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Tuesday, 4 October 2016

RCGP Research paper of the year (2015): double win for Keele IPCHS Professor

Research undertaken by iPCHS Professor Carolyn Chew-Graham has been recognised in the Royal College of General Practitioners (RCGP) Research Paper of the Year (2015) awardswinning two individual categories and also the Overall Research Paper of 2015. The awards give recognition to an individual or group of researchers who have undertaken and published an exceptional piece of research relating to general practice or primary care.

Professor Chew-Graham was senior author of the paper by Daker-White et al that won the CVD, Renal, Respiratory, Oral, ENT and Ophthalmology category, and overall winner of Research Paper of the Year. This paper examined the tensions involved in self-management in patients with Chronic Kidney Disease (CKD). The research involved interviews with patients in a trial about their understanding of a diagnosis of CKD. 

Current health policy recommends that patients with early stage CKD are identified and monitored so that they can change their diet and lifestyle in order to reduce progression of kidney disease. However,  when some of the patients were interviewed in the study, surprisingly (as they were in a trial), they denied that they had CKD, and many were not aware of the potential seriousness of the condition. Gavin Daker-White added:

Currently, the contract GPs work to means that the practice receives financial reimbursement for identifying patients with CKD and placing them on a disease register. Our results suggest that patients may not always be told about this, which seems to run counter to current models of shared decision-making, patient centred care and self-management of health problems.”
The paper by Knowles et al that won the Neurology, Mental Health and Dementia category, examined the management of depression in people with multimorbidity from the perspectives of patients and practitioners. This study, funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Greater Manchester. explores whether collaborative care can potentially achieve ‘joined up’ care in the NHS by supporting health professionals to treat people’s mental and physical health problems in an integrated way. Dr Knowles, now Research Fellow at the Alliance Manchester Business School commented: 

“People with depression and long-term conditions have poorer health and do worse than people with single conditions, but their needs are not well met. In this study participants received treatment from ‘psychological wellbeing practitioners’ who had been trained to understand the impact of physical health on mental health; they also worked collaboratively with practice nurses.”

Professor Carolyn Chew-Graham, along with Dr Peter Coventry of the University of York, accepted the prize for winning the award at a ceremony at Stationers’ Hall in London on 28th September and will also be presenting the papers at the RCGP Annual Conference in Harrogate in October 2016.

Professor Chew-Graham commented:
“I feel ecstatic about two publications winning two category awards, and then being named as the overall winner with my colleagues, Anne Rogers, Anne Kennedy, Christian Blickem, Tom Blakeman and Gavin Daker-White. This is the second time that a paper I’ve worked on with Peter Coventry has won in the mental health category. We make a great team, and are continuing to work together, even though I am at Keele and he is in now in York.

Both the winning manuscripts for the 2015 awards use qualitative research methods, so this achievement is recognition of the value of these methods in Health Services Research.”

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