The main focus of my work is in primary care, health services research and health psychology. I am particularly interested in patient safety issues, harms, care quality and doctor-patient relations. I often explore the ways in which doctors understand, diagnose and treat medically unexplained symptoms and illness. I have a special interest in Myalgic Encephalomyelitis (ME) / Chronic Fatigue Syndrome (CFS) and other illnesses that are medically difficult to diagnose or treat in primary care. In ME/CFS, I am interested in disease aetiology, risk factors, pathophysiology and treatment. Many medically unexplained symptoms are now treated with psychotherapies such as Cognitive Behavioural Therapy (CBT) and Graded Exercise Therapy (GET); part of my research focus is to review the evidence for the effectiveness of these treatments and to explore patients' responses and experiences of CBT and GET. I am also interested in the impact of different medical models on the doctor-patient relationship (biopsychosocial versus biomedical). The overall aim of my research is to produce tangible outputs to improve patient care and well-being, as well as to inform scientific understaning of complex illness states, and to develop more effective and patient-centred treatment approaches.
Quantitative: Standard statistical methods and multivariate models
Qualitative: Interviews, discourse analysis, narrative analysis, and meta-synthesis.
Systematic Review: meta data synthesis and analysis (including crtiical methods, such as Crtical Interpretative Synthesis)
Mixed Methodological Approaches