Congratulations to our student, Dina Farran
May 22, 2024
View Dina's Abstract
We are delighted to share that one of our EPSRC DRIVE-Health CDT students and PhD candidate at the IoPPN, Dina Farran, has been awarded 1st prize presentation at the recent Royal College of Psychiatrists Faculty of Liaison Psychiatry annual conference earlier this month. Dina is working under the supervision of Professor Fiona Gaughran and Professor Mark Ashworth and is about to submit her thesis at the end of this month.
In the presentation, Dina summarised her PhD project consisting of a literature review, 2 observational studies, an intervention and 2 qualitative studies. Dina provides further detail below.
Background
Atrial fibrillation (AF), the most prevalent cardiac arrhythmia, is associated with an increased risk of stroke contributing to heart failure and death. In this project, we aim to improve patient safety by screening for stroke risk among people with AF and co-morbid mental illness.
Methods
(a) Conducted a systematic review and meta-analysis on prevalence, management, and outcomes of AF in people with Serious Mental Illness (SMI) versus the general population.
(b) Evaluated oral anticoagulation (OAC) prescription trends in people with AF and co-morbid SMI in King’s College Hospital.
(c) Identified the recorded rates of OAC prescription among people with AF and various mental illnesses and evaluated the association between mental illness severity and OAC prescription in eligible patients in South London and Maudsley (SLaM) NHS Foundation Trust.
(d) Implemented an electronic clinical decision support system (eCDSS) consisting of a visual prompt on patient electronic Personal Health Record to screen for AF-related stroke risk in three Mental Health of Older Adults wards at SLaM.
(e) Assessed the feasibility and acceptability of the eCDSS by qualitatively investigating clinicians’ perspective of the potential usefulness of the eCDSS (pre-intervention) and their experiences and their views regarding its impact on clinicians and patients (post-intervention).
Results
(a) People with SMI had low reported rates of AF. AF patients with SMI were less likely to receive OAC than the general population. When receiving warfarin, people with SMI, particularly bipolar disorder, experienced poor anticoagulation control compared to the general population. Meta-analysis showed that SMI was not significantly associated with an increased risk of stroke or major bleeding when adjusting for underlying risk factors.
(b) Among AF patients having a high stroke risk, those with co-morbid SMI were less likely than non-SMI patients to be prescribed any OAC, particularly warfarin (but not DOACs). However, there was no evidence of a significant difference between the two groups since 2019.
(c) Adjusting for age, sex, stroke and bleeding risk scores, patients with AF and co-morbid SMI were less likely to be prescribed any OAC compared to those with dementia, substance use disorders or common mental disorders. Among AF patients with co-morbid SMI, warfarin was less likely to be prescribed to those having alcohol or substance dependency, serious self-injury, hallucinations or delusions and activities of daily living impairment.
(d) Clinicians were asked to confirm the presence of AF, clinically assess stroke and bleeding risks, record risk scores in clinical notes and refer patients at high risk of stroke to OAC clinics.
(e) Clinicians reported that the eCDSS saved time, prompted them towards guidelines, boosted their confidence, and identified patients at risk. Perceived barriers to using the tool included low admission rate of AF cases, low or insufficient visibility of the alert/awareness of the tool, and impact of the eCDSS on workload.
Conclusions
This study presents a unique opportunity to quantify AF patients with mental illness who are at high risk of severe outcomes, using electronic health records. This has the potential to improve health outcomes and therefore patients' quality of life.
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We are pleased to welcome Dr Jacqueline Matthew - Clinical Research Fellow/Sonographer at King's College London - who will deliver her talk “From Noise to Signal: A Clinical Researcher's Perspective on Translating Advances in Prenatal imaging into Practice" as part of our Seminar Series. Abstract: Over the past decade, machine learning approaches in prenatal imaging has advanced from exploratory academic prototypes to clinically usable, real-time tools, but the path between those two endpoints is rarely straightforward. In this talk, Jacqueline offers a clinical researcher’s perspective on translating biomedical engineering innovations into real-world impact, tracing the journey from the iFIND project’s early breakthroughs in automated fetal imaging to the creation of Fraiya, an AI-driven ultrasound platform now entering clinical deployment. She will unpack the technical, clinical, and regulatory hurdles that shape this trajectory: data acquisition at scale, annotation complexity, model robustness, pipeline optimisation for real-time use, clinical safety engineering, regulatory strategy, and integration with NHS digital ecosystems. Beyond the technical achievements, the session reflects honestly on the innovation “gaps” that researchers and engineers encounter when stepping into entrepreneurship. From productising research outputs, building 'with' clinicians and service users not just 'for' them, securing buy-in, navigating procurement, and proving value in operationally stretched healthcare services. The aim is to provide a pragmatic and motivating roadmap for researchers and innovators seeking to turn biomedical AI research into deployable, sustainable solutions in healthcare. Seminar Series Event : “From Noise to Signal: A Clinical Researcher's Perspective on Translating Advances in Prenatal imaging into Practice. Date and Time: Thursday 22 January 2026, 15:00 – 16.00 hrs (GMT) Location: K39, King's Building, Strand Campus Attendance: Mandatory for all DRIVE-Health students, therefore please accept the calendar invitation. Registration: Alumni and wider King's College London research community all welcome - please email drive-health-cdt@kcl.ac.uk to let us know if you would like to attend. Biography Jacqueline is a clinical academic, sonographer, and MedTech entrepreneur with over 20 years of experience in advancing pregnancy care through compassionate, technology-driven solutions. Specialising in ultrasound and fetal MRI, Jacqueline’s work focuses on leveraging cutting-edge imaging technologies to improve screening, diagnosis, and care for pregnant women. With a PhD in advanced 3D ultrasound and fetal MRI, Jacqueline uses machine learning to refine diagnostic pathways, pushing the boundaries of what’s possible in prenatal care. As Clinical Lead and Chief Medical Officer at an early-stage health tech startup, she has been at the forefront of developing a real-time AI-powered pregnancy ultrasound platform, with ambitions to transform how scans are performed, enhancing diagnostic accuracy, and empowering healthcare professionals to deliver more informed and compassionate care. Jacqueline’s work has earned her widespread recognition, including being named one of the inaugural winners of the NHS England CAHPO Gold Award for Excellence, which celebrates health professionals who exemplify exceptional contributions to healthcare and the NHS values.
We were thrilled to welcome Dr Abhi Pratap - Global Clinical Development Lead at Boehringer Ingelheim who delivered our October Seminar Series. In his talk “Why Mental Health Needs More Than New Drugs: Using Digital Health to Bring Patient-Centredness to Research and Care" , Abhi shared case examples from emerging clinical studies to show how digital health can bridge the gap between clinical research and patient care in mental health. We will explore digital health solutions that help quantify the real-world experiences of health that matter to people - bringing us closer to understanding what treatments work for whom, why, when, and for how long. Abstract: Innovation in mental health treatment has been strikingly limited compared to other fields of medicine. In the last 15 years, fewer than five truly novel psychiatric drugs have received regulatory approval. This stagnation reflects multifaceted challenges linked to heterogeneity of psychiatric disorders often lacking biological markers grounded in disease biology. Additionally, there is significant reliance on subjective clinician-, rater-, or patient-reported outcomes, which increases variability in trial outcomes and poses challenges in patient selection and endpoint determination. Clinical studies also encounter persistent obstacles, such as high dropout rates, poor generalizability, and endpoints that frequently do not reflect what patients and their families value most. Consequently, there is a critical gap in new treatment development that are patient-centered, enhancing quality of life in real-world settings. Use-case-centered implementation of digital health technologies offers a realistic path to address many of these barriers. Real-world data collected from smart devices can enable the continuous and ecologically valid capture of mood, cognition, behavior, and functioning, augmenting traditional, episodic assessments. This richer measurement framework can enhance sensitivity to change, reduce trial inefficiencies, and ground outcomes more directly in patients lived experience. In addition, the same smart devices can be used to deliver digital adaptations of psychosocial interventions, expanding access to evidence-based care and offering personalized and scalable options for populations that have been historically underserved due to stigma, geography, or cost. Dr. Abhi Pratap is the Global Clinical Development Lead at Boehringer Ingelheim, where he oversees clinical development programs for digital therapeutics aimed at addressing unmet needs in serious mental illnesses. Before joining Boehringer, he worked at Biogen, managing one of the largest decentralised studies on cognitive trajectories in real-world settings in collaboration with Apple. With over 15 years of experience in translational biomedical research, Dr. Pratap has led numerous health research studies that promote partnerships between academia and industry. His primary focus is on using digital health technologies to gain a deeper understanding of the real-life experiences of individuals with neurological and psychiatric disorders. His cross-sector research aims to accelerate patient-centered clinical development in central nervous system (CNS) disorders. Most recently, he led a successful pivotal Phase III trial targeting experiential negative symptoms of schizophrenia (NCT05838625) using a digital therapeutic. This study is among the first confirmatory trials to show improvement in negative symptoms to date. Additionally, Dr. Pratap serves as an adjunct faculty member at the University of Washington in Seattle and Boston University, and he is a visiting research fellow at King’s College London.
