Claire EasthallUniversity of Leeds
Claire Easthall
Master of Pharmacy (MPharm), PhD
About
19
Publications
32,923
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283
Citations
Citations since 2017
Introduction
My research is focused on medication taking behaviours and the exploration of novel cognitive-based techniques such as Motivational Interviewing to improve medication adherence. Beyond medication adherence, I am also interested in promoting adherence to other health related behaviours.
I commenced my PhD at the School of Pharmacy, UEA in October 2010, having qualified as a pharmacist in July of the same year. I continue to practice as a locum community pharmacist today.
Additional affiliations
February 2014 - present
Position
- Lecturer in Pharmacy Practice
Description
- Researching pharmacy practice with a specific focus on medication adherence and health behavior change using theoretical and psychological based principles.
October 2010 - February 2014
Education
October 2010 - February 2014
September 2005 - June 2009
School of Pharmacy University of East Anglia
Field of study
- Pharmacy
Publications
Publications (19)
The prescribing of oral chemotherapy agents previously available only in the intravenous formulation, such as capecitabine, has afforded many benefits including reduced administration costs and improved patient acceptability. However, it has introduced the new challenge of ensuring patient adherence to therapy. It is therefore necessary to quantify...
To describe and evaluate the use of cognitive-based behaviour change techniques as interventions to improve medication adherence.
Systematic review and meta-analysis of interventions to improve medication adherence.
Search of the MEDLINE, EMBASE, PsycINFO, CINAHL and The Cochrane Library databases from the earliest year to April 2013 without langua...
Background
Complex health behaviour change theories have been succinctly collated by the Michie and Fishbein frameworks and have recently been used to develop instruments for identifying patient barriers to health behaviour change such as smoking cessation. Identification of barriers to behaviour change using theory based instruments enables interv...
Non-adherence to prescribed medicines has been described as “a worldwide problem of striking magnitude”, diminishing treatment effects and wasting resources. Evidence syntheses report current adherence interventions achieve modest improvements at best, and highlight the poor progress toward the longstanding aim of a gold-standard intervention, tail...
Objectives:
To identify barriers to medication adherence in patients prescribed medicines for the prevention of cardiovascular disease and map these to the Theoretical Domains Framework (TDF), to produce a conceptual framework for developing a questionnaire-based medication adherence tool.
Methods:
A scoping review of barriers to medication adhe...
The Independent and Supplementary Prescribing programme has been offered by the University of Leeds since 2002. Upon completion of the programme pharmacists, nurses, midwives, physiotherapists, and paramedics register as prescribers with their professional regulator. Trainees attend teaching sessions over a 3‐month period followed by a period of su...
Objectives
To explore how the CollaboRATE measure could be used as a process measure of shared decision-making in ward-based pharmacy consultations.
Method
Participants on two wards, at a large, London-based UK teaching hospital were asked to complete the five-point CollaboRATE measure about the most recent consultation with their regular ward pha...
This editorial comments on the article by Chung et al.
Introduction
Aperson-centred approach to healthcare encompasses personalised care, supporting the individual to recognise their strengths and promote their independence. Preregistration pharmacists , who arenew pharmacy graduates undertaking their training year of practice before qualification,may need support embedding this in practice.
Objective...
A person-centred approach to care is central to NHS England’s health policy agenda and a standard for pharmacy practice from the General Pharmaceutical Council. Health coaching is a method of delivering person-centred care. A pilot of a health coaching support package, including a 2-day course and practice-based follow-up, was delivered to 70 Londo...
Abstract A person-centred approach to care is central to NHS England’s health policy agenda and a standard for pharmacy practice from the General Pharmaceutical Council. Health coaching is a method of delivering a person-centred care. A pilot of a health coaching support package, including a two-day course and practice- based follow-up, was deliver...
Focal Points:
• Recent guidelines have called for adherence interventions to be grounded in theory; the Theoretical Domains Framework (TDF) is proposed as a ‘user-friendly’ collation of psychological theories related to the determinants of health behaviours.
• The aim of this is to establish patient perspectives on literature-identified medication...
Focal Points:
• The NPSA risk matrix is widely used in practice to assess risk of harm; its application to medicines related risk of harm is novel.
• Pre and post intervention NPSA risk scores were assigned to recipients of a domiciliary medicines support service by a panel of four different healthcare professionals to determine whether receipt of...
The role of emotions as a barrier to medication adherence
Background
Medication adherence is known to be sub-optimal in 30-50% of patients prescribed medication for chronic illnesses. Whilst behavioural determinants of medication adherence such as attitudes and intentions have been widely explored, the influence of emotions has received less attent...
The impact of motivational interviewing (MI) as an intervention to improve medication adherence; a meta-analysis
School of Pharmacy, University of East Anglia, Norwich Research Park, Norwich, UK, NR4 7TJ
E-mail: c.easthall@uea.ac.uk
Background: Medication adherence is a determinant of treatment efficacy, yet 30-50% of patients prescribed medicatio...
Questions
Question (1)
I have a dataset comprised of risk scores from four different healthcare providers. The risk scores are indicative of a risk category of low, medium, high or extreme. I've been able to calculate an agreement between the four risk scorers (in the category assigned) based around Fleiss' kappa but unsurprisingly it's come out very low - actually I managed to achieve negative kappa value. I've looked back at the data and there are many cases where, for example, three of the scorers have said 'extreme' and one has said 'high'. Based on normal kappa, this comes out as disagreement, but of course the cases are adjacent so whilst its not agreement is an awful lot better than, say two scorers saying 'extreme' and two scorers saying 'low' as agreement does not fall into adjacent cases.
I understand the basic principles of weighted kappa and I think this is the approach I need to take but I'm struggling a little with weighted kappa given its multiple raters. Does anyone have any experience on this and advice how is it best to tackle this?
Projects
Projects (2)
The aim is to explore the barriers and facilitators to stopping inappropriate medicines in care homes residents and to develop a novel intervention to enable deprescribing
Validation of a tool to identify medication non-adherence and the reasons for an individual's non-adherence.
