Papers by Nicki Thorogood
Context: Topic guides for interviews with service users. This additional file contains the topic ... more Context: Topic guides for interviews with service users. This additional file contains the topic guides used for interviewing participants in this research. (DOCX 21 kb)
Context: the COSM programme. This additional file provides additional information about the resea... more Context: the COSM programme. This additional file provides additional information about the research context, the Dutch COSM programme. (DOCX 22 kb)
Journal of the Royal Society of Medicine, 2008
Summary Objective To assess reasons for low uptake of immunization amongst orthodox Jewish famili... more Summary Objective To assess reasons for low uptake of immunization amongst orthodox Jewish families. Design Qualitative interviews with 25 orthodox Jewish mothers and 10 local health care workers. Setting The orthodox Jewish community in North East London. Main outcome measures Identification of views on immunization in the orthodox Jewish community. Results In a community assumed to be relatively insulated from direct media influence, word of mouth is nevertheless a potent source of rumours about vaccination dangers. The origins of these may lie in media scares that contribute to anxieties about MMR. At the same time, close community cohesion leads to a sense of relative safety in relation to tuberculosis, with consequent low rates of BCG uptake. Thus low uptake of different immunizations arises from enhanced feelings of both safety and danger. Low uptake was not found to be due to the practical difficulties associated with large families, or to perceived insensitive cultural pract...
BMJ open, 2012
To evaluate effectiveness of a structured one-to-one behaviour change programme on weight loss in... more To evaluate effectiveness of a structured one-to-one behaviour change programme on weight loss in obese and overweight individuals.
Health Policy and Planning
At their best, research partnerships provide a mechanism to optimise each partner’s strengths, ma... more At their best, research partnerships provide a mechanism to optimise each partner’s strengths, make scientific discoveries and achieve development goals. Each partner stands to gain from the relationship and perceives it to be fair. However, partnerships between institutions in the global North and the global South have been beleaguered by structural inequalities and power imbalances and Northern stakeholders have been criticised for perpetuating paternalistic or neo-colonial behaviours. As part of efforts to redress imbalances and achieve equity and mutual benefit, various principles, guidelines, frameworks and models for partnership have been developed. This scoping review maps the literature and summarises key features of the guidelines for North-South research partnerships. The review was conducted between October 2020 and January 2021. Three academic journal databases and Google were searched and additional resources were identified through a hand search of reference lists and ...
Examples of differences between smaller groups of victims of violence, abuse, neglect or exploita... more Examples of differences between smaller groups of victims of violence, abuse, neglect or exploitation (VANE) in terms of identification, support and referral: an overview for health providers and social workers. (DOCX 36Â kb)
Draper, Alizon and Mitchell, Jessica and Newton, Paul and Gustafsson, Ulla and Green, Judith and ... more Draper, Alizon and Mitchell, Jessica and Newton, Paul and Gustafsson, Ulla and Green, Judith and Thorogood, Nicki (2005) An evaluation of participatory methods for research with hard-to-reach groups. Fare Choice, 33 (2). p. 4. ... Full text not available from this repository.
Packed with practical advice and research quick tips, this book is the perfect companion to your ... more Packed with practical advice and research quick tips, this book is the perfect companion to your health research project. It not only explains the theory of qualitative health research so you can interpret the studies of others, but also showcases how to approach, start, maintain, and disseminate your own research.
BMC Obesity
Background: Variations in the delivery of content and process can alter the effectiveness of comp... more Background: Variations in the delivery of content and process can alter the effectiveness of complex interventions. This study examined the fidelity of a weight loss intervention (Camden Weight Loss) from recorded consultations by assessing advisors' delivery of content, use of motivational interviewing approach and therapeutic alliance. Methods: A process evaluation was conducted of advisor-participant consultations in a 12-month randomised controlled trial of an intervention for adult volunteers with a body mass index categorised as overweight or obese. A convenience sample of 22 consultations (12% of 191 participants) recorded at the intervention mid-point were available for analysis. Consultations were independently rated by two observers independent of intervention or study delivery, using: a fidelity scale, the Motivational Interviewing Treatment Integrity Scale and the Primary Care Therapy Process Rating Scale. Raters were blind to participants' responses to the intervention and weight outcomes. Half the participants (N = 11) achieved significant weight loss (≥ 5% of baseline weight). Results: A mean of 41% of prescribed content was delivered, with a range covered per session of 8-98%, falling below the 100% content expected per session. Tasks included most frequently were: taking weight and waist measurements (98%), scheduling next appointment (86%), review of general progress (85%) and reviewing weight change (84%). Individual items most frequently addressed were 'giving encouragement' and 'showing appreciation of participant's efforts' (95 and 88% respectively). Consultation length (mean 19 min, range 9-30) was shorter than the 30-min allocation. Quantity of content correlated with consultation length (p < 0.01). Advisors' use of motivational interviewing was rated at 'beginner proficiency' for Global Clinician Rating, Reflection to Question Ratio and Percent Open Questions. Therapeutic alliance scores were moderate. Affective aspects were rated highly (e.g. supportive encouragement, involvement and warmth). Conclusions: Intervention fidelity varied in both content and process, emphasising the importance of ongoing fidelity checks in a complex intervention. Advisors focused on certain practical aspects of the intervention and providing an encouraging interpersonal climate. This concurs with other research findings, which have revealed the value participants in a weight loss intervention place on an empathic advisor-participant relationship.
Health Promotion: Disciplines, diversity, and …, 2002
... and in analysing the social origins of disease. In its early days, this was sociology as appl... more ... and in analysing the social origins of disease. In its early days, this was sociology as applied to medicine, with sociology's agenda very much set by the interests ofmedicine. This approach fits well into the consensus model ...
BMC International Health and Human Rights
Smaller groups of victims of violence, abuse, neglect or exploitationsuch as male victims of inti... more Smaller groups of victims of violence, abuse, neglect or exploitationsuch as male victims of intimate partner violence (IPV), victims of elder abuse, victims of abuse by carers, victims of parent abuse, victims of human trafficking, girls and boys below 18 years engaging in sex work, victims of sexual exploitation by gangs or groups and victims of honour based violence (such as forced marriages and female genital mutilation)are often in contact with the health care system without being identified as such and frequently do not receive appropriate treatment. To address this problem, two things need to happen: 1) that ALL groups of victims of violence, abuse, neglect or exploitation are explicitly listed in policies and protocols, and 2) that both the similarities as well as the differences between the groups with regard to identification, support and referraldescribed in this articleare explained, so that health providers are appropriately supported in this important function.
BMC International Health and Human Rights
Background: In 2010, a shelter programme was established in the Netherlands to provide social and... more Background: In 2010, a shelter programme was established in the Netherlands to provide social and health services for trafficked people. This article describes how service users in this programme conceptualized and experienced their own process of recovery. Methods: In 2012, 14 people of non-Dutch nationality who had been trafficked for the purpose of sexual exploitation were interviewed at all three shelters of the programme. Data analysis followed a grounded theory approach. Results: Participants felt a strong need to turn over a new leaf in life, leaving negative experiences of the past behind and moving towards a life with a job, a family and friends. In contrast with their willingness to work towards realizing that future, they experienced a lack of autonomy and a thwarted sense of agency in redressing their present situation. Together with the ostracized nature of their place in Dutch society this left them 'in limbo': a feeling of standing still, while wanting to move forward. This led participants to find it more difficult to deal with problems related to their pasts and futures. They particularly appreciated Dutch language training, vocational skills training and opportunities for volunteer work. Conclusions: Participants exhibited a strong desire to fulfil the basic psychological needs of competence, relatedness and autonomy, but were thwarted in pursuing these goals. Seemingly against all odds, while faced with several external regulators that limited their agency to change their situation, participants found ways to pursue these goals, through their enthusiasm for activities that helped them get closer to their envisioned futures (language and skills training and volunteer work). Identifying pathways toward attaining their goals allowed them to hope for a better future. That hope and pursuing their goals helped them to cope with the problems of their past and their worries about the future. Therefore, to facilitate service users' recovery in a post-trafficking setting, there is a need to provide them with opportunities to hope for, pursue and attain their personal goals within the structural boundaries of their situation. A future-orientated, strengths-based approach towards service provision and responsive and supportive environments help to do this.
Social psychiatry and psychiatric epidemiology, 2018
Mental disorders are a major contributor to the global burden of disease and disability, and can ... more Mental disorders are a major contributor to the global burden of disease and disability, and can be extremely costly at both individual and community level. Social capital, (SC) defined as an individual's social relationships and participation in community networks, may lower the risk of mental disorders while increasing resilience capacity, adaptation and recovery. SC interventions may be a cost-effective way of preventing and ameliorating these conditions. However, the impact of these SC interventions on mental health still needs research. We conducted a systematic review of SC-based interventions to investigate their effect on mental health outcomes from controlled, quasi-experimental studies or pilot trials. We searched twelve academic databases, three clinical trials registries, hand-searched references and contacted field experts. Studies' quality was assessed with the Cochrane Risk of Bias tools for randomized and non-randomized studies. Seven studies were included in...
Health Promotion Practice, 2016
Background Overweight and obesity are major public health problems and an increasing global chall... more Background Overweight and obesity are major public health problems and an increasing global challenge. In lieu of wider policy changes to tackle the obesogenic environment we presently reside in, improving the design of individual-level weight loss interventions is important. Aim To identify which aspects of the CAMWEL randomised controlled trial (RCT) weight loss intervention participants engaged with, with the aim of improving the design of future studies and maximising retention. Methods A qualitative study comprised of semi-structured interviews (n=18) and a focus group (n=5) with intervention participants. Results Two important aspects of participant engagement with the intervention consistently emerged from interviews and focus group; the advisor-participant relationship, and the programme structure. Some materials used during the programme sessions were important in supporting the intervention, however others were not well received by participants. Conclusion An individual-level weight loss intervention should be acceptable from the patient perspective in order to ensure participants are engaged with the programme for as long as possible to maximise favourable results. Providing ongoing support in a long-term
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Papers by Nicki Thorogood