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The University of Southampton
Medicine
Phone:
(023) 8120 4656
Email:
K.Ibrahim@soton.ac.uk

Dr Kinda Ibrahim BSc, MSc, PhD

Senior Research Fellow in Geriatric Medicine

Dr Kinda Ibrahim's photo

Dr Ibrahim is a Senior Research Fellow, working in Academic Geriatric Medicine at the University of Southampton. She is also a key member of Theme 2 “Ageing and Dementia” in NIHR Wessex: Collaboration for Leadership in Applied Health Research and Care (CLAHRC).

Kinda’s background is Pharmacy, she completed MSc degree in Hospital and Clinical Pharmacy in 2009 at Damascus University in Syria. Then in 2010, she moved to the UK to complete her PhD degree in Pharmacy Practice at the University of Reading sponsored by the Syrian Higher Education Ministry. Kinda’s PhD investigated medication usage and temporary withdrawal of medication (referred to as “drug holidays”) in children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) in relation to NICE guideline recommendations.

Building on her PhD, Kinda has developed considerable expertise in implementation science with a focus on evaluating the implementation of guidelines and evidence-based research into clinical practice and investigating barriers and facilitators for implementation. She joined Academic Geriatric Medicine at the University of Southampton in January 2015 to lead the GRImP study which evaluated the feasibility of implementing grip strength measurement routinely in clinical practice. Kinda has specific expertise in conducting systematic reviews and mixed-methods research with a focus on qualitative methodology. Kinda is the principle investigator of a number of research projects including: assessment of frailty and sarcopenia among older people with fragility fractures sponsored by the NIHR Research for Patient Benefit (RfPB) program, the fortified foods project sponsored by the NIHR Southampton Biomedical Research Centre (BRC) collaborating with University of Reading Nutrition investigators, and investigating the relocation between care homes sponsored by CLHARC WESSEX.

Kinda’s current research is dedicated to improve care of older people with a focus on identifying and managing frailty and sarcopenia in clinical practice as well as optimising medication use with a focus on de-prescribing of potentially inappropriate medications among frail older patients.

Qualifications

BSc, Pharmacy and Pharmaceutical Chemistry, University of Damascus, Syria, 2000-2005

Diploma and MSc, Hospital Pharmacy and Clinical Pharmacy, University of Damascus, Syria, 2005-2009

PhD, Pharmacy Practice, University of Reading, UK, 2010-2014

PGCAP, Higher Education teaching qualification, University of Southampton, UK, 2016-2017

Appointments held

Senior Research Fellow, University of Southampton

Research Fellow, University of Southampton,  2015-2018

Teaching fellow in Clinical Pharmacy, Syria, 2008-2010

Research interests

Fellow at the UK Higher Education

Kinda’s has focus on the identification and management of frailty and sarcopenia in older people. She also has particular interest in medicine optimisation and improving nutrition among frail hospitalised older patients

Supervising 2 PhD students at the moment

Kinda is currently the principal investigator for a number of research studies including:

 

1- Southampton Arm Fracture Frailty and Sarcopenia Study (SAFFSS)

Falls and fractures are a major health problem for older people. There are over 255,000 falls-related emergency hospital admissions per year in England. Upper limb fractures (often called ‘fragility fractures’) are frequently the first sign of osteoporosis (fragile bones). Frailty and sarcopenia (muscle loss and weakness associated with ageing) are more common in people with osteoporosis and both are associated with an increased risk of falling, increasing the risk of fracture. We hypothesise that assessing people with upper limb fractures for sarcopenia and frailty, in addition to osteoporotic fracture risk, can offer an opportunity to use appropriate existing care pathways that address these conditions to reduce the number of falls and fractures. The aim of this study is to evaluate the feasibility of assessing people aged 65+ years, who attend fracture clinic with an upper limb fracture, for frailty and sarcopenia in addition to routine assessment for fracture risk due to osteoporosis. We will demonstrate whether it is practical and acceptable (to patients and staff) to assess for frailty and sarcopenia in a busy fracture clinic typical of those found in every general hospital.

 

2- Moving to a new model of dementia care combining nursing home and shared care apartments: the views and experiences of a range of stakeholders. 2018-present

A new nursing home which unusually has attached shared care apartments opened in July 2018 in Wessex. It offers a full range of care and services in one place to support individuals, families and couples affected by dementia. There is a planned move of all residents and staff from a nearby care home to the new home. We know that involuntary moves with poor planning can trigger negative emotions including anger, discontent, sadness and anxiety. These moves also have a higher risk of death, especially among residents with frailty and dementia. However, the extensive planning and early involvement of residents and their relatives could improve their experiences of the move. The aim of this study is to understand the expectations and experiences of residents, their relatives and the care home staff of this move to a new care home.

The apartments with flexible personal care will enable couples to remain living together while receiving the support they need for the person with dementia. We will also explore the experience of couples affected by dementia of moving from their own homes to the apartments attached to the new care home.

3- Grip Strength Measurement Implementation Study (GRImP) 2015 – 17

Low grip strength is found in sarcopenia, and is a recognised marker of poor current and future health. Grip strength is often measured in research studies but is not used in clinical practice. This study evaluated the implementation of routine grip strength measurement on Medicine for Older People wards, supported by the NIHR CLAHRC: Wessex. This study was based on Normalisation Process Theory (NPT) combining qualitative and quantitative methods with economic analysis. The GRImP study has led to a significant impact on the routine clinical practice of MOP wards at Southampton General Hospital. For example, the GRImP study identified that 80% of older people admitted to MOP had low grip strength and were frail and at risk of poor healthcare outcomes. This has increased the awareness of nurses and other health professionals about the importance of identifying and managing frailty, the value of mobility and exercises and the significance of good nutrition in older people. Furthermore, Kinda trained 155 nursing staff to measure grip strength, improving their skills and knowledge of research.

 

4- Fortified foods for older people 2017 - 18.

This is a collaborative project between the University of Southampton and the food Bioscience team at the University of Reading. The aim is to investigate the feasibility of providing fortified food to improve protein and energy intake among older patients including those with dementia and frailty whilst in hospital. This study is supported by the NIHR Southampton Biomedical Research Centre (BRC).

 

5-  Understanding the experience of ADHD drug holidays in relation to NICE guidelines

Drug holidays (temporary planned breaks from medication) among children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) are recommended by NICE guidelines to test the continuing need for medical treatment. However, planned drug holidays driven by practitioners are little practiced. Kinda’s PhD investigated the complexity of practising ADHD drug holidays and the barriers for implementing them in clinical practice. This work was a qualitative method study (Grounded theory) with a focus on implementation science and behavioural change theories (The behavioural change Wheel using COM-B system).

Kinda has also been supporting a number of research projects funded by NIHR CLAHRC: Wessex and the NIHR Southampton BRC including:

  • Southampton Mobility Volunteers Study (SoMoVe) 2015 – 18
  • Implementing a self- management guide for people with Parkinson’s who fall and their carer. 2016 – 18
  • Southampton Mealtime Assistance Roll Out Trial (SMART). 2016-2018

Examining the attitudes of stakeholders towards using volunteers as mobility assistants for older people. 2015-2016

 

Research group

Human Development and Health

Affiliate research group

The CLAHRC Qualitative Support Group

Leading the CLAHRC Qualitative Support Group

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Articles

Conferences

Postgraduate supervision

Supervising  2 PhD students

Supervising a number of MSc student dissertations

BM teaching and supervision

Tutor in the Integration of Knowledge & Clinical Medicine Module for BM4 years 1 and 2, University of Southampton, 2015-present 

Supervisor and marker for few BM year 3 research students

Qualitative research teaching

Qualitative research advisor for MSC allergy and diabetes Modules

Delivering lectures about using qualitative research methods for Year 2 Research Project students, MSc Public Health Dissertation Module and MSc Allergy and Diabetes.

Other duties

Provided expert guidance and supported the training and development of a number of PhD students and junior doctors in the Faculty of Medicine and Faculty of Health Science

A mentor Health Education England (HEE) colleagues supporting them to develop their publications skills as part the HEE “Writing for Publication programme”.

Dr Kinda Ibrahim
Academic Geriatric Medicine, Mailpoint 807, University Hospital Southampton, Southampton, SO16 6YD

Room Number: SGH

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