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Healthy School Ethos project
Funding: MRC
Staff: Chris Bonell, Adam Fletcher, Tim Rhodes, Annik Sorrhaindo
Description: This is an 18-month study piloting the feasibility and acceptability of whole-school interventions aiming to promote positive school ethos in order to reduce rates of substance use among young people.
Performance bias in behaviour change trials: what is the problem and how should it be studied?
Funding: Wellcome Trust
Staff: Jim McCambridge
Description: This is a This is a 5 year Research Career Development fellowship in basic biomedical science awarded by the Wellcome Trust. This work investigates how study participants react in unintended ways to being involved in research, and how this may inadvertently introduce bias. We have been aware of aspects of this phenomenon for approximately one hundred years, though existing appraisals have been rather narrowly focused. This work will address the range of ways in which participant behavior may be unwittingly influenced by research participation and explore the implications for behavior change trials using systematic reviews, qualitative and experimental methods.
The Family Life Project: a qualitative longitudinal study of children's experiences of family life in the context of parental drug use
Start date: December 2007
Staff: Tim Rhodes, Sarah Bernays, Kathrin Houmoller & Sarah Wilson (University of Stirling)
Description: The Family Life project is funded by Department of Health and seeks to explore the experiences and understandings of children and young people affected by parental drug use, with a key interest in the factors which moderate coping and resilience. The primary aim of the study is to create a detailed exploration of family life and family dynamics over time in the context of parental drug use, which will benefit future interventions working in the area of parental drug use and child welfare. The study involves in-depth interviews with children and young people aged 10-18 as well as with parents, service providers, and children and young people’s significant others.
Young people and HIV treatment adherence: a multi-method qualitative study
Start date: September 2009
Staff: Tim Rhodes & Sarah Bernays
Description: This is a qualitative study, embedded within a clinical trial led by the MRC and funded by HTA, investigating the feasibility of Short cycle therapy (SCT) to maximise adolescent adherence to anti-retroviral therapy (ART) in adolescents. Short cycle therapy involves two days off, five days on ART, effectively allowing young people to have the weekend off from taking treatment. This qualitative study will explore the acceptability of SCT and of the trial as well as investigating how young people experience life with ART, especially regarding adherence. The qualitative study will involve repeat in-depth interviews over time, as well as diary methods to capture the experiences of young people aged 8-21 living with HIV in England and Ireland. This will be the first such study internationally, and is timely given calls for social science studies of HIV treatment and qualitative research as a complement to trials of health interventions.
Behavioural Surveillance related to HIV and STI in Europe
Funding: ECDC, through the lead Collaborator IUMSP, Lausanne, Switzerland
Staff: Vivian Hope
Description: This project will undertake an "analysis of the current state of the art regarding behavioural surveillance programmes related to HIV and STI in the EU countries". This will include an in-depth examination of the current extent of behavioural surveillance related to HIV and STIs and the development of a framework for the implementation of a key set of behavioural indicators related to HIV and STIs. CRDHB will facilitate the work relating to behavioural surveillance among IDUs.
School social networks and young people's health
Funding: MRC Health of the Public fellowship
Staff: Adam Fletcher, Chris Bonell
Description: This project aims to examine how schools influence the structure and identity of young people's social networks and explore how this relates to their health-related behaviours. The research will identify scope for new public health interventions.
Experiences of female migrant sex workers from Eastern Europe and the effect of multiple vulnerabilities on risk of STIs/HIV
Funding: MRC Oct 07-May 09
Staff: Lucy Platt, Tim Rhodes, Chris Bonell, Kaye Wellings, Dalya Marks
Description: A qualitative study among female migrant sex workers from Eastern Europe (EE) and the Former Soviet Union (FSU), and of relevant service providers, aimed at defining types of migrant sex workers; describing entry into sex work and the social organisation of networks; and a cross sectional survey of sex workers recruited through their social networks.
Experiencing HIV treatment in the context of uncertainty: a qualitative study in Serbia and Montenegro
Funding: Economic and Social Research Council, Apr 2006-Sep 2007
Staff: Sarah Bernays, Tim Rhodes
Description: This is a qualitative prospective study to capture the lived experience of HIV treatment over time among people living with HIV/AIDS (PLWHA) in a post conflict society. Specifically, this study explores individuals' narratives of future, security and hope related to experiencing instability associated with the delivery of anti-retroviral HIV treatment. The study will take place in Serbia and Montenegro, thus locating analyses within a broader context of post conflict society in which uncertainty can be a fundamental characteristic.
Publication: Bernays, S., Rhodes, T., Barnett, T. Hope: a new way to look at the HIV epidemic. AIDS 2007; 21 (Suppl 5): S5-11.
The HIV Prevention among Vulnerable Populations Initiative
Funding: Department for International Development, 2004-2006
Staff: Tim Rhodes, Sarah Bernays
Description: Community-recruited surveys of HIV prevalence and risk among injecting drug users and sex workers in Serbia and Montenegro; Qualitative studies of HIV risk environment in Serbia and Montenegro; Qualitative study of the lived experience of HIV infection and HIV treatment access/delivery; Monitoring pilot HIV prevention demonstration projects
Publication: Rhodes T, Simic, M. Transition and the HIV risk environment. British Medical Journal, 2005; 331: 220-223.
Community-based HIV behavioural surveillance among injecting drug users in England
Funding: National Treatment Agency, 2003-2006
Staff: Vivian Hope, Matthew Hickman, Lucy Platt
Description: In collaboration with the Health Protection Agency, community-recruited surveys of HIV and HCV prevalence and health related behaviours among injecting drug users have been undertaken at locations across England to complement the ongoing Unlinked Anonymous Survey of injectors in contact with services. Has included piloting the use of Respondent Driven Sampling and Computer Assisted Interviewing among this population group in England.
Publication: In preparation
Review and mathematical/economic modelling of the costs and impact of drug use, and impacts, costs and cost benefits of harm reduction
Funding: European Commission, Mar-Oct 2007
Staff: Tim Rhodes, Peter Vickerman
Description: This project aims to review the published scientific evidence-base in relation to "harm reduction", as well as undertake mathematical modelling to explore the potential health, social and economic impact of harm reduction interventions, especially in the context of developing and transitional countries. The work is designed to inform international policy debates regarding the adoption of harm reduction.
Publication: N/A
Strengthening the evidence-base and national capacity to programme effectively for HIV prevention in most at risk adolescents in CEE/CIS countries
Funding: UNICEF, Mar 2007-Dec 2009
Staff: Joanna Busza, Tim Rhodes, Lucy Platt, Cicely Marston, Chris Bonell
Description: This project aims to provide technical assistance and collaborative research input to community recruited surveys of HIV-related risk behaviour among most at risk adolescents in six countries in eastern and south-eastern Europe alongside targeted qualitative studies of sex workers, injecting drug users and at risk youth.
Publication: N/A
Crack and speedball injecting in the UK: Qualitative study
Funding: National Treatment Agency, Mar-Oct 2006
Staff: Tim Rhodes, Jo Kimber
Description: This project aims to describe user perspectives on transitions from the injection of heroin to the combined injection of heroin and crack as a "speedball", and in this context vein damage, other adverse health effects and shifts towards the use of the femoral vein.
Publication: Rhodes T, Briggs D, Kimber J, Jones J, Holloway G Crack-heroin speedball injection and its implications for vein care: Qualitative study. Addiction 2007; 102(11): 1782-1790.
Evaluating public health interventions: alternatives to RCTs
Funding: DfID Research Programme Consortia
Staff: none
Publication: The Lancet is to commission 2 papers arising from the symposium one of which will be lead-authored by Chris Bonell.
Developing a whole-school intervention to reduce young people's substance use
Funding: MRC studentship
Staff: Adam Fletcher
Description: PhD research.
Publication: Bonell C, Fletcher A, McCambridge J. Improving school ethos may reduce substance misuse and teenage pregnancy. British Medical Journal (2007) 334, 614-616.
Evaluation of young people's development programme pilots
Funding: Department of Health
Staff: Chris Bonell (0.1 FTE)
Description: Evaluation in collaboration with IOE.
Publication: None as yet.