Exercise testing to guide safe discharge from hospital in COVID-19: a scoping review to identify candidate tests

Objectives We aimed to identify exercise tests that have been validated to support a safe discharge to home in patients with or without COVID-19.Study design Scoping review, using PRISMA-ScR reporting standards. Medline, PubMed, AMED, Embase, CINAHL and LitCovid databases were searched between 16 and 22 February 2021, with studies included from any publication date up to and including the search date.Intervention Short exercise tests.Primary outcome measures Safe discharge from hospital, readmission rate, length of hospital stay, mortality. Secondary outcomes measures: safety, feasibility and reliability.Results Of 1612 original records screened, 19 studies were included in the analysis. These used a variety of exercise tests in patients with chronic obstructive pulmonary disease, suspected pulmonary embolism and pneumocystis carinii pneumonia, heart failure or critical illness. Only six studies had examined patients with COVID-19, of these two were still recruiting to evaluate the 1 min sit-to-stand test and the 40-steps test. There was heterogeneity in patient populations, tests used and outcome measures. Few exercise tests have been validated to support discharge decisions. There is currently no support for short exercise tests for triage of care in patients with COVID-19.Conclusions Further research is needed to aid clinical decision-making at discharge from hospital

Evaluating the Foundation Phase : final report

The Foundation Phase (introduced in 2008) provides a developmentally appropriate experiential curriculum for children aged 3-7 in Wales. The Welsh Government commissioned independent evaluation (led by WISERD) aims to evaluate how well it is being implemented, what impact it has had, and ways in which it can be improved. The three-year evaluation utilises a range of mixed methods at a national and local scale

Registered Sex Offenders’ experiences of risk assessments and home visits in England & Wales – can we expect the police to integrate “risk” with “desistance” practices?

In England and Wales, adult male registered sex offenders (RSOs) are risk assessed and managed using a tool known as Active Risk Management System (ARMS) and this risk assessment is carried out by a specialist group of police officers known as Management of Violent or Sexual Offenders (MOSOVO) at the RSO’s home, known as ‘the home visit’. This study aimed to examine a sample of RSOs’ views of the risk assessment and home visit process and to make recommendations to MOSOVO, based on RSOs’ views, to improve the risk assessment and home visit practice. Three police forces in England and Wales agreed to facilitate sampling of 10 RSOs who varied in their level of risk - namely, low, medium, high and very high. Semi-structured interviews were thematically analysed and three themes were developed: Waiting for the first home visit provoked feelings of anxiety and heightened levels of shame; the first home visit was ‘like a chat’ but not for the higher risk RSOs; and the property search and observations were non-invasive, but RSOs were not fully informed of the home visit. We discuss these experiences in light of the growing call for MOSOVOs to both manage risk and assist desistance

Evaluating the Foundation Phase: technical report

In this report we present a technical discussion of the three year evaluation (August 2011 to August 2014). This includes an outline of the evaluation design, the methods used in the evaluation and other detailed information about the evaluation

Evaluating the Foundation Phase: technical report

In this report we present a technical discussion of the three year evaluation (August 2011 to August 2014). This includes an outline of the evaluation design, the methods used in the evaluation and other detailed information about the evaluation

Evaluating the Foundation Phase: Update and Technical Report 2012/13

The Foundation Phase (introduced in 2008) provides a developmentally appropriate experiential curriculum for children aged 3-7 in Wales. The Welsh Government commissioned independent evaluation (led by WISERD) aims to evaluate how well it is being implemented, what impact it has had, and ways in which it can be improved. The three-year evaluation utilises a range of mixed methods at a national and local scale

Evaluating the Foundation Phase: Annual Report 2011/12

The Foundation Phase (introduced in 2008) provides a developmentally appropriate experiential curriculum for children aged 3-7 in Wales. The Welsh Government commissioned independent evaluation (led by WISERD) aims to evaluate how well it is being implemented, what impact it has had, and ways in which it can be improved. The three-year evaluation utilises a range of mixed methods at a national and local scale