Dr Nathan Bray
Darlithydd mewn Gwyddorau Gofal Iechyd (Gwella Gofal Iechyd); Arweinydd ALPHAcademi (Iechyd Ataliol)
n.bray@bangor.ac.uk
@drnathanbray
+447792670053
Cymwysterau
- PhD: Health Economics
Bangor University, 2015 - MSc: Public Health and Health Promotion
Bangor University, 2013 - BSc: Psychology
Department of Molecular and Clinical Pharmacology, University of Liverpool, 2007
Rhagolwg
Dr Nathan Bray is a Senior Lecturer in Preventative Health, Lecturer in Healthcare Improvement and leads Bangor University’s Academy for Health Equity, Prevention and Wellbeing (AHEPW). He has an MSc in Public Health and Health Promotion and a PhD in Health Economics. His research focuses on public health and disability, in particular the application of methods of economic evaluation to disability and assistive technology. In 2016 Nathan was awarded a post-doctoral fellowship by Health and Care Research Wales to develop a new preference-based instrument for measuring the quality of life of people who use wheelchairs and other mobility aids. Dr Bray has received research funding from a range of organisations including the National Institute for Health Research, the European Commission’s Horizon 2020 programme, Health and Care Research Wales and NHS England. As lead applicant and co-applicant Dr Bray has contributed to over £7.5million worth of grant capture. From 2015 to 2018 Dr Bray chaired the International Society of Wheelchair Professionals’ comparative effectiveness research committee, and was an Associate Editor for the British Journal of Dermatology from 2017 to 2021. Nathan is currently a member of the Health and Care Research Wales Social Care PhD Studentship Committee and College Lead for Sustainability.
Cyfleoedd Project PhD
’Rydwyf yn fodlon goruchwylio cwrs PhD
Cyhoeddiadau
2024
- E-gyhoeddi cyn argraffuDevelopment of a value-based scoring system for the MobQoL-7D: a novel tool for measuring quality-adjusted life years in the context of mobility impairment
Bray, N., Tudor Edwards, R. & Schneider, P., 11 Ion 2024, (E-gyhoeddi cyn argraffu) Yn: Disability and Rehabilitation. 10 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
2023
- CyhoeddwydDeveloping a Novel Preference-Based Outcome Measure for Mobility-Related Quality of Life: The MobQoL Study,
Bray, N., Ebr 2023, t. S15. 1 t.
Allbwn ymchwil: Cyfraniad at gynhadledd › Papur - CyhoeddwydHTA213 Undertaking Studies to Inform Public Policy: Managing Data Collection to Ensure Data Quality in the EQ-5D-5L UK Valuation Through the Use of Independent Quality Control Assessments
Rowen, D., Mukuria, C., Cooper, S., Bray, N., Carlton, J., Longworth, L., Meads, D., Oluboyede, Y., O'Neill, C. & Yang, Y., 2023, Yn: Value in Health. 26, 12, t. S361
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Crynodeb Cyfarfod - CyhoeddwydUK Valuation of EQ-5D-5L, a Generic Measure of Health-Related Quality of Life: A Study Protocol
Rowen, D., Mukuria, C., Bray, N., Carlton, J., Cooper, S., Longworth, L., Meads, D., O'Neill, C. & Yang, Y., Tach 2023, Yn: Value in Health. 26, 11, t. 1625-1635 11 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
2022
- CyhoeddwydAssessing the comparative feasibility, acceptability and equivalence of videoconference interviews and face-to-face interviews using the time trade-off technique
Rowen, D., Mukuria, C., Bray, N., Carlton, J., Longworth, L., Meads, D., O'Neill, C., Shah, K. & Yang, Y., Medi 2022, Yn: Social Science and Medicine. 309, t. 115227
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydHTA135 Accessibility and Inclusivity for People Participating in Health Preference Research: How Does the Mode of Administering an Interview Impact on Time Trade-Off Studies?
Rowen, D., Mukuria, C., Cooper, S. J., Bray, N., Carlton, J., Longworth, L., Meads, D., O'Neill, C., Shah, K. & Yang, Y., Rhag 2022, Yn: Value in Health. 25, 12, t. S322-S323
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Crynodeb Cyfarfod - CyhoeddwydPreference-based measurement of mobility-related quality of life: developing the MobQoL-7D health state classification system
Bray, N. & Tudor Edwards, R., 5 Meh 2022, Yn: Disability and Rehabilitation. 44, 12, t. 2915-2929 15 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydUse of patient centred outcomes measures alongside the personal wheelchair budget process in NHS England: a mixed methods approach to exploring the staff and service user experience of using the WATCh and WATCh-Ad Tools
Tuersley, L., Quaye, N. A., Edwards, R. T. & Bray, N., 16 Awst 2022, MedRxiv, 49 t.
Allbwn ymchwil: Papur gweithio › Rhagargraffiad - CyhoeddwydWhat innovations can address inequalities experienced by women and girls due to the COVID-19 pandemic across the different areas of life/domains: work, health, living standards, personal security, participation and education? Report number – RR00027 (January 2022). Gender Inequalities: COVID-19 initiatives
Spencer, L., Hartfiel, N., Hendry, A., Anthony, B., Makanjuola, A., Pisavadia, K., Davies, J., Bray, N., Hughes, D., Wilkinson, C., Fitzsimmons, D. & Edwards, R. T., 15 Ion 2022, Health and Care Research Wales.
Allbwn ymchwil: Llyfr/Adroddiad › Adroddiad Comisiwn › adolygiad gan gymheiriaid
2021
- CyhoeddwydDevelopment of the MobQoL patient reported outcome measure for mobility-related quality of life
Bray, N., Spencer, L., Tuersley, L. & Edwards, R. T., 6 Tach 2021, Yn: Disability and Rehabilitation. 43, 23, t. 3395-3404 10 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydEconomic model to examine the cost-effectiveness of FlowOx home therapy compared to standard care in patients with peripheral artery disease
Ezeofor, V., Bray, N., Bryning, L., Hashami, F., Hoel, H., Parker, D. & Edwards, R. T., 14 Ion 2021, Yn: PLoS ONE. 16, 1, e0244851.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydHave infection control and prevention measures resulted in any adverse outcomes for care home and domiciliary care residents and staff? Report number: RR_00018 (November 2021)
Spencer, L., Hartfiel, N., Hendry, A., Anthony, B., Makanjuola, A., Bray, N., Hughes, D., Wilkinson, C., Fitzsimmons, D. & Edwards, R. T., 1 Tach 2021, 36 t.
Allbwn ymchwil: Llyfr/Adroddiad › Adoddiad Arall › adolygiad gan gymheiriaid - CyhoeddwydPreference-based measurement of mobility-related quality of life: Developing the MobQoL-7D health state classification system
Bray, N. & Edwards, R. T., Ion 2021.
Allbwn ymchwil: Cyfraniad at gynhadledd › Papur - CyhoeddwydUnderstanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper
Gowran, R. J., Bray, N., Goldberg, M., Rushton, P., Barhouche Abou Saab, M., Constantine, D., Ghosh, R. & Pearlman, J., 24 Maw 2021, Yn: International Journal of Environmental Research and Public Health. 18, 7, 3338.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydWhich innovations can improve timeliness of investigations and address the backlog in endoscopy for patients with potential symptoms of upper and lower Gastrointestinal (GI) cancers? RR_00003 (August 2021)
Hendry, A., Anthony, B., Charles, J., Hartfiel, N., Roberts, J., Spencer, L., Bray, N., Wilkinson, C. & Edwards, R. T., Awst 2021, 34 t.
Allbwn ymchwil: Llyfr/Adroddiad › Adoddiad Arall › adolygiad gan gymheiriaid
2020
- CyhoeddwydAtopic dermatitis: economic burden and strategies for high-quality care
Ismail, N. & Bray, N., Mai 2020, Yn: British Journal of Dermatology. 182, 5, t. 1087-1088 2 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl - CyhoeddwydPowered mobility interventions for very young children with mobility limitations to aid participation and positive development: the EMPoWER evidence synthesis
Bray, N., Kolehmainen, N., McAnuff, J., Tanner, L., Tuersley, L., Beyer, F., Grayston, A., Wilson, D., Edwards, R. T., Noyes, J. & Craig, D., 1 Hyd 2020, Yn: Health Technology Assessment. 24, 50, t. 1-+ 194 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydPreference-based measures of health-related quality of life in congenital mobility impairment: a systematic review of validity and responsiveness
Bray, N., Spencer, L. H. & Edwards, R. T., 21 Ebr 2020, Yn: Health Economics Review. 10, 1, 9.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
2019
- CyhoeddwydA randomised controlled trial and cost-consequence analysis of traditional and digital foot orthoses supply chains in a National Health Service setting: application to feet at risk of diabetic plantar ulceration
Parker, J. D., Nuttall, G. H., Bray, N., Hugill, T., Martinez-Santos, A., Edwards, R. T. & Nester, C., 8 Ion 2019, Yn: Journal of Foot and Ankle Research. 12, 2, t. 2
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydAppropriate Assistive Technology for Developing Countries
Toro-Hernández, M. L., Kankipati, P., Goldberg, M., Contepomi, S., Tsukimoto, D. R. & Bray, N., Tach 2019, Yn: Physical Medicine and Rehabilitation Clinics of North America. 30, 4, t. 847 - 865
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydDepressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk
Nollett, C., Ryan, B., Bray, N., Bunce, C., Casten, R., Edwards, R. T., Gillespie, D., Smith, D. J., Stanford, M. & Margrain, T. H., 17 Ion 2019, Yn: BMJ Open. 9, 1, t. e026163
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydDevelopment of a Preference-Based Measure of Mobility-Related Quality of Life
Bray, N., Edwards, R. T. & Spencer, L., Gorff 2019.
Allbwn ymchwil: Cyfraniad at gynhadledd › Crynodeb - CyhoeddwydEndoscopic ultrasound staging in patients with gastro-oesophageal cancers: a systematic review of economic evidence
Yeo, S. T., Bray, N., Haboubi, H., Hoare, Z. & Edwards, R. T., 9 Medi 2019, Yn: BMC Cancer. 19, 1, 19 t., 900.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydPerceptions of the impact of disability and impairment on health, quality of life and capability
Bray, N., Edwards, R. T., Squires, L. & Morrison, V., 24 Mai 2019, Yn: BMC Research Notes. 12, 1, t. 287 6 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydSynthesizing evidence for economic evaluations of public health interventions
Wu, O., Charles, J. & Bray, N. J., 14 Mai 2019, Applied Health Economics For Public Health Practice And Research. Edwards, R. & McIntosh, E. (gol.). 1 gol. Oxford: Oxford University Press, t. 87-107 (Handbooks in Health Economic Evaluation).
Allbwn ymchwil: Pennod mewn Llyfr/Adroddiad/Trafodion Cynhadledd › Pennod
2018
- CyhoeddwydAllocation of biologics: health economics and clinical decision making in plaque psoriasis
Bray, N. & Wolf, P., Mai 2018, Yn: British Journal of Dermatology. 178, 5, t. 997-998 2 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Golygyddiad - CyhoeddwydDevelopment of the Wheelchair outcomes Assessment Tool for Children (WATCh): A patient-centred outcome measure for young wheelchair users
Tuersley, L., Bray, N. & Edwards, R. T., 26 Rhag 2018, Yn: PLoS ONE. 13, 12, t. e0209380
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydIncreased healthcare costs for filaggrin-related eczema and asthma: hope for targeted management and prevention
Akiyama, M. & Bray, N., Medi 2018, Yn: British Journal of Dermatology. 179, 3, t. 564-565 2 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl - CyhoeddwydWheelchair Outcomes Assessment Tool for Children: Summary Report
Bray, N., Tuersley, L. & Edwards, R. T., 2018, Prifysgol Bangor University. 36 t.
Allbwn ymchwil: Llyfr/Adroddiad › Adoddiad Arall
2017
- CyhoeddwydA conceptual framework to assess effectiveness in wheelchair provision
Kamaraj, D. C., Bray, N., Rispin, K., Kankipati, P., Pearlman, J. & Borg, J., 8 Medi 2017, Yn: African journal of disability. 6, t. 355 5 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydConceptualization of physical exercise and keeping fit by child wheelchair users and their parents
Noyes, J., Spencer, L. H., Bray, N., Kubis, H-P., Hastings, R. P., Jackson, M. & O'Brien, T. D., Mai 2017, Yn: Journal of Advanced Nursing. 73, 5, t. 1111-1123 13 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydConsidering the role of health economics in pyoderma gangrenosum and other dermatology research
Bray, N., Rhag 2017, Yn: British Journal of Dermatology. 177, 6, t. 1475-1476
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydCosts and outcomes of improving population health through better social housing: a cohort study and economic analysis
Bray, N. J., Burns, P., Jones, A., Winrow, E. & Edwards, R., Rhag 2017, Yn: International Journal of Public Health . 62, 9, t. 1039-1050
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydDefining health-related quality of life for young wheelchair users: A qualitative health economics study
Bray, N., Noyes, J., Harris, N. & Edwards, R. T., 15 Meh 2017, Yn: PLoS ONE. 12, 6, t. e0179269
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydEffectiveness of portable electronic and optical magnifiers for near vision activities in low vision: a randomised crossover trial
Taylor, J. J., Bambrick, R., Brand, A., Bray, N., Dutton, M., Harper, R. A., Hoare, Z., Ryan, B., Edwards, R. T., Waterman, H. & Dickinson, C., 27 Meh 2017, Yn: Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists). 37, 4, t. 370-384 15 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydMeasuring the health-related quality of life of children with impaired mobility: examining correlation and agreement between children and parent proxies
Bray, N., Noyes, J., Harris, N. & Edwards, R. T., 10 Awst 2017, Yn: BMC Research Notes. 10, 1, t. 377
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydPortable electronic vision enhancement systems in comparison with optical magnifiers for near vision activities: an economic evaluation alongside a randomized crossover trial
Bray, N., Brand, A., Taylor, J., Hoare, Z., Dickinson, C. & Edwards, R. T., 11 Gorff 2017, Yn: Acta ophthalmologica. 95, 5, t. e415-e423
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
2016
- CyhoeddwydDepression in Visual Impairment Trial (DEPVIT): A Randomized Clinical Trial of Depression Treatments in People With Low Vision
Nollett, C. L., Bray, N. J., Bunce, C., Casten, R. J., Edwards, R., Hegel, M. T., Janikoun, S., Jumbe, S. E., Ryan, B., Shearn, J., Smith, D. J., Stanford, M., Xing, W. & Margrain, T. H., 31 Awst 2016, Yn: Investigative Ophthalmology & Visual Science. 57, t. 4247-4254
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydEconomic evidence for EUS staging in patients with gastro-oesophageal cancer (GOC): protocol for a systematic review
Yeo, S. T., Bray, N. J., Haboubi, H., Hoare, Z. & Edwards, R., 27 Gorff 2016, NIHR PROSPERO (International Prospective Register of Systematic Reviews).
Allbwn ymchwil: Cyfraniad arall › Cyfraniad Arall - CyhoeddwydPrioritising wheelchair services for children: a pilot discrete choice experiment to understand how child wheelchair users and their parents prioritise different attributes of wheelchair services
Bray, N., Yeo, S. T., Noyes, J., Harris, N. & Edwards, R. T., 19 Gorff 2016, Yn: Pilot and Feasibility Studies. 2, 32, 14 t.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydWarm Homes for Health End of Study Briefing 2016: Exploring the costs and outcomes of improving population health through better housing
Edwards, R. T., Bray, N., Burns, P. & Jones, A., 2016, Prifysgol Bangor University. 4 t.
Allbwn ymchwil: Llyfr/Adroddiad › Adoddiad Arall
2015
- CyhoeddwydConceptualizations of wheelchair using children about their health and quality of life compared with generic measures of utility: A Qualitative health economics study
Bray, N., Noyes, J., Edwards, R. T. & Harris, N., 14 Meh 2015.
Allbwn ymchwil: Cyfraniad at gynhadledd › Papur - CyhoeddwydHigh Prevalence of Untreated Depression in Patients Accessing Low-Vision Services
Bray, N. J., Nollett, C. L., Bray, N., Bunce, C., Casten, R. J., Edwards, R. T., Hegel, M. T., Janikoun, S., Jumbe, S. E., Ryan, B., Shearn, J., Smith, D. J., Stanford, M., Xing, W. & Margrain, T. H., 13 Awst 2015, Yn: Ophthalmology. 123, 2, t. 440-441
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
2014
- Cyhoeddwyd'Keep fit' exercise interventions to improve health, fitness and well-being of children and young people who use wheelchairs: mixed-method systematic review protocol.
O'Brien, T. D., Noyes, J., Spencer, L. H., Kubis, H., Hastings, R. P., Edwards, R. T., Bray, N. & Whitaker, R., 18 Mai 2014, Yn: Journal of Advanced Nursing. 70, 12, t. 2942-2951
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydMore Than Mobility: A Mixed-Method Systematic Review Of Wheelchair Interventions For Children And Young People With Disabilities
Bray, N., Noyes, J., Edwards, R. T. & Harris, N., 15 Meh 2014.
Allbwn ymchwil: Cyfraniad at gynhadledd › Papur - CyhoeddwydPrioritizing Wheelchair Services: A Pilot Discrete Choice Experiment To Understand How Young Wheelchair Users And Their Parents Prioritize Different Attributes Of Wheelchair Services
Bray, N., Noyes, J., Edwards, R. T. & Harris, N., 5 Meh 2014.
Allbwn ymchwil: Cyfraniad at gynhadledd › Papur - CyhoeddwydThe Warm Homes for Health project: exploring the cost-effectiveness of improving population health through better housing
Bray, N. J., Edwards, R. T. & Bray, N., 19 Tach 2014, Yn: The Lancet. 384, S2, t. S80
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydWell-being, health and fitness of children who use wheelchairs: Feasibility study protocol to develop child-centred ‘keep-fit’ exercise interventions
OBrien, T. D., Kubis, H., Bray, N. J., O'Brien, T. D., Noyes, J., Spencer, L. H., Kubis, H. P., Edwards, R. T., Bray, N. & Whitaker, R., 24 Gorff 2014, Yn: Journal of Advanced Nursing. 71, 2, t. 430-440
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid - CyhoeddwydWheelchair interventions, services and provision for disabled children: a mixed-method systematic review and conceptual framework
Bray, N. J., Bray, N., Noyes, J., Edwards, R. T. & Harris, N., 17 Gorff 2014, Yn: BMC Health Services Research. 14, 309
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
2013
- CyhoeddwydAntipsychotic and Benzodiazepine prescribing prevalence and costs in people with dementia and challenging behaviours, living in care homes
Bray, N., Hilton, A., Hounsome, B., Zou, L., Whitaker, C., Moniz-Cook, E., Hart, C., Woods, R. & Edwards, R. T., 24 Maw 2013.
Allbwn ymchwil: Cyfraniad at gynhadledd › Papur
Gweithgareddau
2022
- Co-applicant
Leading economic evaluation
1 Chwef 2022 – 30 Medi 2024
Gweithgaredd: Arall (Cyfrannwr)
2017
- Investing in housing for a return on health - can warmer homes save lives and money?
31 Hyd 2017
Cysylltau:
Gweithgaredd: Mathau o waith ymgysylltu â'r cyhoedd a gwaith maes - Erthygl neu gyfranogiad yn y cyfryngau (Cyfrannwr) - Investing in warmer housing could save the NHS billions
5 Hyd 2017
Cysylltau:
Gweithgaredd: Mathau o waith ymgysylltu â'r cyhoedd a gwaith maes - Erthygl neu gyfranogiad yn y cyfryngau (Cyfrannwr) - Warmer homes can improve population health in the UK
15 Meh 2017
Cysylltau:
Gweithgaredd: Mathau o waith ymgysylltu â'r cyhoedd a gwaith maes - Erthygl neu gyfranogiad yn y cyfryngau (Cyfrannwr)
Projectau
-
01/10/2023 – 15/10/2027 (Wrthi'n gweithredu)
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01/09/2022 – 31/05/2024 (Wrthi'n gweithredu)
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LOad Monitoring and Alert System (LOMAS) to prevent diabetic foot ulceration
01/01/2021 – 31/03/2024 (Wedi gorffen)
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01/04/2018 – 01/08/2022 (Wedi gorffen)
Disgrifiad
EMPoWER is an NIHR HTA funded evidence synthesis project examining the cost-effectiveness of earlier provision of powered wheelchair interventions for children with mobility limitations. The project is being led by Bangor University, in collaboration with Newcastle University. The aim of the EMPoWER project is to estimate the costs and benefits of providing very young disabled children (under 5 years) with powered mobility aids, such as mini wheelchairs and ride-on-cars. During the conduct of this evidence synthesis project, we will combine the results of existing research and produce an economic model to predict how cost-effective it is to provide powered mobility aids from a very early age.
More than 70,000 children in the UK use special equipment, such as wheelchairs, to help them move around. There are many different reasons why children may have issues with their mobility, and for some children powered or electric mobility aids (such as powered wheelchairs) may be the only way to move around on their own. Helping children under the age of 5 to move around on their own can have long-lasting benefits, including physical and mental development, increased independence and more participation in everyday life. These benefits can also have positive impacts on the physical and mental health of children’s parents, and may reduce later health, social care and education costs. What is currently unknown is whether providing powered mobility aids for very young children provides more benefits than waiting until after the child is aged 5. The NHS is the largest UK provider of powered mobility aids for children, but there is often variation in what different NHS services provide, particularly for children under the age of 5. At the moment there is no national guidance to help NHS services decide the best age to start providing powered mobility aids for children, or what costs and the benefits to consider.
As part of the EMPoWER project, we will gather all existing research and evidence about the costs and benefits of powered mobility aids for children. We will look at the quality of the evidence and combine all relevant information to get a better understanding of the extra costs and benefits of providing powered mobility aids (and related training and support) at a very early age, rather than waiting until after a child turns 5. Using this information we will develop an economic model, which will allow us to estimate whether the extra benefits of early powered mobility outweigh the additional costs.
If you would like find out more about this project, please contact chief investigator Dr Nathan Bray: n.bray@bangor.ac.uk / 07792670053
Cysylltau:
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Mobility and Quality of Life: Improving methods of economic evaluation
01/09/2016 – 31/01/2024 (Wedi gorffen)
Disgrifiad
In the UK over 11 million people live with an impairment, disability or limiting chronic illness; approximately 6% of children, 16% of working age adults and 45% of the elderly are classified as disabled. Mobility impairments are one of the most common causes of disability, and many disabled people require mobility aids, such as wheelchairs, to move around independently. The NHS is the largest supplier of mobility-aids in the UK, however more evidence is needed to understand which mobility-aids are the most cost-effective means of improving the mobility and quality of life of people with mobility impairments.
In the NHS resources for healthcare are limited, therefore evidence is needed to guide decisions about resource allocation. The National Institute for Health and Care Excellence (NICE) provides independent guidance to the NHS based on evidence of cost-effectiveness. Cost-effectiveness analysis is used to calculate the additional cost of achieving an outcome, such as increased quality of life. For cost-effectiveness analysis NICE recommends an outcome measurement known as the quality-adjusted life year (QALY). A QALY is calculated by multiplying the amount of time spent in a given health state by the associated quality of life of that health state. Health states are assigned utilities which are values representing a person’s preference for that health state. QALYs are universal because both quantity and quality of life are measured; therefore they can be used and compared across lots of different conditions and treatments. This helps the NHS to make efficient decisions about the use of resources.
Health-related quality of life (questionnaires are designed to measure the impact that health has on quality of life and the positive or negative impacts of a medical treatment. These questionnaires are often preference-based, which means they can be used to calculate QALYs. Because these questionnaire tools are so generic they are sometimes not sensitive to disease or condition specific changes to health or quality of life. For instance, the EQ-5D (a widely used health-related quality of life outcome measure) asks people to rate their mobility using 1 of 5 options, none of which account for mobility other than walking, for instance using a mobility-aid. At present there are no mobility-related quality of life questionnaires which can be used to calculate QALYs.
The aim of this project is to develop a questionnaire tool to specifically measure quality of life related to mobility. This will help researchers and medical professionals to understand how mobility-aids improve the quality of life of people with mobility impairments. This project will involve interviewing people with mobility impairments about how mobility affects quality of life, then developing a questionnaire based on their responses. In order to create a scoring system, we will then ask a large of number of people to state their preferences for all of the different health states identified in the new questionnaire. Throughout the project we will test the questionnaire to make sure that it is valid and reliable.
If you would like find out more about this project, please contact chief investigator Dr Nathan Bray: n.bray@bangor.ac.uk / 07792670053
Cysylltau: