Q and A with Kasim Allel

  • Can you tell us a bit about yourself and research and/or career to this point?

I am a PhD student in Infectious and Tropical Diseases at the LSHTM and a Research Associate at the College of Medicine and Health, University of Exeter. I hold an MSc in Health Economics and Decision Science from UCL and a Bachelor’s in Engineering obtained abroad. My current research focuses on infectious diseases, particularly quantifying and understanding the transmission patterns and population spread of antimicrobial-resistant bacteria (AMR) within different settings of low-and-middle-income countries (LMICs).

  • What are you aiming to do through your fellowship/new post?

During my fellowship, I plan to work alongside different professionals to collaboratively help enhance the design of targeted policies to tackle antimicrobial resistance by involving various stakeholders and organisations in Argentina and the UK. This might help strengthen the Argentinian National Action Plan against antimicrobial resistance while understanding the relevant decision-making actors to minimise its transmission pathways and attributed burden.

  • What are you looking forward to most in starting your fellowship/new post?

I look forward to understanding the Argentinian context to help localise opportunity venues to tackle antimicrobial resistance by using an intersectoral perspective towards better population health. The research also opens new platforms to guide the design and implementation of similar research protocols in other LMICs to finally improve AMR indicators regionally while integrating multidisciplinary action within-country settings in the animal-human interface.

  •       Tell us something about yourself that may be less well known

I am originally from Latin America – Chile—and like the outdoors and natural landscapes, grinding and brewing my coffee, getting creative in the kitchen, and jazz gigs.

Catching up with Laura Warbrick

I’m an early career research fellow, and have held a number of both research and clinical posts since graduating in psychology. Clinically, I’ve worked in medium-secure mental health settings and most recently as a low-intensity CBT therapist/Psychological Wellbeing Practitioner in IAPT (Primary care psychological therapies service). As a researcher, I developed through my MSc in Psychological Research methods, which I completed part time alongside a Research Assistant Post on the ADepT trial: A pilot trial for a novel, wellbeing focused depression therapy https://www.exeter.ac.uk/departments/mooddisorders/research/currentprojects/adept/ . This trial had a small team, meaning I had a wealth of opportunities to turn my hand to lots of aspects of applied clinical research, lead secondary research streams and develop the skills to be an independent researcher.

 

In my fellowship, the overarching aim is to develop and evaluate new training initiatives for different clinicians in primary care settings: IAPT therapists and GPs. The aim of the training is to improve outcomes for individuals with complex emotional needs in the context of personality difficulties or disorder. We know that within IAPT, individuals with these difficulties in addition to a primary problem of depression or anxiety, can and do benefit from treatments, but do less well than others without these difficulties. In this setting, training will focus on developing therapist skills in subtly adapting practice to accommodate these additional personality difficulties, and evaluation will focus on whether this has an effect on therapist attitudes, perceived skills and also preliminary evaluate if this translates into improved outcomes. Within the GP workforce, a substantial amount of my work will focus on identifying the training needs and developing a suitable training intervention to address this. One of the things I’m most looking forward to is the early stages of this development work, where I will be consulting with practitioners, service users and other academics – having the opportunity to hear lots of different perspectives on the current issues and how to move forwards.

 

I don’t have to compromise between being part of exciting research groups making a meaningful difference and ‘farm life’ in North Devon, with an enviable blended working pattern between the Mood Disorder’s Centre and WFH on the farm (with a short 1 mile commute to the surf after work)!

 

Head over to Laura Warbrick’s staff profile

“Intervention development in practice” snapshot of our PPI event to engage individuals with lived experience in our intervention development process for a GP workforce

 

Getting to know… Abi Hall

Qualifying as physiotherapist nearly 20 years ago, most of my career has focused on working in the field of rehabilitation with older people – indeed that’s where my passion really lies. In 2016 I ventured into the wonderful world of “research” and wanted to take my clinical experience working with older people and apply it to developing the evidence base – particularly for those people with dementia. My training taught me little about how to treat people with dementia and my research has shown that many other physiotherapists experience similar challenges treating people with dementia. I completed my PhD in 2019 and then returned to work in clinical practice during the Covid-19 pandemic working with rehabilitation and urgent care teams – to try and keep people out of hospital and help support timely discharge of patients where able. Treating patients in primary care and community settings has been my role for the last ten years, so my research interests lie in these settings too.

During my fellowship I will build on work I undertook during my PhD and develop an intervention designed to improve the management of people with dementia following hip fracture. The project will involve working with patients, family members as well as clinicians who are experienced in treating people with dementia. As a researcher, the opportunity to develop your own research is a real privilege – although at times quite daunting – but the opportunity to continue the work that I’m passionate about is amazing! If I can make even a small difference to improve the management of people with dementia I will be delighted! I’m particularly excited to become a member of APEx and learn about the other great work that is being undertaken in primary care.

Outside of work, I’m probably known as being a little obsessed with my dogs – indeed the wonderful world of Zoom/Teams means that a lot of people have met the dogs in various conference calls! The dogs like to make their points known – or at least let everybody know that the postman has arrived! When not trying to “talk to” the postman, Max is happiest sleeping under my desk keeping my feet warm!

Max, hiding under the desk

 

Abi’s University of Exeter profile

Head over to the APEx website to find out more about our team and research

Conversation with… Annette Gillett

  1. Can you tell us a bit about yourself and research and/or career to this point?

I am a Research Associate with the PenARC patient and public involvement and engagement (PPIE) team and the Exeter Collaboration for Academic Primary Care (APEx).  I joined PenARC’s PPIE team in October 2021, becoming a member of APEx as part of my role in establishing the infrastructure for a primary care-specific PPIE group in the School for Primary Care Research.  I am a nurse by background, initially specialising in palliative care.  Since then, I have worked in the field of learning and development in the NHS, social care and the third sector, as well as holding research posts, most recently working in the Peninsula Childhood Disability Research Unit, before joining PenARC last year.

  1. What are you aiming to do through your fellowship/new post?

My role includes setting up a new APEx PPIE group with a focus on primary care research.  I have established a PPIE Working Group, who have been working with me to develop the infrastructure for this new group, including drafting membership packs and role descriptions.  We are currently planning our approach to recruiting and welcoming new PPIE members to the group from different communities.  We have also developed a PPIE training plan to support involvement, which I am looking forward to implementing.  I will be facilitating our suite of PPIE Ideas Cafés and Advice Clinics for APEx-affiliated researchers and clinicians to book on to, which are available throughout the year.  Overall, I hope to be a useful resource for all researchers in APEx, to support patient and public involvement in their work.

3.What are you looking forward to most in starting your fellowship/new post?

Ultimately, I’m looking forward to working with, and supporting, researchers and public contributors to embed effective and meaningful involvement in all areas and stages of APEx’s research activity.  This role also offers a fantastic opportunity to continue to learn so much from public contributors and other researchers about what works well (and what doesn’t!) in the field of PPIE and I will enjoy reflecting on this and further developing my practice.

4.Tell us something about yourself that may be less well known

I really enjoy open water swimming (cold!), growing broad beans (random!) and seeing which biscuits last longest when dunked in tea (nail-biting!).

 

Head over to the APEx website to find out more about our team and research

All About… Charlotte Reburn – SPCR PhD Student

Can you tell us a bit about yourself and research and career to this point?

I studied my BSc in Medical Sciences at Exeter, which involved looking at lots of different areas of health research and biomedical science. During this degree, I completed a Professional Training Year in Prof. Alison Curnow’s lab in Penryn, looking into the application of photodynamic therapy on human skin cancer and human glioma cells, which was a great experience. In my final year, I did my final research project with Dr Jane Smith in Primary Care, who’s now my PhD supervisor. My project looked into the process evaluation of a large ongoing study to improve asthma management in primary care, and I really enjoyed the project. I then moved back to Cornwall to complete an MSc in Environment and Human Health, which I loved.

I’m now fortunate enough to be conducting my PhD with Dr Jane Smith in Primary Care, and my fellowship is funded by the NIHR School for Primary Care Research. I’m looking into the mechanisms of action that take place during virtual shared medical appointments for the management of chronic physical conditions. This could include type 1 and type 2 diabetes, obesity, chronic pain, or asthma, to name a few. I’m also aiming to investigate any changes in health inequalities that may come about from using this type of consultation.

 

What are you aiming to do through your fellowship?

During my PhD, I’m aiming to start with a systematic review of the literature, to see what evidence is out there on this topic already. I’m then hoping to conduct some analysis to look into the mechanisms that take place during virtual shared medical appointments that lead to their success (or failure!). After this, I’m aiming to conduct interviews with patients and healthcare providers to find out about their points of view on the advantages, disadvantages, barriers, and facilitators to this type of consultation.

 

What are you looking forward to most in starting your fellowship?

I’m really looking forward to doing research on such a new and emerging topic, and especially talking to healthcare providers and patients to hear their thoughts on this new method of consultation. The health inequality side of this topic is one I that I think is vitally important, as this method of consultation will only be beneficial if it is accessible to everyone that it’s offered to.

 

Tell us something about yourself that may be less well known

I am a huge musical theatre fan, and if I have my headphones in, chances are I’m listening to an Original Cast Recording! My favourites are Hamilton, West Side Story and Legally Blonde – an eclectic mix!

 

Head over to the APEx website

Q and A with Sinead McDonagh – NIHR SPCR Postdoctoral Research Fellow

  1. Can you tell us a bit about yourself and research career to this point?

I started my academic journey in West London, where I completed a BSc in Sport Sciences at Brunel University in 2011. I then moved to the University of Exeter to study for a MSc in Sport and Exercise Medicine, which I thoroughly enjoyed.

During my time as a Masters student, I became interested in the effects of dietary nitrate supplementation (e.g. beetroot and green leafy vegetables) and lifestyle choices on cardiovascular health and exercise tolerance and went on to pursue a PhD in this area.

In 2017, I joined the Exeter Collaboration for Academic Primary Care (APEx) as a Postdoctoral Research Fellow. My research to date has focussed on the prevalence of postural hypotension (the fall in blood pressure when rising from sitting or lying to standing), the detection and management of hypertension (high blood pressure) in primary care, rural workforce issues, and the implementation and digitisation of a home-based cardiac rehabilitation programme for heart failure (REACH-HF) in the NHS.

 

  1. What are you aiming to do through your Fellowship?

The aim of my recently awarded NIHR School for Primary Care Research (SPCR) Postdoctoral Fellowship is to undertake, and seek funding for, a programme of work focussing on postural hypotension assessment in primary care settings in England, and to participate in training to enhance my skills in research methods, patient and public involvement and leadership.

 

  1. What are you looking forward to most in your Fellowship?

I feel extremely privileged to have been awarded a NIHR SPCR Fellowship. It has provided me with an opportunity to pursue my own research interests as well as undertake training that is specifically targeted toward my personal and professional development. I’m looking forward to attending a range of courses, meeting new people with similar interests, as well as finding out more about how primary care teams detect and manage postural hypotension so that we can develop new ways to support those affected by the condition and clinical teams in detecting it.

 

  1. Tell us something about yourself that may be less well known

My academic training was predominantly in cardio-respiratory exercise physiology – which might make some people wonder how I ended up in Primary Care research! However, the dietary nitrate interventions that I employed and studied during my MSc and PhD not only improved exercise tolerance in healthy individuals and clinical populations, but were also effective in reducing blood pressure. I had always been interested in the study of chronic disease, particularly those with cardiovascular disease, such as hypertension, so jumped at the chance to join Dr Chris Clark and Professor John Campbell as a Postdoctoral Research Fellow in APEx, to learn more about blood pressure measurement and management in primary care settings. I’m so glad I made this move as I now get to enjoy another 2 years working in this area and in such a supportive department.

 

Head over to the APEx Website

Emma Cockcroft – My path in research

Between 2012 and 2016 I studied for a PhD in the Sport and Health Sciences at the University of Exeter. This involved lab-based research, looking at how children processed sugar after different intensities of physical activity. I was interested in the physiology, taking blood samples, and looking at metabolic and vascular function.  If you’re interested in the specifics, you can check out my PhD here. In my final year, I got a taste for Health Service Research, getting to work with children with type one diabetes and clinical staff.

One of the things I enjoyed most during my PhD was interacting with young people, parents, schools, and health professionals. As a result, when I saw a job advertised for a PostDoc position with the South West Applied Research Collaboration’s Patient and Public involvement team I jumped at the chance. I loved the idea of working with people to do research in a way that was meaningful and appropriate for those that would benefit. My work with PenARC involved getting stuck into lots of different projects, from investigating the benefits and challenges associated with different models of digital facilitation currently in use in general practice, to a surgical trial of different techniques for patients having hip hemiarthroplasty surgery, and many more. I was responsible for involving patients and members of the public in these projects, and have learnt so much along the way.

Combining my interest in physical activity and health and knowledge of health service research I was able to apply for a Post-Doctoral Fellowship with the NIHR School of Primary Care Research to pursue my own research interest and take the next step towards an independent research career.

Fellowship focus

During this two-year fellowship I will be working with adolescents with type one diabetes, parents and carers, health care professionals, and sports coaches/PE teachers to develop an intervention that helps adolescents with Type One Diabetes to be more physically active.

Type One Diabetes is one of the most common chronic diseases in adolescents with around 29,000 people under the age of 17 living with Type One Diabetes in the UK.  Adolescents with Type One Diabetes have twice the risk of developing heart or blood vessel disease, compared to those without diabetes. Along with diet and insulin, regular exercise is an important aspect of the treatment of Type One Diabetes. Because of these benefits, adolescents with Type One Diabetes are recommended to do 60 minutes of physical activity per day. However, most are not meeting this target. Adolescents with Type One Diabetes find that it is hard to exercise because they are worried about low blood sugar levels and are unsure how to best manage this. Currently, there are no specific programmes for adolescents with Type One Diabetes that provide help and support for diet and insulin management while exercising.

I will be conducting a systematic review to understand what to include in the intervention and how to deliver it; doing some qualitative work with key stakeholders to understand their needs and preferences for a programme to support physical activity; and using findings from these two project I will work with key stakeholders to develop an initial programme to promote and maintain safe physical activity. Identifying intervention objectives, components, and delivery method.

Enjoying the sunshine in Weymouth at the end of a half ironman in September

What I’m looking forward to

I’ve had this project in my head for a while now, so I’m really excited that it is becoming a reality and I can spend my time and effort building a research career in this area. It’s also great that I have the capacity to attend a number of training courses, gaining skills and understanding to become a better researcher.

What I do outside of work

When not at my desk you will most likely find me burning off some excess energy, either exploring on my bike, out for a run, or in the pool. Until last year I competed at a national level in cycling, but I’m now giving long distance triathlon a go.

Head over to the APEx Website