Fiona A Stevenson
Datos Biográficos
| ID | 370415 |
|---|---|
| NOMBRE | Fiona A Stevenson |
| NOMBRES | Fiona A |
| APELLIDO | Stevenson |
| FIRMA | STEVENSON F A |
| AFILIACIONES | Roland Hill (United Kingdom) |
| ORCID | 0000-0003-2139-2309 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 48 |
| TOTAL DE CITAS | 404 |
| TOTAL COMO AUTOR | 48 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1984 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 9 |
“I can't show them on the phone so it's what I say and I'm not saying a lot.” – The loss of nonverbal and visual cues during telephone consultations, equity of access and the impact on marginalised pa…
Background There has been an increase in the use of telephone consultations in General Practice in the UK during and since the COVID-19 pandemic. This results in a reliance on verbal communication alone due to the loss of non-verbal and visual cue. The consequences of this for inequities of healthcare in marginalised groups is underexplored This paper examines accounts of patients from marginalised groups of the impact of loss of non-verbal and v…
Experiencing Socioeconomic Deprivation as a Carer in the United Kingdom
BACKGROUND: Informal carers compose approximately 7% of the UK population and, through their unpaid care, they make important contributions to society and the health care industry. Being an informal carer is higher in people experiencing socioeconomic deprivation; however, no qualitative research has explored the impact of this on the ability to provide care for those with long-term conditions. AIM: To explore the experiences and challenges of be…
Do community-based digital health inclusion programmes contribute to tackling health inequalities in disadvantaged population groups
Themes highlight the importance of recipient-centred support by Voluntary and Community Sector Organisations (VCSOs) which centres the unique needs of specific communities. Our data provide policymakers with a model for implementation that could be replicated and scaled-up. Our data add to the public health, primary care and digital health research by proposing an initial programme theory for how Digital Health Hubs may reduce health inequalities…
Preserving and Sharing Data Suitable for Conversation Analysis of Health Interactions
Achieving patient weighing in UK primary care. A conversation analytic study
Addressing issues of weight with people with type 2 diabetes is increasingly becoming part of the workload of primary care. This includes taking weight measurements during consultations. Evidence suggests that weighing is experienced as difficult for health professionals and patients. This study explores how weighing is accomplished and identifies strategies and practices that can be used in primary care settings. Data are drawn from two large UK…
Barriers and facilitators of self‐management of diabetes amongst people experiencing socioeconomic deprivation
A qualitative exploration of the barriers and facilitators to self‐managing multiple long‐term conditions amongst people experiencing socioeconomic deprivation
BACKGROUND: Globally, it is estimated that one in three adults live with two or more long-term conditions (multiple long-term conditions, MLTCs), that require self-management. People who experience socioeconomic deprivation face significant health inequalities due to a range of interrelated characteristics that lead to a lack of resources and opportunities. Previous research with underserved populations indicate low levels of trust towards primar…
Exploring the experiences and preferences of South Asian patients' of primary care in England since Covid‐19
INTRODUCTION: Remote (digital and/or telephone) access and consultation models are being driven by national policy with the goal being that the National Health Service operate on a remote-first (digital-first) basis by 2029. Previous research has suggested that remote methods of access to care and consulting may act to widen health inequalities for certain patients and/or groups such as those from ethnic minorities. South Asian (SA) patients comp…
The challenges of open data sharing for qualitative researchers
Open Science' advocates for open access to scientific research, as well as sharing data, analysis plans and code in order to enable replication of results. However, these requirements typically fail to account for methodological differences between quantitative and qualitative research, and serious ethical problems are raised by the suggestion that full qualitative datasets can or should be published alongside qualitative research papers. Aside f…
Communicating decisions about care with patients and companions in emergency department consultations
INTRODUCTION: This paper explores doctor-patient and companion communication about care decisions in a UK emergency department (ED). Doctors interface between patients and healthcare systems and facilitate access to care across a range of encounters, drawing on information and authority to make and communicate clinical care decisions. MATERIALS AND METHODS: We explored characteristics of communication through ethnographic observation of 16 video-…
Investigating Whether Bereavement by Suicide and Other Unnatural Causes Has a Deterrent Effect on Alcohol or Drug Use in Young Adults
Bereavement by suicide and other unnatural causes is associated with suicide but evidence regarding risk of substance misuse is inconsistent. This may be due to heterogeneity in patterns of alcohol or drug use after traumatic bereavement; some increasing use to cope with the loss and others reducing use. To highlight the problems of focussing on diagnostic thresholds when investigating substance use after traumatic loss, we aimed to test whether …
Brief opportunistic interventions by general practitioners to promote smoking cessation
Very brief opportunistic interventions for smoking cessation are effective, cost-saving for health systems, and universally recommended in guidelines. However, evidence suggests that clinicians are reluctant to intervene, citing interactional difficulties. Only one UK study has specifically examined smoking discussions, within naturally occurring primary care consultations. However smoking cessation treatment was not available at the time. We exa…
Examining the language demands of informed consent documents in patient recruitment to cancer trials using tools from corpus and computational linguistics
Obtaining informed consent (IC) is an ethical imperative, signifying participants' understanding of the conditions and implications of research participation. One setting where the stakes for understanding are high is randomized controlled trials (RCTs), which test the effectiveness and safety of medical interventions. However, the use of legalese and medicalese in ethical forms coupled with the need to explain RCT-related concepts (e.g. randomiz…
Patients' use of the internet to negotiate about treatment
Combining patient talk about internet use during primary care consultations with retrospective accounts. A qualitative analysis of interactional and interview data
Insights into the social context of living with a dual diagnosis of HIV and cancer
As growing numbers of people living with HIV also develop cancer, a holistic understanding of their experiences is essential to the provision of patient centred care. Both conditions are linked to powerful beliefs in our society that may affect experiences. This study explored how HIV and cancer were represented in UK newspapers to gain insight into the social context of living with a dual diagnosis. We performed an initial content analysis of HI…
Perceptions of the Use of Alcohol and Drugs after Sudden Bereavement by Unnatural Causes
Bereavement is associated with an increased risk of psychiatric morbidity and all-cause mortality, particularly in younger people and after unnatural deaths. Substance misuse is implicated but little research has investigated patterns of drug or alcohol use after bereavement. We used a national online survey to collect qualitative data describing whether and how substance use changes after sudden bereavement. We conducted thematic analysis of fre…
Use of Alcohol and Unprescribed Drugs after Suicide Bereavement
Studies describing the impact of suicide bereavement report an excess risk of suicide, suicide attempt, psychiatric illness, and drug and alcohol use disorders compared with the general population. However, the nature of patterns of drug and alcohol use after suicide bereavement is unclear. We used an online survey to collect qualitative data to understand whether and how drug and alcohol use changes after suicide bereavement. We conducted themat…
The Perceived Impact of Suicide Bereavement on Specific Interpersonal Relationships
People bereaved by suicide have an increased risk of suicide and suicide attempt, yet report receiving less support than people bereaved by other sudden deaths. Reductions in support may contribute to suicide risk, yet their nature is unclear. We explored the impact of suicide bereavement on the interpersonal relationships of young adults in the UK using an online survey to collect qualitative data. We conducted thematic analysis of free-text res…
General Practitioner's use of online resources during medical visits
In an increasingly connected world, information about health can be exchanged at any time, in any location or direction, and is no longer dominated by traditional authoritative sources. We consider the ways information and advice given in consultations by doctors transcends the boundary between the clinic and the home. We explore how information that is widely accessible outside the consultation is transformed by General Practitioners (GPs) into …
Exploring the views and experiences of HIV positive patients treated for cancer
The Impact of Suicide Bereavement on Educational and Occupational Functioning
People bereaved by suicide are at an increased risk of suicide and of dropping out of education or work. Explanations for these associations are unclear, and more research is needed to understand how improving support in educational or work settings for people bereaved by suicide might contribute to reducing suicide risk. Our objective was to explore the impact of suicide on occupational functioning. We conducted a cross-sectional online study of…
Support Needs and Experiences of People Bereaved by Suicide
People bereaved by suicide are at increased risk of suicide, but evidence is lacking that available interventions reduce suicide risk. Few large-scale studies have described the views of suicide-bereaved people regarding their needs for support. Our objective was to explore the nature of young adults' experiences of support after bereavement by suicide and their views on valued and unhelpful aspects. We conducted a cross-sectional study of staff …
The gift in A&E
The stigma associated with bereavement by suicide and other sudden deaths
Quantitative studies have found that suicide bereavement is associated with suicide attempt, and is perceived as the most stigmatising of sudden losses. Their findings also suggest that perceived stigma may explain the excess suicidality. There is a need to understand the nature of this stigma and address suicide risk in this group. We aimed to describe and compare the nature of the experiences of stigma reported by people bereaved by suicide, su…
Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor-patient communication in general practice
Using Reflexivity to Optimize Teamwork in Qualitative Research
Reflexivity is often described as an individual activity. The authors propose that reflexivity employed as a team activity, through the sharing of reflexive writing (accounts of personal agendas, hidden assumptions, and theoretical definitions) and group discussions about arising issues, can improve the productivity and functioning of qualitative teams and the rigor and quality of the research. The authors review the literature on teamwork, highl…
Doctor-patient communication about drugs
Not just old and sick – the ‘will to health’ in later life
The end of the ‘Golden Age’ of welfare capitalism in the 1970s was the prelude to a period of greater individualisation within societies and was accompanied by an increase in the importance of consumption as a way of organising social relations. During the same period there was also an expansion in the discourses aimed at enhancing the government of the autonomous self. One such discourse operates around what has been termed the ‘will to health’:…
Behaviour change and social blinkers? The role of sociology in trials of self-management behaviour in chronic conditions
Individual-focused self-management interventions are one response to both an ageing society and the purported increase in chronic conditions. They tend to draw on psychological theories in self-management interventions, but over-reliance on these theories can reinforce a narrow focus on specified attitudinal and behavioural processes, omitting aspects of living with a chronic condition. While advances have been made in health behaviour change the…
The stigma associated with bereavement by suicide and other sudden deaths
Quantitative studies have found that suicide bereavement is associated with suicide attempt, and is perceived as the most stigmatising of sudden losses. Their findings also suggest that perceived stigma may explain the excess suicidality. There is a need to understand the nature of this stigma and address suicide risk in this group. We aimed to describe and compare the nature of the experiences of stigma reported by people bereaved by suicide, su…
Self-treatment and its discussion in medical consultations
The relationship between medicine and the public
Concordance is based on the idea that patients and practitioners should work together towards an agreement on treatment choice. This requires a redefinition of the relations and encounters between doctors and their patients. This redefinition emphasizes the need for patient involvement and participation. In this article we examine concordance against the background of wider social change, structural as well as interpersonal. We focus in particula…
The expression of aversion to medicines in general practice consultations
General Practitioner's use of online resources during medical visits
In an increasingly connected world, information about health can be exchanged at any time, in any location or direction, and is no longer dominated by traditional authoritative sources. We consider the ways information and advice given in consultations by doctors transcends the boundary between the clinic and the home. We explore how information that is widely accessible outside the consultation is transformed by General Practitioners (GPs) into …
Perceptions of Legitimacy
The terms non-compliance or non-adherence, in relation to medicine taking, contain the assumption that prescribers' actions are legitimate and should be perceived as such by patients, and that non-adherence is deviant. Yet the high level of non-adherence suggests that patients do not necessarily perceive prescriptions in this way. We consider the relevance today of viewing non-adherence in terms of Weber's concept of legitimacy. We also consider …
Combining patient talk about internet use during primary care consultations with retrospective accounts. A qualitative analysis of interactional and interview data
Discourses of agency and the search for the authentic self
Patients' use of the internet to negotiate about treatment
Over-the-counter medicines
Ideas of participation and partnership in health care consultations have attracted increasing attention in recent years; however the consequences in terms of the necessary shifts in existing relationships are often overlooked. We examine how pharmacists work to maintain their professional expertise against the rise of health-care consumerism. We draw on the following data from a UK study of consultations for over-the-counter (OTC) medicines in tw…
The co-construction of medical disposals in emergency medicine consultations
Achieving visibility? Use of non-verbal communication in interactions between patients and pharmacists who do not share a common language
Despite the seemingly insatiable interest in healthcare professional-patient communication, less attention has been paid to the use of non-verbal communication in medical consultations. This article considers pharmacists' and patients' use of non-verbal communication to interact directly in consultations in which they do not share a common language. In total, 12 video-recorded, interpreted pharmacy consultations concerned with a newly prescribed …
Introducing Social Theory
Images of nature in relation to mood modifying medicines
Appeals to nature are common, however the term is associated with multiple or even oppositional meanings. This article explores the way nature is evoked and references are made to chemicals in relation to both prescribed and herbal mood modifying medicines. Data are drawn from 23 interviews with people who were taking, had been offered or had taken, either or both prescribed and herbal mood modifying medicines. Fifteen of the 23 respondents used …
The challenges of open data sharing for qualitative researchers
Open Science' advocates for open access to scientific research, as well as sharing data, analysis plans and code in order to enable replication of results. However, these requirements typically fail to account for methodological differences between quantitative and qualitative research, and serious ethical problems are raised by the suggestion that full qualitative datasets can or should be published alongside qualitative research papers. Aside f…
Ageing well
Age and ill-health have long been identified as being intrinsically intertwined, however the boundary between the discourses of ageing and chronic illness is not easy to demarcate. It is possible, however, to shed some light on the interplay between the ageing body and chronic illness by considering how differing cultures of ageing play a key role in articulating a dichotomy between seeing chronic illness as an aspect of health or of ill-health a…
Preserving and Sharing Data Suitable for Conversation Analysis of Health Interactions
Concordance
What Is a Group Analyst? A Preliminary Investigation of Conductors' Interventions
Peer reviewed
‘It’s the best of two evils’
Objectives To explore the sources of patients’ knowledge about the potential side‐effects of oral steroids prescribed to treat asthma. Methods Seventeen in‐depth interviews were conducted with patients taking prescribed oral steroid medication (prednisolone) for asthma. The interviews were transcribed verbatim and the data organized according to common themes. Results All the respondents acknowledged they had no choice but to take oral steroids b…
Using Reflexivity to Optimize Teamwork in Qualitative Research
Reflexivity is often described as an individual activity. The authors propose that reflexivity employed as a team activity, through the sharing of reflexive writing (accounts of personal agendas, hidden assumptions, and theoretical definitions) and group discussions about arising issues, can improve the productivity and functioning of qualitative teams and the rigor and quality of the research. The authors review the literature on teamwork, highl…
Doctor-patient communication about drugs
Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor-patient communication in general practice
Perceptions of Legitimacy
The terms non-compliance or non-adherence, in relation to medicine taking, contain the assumption that prescribers' actions are legitimate and should be perceived as such by patients, and that non-adherence is deviant. Yet the high level of non-adherence suggests that patients do not necessarily perceive prescriptions in this way. We consider the relevance today of viewing non-adherence in terms of Weber's concept of legitimacy. We also consider …
Perceptions of legitimacy
Self-treatment and its discussion in medical consultations
A systematic review of the research on communication between patients and health care professionals about medicines
Objectives We draw on a systematic review of research on two‐way communication between patients and health practitioners about medicines in order to determine the extent to which concordance is, or is not, being put into practice. Data sources Six electronic databases were searched using the following categories of search terms: health care professionals, patients/consumers, medicine‐taking/prescribing and communication. Articles were also identi…
Concordance
Images of nature in relation to mood modifying medicines
Appeals to nature are common, however the term is associated with multiple or even oppositional meanings. This article explores the way nature is evoked and references are made to chemicals in relation to both prescribed and herbal mood modifying medicines. Data are drawn from 23 interviews with people who were taking, had been offered or had taken, either or both prescribed and herbal mood modifying medicines. Fifteen of the 23 respondents used …
The expression of aversion to medicines in general practice consultations
Rejoinder to ‘The myth of concordance’
International audience
Introducing Social Theory
The relationship between medicine and the public
Concordance is based on the idea that patients and practitioners should work together towards an agreement on treatment choice. This requires a redefinition of the relations and encounters between doctors and their patients. This redefinition emphasizes the need for patient involvement and participation. In this article we examine concordance against the background of wider social change, structural as well as interpersonal. We focus in particula…
Discourses of agency and the search for the authentic self
Over-the-counter medicines
Ideas of participation and partnership in health care consultations have attracted increasing attention in recent years; however the consequences in terms of the necessary shifts in existing relationships are often overlooked. We examine how pharmacists work to maintain their professional expertise against the rise of health-care consumerism. We draw on the following data from a UK study of consultations for over-the-counter (OTC) medicines in tw…
Not just old and sick – the ‘will to health’ in later life
The end of the ‘Golden Age’ of welfare capitalism in the 1970s was the prelude to a period of greater individualisation within societies and was accompanied by an increase in the importance of consumption as a way of organising social relations. During the same period there was also an expansion in the discourses aimed at enhancing the government of the autonomous self. One such discourse operates around what has been termed the ‘will to health’:…
Ageing well
Age and ill-health have long been identified as being intrinsically intertwined, however the boundary between the discourses of ageing and chronic illness is not easy to demarcate. It is possible, however, to shed some light on the interplay between the ageing body and chronic illness by considering how differing cultures of ageing play a key role in articulating a dichotomy between seeing chronic illness as an aspect of health or of ill-health a…
Behaviour change and social blinkers? The role of sociology in trials of self-management behaviour in chronic conditions
Individual-focused self-management interventions are one response to both an ageing society and the purported increase in chronic conditions. They tend to draw on psychological theories in self-management interventions, but over-reliance on these theories can reinforce a narrow focus on specified attitudinal and behavioural processes, omitting aspects of living with a chronic condition. While advances have been made in health behaviour change the…
Achieving visibility? Use of non-verbal communication in interactions between patients and pharmacists who do not share a common language
Despite the seemingly insatiable interest in healthcare professional-patient communication, less attention has been paid to the use of non-verbal communication in medical consultations. This article considers pharmacists' and patients' use of non-verbal communication to interact directly in consultations in which they do not share a common language. In total, 12 video-recorded, interpreted pharmacy consultations concerned with a newly prescribed …
Negotiating the ‘grey area between normal social drinking and being a smelly tramp’
INTRODUCTION AND AIMS: Delivering brief interventions for hazardous and harmful drinking on the Internet may broaden the availability of services and overcome some barriers to accessing help in person. The Down Your Drink (DYD) website, an extended brief intervention, attracted a large number of people looking to reduce their drinking. The aim was to explore the experiences of this e-help seeking population. METHOD: Semi-structured interviews wer…
Exploring the views and experiences of HIV positive patients treated for cancer
The Impact of Suicide Bereavement on Educational and Occupational Functioning
People bereaved by suicide are at an increased risk of suicide and of dropping out of education or work. Explanations for these associations are unclear, and more research is needed to understand how improving support in educational or work settings for people bereaved by suicide might contribute to reducing suicide risk. Our objective was to explore the impact of suicide on occupational functioning. We conducted a cross-sectional online study of…
Support Needs and Experiences of People Bereaved by Suicide
People bereaved by suicide are at increased risk of suicide, but evidence is lacking that available interventions reduce suicide risk. Few large-scale studies have described the views of suicide-bereaved people regarding their needs for support. Our objective was to explore the nature of young adults' experiences of support after bereavement by suicide and their views on valued and unhelpful aspects. We conducted a cross-sectional study of staff …
Psychology (39 obras) · Medicine (36 obras) · Sociology (22 obras) · Political science (17 obras) · Qualitative research (17 obras) · Computer Science (15 obras) · Patient-Provider Communication in Healthcare (13 obras) · Nursing (12 obras) · Social Psychology (12 obras) · Psychiatry (10 obras)