Background to the Research

This project arose from the findings of Rachel Chester’s (Chartered Physiotherapist & Lecturer in Physiotherapy) NIHR Clinical Doctoral Research fellowship. This multicentre study showed that patient beliefs and expectations were the most important predictors of outcome for people receiving physiotherapy for shoulder pain.

The team was awarded Research Capability Funding from the Research and Development Department at the Norfolk and Norwich University Hospital to enable Helena Daniell (Chartered Physiotherapist & Practice Development and Research Lead) time to contribute her clinical expertise in developing this project and further application for funding.

Felix Naughton is a Senior Lecturer in Health Psychology and Visiting Senior Researcher at the Behavioural Science Group, University of Cambridge. Felix’s key research interest is in the development and evaluation of interventions to promote and support health behaviour change.

Relevant Publications from the Team

Sweeting, D., Daniell, H., Chester R. Clinicians’ involvement in data collection for portfolio research: Impact on their clinical practice and perception of research. International Journal of Therapy and Rehabilitation. Accepted for Publication August 2019

Chester, R, Khondoker M, Shepstone L, Lewis, J.S 2019 Self-efficacy and risk of persistent shoulder pain: results of a Classification and Regression Tree (CART) analysis .British Journal of Sports Medicine 2019 53:825–834. doi:10.1136/bjsports-2018-099450

Hardeman W, Houghton J, Lane K, Jones A, Naughton F. A systematic review of just-in-time adaptive interventions (JITAIs) to promote physical activity. International Journal of Behavioural Nutrition and Physical Activity. 2019 Apr 3;16(1):31

Daniell, H., Sweeting, D., Swan, P., Chester R (2018) Clinicians’ involvement in data collection for portfolio research: impact on their clinical practice and perception of research. Abstract of Conference Proceedings: International Journal of Therapy and Rehabilitation 25(4):187

Naughton F, Foster K, Emery J, Cooper S, Sutton S, Leonardi-Bee J, Jones M, Ussher M, Whitemore R, Leighton M, Montgomery A, Parrott S, Coleman T. Large multi-centre pilot randomized controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit). Addiction, 2017, 112(7):1238-1249

Chester, R., Jerosch-Herold, C., Lewis, J., Shepstone, L. (2016) Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. British Journal of Sports Medicine 0:1–8 doi:10.1136/bjsports-2016-096084

Yardley L, Spring BJ, Riper H, Morrison LG, Crane DH, Curtis K, Merchant GC, Naughton F, Blandford AE. Understanding and Promoting Engagement with Digital Behavior Change Interventions. American Journal of Preventive Medicine, 2016, 51(5):833-842

Naughton F, Jamison J, Boase S, Sloan M, Gilbert H, Prevost AT, Mason D, Smith S, Brimicombe J, Evans R, Sutton S. Randomised controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice).  Addiction, 2014, 109(7): 1184-1193

Chester R, Shepstone L, Daniell H, Sweeting D, Lewis J, Jerosch-Herold C. (2013) Predicting response to physiotherapy in the treatment of musculoskeletal shoulder pain: a systematic review. BMC Musculoskeletal Disorders 07/2013; 14(1):203. DOI:10.1186/1471-2474-14-203

Chester R, Shepstone L, Lewis J, Jerosch-Herold C (2013) Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: Protocol for a longitudinal cohort study. BMC Musculoskeletal Disorders 06/2013; 14(1):192. DOI:10.1186/1471-2474-14-192

Smith TO, Chester R, Clark A, Donell ST, Stephenson R (2011) A national survey of the physiotherapy management of patients following first-time patellar dislocation. Physiotherapy 12/2011; 97(4):327-38. DOI:10.1016/

Smith TO, Donell ST, Chester R, Clarke A, Stephenson R (2011) What activities do patients patellar instability perceive makes their patella unstable? Knee. 18 (5) 333-339

Relevant Grants

Chester, R; Daniell, H., Naughton, F. Research Capability Funding, Norfolk and Norwich University Hospital. June 2019 – June 2020. £9,833

Chester R. NIHR Clinical Doctoral Research fellowship. February 2011- February 2015. £313,532

Felix Naughton has been an applicant on competitive grants totalling over £11m, focused mostly on the development and evaluation of digital behaviour change interventions. Grants include:

F. Naughton (PI), S. Sutton, C. Mascolo, T. Coleman, A. Prevost, C. Notley, G. Barton, F. Greaves, D. Crane, D. Tarrant-Willis. Feasibility randomised controlled trial of a smoking cessation smartphone app that delivers ‘context aware’ behavioural support in real time. NIHR Public Health Research: January 2019 - December 2020, £356,130

T. Coleman (PI), F. Naughton, S. Cooper, S. Sutton, S. Parrott, C. Hewitt, J. Leonardi-Bee, M. Jones, M. Ussher, D. Torgerson. The MiQuit study: RCT and meta-analysis testing effectiveness and cost effectiveness of a tailored text message programme for smoking cessation in pregnancy. Cancer Research UK Population Research Committee. April 2017 - September 2020, £296,688.00

T. Coleman (PI), S. Mountcastle, S. Cooper, S. Parrott, M. Ussher, S. Lewis, F. Naughton, I. Berlin, L. Bauld, D. Torgerson, S. Sutton, L. Szatkowski, A. McEwen, J. Greenwood, P. Aveyard. Improving effectiveness of nicotine replacement therapy for smoking cessaton in pregnancy through better adherence and adequate dosing. NIHR Programme Grants for Applied Research: April 2017 – March 2023, £2,460,155.00

P. Hajek (PI), H. McRobbie, T. Coleman, L. Bauld, M. Ussher, S. Cooper, F. Naughton, L. Sinclair, S. Lewis, I. Manyonda, D. Przulj, P. Sasieni, R. Walton. Helping pregnant smokers quit: Multi-centre RCT of electronic cigarettes vs usual care. NIHR Health Technology Assessment (HTA) programme. January 2017 - December 2020, £1,721,961.72

F. Naughton (PI), S. Sutton, T. Coleman, A. Prevost, F. Lorencatto. Smoking cessation advice in primary care; what does it comprise of and does it make a difference? Cancer Research UK Tobacco Advisory Group project grant: May 2017 – April 2018, £38,896.00

S. Sutton (PI), J. Mant, S. Griffin, W. Hardeman, F. Naughton, A. De Simoni, H. Eborall, T. Prevost, E. Wilson, D. Bhattacharya, C. Mascolo. Scalable low-cost interventions to support medication adherence in people prescribed treatment for hypertension in primary care. NIHR Programme Grants for Applied Research: February 2017 – January 2022, £1,996,966.00

S. Sutton (PI), F. Naughton, E. Wilson, A. McEwen, A.T. Prevost, T. Coleman. Improving quit rates among smokers in primary care: Pragmatic trial of effectiveness and cost-effectiveness of a tailored web- and text message-based intervention for smoking cessation. Cancer Research UK Research Grant: January 2016 - December 2019, £411,970.25

F. Naughton. Promoting smoking cessation using mobile phone technologies. Society for the Study of Addiction Fellowship: October 2014 - September 2017, £166,007.00

F. Naughton (de facto PI), S. Sutton, N. Lathia, C. Mascolo, A. McEwen. Feasibility and acceptability of a novel smoking cessation smartphone sensing app delivering support triggered by real-time events (QSense). MRC Public Health Intervention Development scheme (PHIND): April 2014 – March 2016, £140,437.00

T. Coleman (PI), P. Cansfield, S. Sutton, M. Ussher, S. Cooper, J. Thornton, J. Britton, L. Bauld, K. Pickett, J. Leonardi-Bee, S. Parrott, M. Battlemuch, L. Tata, A. McEwen, F. Naughton, C. Quinn. Improving the effectiveness and reach of NHS support for smoking cessation in pregnancy. NIHR Programme Grants for Applied Research: October 2010 – September 2017, £1,880,847.00


Other Published Work

Felix Naughton 

Rachel Chester

Helena Daniell