Lynsay Matthews | University of Glasgow (original) (raw)

Papers by Lynsay Matthews

Purpose: Physical activity is an essential component of management for individuals with Type 2 di... more Purpose: Physical activity is an essential component of management for individuals with Type 2 diabetes. However, despite a strong evidence base little is known about how to translate research findings into practice. Recommendations are available on how to translate and implement findings for diabetes prevention, but no such recommendations exist for the important area of diabetes management. The aim of this study was to scope the literature for useful and practical information to support the three stages of translation, implementation and evaluation of physical activity interventions for routine diabetes care. Methods: Three methodologies were employed: (i) a systematic review of the current literature; (ii) a process evaluation of a physical activity consultation service implemented within routine diabetes care; and (iii) a review of other guidelines addressing similar recommendations for health interventions within everyday practice e.g. the IMAGE Toolkit for the Prevention of Ty...

Practical Diabetes, 2014

The aim of this qualitative study was to explore the views of health professionals on the current... more The aim of this qualitative study was to explore the views of health professionals on the current and future provision of physical activity promotion within routine diabetes care.

BMC public health, 2016

Walking interventions can be effective in encouraging sedentary populations to become more active... more Walking interventions can be effective in encouraging sedentary populations to become more active; however, limited research has explored the effectiveness of walking interventions for adults with intellectual disabilities. This process evaluation explored the delivery of a community based walking intervention for adults with intellectual disabilities. Walk Well was a single-blind cluster randomised controlled trial of a 12-week physical activity consultation-led walking intervention. 102 participants were randomised to the Walk Well intervention or a waiting list control group. Participants in the intervention group received three physical activity consultations with a walking advisor at baseline, 6 & 12-weeks. They were encouraged to use a pedometer to set goals and monitor their daily step count. Primary outcome was change in daily step count at 12-weeks. Process evaluation measures included qualitative interviews with key stakeholders (n = 6) and quantifiable data collected as p...

Nursing Management, 2016

Robust selection processes are essential to ensure the best and most appropriate candidates for n... more Robust selection processes are essential to ensure the best and most appropriate candidates for nursing, midwifery and allied health professional (NMAHP) positions are appointed, and subsequently enhance patient care. This article reports on a study that explored interviewers' and interviewees' experiences of using values and competency-based interview (VCBI) methods for NMAHPs. Results suggest that this resource could have a positive effect on the quality of the NMAHP workforce, and therefore on patient care. This method of selection could be used in other practice areas in health care, and refinement of the resource should focus on supporting interview panels to develop their VCBI skills and experience.

Pilot and Feasibility Studies, 2016

International Journal of Behavioral Nutrition and Physical Activity, 2015

Programs to change health behaviours have been identified as one way to reduce health inequalitie... more Programs to change health behaviours have been identified as one way to reduce health inequalities experienced by disadvantaged groups. The objective of this study was to examine the effectiveness of a behaviour change programme to increase walking and reduce sedentary behaviour of adults with intellectual disabilities. We used a cluster randomised controlled design and recruited participants over 18 years old and not regularly involved in physical activity from intellectual disabilities community-based organisations. Assessments were carried out blind to allocation. Clusters of participants were randomly allocated to the Walk Well program or a 12-week waiting list control. Walk Well consisted of three face-to-face physical activity consultations incorporating behaviour change techniques, written resources for participants and carers, and an individualised, structured walking programme. The primary outcome measured with accelerometers was change in mean step count per day between baseline and 12 weeks. Secondary outcomes included percentage time per day sedentary and in moderate-vigorous physical activity (MVPA), body mass index (BMI), and subjective well being. One hundred two participants in 50 clusters were randomised. 82 (80.4 %) participants completed the primary outcome. 66.7 % of participants lived in the most deprived quintile on the Scottish Index of Multiple Deprivation. At baseline, participants walked 4780 (standard deviation 2432) steps per day, spent 65.5 % (standard deviation 10.9) of time sedentary and 59 % percent had a body mass in the obesity range. After the walking programme, the difference between mean counts of the Walk Well and control group was 69.5 steps per day [95 % confidence interval (CI) -1054 to 1193.3]. There were no significant between group differences in percentage time sedentary 1.6 % (95 % CI -2.984 to 6.102), percentage time in MVPA 0.3 % (95 % CI -0.7 to 1.3), BMI -0.2 kg/m(2) (95 % CI -0.8 to 0.4) or subjective well-being 0.3 (95 % CI -0.9 to 1.5). This is the first published trial of a walking program for adults with intellectual disabilities. Positively changing physical activity and sedentary behaviours may require more intensive programmes or upstream approaches to address the multiple social disadvantages experienced by adults with intellectual disabilities. Since participants spent the majority of their time sedentary, home-based programmes to reduce sitting time may be a viable health improvement approach. Current Controlled Trials ISRCTN50494254.

Purpose: To explore the feasibility, implementation and effectiveness of a physical activity cons... more Purpose: To explore the feasibility, implementation and effectiveness of a physical activity consultation (PAC) service for adults within routine diabetes care. Methods: A 12-month PAC intervention was delivered for adults with diabetes within one area of NHS Grampian. Participants received three face-to-face PACs with an Exercise Health Psychologist, in addition to a variety of follow-up contacts via phone or email. Outcomes were collected at baseline, 6&12 months to measure change in physical activity, BMI, HbA1C and psychological wellbeing. A process evaluation, using semi-structured interviews, session summaries and data input sheets, was performed by an independent colleague. Results: The PAC service is on-going. Of the initial 51 participants included in the process evaluation 51.2% were female, mean age 60.9±10.2 years, mean BMI 33.1±6.9, 83.7% had type 2 diabetes, and 55.8% had multiple co-morbidities. A significant increase was observed from baseline at 6 & 12-months in the...

3rd Annual Worldwide Nursing Conference (WNC 2015), 2015

ABSTRACT

ABSTRACT Objective: To provide follow up data on the implementation of an evidence-based physical... more ABSTRACT Objective: To provide follow up data on the implementation of an evidence-based physical activity consultation service for adults with diabetes. (Published Diabetes UK 2013). Methods: A 12-month physical activity intervention is being offered to adults with Type 1 or Type 2 diabetes within NHS Grampian. Promotion of the service is provided within primary and secondary care. Patients self-refer. Patients receive an initial 30-45 minute face-to-face consultation, monthly follow-up consultations for six months (face-to-face, e-mail, or telephone), and further follow-up consultations at 6 and 12 months. Consultations are guided by evidence-based behaviour change strategies. Results: During the initial 18 months, 47 patients enrolled in the service (60.9 ± 10.2 years; BMI 33.1 ± 6.9; 51.2% female; 83.7% with Type 2 diabetes). A significant increase was observed from baseline to 6-months in the number of participants achieving the physical activity recommendations [IPAQ] (21.3% vs 66.7% ; P=0.002). This was maintained from baseline at 12-months (21.3% vs 54.5%; P=0.012). A significant increase was observed in positive affect [PANAS] from baseline to 12-months (mean difference 6.5 SD 6.1; 95% CI 1.4, 11.6; P=0.019). Positive but non-significant changes were also observed in perceived levels of anxiety, depression and negative affect. Process evaluation demonstrated high adoption by health professionals. Reasons given for adoption included protocol integrated with current diabetes care, minimal time requirements from health professionals, and delivery by an experienced exercise/health psychologist. Conclusions: Physical activity consultation should be considered as an effective method of supporting people with diabetes and co-morbidities to increase physical activity, promote weight loss and improve psychological wellbeing.

The maintenance of islet morphology is associated with improved graft function and revascularisat... more The maintenance of islet morphology is associated with improved graft function and revascularisation in diabetic mice.

Translational Behavioral Medicine, 2013

Despite the strong evidence base for the efficacy of physical activity in the management of type ... more Despite the strong evidence base for the efficacy of physical activity in the management of type 2 diabetes, a limited number of physical activity interventions have been translated and evaluated in everyday practice. This systematic review aimed to report the findings of studies in which an intervention, containing physical activity promotion as a component, has been delivered within routine diabetes care. A comprehensive search was conducted for articles reporting process data relating to components of the RE-AIM (Reach, Effectiveness, Adoption, Implementation and/or Maintenance) framework. Twelve studies met the selection criteria. Of the nine studies which measured physical activity as an outcome, eight reported an increase in physical activity levels, five of which were significant. Tailoring recruitment, resources and intervention delivery to the target population played a positive role, in addition to the use of external organisations and staff training. Many interventions were of short duration and lacked long-term follow-up data. Findings revealed limited and inconsistent reporting of useful process data.

BMC Psychiatry, 2015

Background: Cognitive behavioural therapy (CBT) is recommended for the treatment of depression an... more Background: Cognitive behavioural therapy (CBT) is recommended for the treatment of depression and anxiety. However, access is limited. Low-intensity approaches such as guided CBT self-help (bibliotherapy) can increase access to treatment and is recommended by UK guidelines. No previous research has explored the provision of group-based guidance/support for a bibliotherapy approach for depression and anxiety in community settings. The objective was to carry out a pilot study of a group guided self-help intervention, using community based recruitment methods. Method: A randomised controlled trial comparing an 8 week CBT group guided self-help intervention to usual care. Recruitment and the delivery of the intervention were carried out in Glasgow and Derry/Londonderry in partnership with national depression charities. Fifty-three people were randomised, however we refer only to the forty-six participants who provided baseline data: 16 males and 30 females, aged 16 or over, with a PHQ-9 score of ≥ 5, were recruited from the community. The mean age of the sample was 43.7 (sd = 13) and 93.5% of participants had suffered from low mood for a year or more.

British Journal of Nutrition, 2011

Adults with intellectual disabilities experience high rates of obesity. Despite this higher risk,... more Adults with intellectual disabilities experience high rates of obesity. Despite this higher risk, there is little evidence on the effectiveness of weight-loss interventions for adults with intellectual disabilities and obesity. The present study examined the effectiveness of the TAKE 5 multi-component weight-loss intervention. Adults with obesity were invited using specialist intellectual disability services to participate in the study. Obesity was defined as a BMI of 30 kg/m 2 or greater. TAKE 5 included a daily energy-deficit diet of 2510 kJ (600 kcal), achieved via a personalised dietary prescription. Participants' body weight, BMI, waist circumference and levels of physical activity and sedentary behaviour were measured before and after the intervention. A total of fifty-four individuals consented to participate, of which forty-seven (87 %) completed the intervention in the study period. There was a significant decrease in body weight (mean difference 24·47 (95 % CI 25·91, 2 3·03) kg; P,0·0001), BMI (21·82 (95 % CI 2 2·36, 2 1·29) kg/m 2 ; P,0·0001), waist circumference (26·29 (95 % CI 2 7·85, 24·73) cm; P,0·0001) and daily sedentary behaviour of participants (2 41·40 (95 % CI 2 62·45, 220·35) min; P¼ 0·00 034). Of the participants who completed the intervention, seventeen (36·2 %) lost 5 % or more of their initial body weight. Findings from the study suggest that TAKE 5 is an effective weight-loss intervention for adults with intellectual disabilities and obesity. The effectiveness of TAKE 5 should be examined further in a controlled study.

Preventive Medicine, 2011

To assess the level of agreement between accelerometer and proxy-respondent questionnaire measure... more To assess the level of agreement between accelerometer and proxy-respondent questionnaire measurement of the physical activity levels of adults with intellectual disabilities.

Pediatric Diabetes, 2013

A systematic review of physical activity and sedentary behavior intervention studies in youth wit... more A systematic review of physical activity and sedentary behavior intervention studies in youth with type 1 diabetes: study characteristics, intervention design, and efficacy. Pediatric Diabetes 2013.