HERALD is a growing repository of research and organisational information generated by people working and volunteering in London's Integrated Care Systems.
Please see below for the full list of HERALD organisations. To engage with us as we develop the repository - including submitting items for adding to the collection and becoming a HERALD organisation - contact us via email: heraldrepository@gmail.com
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Recent Submissions
Item Improving urinary catheter documentation and care in geriatric wards(2019-06)Quality improvement project at Princress Royal University Hospital (PRUH) aimed to improve urinary catheter care documentation and care on M3 and M7 geriatric wards through ensuring that all patients have and EPR order for catheter insertion, driving a 25% reduction in catheter days and improving documentation for catheter insertion.Item Addressing psychosis stigma in urban Pakistan through participatory forum theatre: A pilot implementation study.(Feb-26)Introduction: Stigma remains a major barrier to treatment and recovery for individuals with psychosis, particu larly in low- and middle-income countries (LMICs) like Pakistan, where access to mental health services is limited and cultural perceptions of mental illness are often shaped by supernatural beliefs. This pilot study employed Forum Theatre, a participatory, arts-based method rooted in Augusto Boal’s Theatre of the Oppressed (TO), to engage communities and reduce psychosis-related stigma through co-created performance and dialogue. The intervention was co-produced with individuals with lived experience of psychosis, caregivers, performers, and TO experts. Methods: Using a mixed-methods design and guided by the Standards for Reporting Implementation Studies (StaRI) framework, the study evaluated the feasibility and acceptability of Forum Theatre to address psychosis related stigma in urban Pakistan. Phase 1 involved participatory workshops to co-develop a script to be per formed to community audiences. Phase 2 included public performances followed by audience interaction. Data were collected via semi-structured interviews, audience intercept “vox pops” and pre/post-performance stigma questionnaires (CAMI-12 and KAP) at three time points. Results: Overall, the intervention was well-received, with high retention (75 % workshops; 70.5 % follow-up). Quantitative findings showed an increase in psychosis knowledge, though no statistically significant change in stigma scores. Thematic analysis identified eight key themes, from positive impact of workshop participation to calls for expansion, highlighting logistical barriers and power dynamics as areas for further review. Discussion: Forum Theatre shows potential as a feasible and culturally relevant approach to address stigma in LMICs. Further research with validated measures and wider recruitment is warranted to assess its broader impact and sustainability.Item Predictors of Treatment Outcome in an Early Intervention Eating Disorder Sample(11/03/2026)Objective: To examine baseline predictors of treatment completion and clinical outcomes in 16 to 25-year-olds referred for early intervention for a recent-onset eating disorder (ED). Method: Participants (n = 228; 93% female, 63% White British) were drawn from the FREED-Up study, which evaluated First episode Rapid Early intervention for EDs (FREED) in England across 2017-2018. Measures were completed at baseline and 3-, 6- and 12-months. Generalized estimating equations were used to identify baseline predictors of treatment completion and symptom remission by 12-months. Linear mixed models were used to identify baseline predictors of change in global eating disorder examination-questionnaire (EDE-Q) scores, binge eating, purging and BMI (anorexia nervosa [AN] only) over 12-months. Possible predictors included baseline ED symptoms, depression, anxiety, stress, psychosocial impairment, expressed emotion from close others, functioning against personalized goals, age, ethnicity, duration of illness, waiting times and BMI. Results: There were no significant predictors of treatment completion. Lower stress at baseline predicted increased likelihood of symptom remission by 12 months. Lower purging and psychosocial impairment at baseline predicted lower Global EDE-Q scores over the following 12 months; lower purging predicted lower rates of binge eating; and lower Global EDE-Q scores, binge eating and assessment waiting times predicted lower rates of purging. Higher purging at baseline was associated with higher BMI in AN. Discussion: This study provides new data on predictors of treatment outcomes in an early intervention ED sample. In addition to ED symptoms and waiting times, psychosocial impairment and stress warrant consideration as factors that may influence treatment outcomes. Keywords: anorexia nervosa; bulimia nervosa; early intervention; eating disAllen, K. L., Austin, A., Flynn, M., Glennon, D., Mountford, V. A., Brown, A., Franklin‐Smith, M., Jones, W. R., Brady, G., Nunes, N., Connan, F., Mahony, K., Serpell, L., & Schmidt, U. (2025). Predictors of treatment outcome in an early intervention eating disorder sample. International Journal of Eating Disorders, 59(3), 574-580. https://doi.org/10.1002/eat.24593orders; emerging adulthood; other specified feeding or eating disorder; psychological therapy; treatment outcomes.Item ADHD (over) diagnosis: fiction, fashion and failure(06/03/2026)When thoroughly assessed, the prevalence of attention-deficit hyperactivity disorder (ADHD) in children/adolescents is estimated at 5%. There is no evidence that ADHD is over-diagnosed in the UK. Indeed, available data point to under-diagnosis, even though rigorous updated post-COVID-19 pandemic data are not available. Some cases may be misdiagnosed due to low-quality assessment, poor adherence to national guidance or inappropriate differential diagnosis. Beyond the controversy around over- or under-diagnosis and over-medicalisation of ordinary behaviours or emotions, the main issue is that UK clinical services cannot adequately support individuals with ADHD who need help. There is a risk that the narrative claiming 'ADHD is over-diagnosed' could be used to deny people with properly-diagnosed ADHD the care they deserve.Item Barriers and enablers of TB infection screening and treatment programme for recent migrants in East London(01/03/2026)Community-based TBI programmes can be successful. Key enablers include TBI-specific training with communities and amongst health care professionals, collaboration between health care professionals and stakeholders, and aggregate data monitoring.
Communities in HERALD
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