Barry Tolchard

Teesside University · Nursing & Midwifery

Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults published betwee...

ABSTRACT Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults publish...

ABSTRACT Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults publis...

Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults published betwee...

ABSTRACT Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults publish...

Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults published betwee...

Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults published betwee...

Obesity, body image, and depression are all biopsychosocial phenomena that are frequently misunderstood across cultures. Body dissatisfaction is a psychological aspect of obesity that has been associated with disordered eating, low self-esteem, and depression. Nevertheless, body image dissatisfaction may affect non-obese individuals too. Those with...

Physical inactivity causes 16.6% of UK deaths. This systematic review (SR) aims to investigate SRs published between 2016 and 2021 on the facilitators and barriers to physical activity (PA) participation among UK adults. Using the PICO framework and PRISMA method, an SR of SRs of studies on PA facilitators and barriers in UK adults published betwee...

From a Bangladeshi perspective, this commentary discusses the problem of vaccine hesitancy (VH) and its outcome within the Bangladeshi population, including minority ethnic groups. Relatively low vaccination rates among the Bangladeshi population are associated with people's social and economic conditions and are the focus of public health activiti...

Abstract Obesity's multifaceted causes give rise to a complex and diverse range of health associated morbidities and comorbidities, including diabetes, hypertension, and cardiovascular disease, particularly among British Asian and Minority Ethnic (BAME) populations within in the UK. As found within the recent COVID-19 pandemic these can have wider...

Obesity's multifaceted causes give rise to a complex and diverse range of health associated morbidities and comorbidities, including diabetes, hypertension, and cardiovascular disease, particularly among British Asian and Minority Ethnic (BAME) populations within in the UK. As found within the recent COVID-19 pandemic these can have wider reaching...

The Disabilities Act of 1990 and the Developmental Disabilities Assistance and Bill of Rights Act of 2000 of United States in act to prevent social exclusion of people with intellectual and developmental disabilities (IDDs) and to cut back on unneeded expenditures to society. However, despite the protective legislation, the rights of adults with ne...

Attention-deficit hyperactivity disorder (ADHD) is one of the most prevalent and highly debated diagnosis for mental disorder in practice today. Two decades of research have substantially contributed to evolving conceptualizations and understanding of the condition. However, this evolution has not been extended to theoretical research. Current cogn...

Past research has identified that individuals from BAME communities face health inequalities and report poorer outcomes from numerous health interventions. This study will explore some of the reasons with a focus on the perceptions towards physical activity in the lifestyle prevention of diseases. It will also seek to elicit a range of facilitators...

Background Court Mental Health Liaison and Diversion Services (CMHLDS) have developed in some countries as a response to the over-representation of mental illness and other vulnerabilities amongst defendants presenting to criminal justice (or correctional) systems. This study examined the characteristics and rates of mental disorder of 9088 defenda...

Background Physical inactivity accounts for 16.6% of deaths in the United Kingdom. This study aims to review the recent (2016–2021) systematic reviews (SRs) on the facilitators and barriers to physical activity (PA) participation among (UK)-based adults. Methods Using the Participants, Interventions, Comparators, and Outcomes framework and the Pref...

Purpose: Court Mental Health Liaison and Diversion Services (CMHLDS) have developed in some countries as a response to the over-representation of mental illness and other vulnerabilities amongst defendants presenting to criminal justice (or correctional) systems. This study examined the characteristics and rates of mental disorder of 9088 defendant...

Psychological theory and interpretation of research are key elements influencing clinical treatment development and design in Attention Deficit Hyperactivity Disorder (ADHD). Research-based treatment recommendations primarily support Cognitive Behavioural Therapy (CBT), an extension of the cognitive behavioural theory, which promotes a deficit-focu...

Aim Neurodevelopmental disorders (NDD) may present as neuropsychiatric problems as well as impairments of motor, cognitive, social and communication functioning. This study describes the introduction of a specialist service with expertise in NDD into an existing court mental health liaison and diversion service to determine if the service would imp...

This paper offers an historical overview of international mortality/healthcare classification systems, covering developments from the International List of Causes of Death (ILCD) through to the International Classification of Diseases (ICD). The ICD is a global data system established to classify diseases and mortality causes. The past few decades...

Rapid economic growth resulting from the ascendancy of Saudi Arabia as an international oil producer, and the recognition by the government of the right of all citizens and most expatriate workers to free healthcare facilitated the development of a three-tier health system ranked 26th in the world by the World Health Organisation in 2000. Concurren...

This paper details the process involved in developing the theoretical framework of factors for a major study entitled “Factors influencing the implementation of ICD-10 in Saudi public hospitals”. An original systematic review strategy, together with specific features of Endnote bibliographic manager software, were used to classify the global litera...

Modified national versions of the WHO’s International Statistical Classification of Diseases, current version ICD-10 with ICD-11 coming into effect in January 2022, have become the standard in many countries for diagnosis and procedure coding to facilitate the submission of medical billing and reimbursement by health insurers. The WHO ICD-10 exists...

BACKGROUND: The introduction of a mandatory health insurance system contributing towards the funding of national healthcare in Saudi Arabia necessitates the implementation of clinical coding and a unified health classification system, which has previously not been a feature of Saudi healthcare. As the Ministry of Health (MOH) moves to introduce ICD...

Purpose There is little information on youth gambling in Ghana even though there is an unprecedented emergence of various types of gambling and gambling venues throughout the country. The aim of this cross-sectional exploratory study was to examine the role of perceived social difficulties and perceived protective social factors in participation an...

Background: Global health education in tertiary institutions worldwide is at an all-time high. Until recently, most evaluations of student learning from a global exposure was in the form of a reflective paper with little information that would enable standardized assessment of the competencies gained. In 2015, the Consortium of Universities for Gl...

Student nurses maintain unfavorable views of people with mental health issues. Many continue to perpetuate common stereotypes, are fearful and believe people with mental health problems are in some way dangerous. The impact of placements greatly affects these views. A pre-post survey of 85 student nurses was conducted to establish the opinions and...

Purpose People with Autism Spectrum Disorder (ASD) are at greater risk of developing chronic health and risky lifestyle problems. This is exaggerated further for people living in rural settings and from cultural backgrounds traditionally underserved by healthcare services. This paper describes an evaluation of health and behavioural lifestyle outc...

There are a number of hard to reach and underserved communities who experience inadequate health care. In Australia, the Aboriginal and Torres Strait Islanders peoples experience low life expectancy, higher levels for chronic disease and elevated smoking and drinking. These problems are further exacerbated when living in regional and rural Australi...

Nursing students typically do not undertake clinical training in school settings. However, they are well placed to have a role in providing health screening and education in schools or community health venues under supervision of qualified nurses. This study provides a description and outcomes of a vision and hearing screening programme delivered b...

Background: There is evidence supporting the use of cognitive-behavioral therapy (CBT) in the treatment of problem gambling. Despite this, little is known about how CBT works and which particular approach is most effective. This paper aims to synthesize the evidence for current CBT and propose a more unified approach to treatment. Methods: A litera...

Approaches using self-help have proved successful at treating a range of mental and physical conditions. Guidance by a trained worker enhances the effects of self-help materials, in particular those based on Cognitive-Behavior Therapy. In the United Kingdom, the Improving Access to Psychological Therapies (IAPT) program was introduced to provide be...

Background: Problem gambling is a growing concern as governments become more reliant on gambling revenue particularly from increases in gambling casinos. It is widely reported that problem gamblers experience both high levels of comorbid mental health issues and subsequent disability that comes with such. To date, there have been few measures test...

Objectives: Little is known about the differences between urban and rural gamblers in Australia, in terms of comorbidity and treatment outcome. Health disparities exist between urban and rural areas in terms of accessibility, availability, and acceptability of treatment programs for problem gamblers. However, evidence supporting cognitive-behaviour...

The University of New England (UNE), Australia decided to develop innovative placement opportunities for its increasing numbers of nursing students. Extensive community and stakeholder consultation determined that a community centre in rural New South Wales was the welcomed site of the student-led clinic because it fit the goals of the project-to i...

Research has not determined whether typical improvements in psychosocial functioning following self-exclusion are due to the intervention. This study aimed to explore distinctive outcomes from self-exclusion by assessing outcomes between 1) self-excluders who had and had not received gambling counselling and 2) self-excluders compared to non-self-e...

Differences in problem gambling rates between males and females suggest that associated risk factors vary by gender. Previous combined analyses of male and female gambling may have obscured these distinctions. This study aimed to develop separate risk factor models for gambling problems for males and for females, and identify gender-based similarit...

Gambling has become a popular activity in both urban and rural settings. Although the prevalence and participation of gambling is well known, little has been reported regarding the impacts of gambling on rural communities. Therefore, a narrative literature review approach was adopted to examine what is known regarding gambling in rural communities....

This report is available at: http://www.responsiblegambling.vic.gov.au/__data/assets/pdf_file/0006/14289/A-comparative-study-of-men-and-women-gamblers.pdf Research objectives This study was funded by the Victorian Responsible Gambling Foundation to extend the analyses conducted for A Study of Gambling in Victoria (Hare, 2009) to provide detailed a...

Research has not fully explored factors that influence types of help used from the suite of available options once problem gamblers reach an action stage of change. This study aimed to explore critical factors influencing choice of help (or interventions) once people have decided to address their gambling problem. Particular emphasis was on counsel...

Gambling is on the rise throughout the world. Gambling operators are seeing new opportunities to introduce their products into less developed areas. Ghana has recently legalized gambling, giving residents the chance to play both online and with land based providers. There has been limited research into the impacts of legalizing gambling in Ghana, w...

This paper draws on a process evaluation of Queensland’ self-exclusion program to examine how people use the program, motivations for self-excluding, barriers to use, experiences and perceptions of program elements, and potential improvements. Detailed, reflective, first-person accounts were gathered through interviews with 103 problem gamblers, in...

This study assessed the effectiveness of Queensland gambling exclusion programs as a mechanism to minimise gambling-related harm, whether these effects are sustained over time and whether self-exclusion is more effective when combined with counselling and support. Research methods comprised a literature review, desktop review of Australian and inte...

Increased access to gambling is proving to be a great burden on the individuals who partake, their families and society in general. Despite growing evidence for the use of Cognitive-Behaviour Therapy (CBT) with problem gamblers, important questions remain unanswered regarding those individuals who do not respond to CBT. This paper compares gamble...

Although many attempts have been made to assess problem or pathological 10 gambling in adolescents, concerns have been raised about whether existing measures are 11 ideally suited for this purpose. Such measures are heavily influenced by traditional addiction 12 models common to the study of substance use. In contrast, more recent public health 13...

Cognitive-Behaviour Therapy (CBT) is considered the number one non-pharmacological treatment for a number of mental and psychological disorders (Tolin, 2010; Stuhlmiller & Tolchard, 2009). While CBT with problem gamblers has shown promise, the quality of the research in this area is lacking. One area of concern is that across the many trials and re...

Problem gambling is becoming an increasing issue throughout the world with greater numbers of people presenting to treatment services with gambling problems. However, many cases are still missed, due in part, to a lack of general screening tools that are able to be used by non-specialist gambling services. This paper presents the findings of a gamb...

In this paper we describe the development of the New England 4G Framework of Guided Self-health including rural health and workforce issues, models of care, and the United Kingdom’s (UK) ‘Improving Access to Psychological Therapies’ (IAPT) initiative from which the Framework was derived. With a long history in the UK of CBT delivery by workforces s...

There is a need to establish reliability and the various forms of validity in all measures in order to feel confident in the use of such tools across a wide diversity of settings. The aim of this study is to describe the reliability and validity of the Victorian Gambling Screen (VGS) and in particular one of the sub-scales (Harm to Self-HS) in a sp...

Cognitive-behavioral therapy (CBT) is the most effective nonpharmacological treatment for almost all mental disorders, especially anxiety and depression. The treatment is time limited, encourages self-help skills, is problem focused, is inductive, and requires that individuals develop and practice skills in their own environment through homework. H...

The Somatisation Project (SP) was one of eight sub-projects of the South Australian HealthPlus Coordinated Care Trial. This trial involved the enrolment of an original cohort of 4,600 subjects. Of these, 124 subjects (89 intervention and 35 controls) suffering from GP diagnosed somatisation disorder (SD) constituted the SP cohort. One of the tasks...

Objective: The aim of the study was to systematically describe and analyse the 12 month period prevalence of suicidal ideation and behaviour of a cohort of patients who had a diagnosis of pathological gambling. Method: Seventy-nine people with a diagnosis of pathological gambling received a mailout survey. The survey included four psychometric inst...

Cognitive-behavioral therapy (CBT) is the most effective nonpharmacological treatment for almost all mental disorders, especially anxiety and depression. The treatment is time limited, encourages self-help skills, is problem focused, is inductive, and requires that individuals develop and practice skills in their own environment through homework. H...

This chapter provides an outline of the theoretical framework, assessment process, specific treatment methods, and measurement of treatment outcomes of the Flinders Therapy Service for Problem Gamblers. A case example and outcome data are provided to demonstrate the treatment model and its effectiveness. An overview of treatment outcomes for proble...

General Practitioners (GPs) are well placed to identify problem gamblers and provide early intervention. To date there is no evidence to suggest that GP's are routinely screening patients for potential gambling problems. This paper discusses the prevalence of problem gambling, the links with other health problems and ways that GPs can assist. Resul...

This study aimed to describe the 12-month period prevalence and risk factors for suicidal ideation and behaviour in a cohort of patients with pathological gambling attending a treatment service. Seventy-nine people with a diagnosis of pathological gambling received a mail out survey that included questions on postulated risk factors for suicidal id...

There is a paucity of treatment-outcome research for problem or pathological gambling. Single-session exposure therapy has been used successfully with a broad range of psychological disorders such as panic disorder and the phobias. This article will describe the use of single-session graded exposure to treat problem gambling with an Electronic Gami...

AbstractIntroductionThis paper reports on one major finding of an educational initiative aimed at improving the care of persons presenting to emergency departments (EDs) with mental health issues. This goal, to improve care, was based on the premise that enhanced knowledge and skills of ED staff in mental health, including drug and alcohol issues,...

The training and outcomes for a mental health nurse, who completed a 6-month nurse behavioural psychotherapy course at Flinders Medical Centre (Bedford Park, South Australia) is described. Completion of this course enabled the nurse to work mainly with pathological gamblers as a trainee nurse behaviour therapist. Her experience demonstrates that wi...

The South Oaks Gambling Screen (SOGS) is a psychometric instrument widely used internationally to assess the presence of pathological gambling. Developed by Lesieur and Blume (1987) in the United States of America (USA) as a self-rated screening instrument, it is based on DSM-III and DSM-III-R criteria. This paper describes the origins and psychome...

Introduction Many forms of gambling exist in Australia. However, there has been a dramatic increase in opportunities to gamble, and it is important to be able to track the consequences of such policies, so as to ensure that harm is minimised. Dissatisfaction with existing methods of defining and measuring problem gambling led the previous Research...

This report provides a summary of prevalence of gambling and its social impacts within the South Australian community. It also provides some insight into the effects of advertising and provision of information relating to assistance for those people identified as problem gamblers.

South East Essex PCT has commissioned an integrated COPD service. At the core is the philosophy of patient centered care to achieve high quality care, equality of care for all patients with COPD, ease of access so patients receive the appropriate care, producing an educational programme which ensures a sustainable service, improved patient informat...

The national coordinated care trials have been a vehicle for health reform in Australia, driven by escalating health care costs and projections of an ageing population. The first round of trials conducted between 1997 and 1999 set the trials a challenge to reduce financial and system barriers to enable health professionals in all sectors and consum...

Nurses have been employed as behavioural psychotherapists for over 25 years. The first training in this field was established at The Maudsley Hospital ( Marks et al. 1977 ). Since then there have been a number of courses producing many specialist nurse behavioural psychotherapists (NBTs) ( Duggan et al. 1993 ). Nurse behavioural therapy is taken to...

This paper describes a pilot program that examined the feasibility of training for qualified mental health nurses in behavioural psychotherapy in response to the perceived need for improved client access to services. A 6-month course was conducted with four nurses from the in-patient mental health unit at Flinders Medical Centre, South Australia. T...

This paper describes a pilot program that examined the feasibility of training for qualified mental health nurses in behavioral psychotherapy in response to the perceived need for improved client access to services. A 6-month course was conducted with 4 nurses from the in-patient mental health unit at Flinders Medical Centre, South Australia. They...

Treatment of Gilles de la Tourette syndrome using behavioural psychotherapy: a single case example. This paper describes the clinical condition of Gilles de la Tourette syndrome (TS) and outlines some of the causes for the condition and its possible treatments. It describes a single case demonstrating the effectiveness of one type of treatment, nam...