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Global Health

Education

Global health concerns transcend national boundaries, and thus call for overarching global responses to advance the health for all agenda. Cicely Saunders Institute offers education programmes to prepare for future leaders in palliative care across the globe. These include Certificate/Diploma/MSc and PhD programmes in Palliative Care, Policy and Rehabilitation, as well as informal training including e-learning modules (MORECARE: registration link, course booklet link).

Our students are trained to acquire key scientific and professional leadership skills, and also trained on how to deliver evidence-based palliative care irrespective of setting. All our programmes are taught by multi-professional teams which include academics, clinical care, policy, and psycho-social experts with diverse experiences of developing and delivering care. In addition, King’s College London offers informal high level courses e.g., statistics tailored to unique cancer and palliative care.

 

 Cutting edge student research

Towards person-centred care for people living with HIV/AIDS in Ghana
 ABBOAH-OFFEI Mary  This project, led by Mary Abboah-Offei, aims to develop a community-based enhanced care intervention to improve person-centered outcomes for people living with HIV/AIDS. Her PhD is underpinned by the Medical Research Council’s framework; and to test the ‘feasibility’ of a cluster randomised controlled trial in terms of participant recruitment, retention, intervention delivery and fidelity; and to estimate the potential effect to determine if a future definitive trial is warranted. Findings will inform the development of strategies to scale up the “Test and Treat” strategy, which is pivotal to controlling the HIV pandemic in resource-limited settings ( link to profile)
Person-centered care: An international perspective
 Alessandra G  This work is led by Alessandra Giusti. Her PhD work aims to investigate the meaning and feasibility of person-centeredness in healthcare internationally, and to generate evidence-based recommendations for clinicians, policy makers and clinical trainers on how to implement quality, person-centered care. Working across sites in South Africa, Jordan, and Thailand, Alessandra is responsible for designing, coordinating and analysing qualitative interviews to understand the views and needs of patients, caregivers, and clinicians. ( link to profile)
Developing and evaluating an intervention of advance care
planning for cancer patients in Taiwan
 
 LIN Cheng-Pei  Cheng-Pei Lin, a PhD student, is now building on preliminary work in the UK around communication skills and advance care planning for advanced cancer patients, testing the feasibility of advance care planning in Taiwan. This study could be the first study using advance care planning for end-of-life cancer patients in Asia and will bring impact to the healthcare system and legislation in terms of palliative care in Taiwan. Through his PhD work, an international collaboration between the UK and Taiwan is established to provide a better palliative care service for Taiwanese people.( link to profile)
Analysis of the associations between longitudinal patterns of
healthcare, factors, and outcomes in patients with end-stage
liver disease (ESLD) in Taiwan
 
PENG Jen-Kuei   Jen-Kuei Peng has undertaken a systematic review (symptom prevalence and quality of life of patients with ESLD) and an analysis focusing on trends in and factors associated with hospital deaths in patients who died from liver disease. He is undertaking further analysis to understand the association between longitudinal patterns of health care, factors and outcomes in patients with ESLD, using a database from Taiwan. The results will inform future care improvement. ( link to profile)
Outcome measurement in children with life-limiting and  
life-threatening illnesses in Kenya, Uganda, Namibia and South Africa
 
NAMISANGO Eve   This project aims to benchmark best practices for measuring person-centered outcomes in children with life-limiting and life-threatening illnesses. It is a multi-country project led by Eve Namisango, a BUILDcare PhD African Scholar. Without a person-centered outcome measure, care cannot be tailored to the concerns of patients and their families, and we cannot demonstrate the effectiveness of services. This is a huge advancement for the field as it has been a long-standing gap in knowledge. ( link to profile)
Routine symptom monitoring with patient-reported outcome
measurements in advanced cancer patients in China
 
Houshen Li  Houshen Li's PhD aims to investigate the feasibility of routine symptom monitoring with patient-reported outcome measurements in advanced cancer patients in the Chinese population. In China, symptoms are common among patients receiving treatment of advanced cancers, which associate with poor survival and lead to functional impairment. The results of his PhD work can inform future care improvement in China in terms of engaging both patients and clinicians as active participants in patient-reported outcome monitoring, changing health care delivery system where patient centeredness is prioritised, and optimising the experience, efficiency, and outcomes of care ( link to profile)
Symptoms and associated factors influencing health-related
outcomes in hospitalized patients with advanced chronic obstructive
pulmonary disease in China
 
 Fei Fei  Fei Fei received an MSc degree of advanced nursing in University of Nottingham. In 2018, she won the 2018 King’s-China Scholarship Council (K-CSC) Programme, so she joined the Cicely Saunders Institute in October 2018. Her PhD research focuses on identifying symptoms, quality of life and health care utilization in hospitalised patients with advanced chronic obstructive pulmonary disease (COPD) in China. She will undertake further analysis to understand the association between symptoms and health-related outcomes in patients with advanced COPD, using data from medical record in China. The results will inform future care improvement. ( link to profile)
Strengthening the health system for person-centeredness in palliative
care in Nigeria
 
 Oladayo Afolabi  Oladayo Afolabi is a Registered Nurse in Nigeria and the United Kingdom. He won the Muritala Mohammed International Postgraduate Scholarship for his MSc at London Metropolitan University in 2013. He also won the 2018 King’s Postgraduate Research International Scholarship awarded by the KCL Centre for Doctoral Studies. His PhD research focuses on the acceptability and feasibility of a health-system level intervention to strengthen primary care-led delivery of person-centred care in patients with serious illnesses in Nigeria. This has the potential to scale up health service delivery and improve access to palliative care in difficult to reach populations while contributing to the achievement of the Universal Health Coverage (UHC) goal in Nigeria. ( link to profile)

 

Impact of our student-led work

Dr Duong Le Dai and Dr Huyen Bui won GlobalCARE scholarships to spend a year with us, both successfully gaining their MSc Palliative Care. The fellows worked on studies to understand the needs of HIV and cancer patients in Vietnam and are now back in Ho Chi City where they are working to expand services, including paediatric palliative care service. Dr Huyen Bui developed the first paediatric palliative care unit in Vietnam.

Eve Namisango completed her MSc at King’s College London. For her thesis, she commissioned an enquiry into the issue of pain in ambulatory HIV/AIDS patients. “It had become common for care providers and public health specialists to argue that, with the advent of the lifesaving antiretroviral therapy pain and other symptoms were no longer a concern in this population.” Says the principal investigator. Her study aimed to determine the prevalence, intensity, associated factors, and the effect of pain among ambulatory HIV/AIDS patients. The study revealed that 47% of the patients reported pain in the 7 days prior to the survey and pain was a symptom at the time of diagnosis for 68%. We concluded that pain is a common symptom among ambulatory HIV/AIDS patients and has a debilitating effect on quality of life and emphasized the problem of the significant unmet need for pain relief in the population. Following such evidence, pain management is increasingly being recognised as an important component of HIV care (https://www.ncbi.nlm.nih.gov/pubmed/22748803).

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