BMJ Open

BMJ Open

BMJ Open is a journal focused on medical research. We accept submissions that tackle questions in clinical medicine, public health, and epidemiology. Additionally, we encourage studies related to health services research, health economics, surgical practices, qualitative research, research methodologies, medical education, and medical publishing. We are particularly interested in research that impacts patient outcomes or the way healthcare is provided and managed.

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Codevelopment of a complex intervention to reduce inequalities in paediatric diabetes secondary care outcomes for children with type 1 diabetes from underserved groups

1 month ago | bmjopen.bmj.com | Aidan Searle |Jessica Wheeler |Ian Litchfield |Timothy Barrett

DiscussionWe have reported the codevelopment of a complex intervention following MRC guidelines8 for complex interventions in which multiple data sources were integrated leading to the development of the ‘Diversity in Diabetes’ intervention that is both holistic and person-centred. This work took into account the personal, contextual and clinical worlds in which diabetes control behaviours are enacted, supported and sustained.
What is the impact of longer patient travel distances and times on perioperative outcomes following revision knee replacement: a retrospective observational study using data for England from Hospital Episode Statistics

1 month ago | bmjopen.bmj.com | Alexander Matthews |Jonathan Evans |Sarah Lamb

MethodsThis study is a retrospective data analysis of observational data from the Hospital Episode Statistics (HES) and Office for National Statistics (ONS) databases. HES data are collected by NHS England for all patients treated at NHS hospitals in England and those treated at private hospitals where treatment was funded by the NHS.
Evaluating musculoskeletal imaging communication interventions using behavioural science: a scoping review using the COM-B model

2 months ago | bmjopen.bmj.com | Edward Kirby |Andrew MacMillan |Andrew Macmillan |Andrew Brinkley |Andrew Bateman

Diagnostic ImagingBehaviorMusculoskeletal disordersSystematic ReviewComprehensive search strategy using a range of databases, hand searching and rigorous article screening performed by two independent authors and a third author to reconcile discrepancies. Studies using techniques targeting the reporting of imaging may be embedded in broader management techniques and therefore may have been missed by this search strategy.
Long-term lived experiences of patients with chronic pain or angina pectoris treated with spinal cord stimulation: a qualitative study

2 months ago | bmjopen.bmj.com | Matthew Moore |Elaine Davies |Jamie Sleigh |Shashikala Ramakrishna

Participants made it clear during their interviews that for us to understand their experiences with the stimulator we needed to understand their lives prior to implantation. Chronic pain had disrupted their personal, professional, and social lives and was considered an obstacle to achieving previously held personal goals. This disruption is the context from which participants experienced their stimulator.
Factors associated with sleep quality among medical students in Vietnam: a national cross-sectional study

Mar 1, 2025 | bmjopen.bmj.com | CUONG NGUYEN |cường nguyễn |Long Nguyen |Long Nguyễn |Dung T Phung |Tung Vu

MethodsAn online nationwide cross-sectional study on health professionals and medical students in Vietnam was conducted from December 2019 to February 2020. The link for the online study survey was created using the SurveyMonkey platform (surveymonkey.com) to target subjects across different regions in Vietnam. Only the information collected from medical students was included in the study analysis.
Consenting for themselves: a qualitative study exploring a Gillick Competence assessment to enable adolescents to self-consent to low-risk online research

Mar 1, 2025 | bmjopen.bmj.com | Maria E Loades |Lara Willis |Emma Wilson |Grace Perry

Project Care UK was advertised on social media platforms (eg, Instagram, X - formerly Twitter, Threads) and via mailing lists and relevant charities. We paid (<£20) to boost the study advert on Instagram for a few days during August 2023, specifically targeting UK-based YP in the relevant age range. Interested participants used a link/QR code to access a secure screening platform on Qualtrics to determine eligibility.
While they wait: a cross-sectional survey on wait times for mental health treatment for anxiety and depression for adolescents in Australia

Mar 1, 2025 | bmjopen.bmj.com | Mirjana Subotic-Kerry |Thomas Borchard |Belinda Parker |Sophie H Li

MethodAn online cross-sectional survey was administered between April and June 2022. The Black Dog Institute’s Youth Lived Experience Advisory Group was consulted on all aspects of the study design. The survey was written for this study in consultation with young people, mental health professionals and researchers. See online supplemental material for a detailed description of the survey development and online supplemental appendix A for the full survey including all response options.
Qualitative exploration of patient and caregiver experiences of bowel cancer care in Wales: from diagnosis to aftercare

Mar 1, 2025 | bmjopen.bmj.com | Michael Beddard |James Baker |Nia Haf Jones |Kathleen L. Withers

Gastrointestinal tumoursONCOLOGYPatient-Centred CareSurveys and QuestionnairesCaregiver BurdenThe iterative design of the study helped identify the issues which were most important to the participants. This ensured that the interviews and focus groups could focus on the areas of greatest importance. The study included perspectives from participants spanning various age groups and representing each of the seven National Health Service (NHS) health boards in Wales.
Protocol for the process evaluation for a cluster randomised controlled trial evaluating primary school-based screening and intervention delivery for childhood anxiety problems

Feb 21, 2025 | bmjopen.bmj.com | Victoria Williamson |Michael Larkin |Tessa Reardon |Paul Stallard

DiscussionThis article outlines the rationale, design and methodological approach for the mixed methods process evaluation of the iCATSi2i screening and intervention procedures for children with anxiety problems.
Protocol for a systematic review and network meta-analysis comparing the efficacy and safety of benzalkonium chloride-preserved, alternatively preserved and preservative-free eyedrops in the treatment of glaucoma

Feb 1, 2025 | bmjopen.bmj.com | Myungjin Kim |Young Kim |Seungsoo Rho |Ahnul Ha

Methods and analysis This protocol is compliant with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).13 The NMA results, correspondingly, will be reported based on the PRISMA statement and PRISMA extension for network meta-analyses (PRISMA-NMA).14 15 The eligibility criteria for inclusion in the NMA are as follows: (1) any randomised controlled trials (RCTs) involving IOP-lowering eyedrops in patients with either glaucoma or ocular hypertension; (2) any...

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