Browsing by Author "Singh, S."

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    Characteristics and rates of mental health problems among Indian and White adolescents in two English cities.
    (British Journal of Psychiatry, 2013) Dogra, N.; Svirydzenka, N.; Dugard, P.; Singh, S.; Vostanis, P.
    Background: Sampling techniques for national surveys have constrained the statistical power in estimating prevalence rates of child mental health problems in minority ethnic groups. Aims: To establish the prevalence rates of mental health problems in ethnic Indian adolescents in England and compare these with matched White adolescents living in the same areas. Method: A cross-sectional survey with oversampling of Indian adolescents aged 13–15 years of age. Results: The sample size was 2900 (71% response rate) with 1087 (37%) Indian and 414 (14%) White adolescents. Ethnically Indian adolescents had lower rates of all types of mental health problems (5% v. 13% and 21% v. 30% for abnormal Strengths and Difficulties Questionnaire and Short Mood and Feelings Questionnaire scores, respectively) and substance misuse (18% v. 57%, 5% v.15% and 6% v. 9% for regular alcohol, smoking and drug use, respectively), with the exception of eating disorders, compared with their White counterparts. The odds of an abnormal score on the mental health questionnaires were worse for White compared with Indian children irrespective of sociodemographic variables. Conclusions: Factors relating to how Indian adolescents are parented or their social support networks may be influencing their mental health and may warrant further investigation. Declaration of interest: None.
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    The evaluation of an interactive web-based pulmonary rehabilitation programme: protocol for the Web SPACE FOR COPD feasibility study
    (BMJ Open, 2015-08-25) Chaplin, E.; Hewitt, S.; Apps, L. D.; Edwards, K; Brough, C.; Glab, A; Bankart, J.; Jacobs, R.; Boyce, S.; Williams, Johanna A.; Singh, S.
    Introduction: Pulmonary Rehabilitation (PR) is an evidence-based intervention that has been recommended in guidelines to be available to those who may benefit. However, not all patients with chronic obstructive pulmonary disease (COPD) have access to this service. Healthcare services have shown the need for the provision of PR in other forms to enable patient choice and service capacity. There is an increase in evidence for the use of the internet in the management of long-term conditions to provide education and promote self-management. The aim of this study is to see if an interactive web-based PR programme is a feasible alternative compared with conventional PR. Methods and analysis: This is a feasibility study designed to evaluate the efficacy of providing a web- based PR programme to improve patients exercise capacity, quality of life and promote self-management in patients with moderate to severe COPD compared with conventional PR programmes. Eligible patients will be randomly allocated to receive either the web- based programme or conventional rehabilitation programme for 7 weeks using an internet-based randomisation system. Participants will be recruited from PR assessments, primary care and community rehabilitation programmes. Those randomised to the web-based programme work through the website which contains all the information that the patients receive in the PR classes. They receive weekly phone calls by a professional to help progress through the course on line. The outcome measures will be recruitment rates and eligibility as well as that standard for a PR assessment including measures of exercise capacity, quality of life questionnaires and physical activity. Ethics and dissemination: The research ethics committee for Northampton has provided ethical approval for the conduct of the study. The results of the study will be disseminated through appropriate conference presentations and peer reviewed journals.
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    Mental health problems in children and young people from ethnic minority groups: The need for targeted research.
    (The Royal College of Psychiatrists, 2012) Dogra, N.; Singh, S.; Svirydzenka, N.; Vostanis, P.
    Summary: In this editorial we argue for the need for better research evidence on the prevalence of child mental health problems in minority ethnic groups, service utilisation among these groups and whether some service barriers are specific for certain groups. Without such evidence it is not possible to influence policy and practice so that evidence-based and appropriate services can be designed and offered to these populations. The terms ethnicity, race and migration are often imprecisely defined, and mental health needs and outcomes vary between immigrants from different generations. There is also a complex interplay between minority status and social class, with terms such as ethnicity being a proxy for multifaceted sociocultural and economic variables. However, we need to start collecting better data on children from minority ethnic groups so that these relationships can be understood, services tailored on the available evidence and ultimately better care delivered to this group of children. Declaration of interest: None.
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    Mental health service use by adolescents of Indian and White origin.
    (Archives of Disease in Childhood, 2013) Vostanis, P.; Svirydzenka, N.; Dugard, P.; Singh, S.; Dogra, N.
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    Protocol for a feasibility study to inform the development of a multi centre randomised controlled trial of asthma-tailored pulmonary rehabilitation versus usual care for individuals with severe asthma
    (BMJ, 2016-03-23) Majd, S.; Apps, L. D.; Hudson, Nicky; Hewitt, S.; Eglinton, E.; Murphy, Anna C.; Bradding, Peter; Singh, S.; Green, R.; Evans, R.
    Introduction: Pulmonary rehabilitation with core components of exercise training and multiprofessional education is an integral part of the management of patients with chronic lung disease. International guidelines for individuals with asthma recommend exercise as exercise improves symptoms, indices of cardiopulmonary efficiency, health status and psychosocial outcome. However, there is little published evidence evaluating safety and acceptability of exercise training for individuals with severe asthma and there are concerns regarding exercise-induced asthma. We propose a feasibility study for a multicentre randomised controlled trial (RCT) of asthma-tailored pulmonary rehabilitation (asthma- tailored PR) versus usual care in individuals with severe asthma. Methods and analysis: The study will be conducted in three stages. Adults with severe asthma will be included if they have persistent symptoms despite being at step 4 or 5 of the British Thoracic Society guidelines. Stage 1: semistructured interviews will be used in a sample of 20–30 individuals with severe asthma to understand the experience and attitudes of this population towards exercise. Stage 2: eight focus groups of at least six healthcare professionals involved in the care of patients with severe asthma will be conducted to understand their attitudes towards exercise for this population. Stage 3: a small-scale RCT of the proposed multicentre RCT of asthma- tailored PR versus usual care for individuals with severe asthma will be conducted. The primary outcome measures will be recruitment, retention and adverse event rates. Semistructured interviews with participants of stage 3 will be used to identify further barriers or facilitators to participation in PR and the trial. Thematic analysis will be used for the interpretation of all interviews. Ethics and dissemination: The study results will inform the design of a larger multicentre RCT. TheNational Research Ethics Service Committee East Midland approved the study protocol.