Lecturer in Occupational Therapy and Snr Associate, Health Economics Consulting
My knowledge and expertise on the health consequences of habitual lifestyle behaviours has fuelled my value during my time at UEA. This work has been published in impact factored journals and in other professionally relevant journals and in two book chapters. The work promotes consideration of the complex interactions between habitual lifestyle behaviours, and the genetic, epigenetic, neurotransmitter, body system, psychological and environmental influences on mental health. This includes recognition that individual sensitivity in body systems at all levels of organisation influences reactivity and responsiveness to environmental stimuli and lifestyle behaviours.
More recently my experience and expertise have been recognised in two secondments. The first secondment for 50% of my time over 3 years (2012-2015) is as one of 4 secondments to the Centre for Staff Education and Development (1 secondment from each Faculty in UEA). This is to provide input to the MA in Higher Education Practice (MA-HEP), the Certificate level of which is a requirement for all new staff to UEA who are under probation. My first input (prior to formally starting), was to assist in the restructuring and reaccreditation of the course through the Higher Education Authority (HEA). I am also a module coordinator on the MA-HEP.
The second secondment arose out of my previous work with Health Economics, and funding from a project that I was integral in negotiating, has been used to fund a 9-month, 50% secondment as a Senior Associate of Health Economics Consulting, which is a wholly owned subsidiary of UEA, and a part of UEA Consulting Ltd.
Professional Qualifications and professional memberships
|2000-2006||PhD University of East Anglia|
|2000||Intensive course in Epidemiology and Medical Statistics, London School of Hygiene and Tropical Medicine|
|1998-9||Advanced Certificate in Higher Education Practice, University of East Anglia|
|1991-1993||M.A. in Health Research, University of Lancaster|
|1988-1990||Certificate in Health Services Management, Carlisle College|
|1985-89||Counselling skills: Introduction; Further counselling; Further theory and practice of marital counselling. Relate (National Marriage Guidance Council), Rugby|
|1983-4||Certificate in Management Studies, Havering Technical College, Hornchurch, Essex|
|1976-9||Diploma of the College of Occupational Therapists, Welsh School of Occupational Therapy, University Hospital of Wales, Cardiff|
HPC Registered (OT10079)
Member of the British Association of Occupational Therapists (BT0012187)
- Habitual Lifestyle Behaviours and their influence on Health and Mental Health
- Anxiety and Panic Disorder
- Complex Adaptive Systems and Complex Interventions applied to Healthcare
I trained as an Occupational Therapist at the University Hospital of Wales, Cardiff, qualifying in 1980. After this I held Basic Grade posts in Cardiff and London, before taking my first senior position at St Ann’s Hospital, Tottenham, setting up a new hospital-based day service department. I then moved to Claybury Hospital Assessment as the hospital moved more rapidly towards community care provision for its longer term mental health patients. Following this, I moved to Cumbria to establish and later to head the GP attached Community Psychiatric Occupational Therapy Service. While in Cumbria, I attended Lancaster University and in 1993 gained an MA in Health Research, during which I developed my interest in patients with Panic Disorder. I moved to the University of East Anglia in 1996 as an Occupational Therapy Lecturer. I gained a Training Fellowship Primary Care in 1997, and this led to the development of my PhD project on lifestyle approaches to treating Panic Disorder in Primary Care, and in 2000 I was awarded an NHS R&D Primary Care Researcher Development Fellowship. I completed my PhD in 2006. I was Director of the MSc in Health Sciences Programme from 2003 to 2008, and led this programme through a turbulent time, eventually restructuring this into a more cost-effective programme.
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Development of the Thai version of Mini-Cog, a brief cognitive screening test,
in Geriatrics & Gerontology International
pp. 594–600Full Text UEA Repository
A systematic review investigating the use of Twitter and Facebook in university-based healthcare education,
in Health Education
pp. 347-366Full Text UEA Repository
Lifestyles management and community engagement in scoping a “health café”,
in Health Education
pp. 517-535Full Text UEA Repository
A cost-minimisation study of 1,001 NHS Direct users,
in BMC Health Services Research
article no. 300Full Text UEA Repository
Can weight-related health risk be more accurately assessed by BMI, or by gender specific calculations of Percentage Body Fatness?,
in Medical Hypotheses
pp. 656-662Full Text UEA Repository
Cost-effectiveness analysis of an occupational therapy-led lifestyle approach and routine general practitioner's care for panic disorder,
in Social Psychiatry and Psychiatric Epidemiology
pp. 741-50Full Text UEA Repository
Do referrals by NHS Direct save the NHS money? A cost-minimalisation study of 1,001 NHS Direct users,
in BMJUEA Repository
Cost-effectiveness analysis of an occupational therapy-led lifestyle approach and routine GP care for panic disorder,
in Social Psychiatry and Psychiatric Epidemiology
pp. 741-50UEA Repository
Occupational Therapy is not a Complex Intervention,
in British Journal of Occupational Therapy
pp. 233UEA Repository
Treatment of Panic and Anxiety through lifestyle modification,
in International Handbook of Occupational Therapy Interventions.
New York: Springer InternationalUEA Repository
Influences of lifestyle and general practice (GP) care on the symptom profile of people with panic disorder,
in Journal of Public Mental Health
pp. 18-24UEA Repository
Organizational Anxiety: applying psychological concepts into organizational theory,
in Journal of Managerial Psychology
pp. 84-89UEA Repository
Health and Complexity,
in Complexity Science and Society.
ISBN 184619203XUEA Repository
Complexity, occupational therapy, unredictability and the scientific method: a response to Creek et al (2005) and Duncan et al (2007),
in British Journal of Occupational Therapy
pp. 534-536UEA Repository
A pragmatic, unblinded randomised controlled trial comparing an occupational therapy-led lifestyle approach and routine GP care for panic disorder treatment in primary care,
in Journal of Affective Disorders
pp. 63-71Full Text UEA Repository
Complex problems … Simple solutions?: Panic Disorder as an example,
Panic, primary care and complexity,
A pragmatic unblinded randomised controlled trial and economic evaluation of an occupational therapy-led lifestyle approach and routine GP care of the treatment of Panic Disorder presenting in primary care,
A Lifestyle Approach to Managing Panic,
A Lifestyle Approach to Managing Panic. Promoting Global Health: Sharing Visions and Strategies,
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Key Research Interests
My move to UEA in 1996, followed 16 years of clinical practice and gaining my MA in Health Research from Lancaster University in 1993. In 1997, I was awarded a Training Fellowship in Primary Care. In 2000, I was awarded one of 8 National NHS R&D Primary Care Researcher Development Fellowships, and an associated NHS Executive Health Services and Public Health Research Scheme grant. These were used to undertake a pragmatic RCT and economic evaluation. My PhD was completed in 2006, and a number of publications have resulted in impact factored journals and in professional and broader-based publications. Other projects have included:
2012, College of Occupational Therapists (2012) (£3450 and £5800) after initial contact with COT with a request to assist in developing the economic evaluation of Occupational Therapy Interventions and the initial analysis of two datasets, the current focus is to develop a proposal for a UKOTRF Research Priority Grant (£80,000) for submission in January 2013.
2012, Cambridge Telehealth/Telecare Services (£12,413) – Proposal development for a HIEC research proposal … Submitted December 2012 and awaiting funding decision.
2012-13, NHS Direct (£20,000) – Proposal development for evaluation of urgent care telephone services
2010, Care Homes Assistive Technologies Study (CHATs): £20,000 Dr Ric Fordham, Dr Rod Lambert, Dr Fiona Poland and Monica Curran. A mixed methodology study to provide baseline data for the relative clinical- and cost-effectiveness of Assistive Technology in Care home for Traditional care and Dementia care in Care homes. Results to inform a potential prospective study.
2009, Enterprise and Engagement Consultancy: Dr Ric Fordham and Dr R Lambert commissioned by IFF to conduct detailed economic analysis of NHS Direct recommendations compared with the stated first alternative patients would have used if NHS Direct did not exist. Reporting to NHS Direct Chief Executive 26th October 2009.
2009, Boston Healthy Café Feasibility Study, £34,270 +VAT Boston/area Practice Based Commissioning Cluster and Boston Borough Council. Co-applicant with Fiona Poland et al.
2008-9, R16767 - £17, 532 – 12 months Yakult UK Ltd + £5000 support costs from Norfolk PCT. A pilot study, open label, placebo controlled trial of the influence of Lactobacillus Shirota on anxiety and depression in patients with Irritable Bowel Syndrome (IBS)
2000-2003, RDA99/062 £183,006 over 3 years (beginning 21/02/00) - NHS R&D National Primary Care Researcher Development Award - “RCT of Occupational Therapy led lifestyle treatment and routine General Practitioner treatment, of Panic Disorder in Primary Care”.2000-2003, HSR/0500/1 £68,503, over 3 years beginning August 2000 – NHS Executive, Eastern, Health Service and Public Health Research Scheme. “A Randomised Controlled Trial of Occupational Therapy led lifestyle treatment and routine General Practitioner treatment, of Panic Disorder in Primary Care”.
Research Group Membership
I am a member of the Participation Research Group, and also part of the Health Economics Group as part of my secondment role in Health Economics Consulting
Supaporn Trongsakul (second supervisor; Jane Cross as Primary supervisor)
The prevalence of undiagnosed cognitive impairment and prevalence of undiagnosed depressive mood in over 60’s with type 2 diabetes in a Thai community: a cross-sectional study.
I have influenced teaching within the School of AHP, with specific research-led teaching in mental health. My work has informed one of three strands to mental health teaching in both undergraduate and pre-registration MSc programmes. My methodological expertise has been used in the teaching of research methods, and my clinical expertise has provided significant input to the teaching of counselling skills in UG and Pre Registration MSc programmes.
Theoretical developments have considered the complex interactions between health experiences and habitual lifestyle behaviours.
My approach to my teaching role has been to encourage students to think, to challenge and to develop their own views about topic areas. This approach develops mature professionals, who are more likely to ask appropriate clinical and research questions, and therefore to become the clinical and research leaders of the future. Feedback from students has been predominantly positive, suggesting that I provide a “safe environment in which to ask questions”, and that they benefit “so much from [my] experience and knowledge”. This approach, along with good team working, has contributed to the high student satisfaction survey outcome recently.At Postgraduate level, I was Director of the MSc in Health Sciences Programme between 2003 and 2008. In this role, I developed new and improved marking criteria, and these have been adopted across all MSc taught programmes (including the pre-registration MSc OT and PT entry level programmes).
External Activities and Indicators of Esteem
- I am an invited Editorial Board Member for a new book/monograph series for ‘Critical Studies in Occupational Therapy and Occupational Science’, Whiting and Birch Publishers
- I am a regular reviewer for the British Journal of Occupational Therapy and British Journal of General Practice (2010 Reviews rated as A - Outstanding)
- I am an occasional reviewer for International Journal of Workplace Health Management, Journal of Public Mental Health and Journal of Managerial Psychology and International Journal of Mental Health Nursing Research.
2010-2012, Member of Faculty of Health Enterprise and Engagement Group: Key Achievements – Named as one of two E&E ‘Champions’ for a newly formed group to investigate and maximise effectiveness of Enterprise and Engagement activity in the Faculty of Health.
2008-, Chair of MSc Examination Board
2008-2012, MSc Taught Programmes Dissertation Coordinator: Key achievements – Leading this role through change to ensure that each new MSc Programme has a dissertation coordinator, while maintaining an overview of guidelines and procedures