Adam Fletcher

ORCID: 0000-0001-6705-7659
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About
Contact & Profiles
Research Areas
  • School Health and Nursing Education
  • Community Health and Development
  • Youth Development and Social Support
  • Child and Adolescent Psychosocial and Emotional Development
  • Health Policy Implementation Science
  • Early Childhood Education and Development
  • Obesity, Physical Activity, Diet
  • Homelessness and Social Issues
  • Evaluation and Performance Assessment
  • Adolescent Sexual and Reproductive Health
  • Child and Adolescent Health
  • Bullying, Victimization, and Aggression
  • Health, psychology, and well-being
  • Substance Abuse Treatment and Outcomes
  • Smoking Behavior and Cessation
  • Food Security and Health in Diverse Populations
  • Cannabis and Cannabinoid Research
  • Health disparities and outcomes
  • HIV, Drug Use, Sexual Risk
  • Delphi Technique in Research
  • Collaborative Teaching and Inclusion
  • Research in Social Sciences
  • Education and Critical Thinking Development
  • Blood Pressure and Hypertension Studies
  • Consumer Retail Behavior Studies

Deakin University
2022

London School of Hygiene & Tropical Medicine
2004-2022

British Heart Foundation
2018-2021

Faculty of Public Health
2011-2021

Southern Cross University
2021

Cardiff University
2013-2019

Royal Society of Tropical Medicine and Hygiene
2019

University of Virginia
2017

King Edward VII Hospital
2016

University of Glasgow
2015

Bullying, aggression, and violence among children young people are some of the most consequential public mental health problems. We tested Learning Together intervention, which involved students in efforts to modify their school environment using restorative practice by developing social emotional skills.We did a cluster randomised trial, with economic process evaluations, intervention compared standard (controls) over 3 years secondary schools south-east England. consisted staff training...

10.1016/s0140-6736(18)31782-3 article EN cc-by-nc-nd The Lancet 2018-11-22

Existing guidance for developing public health interventions does not provide information researchers about how to work with intervention providers co-produce and prototype the content delivery of new prior evaluation. The ASSIST + Frank study aimed adapt an existing effective peer-led smoking prevention (ASSIST), integrating from UK drug education resource Talk ( www.talktofrank.com ) two school-based interventions. A three-stage framework was tested develop methods in collaboration key...

10.1186/s12889-017-4695-8 article EN cc-by BMC Public Health 2017-09-04

The integration of realist evaluation principles within randomised controlled trials ('realist RCTs') enables evaluations complex interventions to answer questions about what works, for whom and under circumstances. This allows evaluators better develop refine mid-level programme theories. However, this is only one phase in the process developing evaluating interventions. We describe exemplify how social scientists can integrate across all phases Medical Research Council framework....

10.1177/1356389016652743 article EN cc-by Evaluation 2016-06-02

Background In contrast to curriculum-based health education interventions in schools, the school environment approach promotes by modifying schools' physical/social environment. This systematic review reports on effects of and processes which these might occur. It includes theories, intervention outcome process evaluations, quantitative studies qualitative studies. Research questions question (RQ)1: What theories are used inform or explain school-level influences? testable hypotheses...

10.3310/phr01010 article EN publisher-specific-oa Public Health Research 2013-06-01

Abstract Background Bullying and cyberbullying are common phenomena in schools. These negative behaviours can have a significant impact on the health particularly mental of those involved such behaviours, both as victims bullies. This UK study aims to investigate student-level school-level characteristics who become bullying or perpetrators. Methods We used data from 6667 Year 7 students baseline survey cluster randomized trial 40 English schools associations between individual-level...

10.1186/s12887-017-0907-8 article EN cc-by BMC Pediatrics 2017-07-11

<b>Objective</b> To assess life expectancy in relation to cardiovascular risk factors recorded middle age. <b>Design</b> Prospective cohort study. <b>Setting</b> Men employed the civil service London, England. <b>Participants</b> 18 863 men examined at entry 1967-70 and followed for 38 years, of whom 13 501 died 4811 were re-examined 1997. <b>Main outcome measures</b> Life estimated fifths dichotomous categories (smoking, “low” or “high” blood pressure (≥140 mm Hg), cholesterol (≥5 mmol/l)),...

10.1136/bmj.b3513 article EN cc-by-nc BMJ 2009-09-16

Randomised controlled trials (RCTs) of social interventions are often criticised as failing to open the 'black box' whereby they only address questions about 'what works' without explaining underlying processes implementation and mechanisms action, how these vary by contextual characteristics person place. Realist RCTs proposed an approach evaluation science that addresses gaps while preserving strengths in providing evidence with strong internal validity estimating effects. In context...

10.1186/s13063-015-0980-y article EN cc-by Trials 2015-10-15

Youth bullying and other aggressive behaviours are a major public health concern owing to their impact on adolescent physical mental well-being. Whole-school restorative approaches have been identified as promising method of addressing behaviour but there no randomised trials undertaken examine effects. To the feasibility acceptability implementing trialling INCLUSIVE (initiating change locally in aggression through school environment) intervention English secondary schools. Cluster...

10.3310/hta19530 article EN publisher-specific-oa Health Technology Assessment 2015-07-01

To examine the prevalence of electronic(e)-cigarette use, e-cigarette and tobacco use by age, associations with sociodemographic characteristics, cannabis among young people in Wales.Data from two nationally-representative cross-sectional surveys undertaken 2013-2014. Logistic regression analyses, adjusting for school-level clustering, examined characteristics between smoking.Primary secondary schools Wales.Primary-school children aged 10-11 (n=1601) secondary-school students 11-16...

10.1136/bmjopen-2014-007072 article EN cc-by BMJ Open 2015-04-01

Objective To investigate the association of living in foster care (FC) with substance use and subjective well-being a sample secondary school students (11–16 years) Wales 2015/16, to examine whether these associations are attenuated by perceived quality interpersonal relationships. Design Cross-sectional, population-based health behaviour lifestyle questionnaire. Setting participants Wales, UK; young people who took part 2015/16 School Health Research Network (SHRN) questionnaire (n=32 479)....

10.1136/bmjopen-2016-014198 article EN cc-by BMJ Open 2017-02-01

Background Illicit drug use increases the risk of poor physical and mental health. There are few effective prevention interventions. Objective To assess acceptability implementing trialling two school-based peer-led Design Stage 1 – adapt ASSIST, an smoking intervention to deliver information from UK national education website [see www.talktofrank.com (accessed 29 August 2017)]. 2 interventions, ASSIST + FRANK (+FRANK) friends, examine implementation refine content. 3 four-arm pilot cluster...

10.3310/phr05070 article EN publisher-specific-oa Public Health Research 2017-10-01
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