Publications by authors named "Carol Rivas"

Objective: To develop and validate models to predict which endometriosis patients are likely to experience pain reduction following therapeutic laparoscopy using intraoperative findings and patient characteristics.

Design: A retrospective secondary data analysis with patient workshops.

Setting: Analysis of a UK nationwide, specialist centre, surgical database (British Society for Gynaecological Endoscopy, BSGE) (2013-2019, N=9171) and two research databases, MEDAL (2011-2013, N=667) and LUNA (1998-2005, N=592) for exploratory analyses and external validation.

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Background: Orthodox Jews follow the Jewish law, Halacha, that determines most daily activities and behaviours. Halacha restrictions and the insular lifestyle of groups within the Orthodox community have led to cultural barriers when interacting with NHS maternity services in the UK.

Aims And Objectives: This protocol describes a scoping review that will aim to: explore the needs of Orthodox Jews when interacting with maternity services and their experiences in the UK; to what extend this topic has been studied; and identify any gaps that need further research.

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Background: Healthcare workers' (HCW) health and wellbeing directly affect patient care, yet little is known about their health-related quality of life (HRQoL) in the United Kingdom (UK). Using data from a nationwide study conducted during the COVID-19 pandemic in the UK (December 2020 to March 2021), we evaluated self-reported HRQoL among HCWs and its variation by sociodemographic characteristics.

Methods: HRQoL was measured using the five-dimension-five-level EuroQoL (EQ-5D-5L) questionnaire, covering five health dimensions.

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Purpose: This study explores the lived experiences of trauma, loss, and resilience among Black African Ghanaian and Nigerian young people in Inner London. It examines how cultural identity, race, and systemic barriers shape their mental health and coping mechanisms, including silence, faith, and community support.

Methods: A qualitative approach using Interpretative Phenomenological Analysis (IPA) was employed to analyse semi-structured interviews with ten participants (aged 16-25) and a participatory impact workshop.

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Objectives: This study explores the lived experiences of Ghanaian and Nigerian youth in London's mental health system, highlighting systemic barriers, cultural misalignment, and practitioner perspectives on care models. Standardised approaches, such as Cognitive Behavioral Therapy (CBT), often fail to accommodate the cultural and systemic needs of these communities, contributing to disparities in access and engagement.

Design: A qualitative study employing Interpretative Phenomenological Analysis (IPA) was conducted with 12 participants, including Ghanaian and Nigerian youth (n = 5), parents (n = 2), and mental health practitioners (n = 5).

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Background: Domestic Violence and Abuse (DVA) is a significant global problem that warrants a robust, multi-sectoral response. The Covid-19 pandemic highlighted that informal and social networks play a critical role in responding to victim-survivors, alongside formal agencies and specialist services. Friends, relatives, neighbours and colleagues are uniquely placed to recognise abuse, respond and refer to wider services, where appropriate.

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Objectives: To explore how backlogs in health and social care were perceived by and impacted disabled people from minoritised ethnic groups, with a view to improving their experiences and social, health and well-being outcomes.

Design: Interview and workshop-based qualitative study as part of a larger mixed-methods study; main analysis is based specifically on the interviews.

Setting: Primary and secondary care in the UK.

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Background: Current research ethics frameworks that oversee health and social care research, in the United Kingdom and internationally, originated in biomedical research, having positivist underpinnings and an orientation towards experimental research. Limitations of these frameworks have been extensively documented including with regard to health and social care research that adopts collaborative approaches. This article contributes to debates about how the research ethics system deals with collaborative research with groups labelled or potentially perceived as vulnerable, and identifies practical recommendations to ensure a better fit between principles and practices of research ethics and those of collaborative research.

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Background: The COVID-19 pandemic exacerbated pre-existing societal inequities. Our study addresses the dearth of studies on how intersecting factors of disadvantage and discrimination affected pandemic daily life for disabled people from minoritised ethnic groups, aiming to improve their experiences and social, health and well-being outcomes.

Objectives: Through an intersectionality lens, to: explore and compare, by location and time, survey and qualitative data on changing needs for social, health and well-being outcomes relate coping strategies/solutions to these explore formal and informal network issues/affordances gain insights from synthesising our data contextualise and explore transferability of findings co-create outputs with stakeholders.

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Within the 2020/21 CICADA (Coronavirus Intersectionalities: Chronic Conditions or Disabilities and Migrants and other Ethnic minorities) study, we explored full, partial or noncompliance with government COVID-19 infection-containment measures by people from minoritised ethnic groups with a disabling health condition or impairment. We used an assets-based intersectional approach and purposive sampling, included non-disabled and White British comparators, and trained community co-researchers to help us reach undocumented migrants and asylum seekers. We undertook 271 semi-structured qualitative interviews, followed by participatory workshops with interviewees to explore data and changes in experiences five and 10 months after the interviews.

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Purpose: An immediate research priority recovering from the COVID-19 pandemic is well-being among some of our most vulnerable-people with chronic illness. We studied how mental health changed among people with and without chronic illness throughout the pandemic and the mediating role of social support.

Methods: We used the 3-waves of COVID-19 survey within the Millennium Cohort Study (MCS, age 19, N = 5522) and MCS Parent (MCSP, age > > 19, N = 7479) samples, with additional pre-pandemic measures of some outcomes and exposure.

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Informal supporters (friends, family, colleagues, and community members) play a crucial role in societal-wide responses to victim-survivors of domestic violence and abuse. Familial and social networks, however, report a sense of helplessness and difficulties in knowing how to respond. This mixed method systematic review examines the effectiveness, and perceived effectiveness, of training informal supporters to improve their responses to victim-survivors.

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Objective: This work contributed to the development of a core outcome set (COS) for heavy menstrual bleeding (HMB). The objective was to determine which research outcomes best reflect how HMB affects women's lives and to identify additional research outcomes, not previously reported. It was important to explore and record participants' reasoning for prioritising outcomes and use this information to reinforce the patients' voice during later phases of the COS development.

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Purpose: Systematic reviews have an important, and growing, role to play in the global evidence eco-system of domestic violence and abuse. Alongside substantive contributions to knowledge, such reviews stimulate debates about ethical reviewing practices and the importance of tailoring methods to the nuances of the field. This paper aims to pinpoint a set of ethical and methodological priorities to guide and enhance review practices specifically in the field of domestic abuse.

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Article Synopsis
  • The study aimed to create a standardized core outcome set (COS) for heavy menstrual bleeding (HMB) by following the COMET initiative methodology.
  • The process involved four phases: a systematic review to identify potential outcomes, qualitative studies with patients to understand their priorities, a Delphi survey for consensus, and a final meeting to finalize the COS.
  • The resulting COS includes 10 key outcomes relevant for clinical trials and guidelines, ensuring comprehensive reporting in future studies of HMB interventions.
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This is the protocol for a Campbell Evidence Gap Map. The main objectives of the EGM are: establish the nature and extent of the primary empirical evidence on informal social support interventions, identify interventions and clusters of evidence suitable for systematic review/evidence synthesis and identify gaps in the evidence on informal social support interventions.

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Background: The Care Quality Commission published a review in 2018 in England titled "Are We Listening," which revealed that child and adolescent mental health services are not responsive to the specific needs of young Black people and other ethnic minorities even in areas with ethnically diverse populations. It found that commissioners and service planners failed to engage with these young people and their families to understand their needs and expectations.

Objective: The purpose of this study is to engage Nigerian and Ghanaian young people (NAGYP) with experiences of care for common mental disorders (CMDs) in London, to increase understanding of their needs, and to give voice to their views and preferences.

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Background: People with intellectual disability are twice as likely to experience sexual abuse, unintended pregnancies, and sexually transmitted diseases as people in the general population. Despite this, very little is known about how to deliver relationships and sex education effectively to this vulnerable population, how to measure the impact of its delivery in schools, and what stakeholders perceive as important outcomes of this education.

Objective: To address these urgent issues, this study aims to develop a stakeholder consensus-based core outcome set of relationships and sex education for use in research and educational settings with students with intellectual disability.

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Background: The COVID-19 pandemic has inequitably impacted the experiences of people living with ill health/impairments or from minoritized ethnic groups across all areas of life. Given possible parallels in inequities for disabled people and people from minoritized ethnic backgrounds, their existence before the pandemic and increase since, and the discriminations that each group faces, our interest is in understanding the interplay between being disabled AND being from a minoritized ethnic group.

Objective: The overarching aim of the Coronavirus Chronic Conditions and Disabilities Awareness (CICADA) project, building on this understanding, is to improve pandemic and longer-term support networks, and access to and experiences of care, services, and resources for these underserved groups, both during the pandemic and longer term, thereby reducing inequities and enhancing social, health, and well-being outcomes.

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Article Synopsis
  • Up to 28% of endometriosis patients experience no pain relief after laparoscopic surgery, and this group has not been clearly defined until now.
  • The study aimed to identify patient-specific factors that could influence post-surgical pain relief, including the type, location of endometriosis, and various sociodemographic and lifestyle elements.
  • Out of five studies analyzed, a relationship was found between more severe endometriosis and better pain relief post-surgery, but the overall quality of research is limited, indicating a need for more standardized studies in the future.
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Before the COVID-19 pandemic virtual clinics in gynecology were not commonplace in the United Kingdom or most other countries. Owing to the need to reconfigure health provision to caring for COVID-19 patients, reducing footfall in hospitals and restricted movement, telemedicine was rapidly introduced at scale in hospitals thought the United Kingdom. This happened without much consultation with service users and healthcare professionals.

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Introduction: Black-British communities are disproportionately affected by type 2 diabetes (T2D). Structured education programs are a core component of T2D healthcare but they are less successful in people from minority ethnic groups. Culturally tailored T2D education has demonstrated greater benefits than usual care.

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Objective: To evaluate the cultural tailoring methods used in type 2 diabetes (T2D), prevention and management interventions for populations of Black African ancestry and to examine their effectiveness on measures of glycaemia.

Design: Three databases were searched in October 2020; eligible studies used a randomised controlled trial (RCT) design to evaluate the effectiveness of culturally tailored lifestyle interventions compared with usual care for the prevention or management of T2D in adults of Black African ancestry. Cultural tailoring methods were evaluated using the Facilitator-Location-Language-Messaging (FiLLM) framework, whereby facilitator refers to delivery by individuals from the target community, language focuses on using native language or language appropriate to literacy levels, location refers to delivery in meaningful settings, and messaging is tailoring with relevant content and modes of delivery.

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Aims: To develop an evidence-based, culturally tailored, diabetes self-management education and support programme for Black-British adults, called Healthy Eating and Active Lifestyles for Diabetes (HEAL-D), using participatory methods to engage key stakeholders in the intervention design process.

Methods: Black-British adults living with type 2 diabetes, healthcare professionals and community leaders were engaged in an intervention development study. The intervention structure, format, content and delivery were developed through three phases of participatory research: Phase 1, formative research, involved focus groups and interviews; interactive co-development workshops were conducted in Phase 2; and Phase 3 focused on materials development.

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