid-regulating medication (Northern Ireland 44%; Republic of Ireland 26%; P=0.006). Prescribing levels increased in both regions and all medication categories by discharge but with significantly lower levels in Northern Ireland for antihypertensives (Northern Ireland 60%; Republic of Ireland 75%, P=0.025). Northern Ireland patients were more functionally dependent (mean Barthel Index 10.5 versus 12.7 [Republic of Ireland], P=0.013) and less aphasic (mean Frenchay Aphasia Screening Test 17.8 versus 16.8 [Republic of Ireland], P=0.022). In similar neighboring acute stroke populations, differing healthcare policies were associated with significant differences in processes of patient care. Policy reform is an important tool in ensuring optimal stroke care delivery.
  Stroke 04/2009; 40(6):2143-8. · 5.73 Impact Factor