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UOA 12 - Allied Health Professions and Studies

Leeds Metropolitan University

RA5a: Research environment and esteem

Research Environment Introduction Health research at Leeds Metropolitan University (Leeds Met) has developed rapidly across the thematic groups returned in this Unit following a reorganisation within the Faculty, most notably in the integration of researchers from the Centre for Health Promotion Research (CHPR) submitted with Education in 2001. This integration reflects the broadening of public health, the ‘evolution’ of health promotion itself and our anticipation of national policy development (eg, Choosing Health, DH, 2004). It has brought together research leaders and early career researchers to build a group able to achieve international levels of excellence; permitted the focusing of infrastructure support and resources; stimulated inter/multidisciplinary collaboration; and provided the means of developing and sustaining more coherent programmes of research. In RAE 2001, Leeds Met made no submission to Other Studies and Professions Allied to Medicine. Prior to the health submission for capability funding in 2003 (from the 2001 submission in Nursing), it was recognised that the step change necessary to achieve an international level of excellence required a different strategy which is outlined below. First established in 2003, the group returned comprises 50% category A researchers submitted for the first time and 28% ‘early career’. This reflects our applying capability funding for that very purpose. During the current RAE period, the aim of maintaining and improving a strong research environment at Leeds Met has received raised emphasis in the University’s vision and character. This is evidenced by: the appointment of a Pro-Vice-Chancellor, Research, ‘running stream’ professors to refresh research across the University and the internal funding of 100 full-time research studentships in 2007. Unit 12 has been continuously selected in monitoring exercises as one of the research areas identified for institutional support since 2003. Research Structure Capability and university development funding have been used to enhance the research infrastructure, in particular support for early career staff and research students. Practices for promoting research, sustaining and developing further a research culture and building capacity and capability are discussed below as an integral part of staffing policy. Laboratory provision, particularly equipment for the Centre for Pain Research (CPR), has been enhanced from SRIF 1 (circa £47K) and SRIF 3 (£800K, jointly with Carnegie Research Institute). New dedicated space for researchers in the CHPR and Centre for Men’s Health (CMH) was provided in 2005 and extended in 2007. Health researchers have influenced the development of policy and practice university-wide for the management and ethical approval of research, working within the DH Research Governance Framework. For example, Holmes convened the working group that developed Leeds Met’s Policy, Framework Principles and Procedures for Research Ethics and chaired the University Research Ethics Sub-committee from its inception. Within the Faculty, the Research Sub-Committee fulfils both an advisory role on research strategy and promotion and oversees all matters in relation to research degrees; and the Research Ethics Sub-Committee, in addition to considering applications for ethical approval, organises mandatory seminars for academic staff on research ethics issues, principles and procedures. Researchers grouped around three main themes, Health Promotion, Men’s Health and Rehabilitation, are returned in this Unit. Each of these groupings spans disciplinary areas within and beyond the Faculty of Health promoting inter-group collaboration. Health Promotion The Centre currently includes two research fellows, two research officers and a research assistant (three took up post after 31 July 2007); an administrator; and 13 research students (eight studentships, two returned in Unit 45) and is co-led by Cattan and South. The group also includes an Emeritus Professor (Tones) and Visiting Professors (Johnstone, Director of Public Health for Yorkshire and Humber; and Tilford). CHPR has made a major contribution to the development of health promotion as a ‘new’ discipline through its output, including shaping thinking internationally about health promotion theory and practice (eg, Green3; Tones1). Members have driven methodological debates about evaluation and methodology, including the first volume of Key Concepts for Public Health which focuses on evaluation (Green4); and evaluation frameworks for practice, including an evaluation tool for community involvement (South3). International recognition is reflected in, for example, contributions to the Oxford Textbook of Medicine (Green, Tones), Oxford Textbook of Public Health (Tones) and Elsevier’s Encyclopaedia of Public Health (Tones); and as co-ordinators for the Cochrane Collaboration Field on Health Promotion and Public Health (Cattan, Tilford). The Childhood Obesity sub-group includes Leeds University and NHS colleagues. The ‘APPLES’ study, the first UK-based RCT (Sahota2-3) and one of the first to highlight the increasing prevalence of childhood obesity within the UK (Sahota1), has been widely cited, including the WHO (2005) and NICE (2006) reports on childhood obesity; the latter also cites research related to promoting behaviour change in children (Dixey1-3). This research has informed studies and initiatives targeting schoolchildren, eg DH Food in Schools pilot study and Sustain’s national ‘Grab 5’ project. Phase 2 of APPLES confirmed the continuing rise in childhood obesity (Sahota4) and led to co-ordinated government policy. Currently, the Group is involved in WATCH-IT, an obesity treatment programme (£585K from Wellcome Trust) with Leeds University who administer the funding (McElhone, co-applicant). This community-based intervention employs health professional-supported trainers with input from users (McElhone1-3, Dixey4). Discussions with DH on effectiveness and evaluation of childhood obesity intervention occurred in April-June 2006. Sahota has secured PCT Priority and Needs funding to cost the programme for replication which will inform DH recommendations. Health visitor-led intervention with parents of neonates at risk of obesity, with the Royal College of Paediatrics and Child Health and Warwick University funded by DH (£360K), will be piloted in Leeds. Funding has been obtained from Leeds PCT R and D Consortium to develop, deliver and evaluate a pilot primary-care-based, nurse-led obesity treatment programme; and from Leeds City to investigate low free school meal uptake. The Group’s work is informing the development and evaluation of Leeds Children and Young People’s Obesity Strategy, including the Leeds Healthy Schools initiative. The complementary approaches to tackling childhood obesity undertaken within the Carnegie Research Institute’s Centre for Active Lifestyles (CAL) [Unit 46] and this group have contributed to policy and practice internationally. Cattan1-3 has investigated older people’s experiences of loneliness and isolation; compared practice and evidence; is currently evaluating the impact of telephone befriending for vulnerable, isolated older people (Help the Aged, £45K); and secured £106K (Joseph Rowntree) to investigate perspectives and experiences of care and support among elders and carers. This programme and mobility and safety on the roads have been linked in a collaborative investigation with Leeds University Institute for Transport Studies of older people’s use of the road traffic environment and their involvement in improving available tools for transport planning (funding EPSRC and Strategic Promotion of Ageing Research Capacity). CHPR has investigated child-parent interaction in relation to road safety (Department for Transport, more than £300K). A parallel study for the National Road Safety Institute focuses on ethnic minority parents. The Centre has completed an evaluation of the SMARTRISK Heroes injury prevention programme to inform future DH funding. Other research includes: the health promoting school (Green); sexual health and HIV/AIDS (Green, Hubley); young people’s health (Green); smoking (Cross3-4); and the acceptability of health promotion information during mammography screening (Fylan4). Dixey, co-applicant for an ESRC funded investigation of ‘Differential understanding of environmental causes of breast cancer’, has been invited to submit evidence to the All Party Working Group on Breast Cancer and for parliamentary debates. Other output has led policy development nationally, including: Values, Health Promotion and Public Health (Tilford2), in the DH report, Shaping the future of public health: Promoting health in the NHS; South’s review4 of community-based arts for health in the Strategic Review of DH role in Arts for Health; and recommendations from research into isolation and loneliness have been incorporated into policy and strategic planning documents (eg, Leeds, Poole), as has the study of attitudes to smoke-free places in North Yorkshire. Evaluations and reviews have also informed the development of policy and practice, including: innovations in health services, such as social prescribing and patient and public involvement (South1-3); the application of theory on empowerment to policy and practice addressing social inclusion and the use of creative arts in promoting empowerment (Tones2-3); whether social capital is indeed beneficial to development work and how it works in practice to inform policy-making; three Sure Start programmes since 2004 (Cross, Green and South); Hong Kong Healthy Schools (Tones); and the Visitors’ Centre at Leeds Prison leading to a ministerial visit. Ongoing evaluations include national flagship initiatives such as health trainers and self care (with CMH). South (lead), Cattan and Sahota have just secured £295K from the National Co-ordinating Centre for Service Delivery to investigate approaches to developing and supporting pubic health roles among lay people and public perspectives of lay people in these roles. Internationally, staff have contributed to the development of health promotion policies directly (eg, Hubley in Barbados and Nigeria in 2005), through the literature, and through reviews of major health promotion programmes (eg, Hubley - 2006 HIV/AIDS in Nigeria, World Bank Review). Despite his untimely death, Hubley’s unique and extensive WHO-funded Health Promotion database of research and projects in the developing world will be maintained at Leeds Met []. The publisher of Hubley’s posthumous book will link the book’s website to the database widening its dissemination. Other health promotion output focusing on children has been submitted for Frost and Nabuzoka in Unit 45, including two health research studentships. CHPR have collaborated with the Policy Research Institute on a Review of Social Research in Bradford (Joseph Rowntree), an evaluation of Leeds Health Action Zone and a successful application to join the panel of Evaluation Consultants for Yorkshire Forward; and with CAL on physical activity, well-being and health-related behaviour. External links include The Active Partners Unit Regional Forum, Bradford Arts for Health Partnership, Yorkshire and Humber Public Health Observatory and White Rose Universities. Green leads the Health Promotion Journal’s project addressing globally, equity in publication and access to journals. The major generic achievement of this Group is the influence on health promotion as a discipline and new research methodologies. Priorities have reflected national policy initiatives such as Choosing Health (eg, obesity, smoking) and the importance of targeting children, families and older people; the inequality agenda, a strong theme throughout; and community engagement - a number of projects have used community (lay) researchers. Evaluation work has directly influenced policy and practice through the adoption of specific recommendations. A CHPR newsletter disseminates findings and ongoing work, including that of external researchers, keeping practitioners informed. Men’s Health CMH, the first such academic centre, led by A.White, the first chair in Men’s Health globally, has been recently established. Currently, it has a senior research fellow, research fellow, research officer, research assistant, project manager, administrator, seven research students (five studentships), and Visiting Professor, Ian Banks, Chair of the European Men’s Health Forum. CMH is recruiting a reader and additional research officer. Men’s health research has two main strands currently: analysis of morbidity and mortality data; and men’s health beliefs and behaviours. The latter provides an explanatory framework for the former. Significant studies have included the first European-wide study of men’s health (White) and a worldwide epidemiological investigation of patterns of mortality among men and women aged 15-44 (White2); these studies highlight the influence of lifestyle on men’s poorer health and mortality. Other research includes an analysis of men’s experiences of prostate cancer treatment (White3); and the experience of men admitted to hospital with chest pain shedding light on their reluctance to seek help even following a previous heart attack (eg, White4); a US collaboration evaluating men’s involvement as a strategy in sexual and reproductive health promotion, including an investigation in Nicaragua (White1); and studies of exercise with colleagues in CAL, returned in Unit 46. The Centre is both responsive to Government initiatives and, through research output, a driver of policy at national and international levels. Examples include: the Scoping Study on Men’s Health commissioned by the DH which triggered the establishment of the HDA Reference Group on Men’s Health; the national Self Care Study (DH - £480K); a commissioned study into the State of Men’s Health across 17 European Countries, launched in the European Parliament, key in the recognition of men’s health in the WHO and EC Gender Mainstreaming Programmes of Work; the study of men’s usage of health services presented to the All Party Parliamentary Group on Men’s Health at the House of Commons in 2005; the international study of young men’s mortality presented at an event organised by the Finnish presidency of the EU in 2006; and invited presentations at events such as ‘Gender and Communication of Research’ organised by the Directorate General for Research at the EC. White’s inputs to national policy development include an invited presentation to The Smith Institute at the Downing Street seminar series on the effect of gender on the ageing population; discussions with the Equal Opportunities Commission on the Gender Equality Act’s impact on service delivery in relation to men’s health, including participating in a National Round Table event on the issue; and keynote speaker at the Department of Health conference on the Gender Equity Duty. CMH also disseminates findings to practitioners, informing clinical and professional practice, including two edited texts (on men’s health aimed at practitioners; and Hazardous Waist, the first academic text on men and their weight). White co-ordinates the ‘Men, Masculinity and Health Northern Research Network’ and the national network of academics in collaboration with the Men’s Health Forum. Examples of involvement of health service users (patients and public) include the Bradford and national Self Care studies for which reference groups have been established. CMH’s profile is reflected in publications such as Elsevier’s Encyclopaedia of Public Health and the American text Clinical Men’s Health: Evidence in Practice; and in chairing (eg, the Irish Cancer Society national conference, Men and Cancer), keynote presentations (eg, Gender and Health: a call for action for EU policy mainstreaming), and membership of expert plenary panels (eg, 1st International Gender and Health conference organised by WHO). Rehabilitation The Centre for Pain Research (CPR), led by M.Johnson, Professor of Pain and Analgesia and a lead member of the Leeds Pallium Research Group, currently includes seven research students (three studentships), a research fellow, administrator and technician and two Visiting Professors (Paul Watson, the first consultant physiotherapist in the UK, and Alice Jones, Director of the Hong Kong East-Meets-West Centre in Rehabilitation). Nuffield Undergraduate Student Bursaries have been obtained to support undergraduates working with the research team (Marchant1). CPR’s programme focuses on experimental and clinical research into the analgesic effects of electrophysical agents including Transcutaneous Electrical Nerve Stimulation (TENS), Physiotherapy, Massage, Acupuncture and Therapeutic Laser. Experimentally-induced pain on healthy human participants has contributed to understanding mechanisms of action of these interventions, influencing clinical use of TENS and interferential current therapy (IFT) (Johnson2,4; Tabasam1-3). A survey of IFT use has exposed shortcomings in existing clinical practice for IFT (Tabasam4); and meta-analyses of the effect of TENS on postoperative analgesic consumption have highlighted the importance of TENS parameters (Johnson1) and the short-term efficacy of TENS, electro-acupuncture and therapeutic laser on osteoarthritic knee pain (Johnson3). Systematic reviews (Johnson) with similar outcomes include therapeutic massage for musculoskeletal pain. Dissemination of this output includes more than 40 symposia and study days on electrotherapies; and more than 10 chapters for key clinical texts (eg, Encyclopaedia of Pain; Oxford Pain Library - Neuropathic Pain; Electrotherapy Evidence Based Practice). An innovative multi-centre RCT on laparoscopic surgery for endometriosis (the major symptom of which is pelvic pain), a UK-Australian collaboration funded by a DH grant of ~£1million (Holmes1, administered from his previous university), is regarded as the definitive trial on this intervention owing to its methodological rigour. Women often seek treatment in order to conceive: 50% who wished to conceive did so following surgery within the trial period, none following placebo surgery. Other outputs include RCTs (eg, Marchant3) and a Cochrane review (Marchant4) on cooling for relief of perineal pain. CPR has in excess of 20 ongoing studies, systematic reviews and meta-analyses and collaborations throughout the UK, Australia, Brazil, Canada, Hong Kong and Norway. Johnson has been co-applicant for successful clinical bids (circa £170K), including from Cancer Research UK, to investigate TENS in the management of cancer bone pain. Tabasam was awarded a Bioscience Yorkshire Enterprise Fellowship (£45K) and has registered a patent for a TENS-like device to reduce self-injurious behaviour. The recently established collaboration (Holmes and Johnson) with the Hong Kong East-Meets-West-Centre in Rehabilitation on the mechanisms of acupuncture and acu-TENS has provided three jointly supervised students (two studentships) and further funding for four-way collaborative research with the Universities of Alberta and British Columbia. Pain is being incorporated within a wider Rehabilitation theme. Phillips1-2 and H.White1-3 have investigated the management and rehabilitation of children and adults with cystic fibrosis. Evaluation of nutritional status (White2-3) and dietary interventions to improve clinical outcome (White1) have provided new information on how clinics should screen, identify and target more vulnerable patient groups with CF. Other clinical investigations include the effect of lung depth incorporated in the field of adjuvant radiotherapy on respiratory symptoms in those receiving treatment for breast carcinoma (Holmes2). Parsons1-4 has contributed to understanding of inflammatory disease through investigating the involvement of reactive oxidative species. Findings are being correlated with clinical studies of inflammation and in exploring the effectiveness of natural and dietary antioxidants in prevention or alleviation of disease. Martin has focused on development and validity of outcome measures for use in RCTs, including a study of ESRD patients. Those receiving a kidney from a living related donor reported significant difficulties challenging clinicians’ assumptions. Studies of those living with a transplanted kidney include an investigation of quality of life (Holmes3), which reported a similar finding; patient perceptions of factors influencing adherence to medication following transplant (Holmes); and a comparison of satisfaction among transplanted patients with those on dialysis (Holmes). Slade’s outputs draw on Rasch analysis in developing tools for clinical evaluation. The Foot Impact Scale2 has attracted 18 requests from health service organisations, practitioners and research centres across the UK and Australia and is being widely used. The Pro-Esor project1, funded by the EC, involved pan-European data collection and analysis, the first time the Rasch method had been used in this way. A further EC funded study3 compared the cross-cultural validity of different health care measures across Europe, leading edge in its field in the area of spinal injury. The Leeds Elderly Assessment Dependency Screening tool4 is currently being assessed for use with a younger cohort of patients. It has been requested for clinical and research projects in Canada, New Zealand and the US. Fylan has developed a quality of life measure for people with low vision which addresses neglected psychological aspects in this group1 (now used as standard in several low vision clinics to evaluate the impact of rehabilitation on service users); explored decision-making and profiling of optometric service users2; and reported that practitioners underestimated the information that patients sought, but overestimated the influence of their recommendations and the price of spectacles3. The findings have been used to improve patient-centredness, to educate eye care practitioners about communication in practice, and to elucidate patients’ decision-making about eye care. An emerging strength is rehabilitation neuropsychology. Collaborative links with New York State based institutions, researchers and clinicians have been established. Leisman has been appointed to co-ordinate these links and collaborative agreements with a range of clinical facilities have been secured (eg, Department of Neurology at New York University Hospital with state-of-the-art cyclotron/PET scanner, MRI, etc) and research offices provided at Winthrop University Hospital. Seven US-based PhD students are anticipated to commence in 2007-08, including three studentships funded by the Foundation for Cognitive Neuroscience, with further students annually (from a ‘feeder’ two year MS in Rehabilitation Neuropsychology). This development will facilitate access to US research funds; and provide the opportunity to research interdisciplinary areas with leading international researchers. Leisman, and Shah have been appointed to Visiting Professorships in Rehabilitation Neuropsychology and Neurorehabilitation, respectively; and Punt recruited to a Readership in Neurorehabilitation from a 5* (RAE 2001) unit in Neuropsychology. Leisman, with Koch, has contributed to understanding of cognitive functioning through the development of neural continuum theory in theoretical and experimental papers spanning 20 years. Neural continuum addresses difficulties in Hebb’s original formulation of synaptic strengthening and has the property of amplifying waves which propagate over distances comparable to the physical separation between cortical areas associated with components of cognitive tasks. This research, exemplified by recent papers1,4, potentially offers new approaches to neurorehabilitation. Leisman has also focused on the relation between motor ability, the organisation of the brain and nervous system and cognitive alterations in normal and abnormal child development2-3. He hypothesises that, for example, lack of thalamo-cortical stimulation, not over stimulation, is a fundamental problem of developmental disabilities; a primary problem is dysfunction of hemisphericity, particularly right hemisphericity; and hemisphere-specific treatment may be the key to success. Punt’s work focuses on the impact of cognitive and perceptual deficits on movement, function and recovery following stroke. His experimental1-2, and theoretical work1-3 has contributed to understanding of the concept of ‘motor neglect’ and related implications for clinical practice. These outputs were initially supported by a Stroke Association AHP Bursary won by Punt, administered at Birmingham. More recently, Punt has attracted funding to investigate the impact of ‘spatial neglect’ following stroke on wheelchair mobility4, with further implications for theory and practice. In another contribution to stroke rehabilitation, we have investigated visual function following stroke-induced hemiplegia, an Australian-UK-US collaboration (Holmes4). Staffing Policy We have established strong research leadership coupled with sustainable development of early career researchers through ‘growing our own’ and through recruiting those with demonstrable potential. McElhone (2005) and Molineux (2006) have been awarded HEFCE funded Promising Researcher Fellowships spent at research facilities in Australia and US respectively; and five other early career researchers have benefited from recent periods of sabbatical leave. Recently appointed academic staff include Fylan (from York University, 2006), McElhone (Deakin University, 2005), Martin (Sheffield University, 2006), Punt (Birmingham University, 2006) and Slade (Leeds University, 2004). Since 2003, we have created seven professorships (Ellis, Frost, submitted in Unit 45, Green, Johnson, Parsons and White; Holmes, who was Dean until September 2006, joined the research professoriate at that point), seven readerships (Cattan, Fylan, Martin, Molineux, Punt, Sahota and South) and nine visiting professorships, plus visiting fellows. A new departure has been the appointment of substantive research-only staff not tied to grant-funding at senior and research fellow levels (eg, Bagnall, from York University, 2005; and Branney, Leeds University, 2006). Time for research has been ring-fenced, a minimum of one day a week clear of non-research duties for research active staff. Faculty sabbaticals have supplemented the university scheme. Colleagues have been seconded to undertake or project manage funded research (and their posts backfilled). In return, clear output objectives are set in annual appraisals and reviewed mid-year. The development of early career researchers has been facilitated through mentoring and promoting mutual support initiatives, including critical reading of draft papers and peer review; co-writing of papers; in-house seminar programmes, providing opportunities to present research in a supportive, if searching, environment; in-house workshops, eg ‘Writing for publication’ and ‘Developing bids’; development of a peer-led support group for writing; encouragement/support to present at conferences; and inclusion of inexperienced researchers in at least one research project and bids for new grants. Developments such as these, and programmes of inaugurals, public lectures from leading international researchers and the annual two day Research Conference (part of the Staff Development Festival), have generated an intellectual climate and culture in which research is seen as an integral part of colleagues’ working week. Tilford and Tones have retired but both continue to collaborate in research with colleagues in CHPR. Martin left in July 2007 for a chair in Glasgow and we are seeking a professor to replace him. Research Students and Studentships Investment in research studentships and developments in train, such as that in neuro-rehabilitation, are widening opportunities for early career staff to supervise research students. The recent rise in registrations reflects the importance attached to ‘critical mass’ of students in cognate areas stimulating intellectual exchange and mutual support. In support of this, the balance has shifted toward full-time students (76% in 2007, 8% in 2001) and PhD registration (100% in 2007, 50% in 2001). The number of registered students returned in RA3a is attributable to several factors: supervision by staff who may be entered in other units (of the health research students registered between 2001 and 2007, the proportion returned in this Unit has increased from 43% in 2001 to 77% in 2007 as recruitment focus has sharpened); the number of recent appointees carrying research students registered elsewhere, with little capacity initially to take on new students; and the proportion of early career researchers. Nevertheless, students not submitted here have contributed to the health research environment. Among research degrees conferred in health since January 2001, 18 (13 PhD) have been returned in this Unit. Staff joining the University in recent years have supervised students registered in their previous institutions since 2001 (eg, Fylan has supervised five PhD completions, none of whom were registered at Leeds Met; and Holmes has supervised eight PhD completions, only one of whom was registered at Leeds Met). In July 2007 we had 15 research studentships currently enrolled (none in 2001), including two being returned in Unit 45. Four further studentships have commenced in 2007-08 and the three funded by the Foundation for Cognitive Neuroscience are expected to commence in January 2008. We have established a health research student network initiated by Holmes providing opportunities to network, attend seminars and access research courses and workshops across all Yorkshire universities. In 2005, an intensive weekend was held at York and summer schools at Leeds Met in 2005 and Sheffield Hallam in 2006. In 2007, Leeds Met hosted a cross-disciplinary three-day residential school with Huddersfield and Sheffield Hallam. These give part-time students in particular, the opportunity to experience intellectual stimulation and support that otherwise is difficult to ensure. Holmes and Sheldon, PVC at York, have submitted a bid on behalf of Yorkshire universities to HEFCE’s Strategic Development Fund for £1.8million to support this development. Research Income In 2001-2, expenditure from external research income was £48K; in 2006-07 it was £468K (RA4). A clearer indication of the trend in research income. Our initial bid for Capability Funding in 2003 targeted an increase in new external research income to £300K by 2005-06. That year £490K was secured plus the shared grant with Leeds University from Wellcome Trust of £585K. In 2006-07 the Unit submitted 27 bids (one for equipment), 21 as lead applicant, totalling £4.40million. Of these, 14 have been successful attracting £1.06million new funding; and Punt’s bid (£400K to develop an ‘intelligent’ wheelchair for stroke patients displaying perceptual neglect) to the Health Technology Devices programme received outline approval. We have also received a Stroke Association Bursary (Punt) and £75K towards endowing a chair (Parsons) in Nutritional Biochemistry. Bids submitted since 2006-07 include a bid for £2.27million over three years to become a NICE Centre for Public Health Excellence (this has been short-listed and we have been invited to prepare a budget for five years, £3.76million); and CMH’s to FP7 (EU3.67million exclusive of matched funds) with Leeds Met as the Co-ordinating Centre. CMH have also submitted a programme of research on ‘men and cancer’ at the National Cancer Director’s invitation following the recent Expert Symposium held at Leeds Met. Research Strategy, 2008-2012 The reorganisation of health research and emphasis on interdisciplinary collaboration has raised our profile internationally and impacted on theoretical development and policy and practice locally, nationally and internationally, as evidenced above. We plan to enhance our established research activity, namely health promotion, men’s health and pain, and develop research in neuro-rehabilitation (part of a larger centre with pain) and aspects of women’s health by: increasing by more than 50%, researchers with sustained output of an internationally recognised standard within the next five years. To support the development of early career researchers, we shall continue to provide opportunities to spend periods with the best researchers, here or overseas; increasing the research professoriate; increasing research income (currently circa £1million per annum) through increasing the number of research bids submitted, both independently and in collaboration, to prestigious UK and international funding bodies; increasing international collaborations centre to centre; increasing the number of registered research students to circa 50 (35 at November 2007) with a corresponding increase in student completions. Esteem Indicators N.B.: Many examples of esteem - including impact of research on government policy and on practice development, indicators of esteem from the user community and collaboration with international research centres - feature in the above narrative, where they are placed in context, or in RA2 where awards for specific papers are also noted. Keynote papers/invited addresses to major/international conferences Fylan, Green, Holmes, M.Johnson, Leisman, Parsons, Sahota, Tones, A.White, H.White, eg: Green - Development of Health Promotion Policy for the 21st century, Seoul, 2004; Sahota - Prevention of Obesity - the global approach; Berzelius Symposium, Swedish Medical Society, Stockholm, 2003; A.White - keynote presentations at the World Congress on Men’s Health. Honours or awards given to an individual in recognition of their research Dixey/McElhone/Sahota - WATCH-IT overall winner and winner of Childhood/Adolescent category, National Obesity Forum’s ‘Primary Care awards for excellence in Weight Management, 2007’; Green - President, Institute of Health Promotion and Education; award for “outstanding service to the Union and to the field of health promotion” at 19th IUHPE World Conference on Health Promotion and Health Education, Vancouver, 2007; Leisman - Elected Fellow, Association for Psychological Science and Elected Life Fellow, American College of Forensic Examiners-International; Punt - Verna Wright Prize (best oral presentation, 2005), Society for Research in Rehabilitation; Tabasam - finalist (1 of 3), Chief Scientific Officer’s Research and Innovation Award, 2006; Tones - Elected Fellow, Faculty of Public Health (previously honorary member, Faculty of Public Health Medicine). Chairing or membership of committees related to research Parsons - Chair of Steering Committee, Daresbury Free Radical Research Facility, a UK Research Council laboratory; Punt/Sahota - ‘Research for Patient Benefit’ programme (Yorkshire/Humber) Committee, National Institute for Health Research; Sahota - Steering Group, DH Food in Schools pilot study; Tilford - Heart Research, Northern and Yorkshire Regional Research Commissioning Committee. Service on/invitations to join government, national or international bodies, or professional advisory bodies, relevant to research, eg: Cattan - expert panel for EC-funded research review into health promotion among older people; member of DoT Road Safety Advisory Panel for children; Green - academic advisory group, Yorkshire and Humber Public Health Observatory; Holmes - contributor to WHO Report on Health Promoting Schools, 2003; Phillips - UK Medical Advisory Panel for Primary Ciliary Dyskinesia; Sahota - contributor to International Obesity Taskforce Working Group Report for WHO, 2004 and invitation to the Obesity Scoping Workshop in Oct 2005 by Foresight Directorate (OST), on behalf of Sir David King, Chief Scientific Officer. Editorial activities Cattan - Associate Editor, Ageing and Society; Green - Editor-in-Chief, Promotion and Education, Editorial Boards of Health Education Research and International Journal of Health Promotion and Education; M.Johnson - Editorial Board for Acupuncture in Medicine; Parsons - Editorial Board, International Journal of Food Science and Technology; Tilford - Editorial Boards, Health Education, Health Education Research (and guest editor) and International Journal of Health Promotion and Education; Tones - Editor-in-Chief, Health Education Research (1990-2005); Editorial Boards, Drugs: Education, Prevention and Policy, Health Education and Promotion and Education; A.White - Editorial Board for International Journal of Men’s Health. Indicators of esteem from the user community Parsons - invited expert, five meetings convened by International Atomic Energy Agency on sterilisation of tissue allografts by ionising radiation, 2001-02; Sahota - Leeds Childhood Obesity Steering Group; Slade - outcome measurement expert panel at the WFOT conference, Sydney, 2006; South - evaluation of Bradford Advice and Liaison Service led to adoption of monitoring codes by SHA; research into the application of evaluation methodology in professional practice led to invitations to train public health practitioners UK-wide. Peer review Referees for more than 70 different international and national journals: eg, Archives of Disease in Childhood, BMJ, Cortex, International Journal of Men’s Health, International Journal of Obesity and Metabolic Disorder, Journal of Public Health Nutrition, Neuropsychologia, Science, Social Science and Medicine; for book publishers (eg, Elsevier, McGraw Hill); and reviewers for projects, eg, for Dept of Health, EC, ESRC, National Institute for Health Research, National Lotteries Fund, NHS RandD Health Technology Assessment Programme, Physiotherapy Research Foundation, PPP Healthcare, Scottish Health Executive.