Aileen Clarke
Biographic Data
| ID | 3581726 |
|---|---|
| NAME | Aileen Clarke |
| GIVEN NAMES | Aileen |
| FAMILY NAME | Clarke |
| SIGNATURE | CLARKE A |
| AFFILIATIONS | University of Warwick |
| ORCID | 0000-0001-8299-3146 |
| VERIFIED | Yes |
| TOTAL WORKS | 34 |
| TOTAL CITATIONS | 68 |
| AUTHOR COUNT | 34 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1980 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 4 |
Access and triage in contemporary general practice
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal pathways. Asynchronous, digitally-mediated triage decisions have largely replaced synchronous conversations between humans. In this paper, we draw on a large qualitative dataset from a multi-site study of remote and digital technologies in general practice to understand widening inequities of acces…
Investigating informed choice in screening programmes
We conclude that organisations need to decide whether their overarching aim is ensuring high levels of uptake or maximising informed choice to participate in screening programmes. Consideration must then be given to all levels of development and distribution of information produced to reflect each organisation's aim. The comprehensibility of the DA must also be considered, as this may be reduced when informed choice is prioritised
Paragons, Mavericks and Innovators—A typology of orthopaedic surgeons' professional identities. A comparative case study of evidence‐based practice
Clinical guidelines, as vehicles for evidence‐based practice (EBP) attempt to standardize health‐care practice, reduce variation and increase quality. However, their use for surgery has been contested, and often resisted. This article examines professional responses to EBP in hip replacement surgery using data from case study observations and interviews in three English orthopaedic departments. A professional identity perspective is adopted to ex…
Evaluating the relationship between moral values and vaccine hesitancy in Great Britain during the Covid-19 pandemic
Four automatic moral intuitions (authority, liberty, care, and sanctity) were significantly associated with vaccine hesitancy. Foundation-aligned messages could be developed to motivate those people who may otherwise refuse vaccines, e.g., messages that strongly promote liberty or that de-emphasize authority voices. This suggestion moves away from mandates and promotes the inclusion of a more diverse range of voices in pro-vaccination campaigns
Knowledge mobilisation in orthopaedic surgery in England
Background: Healthcare policy encourages the use of scientific evidence in the delivery of healthcare services. However, the complexity of practice restricts the use of codified knowledge in clinical guidelines despite continued effort from policymakers to ensure their use in practice. This study adopts a knowledge mobilisation perspective to explore the multiple levels through which scientific evidence is enacted to generate variation in practic…
Pillar Integration Process
Despite an emphasis on integration in mixed methods research, there remain relatively few well-articulated integration techniques for use by researchers. We developed the Pillar Integration Process, a transparent and rigorous four-stage technique for integrating and presenting qualitative and quantitative findings in a joint display. The purpose of this article is to describe the technique and illustrate how it was developed and applied using via…
OP75 Increased Consumption of Fruit and Vegetables for the Primary Prevention of Cardiovascular Diseases – A Cochrane Systematic Review
Background Cardiovascular disease (CVD) is a global burden and varies between regions. This regional variation has been linked in part to dietary factors and low fruit and vegetable intake has been associated with higher rates of CVD. Objectives: To determine the effectiveness of advice to increase fruit and vegetable consumption and the provision of fruit and vegetables to increase consumption, for the primary prevention of CVD. Methods The foll…
PP10 Green and Black Tea for the Primary Prevention of Cardiovascular Disease (CVD)
Background There is increasing evidence that both green and black tea are beneficial for cardiovascular disease (CVD) prevention. Objective Determine the effects of green and black tea on the primary prevention of CVD. Methods The following electronic databases were searched with no language restrictions from their inception to October 2012: MEDLINE, EMBASE, CINAHL, Web of Science, the Cochrane Library and trial registers. Included studies fulfil…
OP41 Practising Partnership
Background The 2010 NHS White Paper Equity and Excellence: Liberating the NHS proposed major changes to how public health services are delivered from 2013. The imminent transition of public health into local authorities will have implications for how services are planned, commissioned and implemented, particularly for wellbeing initiatives. Anticipating this transition, a city-wide initiative brought together Local Authority and NHS Public Health…
PP02 Cost-Effectiveness of New left Ventricular Assist Devices (LVADS) for Patients with advanced Heart Failure
Background Public health measures aim to prevent people from reaching tertiary prevention or palliative or heroic care. Nevertheless these remain the only options for some people. There is an expanding population with very severe heart failure and although heart transplant is the optimal treatment, this option is dependent on a diminishing supply of donor hearts. For more than a decade, the NHS has supported the transplant programme for patients …
PS14 A Systematic Review of Evidence on Malignant Spinal Metastases
Background Spinal metastases are common and can lead to significant morbidity and reduction in quality of life towards the end of life due to spinal cord compression (SCC). Between 5% and 20% of patients with spinal metastases develop metastatic spinal cord compression (MSCC) during the course of their disease. Understanding early diagnosis of spinal metastases and prediction of collapse of the metastatic vertebrae is important. Methods A systema…
OP40 Selenium Supplementation for the Primary Prevention of Cardiovascular Disease (CVD) – A Cochrane Systematic Review
Background Selenium is a key component of a number of selenoproteins which protect against oxidative stress and have the potential to prevent chronic diseases including CVD. However, observational studies have shown inconsistent associations between selenium intake and CVD risk; in addition there is concern around an increased risk of type 2 diabetes with high selenium exposure. Objective To determine the effectiveness of selenium only supplement…
PS18 Analysis of Emergency 30-Day Readmissions in England Using Routine Hospital Data 2004-2010. Is there Scope for Reduction
Background A number of health systems including the NHS have recently introduced arrangements to deny payment if a patient is readmitted to hospital as an emergency soon after a period of care. These approaches assume that emergency admissions are a reflection of poor quality of care and of errors or failure in the original care episode. Our objectives were to assess the extent and types of readmission within 30 days and possible causes and scope…
OP90 Evaluating Mental Wellbeing in Children with Health Related Barriers to Learning
Background Clear associations have been demonstrated between poor mental health, behavioural problems and low educational attainment in secondary school children while negative self-perceptions are associated with truancy and classroom disruption at secondary school level. The majority of research in this field focuses and measures outcomes in terms of mental illness. Fewer interventions have been evaluated using positive mental health/mental wel…
Social networks - The future for health care delivery
Factors associated with female genital mutilation in Burkina Faso and its policy implications
Data were available on 12,049 women. Response rates by region were at least 90%. Women interviewed were representative of the underlying populations of the different regions of Burkina Faso. Seventy seven percent (9267) of the women interviewed had had FGM. 7336 women had a daughter of whom 2216 (30.2%) had a daughter with FGM and 334 (4.5%) said that they intended that their daughter should have it. Univariate analysis showed that age, religion,…
Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
WEMWBS is a psychometrically strong population measure of mental wellbeing, and can be used for this purpose in teenagers aged 13 and over
Vitamin D to reduce depressive symptoms
Background Both vitamin D deficiency/insufficiency and depression are major global public health concerns. An estimated 1 billion people worldwide have low vitamin D levels and the WHO reports that depression is the third largest burden of disease worldwide. In the last 10 years animal, genetic and cross-sectional studies have shown an association between low vitamin D levels and increased depressive symptoms. Objectives (1) To examine the associ…
What factors are associated with a validated measure of mental wellbeing in the general population in Coventry? A stratified random cross sectional survey
Background Higher levels of mental wellbeing and positive psychological functioning have been associated with better physical functioning at older ages, better self-rated health (SRH), reductions in neuroendocrine, inflammatory and cardiovascular activity, and decreased risk of mortality in healthy and diseased populations. Nevertheless there is no data available on levels of mental wellbeing for the majority of populations worldwide. We aimed to…
Does the performance of mammography readers in the NHSBSP vary? And how much does this matter
Background Each year in the UK there are ∼ 49 000 incident cases of breast cancer, ∼ 12,000 deaths from breast cancer, and 2.6 million women are invited for screening by the UK National Health Service Breast Screening Programme (NHSBSP). The NHSBSP aims to reduce mortality from breast cancer through earlier diagnosis and treatment. In the NHSBSP trained mammography readers read more than 5000 cases per year, searching for early signs of cancer. T…
The Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
Background The outcomes framework for the new public health and mental health strategies in England (Healthy Lives Healthy People and No Health without Mental Health) both propose monitoring positive mental health. The Office of National Statistics is currently consulting on approaches to the measurement of wellbeing. Public mental health projects and interventions at local level require measurement of mental wellbeing The Warwick-Edinburgh Menta…
Collaborative working within UK NHS secondary care and across sectors for COPD and the impact of peer review
The data come from the first randomised controlled trial of organisational peer review, adding to research into UK health service collaborative work, which has had a more restricted focus on inter-professional relations. NCROP peer review may only modestly improve collaboration but these data suggest it might be more effective than top-down exhortations to change when collaboration both across and within organisations is required
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…
New directions in European public health research
Public health draws from a range of academic disciplines, social, medical and statistical, and answers questions relevant to improving the health of populations. We have initiated a Europe-wide study, Strengthening Public Health Research in Europe, to assess the development and use of public health research in both public policy and local decision making. The contemporary challenge for public health research is to integrate the capabilities of di…
Prophylactic oophorectomy
Removal of a woman’s ovaries (known as bilateral oophorectomy, ovariectomy or, historically, ovariotomy) is undertaken in a number of countries. An estimated 19 000 women aged
Pillar Integration Process
Despite an emphasis on integration in mixed methods research, there remain relatively few well-articulated integration techniques for use by researchers. We developed the Pillar Integration Process, a transparent and rigorous four-stage technique for integrating and presenting qualitative and quantitative findings in a joint display. The purpose of this article is to describe the technique and illustrate how it was developed and applied using via…
Social networks - The future for health care delivery
The Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
Background The outcomes framework for the new public health and mental health strategies in England (Healthy Lives Healthy People and No Health without Mental Health) both propose monitoring positive mental health. The Office of National Statistics is currently consulting on approaches to the measurement of wellbeing. Public mental health projects and interventions at local level require measurement of mental wellbeing The Warwick-Edinburgh Menta…
Evaluating the relationship between moral values and vaccine hesitancy in Great Britain during the Covid-19 pandemic
Four automatic moral intuitions (authority, liberty, care, and sanctity) were significantly associated with vaccine hesitancy. Foundation-aligned messages could be developed to motivate those people who may otherwise refuse vaccines, e.g., messages that strongly promote liberty or that de-emphasize authority voices. This suggestion moves away from mandates and promotes the inclusion of a more diverse range of voices in pro-vaccination campaigns
Access and triage in contemporary general practice
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal pathways. Asynchronous, digitally-mediated triage decisions have largely replaced synchronous conversations between humans. In this paper, we draw on a large qualitative dataset from a multi-site study of remote and digital technologies in general practice to understand widening inequities of acces…
Knowledge mobilisation in orthopaedic surgery in England
Background: Healthcare policy encourages the use of scientific evidence in the delivery of healthcare services. However, the complexity of practice restricts the use of codified knowledge in clinical guidelines despite continued effort from policymakers to ensure their use in practice. This study adopts a knowledge mobilisation perspective to explore the multiple levels through which scientific evidence is enacted to generate variation in practic…
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…
New directions in European public health research
Public health draws from a range of academic disciplines, social, medical and statistical, and answers questions relevant to improving the health of populations. We have initiated a Europe-wide study, Strengthening Public Health Research in Europe, to assess the development and use of public health research in both public policy and local decision making. The contemporary challenge for public health research is to integrate the capabilities of di…
Removing organs “just in case”—is prophylactic removal of the ovaries a good thing
This papers highlights the issues and illustrates a research agenda for trying to disentangle the problems of the continuing use of an untested technbology—prophylactic oophorectomy—at the time of hysterectomy
What is a chronic disease? The effects of a re-definition in HIV and Aids
Recruiting apprentices
The Job Disposition Questionnaire (JDQ) is being developed as an aid to the occupational guidance, selection and placement of young people. The first phase of a long‐term study in the Electricity Supply Industry suggests that the JDQ can be used to identify those applicants who have the same attitude to the conditions and content of a job as apprentices with 2 or 3 years' experience; and further, that it can be used to distinguish between the ‘jo…
The league-al limit hospitals, death and league tables
What is a chronic disease? The effects of a re-definition in HIV and Aids
Does a shorter length of hospital stay affect the outcome and costs of hysterectomy in southern England
STUDY OBJECTIVE: To see whether a shorter postoperative length of stay (LOS) for a major procedure, abdominal hysterectomy for benign conditions, was associated with health outcome, the use of formal and lay care after discharge, cost, and satisfaction. DESIGN: Prospective cohort study. SETTING: Three hospitals in London and three in Hertfordshire and Bedfordshire. PATIENTS: A total of 363 women undergoing total abdominal hysterectomy with or wit…
Women's views of two interventions designed to assist in the prophylactic oophorectomy decision
Introduction A qualitative pilot evaluation of two different decision interventions for the prophylactic oophorectomy (PO) decision: a Decision Chart and a computerized clinical guidance programme (CGP) was undertaken. The Decision Chart, representing current practice in decision interventions, presents population‐based information. The CGP elicits individual values to allow for quality‐adjusted life years to be calculated and an explicit guidanc…
Consequences of legislative changes to methadone prescribing in Ireland
Psychosexual health 5 years after hysterectomy
Background We report a population‐based comparison of psychosexual health 5 years after contrasting amounts of surgical treatments for heavy periods [dysfunctional uterine bleeding (DUB)]. Women's fears about sexual function after hysterectomy might not be unfounded. The psychosexual problems may return and/or develop with time. The removal of ovaries at the time of hysterectomy is associated with greater deterioration of self‐reported sexual fun…
Information in mental health
Background Despite the widespread proliferation of consumer health information provision, little is known about information needs or information‐seeking behaviour in mental health. A qualitative study was therefore undertaken to explore these issues for mental health service users. Design In‐depth interview study with purposive sample of 36 men and women with experience of mental health problems. Results Four main themes were identified. A genera…
Removing organs “just in case”—is prophylactic removal of the ovaries a good thing
This papers highlights the issues and illustrates a research agenda for trying to disentangle the problems of the continuing use of an untested technbology—prophylactic oophorectomy—at the time of hysterectomy
New directions in European public health research
Public health draws from a range of academic disciplines, social, medical and statistical, and answers questions relevant to improving the health of populations. We have initiated a Europe-wide study, Strengthening Public Health Research in Europe, to assess the development and use of public health research in both public policy and local decision making. The contemporary challenge for public health research is to integrate the capabilities of di…
Prophylactic oophorectomy
Removal of a woman’s ovaries (known as bilateral oophorectomy, ovariectomy or, historically, ovariotomy) is undertaken in a number of countries. An estimated 19 000 women aged
Collaborative working within UK NHS secondary care and across sectors for COPD and the impact of peer review
The data come from the first randomised controlled trial of organisational peer review, adding to research into UK health service collaborative work, which has had a more restricted focus on inter-professional relations. NCROP peer review may only modestly improve collaboration but these data suggest it might be more effective than top-down exhortations to change when collaboration both across and within organisations is required
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…
Factors associated with female genital mutilation in Burkina Faso and its policy implications
Data were available on 12,049 women. Response rates by region were at least 90%. Women interviewed were representative of the underlying populations of the different regions of Burkina Faso. Seventy seven percent (9267) of the women interviewed had had FGM. 7336 women had a daughter of whom 2216 (30.2%) had a daughter with FGM and 334 (4.5%) said that they intended that their daughter should have it. Univariate analysis showed that age, religion,…
Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
WEMWBS is a psychometrically strong population measure of mental wellbeing, and can be used for this purpose in teenagers aged 13 and over
Vitamin D to reduce depressive symptoms
Background Both vitamin D deficiency/insufficiency and depression are major global public health concerns. An estimated 1 billion people worldwide have low vitamin D levels and the WHO reports that depression is the third largest burden of disease worldwide. In the last 10 years animal, genetic and cross-sectional studies have shown an association between low vitamin D levels and increased depressive symptoms. Objectives (1) To examine the associ…
What factors are associated with a validated measure of mental wellbeing in the general population in Coventry? A stratified random cross sectional survey
Background Higher levels of mental wellbeing and positive psychological functioning have been associated with better physical functioning at older ages, better self-rated health (SRH), reductions in neuroendocrine, inflammatory and cardiovascular activity, and decreased risk of mortality in healthy and diseased populations. Nevertheless there is no data available on levels of mental wellbeing for the majority of populations worldwide. We aimed to…
Does the performance of mammography readers in the NHSBSP vary? And how much does this matter
Background Each year in the UK there are ∼ 49 000 incident cases of breast cancer, ∼ 12,000 deaths from breast cancer, and 2.6 million women are invited for screening by the UK National Health Service Breast Screening Programme (NHSBSP). The NHSBSP aims to reduce mortality from breast cancer through earlier diagnosis and treatment. In the NHSBSP trained mammography readers read more than 5000 cases per year, searching for early signs of cancer. T…
The Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
Background The outcomes framework for the new public health and mental health strategies in England (Healthy Lives Healthy People and No Health without Mental Health) both propose monitoring positive mental health. The Office of National Statistics is currently consulting on approaches to the measurement of wellbeing. Public mental health projects and interventions at local level require measurement of mental wellbeing The Warwick-Edinburgh Menta…
PS14 A Systematic Review of Evidence on Malignant Spinal Metastases
Background Spinal metastases are common and can lead to significant morbidity and reduction in quality of life towards the end of life due to spinal cord compression (SCC). Between 5% and 20% of patients with spinal metastases develop metastatic spinal cord compression (MSCC) during the course of their disease. Understanding early diagnosis of spinal metastases and prediction of collapse of the metastatic vertebrae is important. Methods A systema…
OP40 Selenium Supplementation for the Primary Prevention of Cardiovascular Disease (CVD) – A Cochrane Systematic Review
Background Selenium is a key component of a number of selenoproteins which protect against oxidative stress and have the potential to prevent chronic diseases including CVD. However, observational studies have shown inconsistent associations between selenium intake and CVD risk; in addition there is concern around an increased risk of type 2 diabetes with high selenium exposure. Objective To determine the effectiveness of selenium only supplement…
PS18 Analysis of Emergency 30-Day Readmissions in England Using Routine Hospital Data 2004-2010. Is there Scope for Reduction
Background A number of health systems including the NHS have recently introduced arrangements to deny payment if a patient is readmitted to hospital as an emergency soon after a period of care. These approaches assume that emergency admissions are a reflection of poor quality of care and of errors or failure in the original care episode. Our objectives were to assess the extent and types of readmission within 30 days and possible causes and scope…
OP90 Evaluating Mental Wellbeing in Children with Health Related Barriers to Learning
Background Clear associations have been demonstrated between poor mental health, behavioural problems and low educational attainment in secondary school children while negative self-perceptions are associated with truancy and classroom disruption at secondary school level. The majority of research in this field focuses and measures outcomes in terms of mental illness. Fewer interventions have been evaluated using positive mental health/mental wel…
Social networks - The future for health care delivery
OP75 Increased Consumption of Fruit and Vegetables for the Primary Prevention of Cardiovascular Diseases – A Cochrane Systematic Review
Background Cardiovascular disease (CVD) is a global burden and varies between regions. This regional variation has been linked in part to dietary factors and low fruit and vegetable intake has been associated with higher rates of CVD. Objectives: To determine the effectiveness of advice to increase fruit and vegetable consumption and the provision of fruit and vegetables to increase consumption, for the primary prevention of CVD. Methods The foll…
Medicine (31 works) · Nursing (14 works) · Psychology (14 works) · Political science (12 works) · Internal Medicine (10 works) · Psychiatry (10 works) · Internal Medicine (9 works) · Population (9 works) · Psychological intervention (8 works) · Health care (7 works)