Frances Griffiths
Datos Biográficos
| ID | 89653 |
|---|---|
| NOMBRE | Frances Griffiths |
| NOMBRES | Frances |
| APELLIDO | Griffiths |
| FIRMA | GRIFFITHS F |
| AFILIACIONES | University of Warwick |
| ORCID | 0000-0002-4173-1438 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 56 |
| TOTAL DE CITAS | 145 |
| TOTAL COMO AUTOR | 56 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1999 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 7 |
Data-Driven HIV Humanitarianism, Data Colonialism, and Data Ethics
This article examines how data-driven humanitarianism in the HIV/AIDS sector reproduces colonial patterns of extraction and inequality in sub-Saharan Africa (SSA). Drawing on case studies of AI-enabled health data systems, it analyses the ethical implications of large-scale data collection, storage, and transfer in contexts marked by poverty, weak regulatory capacity, and persistent stigma. While datafication and artificial intelligence promise e…
Using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in a community setting
In the UK, the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is a widely used process, designed to facilitate shared decision-making between a clinician and a patient or, if the patient lacks capacity to participate in the conversation, a person close to the patient. A key outcome of the ReSPECT process is a set of recommendations, recorded on the patient-held ReSPECT form, that reflect the conversation. In an emergency, the…
International bioethics, Ubuntu and HIV testing in Sub-Saharan Africa
International bioethical principles place considerable weight on individual rights and autonomy. They require informed consent for both treatment and diagnostic testing. Although individual rights are widely valued, in some non-Western contexts, they receive relatively less weight than other moral values. In particular, the communitarian African philosophy of Ubuntu places a greater emphasis on the collective good of the community than it does on…
“ They need to feel at home not in a home. ” Experiences of residents and carers in mental health residential facilities
Smaller residential homes offer more autonomy and integration than large dormitory-style facilities. Policies and funding should support smaller, community-based supported accommodation for people with serious mental illness
Comparing In-Person and Remote Qualitative Data Collection Methods for Data Quality and Inclusion
Background: In-person data collection has long been considered the ‘gold standard’ for qualitative data collection. Societal changes and the rapid increase in the use of remote methods during the Covid-19 pandemic intensified debate about the limitations and opportunities of remote data collection, while reigniting questions about data quality and inclusion. Objective: We sought to map available evidence exploring the characteristics and quality …
International short‐term placements in health professions education—A meta‐narrative review
Mobilisation towards formal employment in the healthcare system
In low and middle-income countries, community health workers (CHWs) play a critical role in delivering primary healthcare (PHC) services. However, they often receive low stipends, function without resources and have little bargaining power with which to demand better working conditions. Using a qualitative case study methodology, we studied CHWs’ conditions of employment, their struggle for recognition as health workers, and their activities to e…
Service Users’ and Providers’ Experiences and Perceptions of Mental Health Accommodation Services
Background . There is a high prevalence of homeless people with psychotic disorders and supported housing is often required. However, there is little evidence about supported housing services, especially in low‐middle income countries. This rapid review synthesizes evidence about the experiences of users and providers of community‐based accommodation services for people living with serious mental illness internationally to understand priorities f…
Navigating the Lay Referral System for Treatment‐Seeking Decisions During Illness in the Digital Age
Interaction with a lay referral system (informal networks that provide health advice during illness) influences the treatment‐seeking decisions of individuals with perceived healthcare needs. We examined how this occurred in urban slums in Nigeria with scarce formal healthcare and unstable social networks. Using existing theories of social networks and lay referral, we examined the use of these systems for treatment‐seeking decisions in slums, in…
Community health workers’ quality of comprehensive care
Background Community healthcare worker (CHW) training programs are becoming increasingly comprehensive (an expanded range of diseases). However, the CHWs that the program relies on have limited training. Since CHWs’ activities occur largely during household visits, which often go unsupervised and unassessed, long-term, ongoing assessment is needed to identify gaps in CHW competency, and improve any such gaps. We observed CHWs during household vis…
Evaluating interventions to improve ethical decision making in clinical practice
Medical professional regulatory authorities in some countries now include ethical knowledge and practice in their required competencies for undergraduate and post graduate medical training. Educational interventions and clinical ethics support services have been developed to support and improve ethical decision making in clinical practice, but research evaluating the effectiveness of these interventions has been limited. We undertook a systematic…
Community-orientated primary health care
Due to insufficient number of health workers and the evidence of the benefits of community health workers (CHWs), CHWs are being deployed to provide health care services to under-served communities. In this article, we explore to what extent the South African CHW programmes introduced between 2009 and 2011 are attuned to community needs, integrated into the healthcare system and community structures, and also implemented in accordance with commun…
Assessing the Utility of a Quality-of-Care Assessment Tool Used in Assessing Comprehensive Care Services Provided by Community Health Workers in South Africa
Background: Few studies exist on the tools for assessing quality-of-care of community health worker (CHW) who provide comprehensive care, and for available tools, evidence on the utility is scanty. We aimed to assess the utility components of a previously-reported quality-of-care assessment tool developed for summative assessment in South Africa. Methods: In two provinces, we used ratings by 21 CHWs and three team leaders in two primary health ca…
Staying connected
Timely communications are important in enabling young people with long-term conditions to stay engaged with their health and manage their condition successfully. This study considers the role of digital communication in helping young people engage with services and the clinical teams providing their care. Data are drawn from 165 young people and 173 NHS staff across 20 clinical settings in the UK treating a variety of long-term conditions. Althou…
Analysis of OpenStreetMap Data Quality at Different Stages of a Participatory Mapping Process
This paper examines OpenStreetMap data quality at different stages of a participatory mapping process in seven slums in Africa and Asia. Data were drawn from an OpenStreetMap-based participatory mapping process developed as part of a research project focusing on understanding inequalities in healthcare access of slum residents in the Global South. Descriptive statistics and qualitative analysis were employed to examine the following research ques…
Custodians of Information
In the UK, in the acute in-patient setting, the only information that a patient receives about their medical care is verbal; there is no routine patient access to any part of the medical record. It has been suggested that this should change, so that patients can have real-time access to their notes, but no one has previously explored patient or clinician views on the impact this might have. Semi-structured interviews were conducted with 12 patien…
Ethical conflicts during the process of deciding about ICU admission
BACKGROUND: Besides balancing burdens and benefits of intensive care, ethical conflicts in the process of decision-making should also be recognised. This calls for an ethical analysis relevant to clinicians. The aim was to analyse ethically difficult situations in the process of deciding whether a patient is admitted to intensive care unit (ICU). METHODS: Analysis using the 'Dilemma method' and 'wide reflective equilibrium', on ethnographic data …
Bayesian belief network modelling of household food security in rural South Africa
The resulting models can form the basis of the iterative generation of a robust causal model of household food security in the Agincourt HDSS study area and in other similar populations
Evaluation of a self-help intervention to promote the health and wellbeing of marginalised people including those living with leprosy in Nepal
This research will provide information on the effectiveness of combined self-help and self-care groups, on quality of life, social integration and economic wellbeing for people living with leprosy, disability or who are socially and economically marginalised in low- and middle- income countries
Comparing the use of direct observation, standardized patients and exit interviews in low- and middle-income countries
Clinical records in primary healthcare settings in low- and middle-income countries (LMIC) are often lacking or of too poor quality to accurately assess what happens during the patient consultation. We examined the most common methods for assessing healthcare workers’ clinical behaviour: direct observation, standardized patients and patient/healthcare worker exit interview. The comparative feasibility, acceptability, reliability, validity and pra…
Impact of the societal response to Covid-19 on access to healthcare for non-Covid-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan
INTRODUCTION: With COVID-19, there is urgency for policymakers to understand and respond to the health needs of slum communities. Lockdowns for pandemic control have health, social and economic consequences. We consider access to healthcare before and during COVID-19 with those working and living in slum communities. METHODS: In seven slums in Bangladesh, Kenya, Nigeria and Pakistan, we explored stakeholder perspectives and experiences of healthc…
A qualitative exploration of the experiences of community health animation on malaria control in rural Malawi
BACKGROUND: While great strides have been achieved in fighting malaria through the Roll Back Malaria (RBM) strategy, the recent world malaria report shows an increase in malaria-related deaths compared to previous years. Malaria control tools are efficacious and effective in preventing the disease; however, the human behaviour aspect of the intervention strategies is weak due to heavy reliance on positive human health behaviour. The challenge lie…
Groups for the dead
This article 2 describes a group for those bereaved following the death through suicide of a doctor. It describes why it was formed, how it links to Foulkes’ matrix and, the conscious and unconscious processes which take place. This was the first gathering of a group of this kind in the United Kingdom
Improving the content validity of the mixed methods appraisal tool
OBJECTIVE: The mixed methods appraisal tool (MMAT) was developed for critically appraising different study designs. This study aimed to improve the content validity of three of the five categories of studies in the MMAT by identifying relevant methodological criteria for appraising the quality of qualitative, survey, and mixed methods studies. STUDY DESIGN AND SETTING: First, we performed a literature review to identify critical appraisal tools a…
Conveying troublesome concepts
In the past decade, there has been a groundswell of interest in the use of mixed-methods approaches to conduct research in the health sciences. However, there remains a paucity of diverse teaching materials, curricula and activities to support the continued expansion of education and innovation in mixed-methods research. Here, we report the development and evaluation of an open-space learning activity and tool to aid teaching the concept of synth…
Women's control and choice regarding HRT
Social networks - The future for health care delivery
Health professionals, their medical interventions and uncertainty
Mobile phone use among patients and health workers to enhance primary healthcare
Mobile phones have the potential to improve access to healthcare information and services in low-resourced settings. This study investigated the use of mobile phones among patients with chronic diseases, pregnant women, and health workers to enhance primary healthcare in rural South Africa. Qualitative research was undertaken in Mpumalanga in 2014. Semi structured in-depth interviews were conducted with 113 patients and 43 health workers from sev…
Making it All Normal
Women are actively encouraged to educate themselves about pregnancy from formal sources (e.g., information leaflets, antenatal classes, books). In addition, informal stories of pregnancy and birth are routinely told between women. However, increased prenatal testing means that more fetuses are diagnosed with abnormalities, shifting the information requirements during pregnancy. Traditional sources of information cannot cover all possible outcomes…
A 'new normal
Cancer survival is increasing, and many people are living years after cancer treatment. For example, it is predicted that 46 per cent of men and 56 per cent of women diagnosed in 2007 in England and Wales will survive their cancer for 5 years or more. However, 'survivors' may be living with significant physical, psychological and social disruption caused by their illness. Furthermore, huge disparities exist in the outcomes for different cancer 't…
Screening for breast cancer
Women's perspectives on breast screening (mammography and breast awareness) were explored in interviews with midlife women sampled for diversity of background and health experience. Attending mammography screening was considered a social obligation despite women's fears and experiences of discomfort. Women gave considerable legitimacy to mammography visualizations of the breast, and the expert interpretation of these. In comparison, women lacked …
Seeing the Baby, Doing Family
Medical sociologists and anthropologists have studied the social significance of obstetric ultrasound for families but little is known about how women and families make use of commercially available ultrasound scans. This article draws on interviews with women who booked a scan with a commercial company in the UK. For some women, commercial ultrasound can be understood as a family practice. We investigate this theme by examining who accompanies w…
Ultrasound as a technology of reassurance? How pregnant women and health care professionals articulate ultrasound reassurance and its limitations
The premise that ultrasound technologies provide reassurance for pregnant women is well-rehearsed. However, there has been little research about how this reassurance is articulated and understood by both expectant mothers and health care professionals. In this article, we draw on two qualitative UK studies to explore the salience of ultrasound reassurance to women's pregnancy experiences whilst highlighting issues around articulation and silence.…
Why do women seek ultrasound scans from commercial providers during pregnancy
The commercial availability of ultrasound scans for pregnant women has been controversial yet little is known about why women make use of such services. This article reports on semi-structured interviews with women in the UK who have booked a commercial scan, focusing on the reasons women gave for booking commercially provided ultrasound during a low-risk pregnancy. Participants' reasons for booking a scan are presented in five categories: findin…
Resilience and depression
Resilience refers to the capacity for successful adaptation or change in the face of adversity. This concept has rarely been applied to the study of distress and depression. We propose two key elements of resilience - ordinary magic and personal medicine - which enable people to survive and flourish despite current experience of emotional distress. We investigate the extent to which these elements are considered important by a sample of 100 peopl…
Developing Evidence for How to Tailor Medical Interventions for the Individual Patient
We aim to answer the question: How can we develop an evidence base that will assist tailoring health interventions to individual patients? Using social theory and interview data from people living with chronic illness, we developed a new approach to analysis. Individuals were considered as emergent complex systems, adjusting and adapting within their environment and sometimes transforming. The notion of illness trajectory brought our attention to…
Embodying and Embedding Children's Sleep
This paper, drawing on our own research findings data, explores the embodiment and embedment of sleeping in children's everyday/night lives. Key themes here include children's attitudes and feelings toward the dormant body, the processes, routines and rituals associated with going to bed and going to sleep, issues associated with bedrooms and privacy, and finally the relationship between dormancy and domicile. This in turn provides the basis, in …
Conveying troublesome concepts
In the past decade, there has been a groundswell of interest in the use of mixed-methods approaches to conduct research in the health sciences. However, there remains a paucity of diverse teaching materials, curricula and activities to support the continued expansion of education and innovation in mixed-methods research. Here, we report the development and evaluation of an open-space learning activity and tool to aid teaching the concept of synth…
Maps, Models, and Narratives
Many researchers within the social sciences, medicine, and humanities have examined the ways people talk and think about depression. In their research and published literature they have attempted to determine the theoretical frameworks and appropriate language for categorizing such concepts and understandings. Drawing from mental health and broader social science scholarship, in this article we examine three approaches to developing an inclusive …
The family is part of the treatment really
Clinicians are increasingly asking questions about family history to inform decision making, but the quality of decisions rests on the quality of information provided by the patient. In families with genetically transmitted diseases, research has found a strong collective understanding of inheritance and risk, developed through constant communication between family members. Here, we explore whether there are similar processes in families with mor…
New networked technologies and carers of people with dementia
Dementia is one of the greatest contemporary health and social care challenges, and novel approaches to the care of its sufferers are needed. New information and communication technologies (ICT) have the potential to assist those caring for people with dementia, through access to networked information and support, tracking and surveillance. This article reports the views about such new technologies of 34 carers of people with dementia. We also he…
Service Users’ and Providers’ Experiences and Perceptions of Mental Health Accommodation Services
Background . There is a high prevalence of homeless people with psychotic disorders and supported housing is often required. However, there is little evidence about supported housing services, especially in low‐middle income countries. This rapid review synthesizes evidence about the experiences of users and providers of community‐based accommodation services for people living with serious mental illness internationally to understand priorities f…
The effect of strategies of personal resilience on depression recovery in an Australian cohort
Strategies of personal resilience enable successful adaptation in adversity. Among patients experiencing depression symptoms, we explored which personal resilience strategies they find most helpful and tested the hypothesis that use of these strategies improves depression recovery. We used interview and survey data from the Diagnosis, Management and Outcomes of Depression in Primary Care 2005 cohort of patients experiencing depression symptoms in…
Family health narratives
Perceptions of vulnerability to illness are strongly influenced by the salience given to personal experience of illness in the family. This article proposes that this salience is created through autobiographical narrative, both as individual life story and collectively shaped family history. The article focuses on responses related to health in the family drawn from semi-structured interviews with women in a qualitative study exploring midlife wo…
Are My Bones Normal Doctor?' the Role of Technology in Understanding and Communicating Health Risks for Midlife Women
Contemporary medical science is increasingly saturated with risk and uncertainty, uncertainty which health professionals are obliged to manage in everyday consultation situations, but which patients presenting with specific health problems, want resolution to. This paper provides an overview of literature concerning the medicalization of women's bodies via health interventions such as screening, including the role played by medical technologies i…
Women's control and choice regarding HRT
Narratives of risk
Original article can be found at: http://www.informaworld.com/smpp/title~content=t713424479 Copyright Informa / Taylor and Francis Group [Full text of this article is not available in the UHRA]
Health professionals, their medical interventions and uncertainty
Are My Bones Normal Doctor?' the Role of Technology in Understanding and Communicating Health Risks for Midlife Women
Contemporary medical science is increasingly saturated with risk and uncertainty, uncertainty which health professionals are obliged to manage in everyday consultation situations, but which patients presenting with specific health problems, want resolution to. This paper provides an overview of literature concerning the medicalization of women's bodies via health interventions such as screening, including the role played by medical technologies i…
Designing and evaluating complex interventions to improve health care
Determining the effectiveness of complex interventions can be difficult and time consuming. Neil C Campbell and colleagues explain the importance of ground work in getting usable results
Lessons from local engagement in Latin American health systems
Objectives To examine the management of recent policies for stronger patient and public involvement in Latin American health systems, identifying common features and describing local practice examples of relevance to the UK. Context Participation is a core principle of many contemporary policies for health system reform. In Latin America, as in the UK, it is frequently associated with innovations in primary care services and their organizational …
Embodying and Embedding Children's Sleep
This paper, drawing on our own research findings data, explores the embodiment and embedment of sleeping in children's everyday/night lives. Key themes here include children's attitudes and feelings toward the dormant body, the processes, routines and rituals associated with going to bed and going to sleep, issues associated with bedrooms and privacy, and finally the relationship between dormancy and domicile. This in turn provides the basis, in …
Resilience and depression
Resilience refers to the capacity for successful adaptation or change in the face of adversity. This concept has rarely been applied to the study of distress and depression. We propose two key elements of resilience - ordinary magic and personal medicine - which enable people to survive and flourish despite current experience of emotional distress. We investigate the extent to which these elements are considered important by a sample of 100 peopl…
Family health narratives
Perceptions of vulnerability to illness are strongly influenced by the salience given to personal experience of illness in the family. This article proposes that this salience is created through autobiographical narrative, both as individual life story and collectively shaped family history. The article focuses on responses related to health in the family drawn from semi-structured interviews with women in a qualitative study exploring midlife wo…
A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary studies in Mixed Studies Reviews
Making it All Normal
Women are actively encouraged to educate themselves about pregnancy from formal sources (e.g., information leaflets, antenatal classes, books). In addition, informal stories of pregnancy and birth are routinely told between women. However, increased prenatal testing means that more fetuses are diagnosed with abnormalities, shifting the information requirements during pregnancy. Traditional sources of information cannot cover all possible outcomes…
New networked technologies and carers of people with dementia
Dementia is one of the greatest contemporary health and social care challenges, and novel approaches to the care of its sufferers are needed. New information and communication technologies (ICT) have the potential to assist those caring for people with dementia, through access to networked information and support, tracking and surveillance. This article reports the views about such new technologies of 34 carers of people with dementia. We also he…
Developing Evidence for How to Tailor Medical Interventions for the Individual Patient
We aim to answer the question: How can we develop an evidence base that will assist tailoring health interventions to individual patients? Using social theory and interview data from people living with chronic illness, we developed a new approach to analysis. Individuals were considered as emergent complex systems, adjusting and adapting within their environment and sometimes transforming. The notion of illness trajectory brought our attention to…
Screening for breast cancer
Women's perspectives on breast screening (mammography and breast awareness) were explored in interviews with midlife women sampled for diversity of background and health experience. Attending mammography screening was considered a social obligation despite women's fears and experiences of discomfort. Women gave considerable legitimacy to mammography visualizations of the breast, and the expert interpretation of these. In comparison, women lacked …
They're Made in Factories and Not by Witches on the Allotment”
This article explores midlife women's experiences and approaches related to complementary and alternative therapies (CAMS). Ninety-six midlife women were asked about their use of CAMs as part of their overall approach to midlife health. Qualitative thematic analysis was combined with a case-based approach. Women set their experience of CAMs in the context of conventional medicine taking and discussed their safety and different uses. For treatment…
The use of communication technologies for the engagement of young adults and adolescents in mental healthcare
Aims Examine the use and characteristics of communication technologies by healthcare professionals for the treatment of young people with mental health disorders. Methods A mixed-method approach was adopted. A synthesis of systematic review and qualitative evidence is presented. Using a rigorous search strategy we searched the peer-reviewed academic literature for studies which either described the use of Information and Communications Technology…
Service users' experiences of a physical activity and lifestyle intervention for people with severe mental illness
Background Individuals with serious mental disorders die up to 30 years earlier than the general population, mostly from cardiovascular causes. Explanations include obesity, diabetes (exacerbated by medication), hypertension, smoking, poor diet and sedentary lifestyle. The need for action is widely recognised, but services are rare and without thorough evaluation. Objective To describe and explore the experiences of service users participating in…
The family is part of the treatment really
Clinicians are increasingly asking questions about family history to inform decision making, but the quality of decisions rests on the quality of information provided by the patient. In families with genetically transmitted diseases, research has found a strong collective understanding of inheritance and risk, developed through constant communication between family members. Here, we explore whether there are similar processes in families with mor…
Social networks - The future for health care delivery
Maps, Models, and Narratives
Many researchers within the social sciences, medicine, and humanities have examined the ways people talk and think about depression. In their research and published literature they have attempted to determine the theoretical frameworks and appropriate language for categorizing such concepts and understandings. Drawing from mental health and broader social science scholarship, in this article we examine three approaches to developing an inclusive …
Young people with long term conditions
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Recruiting families to a childhood obesity management trial. Active vs passive methods
The effect of strategies of personal resilience on depression recovery in an Australian cohort
Strategies of personal resilience enable successful adaptation in adversity. Among patients experiencing depression symptoms, we explored which personal resilience strategies they find most helpful and tested the hypothesis that use of these strategies improves depression recovery. We used interview and survey data from the Diagnosis, Management and Outcomes of Depression in Primary Care 2005 cohort of patients experiencing depression symptoms in…
A 'new normal
Cancer survival is increasing, and many people are living years after cancer treatment. For example, it is predicted that 46 per cent of men and 56 per cent of women diagnosed in 2007 in England and Wales will survive their cancer for 5 years or more. However, 'survivors' may be living with significant physical, psychological and social disruption caused by their illness. Furthermore, huge disparities exist in the outcomes for different cancer 't…
Why do women seek ultrasound scans from commercial providers during pregnancy
The commercial availability of ultrasound scans for pregnant women has been controversial yet little is known about why women make use of such services. This article reports on semi-structured interviews with women in the UK who have booked a commercial scan, focusing on the reasons women gave for booking commercially provided ultrasound during a low-risk pregnancy. Participants' reasons for booking a scan are presented in five categories: findin…
Medicine (43 obras) · Psychology (34 obras) · Nursing (21 obras) · Sociology (21 obras) · Computer Science (20 obras) · Qualitative research (16 obras) · Health care (15 obras) · Political science (13 obras) · Social Psychology (13 obras) · Environmental health (11 obras)