Sarah’s group uses a mixed methods approach, working at all levels of the MRC Framework for the Evaluation of Complex Interventions to
- develop measurement tools and explore their application in clinical practice
- elucidate the mechanisms of patients' disabilities, particulalry postural control and mobility problems
- understand patients’ problems from a patient/ carer and service perspective
- develop, evaluate and implement novel interventions and models of service delivery
- evaluate current interventions and models of service delivery.
She has a particular interest in the challenges of implementing evidence-based complex interventions in to practice.
Current projects include
- Howz for stroke - funded by GMAHSN with Louise Rogerson of Intelesant to test the feasibility of an app to monitor daily routine and reduce social isolation for stroke survivors living alone
- Work with Dr Ulrike Hammerbeck - funded by the Stroke Association to investigate the effect of high repetition arm training early after stroke on neuroplasticity.
- Motorised Rehabilitation of Walking (MoRoW) – a i4i funded project to develop a novel, fit-for-purpose robot to train sit-to-stand and walking for people with severe mobility problems.
- Ankle Foot Orthosis Trial (AFOOT) – a RfPB funded trial to compare the effectiveness of two commonly used types of ankle foot orthosis with stroke survivors (a bespoke and an off-the-shelf orthosis. This is the first randomised controlled trial of ankle foot orthoses for stroke in the UK.
- ReaCT - a RfPB funded study led by University of Leeds to develop an in-depth understanding of post-stroke therapy provision, including how the NICE (2013) and National Clinical Guidelines for Stroke (2012) recommendations (of forty-five minutes of physical, occupational and/or speech) therapy per day) are interpreted and implemented by therapists and experienced by patients and their carers in stroke units.
- SSNAPIEST - a HS&DR funded project to use data from the Stroke Sentinel National Audit Programme to investigate the effectiveness of stroke therapy in the UK. Specifically we will identfiy therapy pathways and investigate htier relative clinical nad cost eeffectivness, quantify variation in therapy provision (particularly suitability for, access to, and intensity of therapy) and identify and quantify the organisational and patient related factors that contribute to variation in therapy provision. We will also characterise sub-groups of stroke survivors for future research into personalised rehabiltiation.
- work, funded by the University, with Dr Weightman in the School of Mechanical, Aerospace and Civil Engineering and Dr Warren Mansell in the School of Psychological Sciences to develop upper limb rehabilitation robots and explore the application of Perceptual Control Theory in rehabilitation
- Work, funded by NIHR, with Claire Mitchell, Dr Audrey Bowen and Dr Paul Conroy in the School of Psychological Sciences (Speech and Language Therapy) to delveop electronic rehabilitation applications for people with dysarthria.
As a mixed method researcher I use a wide range of methods to answer clinical research questions. I have experience of clinical trial designs, survey and epidemiological methods, ‘exploratory basic science’ and systematic reviewing including the use of meta-analysis. Although primarily a quantitative researcher I also use qualitative methods such as interviewing, focus groups, observations and service evaluation approaches.