Biography
Annette is a physiotherapist and Senior Research Fellow who has worked at Keele University since 2003, following 20 years as a clinical research physiotherapist. Her first post at Keele was a research physiotherapist and following completion of her PhD, investigating the role of health care practitioner attitudes and beliefs on their clinical practice, she was a National Institute for Health Research (NIHR) Research Fellow in Muscuoloskeletal Intervention Studies.
Annette has served on a number of committees and has held roles within the Chartered Society of Physiotherapy (CSP) and is currently a member of the CSP's Primary Care Reference panel.
Annette is a member of the NIHR Research for Patient Benefit West Midlands Regiona Advisory Panel and associate editor of the primary physiotherapy journal in the UK, 'Physiotherapy'.
Research and scholarship
Annette leads the Health Services and Outcomes research group within the Research Institute, bringing together staff and PhD students whose work focusses on, or includes, this topic. The research group has been particularly active in generating new PhD proposals and supporting new PhD students.
Annette lead the RI's research portfolio in health services research and specifically the role of inter-disciplinary working in primary and community care. She has recently been awarded a £210,000 grant from Arthritis Research UK to continue this research.
In addition, she has extensive experience of large clinical studies and has contributed to the successful delivery of large pragmatic clinical trials in physiotherapy telephone assessment and advice (PhysioDirect trial) and vocational advice in primary care for patients with musculoskeletal pain (SWAP) trial.
Annette lead the first phase of a feasibility and pilot trial investigating acupuncture for pregnancy related back pain (EASE Back study) and was the principal investigator for a large pilot trial of patient direct access to physiotherapy in the NHS (STEMS trial).
Teaching
- Supervision of MSc and PhD students.
- Year 3 medical students: Student selected component 'Research, what every doctor need to know'. Co-lead.
- Year 1 medical students: Randomised controlled trials - small group facilitation.
Selected Publications
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Clinical and cost-effectiveness and perceptions of delegation by Allied Health Professionals to Allied Health Assistants: A mixed methods systematic review. Physiotherapy, e119-e120, vol. 113. link> doi> link> full text>2021.
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Costing methodology and key drivers of healthcare costs within economic analyses in musculoskeletal community/primary care services: A systematic review. Physiotherapy, e26, vol. 113. link> doi> link> full text>2021.
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Evaluation of the First Contact Physiotherapy (FCP) model of primary care: Patient characteristics and outcomes. Physiotherapy, e29, vol. 113(S1). link> doi> link> full text>2021.
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Patient satisfaction with the first contact physiotherapy service: Results from the national evaluation survey. Musculoskeletal Care, 363-370, vol. 20(2). link> doi> full text>2022.
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Corrigendum to "Implementing patient direct access to musculoskeletal physiotherapy in primary care: views of patients, general practitioners, physiotherapists and clinical commissioners in England" [Physiotherapy 111 (June) (2021) 31-39]. Physiotherapy, 245, vol. 113. link> doi> full text>2021.
Full Publications Listshow
Journal Articles
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Clinical and cost-effectiveness and perceptions of delegation by Allied Health Professionals to Allied Health Assistants: A mixed methods systematic review. Physiotherapy, e119-e120, vol. 113. link> doi> link> full text>2021.
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Costing methodology and key drivers of healthcare costs within economic analyses in musculoskeletal community/primary care services: A systematic review. Physiotherapy, e26, vol. 113. link> doi> link> full text>2021.
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Evaluation of the First Contact Physiotherapy (FCP) model of primary care: Patient characteristics and outcomes. Physiotherapy, e29, vol. 113(S1). link> doi> link> full text>2021.
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Patient satisfaction with the first contact physiotherapy service: Results from the national evaluation survey. Musculoskeletal Care, 363-370, vol. 20(2). link> doi> full text>2022.
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Corrigendum to "Implementing patient direct access to musculoskeletal physiotherapy in primary care: views of patients, general practitioners, physiotherapists and clinical commissioners in England" [Physiotherapy 111 (June) (2021) 31-39]. Physiotherapy, 245, vol. 113. link> doi> full text>2021.
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Effects of an e-learning programme on osteopaths' back pain attitudes: a mixed methods feasibility study. Pilot Feasibility Stud, 174, vol. 7(1). link> doi> full text>2021.
- 2021.
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Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight. Physiotherapy, 209-216, vol. 113. link> doi> full text>2021.
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Evaluation of the First Contact Physiotherapy (FCP) model of primary care: patient characteristics and outcomes. Physiotherapy, 199-208, vol. 113. link> doi> full text>2021.
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First Contact Practitioners' (FCPs) and General Practitioners' Perceptions Towards FCPs Delivering Vocational Advice to Patients with Musculoskeletal Conditions: A Qualitative Investigation of the Implementation Potential of the I-SWAP Initiative. J Occup Rehabil, 147-155, vol. 32(1). link> doi> full text>2022.
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Treatment targets of exercise for persistent non-specific low back pain: a consensus study. Physiotherapy, 78-86, vol. 112. doi> link> full text>2021.
- 2021.
- 2021.
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Implementing patient direct access to musculoskeletal physiotherapy in primary care: views of patients, general practitioners, physiotherapists and clinical commissioners in England. Physiotherapy, 31-39, vol. 111. link> doi> full text>2021.
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A systematic review and evidence synthesis of non-medical triage, self-referral and direct access services for patients with musculoskeletal pain. PLoS One, e0235364, vol. 15(7). link> doi> full text>2020.
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Exercise Interventions for Persistent Non-Specific Low Back Pain - Does Matching Outcomes to Treatment Targets Make a Difference? A Systematic Review and Meta-Analysis. J Pain, 107-126, vol. 22(2). link> doi> full text>2021.
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Providing patients with direct access to musculoskeletal physiotherapy: the impact on general practice musculoskeletal workload and resource use. The STEMS-2 study. Physiotherapy, 48-56, vol. 111. link> doi> full text>2021.
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The development and evaluation of a data calculator to facilitate the introduction and use of a standardized outcome measure (Musculoskeletal Health Questionnaire). Musculoskeletal Care. link> doi> link> full text>2020.
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Costing Methodology and Key Drivers of Health Care Costs Within Economic Analyses in Musculoskeletal Community and Primary Care Services: A Systematic Review of the Literature. J Prim Care Community Health, 2150132719899763, vol. 11. link> doi> full text>2020.
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Predictors of functional outcome in musculoskeletal healthcare: An umbrella review. Eur J Pain, 51-70, vol. 24(1). link> doi> full text>2020.
- 2020.
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Responsiveness and Minimal Important Change for Pain and Disability Outcome Measures in Pregnancy-Related Low Back and Pelvic Girdle Pain. Phys Ther, 1551-1561, vol. 99(11). link> doi> full text>2019.
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Models used for case-mix adjustment of patient reported outcome measures (PROMs) in musculoskeletal healthcare: A systematic review of the literature. Physiotherapy, 137-146, vol. 105(2). link> doi> full text>2019.
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Item response theory evaluation of the biomedical scale of the Pain Attitudes and Beliefs Scale. PLoS One, e0202539, vol. 13(9). link> doi> full text>2018.
- 2018.
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Identification of prognostic factors and assessment methods on the evaluation of non-specific low back pain in a biopsychosocial environment: A scoping review. INTERNATIONAL JOURNAL OF OSTEOPATHIC MEDICINE, 25-34, vol. 30. link> doi> full text>2018.
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Defining adherence to therapeutic exercise for musculoskeletal pain: A systematic review. British Journal of Sports Medicine. doi> link> full text>2018.
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Effectiveness and costs of a vocational advice service to improve work outcomes in patients with musculoskeletal pain in primary care: a cluster randomised trial (SWAP trial ISRCTN 52269669). Pain, 128-138, vol. 159(1). link> doi> link> full text>2018.
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STEMS pilot trial: a pilot cluster randomised controlled trial to investigate the addition of patient direct access to physiotherapy to usual GP-led primary care for adults with musculoskeletal pain. BMJ Open, e012987, vol. 7(3). link> doi> full text>2017.
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Evaluating acupuncture and standard care for pregnant women with back pain: the EASE Back pilot randomised controlled trial (ISRCTN49955124). Pilot Feasibility Stud, 72, vol. 2. link> doi> full text>2016.
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Development of a new conceptual framework for the biopsychosocial clinical approach using concept mapping methodology. Manual Therapy, e51-e52, vol. 25. doi>2016.
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Impact of an e-learning programme on the biopsychosocial model for non-specific low-back pain on experience osteopaths' attitudes to back pain: A mixed-methods study. Manual Therapy, e167-e168, vol. 25. doi>2016.
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The Role of Qualitative Research in Clinical Trial Development: The EASE Back Study. JOURNAL OF MIXED METHODS RESEARCH, 325-343, vol. 12(3). link> doi> full text>2018.
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Evaluating Acupuncture and Standard carE for pregnant women with Back pain (EASE Back): a feasibility study and pilot randomised trial. Health Technol Assess, 1-236, vol. 20(33). link> doi> full text>2016.
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Current management of pregnancy-related low back pain: a national cross-sectional survey of U.K. physiotherapists. Physiotherapy, 78-85, vol. 102(1). link> doi> full text>2016.
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Discussing prognosis with patients with osteoarthritis: a cross-sectional survey in general practice. Clin Rheumatol, 1011-1017, vol. 35(4). link> doi> full text>2016.
- 2015.
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A pilot cluster randomised controlled trial to investigate the addition of direct access to physiotherapy to usual GP-led primary care for adults with musculoskeletal pain: the STEMS pilot trial protocol (ISRCTN23378642). Pilot Feasibility Stud, 26, vol. 1. link> doi> full text>2015.
- 2015.
- 2014.
- 2014.
- 2014.
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A pragmatic randomised controlled trial of 'PhysioDirect' telephone assessment and advice services for patients with musculoskeletal problems: economic evaluation. BMJ OPEN, Article ARTN e003406, vol. 3(10). link> doi> full text>2013.
- 2013.
- 2013.
- 2013.
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A prgmatic randomised controlled trial of the effectiveness of 'PhysioDirect' telephone assessment and advice services for patients with musculoskeletal problems. BMJ: British Medical Journal. doi>2013.
- 2013.
- 2013.
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Monitoring Osteoarthritis: A Cross-sectional Survey in General Practice. Clin Med Insights Arthritis Musculoskelet Disord, 85-91, vol. 6. link> doi> full text>2013.
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Should there be a Quality and Outcomes Framework domain for osteoarthritis? A cross-sectional survey in general practice. Qual Prim Care, 97-103, vol. 21(2). link>2013.
- 2013.
- 2012.
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Therapist Knowlegde, adherence and use of low back pain guidelines to inform clinical decisions - A national survey of manipulative and sports physiotherapists in New Zealand. doi>2012.
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Response to letter by Roelofs et al. Pain, 208-209, vol. 150(1). doi>2010.
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Distinctiveness of psychological obstacles to recovery in low back pain patients in primary care. Pain, 398-406, vol. 148(3). link> doi> full text>2010.
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Pain Attitudes and Beliefs Scale (PABS). Journal of Physiotherapy, 279, vol. 56(4). doi>2010.
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'PhysioDirect' telephone assessment and advice services for physiotherapy: protocol for a pragmatic randomised controlled trial. BMC HEALTH SERVICES RESEARCH, Article ARTN 136, vol. 9. link> doi> full text>2009.
- 2008.
- 2008.
- 2007.
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Reliability of procedures used in the physical examination of non-specific low back pain: A systematic review. Australian Journal of Physiotherapy, 91-102, vol. 52(2). doi>2006.
- 2005.
Other
- 2020.
- 2019.
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DOES THE ADDITION OF A VOCATIONAL ADVICE SERVICE TO BEST CURRENT PRIMARY CARE IMPROVE WORK OUTCOMES IN PATIENTS WITH MUSCULOSKELETAL PAIN? THE STUDY OF WORK AND PAIN (SWAP) CLUSTER RANDOMIZED TRIAL (ISRCTN 52269669). RHEUMATOLOGY (p. 50, vol. 55). link>2016.
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UK-BASED PHYSIOTHERAPISTS' CURRENT MANAGEMENT OF PREGNANCY-RELATED BACK PAIN: A NATIONAL SURVEY. RHEUMATOLOGY (pp. 123-124, vol. 53). link>2014.
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THE MRC PHYSIODIRECT TRIAL: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL OF PHYSIODIRECT TELEPHONE ASSESSMENT AND ADVICE SERVICES VERSUS USUAL CARE FOR MUSCULOSKELETAL PROBLEMS. RHEUMATOLOGY (p. 36, vol. 51). link>2012.
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Illness perceptions of low back pain patients in primary care: Are they associated with outcome?. RHEUMATOLOGY (p. I10, vol. 46). link>2007.
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