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Adam J. Noble
University of Liverpool
88Publications
16H-index
682Citations
Publications 89
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#1Adam J. Noble (University of Liverpool)H-Index: 16
#2Amy Mathieson ('KCL': King's College London)
Last.Anthony G Marson (University of Liverpool)H-Index: 47
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Introduction Emergency department (ED) visits for epilepsy are common, costly, often clinically unnecessary and typically lead to little benefit for epilepsy management. An ‘Alternative Care Pathway’ (ACP) for epilepsy, which diverts people with epilepsy (PWE) away from ED when ‘999’ is called and leads to care elsewhere, might generate savings and facilitate improved ambulatory care. It is unknown though what features it should incorporate to make it acceptable to persons from this particularly...
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#1Adam J. Noble (University of Liverpool)H-Index: 16
#2Anthony G Marson (University of Liverpool)H-Index: 47
Last.Sarah Blower (Ebor: University of York)H-Index: 5
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Abstract Introduction Psychological interventions hold promise for the epilepsy population and continue to be trialed to determine their efficacy. Such interventions present opportunities for variance in delivery. Therefore, to accurately interpret a trial's estimate of effect, information on implementation fidelity (IF) is required. We present a novel 3-part study. Part 1 systematically rated trials for the extent to which they reported assessing whether the intervention was delivered as intend...
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#1Nisaharan Srikandarajah (University of Liverpool)H-Index: 4
#2Adam J. Noble (University of Liverpool)H-Index: 16
Last.Anthony G Marson (University of Liverpool)H-Index: 47
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Introduction Cauda equina syndrome (CES) is a serious neurological condition most commonly due to compression of the lumbosacral nerve roots, which can result in significant disability. The evidence for acute intervention in CES is mainly from retrospective studies. There is heterogeneity in the outcomes chosen for analysis in these studies, which makes it difficult to synthesise the data across studies. This study will develop a core outcome set for use in future studies of CES, engaging with k...
2 CitationsSource
#1Adam J. Noble (University of Liverpool)H-Index: 16
#2Darlene Snape (University of Liverpool)H-Index: 3
Last.Anthony G Marson (University of Liverpool)H-Index: 47
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Purpose. To measure fidelity with which a group seizure first aid training intervention was delivered within a pilot randomized controlled trial underway in the UK for adults with epilepsy who visit emergency departments (ED) and informal carers. Estimates of its effects, including on ED use, will be produced by the trial. Whilst hardly ever reported for trials of epilepsy interventions—only one publication on this topic exists—this study provides the information on treatment fidelity necessary ...
2 CitationsSource
#1Darlene SnapeH-Index: 3
#2Sarah J NolanH-Index: 15
Last.Adam J. NobleH-Index: 16
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#1Adam J. Noble (University of Liverpool)H-Index: 16
#2James Reilly (University of Liverpool)H-Index: 4
Last.Peter FisherH-Index: 33
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Psychological treatment is recommended for depression and anxiety in those with epilepsy. This review used standardised criteria to evaluate, for the first time, the clinical relevance of any symptom change these treatments afford patients. Databases were searched until March 2017 for relevant trials in adults. Trial quality was assessed and trial authors asked for individual participants’ pre-treatment and post-treatment distress data. Jacobson’s methodology determined the proportion in the dif...
10 CitationsSource
#1Peter Fisher (University of Liverpool)H-Index: 33
#2James Reilly (University of Liverpool)H-Index: 4
Last.Adam J. Noble (University of Liverpool)H-Index: 16
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Abstract Purpose Emotional distress is common in people with epilepsy (PWE) for which efficacious interventions are required. Developing evidence-based treatments should be based on testable models of the psychological mechanisms maintaining psychopathology. The Self-Regulatory Executive Function (S-REF) model proposes that maladaptive metacognitive beliefs and processes are central to the development and maintenance of emotional distress. Although preliminary support exists for the role of meta...
2 CitationsSource
#1Leanne Rachel Male (University of Liverpool)H-Index: 1
#2Adam J. Noble (University of Liverpool)H-Index: 16
Last.Tony Marson (University of Liverpool)H-Index: 7
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Objectives To establish the appropriateness of a previously developed seizure care pathway by exploring to what extent patients valued the intervention and perceived it as being helpful or not. Design Qualitative descriptive study, using semistructured, in-depth interviews and thematic template analysis, theoretically informed by critical realism. Setting In North West England, a seizure care pathway has been developed in collaboration with a specialist neurology hospital to support clinical man...
1 CitationsSource
#1Adam J. NobleH-Index: 16
#2James ReillyH-Index: 4
Last.Peter FisherH-Index: 33
view all 4 authors...
#1Leone Ridsdale ('KCL': King's College London)H-Index: 32
#2Gabriella Wojewodka ('KCL': King's College London)H-Index: 4
Last.Laura H. Goldstein ('KCL': King's College London)H-Index: 46
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6 CitationsSource
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