Publications
Tele-health monitoring offers potential to reduce the rates of re-hospitalisation and emergency department visits and improve quality of life for people with Chronic Obstructive Pulmonary Disease. However, the current evidence base to support technology adoption and implementation is limited and the resource implications for implementing tele-health in practice can be very high.

This paper describes a trial currently in progress employing tele-health monitoring in a preventative capacity for patients diagnosed with early stage COPD following discharge from hospital to determine whether it reduces their need for additional health service support or hospital admission and improves their quality of life.

Preventative tele-health supported services for early stage chronic obstructive pulmonary disease: a protocol for a pragmatic randomized controlled trial pilot. 
Trials BioMed Central Ltd; 2011 Jan;12(1):6.
Fitzsimmons D, Thompson J, Hawley M, Mountain G.

Click here for link to this article through our resources section

Peer reviewed papers

Palmer & Paterson (2011) 

Self managed word finding treatment for chronic aphasia using a computer with volunteer support: The patient and carer perspective.

Palmer & Paterson (2011) 
One size does not fit all: Obtaining informed consent from people with aphasia. 
Advances in Clinical Neurosciences & Rehabilitation 11(2) 30-31.
Click here for a link to this article through our resources section.

Palmer & Paterson (2010) 
Have your say: Involving people with communication disorders in research. 
International Journal of Stroke 5,(supp 3) 41-42.(abstract)
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Zheng H, Nugent C, McCullagh P, Huang Y, Zhang S, Burns W, et al. (2010) 
Smart self management: assistive technology to support people with chronic disease.
Journal of Telemedicine and Telecare; 2010;16(4):224–7.
Click here for a link to this article through our resources section.

Publications

Fitzsimmons, D.A., Thompson, J, Hawley, M., Mountain, G.M. 
"Preventative tele-health supported services for early stage Chronic Obstructive Pulmonary Disease: a pragmatic randomized controlled trial pilot". 
Trials 2011, 12:6.

Rosser, B., McCullagh, P., Davies, R., Mountain, G., McCracken, L., & Eccleston, C. (2011). 
ŒTechnology mediated therapy for chronic pain management: The challenges of adapting behavior change interventions for delivery with pervasive communication technology.
Journal of Telemedicine & e-Health, 17(3), 211-216.
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Huang Y, Zheng H, Nugent C, McCullagh P, Black N, Hawley M, Mountain G, (2011). 
Knowledge Discovery from Lifestyle Profiles to Support Self-Management of Chronic Heart Failure. 
In Proc. the 38th Annual Scientific Conference of Computing in Cardiology, Hangzhou, China. 2010.

Nasr, N., Torsi, S., Wright, P., Mawson, S., Mountain, G (2010).
Supporting the self-management of stroke by applying a user-centred design approach. 
Clinical Rehabilitation, 24: 276-287.

Parker J, Mountain GA & Hammerton J (2010).
An Investigation into Stroke Patients' Utilisation of Feedback from Computer-Based Technology for Home-Based Rehabilitation. Universal Access in the Information Society: Special Edition 'Designing Inclusive Features'

Zheng H, Nugent C, McCullagh PJ, Huang Y, Zhang S, Burns WP, Davies RJ, Black ND, Wright P, Mawson SJ, Eccleston C, Hawley M & Mountain GA (2010).
Smart self management: assistive technology to support people with chronic disease. 
Journal of Telemedicine and Telecare,16(4), 224-227.

Brownsell S, Haywood A, Hawley MS & Mountain G (2010).
Determining features for telehealth applications which enhance self care for people with long term conditions. 
International Society of Gerontechnology, Vancouver 2010. Gerontechnology. 9 (2): 200

Haywood, A., Brownsell, S., Hawley, MS & Mountain G. (2010).
Establishing user requirements for the development of a personalised self management system for people with Congestive Heart Failure.
International Conference on Ageing, Disability and Independence (ICADI). 7-10th September, Newcastle.

McCullagh, PJ, Nugent, CD, Zheng, H, Burns, WP, Davies, RJ, Black, ND, Wright, P, Hawley, M, Eccleston, C, Mawson, S, Mountain, G (2010).
Promoting Behaviour Change in Long term Conditions using a Self-Management Platform in Designing Inclusive Interactions: (PLangdon, PJ Clarkson and P Robinson Eds.) Inclusive Interactions Between People and Products In Their Contexts Of Use. 
Springer 2010, pp 229-238, DOI 10.1007/978-1-84996-166-0

McCullagh, PJ, Nugent, CD, Zheng, H, Burns, WP, Davies, RJ, Black, ND, Wright, P, Hawley, M, Eccleston, C, Mawson S, Mountain (2010).
Promoting Behaviour Change in Long term Conditions using a Self-Management Platform.Presented at 5th Cambridge Workshop on Universal Access and Assistive Technologies, 22-25 March 2010

Nasr, N, Mawson, S, Wright, P, Torsi, S, Mountain, G (2010).
Technology solutions for the self management of rehabilitation activities following a stroke.
International Conference on Support of Self management of Health, Stirling, Scotland, May 2010.

Nasr, N., Torsi, S., Wright, P., Mawson, S., Mountain, G. (2010).
Supporting the self-management of stroke by applying a user-centred design approach. 
Clinical Rehabilitation, 24: 276-287. Society for Research into Rehabilitation, 
Summer meeting, June 2010


Nasr, N, Mawson, S, Mountain, G (2010).
Technology-directed mode of self management following a stroke: a user-engagement approach.
International Conference on Ageing, Disability and Independence. 
Newcastle, UK. September 2010

Parker J, Mountain GA & Hammerton J (2010).
A Preliminary Investigation into Stroke Patients' Utilisation of Feedback from Computer-Based Technology for Home-Based Rehabilitation. 
Clarkson P, Langdon J & Robinson P (eds) Designing Inclusive Interactions. London.

Springer-Verlag Torsi, S., Wright, P., Mawson, S. Nasrin, N., Mountain, G.,Rosser, B. (2010).
The selfmanagement of chronic illnesses: theories and technologies. Workshop PH-Home at Pervasive Healthcare 2010. 
Munich (Germany), 22nd March 2010.

Torsi, S, Nasr, N, Wright, P, Mountain, G, Mawson, S (2010).
Designing for self-management skills as higher cognitive processes. 
European Association for the Study of Science and Technology 2010, Trento, Italy 2-4th September 2010.

Rosser, B, Keogh, E, Eccleston, C, Mountain,G (2010).
SMART2: Development towards a technology-based system for self-management of chronic pain.
International Association for the Study of Pain, 13th World Congress on Pain, Montreal, 29th August - 2nd September. 2009

Rosser, B., Vowles, K., Keogh, E., Eccleston, C. & Mountain, G. (2009).
ŒTechnologically-assisted behaviour change: a systematic review of studies of novel technologies for the management of chronic illness.
Journal of Telemedicine and Telecare, 15, 327-338.

Mountain G (2009).
Editorial: Environment, design and rehabilitation: introduction to a new JIC series. 
Journal of Integrated Care, 17(5), 13-14.

Mountain G, Mawson S, Ware T, Eccleston C, Black N, Harris N & Hu, H (2009).
Exploring the usability of a prototype technology for upper limb rehabilitation following stroke. 
Journal of Engineering Design, 21(Issues 2&3), 223-236.

Rosser, B, Vowles, K, Keogh, E, Eccleston, C & Mountain, G (2009).
Technologically-assisted behaviour change: a systematic review of studies of novel technologies for the management of chronic illness.
Journal of Telemedicine and Telecare, 15, 327-338.

Burns W, Nugent CD, McCullagh PJ, Zheng H, Black ND, Wright P & Mountain GA (2009).
Home based Self-Management of Chronic Diseases.
ICOST 2009.

Nasr, N, Torsi, S., Mawson, S., Wright, P & Mountain, G. (2009).
Self management of stroke supported by assistive technology. 
Haifa, proceedings of the IEEE.

Parker J (2009).

An Investigation in to Stroke Patients' Utilisation of Feedback from Computer Based Technology. 
Recent advances Assistive Technology and Engineering (RAatE), Coventry.

Torsi S, Nasr N, Wright PC, Mawson SJ & Mountain, G.A. (2009).
User-centered design for supporting the self-management of chronic illnesses: an interdisciplinary approach. 
Proceedings of the 2nd International Conference on Pervasive Technologies Related to
Assistive Environments PETRA'09 Corfu, Greece.


Vowles KE, Mawson SJ, Eccleston C, Wright P & Mountain GA (2009).
Integration of Assistive Technology to Support Self Management. 
Proceedings of the IET conference on Assisted Living (CD), London, UK.

Zheng H, Nugent C D, McCullagh PJ, Burns WP, Alexander S, Huang Y, Zhang S, Black ND, Vowles KE, Mawson SJ, Eccleston C, Wright P & Mountain GA.

Integration of Assistive Technology to Support Self Management.
Proceedings of the IET conference on Assisted Living 2009, London, UK.

Zheng H, Nugent CD, McCullagh PJ, Burns WP, Black ND, Wright P, Mountain GA.
Assistive Technology to Support Self Management of Chronic Disease. 
Telemed 2009.

N. Nasr. 
Self Management of Stroke Supported by Assistive Technology.
Virutal Rehabilitation International Conference, 29 June - 2 July 2009.

Zheng H, Nugent C D, McCullagh PJ, Burns WP, Alexander S, Huang Y, Zhang S, Black ND, Vowles KE, Mawson SJ, Eccleston C, Wright P and Mountain GA.
Integration of Assistive Technology to Support Self Management.
Proceedings of the IET conference on Assisted Living, p14, 2009.

N. Nasr.
An Interdisaplinary Research into Self-Management of Stroke Society for Research in Rehabilitation.
1 July 2009

McCullagh, P, Zheng, H, Black, ND, Davies, R, Mawson, S, Mawson, S, McGlade, K (2008). 
Smart Case Study, III. Medical Informatics and eHealth.
Primer in Biomedical Engineering, IOS press

Wright P & Mountain GA (2008).
Towards a Decision Support Personalised Self Management System for Chronic Conditions.
Proc. of IEEE International Conference on Networking, Sensing and Control.

H Zheng, CD Nugent, PJ McCullagh, ND Black, C Eccleston, D Bradley, M Hawley, SJ Mawson, P Wright, GA Mountain.
Towards a Decision Support Personalised Self Management System for Chronic Conditions. 
Proc. of IEEE International Conference on Networking, Sensing and Control, p1521-1524, 2008.

PM Ware, J Hammerton, SJ Mawson, GA Mountain, H Zheng, R Davies, N Black, N D Harris, S Wilson, T Stone, C Eccleston, H.Hu, H. Zhou.
SMART: Developing Information and Communication Technology for Self Management of Stroke and Chronic Conditions at Home. 
(21st International Symposium on Human Factors in Telecommunication 2008)

Huiru Zheng, Chris Nugent, Paul McCullagh, Norman Black, Chris Eccleston, Mark Hawley, Gail Mountain.
SMART: Technologies to Facilitate Home Based Rehabilitation and Self Management.

Conference posters, papers & proceedings

2013

Fitzsimmons, D.A., Bentley, C.L., Mountain, G.A., Kenny, J., Lowrie, K., Parker, S.G., Hawley, M. Preventative telehealth supported services for early stage chronic obstructive pulmonary disease: Lessons from a pilot randomised controlled trial.
e-Health 2013: Accelerating Change, May 2013, Ottawa. 


Fitzsimmons, D.A., Bentley, C., Hawley, M., Mountain, G.A. 
Translating tele-health monitoring from idea to implementation.
Faculty of Health Sciences Research Day, Western University, March 2013.

Fitzsimmons, D.A., Bentley, C., Hawley, M., Mountain, G.A. 
Translating tele-health monitoring from idea to implementation. 
Symposium hosted jointly by Aging, Rehabilitation & Geriatric Care Research Centre, Lawson Health Research Institute, St. Joseph's Health Care, Parkwood Hospital and the Faculty of Health Sciences, Western University. February 2013, London.

2011

Fitzsimmons, Deborah A., Thompson, J. 
Can being watched increase independence?
Poster presentation at the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA)/ International Conference on Technology and Aging (ICTA) joint conference 2011: Advancing Rehabilitation Technologies for an Aging Society, [part of the Festival of International Conferences on Caregiving, Disability, Aging and Technology - FICCDAT 2011]. June 2011, Toronto.

Fitzsimmons, D.A., Thompson, J. 
Why a Short-term View of Long-term Conditions can be a Good Thing.
'Delivering better health services': the 2011 joint Health Service Research Network and Service Delivery and Organisation Network annual conference. June 2011, Liverpool, UK.

Rosser, B., McCullagh, P., Â Davies, R., Â Mountain, G., McCracken, L. & Eccleston, C. 
ŒAdapting therapy for technology: Identifying and modifying therapeutic strategies for the SMART2 technology-based intervention for chronic pain.
American Pain Society Annual Conference, Austin TX, 19-21st May.
download here

2010

Fitzsimmons, Deborah A., Thompson, J., Mountain, G. 
Why going forward with tele-health means an initial retreat: Tensions between researcher and provider requirements. 
Poster presentation at the International Conference on Ageing, Disability and Independence (ICADI), September 2010.

Rosser, B, Keogh, E, Eccleston, C, Mountain.
Translating therapy to technology: A SMART framework for self-management of pain.
British Pain Society Annual Conference, Manchester, 13th - 16th April.

Rosser, B., Keogh, E., Eccleston, C. & Mountain, G.
ŒSMART2: Development towards a technology-based system for management of chronic pain.
13th World Congress on Pain, Montreal, Canada, 29th August - 2nd September.

2009

Rosser, B., Vowles, K., Keogh, E., Eccleston, C. & Mountain, G.
ŒA systematic review of technology-assisted behaviour changefor the management of chronic health conditions including pain.
6th Congress of the European Federation of IASP Chapters (EFIC), Pain in Europe VI, Lisbon, Portugal, 9th-12th September.
download here 

Zheng, H, Nugent, C, McCullagh, P, Huang, Y, Zhang, S, Burns, WP, Davies, R, Black, NP, Wright, P, Hawley, M, Mountain, G. 
Smart Self Management: Assistive Technology to support people with chronic disease. 
Royal Society Medicine, November 2009

Chapters in Books & Symposia

Fitzsimmons, D.A., Wensley, A.K.P., Graham, I., Mountain, G.A. 
IT-enabled health care delivery: Replacing clinicians with technology. 
In press (2013). To be published in Volume 7798 of the Springer Lecture Notes in Computer Science series (online and hardcopy).

Toolkits

Ready Steady Go telehealth implementation toolkit 
CLAHRC SY has collaborated with an EU-funded project called Regional Information and Communication Technology based Clusters for Health Care Applications and R&D integration (RICHARD) to launch a new toolkit to help organisations implement telehealth successfully.

There has been much interest in the development of telehealth but few services have become mainstream. Those who have tried it soon realise it is a complex intervention that is difficult to get right. In part this may explain the mixed evidence base that points towards some deployments being successful while others have failed.

Based on experience, and validated by national and international colleagues, the Ready Steady Go toolkit provides a framework that can be followed by organisations as they incorporate telehealth, and which should provide a supportive environment in which telehealth can flourish.

Anyone involved in the delivery of a telehealth programme should find value in this toolkit. For those new to telehealth it provides a detailed account of steps that should be covered, and provides insight into common mistakes and ways in which progress can be monitored. For those with more experience, benefit could still be derived as it may provide new insights into certain aspects of service implementation along with a clear over-riding framework that can assist in ensuring all aspects of the programme are managed effectively.
This toolkit has received the following positive review by telecareaware:

'Ready Steady Go' telehealth implementation toolkit: Surprisingly good (UK)
Wednesday, 19 September 2012 17:12


Any document that runs to 108 pages and sets itself up to be a guide to implementing a telehealth programme runs the risk of being disregarded with a world-weary, cynical sigh. That would be a mistake in the case of the 'Ready Steady Go' telehealth implementation toolkit just published by the Sheffield-based South Yorkshire Collaboration for Leadership in Applied Health Research and Care (CLAHRC), part of the NHS's National Institute for Health Research. The publication of this supplier agnostic and free toolkit has surely saved the 3 Million Lives (3ML) campaign a shed load of money, as well as time.

The authors are well known figures in the UK's telehealth community... Dr Simon Brownsell and Tim Ellis (with inputs from a number of experts around Europe) and the work was funded by the European Commission's RICHARD Project. However, good credentials do not necessarily mean that the content will be useful or readable. Well, this editor (Steve) is happy to report that it is very readable thanks to structuring it around the analogy of preparations for, undertaking, and reviewing, a race. Even better, the toolkit is illustrated with pictures of real people not stock photos of models, the curse of too many documents and websites these days.

And in case you are wondering, their definition of 'telehealth' is wide:"...the use of Information and Communication Technologies to support healthcare at a distance between a medical or care professional and a patient." but the focus is clearly on remote vital signs monitoring.

The Ready Steady Go Toolkit & Executive summary are available to 
download from our resources section