Kenneth FinlaysonUniversity of Central Lancashire | UCLAN · College of Health and Wellbeing
Kenneth Finlayson
Doctor of Philosophy
About
48
Publications
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1,961
Citations
Citations since 2017
Publications
Publications (48)
Background
Effective postnatal care is important for optimal care of women and newborns–to promote health and wellbeing, identify and treat clinical and psychosocial concerns, and to provide support for families. Yet uptake of formal postnatal care services is low and inequitable in many countries. As part of a larger study examining the views of w...
The World Health Organization (WHO) recently published a new recommendation on the use of the uterine balloon tamponade for the treatment of post-partum hemorrhage. The recommendation that uter-ine balloon tamponade should be used only where there is already access to other postpartum hemorrhage treatments (including immediate recourse to surgery)...
Background
The World Health Organization (WHO) recommends one ultrasound scan before 24 weeks gestation as part of routine antenatal care (WHO 2016). We explored influences on provision and uptake through views and experiences of pregnant women, partners, and health workers.
Methods
We undertook a systematic review (PROSPERO CRD42021230926). We de...
Background
Frailty is associated with adverse health outcomes in people with chronic kidney disease (CKD). Evidence supporting targeted interventions is needed. This pilot randomised controlled trial (RCT) aimed to inform the design of a definitive RCT evaluating the effectiveness of a home-based exercise intervention for pre-frail and frail older...
Background:
Frailty is associated with adverse health outcomes in people with chronic kidney disease (CKD). Evidence supporting targeted interventions is needed. This pilot randomised controlled trial (RCT) aimed to inform the design of a definitive RCT evaluating the effectiveness of a home-based exercise intervention for pre-frail and frail olde...
Background:
Postpartum haemorrhage (PPH) is a leading cause of maternal mortality and severe morbidity globally. When PPH cannot be controlled using standard medical treatments, uterine balloon tamponade (UBT) may be used to arrest bleeding. While UBT is used by healthcare providers in hospital settings internationally, their views and experiences...
Introduction:
Rates of medical interventions in normal labour and birth are increasing. This prospective meta-analysis (PMA) proposes to assess whether the addition of a comprehensive multicomponent birth preparation programme reduces caesarean section (CS) in nulliparous women compared with standard hospital care. Additionally, do participant cha...
Background and Aims
Frailty is highly prevalent in adults with chronic kidney disease (CKD) and is associated with adverse health outcomes. However, exercise training may improve physical function leading to associated improvements in outcomes. The EX-FRAIL CKD trial (ISRCTN87708989) aimed to inform the design of a randomised controlled trial (RCT)...
Introduction
Frailty is highly prevalent in adults with chronic kidney disease (CKD) and is associated with adverse health outcomes including falls, poorer health-related quality of life (HRQOL), hospitalisation and mortality. Low physical activity and muscle wasting are important contributors to physical frailty in adults with CKD. Exercise traini...
Introduction
The postnatal period is an underserved aspect of maternity care. Guidelines for postnatal care are not usually informed by what matters to the women who use it. This qualitative systematic review was undertaken to identify what matters to women in the postnatal period, to inform the scope of a new World Health Organization (WHO) postna...
Objective
To review what is known about the relationship between stillbirth and inequalities from different disciplinary perspectives to inform stillbirth prevention strategies.
Design
Systematic review using the meta-narrative method.
Setting
Studies undertaken in the UK.
Data sources
Scoping phase: experts in field, exploratory electronic sear...
Background:
WHO has recognised the need to ensure that guideline processes are transparent and evidence based, and that the resulting recommendations are relevant and applicable. Along with decision-making criteria that require findings from effectiveness reviews, WHO is increasingly using evidence derived from qualitative evidence syntheses (QES)...
Background:
This is the third in a series of three papers describing the use of qualitative evidence syntheses (QES) to inform the development of clinical and health systems guidelines. WHO has recognised the need to improve its guideline methodology to ensure that decision-making processes are transparent and evidence based, and that the resultin...
Background:
WHO has recognised the need to improve its guideline methodology to ensure that guideline decision-making processes are transparent and evidence based, and that the resulting recommendations are relevant and applicable. To help achieve this, WHO guidelines now typically enhance intervention effectiveness data with evidence on a wider r...
Background:
Antenatal care (ANC) is a core component of maternity care. However, both quality of care provision and rates of attendance vary widely between and within countries. Qualitative research can assess factors underlying variation, including acceptability, feasibility, and the values and beliefs that frame provision and uptake of ANC progr...
Background
Postpartum haemorrhage (PPH) is a leading cause of maternal mortality and morbidity. Reducing deaths from PPH is a global challenge. The voices of women and healthcare providers have been missing from the debate around best practices for PPH prevention. The aim of this review was to identify, appraise and synthesize available evidence ab...
Search strategy example.
(TIF)
Study selection and CERQual grading.
(XLSX)
[This corrects the article DOI: 10.1371/journal.pone.0194906.].
Introduction
Design and provision of good quality maternity care should incorporate what matters to childbearing women. This qualitative systematic review was undertaken to inform WHO intrapartum guidelines.
Methods
Using a pre-determined search strategy, we searched Medline, CINAHL, PsycINFO, AMED, EMBASE, LILACS, AJOL, and reference lists of eli...
Quality assessment, data extraction and CERQual grading.
(XLSX)
Background:
Several studies have identified how mistreatment during labour and childbirth can act as a barrier to the use of health facilities. Despite general agreement that respectful maternity care (RMC) is a fundamental human right, and an important component of quality intrapartum care that every pregnant woman should receive, the effectivene...
Objective
To assess whether the multitherapy antenatal education ‘CTLB’ (Complementary Therapies for Labour and Birth) Study programme leads to net cost savings.
Design
Cost analysis of the CTLB Study, using analysis of outcomes and hospital funding data.
Methods
We take a payer perspective and use Australian Refined Diagnosis-Related Group (AR-D...
This protocol is being withdrawn and will be merged with another published protocol "Factors that influence the uptake of routine antenatal services by pregnant women: a qualitative evidence synthesis".
![Table 1 'Practical Expressions of Rigour' [26]](profile/Lesley-Kay/publication/319466029/figure/tbl1/AS:614288536379394@1523469208219/Practical-Expressions-of-Rigour-26_Q320.jpg)
Background
The birth story has been widely understood as a crucial source of knowledge about childbirth. What has not been reported is the effect that birth stories may have on primigravid women’s understandings of birth. Findings are presented from a qualitative study exploring how two generations of women came to understand birth in the milieu of...
This is a protocol for a Cochrane Review (Qualitative). The objectives are as follows: - To identify the factors influencing the provision of quality ANC according to health care providers - To explore how these factors relate to, and help to explain the findings of, the related Cochrane intervention reviews
This is a protocol for a Cochrane Review (Qualitative).
The objectives are as follows:
To identify, appraise, and synthesise qualitative studies exploring: women’s views and experiences of antenatal care; and factors influencing the uptake of antenatal care arising from women’s accounts.
Background:
Global uptake of antenatal care (ANC) varies widely and is influenced by the value women place on the service they receive. Identifying outcomes that matter to pregnant women could inform service design and improve uptake and effectiveness.
Objectives:
To undertake a systematic scoping review of what women want, need and value in pre...
Background:
Using patient-reported outcome measures (PROMs) to assess Quality of Life (QoL) is well established, but commonly-used PROM item-sets do not necessarily capture what all respondents consider important. Measuring complex constructs is particularly difficult in randomised controlled trials (RCTs). The Mother-Generated Index (MGI) is a va...
Background:
Self-hypnosis is becoming increasingly popular as a means of labour pain management. Previous studies have produced mixed results. There are very few data on women's views and experiences of using hypnosis in this context. As part of a randomized controlled trial of self-hypnosis for intra-partum pain relief (the SHIP Trial) we conduct...
(Primary) To establish the effect of antenatal group self-hypnosis for nulliparous women on intra-partum epidural use.
Multi-method randomised control trial (RCT).
Three NHS Trusts.
Nulliparous women not planning elective caesarean, without medication for hypertension and without psychological illness.
Randomisation at 28-32 weeks' gestation to usu...
Global strategies to reduce maternal mortality include the ambitious goal of achieving universal access to antenatal care by 2015. This target is unlikely to be achieved, especially in developing countries where antenatal coverage is often less than 50 per cent. Although much is known about the types of women who do not engage with antenatal servic...
Objective
To explore mothers' perceptions of Family Centred Care (FCC) in Neonatal Intensive Care Units (NICUs) in England.
Design
The qualitative experiences of 12 mothers from three NICUs in the UK were elicited using individual interviews. A Thematic Network Analysis was conducted on the transcribed interviews
Main Outcome Measures
A central g...
Almost 50% of women in low- and middle-income countries (LMICs) don't receive adequate antenatal care. Women's views can offer important insights into this problem. Qualitative studies exploring inadequate use of antenatal services have been undertaken in a range of countries, but the findings are not easily transferable. We aimed to inform the dev...
Effective collaboration between professional groups is increasingly seen as an essential element in good quality and safe health care. This is especially important in the context of maternity care, where most women have straightforward labour and birth experiences, but some require rapid transfer between care providers and settings. This article pr...
In high-resource settings around 20% of maternal deaths are attributed to women who fail to receive adequate antenatal care. Epidemiological evidence suggests many of these women belong to marginalised groups often living in areas of relative deprivation. Reasons for inadequate antenatal attendance have yet to be fully evaluated.
To identify the fa...
The emerging field of qualitative synthesis is an exciting area of research with the potential to influence policy and practice. It is also saturated with a variety of unresolved philosophical, terminological and methodological discussions which may seem daunting to the novice researcher This article by Kenneth Finlayson and Annie Dixon attempts to...
Projects
Projects (2)
The EX-FRAIL CKD trial is a mixed-methods, two-arm parallel group pilot randomised controlled trial that aims to inform the design of a definitive RCT that investigates the efficacy of a progressive, multi-component home-based exercise programme in pre-frail and frail older adults with CKD.
https://doi.org/10.1186/ISRCTN87708989
https://vimeo.com/330726820
Analysis and synthesis of women's views and experiences of maternity provision to inform the WHO guidelines on antenatal and intra-partum care.
