Hannah Wheat

Hannah Wheat
University of Plymouth | UoP · School of Medicine

Philosophy of Medicine (sociology) PhD
Co-lead of the longitudinal, mixed methods evaluation of the D-PACT (Dementia- PersonAlised Care Team) intervention.

About

19
Publications
1,547
Reads
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291
Citations
Citations since 2016
16 Research Items
290 Citations
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2016201720182019202020212022020406080
Additional affiliations
February 2016 - July 2016
University of Plymouth
Position
  • Programme Coordinator for SW Person-centred coordinated care programme evaluations

Publications

Publications (19)
Article
Full-text available
Very brief opportunistic interventions for smoking cessation are effective, cost-saving for health systems, and universally recommended in guidelines. However, evidence suggests that clinicians are reluctant to intervene, citing interactional difficulties. Only one UK study has specifically examined smoking discussions, within naturally occurring p...
Article
Aims To investigate factors influencing oral health behaviours and access to dental services for asylum seekers and refugees (ASRs).Methods A qualitative research study using purposeful sampling was undertaken in South West England. Online semi-structured interviews with stakeholders working with or supporting ASRs were analysed through reflexive t...
Article
Full-text available
Background and purpose Adults lacking capacity are under-represented in research; therefore, the evidence-base surrounding their support needs is inferior compared to other populations. Involving this group in research is fraught with challenges, including researcher uncertainties about how to carry out capacity judgements. Whilst ethical guideline...
Article
Full-text available
‘Dementia - Personalised Care Team’ (D-PACT) is a five-year NIHR funded programme, using realist methods to develop and evaluate a complex, person-centred intervention for people with dementia and their carers. During the early project stages, we engaged with multiple stakeholders, including people with dementia and their carers, to develop an init...
Article
Introduction Following the World Health Organisation declaration of COVID-19 as a global pandemic, routine dental care in the UK ceased, and Urgent Dental Care centres (UDCs) were established to offer remote and face-to-face urgent dental treatment for those in need. Aim To explore perceptions and psychosocial experiences of frontline staff providi...
Article
Introduction While routine dentistry was suspended during the COVID-19 pandemic, Urgent Dental Care centres (UDCs) were established to support patients with urgent dental needs. Aim The study aimed to provide insights and recommendations on future dental reform based on the perspectives of frontline staff delivering dental care in UDCs. Method A qu...
Article
Objective: To assess GPs' thoughts, feelings, and practices on providing opportunistic weight loss interventions before and after educational training and application in practice. Methods: In an embedded sequential mixed-methods design, 137 GPs delivered a 30-second brief opportunistic intervention to a mean of 14 patients with obesity. To asses...
Article
With the growing sophistication and prevalence of digital devices such as mobile phones, computers, tablets, sat-navs, and domestic appliances, the extraction, analysis and interpretation of digital data has become increasingly central to intelligence gathering and criminal proceedings. However, the very extent of data available today challenges th...
Article
Full-text available
Objectives To evaluate a county-wide deincentivisation of the Quality and Outcomes Framework (QOF) payment scheme for UK General Practice (GP). Setting In 2014, National Health Service England signalled a move towards devolution of QOF to Clinical Commissioning Groups. Fifty-five GPs in Somerset established the Somerset Practice Quality Scheme (SP...
Article
Background: Pharmacotherapies for smoking cessation increase the likelihood of achieving abstinence in a quit attempt. It is plausible that providing support, or, if support is offered, offering more intensive support or support including particular components may increase abstinence further. Objectives: To evaluate the effect of adding or incre...
Article
Full-text available
Background To ascertain whether person centred coordinated care (P3C) is being delivered in healthcare services, components relating to the construct need to be measured. Patient reported measures (PRMs) can be used to provide a measurement of patients’ experiences of P3C. Traditionally, they have been used to assess whether interventions are deliv...
Article
Nutritional changes recommended by veterinarians to clients can have a major role in animal-patient health. Although there is literature on best practices that can inform veterinary communication training, little is known specifically about how veterinarians communicate their recommendations to clients in real-life interactions. This study used the...
Article
Full-text available
Background Fragmented care results in poor outcomes for individuals with complexity of need. Person-centred coordinated care (P3C) is perceived to be a potential solution, but an absence of accessible evidence and the lack of a scalable ‘blue print’ mean that services are ‘experimenting’ with new models of care with little guidance and support. Thi...
Article
Full-text available
Background: Patient-reported measure (PRM) questionnaires were originally used in research to measure outcomes of intervention studies. They have now evolved into a diverse family of tools measuring a range of constructs including quality of life and experiences of care. Current health and social care policy increasingly advocates their use for em...
Article
Objective: To establish the types of initial questions used by veterinarians in companion animal practice to solicit nutritional history information from owners of dogs and cats, the dietary information elicited, and the relationship between initial question-answer sequences and later nutrition-related questions. Design: Cross-sectional qualitat...
Article
Existing research indicates that many patients and doctors find the process of negotiating sickness certification for time off work to be a difficult one. This study examined how patients and general practitioners (GPs) managed these negotiations in a sample of UK primary care consultations. The study made use of an existing dataset of audio-record...

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Projects

Projects (3)
Project
This study examines the ways in which digital forensic resources are used for intelligence and prosecution purposes in police practice in England and Wales, with a focus on the social, professional and ethical aspects of these practices.
Project
I led a great team from the South West Peninsula Collaboration for Applied Health Research and Care (PenCLAHRC) to develop and deliver a portfolio of intelligence to progress understanding and the utilisation of Person Centred Metrics for Long-Term Conditions, Multiple Long-Term Conditions and for those at the End of their Life. The purpose of this work was to allow: • Commissioners to develop a suite of measures that can be used to commission for person centred outcomes at an individual and population level • Providers to measure the impact of their interventions, supporting continuous improvement of services and to embed person centred measurement • Patients and their support network to challenge what their local services can deliver and provide them with an understanding of the role that they play within this partnership In addition, the output of this work included guidance on which measures are most suitable for which purpose, and a succinct narrative of what we know about how metrics work to influence quality improvement and resultant service level utilisation. We delivered the above by performing: a) a rapid synthesis of the evidence, b) active stakeholder engagement through workshops and primary data collection, c) the production of a compendium of measures d) a commissioner’s guide which links to c) to provide an assessment of a measure’s person centeredness and psychometric properties for each of the three population groups. The commissioner’s guide also provided a summary of what we currently understand to be Person Centred Coordinated Care, how to measure and develop these interventions, and a set of implementation examples and case studies, as well as guidance on how and why to measure staff experiences and organisational change. Our Public beta Compendium can be accessed at http://www.p3c.org.uk/ NHSE will launch the commissioning guide this autumn. Excellent project and great team.