Bridges is underpinned by a wide evidence base from research and quality improvement studies, including our own. We subscribe to the idea that we need both data and stories to understand what works best in each healthcare context. We also need to understand from the perspective of those working for and receiving healthcare services.
Here are some key themes that influence our work:
- Social cognitive theory and self-efficacy We have evaluated how these principles can be applied through a self-management approach that is integrated into how healthcare professionals and support staff work
- Quality improvement methods and implementation science To help understand behaviour change at individual and organisational level and how to evaluate and sustain impact
- Co-design and Co-production A lot is said about these areas, but we are constantly learning. People living with complex conditions are our co-workers; they train healthcare professionals and contribute to shaping and writing all Bridges resources
- Wellbeing and what makes an efficient and creative team We are now starting to see the impact of using Bridges Self-management on staff wellbeing. This is an emergent area of work for us, but one which we feel will be ever more important to sustain good practice in healthcare.
Our research started in stroke in 2008, but this now forms only 25% of our work. Bridges self-management has now been adapted and tested across multiple different settings such as acute brain injury, progressive neuromuscular conditions, paediatrics, and multiple trauma - and in different countries such as New Zealand.
Here are links to a few of our most recent publications - please contact the Bridges team if you have an enquiry about our research or quality improvement projects:
Impact on Practitioners, Teams and Pathways
Nicola J. Hancock, Julie Houghton & Fiona Jones (2022) Integrating an approach to personalised self-management support in stroke and neurorehabilitation service contexts: People1st – a quality improvement initiative, Disability and Rehabilitation. Full text here
Jones F, McKevitt C, Riazi A, et al How is rehabilitation with and without an integrated self-management approach perceived by UK community-dwelling stroke survivors? A qualitative process evaluation to explore implementation and contextual variations BMJ Open 2017;7:e014109. doi: 10.1136/bmjopen-2016-014109
Jones et al. Feasibility study of an integrated stroke self-management programme: a cluster-randomised controlled trial. BMJ Open, 2016 http://bmjopen.bmj.com/content/6/1/e008900.full.pdf+html
Multiple Long-term conditions
Kulnik, Stefan, Poestges, Heide, Brimicombe, Lucinda, Hammond, John A. and Jones, Fiona (2016) Implementing an interprofessional model of self-management support across a community workforce : a mixed-methods evaluation study. Journal of Interprofessional Care, ISSN (print) 1356-1820
Makela, P., Gawned, S. & Jones, F. (2014). Starting early: integration of self-management support into an acute stroke service. BMJ Quality Improvement Reports, 3. http://dx.doi.org/doi:10.1136/bmjquality.u202037.w1759
Makela et al 2019 Supporting self-management after traumatic brain injury: Codesign and evaluation of a new intervention across a trauma pathway. Health Expectations https://onlinelibrary.wiley.com/doi/full/10.1111/hex.12898
Hollinshead et al. Implementing an integrated approach to self-management support in an acute major trauma therapy team: an improvement project
Singer, Barbara, Jones, Fiona and Lennon, Sheila (2018) Adapting the Bridges stroke self-management programme for use in Australia. International Journal of Therapy and Rehabilitation, 25(8), pp. 414-423. ISSN (print) 1741-1645 https://www.magonlinelibrary.com/doi/abs/10.12968/ijtr.2018.25.8.414
Kulnik, Stefan Tino, Postges, Heide, Townsend, Rosemary, Micklethwaite, Paul and Jones, Fiona (2019) A gift from experience : co-production and co-design in stroke and self-management. Design for Health, 3(1), pp. 98-118. ISSN (print) 2473-5132
Other Bridges publications:
Clarke, Ella, Bennett, Kate, Ward, Nick and Jones, Fiona. (2018) One size does not fit all - stroke survivor's views on group self-management interventions. Disability and Rehabilitation, 50(5), pp. 569-576. ISSN (print) 0963-8288
Singer, Barbara, Jones, Fiona and Lennon, Sheila.(2018) Adapting the Bridges stroke self-management programme for use in Australia. International Journal of Therapy and Rehabilitation, 25(8), pp. 414-423. ISSN (print) 1741-1645
Kulnik, Stefan, Mohapatra, Sushmita, Gawned, Sara and Jones, Fiona. (2018) Managing the severely impaired arm after stroke : a mixed-methods study with qualitative emphasis. Disability and Rehabilitation, ISSN (print) 0963-8288 [Epub Ahead of Print]. Full text here.
Clarke E, Ward, N, Baio GL, Jones, F. (2018) Research protocol: investigating the feasibility of a group self-management intervention for stroke (the GUSTO study). Pilot and Feasibility Studies. Full text here
Kulnik T, Hollinshead L & Jones F. (2018) "I'm still me - I'm still here!" Understanding the person's sense of self in the provision of self-management support for people with progressive neurological long-term conditions. Disability and rehabilitation. DOI: 10.1080/09638288.2018.1424953. Abstract here.
Jones F, McKevitt C, Riazi A and Liston M. (2017) How is rehabilitation with and without an integrated self-management approach percieved by UK community-dwelling stroke survivors? A qualitative process evaluation to explore implementation and contextual variations. BMJ Open, Apr 3;7(4):e014109. Full text here.
Clark E, Bennett K, Ward N and Jones F. (2016) One size does not fit all - Stroke survivor's views on group self-management interventions. Disability and Rehabilitation, Dec 30:1-8. [Epub ahead of print]. Abstract here.
Kulnik ST, Poestges H, Brimicombe L, Hammond J and Jones F. (2016) Implementing an interprofessional model of self-management support across a community workforce: a mixed methods evaluation study. Journal of Interprofessional care, Dec 6:1-10. [Epub ahead of print]. Abstract here.
Jones F, Poestges H & Brimicombe L. (2016) Building bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke. Neurorehabilitation, 39(4), pp. 471-480. Full text here.
Jones F, Gage H, Drummond A, Bhalla A, Grant R, Lennon S, McKevitt C, Riazi A and Liston M. (2015) Feasibility study of an integrated stroke self-management programme: a cluster-randomised controlled trial. BMJ Open. Full text here.
McKenna S, Martin S, Jones F, Gracey F, and Lennon S. (2015) The Bridges stroke self-management program for stroke survivors in the community: stroke, carer and health professional participants' perspectives. Phys Med Rehabil Int. 2(1): 1030.
Jones F & Brimicombe L (2014) Every interaction counts: The 'Bridges' approach to stroke self-management. International Journal of Therapy and Rehabilitaiton, 21(4), pp. 158-159.
Makela P, Gawned S, Jones F. (2014 ) Starting early: integration of self-management support into an acute stroke service. BMJ Qual Improv Report 2014;3: doi:10.1136/bmjquality.u202037.w1759. Full text here.
Hale L, Jones, F, Mulligan H, Levack W, Smith C, Claydon L, Milosavljevic S, Taylor D, Allan J, MacKenzie N, Flannery J, Edwards S, Rabone T, Alcock M. (2014) Developing the Bridges stroke self-management programme for New Zealand stroke survivors: A case study. International Journal of Therapy and Rehabilitation, 21(8), pp. 381-388.
McKenna, S; Jones F; Glenfield P; and Lennon S. (2013) Bridges self-management programme for people with stroke in the community: feasibility randomised controlled trial. International Journal of Stroke. doi: 10.1111/ijs.12195
Jones F., Bailey N. (2013) How can we train stroke practitioners about self-management? Description and evaluation of a pathway wide training programme. European Journal of Person Centered Healthcare. 1: 1: 246-254.
Lennon. S, Mckenna S, Jones F. (2013) Self-management programmes for people post stroke: A systematic review. Clinical Rehabilitation. Early online 29 March . DOI: 10.1177/0269215513481045
Jones F. (2013) Self-management: is it time for a new direction in rehabilitation and post stroke care? Pan Minerva Medica 55,1,79-86.
Jones, F., Benson, L., Jones, C., Waters, C., Hammond, J., Bailey, N. (2012) Evaluation of a shared approach to interprofessional learning about stroke self-management. Journal of Interprofessional Care.26 (6):514-6. doi: 10.3109/13561820.2012.702147.
Jones, F., Livingstone, E. and Hawkes, L. (2012) ‘Getting the Balance between Encouragement and Taking Over’ — Reflections on Using a New Stroke Self-Management Programme. Physiotherapy Research International. ePub doi: 10.1002/pri.1531
Jones,F., Riazi, A., Norris, M. (2012) Self-management after stroke: Time for some more questions? Disability and Rehabilitation. Posted early online on June 12, 2012. doi:10.3109/09638288.2012.691938
Jones F, Riazi A. (2010) Systematic review of self-efficacy and stroke. Disability and Rehabilitation. 33, 10: 797–810.
Jones F, Mandy A, Partridge C. (2009) Changing self-efficacy in individuals following first stroke: preliminary study of a novel self-management intervention. Clinical Rehabilitation. 23: 6: 522-533
Jones F, Mandy A, Partridge, C. (2008) Reasons for recovery after stroke: a perspective based on personal experiences. Disability and Rehabilitation. 30: 7: 507-516