Barbara Hanratty
Biographic Data
| ID | 257878 |
|---|---|
| NAME | Barbara Hanratty |
| GIVEN NAMES | Barbara |
| FAMILY NAME | Hanratty |
| SIGNATURE | HANRATTY B |
| AFFILIATIONS | Newcastle University |
| ORCID | 0000-0002-3122-7190 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 20 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
What is ‘Spiritual Health’? A Survey of Social Prescribers in the United Kingdom
Social prescribing aims to provide holistic care to patients beyond that offered in consultations with clinical health professionals. Support may be directed at many aspects of health and well-being, including spiritual health. Spiritual health is known to be associated with many other physical, mental and rehabilitation health outcomes. How social prescribers define and understand 'spiritual health' is unknown. In this survey, we aim to explore …
“We Don't Normally Go Down This Avenue; This Is Normally Taboo”: Using Co‐Design to Develop a Training Intervention for Spiritual Health in Primary Care
INTRODUCTION: Spiritual health is an important component of holistic health and social care provision; however, previous research highlights a training gap in this area. The SHARP (Spiritual Health Awareness and Recommendations in Primary Care) project used co-design processes informed by the Person-Based Approach (PBA) to develop a training intervention to address this gap. This paper evaluates the process of using co-design within this sensitiv…
‘We're the Eyes and Ears… out There’: A Qualitative Exploration of the Perceptions and Experiences of Polypharmacy Amongst Home Care Providers
INTRODUCTION: Polypharmacy is often managed at home by older people and those involved in their day-to-day care. Home care workers are well placed to play a crucial role, but there is little research in this setting. This study aimed to explore experiences and perceptions of polypharmacy amongst providers of home care. METHODS: We conducted qualitative interviews with 15 home care staff from five for-profit home care providers in three regions of…
Excluded by design: A qualitative study of inequalities in health and social care innovation
Innovations, especially those involving digital technologies, are expanding rapidly in health and social care in many countries around the world, but the extent to which the needs of underserved populations are considered is unclear. The aim of this study was to explore if and how socioeconomic health inequalities are considered in the design and delivery of health and social care innovations in the United Kingdom. A qualitative study using 23 se…
The acceptability of alcohol screening and brief intervention for older adults in community venues
Public and Patient Involvement in Artificial Intelligence and Big Data Healthcare Research: An Exploration of Issues and Challenges Within the AI‐Multiply Project
BACKGROUND: Public and patient involvement and engagement (PPIE) is intended to shape research priorities and improve relevance and impact. However, implementing PPIE in complex fields such as artificial intelligence (AI) and big data health research presents specific challenges. This study explores the issues and barriers to meaningful PPIE using the AI-Multiply project as a case example. METHODS: AI-Multiply is a large, interdisciplinary UK-bas…
Public Involvement to Enhance Care Home Research; Collaboration on a Minimum Data Set for Care Homes
INTRODUCTION: Information on care home residents in England is captured in numerous data sets (care home records, General Practitioner records, community nursing, etc.) but little of this information is currently analysed in a way that is useful for care providers, current or future residents and families or that realises the potential of data to enhance care provision. The DACHA study aimed to develop and test a minimum data set (MDS) which woul…
Development of the Kunonga framework for operationalising approaches to health inequality and/or inequity evidence syntheses
Health inequalities and inequities are shaped by intersecting social determinants and cumulative life-course experiences. However, conventional evidence synthesis methods often lack the conceptual and analytical tools to capture this complexity. This limits their ability to inform inequality and/or inequity-sensitive policy and practice. In response, we developed a methodological framework to support the systematic integration of intersectionalit…
Bereavement Training in the Workplace, Can it Help Bridge the Grief Support Gap? A Qualitative Evaluation of Employers’ and Employees’ Views
BackgroundBereavement is universal, whilst grief is a natural response to loss, it can have detrimental effects on physical and mental well-being. Bereavement support is not widely available, and workplaces could play a key role in providing consistent, equitable support.AimWe explored the views of employers and employees on bereavement training in the workplace. Methods: St Oswald's Hospice, UK, delivered bereavement training to 343 employers an…
Is it possible to identify populations experiencing material disadvantage in primary care? A feasibility study using the Clinical Practice Research Database
BACKGROUND: Material disadvantage is associated with poor health, but commonly available area-based metrics provide a poor proxy for it. We investigate if a measure of material disadvantage could be constructed from UK primary care electronic health records. METHODS: Using data from Clinical Practice Research Datalink Aurum (May 2022) linked to the 2019 English Index of Multiple Deprivation (IMD), we sought to (1) identify codes that signified ma…
Negotiating pace, focus and identities: Patient/public involvement/engagement in a palliative care study
Patient and public involvement and engagement (PPIE) is an increasingly important component of research conduct to enhance processes and potential for impact, yet is rarely critically interrogated. This paper draws on Foucauldian analysis to highlight the disciplinary powers and tensions arising in PPIE. The paper draws on a nested evaluation interview study with three PPIE members and eight academics, who had been involved in an implementation s…
A comparative overview of health and social care policy for older people in England and Scotland, United Kingdom (UK)
BACKGROUND: Responsibility for health and social care was devolved to Scotland in 1999 with evidence of diverging policy and organisation of care compared to England. This paper provides a comparative overview of major health and social care policies in England and Scotland published between 2011 and 2023 relating to the care of older people. METHODS: We searched United Kingdom (UK) and Scotland government websites for macro-level policy document…
An exploration of the statutory Healthy Start vitamin supplementation scheme in North West England
Higher 'universal' vitamin take-up may well have reflected fewer barriers when it became everyone's business to be vitamin-aware. Substantive Healthy Start reform in England (not just cosmetic tinkering) is long overdue. Our study highlights that 'policy, politics, and problem' should be aligned to reach considerable unmet need
Measuring older people’s socioeconomic position: A scoping review of studies of self-rated health, health service and social care use
BACKGROUND: The challenges of measuring socioeconomic position in older populations were first set out two decades ago. However, the question of how best to measure older people's socioeconomic position remains pertinent as populations age and health inequalities widen. METHODS: A scoping review aimed to identify and appraise measures of socioeconomic position used in studies of health inequalities in older populations in high-income countries. M…
Patient and public involvement in care home research: Reflections on the how and why of involving patient and public involvement partners in qualitative data analysis and interpretation
BACKGROUND: There is limited evidence for the impact of involving patients and the public (PPI) in health research. Descriptions of the PPI process are seldom included in publications, particularly data analysis, yet an understanding of processes and impacts of PPI is essential if its contribution to research is to be evaluated. OBJECTIVE: To describe the 'how' of PPI in qualitative data analysis and critically reflect on potential impact. METHOD…
Connecting at Local Level: Exploring Opportunities for Future Design of Technology to Support Social Connections in Age-friendly Communities
Social connectedness in later life is an important dimension of an age-friendly community, with associated implications for individual health and wellbeing. In contrast with prior efforts focusing on connections at a distance or online communities where the digital technology is the interface, we explore the design opportunities and role of technology for connectedness within a geographically local community context. We present findings from inte…
Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence
What works here doesn’t work there’: The significance of local context for a sustainable and replicable asset‐based community intervention aimed at promoting social interaction in later life
Interventions that harness local assets to benefit a community are increasingly being promoted to improve health and well-being. In practice, we know little about how local contexts or reliance on local resources affect the sustainability and scalability of asset-based community developments. This qualitative case study documents the development and implementation of a novel asset-based community development project. Based in a large mainly rural…
Loneliness, social isolation and risk of cardiovascular disease in the English Longitudinal Study of Ageing
Background There is increasing evidence of an association between social relationships and morbidity in general, and cardiovascular disease in particular. However, recent syntheses of the evidence raise two important questions: is it the perceived quality or the more objective quantity of relationships that matters most; and what are the implications of changes in relationships over time? In this study, we investigate the cumulative effects of lo…
Older Adults’ Social Relationships and Health Care Utilization: A Systematic Review
Background. Deficiencies in older people’s social relationships (including loneliness, social isolation, and low social support) have been implicated as a cause of premature mortality and increased morbidity. Whether they affect service use is unclear. Objectives. To determine whether social relationships are associated with older adults’ use of health services, independently of health-related needs. Search Methods. We searched 8 electronic datab…
Loneliness, social isolation and social relationships: What are we measuring? A novel framework for classifying and comparing tools
OBJECTIVES: We present a novel way of classifying and comparing measures of social relationships to help readers interpret the growing literature on loneliness and social isolation and to provide researchers with a starting point to guide their choice of measuring tool. METHODS: Measures of social relationships used in epidemiological studies were identified from two systematic reviews-one review on the association between social relationships an…
Loneliness and social isolation as risk factors for coronary heart disease and stroke: Systematic review and meta-analysis of longitudinal observational studies
Older men and social activity: A scoping review of Men's Sheds and other gendered interventions
Finding ways of improving the health and wellbeing of older men is an important challenge for public health. This review aimed to assess evidence for the effects of Men's Sheds and other gendered social activities on the health and wellbeing of older men, and to consider their effective components and theoretical frameworks. A scoping review using standardised search criteria and terms identified 31 relevant papers of sufficient quality for inclu…
Loneliness, isolation and the health of older adults: Do we need a new research agenda?
PS16 Which is more Effective, A Universal or Targeted Approach, to Implementing the National Healthy Start Programme? A Mixed Methods Study
Background Healthy Start is a statutory scheme in the UK, aiming to improve the health of children and pregnant or lactating women by providing food vouchers and vitamins. The Department of Health intended the intervention to be targeted to low incomes families (a targeted approach), but in some areas Healthy Start vitamins are available to eligible mothers and children independent of income (a universal approach). The aim of this study is to inv…
Negotiating palliative care expertise in the medical world
What works here doesn’t work there’: The significance of local context for a sustainable and replicable asset‐based community intervention aimed at promoting social interaction in later life
Interventions that harness local assets to benefit a community are increasingly being promoted to improve health and well-being. In practice, we know little about how local contexts or reliance on local resources affect the sustainability and scalability of asset-based community developments. This qualitative case study documents the development and implementation of a novel asset-based community development project. Based in a large mainly rural…
Negotiating pace, focus and identities: Patient/public involvement/engagement in a palliative care study
Patient and public involvement and engagement (PPIE) is an increasingly important component of research conduct to enhance processes and potential for impact, yet is rarely critically interrogated. This paper draws on Foucauldian analysis to highlight the disciplinary powers and tensions arising in PPIE. The paper draws on a nested evaluation interview study with three PPIE members and eight academics, who had been involved in an implementation s…
Sex differences in risk factors, treatment and mortality after acute myocardial infarction: An observational study
BACKGROUND: Coronary heart disease is the major cause of death of postmenopausal women in industrialised countries. Although acute myocardial infarction (AMI) affects men in greater numbers, the short-term outcomes for women are worse. In the longer term, studies suggest that mortality risk for women is lower or similar to that of men. However, length of follow up and adjustment for confounding factors have varied and more importantly, the associ…
Sex differences in risk factors, treatment and mortality after acute myocardial infarction: An observational study
BACKGROUND: Coronary heart disease is the major cause of death of postmenopausal women in industrialised countries. Although acute myocardial infarction (AMI) affects men in greater numbers, the short-term outcomes for women are worse. In the longer term, studies suggest that mortality risk for women is lower or similar to that of men. However, length of follow up and adjustment for confounding factors have varied and more importantly, the associ…
Negotiating palliative care expertise in the medical world
Changes in income in the years before death: A record linkage study in Stockholm County
A high proportion of lifetime healthcare spending occurs in the last year of life, perhaps as much as one third.1 For the individual, the costs of coping with illness and accessing healthcare are also likely to be high, at a time when their earnings may have fallen because of sickness. Evidence is available for both downward social mobility after the onset of illness, and the impoverishment of bereaved partners.2,3 Changes in financial circumstan…
P27 Older adults with cancer—are those who live alone at the end of life a disadvantaged group? A qualitative study
Health status will help to determine where an older adult can live, but it is also possible that living arrangements may themselves have consequences for the health experience of older adults towards the end of life. This study will explore the relevance to cancer patients of factors that the literature suggests might account for poor health and different patterns of service use amongst solitary living older people
P29 Out of control? Experiences of transitions between care settings at the end of life for older adults with heart failure: A qualitative study
Background Transitions between care settings have been associated with poor continuity and quality of care for older people. Movements between places of care occur frequently in the months before death, making them an important influence on well-being and health status. People with heart failure may be particularly likely to experience frequent, unplanned admissions to hospital. Objective To explore and understand experiences of care transitions …
The relationship between subjective wellbeing, low income and substance use amongst schoolchildren in the north west of England: A cross sectional study
Objectives Substance use among young people is associated with poor health outcomes. Interventions to reduce consumption of tobacco, alcohol and illicit substances have been targeted on disadvantaged areas, and many address self-esteem or other aspects of subjective wellbeing. The evidence for this approach is conflicting. The aim of this paper is to explore the relationship between measures of subjective wellbeing, substance use and living in a …
Loneliness, isolation and the health of older adults: Do we need a new research agenda?
PS16 Which is more Effective, A Universal or Targeted Approach, to Implementing the National Healthy Start Programme? A Mixed Methods Study
Background Healthy Start is a statutory scheme in the UK, aiming to improve the health of children and pregnant or lactating women by providing food vouchers and vitamins. The Department of Health intended the intervention to be targeted to low incomes families (a targeted approach), but in some areas Healthy Start vitamins are available to eligible mothers and children independent of income (a universal approach). The aim of this study is to inv…
Loneliness, social isolation and social relationships: What are we measuring? A novel framework for classifying and comparing tools
OBJECTIVES: We present a novel way of classifying and comparing measures of social relationships to help readers interpret the growing literature on loneliness and social isolation and to provide researchers with a starting point to guide their choice of measuring tool. METHODS: Measures of social relationships used in epidemiological studies were identified from two systematic reviews-one review on the association between social relationships an…
Loneliness and social isolation as risk factors for coronary heart disease and stroke: Systematic review and meta-analysis of longitudinal observational studies
Older men and social activity: A scoping review of Men's Sheds and other gendered interventions
Finding ways of improving the health and wellbeing of older men is an important challenge for public health. This review aimed to assess evidence for the effects of Men's Sheds and other gendered social activities on the health and wellbeing of older men, and to consider their effective components and theoretical frameworks. A scoping review using standardised search criteria and terms identified 31 relevant papers of sufficient quality for inclu…
Loneliness, social isolation and risk of cardiovascular disease in the English Longitudinal Study of Ageing
Background There is increasing evidence of an association between social relationships and morbidity in general, and cardiovascular disease in particular. However, recent syntheses of the evidence raise two important questions: is it the perceived quality or the more objective quantity of relationships that matters most; and what are the implications of changes in relationships over time? In this study, we investigate the cumulative effects of lo…
Older Adults’ Social Relationships and Health Care Utilization: A Systematic Review
Background. Deficiencies in older people’s social relationships (including loneliness, social isolation, and low social support) have been implicated as a cause of premature mortality and increased morbidity. Whether they affect service use is unclear. Objectives. To determine whether social relationships are associated with older adults’ use of health services, independently of health-related needs. Search Methods. We searched 8 electronic datab…
Does older adults’ use of social care influence their healthcare utilisation? A systematic review of international evidence
What works here doesn’t work there’: The significance of local context for a sustainable and replicable asset‐based community intervention aimed at promoting social interaction in later life
Interventions that harness local assets to benefit a community are increasingly being promoted to improve health and well-being. In practice, we know little about how local contexts or reliance on local resources affect the sustainability and scalability of asset-based community developments. This qualitative case study documents the development and implementation of a novel asset-based community development project. Based in a large mainly rural…
Connecting at Local Level: Exploring Opportunities for Future Design of Technology to Support Social Connections in Age-friendly Communities
Social connectedness in later life is an important dimension of an age-friendly community, with associated implications for individual health and wellbeing. In contrast with prior efforts focusing on connections at a distance or online communities where the digital technology is the interface, we explore the design opportunities and role of technology for connectedness within a geographically local community context. We present findings from inte…
Patient and public involvement in care home research: Reflections on the how and why of involving patient and public involvement partners in qualitative data analysis and interpretation
BACKGROUND: There is limited evidence for the impact of involving patients and the public (PPI) in health research. Descriptions of the PPI process are seldom included in publications, particularly data analysis, yet an understanding of processes and impacts of PPI is essential if its contribution to research is to be evaluated. OBJECTIVE: To describe the 'how' of PPI in qualitative data analysis and critically reflect on potential impact. METHOD…
An exploration of the statutory Healthy Start vitamin supplementation scheme in North West England
Higher 'universal' vitamin take-up may well have reflected fewer barriers when it became everyone's business to be vitamin-aware. Substantive Healthy Start reform in England (not just cosmetic tinkering) is long overdue. Our study highlights that 'policy, politics, and problem' should be aligned to reach considerable unmet need
Measuring older people’s socioeconomic position: A scoping review of studies of self-rated health, health service and social care use
BACKGROUND: The challenges of measuring socioeconomic position in older populations were first set out two decades ago. However, the question of how best to measure older people's socioeconomic position remains pertinent as populations age and health inequalities widen. METHODS: A scoping review aimed to identify and appraise measures of socioeconomic position used in studies of health inequalities in older populations in high-income countries. M…
A comparative overview of health and social care policy for older people in England and Scotland, United Kingdom (UK)
BACKGROUND: Responsibility for health and social care was devolved to Scotland in 1999 with evidence of diverging policy and organisation of care compared to England. This paper provides a comparative overview of major health and social care policies in England and Scotland published between 2011 and 2023 relating to the care of older people. METHODS: We searched United Kingdom (UK) and Scotland government websites for macro-level policy document…
Is it possible to identify populations experiencing material disadvantage in primary care? A feasibility study using the Clinical Practice Research Database
BACKGROUND: Material disadvantage is associated with poor health, but commonly available area-based metrics provide a poor proxy for it. We investigate if a measure of material disadvantage could be constructed from UK primary care electronic health records. METHODS: Using data from Clinical Practice Research Datalink Aurum (May 2022) linked to the 2019 English Index of Multiple Deprivation (IMD), we sought to (1) identify codes that signified ma…
Negotiating pace, focus and identities: Patient/public involvement/engagement in a palliative care study
Patient and public involvement and engagement (PPIE) is an increasingly important component of research conduct to enhance processes and potential for impact, yet is rarely critically interrogated. This paper draws on Foucauldian analysis to highlight the disciplinary powers and tensions arising in PPIE. The paper draws on a nested evaluation interview study with three PPIE members and eight academics, who had been involved in an implementation s…
The acceptability of alcohol screening and brief intervention for older adults in community venues
Public and Patient Involvement in Artificial Intelligence and Big Data Healthcare Research: An Exploration of Issues and Challenges Within the AI‐Multiply Project
BACKGROUND: Public and patient involvement and engagement (PPIE) is intended to shape research priorities and improve relevance and impact. However, implementing PPIE in complex fields such as artificial intelligence (AI) and big data health research presents specific challenges. This study explores the issues and barriers to meaningful PPIE using the AI-Multiply project as a case example. METHODS: AI-Multiply is a large, interdisciplinary UK-bas…
Public Involvement to Enhance Care Home Research; Collaboration on a Minimum Data Set for Care Homes
INTRODUCTION: Information on care home residents in England is captured in numerous data sets (care home records, General Practitioner records, community nursing, etc.) but little of this information is currently analysed in a way that is useful for care providers, current or future residents and families or that realises the potential of data to enhance care provision. The DACHA study aimed to develop and test a minimum data set (MDS) which woul…
Medicine (20 works) · Nursing (11 works) · Health care (9 works) · Health disparities and outcomes (9 works) · Gerontology (8 works) · Political science (8 works) · Qualitative research (8 works) · Environmental health (7 works) · Gerontology (7 works) · Psychiatry (7 works)