Petra A Wark

• MSc PhD FHEA
• Professor at Coventry University

BACKGROUND Digital health is a critical driver of quality, safety, and efficiency in healthcare. However, poor quality of clinical information in Digital Health Technologies (DHTs) can compromise the quality and safety of care. The Clinical Information Quality (CLIQ) framework was developed as a pragmatic tool to assess the quality of clinical info...

Purpose Understanding the experiences of people with Chronic Obstructive Pulmonary Disease (COPD) using activity monitors in daily life could support the utilisation of technology within healthcare to increase physical activity and support self-management. This qualitative study aimed to explore the experiences of people with COPD using activity mo...

Introduction: Activity monitors (apps and wearables) are increasingly used by the general population, including people with Chronic Obstructive Pulmonary Disease (COPD). There is potential for activity monitors to support increases in physical activity for people with COPD and healthcare practitioners (HCPs) are likely to be key in supporting thei...

Introduction and Objectives Apps and wearables are increasingly being used by people with Chronic Obstructive Pulmonary Disease (COPD) to help improve levels of physical activity. Physical activity can increase life expectancy, reduce hospital admission, and improve quality of life for people with COPD. Previous research has focussed on the use of...

Introduction and Objectives Activity monitors (i.e. apps and wearables) are becoming increasingly utilised by the general population and people with Chronic Obstructive Pulmonary Disease (COPD). Adapting to COVID-19 involved the remote delivery of COPD treatments, including pulmonary rehabilitation. However, research prior to COVID-19 has reported...

BACKGROUND Digital Health Technologies (DHTs), such as electronic health records and prescribing systems, are transforming healthcare delivery around the world. The quality of information in DHTs is key to the quality and safety of care. We developed a novel Clinical Information Quality (CLIQ) Framework to assess the quality of clinical information...

Background: Digital health technologies (DHTs), such as electronic health records and prescribing systems, are transforming health care delivery around the world. The quality of information in DHTs is key to the quality and safety of care. We developed a novel clinical information quality (CLIQ) framework to assess the quality of clinical informat...

Chronic obstructive pulmonary disease (COPD) is a lung disease where symptoms include breathlessness and coughing. Previous research has focussed on monitoring physical activity, so research is needed to understand the experiences of using monitoring technology in everyday life. This study explored the experiences of people with COPD using activity...

Introduction: Digital health technologies (DHTs) such as electronic health records, clinical decision support systems and electronic prescribing systems are widely used in healthcare. While adoption of DHTs can improve healthcare delivery, information quality (IQ) problems associated with DHTs can compromise quality and safety of care. The clinica...

BACKGROUND Digital Health Technologies (DHTs) generate large volume of information used in healthcare for administrative, educational, research and clinical purposes. Clinical use of digital information for diagnostic, therapeutic and prognostic purposes has multiple patient safety problems; some of which result from poor information quality. OBJE...

Background: Digital Health Technologies (DHTs) generate large volume of information used in healthcare for administrative, educational, research and clinical purposes. Clinical use of digital information for diagnostic, therapeutic and prognostic purposes has multiple patient safety problems; some of which result from poor information quality. Ob...

Online dietary assessment tools can reduce administrative costs and facilitate repeated dietary assessment during follow-up in large-scale prospective studies. We developed an online 24-h recall (myfood24) with automated estimation of associated nutrient intake, and assessed validity against reference recovery, predictive and concentration biomarke...

Online dietary assessment tools can reduce administrative costs and facilitate repeated dietary assessment during follow-up in large-scale prospective studies. We developed an online 24-h recall (myfood24) with automated estimation of associated nutrient intake, and assessed validity against reference recovery, predictive and concentration biomarke...

Background: measuring dietary intake in children and adolescents can be challenging due to misreporting, difficulties in establishing portion size and reliance on recording dietary data via proxy reporters. The aim of this review was to present results from a recent systematic review of reviews reporting and comparing validated dietary assessment t...

Oxford WebQ is an online dietary questionnaire covering 24 hours, appropriate for repeated administration in large-scale prospective studies including UK Biobank and the Million Women Study. We compared performance of the Oxford WebQ and a traditional interviewer-administered multi-pass 24-hour recall against biomarkers for protein, potassium and t...

This study examined the feasibility of including myfood24, an online 24-hour dietary recall tool, in a cohort studies of older adults. Participants (n = 319) were recruited during follow-up visits for the CHARIOT-Pro Sub-study, a prospective study of cognitively healthy adults aged 60–85 years at baseline. Email invitations were sent over three con...

Background Rapid medical assessment and treatment of patients with transient ischemic attack (TIA) or stroke significantly reduces the risk of recurrent stroke. Previous research has shown that delays to initial medical assessment are due to lack of an urgent response to symptoms. In comparison to other communities living within the UK, South Asian...

Introduction Electronic health (eHealth) applications have become a very large repository of health information which informs critical decisions relating to the diagnosis, treatment and prognosis of patients. Poor information quality (IQ) within eHealth may compromise patient safety. Evaluation of IQ in eHealth is therefore necessary to promote pat...

Background: Health researchers may struggle to choose suitable validated dietary assessment tools (DATs) for their target population. The aim of this review was to identify and collate information on validated UK DATs and validation studies for inclusion on a website to support researchers to choose appropriate DATs. Design: A systematic review of...

Introduction: Monitoring physical activity (PA) and sedentary behaviour (SB) using mobile phone applications (apps) and wearable technology (wearables) may improve these health behaviours. This systematic review aims to synthesise the qualitative literature on the barriers and facilitators of using apps and wearables to monitor PA and SB in adults....

Systematic review and website presentation of validated dietary assessment tools - Volume 77 Issue OCE4 - M. Warthon-Medina, J. Hooson, N. Hancock, L.E. Gibson, L.A. Bush, J. Hutchinson, D.C. Greenwood, S. Robinson, V.J. Burley, M. Roe, T. Steer, P.A. Wark, J.E. Cade

Sleep timing and vegetable intakes in UK adults: a cross-sectional study - Volume 77 Issue OCE4 - E.A. Noorwali, G.D.M. Potter, H.E. Ford, U.Z. Mulla, D. Murphy, P.A. Wark, G.S. Frost, L.J. Hardie, J.E. Cade

Nutritools.org an innovative website including a Food Questionnaire Creator for dietary assessment in health research - Volume 77 Issue OCE4 - M. Warthon-Medina, J. Hooson, N. Hancock, J. Hutchinson, E. Vargas-Garcia, L.E. Gibson, L.A. Bush, K. Greathead, B. Knowles, B. Margetts, S. Robinson, A. Ness, N.A. Alwan, P.A. Wark, M. Roe, P. Finglas, T. S...

Accurate diet measurement is challenging and strategies to support researchers in selecting the most appropriate dietary assessment tools (DATs) are required. DIET@NET (DIETary Assessment tools NETwork) partnership aimed to create an online resource that provides guidelines for selecting tools with access to validated DATs. The Nutritools website(1...

Objectives: To synthesise the qualitative literature on the barriers and facilitators of using apps and wearables for monitoring physical activity (PA) and/or sedentary behaviour (SB). Design: This systematic review is registered with the International Prospective Register of Systematic Reviews (CRD42017070194). Background: Monitoring PA and SB us...

Background: Online dietary assessment tools can reduce administrative costs and facilitate repeated dietary assessment during follow-up in large-scale studies. However, information on bias due to measurement error of such tools is limited. We developed an online 24-h recall (myfood24) and compared its performance with a traditional interviewer-adm...

Background: Online dietary assessment tools can reduce administrative costs and facilitate repeated dietary assessment during follow-up in large-scale studies. However, information on bias due to measurement error of such tools is limited. We developed an online 24-hour recall (myfood24) and compared its performance with a traditional interviewer-a...

P2.01.16 SIG: E- & m-health Purpose: Monitoring physical activity (PA) and sedentary behaviour (SB) using mobile phone applications (apps) and wearable technology (wearables) may improve PA and SB. So far systematic review evidence summarises quantitative studies investigating the acceptability, efficacy and effectiveness of apps and wearables rela...

Objective: Monitoring of physical activity and sedentary behaviours by mobile phone applications (apps) and wearable technology (wearables) may improve these health behaviours. This systematic review aims to synthesise the qualitative literature on the barriers and facilitators of using apps and wearables for monitoring physical activity and/or se...

Background: Electronic health (eHealth) and mobile health (mHealth) approaches to address low physical activity levels, sedentary behavior, and unhealthy diets have received significant research attention. However, attempts to systematically map the entirety of the research field are lacking. This gap can be filled with a bibliometric study, where...

br/>Background: Dietary assessment is complex, and strategies to select the most appropriate dietary assessment tool (DAT) in epidemiological research are needed. The DIETary Assessment Tool NETwork (DIET@NET) aimed to establish expert consensus on Best Practice Guidelines (BPGs) for dietary assessment using self-report. Methods: The BPGs were d...

UNSTRUCTURED Engagement in electronic health (eHealth) and mobile health (mHealth) behavior change interventions is thought to be important for intervention effectiveness, though what constitutes engagement and how it enhances efficacy has been somewhat unclear in the literature. Recently published detailed definitions and conceptual models of enga...

Engagement in electronic health (eHealth) and mobile health (mHealth) behavior change interventions is thought to be important for intervention effectiveness, though what constitutes engagement and how it enhances efficacy has been somewhat unclear in the literature. Recently published detailed definitions and conceptual models of engagement have h...

Background Measuring dietary intake is difficult, and strategies that enable researchers to select the most appropriate dietary assessment tools are needed. The aim of this work was to improve the quality of dietary data collected in epidemiological studies. Therefore, the DIETary Assessment Tools NETwork (DIET@NET) partnership, a network of scient...

Abstract: There are over two million mobile phone applications (apps) available to download from the Apple app store, with approximately 3% in the Health and Fitness category. Access to personalised data from apps and wearable technology (wearables) has the potential for individuals to become more aware of their health, facilitate healthy behaviour...

Abstract: There are over two million mobile phone applications (apps) available to download from the Apple app store, with approximately 3% in the Health and Fitness category. Access to personalised data from apps and wearable technology (wearables) has the potential for individuals to become more aware of their health, facilitate healthy behaviour...

Adult height and sitting height may reflect genetic and environmental factors, including early life nutrition, physical and social environments. Previous studies have reported divergent associations for height and chronic disease mortality, with positive associations observed for cancer mortality but inverse associations for circulatory disease mor...

Background: Emerging evidence from cohort studies indicates that adiposity is associated with greater incidence of head and neck cancer (HNC). However, most studies have used self-reported anthropometry which is prone to error. Methods: Among 363 094 participants in the European Prospective Investigation into Cancer and Nutrition study (EPIC) wi...

Background: The Mediterranean diet (MD) has been proposed as a means for cancer prevention, but little evidence has been accrued regarding its potential to prevent pancreatic cancer. We investigated the association between the adherence to the MD and pancreatic cancer risk within the European Prospective Investigation into Cancer and Nutrition (EP...

div class="title">A Systematic Review of Systematic Reviews of Validated Dietary Assessment Tools - Volume 75 Issue OCE3 - J. Hooson, N. Hancock, D.C. Greenwood, S. Robinson, V.J. Burley, M. Roe, T. Steer, P.A. Wark, J.E. Cade

Background In 2013, there was a shortage of approximately 7.2 million health workers worldwide, which is larger among family physicians than among specialists. eLearning could provide a potential solution to some of these global workforce challenges. However, there is little evidence on factors facilitating or hindering implementation, adoption, us...

Alcohol intake has been related to an increased risk of breast cancer (BC) while dietary fiber intake has been inversely associated to BC risk. A beneficial effect of fibers on ethanol carcinogenesis through their impact on estrogen levels is still controversial. We investigated the role of dietary fiber as a modifying factor of the association of...

Background Accurate assessment of dietary intake is important for planning, implementing of health promotion and when evaluating the effectiveness of public health interventions. However, measuring dietary intake is one of the most challenging aspects of public health research as no dietary method can measure dietary intake without error. Therefore...

BACKGROUND: The consumption of sweet beverages has been associated with greater risk of type 2 diabetes and obesity, which may be involved in the development of pancreatic cancer. Therefore, it has been hypothesized that sweet beverages may increase pancreatic cancer risk as well. OBJECTIVE: We examined the association between sweet-beverage consum...

Background: The consumption of sweet beverages has been associated with greater risk of type 2 diabetes and obesity, which may be involved in the development of pancreatic cancer. Therefore, it has been hypothesized that sweet beverages may increase pancreatic cancer risk as well. Objective: We examined the association between sweet-beverage con...

The current UK food composition tables are limited, containing ~3300 mostly generic food and drink items. To reflect the wide range of food products available to British consumers and to potentially improve accuracy of dietary assessment, a large UK specific electronic food composition database (FCDB) has been developed. A mapping exercise has been...

Background Professional truck drivers, as other shift workers, have been identified as a high-risk group for various health conditions including cardiovascular disease, obesity, diabetes, sleep apnoea and stress. Mobile health technologies can potentially improve the health and wellbeing of people with a sedentary lifestyle such as truck drivers. Y...

Despite the potential cancer preventive effects of flavonoids and lignans, their ability to reduce pancreatic cancer risk has not been demonstrated in epidemiological studies. Our aim was to examine the association between dietary intakes of flavonoids and lignans and pancreatic cancer risk in the European Prospective Investigation into Cancer and...

Previous case–control studies have suggested a possible increased risk of Amyotrophic Lateral Sclerosis (ALS) with physical activity (PA), but this association has never been studied in prospective cohort studies. We therefore assessed the association between PA and risk of death from ALS in the European Prospective Investigation into Cancer and Nu...

Background: Reproductive events are associated with important physiologic changes, yet little is known about how reproductive factors influence long-term health in women. Our objective was to assess the relation of reproductive characteristics with all-cause and cause-specific mortality risk. Methods: The analysis was performed within the Europe...

Development and usability of myfood24: an online 24-hour dietary assessment tool - Volume 74 Issue OCE4 - M.C. Carter, S.A. Albar, M.A. Morris, U.Z. Mulla, N. Hancock, C.E.L. Evans, N. Alwan, D.C. Greenwood, L.J. Hardie, G.S. Frost, P.A. Wark, J.E. Cade, on behalf of the Myfood24 Consortium

Assessment of diet in large epidemiological studies can be costly and time consuming. An automated dietary assessment system could potentially reduce researcher burden by automatically coding food records. myfood24 (Measure Your Food on One Day) an online 24-h dietary assessment tool (with the flexibility to be used for multiple 24 h-dietary recall...

Assessment of diet in large epidemiological studies can be costly and time consuming. An automated dietary assessment system could potentially reduce researcher burden by automatically coding food records. myfood24 (Measure Your Food on One Day) an online 24-hour dietary assessment tool (with the flexibility to be used for multiple 24hour-dietary r...

Cancer survivors are advised to follow lifestyle recommendations on diet, physical activity, and body fatness proposed by the World Cancer Research Fund/American Institute of Cancer Research (WCRF/AICR) for cancer prevention. Previous studies have demonstrated that higher concordance with these recommendations measured using an index score (the WCR...

Clustering of lifestyle risk factors and understanding its association with stress on health and wellbeing among school teachers in Malaysia (CLUSTer): Guidelines for Requesting Data Researchers interested in obtaining the data underlying this study are advised to write to the CLUSTer Steering Committee providing the following information on an i...

Introduction: Diet quality indexes and lifestyle indexes (which also include other lifestyle characteristics such as smoking and obesity) have recently received increased attention in disease prevention. Hypothesis: We aimed to investigate the comparative predictive performance of a comprehensive list of dietary and lifestyle indexes in relation to...

Commentary on: Park LGHowie-Esquivel JDracup K. A quantitative systematic review of the efficacy of mobile phone interventions to improve medication adherence. J Adv Nurs 2014;70:1932-53. Implications for practice and research Mobile phone text reminders can improve medication adherence. As user satisfaction is generally high, negative effects may...

Alcohol intake has been associated to breast cancer in pre and postmenopausal women; however results are inconclusive regarding tumor hormonal receptor status, and potential modifying factors like age at start drinking. Therefore, we investigated the relation between alcohol intake and the risk of breast cancer using prospective observational data...

Source: http://whoeducationguidelines.org/content/elearning-report This publication on ‘eLearning for Undergraduate Health Professional Education’ responds to a need at the country level for evidence to inform and guide health professional education as an important vehicle in preparing health professionals to be ‘fit-for-purpose’. The World Health...

Background The complexity of dietary assessment is increasing. Approximately 70,000 foods are available in UK supermarkets. The UK is the largest mixed ingredient/ready meal consumer in Europe; many of these foods are high in saturated fat, sugar or salt. The level of detail of existing food composition tables is not sufficient to capture this wide...

Background: There is growing evidence of the protective role of dietary intake of flavonoids and lignans on cancer, but the association with bladder cancer has not been thoroughly investigated in epidemiological studies. We evaluated the association between dietary intakes of total and subclasses of flavonoids and lignans and risk of bladder cance...

Background The study on Clustering of Lifestyle risk factors and Understanding its association with Stress on health and wellbeing among school Teachers in Malaysia (CLUSTer) is a prospective cohort study which aims to extensively study teachers in Malaysia with respect to clustering of lifestyle risk factors and stress, and subsequently, to follow...

Background The world is short of 7.2 million health–care workers and this figure is growing. The shortage of teachers is even greater, which limits traditional education modes. eLearning may help overcome this training need. Offline eLearning is useful in remote and resource–limited settings with poor internet access. To inform investments in offli...

Background Health systems worldwide are facing shortages in health professional workforce. Several studies have demonstrated the direct correlation between the availability of health workers, coverage of health services, and population health outcomes. To address this shortage, online eLearning is increasingly being adopted in health professionals’...

Carotenoids and vitamins A, C and E are possibly associated with a reduced colorectal cancer (CRC) risk through antioxidative properties. The association of prediagnostic plasma concentrations and dietary consumption of carotenoids and vitamins A, C and E with the risk of colon and rectal cancer was examined in this case-control study, nested withi...

General and abdominal adiposity are associated with a high risk of developing colorectal cancer (CRC), but the role of these exposures on cancer survival has been less studied. The association between pre-diagnostic anthropometric characteristics and CRC-specific and all-cause death was examined among 3,924 men and women diagnosed with CRC between...

There is limited evidence for an association between the pattern of lifetime alcohol use and cause-specific risk of death. Multivariable hazard ratios were estimated for different causes of death according to patterns of lifetime alcohol consumption using a competing risks approach: 111 953 men and 268 442 women from eight countries participating i...

OBJECTIVE Younger age at menarche, a marker of pubertal timing in girls, is associated with higher risk of later type 2 diabetes. We aimed to confirm this association and to examine whether it is explained by adiposity.RESEARCH DESIGN AND METHODS The prospective European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct case-cohor...

Aims/hypothesis: Although a family history of type 2 diabetes is a strong risk factor for the disease, the factors mediating this excess risk are poorly understood. In the InterAct case-cohort study, we investigated the association between a family history of diabetes among different family members and the incidence of type 2 diabetes, as well as...

Phenolic acids are secondary plant metabolites that may have protective effects against oxidative stress, inflammation and cancer in experimental studies. To date, limited data exist on the quantitative intake of phenolic acids. We estimated the intake of phenolic acids and their food sources and associated lifestyle factors in the European Prospec...

Objectives: The aim of this study was to investigate for the first time the association between body fat and risk of amyotrophic lateral sclerosis (ALS) with an appropriate prospective study design. Methods: The EPIC (European Prospective Investigation into Cancer and Nutrition) study included 518,108 individuals recruited from the general popul...

Studies assessing the effects of vitamin D or calcium intake on breast cancer risk have been inconclusive. Furthermore, few studies have evaluated them jointly. This study is the largest so far examining the association of dietary vitamin D and calcium intake with breast cancer risk in the European Prospective Investigation into Cancer and Nutritio...

Purpose: Alcohol intake may adversely affect the concentrations of endogenous sex hormones, and thus increase the risk of endometrial cancer. However, epidemiologic studies have provided conflicting results. Therefore, we investigated the association between alcohol intake and endometrial cancer risk a large, multicenter, prospective study. Metho...

Different lifestyle patterns across Europe may influence plasma concentrations of B-vitamins and one-carbon metabolites and their relation to chronic disease. Comparison of published data on one-carbon metabolites in Western European regions is difficult due to differences in sampling procedures and analytical methods between studies. The present s...

Background: Fatty acids in blood may be related to the risk of prostate cancer, but epidemiologic evidence is inconsistent. Blood fatty acids are correlated through shared food sources and common endogenous desaturation and elongation pathways. Studies of individual fatty acids cannot take this into account, but pattern analysis can. Treelet trans...

in 2010, 30 million British adults used the internet daily or nearly every day. 27% of UK adults and 47% of teenagers owned a smartphone in 2011. Information and communication technology (ICT) is a promising new route to deliver public health interventions. It allows a wide target population to be reached and offers cost-effectiveness, convenience,...

Prevention of hip fractures is of critical public health importance. In a cohort of adults from eight European countries, evidence was found that increased adherence to Mediterranean diet, measured by a 10-unit dietary score, is associated with reduced hip fracture incidence, particularly among men. Introduction Evidence on the role of dietary patt...

Background: Physical activity has been identified as protective factor for invasive breast cancer risk, whereas comparable studies on in situ carcinoma are rare. Methods: The study included data from 283,827 women of the multinational European Prospective Investigation into C7ancer and Nutrition (EPIC)-cohort study. Detailed information on diffe...