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Health Services Research is an interdisciplinary field of scientific inquiry that examines how best to deliver health care from the clinical, economic and patient perspectives, how best to use health care resources and how to involve patients in processes of care.
The research focus is on the 'patient care' end of the translational pathway that leads from basic science through to clinical research, implementation of research and improved health outcomes.
Research Lead: Dr Martin Cartwright
Health Psychology is the study of psychological processes in health, illness, and healthcare. Health Psychology focuses on relationships between cognitions, emotions and behaviours for healthy individuals, patients and healthcare professionals. By elucidating the drivers and barriers of individual behaviour and professional practice within these groups, Health Psychologists are able to develop specific interventions to maintain health, mitigate the impact of disease, and maximise the effectiveness of the healthcare system.
As a discipline Health Psychology has been at the forefront of methodological and theoretical innovations in applied health research for over two decades, and members of the Health Psychology Research Group have contributed to many of these developments. For example, novel methods to establish qualitative data saturation, the Theoretical Domains Framework, the Behaviour Change Techniques Taxonomy, and the Theoretical Framework of Acceptability.
Our group has expertise in topics including physical activity, help-seeking, screening attendance, treatment adherence, self-management, the impact of illness and treatments, technological interventions and healthcare professional behaviour. Our research focuses on a wide range of clinical populations that spans maternal and child health, developmental conditions, chronic health conditions, mental health conditions and neurodegenerative diseases. We collaborate with colleagues from across the School, the University and with an extensive network of external organisations nationally and internationally.
Group Lead: Professor Leanne Aitken
The Group focuses on developing an evidence base for care delivered within the hospital setting. Understanding how health conditions and treatment impact on patients and their families, and testing the impact of new treatment strategies, is necessary to improve both patient care and patient outcomes. Care delivered in the acute and critical care setting is performed by a range of different members of the health care team, and this multidisciplinary nature of the work is reflected in the project teams formed to undertake research in this area. Development of a strong evidence base to underpin acute and critical care practice enables improved processes of care and improved outcomes for patients and their families.
Some examples of projects in this area include:
Duncan Smith is a PhD student developing a complex intervention to improve the recognition and response to deteriorating patients in acute care settings. This intervention is being developed using the Theoretic Domains Framework to guide future behaviour change in the area.
Tracey Bowden is a PhD student examining strategies to improve cognitive recovery in patients who have undergone cardiac surgery. Tracey’s programme of work is beginning with a systematic review of the extent and domains of cognitive dysfunction in cardiac surgical patients, and will then progress to designing an intervention to improve recovery.
Leanne Aitken is leading a multi-phase programme of research designed to investigate reasons for difficulty in changing practice in the area of sedation of critically ill patients. The final phases of this programme of research will be to develop and test an intervention designed to minimise sedation in this group of patients.
Group Lead: Dr China Mills
The group is dedicated to research that improves the lives of people worldwide, especially vulnerable people in resource-constrained settings. We conduct interdisciplinary research which has a strong relevance to health policy and practice and consist of members with a wide range of expertise. Our current and past research includes topics on maternal, child and adolescent health, health financing, midwifery, global mental health, and digital health technologies. For our work on global maternal and child health and midwifery, please also see the Centre for Maternal and Child Health. Our research places a strong emphasis on the social, economic and political determinants of health, and we have strong collaborations with partner organisations in several countries in Africa, Asia and South America.
PhD student members:
Examples of our group’s research include:
Maria Paula Prates researches “Health policies and sociocultural diversity: a comparative study on childbirth services” with Professor Christine McCourt, and funded by the Newton Fund (British Academy/ Royal Society). Before working in the UK, she was working as an Associate Professor in Social Anthropology at Federal University of Health Sciences of Porto Alegre (UFCSPA), Brazil. She has background is in Social Anthropology and works on the encounter between indigenous communities and the health system and other institutions and communities in Brazil. Her work focuses on gender and on "ethnic minorities" and her current work continues this focus in looking at the experience of Tibetan refugee and migrant women in Britain.
China Mills has recently acted as a consultant with the UK Government Department for International Development (DfID) to produce 4 rapid evidence reviews and a theory of change to guide DfID’s work and funding on mental health internationally – focusing on rights and participation, leadership and governance, services and community support, and mental health in challenging humanitarian contexts. China was Principal Investigator on two consecutive British Academy grants researching psy-and affective technologies across India, South Africa and Australia. Her work focuses on the social production and social life of global guidelines for mental health, including the WHO’s mhGAP Intervention Guide.
Haddijatou Ceesay is a PhD student at City doing qualitative research into perceptions of wellbeing among young women who have undergone FGM in The Gambia. She previously worked with non-profit organizations in The Gambia and the United States dedicated to ending violence against women.
The Research Group for Quality of Care for Older People (QCOP) is a multidisciplinary group of researchers and educators, which brings together research and scholarship in older person’s care. Our primary purpose is to bring together researchers working to improve the care and quality of life for older people in hospital, residential and community settings. The group has links with a network of clinical settings locally within London and surrounding counties, other academic institutions and care organisations nationally and internationally. The group focuses on research into dementia, acute, continuing and end-of-life care for older people; its sub-themes include 'quality of life', 'quality of care' and 'quality improvement’.
The overall aim of QCOP is to:
Minimisation of Sedation in Intensive Care Patients. February 2020 - January 2021, Barts Charity. Professor Leanne Aitken - £49,728.03
Improving cognitive health in patients after cardiac surgery. October 2019 - September 2022, Barts Charity. Tracey Bowden - £279,911.99
BREEZE IPF. July 2019 - September 2020, NIHR The Secretary of State for Health. Dr Judith Dyson - £9793.00
Barts Service Evaluation. July 2019 - June 2020, Barts Health NHS Trust. Judy Brook - £ 249,54.00
ROYAL MARSDEN II. July 2019 - June 2016, The Royal Marsden NHS Foundation Trust. Dr Charitini Stavropoulou - £189,588.00
App evaluation for UCLP. June 2019 - October 2019, UCL Partners. Dr Eamonn McKeown - £21,359.71
Psy-technologies as global assemblage: histories and social lives of quantification and digitisation in three former countries of the British Empire. February 2019 - June 2019, British Academy. Dr China Mills - £22,467.78
Evaluating the national social health protection scheme in India. October 2018 - March 2020, GIZ Deutsche Gesellschaft fur Internationale Zusammenarbeit GmbH. Dr Divya Parmar - £44,196.00
Developing a complex intervention for deteriorating patients using a causal modelling approach. May 2018 - April 2022, NIHR the Secretary of State for Health. Mr Duncan Smith - £342,158.91
Alpha 2 agonists for sedation to produce better outcomes from critical illness (A to B trial). April 2018 - December 2021, NIHR the Secretary of State for Health. Professor Leanne Aitken - £150,188.18
PEACH Study: Professor Julienne Meyer - £16,608.
(IMPULSE) Implementation of an effective and cost-effective intervention for patients with psychotic disorders in low and middle income countries in South Eastern Europe: Professor Jill Francis - £134,170.19
Developing theory based interventions to minimise drop-out in random trials. August 2017 - September 2019 Chief Scientist Office. Professor Jill Francis - £1773.60
Staffing matters: a mixed methods study to explore, model and understand the relationship between care staffing and quality: Professor Julienne Meyer - £18,071.
Optimising the outputs of National Clinical audits to support organisations to improve the quality of care and clinical outcomes: Professor Jill Francis - £320,149.
A pilot study of the S-MAP (Solutions for Medication Adherence Problems) intervention in older adults prescribed polypharmacy in primary care: Professor Jill Francis - £141,105.
SCENE: Improving quality of life and health outcomes of patients with psychosis through a new structured intervention for expanding social networks: Professor Jill Francis - £22,975.00.
Understanding and improving antimicrobial prescribing in care homes: a multidisciplinary approach: Professor Jill Francis - £176,525.
The Tower Hamlets School nurse programme for improving the emotional wellbeing of children and young people: Stephen Abbott - £27,659.
An RCT of a patient-initiated botulinum toxin treatment model for blepharospasm and hemifacial spasm compared to standard care: Dr Sadie Wickwar - £32,061.
ACT-at-Scale: Professor Stanton Newman - £53,203.
Assessment of a web-based tool for parents of children with Juvenile Idiopathic Arthritis coupled with standard care versus standard care alone: A randomised controlled trial: Professor Stanton Newman - £335,380.
Chemotherapy induced cognitive changes in colorectal cancer patients: Dr Catherine Hurt – £350,000.
Managing agitation and raising quality of life. A project to improve quality of life in people with moderate or severe dementia. March 2014 - February 2019. ESRC Economic and Social Research Council. Dr Juanita Hoe - £6816.80.
AFFINITE: The development and evaluation of enhanced audit and feedback interventions to increase the uptake of evidence-based transfusion practice: Professor Jill Francis - £418,580.
ATTILA trial: Assistive Technology and Telecare to maintain Independent Living At Home for people with dementia: Professor Stanton Newman - £45,273.
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