Jemma L Hawkins

• PhD
• Research Associate at Cardiff University

Objective In the light of the shortcomings of curriculum-based health promotion in secondary schools, group motivational interviewing provides a potential alternative approach. This two-phase study set out to establish the key components, feasibility and acceptability of a group motivational interviewing intervention, focused on alcohol consumption...

Previous research has suggested that gardening activity could be an effective form of regular exercise for improving physical and psychological health in later life. However, there is a lack of data regarding the exercise intensities of various gardening tasks across different types of gardening and different populations. The purpose of this study...

Exercise referral schemes are established within community-based health care; however, they have been criticized for failing to evidence long-term behavior change relative to usual care. As such, recent reviews have called for refinement of their delivery with a focus on embedded strategies targeting client motivation. This research letter presents...

The purpose of this study was to investigate the benefits to health and well-being of allotment gardening (in Wales, UK) in a community-dwelling older adult sample, with a particular emphasis on stress recovery. Semi-structured interviews were used to explore allotment gardener participants' personal beliefs and ideas of the benefits of their allot...

This study explored the potential benefits of allotment gardening for healthy aging, focusing on the opportunities for outdoor physical activity, social support, and contact with nature that allotment gardening provides. Participants included 94 individuals aged between 50 and 88 years who were members of various indoor and outdoor activity groups....

Background ‘Inhalants’ have been associated with poorer mental health in adolescence, but little is known of associations with specific types of inhalants. Aims To investigate associations of using volatile substances, nitrous oxide and alkyl nitrates with mental health problems in adolescence. Methods Cross-sectional analysis using data from 13-...

Background Adolescence is a period of profound developmental change during which the prevalence of mental health problems starts to increase. It also typically coincides with a school transition. Understanding mental health trajectories through school transition is important to inform interventions to support young people's mental health during thi...

Background Role models have been identified as a potential means to tackle the persisting low levels of physical activity among young girls. The aim of this research was to explore the involvement of community- and peer role models within the CHARMING (CHoosing Active Role Models to INspire Girls) intervention, an intervention which aims to increas...

Purpose This study explored the involvement of community- and peer role models within the CHARMING (CHoosing Active Role Models to INspire Girls) intervention, aiming to increase and sustain physical activity among 9–10-year-old girls. CHARMING involves community role models delivering different 1-hour weekly taster physical activities with peer ro...

Background: Cannabis has been associated with poorer mental health, but little is known of the effect of synthetic cannabinoids or cannabidiol (often referred to as CBD). Aims: To investigate associations of cannabis, synthetic cannabinoids and cannabidiol with mental health in adolescence. Method: We conducted a cross-sectional analysis with...

The education systems of the four UK nations are diverging, and the education system in Wales is undergoing major reform with substantially increased emphasis on health and wellbeing. Understanding the implementation of major policy and system reforms requires an understanding of system histories and starting points. This study aimed to explore the...

Background A relationship between smoking and interpersonal influences has been well established within the literature. There have been cultural shifts in denormalisation and a reduction in tobacco smoking in many countries. Hence there is a need to understand social influences on adolescents’ smoking across smoking normalisation contexts. Methods...

Purpose: Adolescence is a phase when young people begin to explore their gender identity. Adolescents who identify as a gender minority are vulnerable to experiencing mental health problems due to stigmatization of their identity. Methods: A population-wide study compared gender minority and cisgender students (aged 13-14 years) self-reported sy...

Normative transitions between educational settings can be important life events for young people, having the potential to influence mental health trajectories across the life course. Interventions to target transitions have been used to support children and young people as they transition between school settings, but there is limited synthesis of t...

This study assessed the impact of introducing a Sustainable Urban Drainage (SuDs) scheme to a socioeconomically deprived area, on residents buy-in and sustainable behaviours. Surveys were completed before the scheme was implemented by 180 residents (in affected n = 79 and neighbouring streets n = 101) and 1 year after the schemes completion by 51 r...

Background The relationship between smoking and interpersonal influences has been well established within the literature. There has been a cultural shift in denormalisation and a reduction in tobacco smoking. Despite this, socioeconomic inequality in smoking has prevailed. This highlights the pressing need to understand health inequalities in relat...

Background In many countries, including in the United Kingdom (UK), COVID-19 social distancing measures placed substantial restrictions on children’s lives in 2020 and 2021, including closure of schools and limitations on play. Many children faced milestones such as transition to secondary school having missed several months of face-to-face schooli...

Background Whilst prevalence of youth smoking in middle and high income countries has decreased, inequality has prevailed. The introduction of legislation regulating tobacco use in public spaces varies across countries, impacting the tobacco control context. Thus reviewing our knowledge of how social networks may influence smoking differently withi...

Background In the UK, there is evidence that girls’ physical activity tends to decline to a greater extent than boys as they enter adolescence. ‘Role models’ could play a vital role in inspiring girls to become or remain physically active. The CHARMING Programme is a primary school-based community linked role-model programme, co-developed in 2016,...

Background Over ten years on from a randomised controlled trial and subsequent national roll-out, the National Exercise Referral Scheme (NERS) continues to be routinely delivered in primary care across Wales, UK. Few studies have revisited effective interventions years into their delivery in routine practice to understand how implementation, and pe...

Despite widespread use, community-based physical activity prescription is controversial. Data limitations have resulted in a lack of clarity about what works, under what circumstances, and for whom, reflected in conservative policy recommendations. In this commentary we challenge a predominantly negative discourse, using contemporary research to hi...

To date no study has examined time trends in adolescent consumption of sugar-sweetened beverages and energy drinks, or modelled change in inequalities over time. The present study aimed to fill this gap by identifying historical trends among secondary school students in Wales, United Kingdom. The present study includes 11–16 year olds who completed...

Background: Whilst prevalence of youth smoking in middle and high income countries has decreased, inequality has prevailed. The introduction of legislation regulating tobacco use in public spaces varies across countries, impacting the tobacco control context. There is a need to revisit our understandings of the influence of social networks on smoki...

Young people's wellbeing is often lowest where they assume a relatively low position within their school's socioeconomic hierarchy, for example, among poorer children attending more affluent schools. Transition to secondary school is a period during which young people typically enter an environment which is more socioeconomically diverse than their...

Background: Health and education are intrinsically linked, while both are significantly patterned by socioeconomic status throughout the life course. Nevertheless, the impact of promoting health via schools on education is seen by some as a "zero-sum game"; ie, focusing resources on health improvement activity distracts schools from their core bus...

Background: Smoking remains a major public health concern. School-based social networks influence uptake of smoking among peers. During the past two decades, the UK macro-systemic context within which schools are nested and interact with has changed, with anti-smoking norms having become set at a more macro-systemic level. Whilst the overall preva...

Background Whilst there is evidence for initial effectiveness of exercise referral schemes for increasing physical activity, evidence of long-term effects is limited. In Wales, a trial of the National Exercise Referral Scheme [NERS] showed small but significant impacts on physical activity at 12-month follow-up. Technologies such as activity monito...

Objective: School summer holiday clubs in deprived areas of Wales were evaluated to examine opportunities for healthy eating and physical activity and explore delivery processes. Methods: Ten Food and Fun clubs participated in 2016. Quantitative data (child and parent surveys; N = 196, N = 84) assessed the opportunity to provide children with br...

Background: While schools have potential to contribute to children's health and healthy behaviour, embedding health promotion within complex school systems is challenging. The 'Healthy Primary School of the Future' (HPSF) is an initiative that aims to integrate health and well-being into school systems. Central to HPSF are two top-down changes tha...

The socioeconomic inequalities found in child and adolescent mental wellbeing are increasingly acknowledged. Although interventions increasingly focus on school holidays as a critical period for intervention to reduce inequalities, no studies have modelled the role of summer holiday experiences in explaining socioeconomic inequalities in wellbeing....

Positive relationships with family, friends and school staff are consistently linked with health and wellbeing during adolescence, though fewer studies explore how these micro-systems interact to influence adolescent health. This study tests the independent and interacting roles of family, peer and school relationships in predicting substance use,...

Complex systems approaches to social intervention research are increasingly advocated. However, there have been few attempts to consider how models of intervention science, such as the Medical Research Council complex interventions framework, might be reframed through a complex systems lens. This article identifies some key areas in which this fram...

BACKGROUND Exercise referral schemes are recommended for patients with health conditions or risk factors. There is evidence for the initial effectiveness and cost-effectiveness of such schemes for increasing physical activity, but effects often diminish over time. Techniques such as goal setting, self-monitoring and personalised feedback may suppor...

Background Exercise referral schemes (ERSs) are recommended for patients with health conditions or risk factors. Evidence points to the initial effectiveness and cost-effectiveness of such schemes for increasing physical activity, but effects often diminish over time. Techniques such as goal setting, self-monitoring, and personalized feedback may s...

Background: Implementing health improvement is often perceived as diverting resource away from schools' core business, reflecting an assumption of a "zero-sum game" between health and education. There is some evidence that health behaviors may affect young people's educational outcomes. However, associations between implementation of school health...

Background Exercise referral schemes are recommended by the National Institute for Clinical Excellence (NICE) for physical activity promotion among inactive patients with health conditions or risk factors. Whilst there is evidence for the initial effectiveness and cost-effectiveness of such schemes for increasing physical activity, evidence of long...

Background: There is recognition that health and education are intrinsically linked, through for example the World Health Organizations' Health Promoting Schools' (HPS) framework. Nevertheless, promoting health via schools is seen by some as a 'zero-sum game'; that is, schools have nothing to gain, and in fact may experience detriments to the core...

Background Illicit drug use increases the risk of poor physical and mental health. Few effective school-based drug prevention interventions are available. We adapted an effective school-based peer-led smoking prevention intervention (ASSIST) to deliver information from the UK national drug education website, FRANK Methods We conducted a four-arm p...

Background There is recognition that health and education are intrinsically linked through, for example, WHO's Health Promoting Schools (HPS) framework. Nevertheless, promoting health via schools is seen by some as a zero-sum game—ie, schools have nothing to gain, and may experience detriments to the core business of academic attainment because of...

Background Illicit drug use increases the risk of poor physical and mental health. There are few effective drug prevention interventions. Objective To assess the acceptability of implementing and trialling two school-based peer-led drug prevention interventions. Design Stage 1 – adapt ASSIST, an effective peer-led smoking prevention intervention...

Background Existing guidance for developing public health interventions does not provide information for researchers about how to work with intervention providers to co-produce and prototype the content and delivery of new interventions prior to evaluation. The ASSIST + Frank study aimed to adapt an existing effective peer-led smoking prevention in...

This is the first study to measure the 'sense of community' reportedly offered by the CrossFit gym model. A cross-sectional study adapted Social Capital and General Belongingness scales to compare perceptions of a CrossFit gym and a traditional gym. CrossFit gym members reported significantly higher levels of social capital (both bridging and bondi...

School based health promotion represents a potentially cost effective, high reach approach to enhancing healthy child development, promoting long term health and addressing health inequalities by influencing mediators of these inequalities early in the life course. The need to promote well-being and develop interventions that address predictors of...

Background: There is a growing interest in the potential added benefits to health of conducting physical activity in contact with nature but there is a lack of research in this area that has focused on older adults. There is also emerging evidence which suggests a potential role of allotment and community gardening projects for enhancing individual...