Thilo Kroll

Thilo Kroll
University College Dublin | UCD · School of Nursing, Midwifery and Health Systems

PhD

About

252
Publications
42,289
Reads
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3,801
Citations
Introduction
Since 1992 I have been conducting interdisciplinary research into the social dimensions of health and well-being with a particular emphasis on health systems and public health perspectives on disability, ageing and social participation in Ireland, UK, USA, Germany and Scandinavia. I am particularly interested in advancing inclusive research with marginalised groups, and systems-level research
Additional affiliations
September 2016 - present
University College Dublin
Position
  • Professor
September 2005 - September 2016
University of Dundee
Position
  • Professor
December 1998 - June 2005
National Rehabilitation Hospital (NRH) MedStar
Position
  • Senior Researcher

Publications

Publications (252)
Article
Full-text available
Background Nurses and midwives role in sexual healthcare is essential to help patients, particularly women, ensure a satisfactory sexual wellbeing. Yet, these professionals often overlook this aspect of patients’ health. Little is known regarding nurses and midwives’ attitudes, views and experiences concerning sexual healthcare. Using a naturalisti...
Article
Background: Growing consensus supports public and patient involvement (PPI) in research as the lived experience of patients, family carers and users of health and social care services bring unique insights to healthcare research. The impact and burden of stroke present ongoing challenges for those living with its consequences and could potentially...
Article
Full-text available
Background Embedding Public and Patient Involvement (PPI) in postgraduate research has been recognized as an important component of post-graduate training, providing research scholars with an awareness and a skillset in an area which prepares them for future roles as healthcare researchers. Improving Pathways for Acute STroke And Rehabilitation (iP...
Article
An interest in applying creative arts-based research approaches, such as sandplay in the health and social care contexts, is growing worldwide. The aim of our study was to identify the existing studies that use sandplay as a method or intervention and their impact on different target groups in health and social care settings. We conducted this revi...
Article
Full-text available
A cross-sectional exploratory study was conducted to assess nurses and midwives’ attitudes and beliefs towards addressing patients' sexual health. A convenient sample of 305 nurses and midwives (professionals and students) were recruited from University Hospitals in Lebanon. The Sexuality Attitude and Belief Survey (SABS) was used and data about ba...
Article
Full-text available
Homelessness is a complex global public health challenge [...]
Cover Page
Dear Colleagues, Health systems struggle to provide integrated and timely healthcare at a population level. COVID-19 magnified the stark inequities in health and care globally, disproportionately impacting vulnerable groups, including people with disabilities, people from lower socio-economic groups, people who are homeless, migrants and refugees...
Article
Access at https://hrbopenresearch.org/articles/4-104 Background: We are currently in a period of transition, from the pre-COVID-19 (coronavirus disease 2019) era and the initial reactive lockdowns, to now the ongoing living with and potentially the after COVID-19 period. Each country is at its own individual stage of this transition, but many have...
Conference Paper
Abstract Unequivocally, there is no safe level of exposure to secondhand smoke (SHS), yet more than 8 million deaths worldwide are associated with smoking annually; seven million are associated with active smoking, and 1.2 million deaths result from SHS exposure. Tobacco control is a critical element to achieve worldwide success for Sustainable Dev...
Article
Background: Growing consensus supports public and patient involvement (PPI) in research as the lived experience of patients, family carers and users of health and social care services bring unique insights to healthcare research. The impact and burden of stroke present ongoing challenges for those living with its consequences and could potentially...
Article
Full-text available
Objective Identify process indicators to measure public health nursing practice during first postnatal visits in Ireland. Design Using a RAND/UCLA appropriateness- “modified Delphi” method, a two-round rating and ranking process was completed in 2016. Fifty-nine statements were reviewed for consensus and priority ranking. Sample The sample com...
Article
Full-text available
Objectives Exploring views and experiences of public health nurses of their work environment and measurement of care practices at first postnatal visits. Design An exploratory qualitative design. Data collected using four focus groups and analyzed using thematic analysis. Sample Nineteen public health nurses from four health service regions in...
Article
Aim The sudden and unexpected cardiac arrest of a family member can be a grief-filled and life-altering event. Every year many hundreds of thousands of families experience the cardiac arrest of a family member. However, care of the family during the cardiac arrest and after, is poorly understood and incompletely described. This review has been perf...
Article
Full-text available
Background: We are currently in a period of transition, from the pre-COVID-19 (coronavirus disease 2019) era and the initial reactive lockdowns, to now the ongoing living with and potentially the after COVID-19 period. Each country is at its own individual stage of this transition, but many have gone through a period of feeling adrift; disconnected...
Article
Full-text available
Objective Transgender and non-binary individuals frequently engage with healthcare services to obtain gender-affirming care. Little data exist on the experiences of young people accessing gender care. This systematic review and meta-ethnography aimed to identify and synthesise data on youths’ experiences accessing gender-affirming healthcare. Meth...
Conference Paper
Full-text available
The SHINE network is an interdisciplinary group of academic scientists, tobacco control specialists and policy makers, with expertise in second-hand smoke exposure, gender and health, poverty and social inequality, education and child development, health geography, economics, complex system approaches and design thinking. SHINE members participated...
Article
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Formal assessments of cognition that rely on language may conceal the non-linguistic cognitive function of people with aphasia. This may have detrimental consequences for how people with aphasia are supported to reveal communicative and decision-making competence. This case report demonstrates a multidisciplinary team approach to supporting the hea...
Article
This qualitative study explored the way middle-aged Lebanese women address their sexual difficulties. Data analysis revealed three overarching themes and subthemes. From these we developed a help-seeking behavior framework for sexual difficulties. The framework focuses on: the perception of the problem, the beliefs about help-seeking and the source...
Article
Full-text available
Background: The homeless population are among the most vulnerable groups to experience suicide ideation and behavior. Several studies have shown that people who are homeless experience more significant suicidal ideation and behavior than the general population. However, there is limited information about what suicide interventions exist, to what e...
Article
Full-text available
Introduction As chronic conditions such as dementia become increasingly prevalent, the role of caregivers will become ever more critical. In the East African region, little is known about the experiences of caring for people living with dementia. This study aims to describe the views of being a caregiver, including day-to-day responsibilities and d...
Article
Background : People across the world are living longer. This advantageous trend is escorted by an increased prevalence of chronic diseases, making healthcare needs more complex. Non-communicable diseases induce a sharply rising economic and societal cost, particularly in low- and middle-income countries (LMIC), where most older people reside. In th...
Article
Full-text available
Background The study explores women’s perception and experience of sexual difficulties. The need to address the subject was triggered by the scarcity of research that reflects on women’s subjective views on sexual difficulties. This is particularly crucial for middle-aged women who frequently experience hormonal and psychosocial changes that may af...
Article
The introduction of Animal Assisted Interventions (AAIs) in healthcare is relatively common; however, their actual effectiveness and long-term impact are not so well known, especially in relation to the children’s hospital setting. It is important to plot where and why animal interventions take place but also to focus on how the human animal bond i...
Article
Background: Interest in the application of music in the health, social care and community contexts is growing worldwide. There is an emerging body of literature about the positive effects of music on the well-being and social relationships of children and adult populations. Music has also been found to promote social interaction, communication skil...
Article
Full-text available
Introduction : As coronavirus disease 2019 (COVID-19) vaccines become available, it becomes important to understand public perceptions of the vaccines and implementation plans. The social media platform Twitter TM , which publicly shares information, serves as an important source of content related to COVID-19 vaccines. This study employed a qualit...
Article
Full-text available
The Coronavirus disease 2019 (COVID-19) pandemic public health and social protective measures imposed globally resulted in partial or full closure of key services and supports for services and supports for people with a disability, chronic illness or age-related dependency. This caused huge disruption to care provision and family carers were relied...
Article
Full-text available
Background: Shared decision-making (SDM) is a dialogical relationship where the physician and the patient define the problem, discuss the available options according to the patient’s values and preferences, and co-construct the treatment plan. Undertaking SDM in a clinical setting with patients who have limited, impaired or fluctuating cognitive ca...
Article
Full-text available
Introduction Sudden cardiac arrest is a leading cause of death. Family members often witness the event and attempt resuscitation. The physiological and psychological impact of a loved one's death, witnessed or unwitnessed, can be significant and long-lasting. However, little is known about the care needs of families during the cardiac arrest care o...
Article
Full-text available
Background Chronic illnesses, such as Rheumatoid Arthritis (RA), are a growing burden on health care systems worldwide. Self-management emphasises the patient’s central role in managing their illness. This is pertinent given the majority of care is provided by the individual themselves; yet how individuals make sense of self-management in everyday...
Article
Background: Strategy in hospitals is based on distinct principles and rules which lead organisations to act on chosen priorities. Hospitals are struggling to cope with increasing service demands and activity and need to become more responsive to changing environments while demonstrating effective use of resources. Strategizing involves the active p...
Article
Full-text available
Background: Sexual and reproductive health (SRH) outcomes of women within low resource contexts continue to be of concern to policymakers. Notably, sub-Saharan Africa (SSA) continues to lag behind other regions of the world in improving SRH outcomes for women in the region. A key suggested strategy is male involvement through interventions that res...
Article
Full-text available
In recent years, there has been a move toward a more human rights-based approach to the issue of supported and assisted decision-making (ADM) with legislative changes strengthening the formal right for older people to participate in care planning and decision-making. Ireland's Assisted Decision-Making (Capacity) Act, 2015 breaks from traditional vi...
Preprint
Full-text available
Background: Assisted Decision-Making (ADM) legislation in Ireland provides a statutory basis for the right of all individuals, including those with a disability, to be supported to participate as fully as possible in all decisions which affect their lives. ADM with older people who have impaired cognition may prove challenging for acute healthcare...
Article
Full-text available
Aim and Objective Explore the views and experiences of quality of care provided during a first postnatal visit from the perspectives of mothers and public health nurses. Background Quality of nursing care is high on the policy agenda internationally, especially in the year of Nurse and Midwife. Public health nurses are acknowledged nationally and...
Article
Full-text available
Introduction Disease trajectories are often uncertain among individuals living with mucopolysaccharidoses (MPS) due to the progressive nature of the illness and the goal of care. This study investigated the impact on caregivers and care providers of children and adults living with MPS. Methods The study used a cross-sectional design and a convenie...
Article
Full-text available
Background: Sudden cardiac arrest is a leading cause of death. Family members can be deeply impacted by sudden loss or uncertainty about survivor outcomes. The objective of this systematic review will be to identify, appraise, and meta-synthesize qualitative evidence regarding family care-needs when experiencing cardiac arrest. Methods: This system...
Article
Background: Young carers are young people who care for a relative or a friend with an illness, disability, frailty, a mental health issue or addiction. Across the world, it is challenging to calculate the exact numbers due to the invisible nature of their role that can exist due to stigmatisation and fear of authoritative intrusion. As young carers...
Article
Background: Young carers are young people who care for a relative or a friend with an illness, disability, frailty, a mental health issue or addiction. Across the world, it is challenging to calculate the exact numbers due to the invisible nature of their role that can exist due to stigmatisation and fear of authoritative intrusion. As young carers...
Article
Full-text available
Background Despite a strong evidence base and policy recommendation supporting the implementation of psychoeducation interventions within the mental health system, equitable access for many service users and family members has not been achieved. To enhance translation, developing an evidence-base around the factors that influence implementation of...
Article
In keeping with the conference theme Future of Humanity: analysis, advocacy and action; we propose a skills-building workshop incorporating innovative learning practices and use of design thinking processes for a pertinent public health issue - homelessness. Complex problems, including homelessness, remain intractable due to a number of issues incl...
Article
Background In many developed countries, homelessness remains an intractable challenge for intersectoral policies. People who are homeless struggle with a myriad of problems. They frequently experience stigmatisation and social marginalisation. Physical and mental health may be severely compromised, and it could be challenging to retain a sense of p...
Article
The introduction of animal interventions in healthcare are relatively common; however, their actual effectiveness and longer term findings are not so well known or published, especially in relation to the children’s hospital setting. It is important to plot where and why animal interventions take place but also to focus on how the human animal bond...
Cover Page
Full-text available
Special Issue "Health and Homelessness" A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health". Deadline for manuscript submissions: 31 March 2021. Dear Colleagues, Homelessness is a complex multicausal public health issue transcending ge...
Article
Full-text available
Background As chronic illnesses, such as rheumatoid arthritis (RA), place an increased burden on health‐care systems, the ability of individuals to self‐manage these diseases is crucial. Objective To identify and synthesize the lived experience of self‐management described by adults living with RA. Design A systematic search of five electronic da...
Article
Background: Sexual and reproductive health (SRH) outcomes of women within low resource contexts continue to be of concern to policymakers. Notably, sub-Saharan Africa (SSA) continues to lag behind other regions of the world in improving SRH outcomes for women in the region. A key suggested strategy is male involvement through interventions that res...
Article
Full-text available
Background: The University College Dublin (UCD) Public and Patient Invovlement (PPI) ignite program is focused on embedding PPI in health and social care related research, education and training, professional practice and administration. During a PPI knowledge sharing event challenges were noted during the pre-commencement stage of research projec...
Technical Report
Full-text available
A workshop was held in October 2019 comprising 40 invited academics, teachers, researchers, practitioners, policy makers and charities all involved in the provision of care and services for children and families who are currently homeless. The event started with a number of scene-setting presentations from various perspectives, including public hea...
Preprint
Full-text available
Background Despite a strong evidence base and policy recommendation supporting the implementation of psychoeducation interventions within the mental health system, equitable access for many service users and family members has not been achieved. To enhance translation, developing an evidence-base around the factors that influence implementation of...
Preprint
Full-text available
Background Despite a strong evidence base and policy recommendation supporting the implementation of psychoeducation interventions within the mental health system, equitable access for many service users and family members has not been achieved. To enhance translation, developing an evidence-base around the factors that influence implementation of...
Article
Full-text available
Background: Health inequities for children with intellectual disabilities are prevalent within different health systems, and children with intellectual disabilites have shorter life expectancies than the general population, higher mortality rates before the age of 17 and have a greater risk of potentially preventable hospitalisations. A health syst...
Article
Full-text available
Background: Young carers are individuals under 18 years who care for a relative with an illness, disability, a mental health issue or addiction. Across the world, it is challenging to calculate the exact numbers due to the invisible nature of their role that can exist due to stigmatisation and fear of authoritative intrusion. As young carers reach...
Article
Full-text available
Background: population‐based data are presented on the nature of dying in intellectual disability services. Methods: a retrospective survey was conducted over 18 months with a sample of UK‐based intellectual disability service providers that supported over 12,000. Core data were obtained for 222 deaths within this population. For 158 (71%) deaths,...
Article
Full-text available
This is an open letter to acknowledge the essential and increasingly challenging role unpaid family carers are playing in the COVID-19 pandemic. The letter is written by members of the CAREWELL team, a HRB-funded project that aims to promote health and self-care behaviours among working family carers. Family carers provide care to family and friend...
Article
Full-text available
Objective: The Assisted Decision-Making (ADM) (Capacity) Act was enacted in 2015 in Ireland and will be commenced in 2021. This paper is focused on this pre-implementation stage within the acute setting and uses a health systems responsiveness framework. Methods: We conducted face-to-face interviews using a critical incident technique. We interv...
Article
Many care home residents lack opportunities for meaningful activity and social connection, resulting in poor physical and emotional wellbeing. Providing residents with varied activities and social opportunities can improve their quality of life. In this paper, we examine the potential for film to provide a meaningful, social activity. The limited e...
Preprint
Full-text available
Background : The study explores women’s perception and experience of sexual difficulties and how they are shaped by the male-centred sexual interactions and social norms. The study is part of a work programme guided by a qualitative research design to provide a comprehensive understanding of women’s sexuality. The need to address the subject was tr...
Preprint
Full-text available
Background: The study explores women’s perception and experience of sexual difficulties. The need to address the subject was triggered by the scarcity of research that reflects on women’s subjective views on sexual difficulties. This is particularly crucial for middle-aged women who frequently experience hormonal and psychosocial changes that may a...
Preprint
Full-text available
Background: The study explores women's perception and experience of sexual difficulties. The need to address the subject was triggered by the scarcity of research that reflects on women's subjective views on sexual difficulties. This is particularly crucial for middle-aged women who frequently experience hormonal and psychosocial changes that may a...
Article
Full-text available
Background: The Rare Disease Research Partnership (RAinDRoP) was established in 2018 to bring together a wide variety of diverse voices in the rare disease community in Ireland and form a research partnership. This approach enabled clinicians, patients, carers and researchers to work together to identify top research priorities for rare diseases, w...
Article
Full-text available
The influence of a spinal cord injury on sexuality must be seen in the light of sexuality being a central aspect of being human according to WHO. The term is broad and covers many aspects of being. The focus in this paper is the lived experiences of sex life with a spinal cord injury understood as sex being a part of life. The aim of the study was...
Article
Full-text available
Background: Female Genital Mutilation/cutting (FGM/C) is a tradition rooted in culture and involves the partial or total removal or other injury to the female genital organs for non-medical reasons. In Kenya, initiatives to abandon the practice have included 'alternative' ritualistic programmes (ARPs) combined with intensive community sensitisatio...
Article
Full-text available
Female genital mutilation (FGM) remains a significant public health challenge and affects the lives of a million girls and women. Advocacy by men and their involvement in fighting the practice may influence the intention to have it performed; however, men often lack the opportunities and support to voice their stand. Increasingly, social media plat...
Article
Full-text available
Background: Despite evidence to support the effectiveness of psychoeducation for people experiencing mental health difficulties and their families, understanding issues around the implementation of such programmes is limited. Aim: The aim of this scoping review was to synthesise the peer-reviewed literature on barriers and enablers influencing the...