Primary Care & Health Sciences
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I am a Health Services Researcher and Social Scientist by background. I first came to Keele as a Research Assistant in 1991 following an undergraduate degree in Social Policy and Administration (Brighton). After working on a Regional Health Authority project investigating Resource Management in Mental Health Services, I completed an M.Phil (Health Policy) in 1995 using qualitative methods to understand the Internal Market in Mental Health Services. I started working in the field of musculoskeletal health in 1997. For my PhD. I developed, tested and applied a population screening instrument for identifying knee pain and disability in older adults.
I have an interest in Patient and Public Involvement (PPI) in health research and lead PPI programme for the Arthritis Research UK Primary Care Centre (link to PPI section). I also lead the PPI programme for the West Midlands regional Research Design Service (RDS Link).
My research interests are in the field of osteoarthritis (OA) and joint pain in older adults. I am particularly interested in public health research and have undertaken both quantitative and qualitative studies to investigate the burden and impact of OA in the community. Recent studies have investigated experiences of knee pain and health care use, perceptions of prevention of joint pain, and understanding self management for knee pain in older adults. I am also involved in a study to develop and implement a model osteoarthritis consultation in primary care. Studies of PPI in primary care research include an exploration of Public Priorities for Joint Pain research and an evaluation of PPI at the AR UK Primary Care Centre. I also supervise clinicians and non clinical researchers (PhD, MPhil).
Recent research grants include:
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NIHR: Research for Patient Benefit Grant: Self Care for Knee Pain and Disability (£127,000) (co-applicant).
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Arthritis Research UK: Arthritis Research Campaign Primary Care Musculoskeletal Research Centre (£2,499,968) (co-applicant).
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NIHR: National School for Primary Care Research. Public priorities for joint pain research in Primary Care (£65,296) (lead applicant).
Selected Publications
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2012. ' ... WELL, I PUT IT DOWN TO HAVING A CLEAR CONSCIENCE, BEING POLITE TO ALL PEOPLE AND BEING A MEMBER OF THE LABOUR PARTY': PREVENTION OF KNEE PAIN: A QUALITATIVE STUDY IN SYMPTOMLESS OLDER ADULTS. RHEUMATOLOGY (vol. 51, p. 55). link>
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2012. DECIDING TO CONSULT THE GENERAL PRACTITIONER FOR SYMPTOMATIC OSTEOARTHRITIS: A CHOICE-BASED CONJOINT ANALYSIS STUDY. RHEUMATOLOGY (vol. 51, p. 37). link>
Full Publications List show
Journal Articles
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2012. Rethinking ‘risk’ and self-management for chronic illness. Social Theory and Health, vol. 1(10), 78-99. doi>
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2011. Lay models of self-management: how do people manage knee osteoarthritis in context?. Chron Illn, vol. 7(3), 185-200. doi>
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2011. Chronic joint pain, self-management and risks: a qualitative exploration of knee pain sufferers' understanding and management of risk factors. INTERNATIONAL JOURNAL OF QUALITATIVE METHODS, vol. 10(4), 462. link>
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2011. Embodied and emotional work in self-management for knee pain. INTERNATIONAL JOURNAL OF QUALITATIVE METHODS, vol. 10(4), 549. link>
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2010. 'How would you go about that? I don't know.' A qualitative study on perceptions of prevention of knee pain and disability. EUROPEAN JOURNAL OF PUBLIC HEALTH, vol. 20, 171. link>
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2010. "Well, it's nobody's responsibility but my own." A qualitative study to explore views about the determinants of health and prevention of knee pain in older adults. BMC Public Health, vol. 10, 148. link> doi> full text>
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2009. Reflections on becoming a person with musculoskeletal pain: A patient diary. Social Theory & Health, vol. 7(2), 100-116. doi>
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2009. The Keele community knee pain forum: action research to engage with stakeholders about the prevention of knee pain and disability. BMC Musculoskelet Disord, vol. 10, 85. link> doi> full text>
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2008. The influence of consulting primary care on knee pain in older people: a prospective cohort study. Ann Rheum Dis, vol. 67(12), 1702-1709. link> doi> full text>
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2007. A mixed methods study to investigate needs assessment for knee pain and disability: population and individual perspectives. BMC Musculoskelet Disord, vol. 8, Article 59. doi> full text>
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2007. Decision-making regarding total knee replacement surgery: A qualitative meta-synthesis. BMC Health Serv Res, vol. 7, Article 52. doi> full text>
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2006. A prospective study of the consulting behaviour of older people with knee pain. Br J Gen Pract, vol. 56(525), 269-276. link>
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2006. 'Walking like John Wayne': open-format diaries of people with knee pain and disability. Chronic Illn, vol. 2(1), 21-26. link>
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2006. “Heating Is More Important Than Food” Older Women's Perceptions of Fuel Poverty. Journal of Housing for the Elderly, vol. 20(3), 95-108.
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2006. Disabling knee pain--another consequence of obesity: results from a prospective cohort study. BMC Public Health, vol. 6, 258. link> doi> full text>
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2006. The influence of completing a health-related questionnaire on primary care consultation behaviour. BMC Health Serv Res, vol. 6, 101. link> doi> full text>
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2004. A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over. Rheumatology, vol. 43(1), 55-61. doi>
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2004. Patterns of consent in epidemiologic research: evidence from over 25,000 responders. American Journal of Epidemiology, vol. 159(11), 1087-1094. doi>
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2003. An evaluation of an automated data entry system (Teleform) for large-scale mailed surveys. Computers in Biology & Medicine, vol. 33(5), 425-437.
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2001. Postal surveys in primary care: the hidden burden. Health Expect, vol. 4(4), 253-259. link>
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2001. The knee pain screening tool (KNEST), identifying knee pain and related health care use in primary care. RHEUMATOLOGY, vol. 40, 54. link>
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1998. Workforce planning. Catching the drift. Health Serv J, vol. 108(5622), 24-26. link>
Chapters
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2002. The Mobility of Doctors & Nurses - A United Kingdom case study. In The European Union & Health Services. The Impact of the Single European Market on Member States. Busse R, Wisamn M, Bermon PE (Eds.). 105 press, amsterdam.
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The epidemiology of pain in older people. In Pain in older people. Crome P, Lally F, Main C (Eds.). Oxford University Press.
Other
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2012. ' ... WELL, I PUT IT DOWN TO HAVING A CLEAR CONSCIENCE, BEING POLITE TO ALL PEOPLE AND BEING A MEMBER OF THE LABOUR PARTY': PREVENTION OF KNEE PAIN: A QUALITATIVE STUDY IN SYMPTOMLESS OLDER ADULTS. RHEUMATOLOGY (vol. 51, p. 55). link>
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2012. DECIDING TO CONSULT THE GENERAL PRACTITIONER FOR SYMPTOMATIC OSTEOARTHRITIS: A CHOICE-BASED CONJOINT ANALYSIS STUDY. RHEUMATOLOGY (vol. 51, p. 37). link>
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2012. INVOLVING SERVICE USERS IN TRIAL DESIGN: OUTCOMES, SPLINT SELECTION AND PLACEBO DESIGN IN A TRIAL OF TREATMENT FOR THUMB BASE OSTEOARTHRITIS. RHEUMATOLOGY (vol. 51, pp. 54-55). link>
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2011. PUBLIC PRIORITIES FOR JOINT PAIN RESEARCH. RHEUMATOLOGY (vol. 50, p. 27). link>
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2006. Predictors of knee pain in community dwelling older adults. A prospective study. RHEUMATOLOGY (vol. 45, p. I120). link>
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2005. Changes in knee pain in older adults: Three year follow up of the KNEST population cohort. RHEUMATOLOGY (vol. 44, pp. I85-I86). link>
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2004. KNEST - predictors of primary care consultation for knee-related disorders. A prospective study. Rheumatology.
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2003. Assessing health care needs and use in older adults with knee pain in primary care. The knee pain screening tool (KNEST). Rheumatology.
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2003. The relationship between knee pain and other body pain in the general population aged 50 and over. Rheumatology.
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2002. The influences on health care use in older adults with knee pain. ARTHRITIS AND RHEUMATISM (vol. 46, p. S468). link>
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2002. Inter-rater reliability assessment of the scoring of the body pain manikin. Rheumatology (vol. 41, p. 52). Oxford University Press.
Course leader and module design. Research Practice in Health Care. Masters in Medical Science, Keele University.
Research Methods Module, Masters in Medical Science, Keele University.
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I am a member of the Society for Social Medicine and European Public Health Association.
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I am a member of the Scientific Panel for the Chartered Society for Physiotherapy’s Research Foundation and a member of EUPHA’s scientific panel.
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I am a member of a national Involvement Forum for RDS PPI leads which is facilitated by INVOLVE.
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I am an Associate Editor for BMC Musculoskeletal Disorders.

