Sheeba Rosewilliam

• Phd
• Lecturer at University of Birmingham

Background Home-based cardiac rehabilitation is increasingly popular for patients with cardiovascular diseases. However, this mode of rehabilitation involves unsupervised exercise, making it challenging to assess, correct, and monitor exercise fidelity (the extent to which the patient performs the exercise intended by the intervention provider). Th...

Background Stroke is currently the second leading cause of death in Saudi Arabia (SA), with an annual incidence rate of 29 per 100,000 people. There is a huge demand for rehabilitation services for people who have had a stroke living in the community; however, the services in SA do not meet this need due to a lack of community rehabilitation servic...

Objective To evaluate the feasibility of implementing a self-management intervention to improve mobility in the community for stroke survivors. Methods A two-phase sequential mixed methods design was used (a pilot randomised controlled trial and focus groups). Participants were adult stroke survivors within six months post discharge from hospital...

Background Home-based cardiac rehabilitation is increasingly popular for patients with cardiovascular diseases. However, this mode of rehabilitation involves unsupervised exercise, making it challenging to assess, correct, and monitor exercise fidelity (the extent to which the patient performs the exercise intended by the intervention provider). Th...

There are about 29 strokes per 100,000 people, annually, in the Kingdom of Saudi Arabia (KSA). These patients require long-term rehabilitation services to enhance recovery and independence in the community. Currently there are limited long-term rehabilitation services in KSA and research is needed to establish pathways for provision of community-ba...

Objective: To evaluate the feasibility of implementing a self-management intervention to improve mobility in the community for stroke survivors. Methods: A sequential mixed methods design was used (a pilot randomised controlled trial and focus groups). Participants were adult stroke survivors within six months post discharge from hospital with func...

Background Narrative master plots identify illness stories which are recognisable within clinical settings. Responses to different master plots by physiotherapy students can lack empathy and need to be understood further. One narrative master plot for people with stroke that has not been well studied is called ‘overcoming the monster’. Research is...

Purpose: To investigate the feasibility and acceptability of a volunteer-led balance programme for older adults. Methods: A feasibility cluster RCT with focus groups were conducted in faith-based institutions. Eligibility criteria were: participants were ≥65 years, able to do five times sit -to-stand, had no falls in the previous six months and...

Objective To explore experiences, needs and rehabilitation priorities of patients who had their stroke and the experiences of therapists managing stroke patients during the COVID-19 pandemic. Design Exploratory qualitative study. Setting Acute, sub-acute and community stroke facilities. Subjects Twenty-two participants. Twelve therapists (all fe...

Background Research is needed that considers student health care professional (HCP) reactions to different stories of illness. Master plots identify illness stories which are recognisable within particular settings. One master plot for people with stroke that has not been well studied is called ‘overcoming the monster’. Students reactions to such a...

Healthcare providers must consider stroke survivors needs in order to enable a good quality of life after stroke. This review aimed to investigate the perceived needs of the stroke survivors across various domains of care following their discharge from hospital. A meta-ethnographic review of qualitative studies that reported needs of stroke patient...

Background/Aims Research that considers illness narrative ‘master plots’ (common and recognisable story plots related to the experience of illness), as expressed by individuals who have had a stroke, is needed Thus far, the literature has focused on identifying pre-established illness narrative master plots: the restitution, the chaos and the quest...

Background/Aims: Research is needed that considers illness narrative master plots expressed by individuals who have had a stroke. The literature so far has focused on identified pre-established illness narrative master plots. Further research needs to identify if other master plots exist and consider the implication of such plots. Methods: A narra...

Background Motor neurone disease (MND) is a fatal neurodegenerative disease characterised by a loss of upper and/or lower motor neurones, consequential progressive respiratory muscle weakness, and eventual death from respiratory failure. Non-invasive ventilation (NIV) is the standard treatment for hypoventilation in these patients; however, literat...

Background Goal setting in Palliative Care (PC) helps to tailor patients’ care through their active participation. Methods used in Western Countries may not apply directly to the East Asian (EA) population due to cultural differences. Objective To explore the methods used for goal setting in PC within the EA populations, involving patients’ and fa...

Purpose: To review the evidence around self-management interventions used to improve mobility post-stroke. Materials and methods: An integrative review was carried out. Eight databases were searched from 1992 to July 2021 using keywords based on the PICOS strategy. Two reviewers independently screened and extracted the relevant data. Quality of...

(1) Background; limited research exists which considers master plots expressed by individuals with Stroke. The literature so far has focused on identified pre-established illness narrative types; (2). Methods: A narrative method was selected and a purposive sample of individuals with Stroke are identified. A categorical-form analysis was undertaken...

Background: Review-based research is needed which can establish the psychosocial outcomes and mechanisms of “storytelling and sharing” interventions for people with stroke. This information will act to inform the value and development of such interventions. Methods: An integrative review was conducted in three stages: (a) a systematic search strate...

Objective Test whether a single e-learning session can improve empathy and communication across pre-registration and postgraduate physiotherapy students. Methods Design:Two-phase sequential mixed methods study. Phase 1: Pilot randomised control trial. Phase 2: Qualitative study using interpretive phenomenological analysis. Sampling: A purposive sa...

Background: Developing patient-centred skills in health professional students relies on their learning experiences at the university and on clinical placements. It is not known what students perceive about their teaching on patient-centredness and their views to develop the curriculum in this aspect. Methods: Multiple focus groups were conducted w...

Background: A patient-centred approach to care is increasingly the mandate for healthcare delivery. There is a need to explore how health professional students develop patient-centred attributes. This study aims to understand the extent of patient-centred orientations of health professional students, their perceptions and factors influencing their...

Objectives To assess the extent of shared decision-making within goal-setting meetings and explore patient-reported factors that influenced their participation to shared decision-making about their goals. Design A two-phase explanatory sequential mixed-methods study, using questionnaires and interviews. Setting A rehabilitation centre and patient...

Objectives: To understand how illness narrative master plots may be expressed and associated together and to determine how stories are used to demonstrate the psychological benefits of exercise rehabilitation. Design: A subtle realist paradigmatic position was assumed which utilised a hermeneutic phenomenological methodology. Setting: Two community...

Objective To map out and synthesise literature that considers the extent of shared decision-making (SDM) within goal-setting in rehabilitation settings and explore participants’ views of this approach within goal-setting. Methods Four databases were systematically searched between January 2005-September 2015. All articles addressing SDM within goa...

Objective To explore whether goal-setting for rehabilitation with acute stroke survivors is patient-centred and identify factors which influence the adoption of patient-centredness in goal-setting practice. Setting Acute stroke unit in a large teaching hospital in England. Participants Patients with stroke who had no cognitive or significant comm...

Objectives To investigate effects of surface neuromuscular electrical stimulation applied early after stroke to the wrist and finger extensor muscles on upper limb pain, spasticity and contractures in patients with no functional arm movement. Design Secondary analysis from a Phase II, randomized, controlled, single-blind study. Setting An acute h...

Rosewilliam S, Malhotra S, Roffe C, Jones P, Pandyan AD. Can surface neuromuscular electrical stimulation of the wrist and hand combined with routine therapy facilitate recovery of arm function in patients with stroke? To investigate whether treatment with surface neuromuscular electrical stimulation to the wrist extensors improves recovery of arm...

Objective: To map out from the literature the nature, extent and effects of application of patient-centred goal setting in stroke rehabilitation practice. Design: Systematic review. Data sources: A search was conducted in the Cochrane (Wiley), AMED, Medline (EBSCO), Embase, Sports discuss, Medline (Ovid) and CINAHL databases. Secondary search based...

Objective: To investigate the time course of development of spasticity and contractures at the wrist after stroke and to explore if these are associated with upper limb functional recovery. Design: Longitudinal observational study using secondary data from the control group of a randomized controlled trial. Setting: The Acute Stroke Unit at the Uni...

Introduction Explicitly describing therapy for research purposes, in terms of content and quantity, improves the validity of research and facilitates evidence-based clinical practice. However, such descriptions are not common in therapy research. The aim was to develop an upper limb therapy protocol which reflected local clinical practice in the st...