Biography
Emma is an exercise scientist and a Senior Research Fellow at Keele University, where she has worked since 2007. Her first first degree, BSc Exercise and Sport Science (Hons), was obtained from Manchester Metropolitan University in 2000. She then continued her studies and obtained a PhD in Spinal Biomechanics in 2005.
Emma’s main research interest is the management of long-term conditions in primary care and developing and evaluating interventions to optimise primary care management. She has experience of a range of research methodologies, including cross-sectional surveys, qualitative studies, systematic reviews and randomised controlled trials.
She is the Postgraduate Research (PGR) Lead for the School of Medicine and a member of the PGR committee for the Faculty of Medicine and Health Sciences. She has been Principal Investigator for two pilot randomised controlled trials funded by Arthritis Research UK and the NIHR Collaborations for Leadership Applied Health Research and Care West Midlands (CLAHRC WM). She is currently Principal Investigator for the iPOPP study which examines the role of walking in older adults with persistent pain.
Research and scholarship
Over the past 20 years Emma’s research has focused on long-term conditions, particularly MSK conditions. This research has been multidisciplinary, working together with individuals from the fields of diabetology, rheumatology, nursing, and general practice among others. Her main interest is developing and evaluating complex interventions in clinical trials. These trials have focused on improving primary care management and integrated care of long-term conditions and have included the screening and treatment of type II diabetes, physiotherapy and nurse led interventions for osteoarthritis and mental health and physical activity interventions for ageing populations with chronic pain.
Emma was part of a team working on a NIHR programme grant to optimise osteoarthritis care in line with national guidelines and her specific contribution was to bring a focus on the role of physical activity as key component of self-management.
Emma has over 50 publications, reviews for a range of journals and also acts as Associate Editor for BMC Primary Care. She has seen three PhD students through to completion and currently supervises a PhD titled ‘Primary care based interventions for those with multimorbidity: Taking health literacy into account’. She is also a member of SAPC Executive Committee and Chair of the SAPC Physical activity / Exercise is Medicine Special Interest Group which aims to promote evidence based physical activity interventions in primary care.
Teaching
- Medicine MBChB Quantitative Research Methods SSC: Intervention studies (2010 – present)
- Medicine -. MBChB Quantitative Research Methods SSC Measuring health outcomes (2010 – present)
- Public Health BSc: Investigating the course of disease (prognosis and cohort studies) (2019 – present)
- Public Health BSc: Testing ways to improve health (2019 – present)
- Medicine -. MBChB Evidence-based medicine: Randomised controlled trials (2013 - present)
- Medicine -. MBChB Lifestyle module: Physiological and psychological benefits of exercise (2013 – 2016)
- MSc Rheumatology: Practical issues around quantitative research design. (2013 – 2016)
Selected Publications
- 2023.
- 2022.
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MODERATORS OF THE EFFECT OF THERAPEUTIC EXERCISE FOR PEOPLE WITH KNEE AND/OR HIP OSTEOARTHRITIS: AN INDIVIDUAL PARTICIPANT DATA META-ANALYSIS. OSTEOARTHRITIS AND CARTILAGE (pp. S402-S403, vol. 30). link> doi> full text>2022.
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The relationship between multisite peripheral joint pain and physical activity levels in older adults: A cross-sectional survey. Musculoskeletal Care, 341-348, vol. 20(2). link> doi> full text>2022.
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Integrating case-finding and initial management for osteoarthritis, anxiety, and depression into primary care long-term condition reviews: results from the ENHANCE pilot trial. Fam Pract, 592-602, vol. 39(4). link> doi> full text>2022.
Full Publications Listshow
Journal Articles
- 2023.
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The relationship between multisite peripheral joint pain and physical activity levels in older adults: A cross-sectional survey. Musculoskeletal Care, 341-348, vol. 20(2). link> doi> full text>2022.
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Integrating case-finding and initial management for osteoarthritis, anxiety, and depression into primary care long-term condition reviews: results from the ENHANCE pilot trial. Fam Pract, 592-602, vol. 39(4). link> doi> full text>2022.
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The attitudes towards, and beliefs about, physical activity in people with osteoarthritis and comorbidity: A qualitative investigation. Musculoskeletal Care, 167-179, vol. 20(1). link> doi> full text>2022.
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Comparison of reliability, construct validity and responsiveness of the IPAQ-SF and PASE in adults with osteoarthritis. Musculoskeletal Care, 473-483, vol. 19(4). link> doi> full text>2021.
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A pilot study of a nurse-led integrated care review (the INCLUDE review) for people with inflammatory rheumatological conditions in primary care: feasibility study findings. Pilot Feasibility Stud, 9, vol. 7(1). link> doi> full text>2021.
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Moderators of the effects of therapeutic exercise for people with knee and hip osteoarthritis: A systematic review of sub-group analyses from randomised controlled trials. Osteoarthr Cartil Open, 100113, vol. 2(4). link> doi> full text>2020.
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Self-Report Measures of Physical Activity. Arthritis Care Res (Hoboken), 717-730, vol. 72 Suppl 10(Suppl 10). link> doi> full text>2020.
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Resistance or appropriation?: Uptake of exercise after a nurse-led intervention to promote self-management for osteoarthritis. Health (London), 221-243, vol. 26(2). link> doi> full text>2022.
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The association between comorbidity and physical activity levels in people with osteoarthritis: Secondary analysis from two randomised controlled trials. Osteoarthr Cartil Open, 100057, vol. 2(2). link> doi> full text>2020.
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The value of the Versus Arthritis, Nurse and Allied Health Professional Internship Scheme on early musculoskeletal career researchers: a short report from an intern's perspective. Musculoskeletal Care, 215-218, vol. 18(2). link> doi> full text>2020.
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Do comorbidities predict pain and function in knee osteoarthritis following an exercise intervention, and do they moderate the effect of exercise? Analyses of data from three randomized controlled trials. Musculoskeletal Care, 3-11, vol. 18(1). link> doi> full text>2020.
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Identification and Evaluation of Self-Report Physical Activity Instruments in Adults With Osteoarthritis: A Systematic Review. Arthritis Care Res (Hoboken), 237-251, vol. 71(2). link> doi> full text>2019.
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Uptake of the NICE osteoarthritis guidelines in primary care: a survey of older adults with joint pain. BMC Musculoskelet Disord, 295, vol. 19(1). link> doi> full text>2018.
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Uptake of the NICE osteoarthritis guidelines in primary care: a survey of older adults with joint pain. BMC Musculoskeletal Disorders. doi> link> full text>2018.
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Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials. doi> full text>2018.
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Relationship of anxiety with joint pain and its management: A population survey. Musculoskeletal Care, 353-362, vol. 16(3). link> doi> full text>2018.
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Cost-effectiveness of a model consultation to support self-management in patients with osteoarthritis. Rheumatology (Oxford), 1056-1063, vol. 57(6). link> doi> full text>2018.
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The INCLUDE study: INtegrating and improving Care for patients with infLammatory rheUmatological DisordErs in the community; identifying multimorbidity: Protocol for a pilot randomized controlled trial. J Comorb, 2235042X18792373, vol. 8(1). link> doi> full text>2018.
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Multisite peripheral joint pain: a cross-sectional study of prevalence and impact on general health, quality of life, pain intensity and consultation behaviour. BMC Musculoskelet Disord, 535, vol. 18(1). link> doi> full text>2017.
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The feasibility and acceptability of a physical activity intervention for older people with chronic musculoskeletal pain: The iPOPP pilot trial protocol. Musculoskeletal Care, 118-132, vol. 16(1). link> doi> full text>2018.
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Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): a cluster randomised controlled trial. Osteoarthritis Cartilage, 43-53, vol. 26(1). link> doi> full text>2018.
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Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): a cluster randomised controlled trial in primary care. Osteoarthritis Cartilage, 1588-1597, vol. 25(10). link> doi> full text>2017.
- 2017.
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Content and evaluation of the Benefits of Effective Exercise for Older Adults with Knee Pain trial physiotherapist training programme. Archives of Physical Medicine and Rehabilitation, 866-873, vol. 98(5). doi> link> full text>2017.
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A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial. BMC Fam Pract, 173, vol. 17(1). link> doi> full text>2016.
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Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program. Arch Phys Med Rehabil, 866-873, vol. 98(5). link> doi> full text>2017.
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Multidisciplinary approaches to managing osteoarthritis in multiple joint sites: a systematic review. BMC Musculoskelet Disord, 266, vol. 17. link> doi> full text>2016.
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Community-based exercise and physical activity programmes led by exercise professionals for osteoarthritis. Cochrane Database of Systematic Reviews. doi> link> full text>2016.
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Improving the care of people with long-term conditions in primary care: protocol for the ENHANCE pilot trial. J Comorb, 135-149, vol. 5. link> doi> full text>2015.
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The triple whammy anxiety depression and osteoarthritis in long-term conditions. BMC Fam Pract, 163, vol. 16. link> doi> full text>2015.
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Study aims to test extended review of LTCs to improve management of OA and anxiety/ depression. Practice Nurse.2015.
- 2014.
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Implementing the NICE osteoarthritis guidelines: a mixed methods study and cluster randomised trial of a model osteoarthritis consultation in primary care--the Management of OsteoArthritis In Consultations (MOSAICS) study protocol. Implement Sci, 95, vol. 9. link> doi> full text>2014.
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A multicentre, pragmatic, parallel group, randomised controlled trial to compare the clinical and cost-effectiveness of three physiotherapy-led exercise interventions for knee osteoarthritis in older adults: the BEEP trial protocol (ISRCTN: 93634563). BMC Musculoskelet Disord, 254, vol. 15. link> doi>2014.
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Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis. BMJ, f5555, vol. 347. link> doi> full text>2013.
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KNOWLEDGE AND CONFIDENCE OF PRACTICE NURSES IN THE MANAGEMENT OF OSTEOARTHRITIS (OA): PRE- AND POST-EVALUATION OF AN OA SELF-MANAGEMENT TRAINING PROGRAMME. ANNALS OF THE RHEUMATIC DISEASES, 103-104, vol. 72. link>2013.
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MEASUREMENT PROPERTIES OF SELF-REPORTED PHYSICAL ACTIVITY INSTRUMENTS SUITABLE FOR OSTEOARTHRITIS (OA) OR JOINT PAIN POPULATIONS: A SYSTEMATIC REVIEW. ANNALS OF THE RHEUMATIC DISEASES, 700, vol. 72. link>2013.
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MULTISITE PERIPHERAL JOINT PAIN IN THE COMMUNITY: PREVALENCE AND IMPACT IN THE NORTH WEST MIDLANDS, UNITED KINGDOM (UK). ANNALS OF THE RHEUMATIC DISEASES, 1042-1043, vol. 72. link>2013.
- 2013.
- 2013.
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Healthcare costs and productivity losses directly attributable to ankylosing spondylitis. Clin Exp Rheumatol, 246-253, vol. 30(2). link>2012.
- 2012.
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Measures of Social Function and Participation in Musculoskeletal Populations Impact on Participation and Autonomy ( IPA), Keele Assessment of Participation (KAP), Participation Measure for Post-Acute Care (PM-PAC), Participation Objective, Participation Subjective (POPS), Rating of Perceived Participation (ROPP), and The Participation Scale. ARTHRITIS CARE & RESEARCH, S325-S336, vol. 63. link> doi>2011.
- 2011.
- 2011.
- 2011.
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Evaluation of a modified arthritis self-efficacy scale for an ankylosing spondylitis UK population. Clin Exp Rheumatol, 223-230, vol. 29(2). link>2011.
- 2011.
- 2010.
- 2010.
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Disease severity in Ankylosing Spondylitis: Variation by Region and Local Area Deprivation. 633-8, vol. 37.2010.
- 2009.
- 2008.
- 2008.
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Diurnal stature changes in individuals with and without chronic low back pain. Journal of Bone and Joint Surgery, 22, vol. 90-B.2008.
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Stature loss and recovery following a period of loading: Effect of time of day and presence or absence of low back pain. Clinical Biomechanics, 721-726, vol. 23.2008.
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The impact of increasing paraspinal muscle activity upon stature recovery in asymptomatic individuals. Archives of Physical Medicine and Rehabilitation, 749-753, vol. 89.2008.
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Repeatability of stature measurements in individuals with and without chronic low-back pain. Ergonomics, 1613-1622, vol. 48. doi>2005.
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Association between glycated haemoglobin (HbA1c) and level of self-reported physical activity in a multi-ethnic population. Diabetic Medicine, 64, vol. 24.2007.
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Baseline characteristics and risk of progression from Prediabetes to Type 2 diabetes in a multiethnic, population-based screening. Diabetic Medicine, 51, vol. 24.2007.
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Comparison of different screening strategies and progression rates for diabetes within a multi-ethnic population with pre-diabetes. Diabetic Medicine, 92, vol. 24.2007.
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How do self-reported physical activity levels differ between White European and South Asian Populations participating in a population based Type 2 diabetes screening project?. Diabetic Medicine, 64, vol. 24.2007.
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Significantly elevated serum alanine aminotransferase (ALT) and gamma-glutaryl transpeptidase (GGT) in a UK South Asian population with the Metabolic Syndrome or Type 2 diabetes mellitus. Diabetic Medicine, 45, vol. 24.2007.
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A comparison of screening methods for identifying Type 2 Diabetes (T2DM) and Pre-Diabetes. Diabetic Medicine, 103, vol. 23.2006.
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Broadening Impaired Fasting Glucose (IFG) criteria results in increased identification of Impaired Glucose Tolerance (IGT), which is not affected by ethnicity. Diabetic Medicine, 73, vol. 23.2006.
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The influence of different unloading positions upon stature recovery and paraspinal muscle activity. Clinical Biomechanics, 365-371, vol. 20. doi>2005.
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Raised paraspinal muscle activity reduces rate of stature recovery following loaded exercise in individuals with chronic low back pain. Archives of Physical Medicine and Rehabilitation, 710-715, vol. 86. doi>2005.
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Recovery from spinal shrinkage is reduced in individuals with chronic low back pain. Journal of Sports Sciences, 266, vol. 22.2004.
Other
- 2022.
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MODERATORS OF THE EFFECT OF THERAPEUTIC EXERCISE FOR PEOPLE WITH KNEE AND/OR HIP OSTEOARTHRITIS: AN INDIVIDUAL PARTICIPANT DATA META-ANALYSIS. OSTEOARTHRITIS AND CARTILAGE (pp. S402-S403, vol. 30). link> doi> full text>2022.
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NON HEALTHCARE EXERCISE PROFESSIONAL LED EXERCISE FOR OSTEOARTHRITIS - A COCHRANE REVIEW. OSTEOARTHRITIS AND CARTILAGE (p. S59, vol. 29). link> doi> full text>2021.
- 2020.
- 2020.
- 2020.
- 2020.
- 2019.
- 2019.
- 2019.
- 2018.
- 2018.
- 2017.
- 2017.
- 2017.
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Exploring discrepancies between long-term condition review consultation audio-recordings and computer template data (the ENHANCE pilot trial). TRIALS (vol. 18). link>2017.
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INTERVENTIONS TO IMPROVE ADHERENCE TO EXERCISE ACROSS DIFFERENT HEALTH CONDITIONS: A NARRATIVE SYNTHESIS OF SYSTEMATIC REVIEWS. RHEUMATOLOGY (p. 99, vol. 56). link>2017.
- 2017.
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SO LOOKING AT THIS, YOU LOOK LIKE YOU'VE GOT SOME ISSUES GOING ON WITH YOUR JOINTS: EXPLORING CASE-FINDING IN LONG-TERM CONDITION REVIEW CONSULTATIONS-THE ENHANCE PILOT TRIAL. RHEUMATOLOGY (p. 121, vol. 56). link>2017.
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Proceedings of the First International Conference on Stepped Wedge Trial Design : York, UK, 10 March 2016. Trials (p. 311, vol. 17 Suppl 1). link> doi> full text>2016.
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INCREASING PHYSICAL ACTIVITY IN OLDER PEOPLE WITH PAIN: DEVELOPMENT OF A BRIEF AND SIMPLE INTERVENTION TO PROMOTE WALKING. RHEUMATOLOGY (pp. 81-82, vol. 55). link>2016.
- 2016.
- 2015.
- 2015.
- 2015.
- 2015.
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IMPROVING THE EFFECTIVENESS OF EXERCISE THERAPY FOR OLDER ADULTS WITH KNEE PAIN: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL. RHEUMATOLOGY (p. 40, vol. 54). link>2015.
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COMMUNITY-BASED PHYSICAL ACTIVITY FOR OSTEOARTHRITIS: THE EMERGING ROLE OF NON-HEALTHCARE PROFESSIONALS. RHEUMATOLOGY (p. 4, vol. 54). link>2015.
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INTEGRATING CARE FOR JOINT PAIN AND ANXIETY AND DEPRESSION INTO REVIEWS FOR LONG-TERM CONDITIONS: THE ENHANCE STUDY. RHEUMATOLOGY (p. 67, vol. 54). link>2015.
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Improving Care for People with Long-Term Conditions: The ENHANCE study.
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SELF-REPORTED SITTING TIME AND PHYSICAL FUNCTION IN PATIENTS CONSULTING WITH PERIPHERAL JOINT PAIN. RHEUMATOLOGY (p. 127, vol. 54). link>2015.
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The ‘ENHANCE’ long-term condition review: Identifying co-morbid joint pain, depression and anxiety in patients with long-term conditions.
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Implementing NICE guidelines in primary care with a model osteoarthritis consultation: MOSAICS a cluster randomised controlled trial.
- 2014.
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Managing osteoarthritis in consultations (MOSAICS): an implementation study of NICE recommendations in primary care.
- 2014.
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LEVELS OF PHYSICAL ACTIVITY IN OLDER ADULTS WITH OR WITHOUT SELF-REPORTED JOINT PAIN: A CROSS-SECTIONAL SURVEY. RHEUMATOLOGY (p. 71, vol. 53). link>2014.
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THE INCREASED RISK OF SELF-REPORTED PRIMARY CARE CONSULTATIONS ATTRIBUTABLE TO MULTISITE PERIPHERAL JOINT PAIN. RHEUMATOLOGY (pp. 70-71, vol. 53). link>2014.
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UPTAKE OF THE NICE OSTEOARTHRITIS CORE TREATMENTS IN COMMUNITY DWELLING OLDER ADULTS WITH A SELF-REPORTED PRIMARY CARE CONSULTATION FOR JOINT PAIN. RHEUMATOLOGY (p. 83, vol. 53). link>2014.
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KNOWLEDGE AND CONFIDENCE OF PRACTICE NURSES IN THE MANAGEMENT OF OSTEOARTHRITIS (OA): PRE- AND POST-EVALUATION OF AN OA SELF-MANAGEMENT TRAINING PROGRAMME. ANNALS OF THE RHEUMATIC DISEASES (p. 1041, vol. 72). link>2013.
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DEVELOPMENT OF A MODEL CONSULTATION AND TRAINING PACKAGE FOR PRACTICE NURSES TO SUPPORT SELF-MANAGEMENT OF PATIENTS CONSULTING WITH OSTEOARTHRITIS IN PRIMARY CARE. RHEUMATOLOGY (p. 39, vol. 52). link>2013.
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MULTISITE PERIPHERAL JOINT PAIN IN THE COMMUNITY: PREVALENCE AND IMPACT IN THE NORTH WEST MIDLANDS, UNITED KINGDOM (UK). ANNALS OF THE RHEUMATIC DISEASES (p. 121, vol. 72). link>2013.
- 2010.
- 2012.
- 2013.
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QUANTITATIVE RELATIONSHIP BETWEEN SMOKING AND MEASURES OF DISEASE ACTIVITY AND SEVERITY IN PATIENTS WITH ANKYLOSING SPONDYLITIS. RHEUMATOLOGY (p. 39, vol. 50). link>2011.
- 2010.
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EVALUATION OF A MODIFIED ARTHRITIS SELF-EFFICACY SCALE FOR ANKYLOSING SPONDYLITIS (ASES-AS). RHEUMATOLOGY (p. I53, vol. 49). link>2010.
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HEALTHCARE COSTS ALONE DO NOT DESCRIBE THE TOTAL COSTS DIRECTLY ATTRIBUTABLE TO ANKYLOSING SPONDYLITIS. RHEUMATOLOGY (p. I70, vol. 49). link>2010.
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RESPONSIVENESS OF THE EVALUATING ANKYLOSING SPONDYLITIS QUALITY OF LIFE (EASI-QOL) QUESTIONNAIRE. RHEUMATOLOGY (pp. I57-I58, vol. 49). link>2010.
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THE EFFECT OF SOCIAL DEPRIVATION IN ANKYLOSING SPONDYLITIS. RHEUMATOLOGY (p. I8, vol. 48). link>2009.
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Anti-TNF eligibility & treatment in a large cohort of patients with ankylosing spondylitis across the united kingdom. RHEUMATOLOGY (p. II70, vol. 47). link>2008.
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Prevalence, gender differences and factors associated with anxiety and depression in a large cohort of patients with ankylosing spondylitis from across the United Kingdom. RHEUMATOLOGY (p. II78, vol. 47). link>2008.
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Work status in a large cohort of ankylosing spondylitis patients from across the United Kingdom. RHEUMATOLOGY (p. II74, vol. 47). link>2008.
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