Hannah Dale | University of St Andrews (original) (raw)

Reports by Hannah Dale

Results from a one-year evaluation of a project embedding health psychology in primary care withi... more Results from a one-year evaluation of a project embedding health psychology in primary care within NHS Tayside. Appendices and infographic also available under reports section.

Appendices associated with report from a one-year evaluation of a project embedding health psycho... more Appendices associated with report from a one-year evaluation of a project embedding health psychology in primary care within NHS Tayside. Main report and infographic also available under reports section.

Infographic associated with report from a one-year evaluation of a project embedding health psych... more Infographic associated with report from a one-year evaluation of a project embedding health psychology in primary care within NHS Tayside. Main report and appendices also available under reports section.

Use screening and identification of those who are more vulnerable to difficulties to assess need,... more Use screening and identification of those who are more vulnerable to difficulties to assess need, and signpost or refer on to relevant services to help address the identified need: Screening Utilise robust screening tools (where available) for assessing psychological issues, social support and health behaviours (e.g. The Hospital Anxiety and Depression Scale) Identifying vulnerabilities Be aware of the demographic factors that make men more vulnerable to psychological and social issues, as well as some health behaviours:

Papers by Hannah Dale

Health Psychology Update, 2014

Health Psychology Update, 2010

Looked after young people (LAYP) suffer worse outcomes than their peers, in terms of their sexual... more Looked after young people (LAYP) suffer worse outcomes than their peers, in terms of their sexual health. However, there is little research with this group and no reported evaluations of interventions to improve sexual health outcomes. To build the evidence for the development of a sexual health intervention for LAYP a qualitative needs assessment was conducted with 10 LAYP in Fife, Scotland. The findings were integrated with health psychology theory and literature to develop a behaviour change service for this group. Based on the needs assessment this is a broad flexible service, offering support for a range of health issues, alongside consultancy for carers and workers. The process of developing a behaviour change service has enabled the author to meet many Stage 2 competencies and has assisted in carving a career in the NHS working with a vulnerable population group.

The European health psychologist, Dec 31, 2016

Background: Men with cancer typically access support services to improve their psychosocial healt... more Background: Men with cancer typically access support services to improve their psychosocial health or health behaviours less than women with cancer. This study aimed to explore the factors affecting help seeking behaviour to make recommendations for the development of interventions for men with cancer. Methods: Adult men with a diagnosis of cancer in the East of Scotland were recruited for a qualitative study of semi-structured interviews. Data were analysed inductively using thematic analysis and a coding framework was developed as themes emerged. Findings: Twenty participants were interviewed. A complex range of factors impacted on men’s help seeking. Appraisal of, and coping with, cancer and biopsychosocial antecedents, including the role of masculinity, along with service contexts impacted on help seeking and psychosocial outcomes. The themes that emerged reflected a modified model of the transactional model of stress and coping relevant to men with cancer. Legitimisation of help seeking and the use of some coping styles were needed by some men to access supportive services. This was particularly apparent where ideas about masculinity played a strong role in men’s appraisal of, and coping with cancer. Discussion: Implications for practice include the need to carefully tailor and advertise services to men, and for health professionals to help legitimise the use of certain coping strategies, including help-seeking. Services may need to be gender-sensitive without over-emphasising the role of masculinity in order to support men to access specific services and promote broader help-seeking behaviour.

The European health psychologist, Dec 31, 2016

Background: Empathetic and collaborative interactions are core skills in delivering behavioural i... more Background: Empathetic and collaborative interactions are core skills in delivering behavioural interventions. Objectives were to develop and evaluate the role of the Behavioural Health Consultant (BHC) within an integrated primary care team, which aimed to support the team towards working collaboratively with patients, in addition to the BHC working directly with patients, with a view to improve population health. Methods: Based on the “Nuka” practice of integrated primary care in South Central Foundation in Alaska and Health Psychology expertise, the BHC role was developed as part of a pilot in a primary care. A pre-post evaluation of patients seen by the BHC was undertaken examining lifestyle, depression (PHQ-9) and wellbeing (Warwick Edinburgh Mental Wellbeing Scale). The impact of the BHC on interactions between staff and patients was measured using community-level data on lifestyle (e.g. BMI) What went wrong: Post-intervention data were only available for 2 of the 22 patients seen by the BHC over 3 months. Measures of change in patients the team were seeing was not possible since the pilot finished early. Possible solutions: Post-intervention questionnaires could be delivered using several options (e.g. post, email, phone app), and an incentive used to support completion. Conclusions: Situating the BHC as part of the integrated primary care team reduced barriers to access for behavioural interventions, and involved team development in collaborative care. The impact of that intervention on individual or community/population health was not able to be explored, therefore further research and evaluation is required to fully test this model.

Health Psychology Update, 2022

Informed consent was obtained from all individual participants included in the study. Consent for... more Informed consent was obtained from all individual participants included in the study. Consent for publication Consent to publish anonymised data related to the study was obtained from all participants.

2.1 The sexual health of young people and those who are looked after..................5 2.2 The v... more 2.1 The sexual health of young people and those who are looked after..................5 2.2 The vulnerability of looked after young people..................................................6 2.3 Where looked after young people find out about sex and relationships from.....6 2.4 The need to intervene with looked after young people......................................7

Clinical Psychology Forum

This article reports on evaluation data exploring whether demographic characteristics affect opti... more This article reports on evaluation data exploring whether demographic characteristics affect opting into and continued engagement with children’s psychological services. It discusses the effect of deprivation on engagement with services and the role services may play in engaging the hardest-to-reach.

Health Psychology Update

This short report details Professor Joop van der Pligt’s keynote address at the DHP/EHPS Conferen... more This short report details Professor Joop van der Pligt’s keynote address at the DHP/EHPS Conference 2008. It positions this within the literature, and expands on the topics covered. Some of Professor van der Pligt’s work focuses on the role of attitudes and morals, particularly in relation to eating behaviours and nuclear energy. In his speech, Professor van der Pligt also discussed the moralisation of health behaviours, including smoking and eating. It is clear that morals play a part in the intentions and behaviour of individuals; however, inciting moral concerns in interventions may not be an effective method in eliciting behaviour change.

Staff survey knowledge, attitudes and practice items (developed using Theory Domains Framework co... more Staff survey knowledge, attitudes and practice items (developed using Theory Domains Framework constructs) [33]. (DOC 24 kb)

Examples of other behaviour change techniques used in the first and subsequent consultations*. (D... more Examples of other behaviour change techniques used in the first and subsequent consultations*. (DOC 24 kb)

Bringing together the transactional model of stress and coping .......... 8.5 What are the Implic... more Bringing together the transactional model of stress and coping .......... 8.5 What are the Implications of Findings for the Development of Interventions within Health Services (e.g., the NHS), Including how Services can Reduce any Barriers of Access for Men with Cancer? .

Health Psychology in Clinical Practice, 2021

Health Psychology Update, 2014

Health Psychology Update, 2010

The European health psychologist, Dec 31, 2016

Health Psychology Update, 2022

Clinical Psychology Forum

Health Psychology Update

Health Psychology in Clinical Practice, 2021

Health & Social Care in the Community, 2020

Improving community health and social care practitioners' confidence, perceived competence and in... more Improving community health and social care practitioners' confidence, perceived competence and intention to use behaviour change techniques in health behaviour change conversations. Health and Social Care in the Community.

Injury Prevention, 2016

Young drivers are greatly overrepresented in road traffic collisions (RTCs) worldwide. Interventi... more Young drivers are greatly overrepresented in road traffic collisions (RTCs) worldwide. Interventions attempt to change driving-related behaviours to reduce injuries and deaths from RTCs. The current study evaluated the effectiveness of the well-established Fife Safe Drive Stay Alive (SDSA) practice-based intervention on determinants of driving behaviour using the Health Action Process Approach (HAPA) model. Adolescent participants (predominantly pre-drivers) attending the SDSA intervention from schools and colleges in Fife, Scotland, were invited to complete an evaluation at baseline and at 3 months exploring motivational determinants of driving behaviour (e.g. risk perception). Intervention content was examined for behaviour change techniques (BCTs). Eighty-seven participants completed both baseline and follow-up evaluations. The motivational HAPA model variables predicted driving intentions. There was no significant overall effect of the SDSA intervention between baseline and 3 month follow-up. Seven negatively-framed BCTs were utilised in the intervention. The effectiveness of SDSA is questioned, however the study supports the use of the HAPA model in explaining driving intentions and therefore may usefully inform driving interventions.

Pilot and Feasibility Studies, 2016

Background: Previous research has shown diagnosis or screening for cancer may be a 'teachable mom... more Background: Previous research has shown diagnosis or screening for cancer may be a 'teachable moment' for prevention through lifestyle change. Previous trials have been successful but have been delivered via national programmes targeting patients being screened for colorectal cancer. This manuscript reports the protocol for a proof-of-concept study to assess the feasibility and acceptability of a lifestyle change service targeting men suspected or diagnosed with cancer of the prostate in a secondary care cancer service within the UK. Methods: Lifestyle change will be promoted through integration of a lifestyle change service in a urology department in one NHS Board. The service is delivered by a Health Psychologist and uses motivational interviewing and behavioural change techniques to motivate and support patients to consider and address topics such as increasing physical activity and a healthy diet, smoking cessation, alcohol reduction and weight loss. A service evaluation will assess feasibility and acceptability via a patient experience survey, a survey exploring staff knowledge, attitudes and practice, pre-and post-intervention lifestyle behaviour survey and an audit of routine patient database. Discussion: This pilot will assess the viability of using cancer testing and diagnosis as a teachable moment for lifestyle change in a unique population (i.e. men with suspected cancer of the prostate). If successful, this approach offers potential for preventative services to enhance routine and person-centred clinical cancer care provided within secondary care settings.

BMC family practice, Jan 29, 2016

Significant challenges exist within primary care services in the United Kingdom (UK). These inclu... more Significant challenges exist within primary care services in the United Kingdom (UK). These include meeting current demand, financial pressures, an aging population and an increase in multi-morbidity. Psychological services also struggle to meet waiting time targets and to ensure increased access to psychological therapies. Innovative ways of delivering effective primary care and psychological services are needed to improve health outcomes. In this article we argue that integrated care models that incorporate behavioural health care are part of the solution, which has seldom been argued in relation to UK primary care. Integrated care involves structural and systemic changes to the delivery of services, including the co-location of multi-disciplinary primary care teams. Evidence from models of integrated primary care in the United States of America (USA) and other higher-income countries suggest that embedding continuity of care and collaborative practice within integrated care teams...

Health Education Journal, 2016

Objective: The study aimed to design and evaluate a health behaviour change intervention for look... more Objective: The study aimed to design and evaluate a health behaviour change intervention for looked after young people, targeting sexual health, smoking, exercise, healthy eating and non-dependent alcohol and drug use. Design: A pre–post intervention evaluation was undertaken exploring health behaviours and wellbeing. Methodology: The one-to-one intervention was individually tailored to each person. Young people eligible for the intervention were aged 11 years and over and were ‘looked after’, meaning they were under a supervision order with a local authority in Scotland, or were a care leaver. A total of 144 young people referred to the intervention service between March 2009 and January 2014 were eligible for the evaluation. Evaluation data were analysed using standard statistical tests on SPSS. Results: Behaviour change techniques, including goal setting, action planning, barrier identification/problem solving and motivational interviewing contributed to improvements in all areas...

Health and Technology, 2013

Technology is increasingly used as a method to engage young people in health issues. This review ... more Technology is increasingly used as a method to engage young people in health issues. This review aimed to assess the effectiveness of technology interventions in preventing and reducing substance use and risky sexual health behaviours in young people. The following databases were searched via Ovid: Psychinfo, Medline, Embase. Studies were systematically screened by title, abstract and 2 reviewers assessed the full papers and discrepancies discussed. Inclusion criteria: young people (aged 12-25 years) that constituted at least 50 % of the population; any technological component including telecommunication, computer and internet that constituted at least 50 % of the intervention; any sexual health or substance use outcome; studies meeting evidence level one-four. 1603 papers were identified by the original search. Of these, 30 were included in the review. The majority of studies showed positive intervention effects, however, most targeted educated young people, such as university students. Additionally, the outcome measures were often psychological determinants of behaviour rather than actual behaviours. Technology has a significant role to play in this field. The review identifies components of effective interventions for young people. However more research is required to target vulnerable populations in order reduce inequalities. Studies are required that involve a wider variety of participants with behavioural outcomes.

Background Looked after young people represent a group of people under a supervision order with a... more Background Looked after young people represent a group of people under a supervision order with a local authority. They are frequently reported engaging in poorer health behaviours than are their peers. There are few reported assessments of behaviour change interventions for looked after young people, therefore the effectiveness of existing interventions and insight for the development of further interventions are unknown. Much has been made of the challenge of how to affect key health behaviours in adolescence and hence reduce future inequalities in health. The objectives were therefore to develop and assess a health behaviour change intervention for looked after young people to support healthier lifestyle choices.