A5070780087- Global Cancer Incidence and Screening
- Patient-Provider Communication in Healthcare
- Cancer survivorship and care
- COVID-19 and healthcare impacts
- Health Literacy and Information Accessibility
- BRCA gene mutations in cancer
- Health Promotion and Cardiovascular Prevention
- Economic and Financial Impacts of Cancer
- Palliative Care and End-of-Life Issues
- Colorectal Cancer Screening and Detection
- Clinical Reasoning and Diagnostic Skills
- Head and Neck Cancer Studies
- Behavioral Health and Interventions
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Cervical Cancer and HPV Research
- Lung Cancer Diagnosis and Treatment
- Misinformation and Its Impacts
- Healthcare cost, quality, practices
- Health disparities and outcomes
- Social Media in Health Education
- Mental Health and Psychiatry
- Interpreting and Communication in Healthcare
- Optimism, Hope, and Well-being
University of Surrey
2016-2025
Baylor College of Medicine
2024
University College London
2008-2022
University College London Hospitals NHS Foundation Trust
2022
Edinburgh Napier University
2018
John Wiley & Sons (United States)
2018
Ecological Society of America
2018
Sydney Children's Hospital
2018
RMIT University
2015
Royal Marsden NHS Foundation Trust
2008-2009
Study objectives:“Sleep quality” is poorly defined yet ubiquitously used by researchers, clinicians and patients. While poor sleep quality a key feature of insomnia, there are few empirical investigations in insomnia Accordingly, our aim was to investigate the subjective meaning among individuals with normal sleepers.
To understand self-reported potential cancer symptom help-seeking behaviours and attitudes during the first 6 months (March-August 2020) of UK COVID-19 pandemic.
This study examined the role of time perspective in explaining inequalities colorectal cancer screening attendance. We tested a path model predicting that (a) socioeconomic status (SES) would be associated with consideration future consequences (CFC), (b) CFC perceived benefits/barriers, and (c) barriers benefits longitudinally attendance.Data for these analyses came from control arm (n = 809) an intervention to increase uptake. Participants between 55 64 years were offered as part U.K....
Fatalistic beliefs about cancer have been implicated in low uptake of screening and delay presentation particularly socioeconomic status (SES) groups, but no studies systematically evaluated interrelationships between SES, fatalism, early detection behaviors. We explored whether (i) fatalism is associated with negative attitudes toward detection, (ii) lower SES groups are more fatalistic, (iii) differences partly explain detection.In a population-representative sample adults Britain using...
To explore the influence of overdiagnosis information on women's decisions about mammography.A qualitative focus group study with purposive sampling and thematic analysis, in which was presented.Community university settings London.40 women within breast screening age range (50-71 years) including attenders non-attenders were recruited using a recruitment agency as well convenience methods.Women expressed surprise at possible extent recognised important, although many struggled to interpret...
<h3>Background</h3> Delay in help seeking for cancer 'alarm' symptoms has been identified as a contributor to delayed diagnosis. <h3>Aim</h3> To understand people's help-seeking decision making alarm symptoms, without imposing context. <h3>Design and setting</h3> Community-based, qualitative interview study the UK, using purposive sampling by sex, socioeconomic status, prior seeking, with framework analysis of transcripts. <h3>Method</h3> Interviewees (<i>n</i> = 48) were recruited from...
Worrying about wasting GP time is frequently cited as a barrier to help-seeking for cancer symptoms.To explore the circumstances under which individuals feel that they are time.Community-based, qualitative interview studies took place in London, South East and North West of England.Interviewees (n = 62) were recruited from sample 2042) adults aged ≥50 years, who completed 'health survey' included list 'alarm' symptoms. Individuals reported symptoms at baseline still present 3-month follow-up...
There is concern about public understanding of overdiagnosis in breast cancer screening, and uncertainty the likely impact on screening participation. In a population-based survey 2272 women, we assessed intentions before after exposure to an explanation overdiagnosis, one three information formats providing estimate rate based findings UK Independent Review. Subjective objective comprehension was moderate across (64% 57%, respectively). Following information, 7% women showed decrease...
Background Most cancers are diagnosed following contact with primary care. Patients cancer often see their doctor multiple times potentially relevant symptoms before being referred to a specialist, suggesting missed opportunities during doctor-patient conversations. Objective To understand communication around the significance of persistent or new presenting problems and its potential impact on timely diagnosis. Research design Qualitative thematic analysis based video recordings...
Attribution of early cancer symptoms to a non-serious cause may lead longer diagnostic intervals. We investigated attributions potential 'alarm' and non-alarm experienced in everyday life community sample adults, without mention context.A questionnaire was mailed 4858 adults (≥50 years old, no diagnosis) through primary care, asking about symptom experiences the past 3 months. The word not mentioned. Target symptoms, publicised by Cancer Research UK, were embedded list. For each experienced,...
Background COVID-19 has led to rapid changes in healthcare delivery, raising concern that these may exacerbate existing inequalities patient outcomes. Aim To understand how patients’ help-seeking experiences primary care for colorectal cancer symptoms during were affected by their socioeconomic status (SES). Design and setting Qualitative semi-structured interviews with males females across the UK, recruited using purposive sampling SES. Method Interviews carried out 39 participants (20...
Exploring the role of structural power in relation to an individual's location society can yield novel insights into cancer inequities. We aimed understand how minority ethnic women's identities (age, gender, ethnicity, social position) intersected with networks and healthcare services influence their experiences breast care. Semi-structured interviews 20 women aged 31-60 years a diagnosis identifying as: Asian (n = 7), Black 9), mixed ethnicity 4) about journey. Data were analysed using...
Communication difficulties due to unmet language needs are a driver of inequality in healthcare access. The provision professional interpreting services should mitigate these, and their use is associated with improved patient outcomes. However, uptake England suboptimal there has been limited research focused on understanding experiences the potential impact uptake. This multilingual study explored perspectives access experience support general practice (primary care) England, including...
Objective To explore women's experiences of symptoms potentially indicative gynaecological cancer in a community-based sample without imposing perspective. Design A qualitative interview study with thematic analysis transcripts. Participants 26 women aged ≥30 years, who had experienced symptom that might indicate the past 3 months, were recruited using screening questionnaire distributed online and community settings. Setting London, UK. Results Women attributed to existing...