CSO provides funding opportunities for researchers in Scottish Universities and Health Boards to undertake projects (up to £300k and three years) through two response mode research grant programmes covering the broad spectrum of applied health and care related research. Following the publication of the 2015 Scottish Government health and social care research strategy, CSO re-positioned its research grant programmes to place greater emphasis on relevance, importance, and potential impact on health in Scotland and on the translation of research findings into policy practice, either directly or by laying the foundations for larger definitive studies that can be supported by other UK health research funders. To support this, CSO contributes financially to the National Institute of Health Research (NIHR) to allow researchers in Scotland to access the four major NIHR research programmes (EME, HS&DR, PHR and HTA), which have no funding threshold and therefore can fund large definitive studies.
The two CSO programmes are:
CSO also invests through NHS Research Scotland in infrastructure to support research studies in Scotland:
For more information go to: http://www.cso.scot.nhs.uk/funding-2/.
This is the first RCT to assess feasibility of performing a walking intervention in patients with rectal cancer in a prehabilitation setting. Patients with rectal cancer undergoing chemo-radiotherapy (CRX) followed by potentially curative surgery in Greater Glasgow and Clyde (GGC) were approached from August 2014 to March 2016. Each participant underwent baseline testing with physical tests and psychological/ quality of life questionnaires. Randomisation was to either the intervention group (progressive walking programme for 12-17 weeks) or control group (usual care). Follow-up testing was undertaken prior to the planned surgery date.
High recruitment and retention rates alongside indicative results support the development of a fully powered trial to measure the effects of the PA intervention in patients with rectal cancer.
All patients with rectal cancer undergoing CRX should be considered for a walking programme prior to starting their CRX, starting at the time of diagnosis and lead by a designated pre-habilitation team. This structure is already in place in the NHS. Pre-habilitation could be a developing role for the Enhanced Recovery after Surgery (ERAS) nurse who already counsels patients with rectal cancer peri-operatively about diet, smoking, alcohol, weight and PA.
A future definitive RCT would be powered on daily step counts and consider the following:
Bottom line Pre-habilitation in this patient group looks promising and needs further investigation.
Colonscopy is seen as a teachable moment following a cancer scare. This study is the first to report health behaviours of patients (n=565) and their partners (n=460) before and after colonoscopy in 3 Scottish Health Boards. Participants self-reported health behaviours (diet, physical activity, alcohol, smoking) when they attended colonoscopy and then 10 months later. At colonoscopy 27%, 20% and 50% of patients were not meeting government recommendations for fruit/vegetable consumption, alcohol intake and physical activity respectively and 21% were obese, suggesting potential for health improvement. At 10 months after colonoscopy significantly more patients reported a low level of physical, there had been little change in fruit/vegetable intake however more patients were meeting alcohol guidelines.
More research is needed to understand why some behaviours change for the worse and some for the better following a major health event.
Featured image: St Andrew’s House. Shared under Creative Commons Attribution 2.5 Generic License (CC-BY 2.5). Original source.
This article was originally published in The SCPN Newsletter Volume 8, Issue 2. Read the digital newsletter below using Issuu, or feel free to download the PDF.View the PDF
In this issue we have a section focusing on cancer survivorship as well as our regular features - examples of good practice, public health initiatives, recipes and interesting studies which contribute to the body of evidence on cancer prevention.