Author Archives: Niroshan Siriwardena

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Learning the importance of research impact at the Doctoral Training Alliance summer school

PhD student Laura Simmons attended the Doctoral Training Alliance Biosciences for Health summer school hosted by the University of Huddersfield on the 24th-26th July. During the 3-day event students took part in a variety of workshops that focused on how individuals can make an impact with their research.

DTA summer school 3The main focus of the summer school was the Impact Challenge where students had to present a pitch to a group of judges on a particular research topic. We were encouraged to choose a goal, define the outcomes, outputs and funding requirements. This provided a great opportunity for students to consider how much funding would be required and what resources would be needed to carry out the project. We were also encouraged to consider our connections to external charities and organisations that could help us in achieving the project goals.

There were a variety of projects that were presented during the summer school including: a uterus massage to reduce haemorrhaging and maternal mortality (Laura Simmons); a diabetes mobile app to reduce mortality from non-communicable diseases and promote health (Sophie Mohamed); and implementing an online training course to empower healthcare workforces in developing countries (Ksenia Trischel).

DTA summer school 2Laura and her team were one of three groups who were awarded ‘funding’ from the judging panel (awarded in chocolate coins) for their work on developing an educational programme to reduce haemorrhaging during childbirth to reduce maternal mortality.

Overall the Impact Challenge was a useful exercise that mirrored the real life expectations of working with colleagues to produce a funding application. It challenged us to think outside the box and consider the impact that the project may have from other perspectives such as the economy.

For more information about the Doctoral Training Alliance visit their website https://unialliance.ac.uk/dta/programmes/dta-applied-biosciences-for-health

By Laura Simmons

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CaHRU at SAPC Annual Scientific Meeting London 2018

sapcProfessor Siriwardena attended the Society for Academic Primary Care Annual Scientific Meeting which this year was hosted by Barts and the London Queen Mary University of London took place at his alma mater of St Bartholomew’s Hospital Medical College, with the main conference sessions at the Guildhall School of Music and the Barbican Centre. The theme of this year’s conference was ‘Learning from Europe and populations on the move’.

IMG_20180711_181326_resized_20180728_102904715The first day taken up by the Heads of Departments meeting, was punctuated by the RAF centenary flypast over London. Highlights of the conference included the 5th Helen Lester Memorial Lecture given by Professor Anne McFarlane, with the enigmatic title ‘The leper’s squint: spaces for participation in primary health care’. There were further plenaries given by Professor Val Wass on ‘Populations on the move’ and Lord Victor Adebowale, past Chancellor of the University of Lincoln on ‘Primary care: exclusion, inclusion and community’.

IMG_20180711_182711_resized_20180728_102905044CaHRU’s research ‘Explaining differences in Membership of the Royal College of General Practitioners Applied Knowledge Test performance associated with candidate sex and ethnicity’ which featured as an oral presentation in a session on education was well received. There were many excellent and interesting oral presentations, posters and workshops including an interesting session facilitated by Prof Deborah Swinglehurst (QMUL) and Dr Stefan Hjorleifsson (University of Bergen) on ‘resisting too much medicine’.

 

 

sapc2018aFinally there was an excellent social programme including drinks in the Great Hall at Barts, dinner at the Tower Hotel beside the Tower of London and an interesting walk though London with Dr Sally Hull.

By Prof Niro Siriwardena

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Joseph Akanuwe receives PhD for work on communicating cancer risk

Joseph Akanuwe, doctoral student at CaHRU was recently confirmed by the College of Social Science Research Degrees Board that he be awarded his PhD for his thesis ‘Exploring service user and practitioner perspectives of using cancer risk assessment tools in primary care consultations. Cancer risk prediction tools are novel tools that combine risk factors and symptoms to predict an individual’s risk of developing cancer.

WP_20160208_16_16_01_RichThe work included a systematic scoping review followed by interviews of 19 service users and 17 primary care practitioners, the latter before and after they had used the tools in patient consultations. Participants suggested ways to best communicate cancer risk to patients in primary care consultations, emphasising the importance of: tailoring visual representation of risk; being open and honest; informing and involving patients in use of cancer risk prediction tools and providing time for listening, explaining and reassuring in the context of a professional approach.

He also found barriers to the uptake of cancer risk prediction tools including: the additional time required; worry and anxiety generated by referral for investigations; potential for over-referral; practitioner scepticism about using the new tool; and the need for evidence of effectiveness before introducing cancer risk prediction tools in general practice consultations. These barriers were perceived before the use of the tools. The findings add to the knowledge and understanding of how best to communicate cancer risk information to patients when using cancer risk prediction tools. Joseph was supervised by Profs Niro Siriwardena and Sara Owen, together with Dr Sharon Black.

By Prof Niro Siriwardena

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CaHRU presents research on sleep at college summer showcase

BrayfordThe annual research showcase, featuring speakers from the College of Social Science took place on 6 June 2018. Professor Niro Siriwardena presented on CaHRU’s work on sleep. Sleep is fundamental to our wellbeing, from birth to old age. Poor sleep affects health, sickness, life, death, productivity, and the wider economy. Sleep is as important to health as other lifestyle factors such as diet and exercise but, compared to these, is under-researched and under-invested in. There are effective psychological treatments for insomnia but these are not widely available, whereas less effective and potentially harmful drug treatments are commonly used.

CSSsummershowcase2He described the work of members of CaHRU together with partners at the University of Lincoln and other academic institutions (Oxford, Manchester, Glasgow, Ghent), in partnership with service users, staff and healthcare organisations, locally, nationally and internationally. Over the past 15 years, using systematic reviews, observational and qualitative studies, quasi-experiments and trials, staff in CaHRU have explored the problem of primary care for sleep, how this might be improved, and what effect this is having on sleep, prescribing, and health outcomes.

INB2The work has led to a major multicentre trial, funded by the National Institute for Health Research (£1.8M), investigating the effectiveness and cost-effectiveness of sleep restriction therapy, a behavioural treatment for insomnia, delivered in primary care. These studies and the wider impacts of this work were presented to those present.

 

[su_document url=”http://communityandhealth.dev.lincoln.ac.uk/files/2018/07/Sleep_Siriwardena.pdf” width=”660″]Multi-morbidity, goal-oriented care, the community and equity[/su_document]