Papers by Claire Ballinger
Objective: To explore respiratory physiotherapists' views and experiences of using goal-setting w... more Objective: To explore respiratory physiotherapists' views and experiences of using goal-setting with people with chronic obstructive pulmonary disease (COPD) in rehabilitation settings. Participants: Seventeen respiratory physiotherapists with ≥12 months current or previous experience of working with patients with COPD in a non-acute setting. Participants were diverse in relation to age (25-49 years), sex (13 women), experience (Agenda for Change bands 6-8) and geographic location. Method: Data were collected via face-to-face qualitative in-depth interviews (40-70 minutes) using a semi-structured interview guide. Interview locations were selected by participants (included participants' homes, public places, and University). Interviews followed an interview guide, were audio-recorded and transcribed verbatim. Data Analysis: Data were analysed using thematic analysis; constant comparison was made within and between accounts, and negative case analysis was used. Results: Three themes emerged through the process of analysis: 1) 'Explaining goal setting'; 2) 'Working with goals'; and 3) 'Influences on collaborative goal-setting'. Goal-setting practices among respiratory physiotherapists varied considerably. Collaborative goal-setting was described as challenging and was sometimes driven by service need rather patient values. Lack of training in collaborative goal-setting at both undergraduate and postgraduate level was also seen as an issue. Conclusion: Respiratory physiotherapists reflected uncertainties around the use of goal setting in their practice, and conflict between patients' goals and organisational demands. This work highlights a need for wider discussion to clarify the purpose and implementation of goal-setting in respiratory rehabilitation. http://mc.manuscriptcentral.com/clinrehab Clinical Rehabilitation
The Critical Practitioner in Social Work and Health Care, 2008
Physiotherapy, 2006
... Refers to article: Letter to the Editor Emma Tebbutt, Joanne Boddy Physiotherapy December 200... more ... Refers to article: Letter to the Editor Emma Tebbutt, Joanne Boddy Physiotherapy December 2006 (Vol. 92, Issue 4, Page 263) Full Text | Full-Text PDF (67 KB). 1 August: Reed Elsevier response to letter from the Editor/Editorial ...
Dean/Interprofessional Rehabilitation, 2012
Mental Handicap Research, 1993
... Claire Ballinger Disability Equipment Assessment Centre, University Rehabilitation Research U... more ... Claire Ballinger Disability Equipment Assessment Centre, University Rehabilitation Research Unit, Level C, West Wing, Southampton General Hospital, Tremona Road ... or large community unit settings (see Mansell, Jenkins, Felce & de Kock 1984; de Kock, Saxby, Thomas & ...
Ageing & Society, 2002
Risk is frequently invoked in contemporary accounts of ill health, but its construction is often ... more Risk is frequently invoked in contemporary accounts of ill health, but its construction is often constrained by a rationalist perspective that focuses on physical causes and functional outcomes, and that presents risk as external to the self and predictable. This paper describes an empirical study of the ways in which risk was realised and managed in a day hospital for older people. An ethnographic approach, with participant observation and semi-structured interviews, and discourse analysis were used to explore these issues with the staff and fifteen users. Whilst the service providers were orientated to the management of physical risk, as through the regimes for administering medication and their attention to risk reduction in the physical environment, the service users were more concerned with the risk to their personal and social identities, and they more frequently described its manifestations in interpersonal exchanges, sometimes as infantalisation and stereotyping. The paper develops this understanding of the potential for falls among older people to elucidate a broader interpretation of risk, and reveals that it is commonly constructed as a challenge to a person's self-image and identity. Such constructions help to explain older people's responses to complex health problems and to the services and treatments that attempt to solve them.
Journal of Aging and Health, 2008
Objective. This study seeks to determine the efficacy of environmental interventions in reducing ... more Objective. This study seeks to determine the efficacy of environmental interventions in reducing falls in community-dwelling older people. Method. A systematic review and meta-analysis of randomized trials was performed. Results. Pooled analysis of six trials (N = 3,298) demonstrated a 21% reduction in falls risk (relative risk [RR] = 0.79; 0.65 to 0.97). Heterogeneity was attributable to the large treatment effect of one trial. Analysis of a subgroup of studies with participants at high risk of falls (four trials, n = 570) demonstrated a clinically significant 39% reduction of falls (RR = 0.61; 0.47 to 0.79), an absolute risk difference of 26% for a number needed to treat four people. Discussion. Home assessment interventions that are comprehensive, are well focused, and incorporate an environmental-fit perspective with adequate follow-up can be successful in reducing falls with significant effects. The highest effects are associated with interventions that are conducted with high-risk groups.
Australian Occupational Therapy Journal, 2010
Design: The study was carried out in two qualitative focus groups formed in each Rheumatology cen... more Design: The study was carried out in two qualitative focus groups formed in each Rheumatology centre, within five European countries. Setting: Rheumatology centres in Austria (Medical University of Vienna), The Netherlands (Leiden University Medical ...
British Journal of Nursing, 1996
The choice of appropriate equipment to promote patient independence and enhance nursing care is o... more The choice of appropriate equipment to promote patient independence and enhance nursing care is of major concern to the nurse in the ward environment. This article reports on a recent evaluation of specialist commodes, (Ballinger et al, 1994), with reference to the programme funded by the Medical Devices Agency, Department of Health, under whose auspices the project was carried out. The results of user evaluations and technical tests of six mobile commodes are presented, the preferred model being the Mayfair commode supplied by Carters (J&A) Ltd. The article concludes by identifying a number of important considerations to bear in mind when selecting a commode.
Support for Learning, 1997
The British Journal of Occupational Therapy, 2014
ABSTRACT Introduction: People with learning disabilities experience higher rates of injury compar... more ABSTRACT Introduction: People with learning disabilities experience higher rates of injury compared to the general population, but little is known about the circumstances and perceived impact of these injuries on people with learning disabilities themselves.Method: Content analysis was conducted from interviews with 113 adults with learning disabilities who had at least one injury in a 12–month period. Qualitative interviews were conducted with ten adults with learning disabilities (and their carers where appropriate) who had experienced serious or frequent injury or frequent falls with or without injury in a 12–month period.Findings: The most commonly reported contributory factors for injuries and/or falls were related to physical health status (for example, epilepsy) and the environment (for example, walking/banging into furniture or stairs/steps). In terms of perceived impact, the development of fear of walking outdoors unsupported or fear of crossing a road were highlighted. The non-use and misuse of assistive technology was also highlighted as a concern.Conclusion: These findings demonstrate that occupational therapists have a key role to play in tailoring injury and fall prevention strategies and interventions for people with learning disabilities. In particular, environmental assessment and monitored use of assistive technology is important.
Aging & Mental Health, 2014
The British Journal of Occupational Therapy, 2011
ABSTRACT Introduction: The representations of old age in falls prevention websites were explored ... more ABSTRACT Introduction: The representations of old age in falls prevention websites were explored and considered for their potential impact on older people's uptake of the advice. Method: Websites were searched for using the strategy of a previous systematic-style review and evaluated using the principles of discourse analysis. Findings: In the analysis of 33 websites, three main subject positions afforded to older readers were identified: (1) Passive recipients: victims of the ageing process, ignorant, ill-informed and vulnerable; (2) Rational learners: responsive to information, rational problem solvers and compliant with prescriptive advice; and (3) Empowered decision makers: actively engaged with and evaluative of information, autonomous and responsible for their course of action. Discussion: Falls prevention websites were rarely designed according to evidence-based recommendations concerning fit with positive self-identity and empowerment of active self-management of health. Although the representation of older people as passive and inert was most evident, the image of empowered decision makers was most likely to engage older people in preventing falls. Conclusion: Occupational therapists should ensure that they represent older people in a positive and respectful manner in falls prevention information, both that available through the internet and in written form.
Arthritis Care & Research, 2013
To conduct a systematic review to assess the effectiveness of patient education interventions del... more To conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy.
The British Journal of Occupational Therapy, 2014
ABSTRACT
Radiography, 2014
A mixed methods study was undertaken to investigate the role of Assistant Practitioners (APs) in ... more A mixed methods study was undertaken to investigate the role of Assistant Practitioners (APs) in radiography from an AP perspective and to explore how their roles have been integrated into the radiography workforce across England. The quantitative survey was followed by a qualitative study utilising semistructured interviews, findings of which are presented in this paper. Thirty eight face to face, semistructured interviews were conducted. Thematic analysis allowed the researcher to report experiences and meanings for APs, through a process of identifying, analysis and reporting patterns.
Radiography, 2011
Introduction: In 2000, the NHS Plan set out the government's plans for investment and reform acro... more Introduction: In 2000, the NHS Plan set out the government's plans for investment and reform across the NHS. Through the introduction of a new workforce at assistant practitioner (AP) level the Department of Health intended to implement new ways in which to deliver a more efficient service. At the time, little published information existed on the integration of these assistants into the contemporary radiography workforce. Publications were limited to experiences gained by various individual departments ranging in their perception of the role and education of APs. Further research was suggested to track the continuing implementation of the 4-tier structure, establish the precise nature and scope of the roles across Trusts and determine their impact on workload and patient care. Aim: To establish the number and employment locality of APs in radiography professions in England, and to explore their scope of applied practice. Method and materials: The study was conducted over three phases and employed a mixed methods design to address the aims and objectives. Phase I was a scoping exercise performed prior to data collection in which n ¼ 226 radiography sites were identified for contact across England. Phase II utilized a questionnaire as data collection tool to investigate the role of APs in radiography and explore how their roles were integrated into the radiography workforce in England. Results from phase III of the study which utilized semi-structured qualitative interviews are not included in this paper. Conclusion and discussion: Key findings depict the nature and variety of roles and responsibilities undertaken by APs in radiography. This study was the first of its kind to identify the integration of APs in radiography across a sizable geographical region. There were mixed responses to the question asking APs if they were required to perform duties outside their scope of practice. Questionnaire data revealed that a high numbers of APs were working in areas under indirect supervision. Results from this study showed that APs, in some areas at least, were performing the roles of practitioners. Therefore further investigation is needed for new roles to develop criteria to determine which new roles should be the subject of statutory regulation.
Parkinsonism & Related Disorders, 2013
There is an extensive literature addressing compliance with medication, techniques to measure, an... more There is an extensive literature addressing compliance with medication, techniques to measure, and ways to improve it. In comparison the literature concerning adherence to exercise programmes agreed with a physiotherapist is limited. We estimate the percentage of exercise repetitions completed of those agreed with a physiotherapist in the context of a six week personalized exercise programme to reduce falling in people with Parkinson's disease, and examine patient characteristics that predict adherence. Secondary analysis of data collected during a randomized controlled trial. Participants allocated to receive the exercise programme self-reported the number of repetitions of prescribed strengthening, range of movement and balance exercises they had completed in daily dairies. Indoor or outdoor walking was also prescribed but in terms of target distances or lengths of time, and was not included in our analysis. On average the 70 participants allocated to the exercise programme reported completing 79% (95% confidence interval 73%-86%) of the prescribed number of repetitions of their exercises. The percentage of exercises completed varied depending on the specific exercise prescribed, and on participant characteristics: those who were older, in poorer health and with anxiety, depression, or mental heath problems reported lower adherence to exercise. Several of the factors we found to reduce adherence to exercise have been shown by others to reduce compliance with antiparkinsonian medication, but we found adherence decreased with age in contrast to the pattern of better compliance with medication amongst older people with Parkinson's disease reported previously.
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Papers by Claire Ballinger