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Jones F, Gombert-Waldron K, Honey S, et al. Using co-production to increase activity in acute stroke units: the CREATE mixed-methods study. Southampton (UK): NIHR Journals Library; 2020 Aug. (Health Services and Delivery Research, No. 8.35.)

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Using co-production to increase activity in acute stroke units: the CREATE mixed-methods study.

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References

1.
Cloud G, Hoffman A, Rudd A, Intercollegiate Stroke Working Party. National sentinel stroke audit 1998–2011. Clin Med 2013;13:444–8. 10.7861/clinmedicine.13-5-444 [PMC free article: PMC4953792] [PubMed: 24115698] [CrossRef]
2.
Department of Health and Social Care. National Stroke Strategy. London: Department of Health and Social Care; 2007.
3.
Rudd AG, Hoffman A, Paley L, Bray B. 20 years of researching stroke through audit. Clin Rehabil 2018;32:997–1006. 10.1177/0269215518784645 [PubMed: 29932011] [CrossRef]
4.
Rosbergen IC, Grimley RS, Hayward KS, Walker KC, Rowley D, Campbell AM, et al. Embedding an enriched environment in an acute stroke unit increases activity in people with stroke: a controlled before-after pilot study. Clin Rehabil 2017;31:1516–28. 10.1177/0269215517705181 [PubMed: 28459184] [CrossRef]
5.
Åstrand A, Saxin C, Sjöholm A, Skarin M, Linden T, Stoker A, et al. Poststroke physical activity levels no higher in rehabilitation than in the acute hospital. J Stroke Cerebrovasc Dis 2016;25:938–45. 10.1016/j.jstrokecerebrovasdis.2015.12.046 [PubMed: 26851969] [CrossRef]
6.
Kunkel D, Fitton C, Burnett M, Ashburn A. Physical inactivity post-stroke: a 3-year longitudinal study. Disabil Rehabil 2015;37:304–10. 10.3109/09638288.2014.918190 [PubMed: 24828312] [CrossRef]
7.
Bernhardt J, Dewey H, Thrift A, Donnan G. Inactive and alone. Stroke 2004;35:1005–9. 10.1161/01.STR.0000120727.40792.40 [PubMed: 14988574] [CrossRef]
8.
Esmonde T, McGinley J, Wittwer J, Goldie P, Martin C. Stroke rehabilitation: patient activity during non-therapy time. Aust J Physiother 1997;43:43–51. 10.1016/S0004-9514(14)60401-3 [PubMed: 11676671] [CrossRef]
9.
Intercollegiate Stroke Working Party. National Clinical Guideline for Stroke. 5th edn. London: Royal College of Physicians; 2016.
10.
Taylor E, McKevitt C, Jones F. Factors shaping the delivery of acute inpatient stroke therapy: a narrative synthesis. J Rehabil Med 2015;47:107–19. 10.2340/16501977-1918 [PubMed: 25437308] [CrossRef]
11.
Clarke DJ, Burton L-J, Tyson SF, Rodgers H, Drummond A, Palmer R, et al. Why do stroke survivors not receive recommended amounts of active therapy? Findings from the ReAcT study, a mixed-methods case-study evaluation in eight stroke units. Clin Rehabil 2018;32:1119–32. 10.1177/0269215518765329 [PMC free article: PMC6068965] [PubMed: 29582712] [CrossRef]
12.
Taylor E, Jones F, McKevitt C. How is the audit of therapy intensity influencing rehabilitation in inpatient stroke units in the UK? An ethnographic study. BMJ Open 2018;8:e023676. 10.1136/bmjopen-2018-023676 [PMC free article: PMC6303655] [PubMed: 30552266] [CrossRef]
13.
Batalden P. Getting more health from healthcare: quality improvement must acknowledge patient coproduction – an essay by Paul Batalden. BMJ 2018;362:k3617. 10.1136/bmj.k3617 [CrossRef]
14.
Batalden M, Batalden P, Margolis P, Seid M, Armstrong G, Opipari-Arrigan L, Hartung H. Coproduction of healthcare service. BMJ Qual Saf 2016;25:509–17. 10.1136/bmjqs-2015-004315 [PMC free article: PMC4941163] [PubMed: 26376674] [CrossRef]
15.
Osborne SP, Radnor Z, Strokosch K. Co-production and the co-creation of value in public services: a suitable case for treatment? Public Management Rev 2016;18:639–53. 10.1080/14719037.2015.1111927 [CrossRef]
16.
Clarke D, Jones F, Harris R, Robert G, Collaborative Rehabilitation Environments in Acute Stroke (CREATE) team. What outcomes are associated with developing and implementing co-produced interventions in acute healthcare settings? A rapid evidence synthesis. BMJ Open 2017;7:e014650. 10.1136/bmjopen-2016-014650 [PMC free article: PMC5734495] [PubMed: 28701409] [CrossRef]
17.
Stroke Association. State of the Nation Stroke Statistics. London: Stroke Association; 2018. URL: www​.stroke.org.uk/system​/files/sotn_2018.pdf (accessed 14 April 2019).
18.
Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet 2011;377:1693–702. 10.1016/S0140-6736(11)60325-5 [PubMed: 21571152] [CrossRef]
19.
Wang Y, Rudd AG, Wolfe CD. Age and ethnic disparities in incidence of stroke over time: the South London Stroke Register. Stroke 2013;44:3298–304. 10.1161/STROKEAHA.113.002604 [PubMed: 24114452] [CrossRef]
20.
Marshall IJ, Wang Y, Crichton S, McKevitt C, Rudd AG, Wolfe CD. The effects of socioeconomic status on stroke risk and outcomes. Lancet Neurol 2015;14:1206–18. 10.1016/S1474-4422(15)00200-8 [PubMed: 26581971] [CrossRef]
21.
Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet 2014;383:245–54. 10.1016/S0140-6736(13)61953-4 [PMC free article: PMC4181600] [PubMed: 24449944] [CrossRef]
22.
Patel A, Berdunov V, King D, Berdunov Z, Wittenberg R, Knapp M. Current, Future and Avoidable Costs of Stroke in the UK: Part 1. London: Centre for Primary Care & Public Health, Queen Mary University of London and the Personal Social Services Research Unit, London School of Economics and Political Science for the Stroke Association; n.d.
23.
Saka O, Serra V, Samyshkin Y, McGuire A, Wolfe CC. Cost-effectiveness of stroke unit care followed by early supported discharge. Stroke 2009;40:24–9. 10.1161/STROKEAHA.108.518043 [PubMed: 19008473] [CrossRef]
24.
Department of Health and Social Care. National Stroke Strategy. London: Department of Health and Social Care; 2007. https://webarchive​.nationalarchives​.gov.uk​/20130104224925/http://www​.dh.gov.uk/prod_consum_dh​/groups​/dh_digitalassets/documents​/digitalasset/dh_081059.pdf (accessed 14 April 2019).
25.
Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev 2013;9:. CD000197 [PMC free article: PMC6474318] [PubMed: 24026639]
26.
Fulop N, Boaden R, Hunter R, McKevitt C, Morris S, Pursani N, et al. Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care. Implement Sci 2013;8:5. 10.1186/1748-5908-8-5 [PMC free article: PMC3545851] [PubMed: 23289439] [CrossRef]
27.
Morris S, Ramsay AIG, Boaden RJ, Hunter RM, McKevitt C, Paley L, et al. Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data. BMJ 2019;364:l1. 10.1136/bmj.l1 [PMC free article: PMC6334718] [PubMed: 30674465] [CrossRef]
28.
Janssen H, Ada L, Bernhardt J, McElduff P, Pollack M, Nilsson M, Spratt NJ. An enriched environment increases activity in stroke patients undergoing rehabilitation in a mixed rehabilitation unit: a pilot non-randomized controlled trial. Disabil Rehabil 2014;36:255–62. 10.3109/09638288.2013.788218 [PubMed: 23627534] [CrossRef]
29.
Dewey HM, Sherry LJ, Collier JM. Stroke rehabilitation 2007: what should it be? Int J Stroke 2007;2:191–200. 10.1111/j.1747-4949.2007.00146.x [PubMed: 18705943] [CrossRef]
30.
National Institute for Health and Care Excellence. Stroke Rehabilitation in Adults: Guidance. NICE; 2013. URL: www​.nice.org.uk/guidance/CG162 (accessed 12 April 2020).
31.
National Institute for Health and Care Excellence. Stroke Overview – NICE Pathways. 2020. URL: https://pathways​.nice​.org.uk/pathways/stroke (accessed 13 April 2020).
32.
Schneider EJ, Lannin NA, Ada L, Schmidt J. Increasing the amount of usual rehabilitation improves activity after stroke: a systematic review. J Physiother 2016;62:182–7. 10.1016/j.jphys.2016.08.006 [PubMed: 27637769] [CrossRef]
33.
Lohse KR, Lang CE, Boyd LA. Is more better? Using meta-data to explore dose-response relationships in stroke rehabilitation. Stroke 2014;45:2053–8. 10.1161/STROKEAHA.114.004695 [PMC free article: PMC4071164] [PubMed: 24867924] [CrossRef]
34.
Kwakkel G, Wagenaar RC, Koelman TW, Lankhorst GJ, Koetsier JC. Effects of intensity of rehabilitation after stroke. Stroke 1997;28:1550–6. 10.1161/01.STR.28.8.1550 [PubMed: 9259747] [CrossRef]
35.
Royal College of Physicians, Clinical Effectiveness and Evaluation Unit on behalf of the Intercollegiate Stroke Working Party. Changes Over Time: 4 Years of Data April 2013 – March 2017: National Results Based on Stroke Patients Admitted to and/or Discharged from Hospital Between April 2013 – March 2017. London: Royal College of Physicians; 2017.
36.
Huijben-Schoenmakers M, Rademaker A, van Rooden P, Scherder E. The effects of increased therapy time on cognition and mood in frail patients with a stroke who rehabilitate on rehabilitation units of nursing homes in the Netherlands: a protocol of a comparative study. BMC Geriatr 2014;14:68. 10.1186/1471-2318-14-68 [PMC free article: PMC4035715] [PubMed: 24884651] [CrossRef]
37.
English C, Bernhardt J, Hillier S. Circuit class therapy and 7-day-week therapy increase physiotherapy time, but not patient activity: early results from the CIRCIT trial. Stroke 2014;45:3002–7. 10.1161/STROKEAHA.114.006038 [PubMed: 25123219] [CrossRef]
38.
Trammell M, Kapoor P, Swank C, Driver S. Improving practice with integration of patient directed activity during inpatient rehabilitation. Clin Rehabil 2017;31:3–10. 10.1177/0269215515625100 [PubMed: 26837432] [CrossRef]
39.
Skarin M, Sjöholm A, Nilsson Å, Nilsson M, Bernhardt J, Lindén T. A mapping study on physical activity in stroke rehabilitation: establishing the baseline. J Rehabil Med 2013;45:997–1003. 10.2340/16501977-1214 [PubMed: 24150662] [CrossRef]
40.
Peiris CL, Taylor NF, Shields N. Extra physical therapy reduces patient length of stay and improves functional outcomes and quality of life in people with acute or subacute conditions: a systematic review. Arch Phys Med Rehabil 2011;92:1490–500. 10.1016/j.apmr.2011.04.005 [PubMed: 21878220] [CrossRef]
41.
Galvin R, Cusack T, O’Grady E, Murphy TB, Stokes E. Family-mediated exercise intervention (FAME): evaluation of a novel form of exercise delivery after stroke. Stroke 2011;42:681–6. 10.1161/STROKEAHA.110.594689 [PubMed: 21233462] [CrossRef]
42.
Lockhart J, James I, Linstead G. Mind the Gap. London: NHS Improvement; 2006. URL: www​.stroke-in-stoke.info​/otherfiles/mind%20thegap2011.pdf (accessed 14 April 2019).
43.
NHS England. Putting Patients First: The NHS England Business Plan for 2013/14–2015/16. URL: www​.england.nhs.uk/wp-content​/uploads/2013/04/ppf-1314-1516​.pdf (accessed 13 April 2020).
44.
NHS England. Five Year Forward View 2014. London: NHS England; 2014. URL: www​.england.nhs.uk/wp-content​/uploads/2014/10/5yfv-web.pdf (accessed 14 April 2019).
45.
NHS Improvement. Patient Experience Improvement Framework. London: NHS Improvement; 2018. URL: https://improvement​.nhs​.uk/documents/2885​/Patient_experience​_improvement_framework_full_publication​.pdf (accessed 14 April 2019).
46.
Needham C, Carr S. Co-production: An Emerging Evidence Base for Adult Social Care Transformation. London: Queen Mary, University of London, and Social Care Institute for Excellence; 2009.
47.
Robert G, Cornwell J. Rethinking policy approaches to measuring and improving patient experience. J Health Serv Res Policy 2013;18:67–9. 10.1177/1355819612473583 [CrossRef]
48.
Madden M, Speed E. Beware zombies and unicorns: toward critical patient and public involvement in health research in a neoliberal context. Front Sociol 2017;2. 10.3389/fsoc.2017.00007 [CrossRef]
49.
Berwick DM. Improvement, trust, and the healthcare workforce. Qual Saf Health Care 2003;12(Suppl. 1):i2–6. 10.1136/qhc.12.suppl_1.i2 [PMC free article: PMC1765768] [PubMed: 14645740] [CrossRef]
50.
Goodrich J, Cornwell J. Seeing the Person in the Patient: The Point of Care Review Paper. London: The King’s Fund; 2008. URL: www​.kingsfund.org.uk​/sites/default/files​/Seeing-the-person-in-the-patient-The-Point-of-Care-review-paper-Goodrich-Cornwell-Kings-Fund-December-2008.pdf
51.
Bate P, Robert G. Bringing User Experience to Healthcare Improvement: The Concepts, Methods and Practices of Experience-based Design. Abingdon: Radcliffe Publishing; 2007.
52.
Tsianakas V, Maben J, Wiseman T, Robert G, Richardson A, Madden P, et al. Using patients’ experiences to identify priorities for quality improvement in breast cancer care: patient narratives, surveys or both? BMC Health Serv Res 2012;12:271. 10.1186/1472-6963-12-271 [PMC free article: PMC3466127] [PubMed: 22913525] [CrossRef]
53.
Cottam H, Leadbeater C. Red Paper 01 Health: Co-creating Services. London: Design Council; 2004.
54.
Baim-Lance A, Tietz D, Lever H, Swart M, Agins B. Everyday and unavoidable coproduction: exploring patient participation in the delivery of healthcare services. Sociol Health Illn 2019;41:128–42. 10.1111/1467-9566.12801 [PubMed: 30084113] [CrossRef]
55.
Farr M. Power dynamics and collaborative mechanisms in co-production and co-design processes. Crit Soc Policy 2018;38:623–44. 10.1177/0261018317747444 [CrossRef]
56.
Filipe A, Renedo A, Marston C. The co-production of what? Knowledge, values, and social relations in health care. PLOS Biol 2017;15:e2001403. 10.1371/journal.pbio.2001403 [PMC free article: PMC5414996] [PubMed: 28467412] [CrossRef]
57.
Bate P, Robert G. Toward more user-centric OD: lessons from the field of experience-based design and a case study. J Appl Behav Sci 2007;43:41–66. 10.1177/0021886306297014 [CrossRef]
58.
Donetto S, Tsianakas V, Robert G. Using Experience-based Co-design to Improve the Quality of Healthcare: Mapping Where We Are Now and Establishing Future Directions. London: King’s College London; 2014.
59.
60.
Locock L, Robert G, Boaz A, Vougioukalou S, Shuldham C, Fielden J, et al. Testing accelerated experience-based co-design: a qualitative study of using a national archive of patient experience narrative interviews to promote rapid patient-centred service improvement. Health Serv Deliv Res 2014;2(4). 10.3310/hsdr02040 [PubMed: 25642558] [CrossRef]
61.
Robert G, Cornwell J, Locock L, Purushotham A, Sturmey G, Gager M. Patients and staff as codesigners of healthcare services. BMJ 2015;350:g7714. 10.1136/bmj.g7714 [PubMed: 25670179] [CrossRef]
62.
Intercollegiate Working Party for Stroke. National Guidelines for Stroke. London: Royal College of Physicians; 2012. URL: www​.strokeaudit.org/Guideline​/Historical-Guideline​/National-Clinical-Guidelines-for-Stroke-fourth-edi.aspx (accessed 14 April 2019).
63.
King’s College London, Sentinel Stroke National Audit Programme (SSNAP). SSNAP Clinical Interactive Maps. URL: www​.strokeaudit.org/results​/Clinical-audit/Maps.aspx (accessed July 2020).
64.
Royal College of Physicians, Care Quality Improvement Department on behalf of the Intercollegiate Stroke Working Party. Sentinel Stroke National Audit Programme (SSNAP): Acute Organisational Report. London: Royal College of Physicians; 2016. URL: www​.strokeaudit.org/Documents​/National/AcuteOrg​/2016/2016-AOANationalReport.aspx (accessed 13 April 2020).
65.
The Point of Care Foundation. EBCD: Experience-based Co-design Toolkit. URL: www​.pointofcarefoundation​.org.uk/resource​/experience-based-co-design-ebcd-toolkit/ (accessed 14 February 2019).
66.
Greenhalgh T, Papoutsi C. Studying complexity in health services research: desperately seeking an overdue paradigm shift. BMC Med 2018;16:95. 10.1186/s12916-018-1089-4 [PMC free article: PMC6009054] [PubMed: 29921272] [CrossRef]
67.
May CR, Finch T, Ballini L, MacFarlane A, Mair F, Murray E, et al. Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enabled toolkit. BMC Health Serv Res 2011;11:245. 10.1186/1472-6963-11-245 [PMC free article: PMC3205031] [PubMed: 21961827] [CrossRef]
68.
Murray E, Treweek S, Pope C, MacFarlane A, Ballini L, Dowrick C, et al. Normalisation process theory: a framework for developing, evaluating and implementing complex interventions. BMC Med 2010;8:63. 10.1186/1741-7015-8-63 [PMC free article: PMC2978112] [PubMed: 20961442] [CrossRef]
69.
Kneebone II, Hull SL, McGurk R, Cropley M. Reliability and validity of the neurorehabilitation experience questionnaire for inpatients. Neurorehabil Neural Repair 2012;26:834–41. 10.1177/1545968311431962 [PubMed: 22328684] [CrossRef]
70.
Clarke DJ, Hawkins R, Sadler E, Harding G, McKevitt C, Godfrey M, et al. Introducing structured caregiver training in stroke care: findings from the TRACS process evaluation study. BMJ Open 2014;4:e004473. 10.1136/bmjopen-2013-004473 [PMC free article: PMC4010820] [PubMed: 24736035] [CrossRef]
71.
Askim T, Bernhardt J, Salvesen O, Indredavik B. Physical activity early after stroke and its association to functional outcome 3 months later. J Stroke Cerebrovasc Dis 2014;23:e305–12. 10.1016/j.jstrokecerebrovasdis.2013.12.011 [PubMed: 24529353] [CrossRef]
72.
Normalization Process Theory. What is NPT? URL: www​.normalizationprocess​.org/what-is-npt/ (accessed 11 April 2019).
73.
Tsianakas V, Robert G, Maben J, Richardson A, Dale C, Griffin M, Wiseman T. Implementing patient-centred cancer care: using experience-based co-design to improve patient experience in breast and lung cancer services. Support Care Cancer 2012;20:2639–47. 10.1007/s00520-012-1470-3 [PMC free article: PMC3461206] [PubMed: 22544223] [CrossRef]
74.
Locock L, Robert G, Boaz A, Vougioukalou S, Shuldham C, Fielden J, et al. Using a national archive of patient experience narratives to promote local patient-centered quality improvement: an ethnographic process evaluation of ‘accelerated’ experience-based co-design. J Health Serv Res Policy 2014;19:200–7. 10.1177/1355819614531565 [PubMed: 24840387] [CrossRef]
75.
Bowen S, McSeveny K, Lockley E, Wolstenholme D, Cobb M, Dearden A. How was it for you? Experiences of participatory design in the UK health service. CoDesign 2013;9:230–46. 10.1080/15710882.2013.846384 [CrossRef]
76.
Piper D, Iedema R, Gray J, Verma R, Holmes L, Manning N. Utilizing experience-based co-design to improve the experience of patients accessing emergency departments in New South Wales public hospitals: an evaluation study. Health Serv Manage Res 2012;25:162–72. 10.1177/0951484812474247 [PubMed: 23554443] [CrossRef]
77.
Larkin M, Boden ZV, Newton E. On the brink of genuinely collaborative care: experience-based co-design in mental health. Qual Health Res 2015;25:1463–76. 10.1177/1049732315576494 [PubMed: 25829467] [CrossRef]
78.
Vennik FD, van de Bovenkamp HM, Putters K, Grit KJ. Co-production in healthcare: rhetoric and practice. Int Rev Admin Sci 2016;82:150–68. 10.1177/0020852315570553 [CrossRef]
79.
Thomson A, Rivas C, Giovannoni G. Multiple sclerosis outpatient future groups: improving the quality of participant interaction and ideation tools within service improvement activities. BMC Health Serv Res 2015;15:105. 10.1186/s12913-015-0773-8 [PMC free article: PMC4407287] [PubMed: 25903748] [CrossRef]
80.
Greenhalgh T, Jackson C, Shaw S, Janamian T. Achieving research impact through co-creation in community-based health services: literature review and case study. Milbank Q 2016;94:392–429. 10.1111/1468-0009.12197 [PMC free article: PMC4911728] [PubMed: 27265562] [CrossRef]
81.
Bovaird T. Beyond engagement and participation: user and community coproduction of public services. Public Admin Rev 2007;67:846–60. 10.1111/j.1540-6210.2007.00773.x [CrossRef]
82.
Scottish Co-Production Network. Co-production — How We Make a Difference Together. Glasgow: Scottish Community Development Centre; 2016. URL: www​.scdc.org.uk/what​/co-production-how-we-make-difference-together (accessed 20 September 2019).
83.
Boyd H, McKernon S, Mullin B, Old A. Improving healthcare through the use of co-design. N Z Med J 2012;125:76–87. [PubMed: 22854362]
84.
Tollyfield R. Facilitating an accelerated experience-based co-design project. Br J Nurs 2014;23:136–41. 10.12968/bjon.2014.23.3.136 [PubMed: 24526020] [CrossRef]
85.
Walshe K. Pseudoinnovation: the development and spread of healthcare quality improvement methodologies. Int J Qual Health Care 2009;21:153–9. 10.1093/intqhc/mzp012 [PubMed: 19383716] [CrossRef]
86.
Keith RA, Cowell KS. Time use of stroke patients in three rehabilitation hospitals. Soc Sci Med 1987;24:529–33. 10.1016/0277-9536(87)90342-x [PubMed: 3589748] [CrossRef]
87.
Rosbergen IC, Grimley RS, Hayward KS, Brauer SG. The impact of environmental enrichment in an acute stroke unit on how and when patients undertake activities. Clin Rehabil 2019;33:784–95. 10.1177/0269215518820087 [PubMed: 30582368] [CrossRef]
88.
Wenger E. Communities of Practice: Learning, Meaning, and Identity. Cambridge: Cambridge University Press; 1998.
89.
Palmer J. Stroke unit transformed at St Helier Hospital. Sutton & Croydon Guardian, 5 February 2018. URL: www​.yourlocalguardian​.co.uk/news/15921208​.stroke-unit-transformed-at-st-helier-hospital/ (accessed 12 December 2019).
Copyright © Queen’s Printer and Controller of HMSO 2020. This work was produced by Jones et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
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