Liz Yardley
Biographic Data
| ID | 343589 |
|---|---|
| NAME | Liz Yardley |
| GIVEN NAMES | Liz |
| FAMILY NAME | Yardley |
| SIGNATURE | YARDLEY L |
| AFFILIATIONS | University of Southampton |
| ORCID | 0000-0002-3853-883X |
| VERIFIED | Yes |
| TOTAL WORKS | 52 |
| TOTAL CITATIONS | 176 |
| AUTHOR COUNT | 52 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 6 |
Engagement in rapid public health research among young people from underserved communities
This research explored barriers to engagement in rapid public health co-production. Working with communities to co-produce rapid recruitment and research procedures to suit the needs and the context in which young people live is necessary
Applying machine-learning to rapidly analyze large qualitative text datasets to inform the Covid-19 pandemic response
Introduction: Machine-assisted topic analysis (MATA) uses artificial intelligence methods to help qualitative researchers analyze large datasets. This is useful for researchers to rapidly update healthcare interventions during changing healthcare contexts, such as a pandemic. We examined the potential to support healthcare interventions by comparing MATA with "human-only" thematic analysis techniques on the same dataset (1,472 user responses from…
The Agile Co-production and Evaluation framework for developing public health interventions, messaging and guidance
A lesson identified from the COVID-19 pandemic is that we need to extend existing best practice for intervention development. In particular, we need to integrate (a) state-of-the-art methods of rapidly coproducing public health interventions and messaging to support all population groups to protect themselves and their communities with (b) methods of rapidly evaluating co-produced interventions to determine which are acceptable and effective. Thi…
Supporting patients to prepare for total knee replacement
INTRODUCTION: Digital delivery of pre-operative total knee replacement (TKR) education and prehabilitation could improve patient outcomes pre- and post-operatively. Rigorously developing digital interventions is vital to help ensure they achieve their intended outcomes whilst mitigating their potential drawbacks. OBJECTIVE: To develop a pre-operative TKR education and prehabilitation digital intervention, the 'Virtual Knee School' (VKS). METHODS:…
How do people with MND and caregivers experience a digital mental health intervention? A qualitative study
People with MND and caregivers can find digital mental health interventions useful. Intervention accessibility and flexibility are important for developing acceptable and engaging interventions for MND
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
Mpox knowledge, behaviours and barriers to public health measures among gay, bisexual and other men who have sex with men in the UK
There are differential needs, preferences, and experiences of GBMSM that limit the acceptability of some mitigation and prevention measures. Future public health interventions and campaigns should be co-designed in consultation with key groups and communities to ensure greater acceptability and credibility in different contexts and communities
Understanding adherence to self-isolation in the first phase of the Covid-19 pandemic in England
Understanding adherence to isolation and associated reasoning during the early stages of the pandemic is essential to pandemic preparedness for future emerging infectious disease outbreaks. Individuals make complex decisions around adherence by calibrating transmission risks, therefore treating adherence as binary should be avoided
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…
The Rapid Adaptation and Optimisation of a Digital Behaviour-Change Intervention to Reduce the Spread of Covid-19 in Schools
The rapid transmission of COVID-19 in school communities has been a major concern. To ensure that mitigation systems were in place and support was available, a digital intervention to encourage and facilitate infection-control behaviours was rapidly adapted and optimised for implementation as a whole-school intervention. Using the person-based approach, 'Germ Defence' was iteratively adapted, guided by relevant literature, co-production with Pati…
Feasibility and acceptability of daily testing at school as an alternative to self-isolation following close contact with a confirmed case of Covid-19
Daily testing may be a feasible and acceptable alternative to self-isolation among close contacts of people who test positive. However, improved communications are needed to ensure that all students and parents have a good understanding of the rationale for testing, what test results mean, how test results should be acted on, and how likely students are to test positive following close contact. Support is needed for students and parents of studen…
A qualitative process analysis of daily contact testing as an alternative to self-isolation following close contact with a confirmed carrier of Sars-CoV-2
Participants in this study viewed DCT as a sensible, feasible, and welcome means of avoiding unnecessary self-isolation. Although negative LFTs provided reassurance, most people still restricted their activity as recommended. DCT was also highly valued by those in vulnerable households as a means of providing reassurance of the absence of infection and as an important means of detecting infection and prompting self-isolation when necessary
Exploring the impact of shielding advice on the wellbeing of individuals identified as clinically extremely vulnerable amid the Covid-19 pandemic
This research highlights the difficulties in providing generic messaging that is applicable and appropriate given the diversity of individuals identified as CEV and the importance of sharing tailored and timely advice to inform shielding decisions. Providing messages that reinforce self-determined action and assistance from support services could reduce the negative impact of shielding on mental health and feelings of social isolation
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…
Engagement With Daily Testing Instead of Self-Isolating in Contacts of Confirmed Cases of Sars-CoV-2
Introduction: In December 2020 and January 2021 Public Health England (PHE) with NHS Test and Trace conducted a study to explore the feasibility and acceptability of daily testing as an alternative to self-isolation following close contact with a confirmed COVID-19 case. This qualitative paper aims to identify factors influencing uptake among those offered daily testing, and the subsequent impact on behaviour. Methods: We conducted in-depth inter…
Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample
BACKGROUND: Having a stroke or transient ischaemic attack increases the risk of a subsequent one, especially with high blood pressure (BP). Home-based BP management can be effective at maintaining optimal BP. OBJECTIVE: To describe the optimization of a digital intervention for stroke patients and the value of participant diversity, using the person-based approach (PBA) and integral patient and public involvement (PPI). SETTING AND PARTICIPANTS: …
To Adapt or Not to Adapt
Self-management education (SME) is a key determinant of diabetes treatment outcomes. While SME programs are often adapted for implementation, the impact of adaptations on diabetes SME effectiveness is not well documented. This study evaluated the impact of the implementation fidelity of diabetes SME programs on program effectiveness, exploring which factors influence implementation fidelity. Data from 33 type 2 diabetes SME program providers and …
Preventing within household transmission of Covid-19
The provision of accommodation to prevent within household transmission of Covid-19 is viewed as acceptable, feasible and necessary by some people who are concerned about infection transmission in the home and are unable to self-isolate or socially distance at home. Different households will have different requirements, e.g., those with caring responsibilities, and to overcome these challenges additional support may be needed for the provision of…
Engagement with daily testing instead of self-isolating in contacts of confirmed cases of Sars-CoV-2
Our data suggest that daily testing is potentially acceptable, may facilitate sharing contact details of close contacts among those who test positive for COVID-19, and promote adherence to self-isolation. A better understanding is needed of how to make this option more acceptable for all households. The impact of receiving a negative test on behaviour remains a risk that needs to be monitored and mitigated by appropriate messaging. Future researc…
Multidisciplinary research priorities for the Covid-19 pandemic
Harnessing behavioural science in public health campaigns to maintain ‘social distancing’ in response to the Covid-19 pandemic
Coronavirus Disease 2019 (COVID-19), like Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), is an infection arising from a coronavirus. The COVID-19 pandemic is unprecedented in recent times in terms of the global spread of infection and the resultant morbidity, mortality and burden on health systems. In the absence of a vaccine, reducing transmission of the COVID-19 virus requires rapid and extensive behaviour…
Guidance on how to develop complex interventions to improve health and healthcare
OBJECTIVE: To provide researchers with guidance on actions to take during intervention development. SUMMARY OF KEY POINTS: Based on a consensus exercise informed by reviews and qualitative interviews, we present key principles and actions for consideration when developing interventions to improve health. These include seeing intervention development as a dynamic iterative process, involving stakeholders, reviewing published research evidence, dra…
Taxonomy of approaches to developing interventions to improve health
BACKGROUND: Interventions need to be developed prior to the feasibility and piloting phase of a study. There are a variety of published approaches to developing interventions, programmes or innovations to improve health. Identifying different types of approach, and synthesising the range of actions taken within this endeavour, can inform future intervention development. METHODS: This study is a systematic methods overview of approaches to interve…
Using qualitative methods for digital intervention development
Developing and Evaluating Digital Interventions to Promote Behavior Change in Health and Health Care
Devices and programs using digital technology to foster or support behavior change (digital interventions) are increasingly ubiquitous, being adopted for use in patient diagnosis and treatment, self-management of chronic diseases, and in primary prevention. They have been heralded as potentially revolutionizing the ways in which individuals can monitor and improve their health behaviors and health care by improving outcomes, reducing costs, and i…
Resisting medicines
Constructing Agency in Treatment Decisions
People belonging to cancer patient support groups participated in focus groups concerning their experiences of orthodox and complementary medicine. Their accounts of treatment decisions for cancer were analysed through discourse analysis. Accounts of both complementary and orthodox medicine addressed an ideological dilemma concerning the positioning of individuals as active or passive. Active positions were congruent with the everyday value of au…
Experiences of adjusting to early stage Multiple Sclerosis
Multiple Sclerosis (MS) is a progressive, unpredictable neurological disease. Little research has examined adjustment to living with MS, especially within early disease stages. We interviewed 30 people with early stage MS and analysed transcripts using thematic analysis. Early stage MS was typically considered difficult but manageable and was dealt with through positivity and practical strategies to preserve normal life. However, adjustment seeme…
How does social comparison within a self-help group influence adjustment to chronic illness? A longitudinal study
The influence on carer wellbeing of motivations to care for older people and the relationship with the care recipient
This paper reports an analysis of the relative influence of work-related, care-related and personal factors on carer outcomes among 204 working female carers. To examine the importance of personal factors, the ‘Motivations in Elder Care Scale’ (MECS) and the ‘Relationships in Elder Care Scale’ (RECS) were developed. In a qualitative pilot study, interviews with working-age carers were drawn on to form the items for inclusion. The MECS included it…
Harnessing behavioural science in public health campaigns to maintain ‘social distancing’ in response to the Covid-19 pandemic
Coronavirus Disease 2019 (COVID-19), like Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), is an infection arising from a coronavirus. The COVID-19 pandemic is unprecedented in recent times in terms of the global spread of infection and the resultant morbidity, mortality and burden on health systems. In the absence of a vaccine, reducing transmission of the COVID-19 virus requires rapid and extensive behaviour…
Attitudes and Beliefs That Predict Older People's Intention to Undertake Strength and Balance Training
Many older people refuse to participate in programs of strength and balance training (SBT), limiting their effectiveness for falls prevention. To persuade older people to take up SBT, we need to know whether their intention to undertake SBT is motivated by the perceived threat of falling or the perceived suitability and benefits of SBT. A survey of 558 people aged 60 to 95 years assessed intention to undertake SBT, as well as measures of threat a…
I'm Not a Doctor
This article deconstructs accounts of coping with dizziness and causes of dizziness, using content analysis of interviews with 37 sufferers. Interviewees claimed that they were determined to cope, but were unable to master their illness. They reported attempting to conceal their problem and cope independently, but also admitted to relying on help from others. Most interviewees denied having any idea of what might cause dizziness, but nevertheless…
The quest for natural communication
This paper examines the 'natural/artificial' dichotomy in the context of health-related technology, illustrated here by the issue of communication with deaf people. Since representation and technology form an intrinsic part of human 'nature' and human lives, the distinction between the 'natural' and the 'artificial' is problematic if intended as a reference to specific characteristics of human bodies, capabilities or activities (e.g. the use of 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…
Treat or Treatment
Objectives. We analyzed how patients use complementary and alternative medicine (CAM) and examined how patients’ perspectives relate to existing, expert-led taxonomies. Methods. We conducted semistructured interviews with 46 people who used CAM in southern England, then performed a qualitative thematic analysis of the interviews. Results. CAM appeared to be used in 4 different ways: as treats, and as alternative, complementary, or conventional tr…
Patients' appraisals of public and private healthcare
Patients have previously reported differences in their experiences of treatments received in the public and private sectors; it remains unclear whether such perceived differences are particular to or shared across different interventions. This study explored whether patients' appraisals of public and private treatments are similar when appraising a complementary therapy (osteopathy) compared to a mainstream therapy (physiotherapy). Thirty-five qu…
Under the Influence? The Construction of Foetal Alcohol Syndrome in UK Newspapers
Today, alongside many other proscriptions, women are expected to abstain or at least limit their alcohol consumption during pregnancy. This advice is reinforced through warning labels on bottles and cans of alcoholic drinks. In most (but not all) official policies, this is linked to a risk of Foetal Alcohol Syndrome (FAS) or one of its associated conditions. However, given that there is little medical evidence that low levels of alcohol consumpti…
Developing a Dynamic Model of Treatment Perceptions
A description of factors influencing perceptions of nonpharmacological treatment was derived inductively from interviews with people receiving chiropractic treatment for back pain, using grounded theory analysis. A theoretical model linking these factors was constructed, and was tested using interview data from a longitudinal study of people undertaking exercise therapy for dizziness. The model highlights the potential for reciprocal interactions…
Prediction of handicap and emotional distress in patients with recurrent vertigo
Prediction of handicap and emotional distress in patients with recurrent vertigo
Reconciling Discursive and Materialist Perspectives on Health and Illness
This paper examines the feasibility of developing `material-discursive' approaches suitable for studying the reciprocal interactions between the sociolinguistic and physical aspects of health and illness. The term `discursive' is used in the broadest possible sense, to refer to a mode of description characterized by awareness of the socially constructed and linguistically mediated nature of human experience. Similarly, the term `material' is exte…
The quest for natural communication
This paper examines the 'natural/artificial' dichotomy in the context of health-related technology, illustrated here by the issue of communication with deaf people. Since representation and technology form an intrinsic part of human 'nature' and human lives, the distinction between the 'natural' and the 'artificial' is problematic if intended as a reference to specific characteristics of human bodies, capabilities or activities (e.g. the use of p…
I'm Not a Doctor
This article deconstructs accounts of coping with dizziness and causes of dizziness, using content analysis of interviews with 37 sufferers. Interviewees claimed that they were determined to cope, but were unable to master their illness. They reported attempting to conceal their problem and cope independently, but also admitted to relying on help from others. Most interviewees denied having any idea of what might cause dizziness, but nevertheless…
Dilemmas in qualitative health research
As the use of qualitative methods in health research proliferates, it becomes increasingly necessary to consider how the value of a piece of qualitative research should be assessed. This article discusses the problem posed by the novelty and diversity of qualitative approaches within health psychology and considers the question of what criteria are appropriate for assessing the validity of a qualitative analysis. In keeping with the ethos of much…
Developing a Dynamic Model of Treatment Perceptions
A description of factors influencing perceptions of nonpharmacological treatment was derived inductively from interviews with people receiving chiropractic treatment for back pain, using grounded theory analysis. A theoretical model linking these factors was constructed, and was tested using interview data from a longitudinal study of people undertaking exercise therapy for dizziness. The model highlights the potential for reciprocal interactions…
Naming the stars
The influence on carer wellbeing of motivations to care for older people and the relationship with the care recipient
This paper reports an analysis of the relative influence of work-related, care-related and personal factors on carer outcomes among 204 working female carers. To examine the importance of personal factors, the ‘Motivations in Elder Care Scale’ (MECS) and the ‘Relationships in Elder Care Scale’ (RECS) were developed. In a qualitative pilot study, interviews with working-age carers were drawn on to form the items for inclusion. The MECS included it…
Constructing Agency in Treatment Decisions
People belonging to cancer patient support groups participated in focus groups concerning their experiences of orthodox and complementary medicine. Their accounts of treatment decisions for cancer were analysed through discourse analysis. Accounts of both complementary and orthodox medicine addressed an ideological dilemma concerning the positioning of individuals as active or passive. Active positions were congruent with the everyday value of au…
Development and initial validation of the Falls Efficacy Scale-International (FES-I)
BACKGROUND: There is a need for a measure of fear of falling that assesses both easy and difficult physical activities and social activities and is suitable for use in a range of languages and cultural contexts, permitting direct comparison between studies and populations in different countries and settings. OBJECTIVE: To develop a modified version of the Falls Efficacy Scale to satisfy this need, and to establish its psychometric properties, rel…
Resisting medicines
Evaluation of Booklet-Based Self-Management of Symptoms in Ménière Disease
OBJECTIVE: This study examined the effectiveness of booklet-based education in vestibular rehabilitation (VR) and symptom control (SC) techniques to manage vertigo and dizziness in Ménière disease. METHODS: Participants (n = 360) were randomized to a waiting list control group or to receive either a VR or an SC self-management booklet. VR involved provoking dizziness in a controlled manner by making repeated head movements in order to promote neu…
How does social comparison within a self-help group influence adjustment to chronic illness? A longitudinal study
Internet provision of tailored advice on falls prevention activities for older people
Falls are very common in older persons and can result in substantial disability and distress. By undertaking strength and balance training (SBT) exercises, older people can reduce their risk of falling. The Internet offers a potentially cost-effective means of disseminating information about SBT to older people and their carers. A particular advantage of using the Internet for this purpose is that the advice given can be 'tailored' to the needs o…
Attitudes and Beliefs That Predict Older People's Intention to Undertake Strength and Balance Training
Many older people refuse to participate in programs of strength and balance training (SBT), limiting their effectiveness for falls prevention. To persuade older people to take up SBT, we need to know whether their intention to undertake SBT is motivated by the perceived threat of falling or the perceived suitability and benefits of SBT. A survey of 558 people aged 60 to 95 years assessed intention to undertake SBT, as well as measures of threat a…
Treat or Treatment
Objectives. We analyzed how patients use complementary and alternative medicine (CAM) and examined how patients’ perspectives relate to existing, expert-led taxonomies. Methods. We conducted semistructured interviews with 46 people who used CAM in southern England, then performed a qualitative thematic analysis of the interviews. Results. CAM appeared to be used in 4 different ways: as treats, and as alternative, complementary, or conventional tr…
What infection control measures will people carry out to reduce transmission of pandemic influenza? A focus group study
Handwashing could prove a useful target for health promotion, but interventions to promote infection control may need to address a number of factors identified within this study as potential barriers to carrying out infection control behaviours
Using the Internet to Promote Health Behavior Change
Under the Influence? The Construction of Foetal Alcohol Syndrome in UK Newspapers
Today, alongside many other proscriptions, women are expected to abstain or at least limit their alcohol consumption during pregnancy. This advice is reinforced through warning labels on bottles and cans of alcoholic drinks. In most (but not all) official policies, this is linked to a risk of Foetal Alcohol Syndrome (FAS) or one of its associated conditions. However, given that there is little medical evidence that low levels of alcohol consumpti…
P1-21 Cluster randomised trials in a healthcare database
Introduction Cluster randomised trials (CRTs) may have limited power because of the correlation of individual responses within clusters and the allocation of only small numbers of clusters. This ongoing study evaluates whether a CRT may be implemented utilising the electronic patient records of the general practice research database (GPRD) that includes large numbers of UK family practices. Methods The trial aims to reduce antibiotic prescribing …
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…
Experiences of adjusting to early stage Multiple Sclerosis
Multiple Sclerosis (MS) is a progressive, unpredictable neurological disease. Little research has examined adjustment to living with MS, especially within early disease stages. We interviewed 30 people with early stage MS and analysed transcripts using thematic analysis. Early stage MS was typically considered difficult but manageable and was dealt with through positivity and practical strategies to preserve normal life. However, adjustment seeme…
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…
Patients' appraisals of public and private healthcare
Patients have previously reported differences in their experiences of treatments received in the public and private sectors; it remains unclear whether such perceived differences are particular to or shared across different interventions. This study explored whether patients' appraisals of public and private treatments are similar when appraising a complementary therapy (osteopathy) compared to a mainstream therapy (physiotherapy). Thirty-five qu…
The Person-Based Approach to Intervention Development
This paper describes an approach that we have evolved for developing successful digital interventions to help people manage their health or illness. We refer to this as the "person-based" approach to highlight the focus on understanding and accommodating the perspectives of the people who will use the intervention. While all intervention designers seek to elicit and incorporate the views of target users in a variety of ways, the person-based appr…
Medicine (41 works) · Psychology (33 works) · Nursing (22 works) · Computer Science (16 works) · Psychological intervention (16 works) · Public health (16 works) · Qualitative research (16 works) · Sociology (14 works) · COVID-19 and Mental Health (13 works) · Family medicine (11 works)