Multi-method evaluative studies of new technologies in the primary care setting.
My personal research programme is focused on the evaluation of new technologies in a primary care setting. It is a program of work that was built around my expertise in evaluative studies (quantitative and qualitative) and brings together my public health medicine expertise and my experience in primary care. It is a program with a multi-method focus which cuts across many clinical areas (e.g. heart failure, dizziness, osteoporosis) and service delivery models (e.g. nurse triage, minor surgery in primary care).
My current research is focused on the development of allergic services and improvement of outcomes for the atopic patient.
A paediatric trial of the impact on outcome of including skin prick testing to common aeroallergens in the management of rhinitis and asthma has recently been funded (RfPB). This is running in parallel to a similar study in adults. Some birch allergic patients are troubled by oral symptoms when eating raw apple and in a novel trial we will be exploring the effectives of birch pollen desensitisation.
Another body of work is focused on emotional writing as an adjunt to pharmacotherapy for asthma. Initial analysis shows benefit at three months. We are currently undertaking a Cochrane review of emotional writing in the management of asthma.
LLEWELLYN C, POLLARD A, MINERS A, RICHARDSON D, FISHER M, CAIRNS J, SMITH H (2012). Understanding patient choices for attending sexually transmitted infection testing services: a qualitative study. Sexually Transmitted Infections (in press)
REJNMARK L, AVENELL A, MASUD T, ANDERSEN F, MEYER HE, SANDERS A, SALAVAARA K, COOPER C, SMITH HE, JACOBS ET, TORGERSON D, JACKSON RD, MANSON JE, BRIXEN K, MOSEKILDE L, ROBBINS JA, FRANCIS RM, ABRAHAMSEN B (2012). Vitamin D with calcium reduces mortality: patient level pooled analysis of 70,528 patients from eight major vitamin D trials. Journal of Clinical Endocrinology and Metabolism (in press)
MINERS AH, LEWELLYN C, POLLARD A, LAGARDE M, RICHARDSON D, CAIRNS JA, FISHER M, SMITH H (2012). Assessing user preference for sexually transmitted infection testing services: a discrete choice experiment. Sexually Transmitted Infections (in press)
LLEWELLYN CD, ABRAHAM C, MINERS A, SMITH H, POLLARD A, BENN P, FISHER M (2012). Multicentre RCT and economic evaluation of a psychological intervention together with a leaflet to reduce risk behaviour amongst men who have had sex with men (MSM) prescribed post exposure prophylaxis for HIV following sexual exposure (PEPSE): A protocol. BMC Infectious Diseases. 12:70
LACHMANN R, BAJWA M, VITA S, SMITH H, CHEECK E, AKBAR A, KERN F (2012). Poly functional T-cells accumulate in large human cytomegalovirus-specific T-cell responses. Journal of Virology (in press)
DENYER K, SMITH H, DAVIES K, HORNE R, HANKIN M, WALKER-BONE K. (2012) A pilot study to compare the views of traditionally trained and CAM trained therapists using the clinical exemplar of the management of neck/upper limb pain to assess barriers to effective integration of approaches. Complementary Therapies in Medicine doi: 10.1016/j.ctim.2011.10.004
LLEWELLYN CD, HORNEY DJ, MCGURK M, WEINMAN J, HEROLD J, ALTMAN K, SMITH HE (2011) Assessing the psychological predictors of benefit finding in patients with head and neck cancer. Psycho-Oncology. doi: 10.1002/pon.2065. [Epub ahead of print] [PMID: 21915940].
SMITH H, RUDENKO M, FREW A (2011)What happens to abstracts accepted for poster presentation at EAACI Congresses? Allergy doi: 10.1111/j.1398-9995.2011.02672.x.[Epub ahead of print] [PMID: 21736586]
SAWYER A, AYRES S, YOUNG D, BRADLEY R, SMITH H (2011) Posttraumatic growth after childbirth: a prospective study. Psychology & Health 2011 [Epub ahead of print]:1-16. [PMID: 21678177]
BAILEY S, ALBARDIAZ R, FREW A J, SMITH H (2011) Restaurant staff’s knowledge of anaphylaxis and dietary care of people with allergies. Clinical and Experimental Allergy 41; 713-7. [PMID: 21488998]
CUNNINGHAM J, BASU K, TAVENDALE R, PALMER C, SMITH H, MUKHOPADHYAY S (2011) The CHI3L1 rs 495028 polymorphism is associated with asthma-related hospital admissions in children and young adults. Annals of Allergy, Asthma & Immunology 106(5):381-6. [PMID: 21530869]
SAWYER A, AYRES S, SMITH H, SIDIBEH L, NYAN O, DALE J (2011) Women’s experiences of pregnancy, childbirth and the postnatal period in The Gambia: A qualitative study. British Journal of Health Psychology 16(3):528-41. [PMID: 21722274]
APFELBACHER CJ, HANKINS M, STENNER P, FREW A, SMITH H (2011) Measuring asthma specific quality of life: structured review. Allergy 66(4):439-57.
WAYAL S, LLEWELLYN C, SMITH H, FISHER M (2011) Home sampling kits for sexually transmitted infections: preferences and concerns of men who have sex with men. Culture, Health & Sexuality 13(3):343-53. [PMID: 21154069]
LITTLE P, TURNER S, RUMSBY K, JONES R, WARNER G, MOORE M, LOWES JA, SMITH H, HAWKE C, LEYDON G, MULLEE M (2010) Validating the prediction of lower urinary tract infection in primary care: sensitivity and specificity of urinary dipsticks and clinical scores in women. British Journal of General Practice 60: 495-500. [PMID: 20594439]
THEADOM A, SMITH H, HORNE R, BOWSKILL R, APFELBACHER C, FREW A (2010) Participant experiences of a written emotional disclosure intervention in asthma. Stress and Health Journal 26: 45-50.
MARSHALL A, HENWOOD F, CARLIN L, GUY ES, SMITH H (2010) In the balance: report of a research study exploring information for weight management. Libri Vol 60, 142-152 (doi 10.1515/libr.2010.001).
SAWYER A, AYRES S, SMITH H (2010) Pre- and postnatal well being in Africa: A systematic review. Journal of Affective Disorders 123: 17-29.
SMITH H, HANKINS M, HODSON A, GEORGE C. (2010) Measuring the adherence to medication of elderly patients with heart failure: is there a gold standard? International Journal of Cardiology 145:122-3. [PMID: 19615767]
CARLIN L, SMITH H, HENWOOD F, FLOWERS S, JONES A, PRENTICE R, MILES K (2010) Double vision: an exploration of radiologists' and general practitioners’ views on using picture archiving and communication systems (PACS). Health Informatics Journal 16: 75-86. [PMID: 20573641]
HORNEY D, SMITH H, McGURK M, WEINMAN J, HEROLD J, ALTMAN K, LLEWELLYN C. (2010) Associations between quality of life, coping styles, optimism and anxiety and depression in pretreatment patients with head and neck cancer. Head and Neck DOI 10.1002/ned [PMID: 20848428]
DEFTY H, SMITH H, KENNEDY M, PERRY N, FISHER M (2010) GPs’ perceived barriers to their involvement in caring for patients with HIV a questionnaire based study. British Journal of General Practice 60: 348-51. [PMID: 20423586]
SADLER C, SMITH H, HAMMOND J, BAYLY R, BORLAND S, PANAY N, CROOK D, INSKIP H. (2010) Lifestyle factors, hormonal contraceptives and premenstrual symptoms: The UK Southampton Women’s Survey. Journal of Women’s Health 19(3): 391-6. [PMID: 20156129]
TURNER D, LITTLE P, RAFTERY J, TURNER S, SMITH H, RUMSBY K, MULLEE M (2010) Cost effectiveness of management strategies for urinary tract infections: results from randomised controlled trial. British Medical Journal 340:c346 (doi:10.1136/bmj.c346). [PMID: 20139218]
LEYDON GM, TURNER S, SMITH H, LITTLE P on behalf of the UTIS team (2010) Women’s views about management and cause of urinary tract infection: qualitative interview study. British Medical Journal 340c279 (Doi:10.1136/bmj.c279). [PMID: 20139217]
LITTLE P, MOORE MV, TURNER S, RUMSBY K, WARNER G , LOWES JA, SMITH H, HAWKE C, LEYDON G, ARSCOTT A, TURNER D, MULLEE M (2010) Effectiveness of five different approaches in management of urinary tract infection: randomised controlled trial. British Medical Journal 340: c199 (doi:10.1136/bmj.c199). [PMID: 20139214]
LITTLE P, MERRIMAN R, TURNER S, RUMSBY K, WARNER G, LOWES JA, SMITH H, HAWKE C, LEYDON G, MULLEE M, MOORE MV (2010) Presentation, pattern and natural course of severe symptoms, and role of antibiotics and antibiotic resistance among patients presenting with suspected uncomplicated urinary tract infection in primary care: observational study. British Medical Journal 340: b5633 (doi:10.1136/bmj.b5633). [PMID: 20139213]
WADE J, SMITH H, HANKINS M, LLEWELLYN C (2010) Conducting oral examinations for cancer in general practice: what are the barriers? Family Practice 27:77-84. [PMID: 19833822]
ABRAHAMSEN B, MASUD T, AVENELL A, ANDERSON F, MEYER HE, COOPER C, SMITH H, LACROIX AZ, TORGERSON D, JOHANSEN A, JACKSON R, REJNMARK L, WACTAWSKI-WENDE J, BRIXEN K, MOSEKILDE L, ROBBINS JA, FRANCIS RM on behalf of DIPART Group (2010) Patient level pooled analysis of 68500 patients from seven major vitamin D fracture trials in US and Europe. British Medical Journal 340:b5463 (doi:10.1136/bmj.b5463). [PMID: 20068257]
THEADOM A, CROPLEY M, HANKINS M, SMITH H (2009) Mind and body therapy for fibromyalgia (Protocol). Cochrane Database of Systematic Reviews, Issue 4.
THEADOM A, SMITH H, YORKE J, HANKINS M, APFELBACHER CJ, JONES CJ, HORNE R, BOWSKILL R, FREW AJ (2009) Written emotional disclosure for asthma (Protocol) Cochrane Database of Systematic Reviews, Issue 2.
MARSHALL A, HENWOOD F, CARLIN L, GUY ES, SINOZIC T, SMITH H (2009) Information to fight the flab: findings from the Net.Weight study. Journal of Information Literacy 3(2), 50-63.
LEYDON GM, TURNER S, SMITH H, LITTLE P on behalf of the UTIS team (2009) The journey from self care to GP care: a qualitative interview study of women presenting with symptoms of urinary tract infection. British Journal of General Practice 59: 490-5. [PMID: 19566988]
NICHOLLS S, HANKINS M, HOOLEY C, SMITH H. (2009) A survey of the quality and accuracy of information leaflets about skin cancer and sun-protective behaviour available from UK general practices and community pharmacies. Journal of the European Academy of Dermatology and Venereology 23; 566-9. [PMID: 19175488]
POCKNEY P, PRIMROSE J, GEORGE S, JAYATILLEKE N, LEPPARD B, SMITH H, LITTLE P, KNEEBONE R, LOWY A. (2009) Recognition of skin malignancy by general practitioners: observational study using data from a population-based randomised controlled trial. British Journal of Cancer 100; 24-7. [PMID: 19127264]
SMITH H, HOGGER C, LALLEMANT C, CROOK D, FREW AJ. (2009) Is structured allergy history sufficient when assessing patients with asthma and rhinitis in general practice? Journal of Allergy and Clinical Immunology 123; 646-50. [PMID: 19135237]
WAYAL S, LLEWELLYN C, SMITH H, HANKINS M, PHILLIPS A, RICHARDSON D, FISHER M (2009) Self-sampling for oropharyngeal and rectal specimens to screen for sexually transmitted infections: acceptability among men who have sex with men. Sexually Transmitted Infections 85(1): 60-4. [PMID: 18708480]
LITTLE P, TURNER S, RUMSBY K, WARNER G, MOORE M, LOWES A, SMITH H, HAWKE C, TURNER D, LEYDON G, ARSCOTT M, MULLEE M (2009) Dipsticks and diagnostic algorithms in urinary tract infection: development and validation randomised trial, economic analysis, observational cohort and qualitative study. Health Technology Assessment 13(19) 1-73. [PMID: 19364448]
SMITH H, WADE J, FREW AJ (2008) How readable are the AAAAI ‘Tips to Remember’ leaflets? Journal of Allergy and Clinical Immunology 121(3): 770-3. [PMID: 18061651]
LLEWELLYN C, POLLARD A, SMITH H, FISHER M (2009) Are home sampling kits for sexually transmitted infections acceptable among men who have sex with men? Journal of Health Services Research & Policy 14 (1): 35-43. [PMID: 19103915]
GEORGE S, POCKNEY P, PRIMROSE J, SMITH H, LITTLE P, KINLEY H, KNEEBONE R, LOWY A, LEPPARD B, JAYATILLEKE N, MCCABE C (2008) A prospective randomised comparison of minor surgery in primary and secondary care. The MiSTIC trial. Health Technology Assessment 2(23): iii-iv, ix-38. [PMID: 18505669.
ALEXANDER S, ISON C, PARRY J, LLEWELLYN C, WAYAL S, RICHARDSON D, PHILLIPS A, SMITH H, FISHER M (2008) Self-taken pharyngeal and rectal swabs are appropriate for the detection of Chlamydia trachomatis and Neisseria gonorrhoeae in asymptomatic men who have sex with men. Sexually Transmitted Infections 84: 488-92. [PMID: 19028953]
KERR C, PAYNE S, HAWKER S, SEAMARK D, JARRETT N, ROBERTS H, SMITH H (2008) End-of-life care for older people in community hospitals. End of Life Care 2(2): 47-53.
