Professor Jo Protheroe

Title: Professor of General Practice
Phone: +44 (0) 1782 734698
Email: j.protheroe@keele.ac.uk
Location: DJW 1.08 (Medical School)
Role: Director of General Practice Education, Director of Clinical Academic Training
Contacting me: Email or via PA: Naomi Romeo, +44 (0) 1782 764667, n.romeo@keele.ac.uk

Professor Joanne Protheroe has been a practising General Practitioner for over 18 years and has worked in various research capacities, before joining Keele University as Senior Lecturer in General Practice in 2011. 

Jo was recently appointed as Professor of General Practice in Keele's Medical School, where she leads the Academic Primary Care team. She continues to practise as a GP in an inner-city practice, a role which fuels her interest in health literacy and patient participation in their health, especially those in disadvantaged groups. 

She is a national expert in the field of Health Literacy, regularly invited to present at conferences, a member of the Scientific Committees of Health Literacy conferences in the US and Europe and sits on Editorial boards of national and international Journals. 

Jo is the current Chair of the Health Literacy UK Group and has recently been appointed as Honorary Health Literacy Clinical Advisor to NHS England. 

Jo's research, influenced by her clinical practice, is focussed on two NHS priorities - the needs of socio-economically disadvantaged patients and the need for interventions to improve patient self-management in long-term conditions. Research has shown that patients with low health literacy have difficulty in participating in their health care, resulting in poorer health.

Health literacy, a major cause of health inequalities, is a priority area for NHS a nd needed for patients/public to understand and act on health information and share decisions to improve their health and wellbeing. 

Jo co-establish, and now leads the Health Literacy UK group (800+ members) and is a leading internationally recognised academic in this field. 

Jo's research shows that 43-61% of the working age English population have poor health literacy (2015). This has led to a shift in NHSE policy and her appointment as a Health Literacy Clinical Advisor to NHSE. Jo highlighted the problems with health literac/health materials in Staffordshire (2016,2016) and developed tools and interventions (eg patient priorities tool and health trainer peer support) to improve participation in health care (2010, 2016); currently developing innovative interventions with Stoke Public Health, eg community pharmacists improving health literacy, interventions for pre-school and school-age children, and inclusion of health literacy in Quality Improvement for GPs. 

Nationally, Jo has presented to the House of Commons, interviews in National media (BBC Breakfast, radio and newspapers); written a foreword for a policy brief to spotlight health literacy ahead of political manifestos co-authored Report for the RCP/RCGP highlighting the important role primary care has in improving health literacy. 

Selected Publications

  • Tan A, Strauss VY, Protheroe J, Dunn KM. Epidemiology of paediatric presentations with musculoskeletal problems in primary care. BMC Musculoskelet Disord, vol. 19(1), 40. link> doi>
  • Knowles S, Hays R, Senra H, Bower P, Locock L, Protheroe J, Sanders C, Daker-White G. 2017. Empowering people to help speak up about safety in primary care: Using codesign to involve patients and professionals in developing new interventions for patients with multimorbidity. Health Expect. link> doi>
  • Estacio EV, Oliver M, Downing B, Kurth J, Protheroe J. 2017. Effective Partnership in Community-Based Health Promotion: Lessons from the Health Literacy Partnership. Int J Environ Res Public Health, vol. 14(12). link> doi>
  • Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J. 2017. Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PLoS One, vol. 12(6), e0178621. link> doi>
  • Michaleff ZA, Campbell P, Protheroe J, Rajani A, Dunn KM. 2017. Consultation patterns of children and adolescents with knee pain in UK general practice: analysis of medical records. BMC Musculoskelet Disord, vol. 18(1), 239. link> doi>

Full Publications List show

Journal Articles

  • Tan A, Strauss VY, Protheroe J, Dunn KM. Epidemiology of paediatric presentations with musculoskeletal problems in primary care. BMC Musculoskelet Disord, vol. 19(1), 40. link> doi>
  • Knowles S, Hays R, Senra H, Bower P, Locock L, Protheroe J, Sanders C, Daker-White G. 2017. Empowering people to help speak up about safety in primary care: Using codesign to involve patients and professionals in developing new interventions for patients with multimorbidity. Health Expect. link> doi>
  • Estacio EV, Oliver M, Downing B, Kurth J, Protheroe J. 2017. Effective Partnership in Community-Based Health Promotion: Lessons from the Health Literacy Partnership. Int J Environ Res Public Health, vol. 14(12). link> doi>
  • Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J. 2017. Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PLoS One, vol. 12(6), e0178621. link> doi>
  • Michaleff ZA, Campbell P, Protheroe J, Rajani A, Dunn KM. 2017. Consultation patterns of children and adolescents with knee pain in UK general practice: analysis of medical records. BMC Musculoskelet Disord, vol. 18(1), 239. link> doi>
  • Bishop A, Ogollah RO, Jowett S, Kigozi J, Tooth S, Protheroe J, Hay EM, Salisbury C, Foster NE, STEMS study team. 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, vol. 7(3), e012987. link> doi>
  • Bishop A, Ogollah RO, Jowett S, Kigozi J, Tooth S, Protheroe J, Hay EM, Salisbury C, Foster NE. 2017. 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, vol. 7(3), Article ARTN e012987. link> doi>
  • Estacio EV, Whittle R, Protheroe J. 2017. The digital divide: Examining socio-demographic factors associated with health literacy, access and use of internet to seek health information. J Health Psychol, 1359105317695429. link> doi>
  • Vivekanantham A, Protheroe J, Muller S, Hider S. Evaluating on-line health information for patients with polymyalgia rheumatica: a descriptive study. BMC Musculoskelet Disord, vol. 18(1), 43. link> doi>
  • Protheroe J, Rowlands G, Bartlam B, Levin-Zamir D. 2017. Health Literacy, Diabetes Prevention, and Self-Management. J Diabetes Res, vol. 2017, 1298315. link> doi>
  • Bartlam B, Rathod T, Rowlands G, Protheroe J. 2016. Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study. Journal of Diabetes Research, vol. 2016, 4723636. link> doi>
  • Campbell P, Hill JC, Protheroe J, Afolabi EK, Lewis M, Beardmore R, Hay EM, Mallen CD, Bartlam B, Saunders B, van der Windt DA, Jowett S, Foster NE, Dunn KM. 2016. Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care. J Pain Res, vol. 9, 807-818. link> doi>
  • Protheroe J, Rathod T, Bartlam B, Rowlands G, Richardson G, Reeves D. 2016. The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial. J Diabetes Res, vol. 2016, 6903245. link> doi>
  • Saunders B, Bartlam B, Foster NE, Hill JC, Cooper V, Protheroe J. General Practitioners' and patients' perceptions towards stratified care: a theory informed investigation. BMC Fam Pract, vol. 17(1), 125. link> doi>
  • Brijnath B, Protheroe J, Mahtani KR, Antoniades J. Do Web-based Mental Health Literacy Interventions Improve the Mental Health Literacy of Adult Consumers? Results From a Systematic Review. J Med Internet Res, vol. 18(6), e165. link> doi>
  • Brijnath B, Protheroe J, Mahtani KR, Antoniades J. 2016. Do Web-based Mental Health Literacy Interventions Improve the Mental Health Literacy of Adult Consumers? Results From a Systematic Review. JOURNAL OF MEDICAL INTERNET RESEARCH, vol. 18(6), Article ARTN e165. link> doi>
  • Green DJ, Jordan KP, Protheroe J, van der Windt DA. 2016. Development of hand phenotypes and changes in hand pain and problems over time in older people. Pain, vol. 157(3), 569-576. link> doi>
  • Protheroe J, Whittle R, Bartlam B, Estacio E, Clark L, Kurth J. 2017. Health literacy, associated lifestyle and demographic factors in adult population of an English city: a cross-sectional survey. Health Expectations. doi>
  • Smith SM, Reeve J, Gunn J, Hill NR, Fortin M, O'Donnell CA, van den Akker M, Protheroe J, Mercer SW. 2016. TheJournal of Comorbidityaffiliates with the Society for Academic Primary Care. J Comorb, vol. 6(2), 73-75. link> doi>
  • Penn ML, Kennedy AP, Vassilev II, Chew-Graham CA, Protheroe J, Rogers A, Monks T. 2015. Modelling self-management pathways for people with diabetes in primary care. BMC Fam Pract, vol. 16, 112. link> doi>
  • Bishop A, Tooth S, Protheroe J, Salisbury C, Ogollah RO, Jowett S, Hay EM, Foster NE, STEMS study team. 2015. 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, vol. 1, 26. link> doi>
  • Rowlands G, Protheroe J, Winkley J, Richardson M, Seed PT, Rudd R. 2015. A mismatch between population health literacy and the complexity of health information: an observational study. Br J Gen Pract, vol. 65(635), e379-e386. link> doi>
  • Kenning C, Protheroe J, Gray N, Ashcroft D, Bower P. 2015. The potential for using a Universal Medication Schedule (UMS) to improve adherence in patients taking multiple medications in the UK: a qualitative evaluation. BMC Health Serv Res, vol. 15, 94. link> doi>
  • Protheroe J, Estacio EV, Saidy-Khan S. 2015. Patient information materials in general practices and promotion of health literacy: an observational study of their effectiveness. Br J Gen Pract, vol. 65(632), e192-e197. link> doi>
  • Yardley S, Cottrell E, Rees E, Protheroe J. 2015. Modelling successful primary care for multimorbidity: a realist synthesis of successes and failures in concurrent learning and healthcare delivery. BMC Fam Pract, vol. 16, 23. link> doi>
  • Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan JL, Protheroe J, Jordan KP. 2015. Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage, vol. 23(4), 507-515. link> doi>
  • Kennedy A, Rogers A, Chew-Graham C, Blakeman T, Bowen R, Gardner C, Lee V, Morris R, Protheroe J. 2014. Implementation of a self-management support approach (WISE) across a health system: a process evaluation explaining what did and did not work for organisations, clinicians and patients. Implement Sci, vol. 9, 129. link> doi>
  • Reeves D, Hann M, Rick J, Rowe K, Small N, Burt J, Roland M, Protheroe J, Blakeman T, Richardson G, Kennedy A, Bower P. 2014. Care plans and care planning in the management of long-term conditions in the UK: a controlled prospective cohort study. Br J Gen Pract, vol. 64(626), e568-e575. link> doi>
  • Demarzo MMP, Mahtani KR, Slight SP, Barton C, Blakeman T, Protheroe J. 2014. [The Olympic legacy for Brazil: is it a public health issue?]. Cad Saude Publica, vol. 30(1), 8-10. link> doi>
  • Kennedy A, Rogers A, Bowen R, Lee V, Blakeman T, Gardner C, Morris R, Protheroe J, Chew-Graham C. 2014. Implementing, embedding and integrating self-management support tools for people with long-term conditions in primary care nursing: a qualitative study. Int J Nurs Stud, vol. 51(8), 1103-1113. link> doi>
  • Bower P, Hann M, Rick J, Rowe K, Burt J, Roland M, Protheroe J, Richardson G, Reeves D. 2013. Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study. J Health Serv Res Policy, vol. 18(2 Suppl), 29-37. link> doi>
  • Yardley S, Cottrell E, Protheroe J. 2013. Understanding success and failure in multimorbidity: protocol for using realist synthesis to identify how social learning and workplace practices can be optimised. Syst Rev, vol. 2, 87. link> doi>
  • Lowe W, Ballinger C, Protheroe J, Lueddeke J, Nutbeam D, Armstrong R, Falzon L, Edwards C, Russell C, McCaffery K, Adams J. 2013. Effectiveness of musculoskeletal education interventions in people with low literacy levels: a systematic review. Arthritis Care Res (Hoboken), vol. 65(12), 1976-1985. link> doi>
  • Burt J, Rick J, Blakeman T, Protheroe J, Roland M, Bower P. 2014. Care plans and care planning in long-term conditions: a conceptual model. Prim Health Care Res Dev, vol. 15(4), 342-354. link> doi>
  • Small N, Bower P, Chew-Graham CA, Whalley D, Protheroe J. 2013. Patient empowerment in long-term conditions: development and preliminary testing of a new measure. BMC Health Serv Res, vol. 13, 263. link> doi>
  • Protheroe J and Rowlands G. 2013. Matching clinical information with levels of patient health literacy. Nurs Manag (Harrow), vol. 20(3), 20-21. link> doi>
  • Mahtani KR, Protheroe J, Slight SP, Demarzo MMP, Blakeman T, Barton CA, Brijnath B, Roberts N. 2013. Can the London 2012 Olympics 'inspire a generation' to do more physical or sporting activities? An overview of systematic reviews. BMJ Open, vol. 3(1). link> doi>
  • Kennedy A, Reeves D, Bower P, Blakeman T, Bowen RA, Chew-Graham CA, Eden M, Fulwood C, Gaffney H, Gardner C, Lee V, Morris R, Protheroe J, Richardson G, Sanders C, Swallow A, Thompson D, Rogers A. 2013. Implementation of self-management support for long-term conditions in routine primary care settings: A cluster randomized controlled trial. Under review. BMJ. doi>
  • Fullwood C, Kennedy A, Rogers A, Eden M, Gardner C, Protheroe J, Reeves D. 2013. Patients' experiences of shared decision making in primary care practices in the United kingdom. Med Decis Making, vol. 33(1), 26-36. link> doi>
  • Rowlands G and Protheroe J. 2012. SAPC Hot Topic: the importance of 'health literacy' in primary care. Prim Health Care Res Dev, vol. 13(2), 186-188. link> doi>
  • Blakeman T, Protheroe J, Chew-Graham C, Rogers A, Kennedy A. 2012. Understanding the management of early-stage chronic kidney disease in primary care: a qualitative study. Br J Gen Pract, vol. 62(597), e233-e242. link> doi>
  • Bower P, Kennedy A, Reeves D, Rogers A, Blakeman T, Chew-Graham C, Bowen R, Eden M, Gardner C, Hann M, Lee V, Morris R, Protheroe J, Richardson G, Sanders C, Swallow A, Thompson D. 2012. A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol. Implement Sci, vol. 7, 7. link> doi>
  • Protheroe J, Brooks H, Chew-Graham CA, Gardner C, Rogers A. 2012. 'Permission to participate?' A qualitative study of participation in patients from differing socio-economic backgrounds. (In press). Journal of Health Psychology. doi>
  • Blickem C, Bower P, Protheroe J, Kennedy A, Vassilev I, Sanders C, Kirk S, Chew-Graham C, Rogers A. 2011. The role of information in supporting self-care in vascular conditions: a conceptual and empirical review. Health Soc Care Community, vol. 19(5), 449-459. link> doi>
  • Vassilev I, Rogers A, Sanders C, Kennedy A, Blickem C, Protheroe J, Bower P, Kirk S, Chew-Graham C, Morris R. 2011. Social networks, social capital and chronic illness self-management: a realist review. Chronic Illn, vol. 7(1), 60-86. link> doi>
  • Rogers A, Vassilev I, Sanders C, Kirk S, Chew-Graham C, Kennedy A, Protheroe J, Bower P, Blickem C, Reeves D, Kapadia D, Brooks H, Fullwood C, Richardson G. 2011. Social networks, work and network-based resources for the management of long-term conditions: a framework and study protocol for developing self-care support. Implement Sci, vol. 6, 56. link> doi>
  • Protheroe J, Blakeman T, Bower P, Chew-Graham C, Kennedy A. 2010. An intervention to promote patient participation and self-management in long term conditions: development and feasibility testing. BMC Health Serv Res, vol. 10, 206. link> doi>
  • Kennedy A, Chew-Graham C, Blakeman T, Bowen A, Gardner C, Protheroe J, Rogers A, Gask L. 2010. Delivering the WISE (Whole Systems Informing Self-Management Engagement) training package in primary care: learning from formative evaluation. Implement Sci, vol. 5, 7. link> doi>
  • Protheroe J, Nutbeam D, Rowlands G. 2009. Health literacy: a necessity for increasing participation in health care. Br J Gen Pract, vol. 59(567), 721-723. link> doi>
  • Wallace LS, DeVoe JE, Rogers ES, Protheroe J, Rowlands G, Fryer GE. 2009. Digging deeper: quality of patient-provider communication across Hispanic subgroups. BMC Health Serv Res, vol. 9, 240. link> doi>
  • Protheroe J, Wallace LS, Rowlands G, DeVoe JE. 2009. Health literacy: setting an international collaborative research agenda. BMC Fam Pract, vol. 10, 51. link> doi>
  • Protheroe J and Ruta J. 2008. CHINESE ACROBATIC SWAN LAKE THE LOWRY THEATRE, MANCHESTER. BRITISH JOURNAL OF GENERAL PRACTICE, vol. 58(555), 741. link> doi>
  • Protheroe J and Bower P. 2008. Choosing, deciding, or participating: what do patients want in primary care?. Br J Gen Pract, vol. 58(554), 603-604. link> doi>
  • Protheroe J, Rogers A, Kennedy AP, Macdonald W, Lee V. 2008. Promoting patient engagement with self-management support information: a qualitative meta-synthesis of processes influencing uptake. Implement Sci, vol. 3, 44. link> doi>
  • Protheroe J, Bower P, Chew-Graham C. 2007. The use of mixed methodology in evaluating complex interventions: identifying patient factors that moderate the effects of a decision aid. Fam Pract, vol. 24(6), 594-600. link> doi>
  • Protheroe J, Bower P, Chew-Graham C, Peters TJ, Fahey T. 2007. Effectiveness of a computerized decision aid in primary care on decision making and quality of life in menorrhagia: results of the MENTIP randomized controlled trial. Med Decis Making, vol. 27(5), 575-584. link> doi>
  • Man-Son-Hing M, Gage BF, Montgomery AA, Howitt A, Thomson R, Devereaux PJ, Protheroe J, Fahey T, Armstrong D, Laupacis A. 2005. Preference-based antithrombotic therapy in atrial fibrillation: implications for clinical decision making. Med Decis Making, vol. 25(5), 548-559. link> doi>
  • Protheroe J. 2004. Modern management of menorrhagia. J Fam Plann Reprod Health Care, vol. 30(2), 118-122. link> doi>
  • Protheroe J. 2003. Communicating risk: but does it work, Doctor?. BMJ, vol. 327(7428), 1404. link> doi>
  • Fahey T, Montgomery AA, Barnes J, Protheroe J. 2003. Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study. BMJ, vol. 326(7389), 580. link> doi>
  • Montgomery A, Fahey T, Protheroe J, Peters TJ. 2001. More on patients' preferences in treating atrial fibrillation. West J Med, vol. 175(6), 379. link> doi>
  • Protheroe J, Fahey T, Montgomery AA, Peters TJ. 2001. Effects of patients' preferences on the treatment of atrial fibrillation: observational study of patient-based decision analysis. West J Med, vol. 174(5), 311-315. link> doi>
  • Protheroe J, Fahey T, Montgomery AA, Peters TJ. 2000. The impact of patients' preferences on the treatment of atrial fibrillation: observational study of patient based decision analysis. BMJ, vol. 320(7246), 1380-1384. link> doi>

Other

  • Dunn KM, Campbell P, Afolabi EK, Lewis M, van der Windt D, Hill JC, Mallen CD, Protheroe J, Hay EM, Foster NE. 2017. REFINEMENT AND VALIDATION OF THE KEELE START MSK TOOL FOR MUSCULOSKELETAL PAIN IN PRIMARY CARE. RHEUMATOLOGY (vol. 56, pp. 119-120). link>
  • Adams J, Lowe W, Armstrong R, Russell C, Lueddeke J, Protheroe J, McCaffery K, Nutbeam D, Ballinger C. 2016. HEALTH PROFESSIONALS' (HPS) PERSPECTIVES WHEN WORKING WITH PEOPLE WITH RHEUMATOLOGICAL & MUSCULOSKELETAL DISORDERS (RMDS) AND LOWER LEVELS OF HEALTH LITERACY: A QUALITATIVE FOCUS GROUP STUDY. ANNALS OF THE RHEUMATIC DISEASES (vol. 75, p. 1314). link> doi>
  • Protheroe J, Saunders BM, Hill J, Bartlam B, Dunn KM, Foster N. 2016. A CONSENSUS GROUP APPROACH TO AGREEING MATCHED TREATMENT OPTIONS FOR MUSCULOSKELETAL PAIN OF PATIENTS STRATIFIED ACCORDING TO PROGNOSTIC RISK. RHEUMATOLOGY (vol. 55, pp. 80-81). link>
  • Babatunde OO, Jordan JL, Van der Windt D, Foster NE, Protheroe J. 2016. EFFECTIVE TREATMENT OPTIONS FOR MUSCULOSKELETAL PAIN CONDITIONS: A RAPID META-SYNTHESIS OF CURRENT BEST EVIDENCE IN PRIMARY CARE. RHEUMATOLOGY (vol. 55, p. 80). link>
  • Protheroe J. 2016. HOW CAN PRIMARY CARE CONSULTATIONS FACILITATE SELF-MANAGEMENT? EXAMPLES FROM RESEARCH AND PRACTICE. RHEUMATOLOGY (vol. 55, p. 18). link>
  • Adams J, Ballinger C, Lowe W, Rowley C, Lueddeke J, Armstrong R, Protheroe J, Nutbeam D. 2016. PERSONAL IMPACT OF LOWER LEVELS OF HEALTH LITERACY ON LIVING WITH A MUSCULOSKELETAL DISEASE: A QUALITATIVE INTERVIEW STUDY. RHEUMATOLOGY (vol. 55, pp. 8-9). link>
  • Rowlands G, Protheroe J, Price H, Gann B, Rafi I. 2014. Health Literacy Report from an RCGP-led health literacy workshop.
  • Protheroe J. 2013. THE IMPORTANCE OF HEALTH LITERACY IN DOCTOR-PATIENT COMMUNICATION. RHEUMATOLOGY (vol. 52, p. 24). link>
  • Broad J, Wilkie R, Protheroe J. 2014. A PAIN IN THE NECK: THE ASSOCIATION BETWEEN CHRONIC HEALTH CONDITIONS AND FREQUENT CONSULTATION IN PRIMARY CARE. RHEUMATOLOGY (vol. 53, p. 79). link>
  • Green DJ, Jordan KP, Protheroe J, Van Der Windt DA. 2015. DEVELOPING OSTEOARTHRITIS PHENOTYPES AND PREDICTING CHANGES IN HAND CONDITIONS OVER TIME IN OLDER PEOPLE. OSTEOARTHRITIS AND CARTILAGE (vol. 23, p. A346). link> doi>
  • Vivekanantham A, Muller S, Protheroe J, Hider SL. 2014. HOW INFORMATIVE IS ON-LINE HEALTH INFORMATION: AN EVALUATION OF WEBSITES FOR POLYMYALGIA RHEUMATICA. RHEUMATOLOGY (vol. 53, p. 153). link>