WP2: Patient Centred & Prudent Healthcare

Patient Centred and Prudent Health Care draws on the philosophy of patient empowerment and co-production in engaging patients and members of the public in health and health care.

Our priority areas are:

  1. Shared Decision Making & Decision Aids
  2. Self-management support & health literacy
  3. Behaviour change. We focus on innovation, implementation and evaluation of interventions.

Core activities:

  • Complete on-going research into implementation of shared decision making, seek further funding for self-management support, health literacy interventions, and decision aids for other treatment decisions, and expand knowledge transfer to all Health Boards in Wales.
  • Promoting health literacy and empowerment – e.g. interventions to long term conditions: for example Multiple Sclerosis (2016-18), and development of measure of empowerment to show changes from interventions.
  • Utilise qualitative methods to develop a better understanding of patient and healthcare professional perspectives of interventions including Prudent Health Care interventions (2015-17).

Leads

Current projects

  1. Engaging the Public in Owning their Health and Health Services: a qualitative study of patient and public attitudes towards Prudent Health Care
  2. GMI_ALC: Developing a teacher training programme for a Group Motivational Interviewing intervention to prevent alcohol misuse in secondary schools
  3. Patients’ reasons for consulting a General Medical Practitioner with a dental problem
  4. TRAK - A web-based self-care intervention for knee conditions

Publications

Working with interpreters: the challenges of introducing Option Grid patient decision aids. Woods F, Phillips K, Edwards A, Elwyn G. Education and Counselling. Patient Educ Couns. 2017 Mar;100(3):456-464. doi: 10.1016/j.pec.2016.09.016. 

'On a learning curve for shared decision making: interviews with clinicians using the knee osteoarthritis Option Grid'. Elwyn G, Rasmussen J, Kinsey K, Firth J, Marrin K, Wood F. J Eval Clin Pract. 2016 Nov 16. doi: 10.1111/jep.12665. [Epub ahead of print] 

Establishing a set of research priorities in care homes for older people in the UK: a modified Delphi consensus study with care home staff.
Shepherd V, Wood F, Hood K. Age Ageing (2017) 46 (2): 284-290

Motivational interviewing competencies among UK family nurse partnership nurses: a process evaluation component of the building blocks trial. Channon S, Bekkers MJ, Sanders J, Cannings-John R, Robertson L, Bennert K, Butler C, Hood K, Robling M. BMC Nurs. 2016 Sep 20;15:55. doi: 10.1186/s12912-016-0176-0. eCollection 2016. 

Walking the tightrope: communicating overdiagnosis in modern healthcare. McCaffery K, Jansen J, Scherer L, Thornton H, Hersch J, Carter S, Barratt A, Sheridan S, Moynihan R, Waller J, Brodersen J, Pickles K, Edwards A. BMJ 2016;352:i348 352 doi: https://doi.org/10.1136/bmj.i348 

End-of-life care decisions for haemodialysis patients - "We only tend to have that discussion with them when they start deteriorating". Lazenby S, Edwards A, Samuriwo R, Riley S, Murray M, Carson-Stevens, A. Health Expect. 2016 Mar 10. doi: 10.1111/hex.12454. 

Development and delivery of a physical activity intervention for people with Huntington Disease: facilitating translation to clinical practice. Quinn L, Truby R, Gobat N, Dawes H, Tudor Edwards R, Jones C, Townson J, Drew C, Kelson M, Poile V, Rosser A, Busse M. J Neurol Phys Ther 2016; 40: 71–80

Group motivational interviewing in schools: Development of a health promotion intervention. J. L. Hawkins, P. Bravo, S. Rollnick, G. Jerzembek, S. Whitehead, S. Chanon, M. Kelson, O. Adams, S. Murphy. Health Education Journal October 7, 2015 0017896915606938. Oct 2015, doi: 10.1177/0017896915606938   

Measuring clinical skills in agenda-mapping (EAGL-I). Gobat N, Kinnersley P, Gregory JW, Pickles T, Hood K, Robling M. Patient Educ Couns. 2015 Jul 2. pii: S0738-3991(15)30005-7. doi: 10.1016/j.pec.2015.06.018.

A cluster randomised controlled trial comparing the effectiveness and cost-effectiveness of a school-based cognitive behavioural therapy programme (FRIENDS) in the reduction of anxiety and improvement in mood in children aged 9/10 years. Stallard P, Skryabina E, Taylor G, Anderson R, Ukoumunne OC, Daniels H, Phillips R, Simpson N. Public Health Res 2015;3(14)

Intensifying and igniting change talk in Motivational Interviewing: A theoretical and practical framework. Ken Resnicow, Nina Gobat, Sylvie Naar-King. European Health Psychologist 06/2015; 17(3):102-111. http://www.ehps.net/ehp/index.php/contents/article/viewFile/780/pdf_55

Key stakeholder perceptions about consent to participate in acute illness research: a rapid, systematic review to inform epi/pandemic research preparedness. Gobat, N. H., Gal, M., Francis, N. A., Hood, K., Watkins, A., Turner, J., Moore, R., Webb, SA., Butler, C., Nichol, A. Trials. 2015; 16: 591.  

Choosing a Specialist: Will Patient Vote with their Feet (and Wallets) for Person-Centred Care? Joseph-Williams N, Davies F, Wood F, Edwards A. Medical Decision Making, 2015 Apr 24. pii: 0272989X15583267

What is agenda setting in the clinical encounter? Consensus from literature review and expert consultation. Gobat N, Kinnersley P, Gregory JW, Robling M. Patient Educ Couns April 2015