Paul Aveyard
Biographic Data
| ID | 179078 |
|---|---|
| NAME | Paul Aveyard |
| GIVEN NAMES | Paul |
| FAMILY NAME | Aveyard |
| SIGNATURE | AVEYARD P |
| AFFILIATIONS | University of Birmingham |
| ORCID | 0000-0002-1802-4217 |
| VERIFIED | Yes |
| TOTAL WORKS | 58 |
| TOTAL CITATIONS | 75 |
| AUTHOR COUNT | 58 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Evaluation of the experience of people referred under the NHS enhanced service incentive for obesity to the NHS digital weight management programme
Background Internationally, guidelines recommend clinicians identify patients living with obesity and offer referral to weight management programmes, especially patients with related co-morbidities. In 2021, NHS England introduced the NHS Digital Weight Management Programme for people living with obesity and a diagnosis of hypertension or diabetes or both. The programme is offered at three levels of intensity with people triaged to the appropriat…
What is the effect of presenting evidence of the mental vs physical health benefits of quitting smoking on motivation to stop smoking? An online randomised controlled experiment
clinicaltrials.gov NCT06762756, on 19/12/2024. Retrospectively registered
The Basis of Patient Resistance to Opportunistic Discussions About Weight in Primary Care
Clinicians expect that talking to patients with obesity about potential/future weight loss will be a difficult conversation, especially if it is not the reason that a patient is seeking medical help. Despite this expectation, many governments ask clinicians to take every opportunity to talk to patients about weight to help manage increasing levels of obesity. Although this is recommended, little is known about what happens in consultations when c…
Identifying Key Moments in Type 2 Diabetes Management
OBJECTIVE: For people with type 2 diabetes who are overweight, weight loss increases the likelihood of achieving diabetes remission. The aim here was to draw on the experiences of people living with type 2 diabetes and coaches who deliver type 2 diabetes prevention and remission programmes. This was done to develop a service that increases the proportion of people who achieve remission by identifying an effective weight management service. RESEAR…
Conceptualising lifestyle “choices
As a complex condition that often arises due to numerous social, environmental and political factors, “obesity” can be understood by healthcare providers as a health outcome that is directly linked to issues that are outside of individual control. UK GPs who participated in a series of focus groups examining attitudes about the role of individual responsibility in weight loss often demonstrated contradictory beliefs when asked about the relations…
Acceptability of integrating smoking cessation treatment into routine care for people with mental illness
INTRODUCTION: Improving Access to Psychological Therapies (IAPTs) Services could offer smoking cessation treatment to improve physical and psychological outcomes for service users, but it currently does not. This study aimed to understand participants' views and experiences of receiving a novel smoking cessation intervention as part of the ESCAPE trial (intEgrating Smoking Cessation treatment As part of usual Psychological care for dEpression and…
Clinician resistance to broaching the topic of weight in primary care
Clinical trials have shown that providing advice and support for people with excess weight can lead to meaningful weight loss. Despite this evidence and guidelines endorsing this approach, provision in real-world clinical settings remains low. We used Strong Structuration Theory (SST) to understand why people are often not offered weight management advice in primary care in England. Data from policy, clinical practice and focus groups were analys…
Talking delicately
Obesity is a major worldwide public health problem. Clinicians are asked to communicate public health messages, including encouraging and supporting weight loss, during consultations with patients living with obesity. However, research shows that talking about weight with patients rarely happens and both parties find it difficult to initiate. Current guidelines on how to have such conversations do not include evidence-based examples of what to sa…
Brief opportunistic interventions by general practitioners to promote smoking cessation
Very brief opportunistic interventions for smoking cessation are effective, cost-saving for health systems, and universally recommended in guidelines. However, evidence suggests that clinicians are reluctant to intervene, citing interactional difficulties. Only one UK study has specifically examined smoking discussions, within naturally occurring primary care consultations. However smoking cessation treatment was not available at the time. We exa…
Views about integrating smoking cessation treatment within psychological services for patients with common mental illness
BACKGROUND: Tobacco smoking rates are significantly higher in people with common mental illness compared to those without. Smoking cessation treatment could be offered as part of usual outpatient psychological care, but currently is not. OBJECTIVE: To understand patient and health care professionals' views about integrating smoking cessation treatment into outpatient psychological services for common mental illness. DESIGN: Qualitative in-depth i…
A smartphone based attentive eating intervention for energy intake and weight loss
ClinicalTrials.gov, NCT03602001 . Registered retrospectively on 26th July 2018. Prospectively registered on the Open Science Framework on 11th August 2017
Experiences of Self-Monitoring in Self-Directed Weight Loss and Weight Loss Maintenance
The experience and role of self-monitoring in self-directed weight loss attempts may be distinctly different from that within formal interventions, and has yet to be fully explored. We systematically reviewed qualitative studies to examine experiences of self-monitoring as an aid to self-directed weight loss. Thematic synthesis was used to construct descriptive and analytical themes from the available data. In all, 22 studies (681 participants) w…
Two observational studies examining the effect of a social norm and a health message on the purchase of vegetables in student canteen settings
There is some evidence from laboratory-based studies that descriptive social-norm messages are associated with increased consumption of vegetables, but evidence of their effectiveness in real-world settings is limited. In two observational field studies taking an ecological approach, a vegetable-related social norm (e.g. "Did you know that most students here choose to eat vegetables with their meal?"), and a health message (e.g. "Did you know tha…
Optimising swaps to reduce the salt content of food purchases in a virtual online supermarket
BACKGROUND: Offering consumers the opportunity to swap to lower-salt foods while shopping has potential to reduce salt intake. Offering a wider range of alternatives which are much lower in salt could increase the magnitude of salt reduction gained but may interfere with consumers' engagement and willingness to accept swaps. OBJECTIVES: To compare the salt reduction from offering swaps to a similar product but with minimally less salt to offering…
Meat consumption, health, and the environment
The future of meat Meat consumption is rising annually as human populations grow and affluence increases. Godfray et al. review this trend, which has major negative consequences for land and water use and environmental change. Although meat is a concentrated source of nutrients for low-income families, it also enhances the risks of chronic ill health, such as from colorectal cancer and cardiovascular disease. Changing meat consumption habits is a…
English Stop-Smoking Services
The UK is a global leader in stop-smoking support-providing free behavioral support and cessation medication via stop smoking services (SSS) without charge to smokers. This study aimed to explore the client and service characteristics associated with abstinence 52 weeks after quitting. A prospective cohort study of 3057 SSS clients in nine different areas of England who began their quit attempt between March 2012 and March 2013 was conducted. Imp…
A new measure of unhealthy school environments and its implications for critical assessments of health promotion in schools
The theory of human functioning and school organisation informed by Basil Bernstein’s sociology of education suggests that to gain the commitment and promote the health of students, particularly those from disadvantaged backgrounds, schools require radical transformations eroding various ‘boundaries’: between and among staff and students; between students’ academic learning and broader social development and welfare; and between schools and their…
Where next with theory and research on how the school environment influences young people's substance use
Using a descriptive norm message to increase vegetable selection in a workplace restaurant setting
Descriptive and liking social norm messages enhance the consumption of a cruciferous vegetable in healthy students
Does deterioration in mental health after smoking cessation predict relapse to smoking
People whose mental health worsens after smoking cessation are at no greater risk of subsequent relapse to smoking than those whose mental health stays the same or improves
Study protocol
ISRCTN52341938 Date Registered: 31/03/2014
A systematic review of weight regain after behavioural weight management programme end
Self-Help for Weight Loss in Overweight and Obese Adults
We conducted a systematic review and meta-analysis investigating the components and effectiveness of self-help weight-loss interventions and their applicability to less-advantaged populations. We searched (November 2013) for randomized controlled trials comparing self-help interventions with each other or with minimal controls in overweight and obese adults, with 6 months or longer follow-up. We calculated mean difference between intervention and…
Effect of behavioural techniques and delivery mode on effectiveness of weight management. Systematic review, meta-analysis and meta-regression
A new theory of health promoting schools based on human functioning, school organisation and pedagogic practice
Two observational studies examining the effect of a social norm and a health message on the purchase of vegetables in student canteen settings
There is some evidence from laboratory-based studies that descriptive social-norm messages are associated with increased consumption of vegetables, but evidence of their effectiveness in real-world settings is limited. In two observational field studies taking an ecological approach, a vegetable-related social norm (e.g. "Did you know that most students here choose to eat vegetables with their meal?"), and a health message (e.g. "Did you know tha…
The influence of school culture on smoking among pupils
School culture as an influencing factor on youth substance use
Objective: To determine whether value-added education is associated with lower risk of substance use among adolescents: early initiation of alcohol use (regular monthly alcohol consumption in grade 7), heavy alcohol use (>10 units per week) and regular illicit drug use. Design: Cross-sectional self-reported survey of alcohol and drug use. Analysis used two-level logistic modelling to relate schools providing value-added education with pupils’ sub…
Is inter-school variation in smoking uptake and cessation due to differences in pupil composition? A cohort study
The effect of Transtheoretical Model based interventions on smoking cessation
The risk of smoking in relation to engagement with a school-based smoking intervention
Does school ethos explain the relationship between value-added education and teenage substance use? A cohort study
Previous studies found lower substance use in schools achieving better examination and truancy results than expected, given their pupil populations (high value-added schools). This study examines whether these findings are replicated in West Scotland and whether school ethos indicators focussing on pupils' perceptions of schooling (environment, involvement, engagement and teacher-pupil relations) mediate the associations. Teenagers from forty-one…
Optimising swaps to reduce the salt content of food purchases in a virtual online supermarket
BACKGROUND: Offering consumers the opportunity to swap to lower-salt foods while shopping has potential to reduce salt intake. Offering a wider range of alternatives which are much lower in salt could increase the magnitude of salt reduction gained but may interfere with consumers' engagement and willingness to accept swaps. OBJECTIVES: To compare the salt reduction from offering swaps to a similar product but with minimally less salt to offering…
Clinician resistance to broaching the topic of weight in primary care
Clinical trials have shown that providing advice and support for people with excess weight can lead to meaningful weight loss. Despite this evidence and guidelines endorsing this approach, provision in real-world clinical settings remains low. We used Strong Structuration Theory (SST) to understand why people are often not offered weight management advice in primary care in England. Data from policy, clinical practice and focus groups were analys…
Using a descriptive norm message to increase vegetable selection in a workplace restaurant setting
A cluster randomised controlled trial of smoking cessation in pregnant women comparing interventions based on the transtheoretical (stages of change) model to standard care
While there is a small borderline significant increase in quitting in the combined intervention arms compared with the controls, the effect of the intervention is small. At 30 weeks gestation and at 10 days postnatal, only about 3% of the intervention groups achieved sustained cessation, with numbers needed to treat of 67 (30 weeks of gestation) and 53 (10 weeks postnatal) for one additional woman to achieve sustained confirmed cessation. Given a…
The importance of social sources of cigarettes to school students
The passing and selling of cigarettes in school is a common activity, which from the young persons perspective, ensures that all share cross counter purchases. A few people are prepared to use the peer market for monetary gain and it appears to be responsive to external conditions. The peer market might mean that efforts to control illegal sales of cigarettes are not as effective as hoped
The risk of smoking in relation to engagement with a school-based smoking intervention
A new theory of health promoting schools based on human functioning, school organisation and pedagogic practice
A methodological and substantive review of the evidence that schools cause pupils to smoke
Is inter-school variation in smoking uptake and cessation due to differences in pupil composition? A cohort study
The influence of school culture on smoking among pupils
The influence of in-pregnancy smoking cessation programmes on partner quitting and women's social support mobilization
The stage-based interventions tested in this trial aimed partly to influence women's mobilization of support and might have influenced partners' quitting, but there was no evidence that they did so. Given that women and their partners often stopped smoking together, future interventions to prevent smoking in pregnant women could encourage both partners to quit together
A preliminary investigation into factors influencing limiting long-standing illness among UK university graduates
Two competing hypotheses underpinned an investigation into limiting long-standing illness (LLI) among UK graduates. Hypothesis 1 proposed childhood social class (CSC) influences LLI independently of educational attainment and adult income. Hypothesis 2 proposed typical middle-class graduates would have lower LLI prevalence than typical and atypical working-class and atypical middle-class graduates. Working/ middleclass refers to childhood circums…
School culture as an influencing factor on youth substance use
Objective: To determine whether value-added education is associated with lower risk of substance use among adolescents: early initiation of alcohol use (regular monthly alcohol consumption in grade 7), heavy alcohol use (>10 units per week) and regular illicit drug use. Design: Cross-sectional self-reported survey of alcohol and drug use. Analysis used two-level logistic modelling to relate schools providing value-added education with pupils’ sub…
Waterpipe smoking in students
Waterpipe smoking is a common part of student culture in one British university, as in the Middle East and in the United States. It poses a potential threat to public health, with evidence of dependence and high smoke intake
A pilot randomised controlled trial of the feasibility of using body scan and isometric exercises for reducing urge to smoke in a smoking cessation clinic
Isometric exercises, and to a lesser extent body scan, were popular and perceived as somewhat helpful by quitters. The trial showed that these techniques were used and a larger trial could now be developed to examine the influence of the methods on reducing urges to smoke and increasing abstinence
Physical activity as an aid to smoking cessation during pregnancy
It is feasible to recruit pregnant smokers to a trial of physical activity for smoking cessation and this is likely to be popular. A large randomised controlled trial is needed to examine the efficacy of this intervention
What is transtheoretical therapy? A response to Prochaska
The Chinese Intelligence Scale for Young Children
The Wechsler intelligence test has four factors representing four components of intellectual function. In China, there are marked cultural, educational, and economic disparities between rural and urban dwellers, which could lead to cultural bias. The aim of this study was to apply the four-factor structure to responses to the Chinese Intelligence Scale for Young Children (CISYC) of 820 rural and 664 urban children aged 3 to 7 years. Measurement i…
Canadian and English students' beliefs about waterpipe smoking
In the absence of public health information, students have fallen back on superficial experiences to form views that waterpipe smoking is less harmful than other forms of smoking and it is currently much more acceptable in student society than other forms of smoking
Mediated, moderated and direct effects of country of residence, age, and gender on the cognitive and social determinants of adolescent smoking in Spain and the UK
The ASE model may not capture important cultural factors related to adolescent smoking and the relative contribution of particular ASE determinants to adolescent smoking intentions may differ between countries. Future European trans-national adolescent smoking prevention programmes may benefit from greater understanding of country-level cultural norms
Weight change over eight years in relation to baseline body mass index in a cohort of continuing and quitting smokers
Objective To examine the effect of body mass index (BMI) on weight change over 8 years in a cohort of continuing smokers and a cohort that quit and remained abstinent
The effect of Transtheoretical Model based interventions on smoking cessation
Trial Protocol
This is the first clinical trial evaluating the behavioural impact on adherence of prescribing medication using genetic rather than phenotypic information. Specific issues regarding the choice of design for trials of interventions of this kind are discussed. TRIAL DETAILS: Funder: Medical Research Council (MRC)Grant number: G0500274. ISRCTN: 14352545. Date trial stated: June 2007. Expected end date: December 2009. Expected reporting date: Decembe…
A randomised controlled trial to compare a range of commercial or primary care led weight reduction programmes with a minimal intervention control for weight loss in obesity
Current Controlled Trials ISRCTN25072883
Experiences of outreach workers in promoting smoking cessation to Bangladeshi and Pakistani men
Outreach workers expanded reach of the service through taking it to diverse locations of relevance to Pakistani and Bangladeshi communities. The optimum method of outreach to retain and treat Bangladeshi and Pakistani smokers effectively in cessation programmes needs further development
Association between use of nicotine replacement therapy for harm reduction and smoking cessation
The use of NRT for SR or TA appears to be positively associated with subsequent attempts to quit smoking and abstinence among smokers in England, despite very little apparent effect on daily cigarette consumption. With replication, these findings support the potential benefit of using NRT for harm reduction but primarily as a means of promoting cessation
A randomised trial of nicotine assisted reduction to stop in pharmacies - the redpharm study
Current Controlled Trials ISRCTN 2010-019259-24
Does school ethos explain the relationship between value-added education and teenage substance use? A cohort study
Previous studies found lower substance use in schools achieving better examination and truancy results than expected, given their pupil populations (high value-added schools). This study examines whether these findings are replicated in West Scotland and whether school ethos indicators focussing on pupils' perceptions of schooling (environment, involvement, engagement and teacher-pupil relations) mediate the associations. Teenagers from forty-one…
Medicine (49 works) · Psychology (29 works) · Smoking Behavior and Cessation (24 works) · Internal Medicine (23 works) · Psychiatry (22 works) · Smoking cessation (19 works) · Biostatistics (16 works) · Nursing (16 works) · Obesity (16 works) · Public health (15 works)