Napier nursing researcher to lead study aiming to improve HIV/AIDS care in Ghana

Dr Mary Abboah-Offei’s trial has been backed by a £1.5m grant

A study led by Edinburgh Napier University (ENU) will look at how health care for people living with HIV/AIDS in Ghana can be improved – after securing a major grant of around £1.5m.

The trial of community-based, person-centred care will see healthcare professionals trained to offer a more holistic way of managing the condition.

The study, titled ExtraCECI (Extra community-based enhanced care intervention) aims to recruit around 650 patients. A smaller feasibility study of CECI suggested that participants felt the approach had the potential to improve their quality of life.

ExtraCECI is now set to get underway in May, after being backed by £1,468,810 in funding from the Medical Research Council.

Led by Dr Mary Abboah-Offei from ENU’s School of Health and Social Care, it will also involve academics and researchers from Kings College London, the University of York, and the University of Ghana.

If successful, the research could provide evidence to help make ExtraCECI a part of routine HIV/AIDS care in Ghana.

Dr Abboah-Offei, who is from Ghana, began her journey in healthcare research by working as a nurse in emergency care there.

This grant – one of the largest of its kind for an ENU researcher – represents a significant achievement for an early career academic with a background in nursing.

ExtraCECI will see medics from randomly selected HIV clinics trained to give a holistic assessment of the physical, psychological, social, and spiritual wellbeing, of their patients. This will then allow them to work together to plan and deliver their care.

Information will then be collected at regular intervals to see if the person-centred approach to care brings about any improvement in health outcomes.

Dr Mary Abboah-Offei said: “I am delighted to have the opportunity to begin this study. Having previously worked in healthcare in my home country, this feels like a way of giving back.

“Our previous research found that people living with HIV/AIDS there were experiencing distressing symptoms and concerns, even while taking their medication. This person-centred intervention approach aims to improve that.

“We found that patients were thrilled to have the opportunity to have a say in their treatment – while healthcare professionals found it eye-opening.

“I hope this wider trial can lead to a better quality of life for people living with these conditions.”

Professor Andrea Nolan, Principal and Vice Chancellor of Edinburgh Napier University, said: “Securing such a significant level of backing for this programme of work is a major achievement for Mary.

“Given her background in nursing, she will be well aware how ExtraCECI has the potential to make a positive difference to people’s lives in Ghana.

“Mary’s colleagues at Edinburgh Napier University will support her and the multidisciplinary team to deliver successful outcomes.”

Total-body scanner set to unlock disease insights

Scotland is set to receive its first total-body scanner in a boost to clinical research that aims to improve the detection, diagnosis and treatment of complex, multi-organ diseases.

The Total-Body Positron Emission Tomography (PET) facility, due to be operational in 2024, will capture images of patients’ entire bodies quicker, in more detail and use less radiation than existing scanners.

In combination with data from the other new scanner in London, the Scotland scanner forms part of a new National PET Imaging Platform (NPIP) which experts believe will accelerate the development of new drugs and diagnostics.

The platform, a partnership between Medicines Discovery Catapult (MDC), the Medical Research Council (MRC) and Innovate UK, aims to advance healthcare research and clinical trials, and unlock new treatments for complex diseases like cancer as well as cardiovascular and neurological diseases.

The NPIP Scotland Total-Body PET facility will allow academics to connect to the new platform to share data and collaborate on research.

The scanners are part of a £32 million investment into the ground-breaking technology by the UK Government, through the UK Research and Innovation (UKRI) Infrastructure Fund.

The facility, based at the Royal Infirmary in Edinburgh, will be jointly managed by the Universities of Edinburgh and Glasgow.

NPIP’s Total-Body PET scanners have higher sensitivity than current technology and will reveal new insights into biology and disease.

PET scanning is a non-invasive imaging technique that can detect diseases’ early onset.

Current PET technology leaves large sections of the human body out of the field of view, requiring the patient to be repositioned multiple times to achieve a full-body view.

Supplied by Siemens Healthineers, the two Total-Body PET scanners will capture superior images of a patient’s entire body in near real-time.

The new scanners are also faster, exposing patients to much lower doses of radiation, meaning more patients – including children – can participate in clinical trials to improve understanding of diseases.

The speed of Total-Body PET scanners mean that NPIP will be able to facilitate more patient scans, enhancing the scale and impact of clinical research projects.

This richer picture of human health will help researchers to develop new diagnostics, improve the quality and speed of drug discovery, and bring them to market quicker to benefit patients.

NPIP’s network of infrastructure and intelligence will provide a complete picture of patients and how they respond to new drugs and treatments.

Uniquely, it will also connect insights from many research programmes and trials. In doing so, it will begin to build a rich bank of data that the PET community can access for the benefit of patients.

Professor David Newby, The University of Edinburgh, Co-Director of the NPIP Scotland Centre, said: “The Scotland Total-Body PET facility will bring together academics, industry and clinicians to create an integrated and accessible national PET facility for the benefit of patients across Scotland and the north of England.

“The Total-Body PET scanner will allow us to examine patients in ways that haven’t been possible before, propelling medical innovation and discovery, and ultimately improving the detection, diagnosis and treatment of complex diseases, including cancer.”

Dr David Lewis, University of Glasgow, Co-Director of the NPIP Scotland Centre, said: “Total-Body PET scanners are a quantum leap forward in the technology of body scanning, and we are proud that a partnership between the University of Edinburgh and the University of Glasgow will jointly manage one of the first of these cutting-edge scanners in the UK.

“The Scotland Total-Body PET scanner will be a catalyst for innovative new research and cross-sector collaboration, ultimately benefitting patients by improving our understanding of complex diseases.”

Dr Juliana Maynard, Director of Operations and Engagement for the National PET Imaging Platform and Head of Translational Imaging at Medicines Discovery Catapult, said: “PET scanning is nothing short of transformational for patients who need it the most.

“Total-Body PET scanners can detect serious diseases with unprecedented speed and accuracy. NPIP will allow the kind of collaboration in imaging research the likes of which the UK has never seen before. It means that, collectively, we can power forward drug discovery with renewed confidence and drive world-leading capabilities in detection, diagnosis, and treatment.”