P Little
Biographic Data
| ID | 2279 |
|---|---|
| NAME | P Little |
| GIVEN NAMES | P |
| FAMILY NAME | Little |
| SIGNATURE | LITTLE P |
| AFFILIATIONS | University of Southampton |
| ORCID | 0000-0003-3664-1873 |
| VERIFIED | Yes |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 13 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Associations between burnout and career disengagement factors among general practitioners
Background: Burnout is associated with career disengagement among general practitioners (GPs), but the underlying mechanisms of this association remain poorly understood. Objective: This study examined the pathways linking burnout to career disengagement factors among GPs. Methods: An 11-item online questionnaire, including validated abbreviated measures of burnout outcomes (single items on emotional exhaustion (EE) and depersonalisation), career…
Non-pharmaceutical interventions and risk of Covid-19 infection
This large observational study found evidence for strong protective effects for individuals from use of face coverings, social distancing (including avoiding crowded places) and handwashing on arriving home on developing COVID-19 infection. We also found evidence for an increased risk associated with other behaviours, possibly from recall bias
Parallel randomized controlled feasibility trials of the “Active Brains” digital intervention to protect cognitive health in adults aged 60–85
Introduction: Multidomain interventions to address modifiable risk factors for dementia are promising, but require more cost-effective, scalable delivery. This study investigated the feasibility of the "Active Brains" digital behavior change intervention and its trial procedures. Materials and methods: = 180) adults aged 60-85. Results: We collected 67.2 and 76.1% of our 12-month primary outcome (Baddeley verbal reasoning task) data for the "lowe…
Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom
Diagnostic uncertainty may not only negatively impact on the wellbeing of GPs, but could also have adverse implications on workforce retention in primary care
Adapting Behavioral Interventions for a Changing Public Health Context
Background: A rigorous approach is needed to inform rapid adaptation and optimisation of behavioral interventions in evolving public health contexts, such as the Covid-19 pandemic. This helps ensure that interventions are relevant, persuasive, and feasible while remaining evidence-based. This paper provides a set of iterative methods to rapidly adapt and optimize an intervention during implementation. These methods are demonstrated through the ex…
A relational analysis of an invisible illness
Chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) is indicated by prolonged, medically unexplained fatigue (amongst other symptoms), not alleviated by rest, and causing substantial disability. There are limited treatments on offer, which may not be effective and/or acceptable for all people, and treatment views are polarised. We, thus, aimed to take a step back from this debate, to explore more broadly preferences for formal and infor…
Knowledge, Attitude, and Practice with Respect to Antibiotic Use among Chinese Medical Students
High rates of antibiotic self-medication for self-limiting illness and stocking of antibiotics among medical students were observed. Along with the high rates of medical students receiving unnecessary antibiotics from their doctors were observed. The students' knowledge and attitude towards to antibiotics, which drive prescribing, highlight the urgent need for effective antibiotic stewardship and training programs in Chinese healthcare institutes…
You feel like your whole world is caving in
General practitioners are tasked with determining the nature of patients' emotional distress and providing appropriate care. For patients whose symptoms appear to fall near the 'boundaries' of psychiatric disorder, this can be difficult with important implications for treatment. There is a lack of qualitative research among patients with symptoms severe enough to warrant consultation, but where general practitioners have refrained from diagnosis.…
PP36 Use of Electronic Health Records to Implement a Cluster Randomised Trial in Primary Care
Background Electronic health records (EHRs) represent a potentially valuable resource for evaluating health interventions. This research aimed to evaluate the feasibility of implementing a cluster randomised trial in a primary care database. The trial intervention aimed to reduce antibiotic prescribing in respiratory tract infections (RTIs). Methods The trial was implemented using the Clinical Practice Research Datalink (CPRD). All CPRD general p…
Using Mixed Methods to Design a Web-based Behavioural Intervention to Reduce Transmission of Colds and Flu
This mixed methods study informed the development of our web-based intervention to reduce the risk of transmission of respiratory infections. Two qualitative studies examined 28 users' responses to website materials, and elicited additional beliefs. A questionnaire study ( N = 129) tested key intervention assumptions: that hand-washing is considered the most feasible preventive behaviour; behavioural determinants were related to behavioural inten…
Scotland and the Ulster Plantations
The ‘New British History’ of the early modern period may be less influential than it once was, but it is still very pertinent when it comes to Ulster, where the native Irish had to contend not only with a heavy-handed English government but also with interference from Scotland. This book—the fruit of two conferences held in 2006—provides further ‘explorations’ into the vexed relations between the three nations, and specifically the interaction be…
Age of Atrocity
Journal Article Age of Atrocity: Violence and Political Conflict in Eearly Modern Ireland Get access Age of Atrocity: Violence and Political Conflict in Eearly Modern Ireland, ed. David Edwards, Pádraig Lenihan and Clodagh Tait (Dublin: Four Courts P., 2007; pp. 320. £45). Patrick Little Patrick Little History of Parliament Trust [email protected] Search for other works by this author on: Oxford Academic Google Scholar The English Historical…
A questionnaire to measure satisfaction with community services for informal carers of stroke patients
Stroke affects 120 000 people each year in the UK and is the most common cause of adult-onset disability. Most stroke patients are cared for at home by informal carers. Support for these carers is provided by the community services, but although single-item measures have shown that there is a relatively high level of dissatisfaction with those services, there is no specific satisfaction measurement instrument. The present study aimed to construct…
Interaction between physical activity and diet
Objectives: This review summarises the evidence for the effectiveness of primary care based interventions of diet and physical activity aimed at reducing blood pressure. Background: As blood pressure rises so does the risk of heart disease and stroke. There is a large literature on the effects on blood pressure of changing various aspects of diet either as single nutrient interventions, patterns of food consumption, or the addition of dietary sup…
The validity of dietary assessment in general practice
OBJECTIVE: To validate a range of dietary assessment instruments in general practice. METHODS: Using a randomised block design, brief assessment instruments and more complex conventional dietary assessment tools were compared with an accepted "relative" standard--a seven day weighed dietary record. The standard was checked using biomarkers, and by performing test-retest reliability in additional subjects (n = 29). OUTCOMES: Agreement with weighed…
Blood and Friendship
Journal Article 'Blood and Friendship': The Earl of Essex's Protection of the Earl of Clanricarde's Interests, 1641–6 Get access PATRICK LITTLE PATRICK LITTLE History of Parliament Trust Search for other works by this author on: Oxford Academic Google Scholar The English Historical Review, Volume CXII, Issue 448, September 1997, Pages 927–941, https://doi.org/10.1093/ehr/CXII.448.927 Published: 01 September 1997
A relational analysis of an invisible illness
Chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) is indicated by prolonged, medically unexplained fatigue (amongst other symptoms), not alleviated by rest, and causing substantial disability. There are limited treatments on offer, which may not be effective and/or acceptable for all people, and treatment views are polarised. We, thus, aimed to take a step back from this debate, to explore more broadly preferences for formal and infor…
The validity of dietary assessment in general practice
OBJECTIVE: To validate a range of dietary assessment instruments in general practice. METHODS: Using a randomised block design, brief assessment instruments and more complex conventional dietary assessment tools were compared with an accepted "relative" standard--a seven day weighed dietary record. The standard was checked using biomarkers, and by performing test-retest reliability in additional subjects (n = 29). OUTCOMES: Agreement with weighed…
Using Mixed Methods to Design a Web-based Behavioural Intervention to Reduce Transmission of Colds and Flu
This mixed methods study informed the development of our web-based intervention to reduce the risk of transmission of respiratory infections. Two qualitative studies examined 28 users' responses to website materials, and elicited additional beliefs. A questionnaire study ( N = 129) tested key intervention assumptions: that hand-washing is considered the most feasible preventive behaviour; behavioural determinants were related to behavioural inten…
A questionnaire to measure satisfaction with community services for informal carers of stroke patients
Stroke affects 120 000 people each year in the UK and is the most common cause of adult-onset disability. Most stroke patients are cared for at home by informal carers. Support for these carers is provided by the community services, but although single-item measures have shown that there is a relatively high level of dissatisfaction with those services, there is no specific satisfaction measurement instrument. The present study aimed to construct…
Blood and Friendship
Journal Article 'Blood and Friendship': The Earl of Essex's Protection of the Earl of Clanricarde's Interests, 1641–6 Get access PATRICK LITTLE PATRICK LITTLE History of Parliament Trust Search for other works by this author on: Oxford Academic Google Scholar The English Historical Review, Volume CXII, Issue 448, September 1997, Pages 927–941, https://doi.org/10.1093/ehr/CXII.448.927 Published: 01 September 1997
Blood and Friendship
Journal Article 'Blood and Friendship': The Earl of Essex's Protection of the Earl of Clanricarde's Interests, 1641–6 Get access PATRICK LITTLE PATRICK LITTLE History of Parliament Trust Search for other works by this author on: Oxford Academic Google Scholar The English Historical Review, Volume CXII, Issue 448, September 1997, Pages 927–941, https://doi.org/10.1093/ehr/CXII.448.927 Published: 01 September 1997
Interaction between physical activity and diet
Objectives: This review summarises the evidence for the effectiveness of primary care based interventions of diet and physical activity aimed at reducing blood pressure. Background: As blood pressure rises so does the risk of heart disease and stroke. There is a large literature on the effects on blood pressure of changing various aspects of diet either as single nutrient interventions, patterns of food consumption, or the addition of dietary sup…
The validity of dietary assessment in general practice
OBJECTIVE: To validate a range of dietary assessment instruments in general practice. METHODS: Using a randomised block design, brief assessment instruments and more complex conventional dietary assessment tools were compared with an accepted "relative" standard--a seven day weighed dietary record. The standard was checked using biomarkers, and by performing test-retest reliability in additional subjects (n = 29). OUTCOMES: Agreement with weighed…
A questionnaire to measure satisfaction with community services for informal carers of stroke patients
Stroke affects 120 000 people each year in the UK and is the most common cause of adult-onset disability. Most stroke patients are cared for at home by informal carers. Support for these carers is provided by the community services, but although single-item measures have shown that there is a relatively high level of dissatisfaction with those services, there is no specific satisfaction measurement instrument. The present study aimed to construct…
Age of Atrocity
Journal Article Age of Atrocity: Violence and Political Conflict in Eearly Modern Ireland Get access Age of Atrocity: Violence and Political Conflict in Eearly Modern Ireland, ed. David Edwards, Pádraig Lenihan and Clodagh Tait (Dublin: Four Courts P., 2007; pp. 320. £45). Patrick Little Patrick Little History of Parliament Trust [email protected] Search for other works by this author on: Oxford Academic Google Scholar The English Historical…
Scotland and the Ulster Plantations
The ‘New British History’ of the early modern period may be less influential than it once was, but it is still very pertinent when it comes to Ulster, where the native Irish had to contend not only with a heavy-handed English government but also with interference from Scotland. This book—the fruit of two conferences held in 2006—provides further ‘explorations’ into the vexed relations between the three nations, and specifically the interaction be…
Using Mixed Methods to Design a Web-based Behavioural Intervention to Reduce Transmission of Colds and Flu
This mixed methods study informed the development of our web-based intervention to reduce the risk of transmission of respiratory infections. Two qualitative studies examined 28 users' responses to website materials, and elicited additional beliefs. A questionnaire study ( N = 129) tested key intervention assumptions: that hand-washing is considered the most feasible preventive behaviour; behavioural determinants were related to behavioural inten…
PP36 Use of Electronic Health Records to Implement a Cluster Randomised Trial in Primary Care
Background Electronic health records (EHRs) represent a potentially valuable resource for evaluating health interventions. This research aimed to evaluate the feasibility of implementing a cluster randomised trial in a primary care database. The trial intervention aimed to reduce antibiotic prescribing in respiratory tract infections (RTIs). Methods The trial was implemented using the Clinical Practice Research Datalink (CPRD). All CPRD general p…
You feel like your whole world is caving in
General practitioners are tasked with determining the nature of patients' emotional distress and providing appropriate care. For patients whose symptoms appear to fall near the 'boundaries' of psychiatric disorder, this can be difficult with important implications for treatment. There is a lack of qualitative research among patients with symptoms severe enough to warrant consultation, but where general practitioners have refrained from diagnosis.…
Knowledge, Attitude, and Practice with Respect to Antibiotic Use among Chinese Medical Students
High rates of antibiotic self-medication for self-limiting illness and stocking of antibiotics among medical students were observed. Along with the high rates of medical students receiving unnecessary antibiotics from their doctors were observed. The students' knowledge and attitude towards to antibiotics, which drive prescribing, highlight the urgent need for effective antibiotic stewardship and training programs in Chinese healthcare institutes…
A relational analysis of an invisible illness
Chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) is indicated by prolonged, medically unexplained fatigue (amongst other symptoms), not alleviated by rest, and causing substantial disability. There are limited treatments on offer, which may not be effective and/or acceptable for all people, and treatment views are polarised. We, thus, aimed to take a step back from this debate, to explore more broadly preferences for formal and infor…
Adapting Behavioral Interventions for a Changing Public Health Context
Background: A rigorous approach is needed to inform rapid adaptation and optimisation of behavioral interventions in evolving public health contexts, such as the Covid-19 pandemic. This helps ensure that interventions are relevant, persuasive, and feasible while remaining evidence-based. This paper provides a set of iterative methods to rapidly adapt and optimize an intervention during implementation. These methods are demonstrated through the ex…
Parallel randomized controlled feasibility trials of the “Active Brains” digital intervention to protect cognitive health in adults aged 60–85
Introduction: Multidomain interventions to address modifiable risk factors for dementia are promising, but require more cost-effective, scalable delivery. This study investigated the feasibility of the "Active Brains" digital behavior change intervention and its trial procedures. Materials and methods: = 180) adults aged 60-85. Results: We collected 67.2 and 76.1% of our 12-month primary outcome (Baddeley verbal reasoning task) data for the "lowe…
Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom
Diagnostic uncertainty may not only negatively impact on the wellbeing of GPs, but could also have adverse implications on workforce retention in primary care
Non-pharmaceutical interventions and risk of Covid-19 infection
This large observational study found evidence for strong protective effects for individuals from use of face coverings, social distancing (including avoiding crowded places) and handwashing on arriving home on developing COVID-19 infection. We also found evidence for an increased risk associated with other behaviours, possibly from recall bias
Associations between burnout and career disengagement factors among general practitioners
Background: Burnout is associated with career disengagement among general practitioners (GPs), but the underlying mechanisms of this association remain poorly understood. Objective: This study examined the pathways linking burnout to career disengagement factors among GPs. Methods: An 11-item online questionnaire, including validated abbreviated measures of burnout outcomes (single items on emotional exhaustion (EE) and depersonalisation), career…
Medicine (13 works) · Psychology (8 works) · Clinical Psychology (5 works) · Family medicine (5 works) · Internal Medicine (5 works) · Nursing (4 works) · Psychiatry (4 works) · Psychological intervention (4 works) · Clinical Psychology (3 works) · Computer Science (3 works)