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`The best thing I've ever done', `It has changed my life' — just two comments from users of Do Something Different, a behaviour-change technique developed by Professor Fletcher and colleagues at the university's Psychology Department. Do Something Different is having significant commercial impact in companies and communities worldwide. Health professionals in deprived communities report that it has successfully tackled unhealthy behaviours such as overeating, stress or smoking. It has also been used in large organisations, including professional services companies, law firms and health insurance bodies, where it has demonstrably improved workplace welfare in connection with bias, wellbeing and stress.
Research carried out by Professor Susan Michie and colleagues led to the establishment of the NHS Centre for Smoking Cessation and Training (NCSCT) in 2009 to improve the quality of national stop smoking service provision. The team won the Department of Health contract to form the NCSCT which has led to important quality improvements as demonstrated by increases in knowledge and skills of practitioners, and improvements in success rates. It is estimated that to date the NCSCT has been responsible for an additional 7,500 smokers stopping long-term, saving an estimated 6,500 life years at an incremental cost of less than £500 per life year gained.
Loughborough University research into Problem Structuring Methodologies has resulted in PEArL, a device for framing the manner in which change occurs in organisations. The application of PEArL has changed organisational practice and policy in a variety of environments — including manufacturing, community and scientific settings — with far-reaching and long-lasting consequences. It has been used by the British Association for Chemical Specialities to achieve improved biocidal labelling; in homeless shelters to enhance outcomes for residents in adopting more stable lifestyles; and by Jaguar Land Rover to improve governance and achieve better oversight for senior management across product creation pipelines.
Professionals in the third sector have changed the key messages of their campaigns as a result of research from Cardiff University. In this research it was shown that people were more likely to be eco-friendly when campaigns appealed to their concern for the welfare of others, rather than financial savings. The findings have stimulated ongoing debate among eco-campaigners and a wider range of professionals in the third sector, government, the national press and online publications. Leading international non-governmental organisations (NGOs) such as Worldwide Fund for Nature (WWF) and Oxfam have formed the Common Cause initiative to improve their communication practices and this has led to changes in campaigning strategy.
Research undertaken by Dr Barr and colleagues at Exeter has examined pro-environmental behaviour policy and notions of behavioural change for environmental sustainability. This body of research has resulted in three main types of impact: it has informed public policy making, it has promoted product development, and it has informed public debate on the issue of sustainability. These impacts have been achieved through: reports for DEFRA that relate to UK behaviour change policy, collaboration with social marketing businesses that has resulted in mobile application development for UK and EU travellers, and informed public debate around issues of consumer behavioural change and flying. The latter has been achieved through citation by journalists and the instigation of debate in national (UK) and international media outlets.
In response to the gap between standards and the reality of preventive cardiovascular disease (CVD) health care delivered across Europe, Imperial College researchers developed an innovative nurse-led, multidisciplinary, family centred, CVD prevention programme (EUROACTION) and led its evaluation in hospital and general practice across 8 European countries. We showed that patients and their families in our programme can achieve healthier lifestyles and better risk factor management compared to usual care and these differences were sustained out to one year. We then adapted our learning from EUROACTION for the NHS, by integrating secondary and primary prevention into one community service (MYACTION), and managing cardiovascular disease as a family of diseases with common antecedents. To train doctors, nurses and allied professionals to deliver MYACTION we created an MSc in Preventive Cardiology which is now in its 6th year. EUROACTION is now recommended as an evidence based model of care in current European CVD prevention guidelines, and MYACTION is being commissioned by the NHS in London, and Galway, Republic of Ireland, and by the Western Isles Health Board. Our research has impacted directly on the development and delivery of high quality preventive care in both Europe, and the NHS, and on the training of doctors, nurses and allied health professionals in preventive cardiology.
Research led by Pardhan has enhanced the healthcare offered to diabetic patients of South Asian origin in the UK and overseas (Pakistan, East Africa). Prevalence of diabetes within this ethnic group is six times higher than in Caucasians. Our research into this group, which demonstrated an increased risk of sight-threatening eye disease and poor engagement with screening/treatment regimes, has impacted upon both patients and healthcare practitioners. Ophthalmologists, general practitioners and other clinicians have used our findings to target various physiological and cultural factors that influence diabetic control and eye health in the South Asian population.
Our research also provided the underpinning data that informed reports commissioned by the Royal National Institute of Blind People (RNIB). These reports demonstrate the increased prevalence of eye problems in patients of South Asian origin, and highlight the barriers that affect patients' access to primary and secondary eye-care across the UK. The reports evaluate the effectiveness of current management, and suggest strategies to improve the eye health of this group of patients.
These reports have led directly to the creation of dedicated community-based eye-care programmes. Funded by the Royal National Institute of Blind People (£400,000) and Innovation, Excellence and Strategic Development Fund (Department of Health), the programmes are designed to reduce diabetic-related complications through improved self care by patients in Bradford and Glasgow, regions that have significant Asian diabetic populations.
Research by Cardiff University is contributing to initiatives within the NHS and across Europe to safely reduce unnecessary antibiotic prescribing and thus help contain antimicrobial resistant bacteria. Our researchers conducted observational studies of prescribing patterns linked to local resistance data and qualitative research with GPs and patients on their perceptions of acute respiratory tract infections and antibiotic use and resistance. This enabled the Cardiff team to develop clinician training and patient education resources (covering issues such as communication skills, point of care testing, and typical duration of infections) to reduce unnecessary prescribing. Our trials proved these interventions were effective, at times cutting prescribing by as much as two-thirds. Our research has provided the basis for new clinical guidelines, antibiotic stewardship initiatives and policies, and educational tools for clinicians and patients that are being used in the UK and internationally.
The further development of the UK Physical Activity guidelines in 2010 highlighted the need to consider the emerging research in the area of sedentary behaviour. Prof S. Biddle at Loughborough University, based upon his and the Unit's leading research in this area, was invited to Chair a working group to review and make recommendations regarding the incorporation of guidance on sedentary behaviour into these new national policies. This group, drawing on the original work of Biddle and co-workers, set out clear recommendations for the incorporation of sedentary behaviour into the UK national Physical Activity Guidelines through the `Sedentary Behaviour and Obesity: Review of the Current Scientific Evidence' report (2010).
Physical Activity guidelines in the UK had never included recommendations for sedentary behaviour, until the publication of `Start Active, Stay Active' (2011), as a direct result of the Unit's research.
A Cardiff researcher has led an International 15 year programme resulting in multiple novel findings which have led to changes in the recommended diagnosis and treatment of acquired haemophilia A (AHA). The research has, for the first time, allowed the comparison of immunosuppressive regimens for inhibitor eradication and comparison of the efficacy of treatment strategies to control bleeds. Studies led directly to the production of UK and International guidelines on the management of AHA with 14 of the 18 specific recommendations in the UK guideline being underpinned by Cardiff-led research.