Deborah Lancastle

University of South Wales

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A strategy for implementing genomics into nursing practice informed by three behaviour change theories

International Journal of Nursing Practice (2016)

Verity Leach Emma Tonkin Deborah Lancastle Maggie Kirk

Abstract Genomics is an ever increasing aspect of nursing practice, with focus being directed towards improving health. The authors present an implementation strategy for the incorporation of genomics into nursing practice within the UK, based on three behaviour change theories and the identification of individuals who are likely to provide support for change. Individuals identified as Opinion Leaders and Adopters of genomics illustrate how changes in behaviour might occur among the nursing profession. The core philosophy of the strategy is that genomic nurse Adopters and Opinion Leaders who have direct interaction with their peers in practice will be best placed to highlight the importance of genomics within the nursing role. The strategy discussed in this paper provides scope for continued nursing education and development of genomics within nursing practice on a larger scale. The recommendations might be of particular relevance for senior staff and management.

Early adopter

Scope (computer science)

Nursing practice

Relevance

Identification

10.1111/ijn.12431

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Citations (18)

Human fertilisation and embryology: Reproducing regulation

Human Fertility (2008)

Deborah Lancastle

Kirsty Horsey & Hazel BiggsRoutledge-Cavendish, Oxon, 2007 ISBN 978-1-84472-090-3, 258 pp., Price £25.99This book will be found informative by all those interested in assisted reproduction technolo...

Fertilisation

Oxon

10.1080/14647270801925255

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Citations (19)

The Health & Her App is Associated with Improved Symptom Outcomes Among 1,900 Menopausal Women

Robin Andrews Deborah Lancastle Kate Bache Arron Lacey

Background: The Health & Her app provides menopausal women with a means of monitoring their symptoms, symptom triggers, and menstrual periods, and enables them to engage in a variety of digital activities designed to promote health and wellbeing. The aim of the present study was to examine whether sustained weekly engagement with the app is associated with improvements in menopausal symptoms. Methods: This quasi-experimental study used routinely collected data provided by 1,900 Health & Her app users across a 2-month period. Symptom change from baseline over a period of up to 2 months was the outcome measure. A linear mixed effects model explored whether app engagement was predictive of symptom changes. Secondary analyses explored whether app-usage factors such as total number of days spent logging symptoms, logging triggers, reporting menstrual periods, and using in-app activities were independently predictive of symptom reductions from baseline. Covariates included HRT (Hormone Replacement Therapy) use, hormonal contraceptive use, present comorbidities, age, and dietary supplement use. To examine which types of symptoms were associated with the largest changes in total symptom scores, symptom scores at baseline were evaluated and were split according to specific symptom domains (i.e., psychological, urogenital, vasomotor, and physical). Results: Findings demonstrated that greater engagement with the Health & Her app for 2-months was associated with greater reductions in symptoms over time. Moreover, daily use of in-app activities and logging symptoms and menstrual periods were each independently associated with symptom reductions. Of the four symptom domains assessed, reporting psychological symptoms at baseline were associated with the greatest reductions in total symptom scores. Conclusions: This study has demonstrated that greater weekly engagement with the app was associated with greater reductions in symptoms. It is recommended that women be made aware of menopause-specific apps, such as that provided by Health & Her, to support them to manage their symptoms.

Smartphone app

10.31219/osf.io/yub2n

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Citations (0)

Dispositional Optimism, Trait Anxiety, and Coping: Unique or Shared Effects on Biological Response to Fertility Treatment?

Health Psychology (2005)

Deborah Lancastle Jacky Boivin

The aim of this study was to examine the unique and shared predictive power of psychological variables on reproductive physical health. Three months before fertility treatment, 97 women completed measures of dispositional optimism, trait anxiety, and coping. Information about biological response to treatment (e.g., estradiol level) was collected from medical charts after treatment. Structural equation modeling showed that measured psychological variables were all significant indicators of a single latent construct and that this construct was a better predictor of biological response to treatment than was any individual predictor. This research contributes to evidence suggesting that the health benefits of dispositional optimism are due to its shared variance with neuroticism.

Trait

Predictive power

10.1037/0278-6133.24.2.171

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Citations (105)

A feasibility study of a brief coping intervention (PRCI) for the waiting period before a pregnancy test during fertility treatment

Human Reproduction (2008)

Deborah Lancastle Jacky Boivin

BACKGROUNDWaiting for a pregnancy test during fertility treatment can be particularly stressful because distress and intrusive cognitions about the nature and implications of the result can reduce quality of life. The aim of this feasibility study was to establish whether a novel brief coping intervention (positive reappraisal coping intervention, PRCI) card that encouraged women waiting for an IVF pregnancy test to redefine the waiting period more positively would be acceptable and practical in this context.

10.1093/humrep/den257

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Citations (81)

Does Health & Her app use improve menopausal symptoms? A longitudinal cohort study

BMJ Open (2023)

Robin Andrews Deborah Lancastle Kate Bache Arron Lacey

Objectives The Health & Her app provides menopausal women with a means of monitoring their symptoms, symptom triggers and menstrual periods, and enables them to engage in a variety of digital activities designed to promote well-being. This study aimed to examine whether sustained weekly engagement with the app is associated with improvements in menopausal symptoms. Design A pre–post longitudinal cohort study. Setting Analysed data collected from Health & Her app users. Participants 1900 women who provided symptom data via the app across a 2-month period. Primary and secondary outcome measures Symptom changes from baseline to 2 months was the outcome measure. A linear mixed effects model explored whether levels of weekly app engagement influenced symptom changes. Secondary analyses explored whether app-usage factors such as total number of days spent logging symptoms, reporting triggers, reporting menstrual periods and using in-app activities were independently predictive of symptom changes from baseline. Covariates included hormone replacement therapy use, hormonal contraceptive use, present comorbidities, age and dietary supplement use. Results Findings demonstrated that greater engagement with the Health & Her app for 2 months was associated with greater reductions in symptoms over time. Daily use of in-app activities and logging symptoms and menstrual periods were each independently associated with symptom reductions. Conclusions This study demonstrated that greater weekly engagement with the app was associated with greater reductions in symptoms. It is recommended that women be made aware of menopause-specific apps, such as that provided by Health & Her, to support them to manage their symptoms.

Longitudinal Study

10.1136/bmjopen-2023-077185

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Citations (1)

“Walking in Their Shoes”: The effects of an immersive digital story intervention on empathy in nursing students

Nursing Open (2021)

Juping Yu G. Parsons Deborah Lancastle Emma Tonkin Siva Ganesh

To evaluate the effects of a novel, immersive digital story intervention on empathy.

10.1002/nop2.860

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Citations (17)

“The stress can be unbearable, but the good times are like finding gold”: A phase one modelling survey to inform the development of a self-help positive reappraisal coping intervention for caregivers of those with autism spectrum disorder

PLoS ONE (2022)

Deborah Lancastle Joanna Hill Susan Faulkner Alecia L. Cousins

Caregivers of individuals with ASD can experience various practical, psychological, and social demands and need effective ways of coping to ameliorate the negative effects of caregiving. Numerous coping strategies are available, but the literature shows that caregivers can still struggle to cope, suggesting that interventions to support coping efforts could be beneficial. The MRC framework advocates the systematic development and evaluation of interventions, and this study was conducted to inform the future development of a self-help Positive Reappraisal Coping Intervention (PRCI) for these caregivers. The aim was to establish whether positive reappraisal coping strategies were used and associated with greater psychological wellbeing, prior to developing such an intervention.Caregivers of individuals with ASD (N = 112) responded to items from an existing PRCI (Lancastle, 2006; Lancastle & Boivin, 2008), by writing about aspects of caregiving that reflected the meaning of each item. They also completed questionnaires assessing resilience, caregiving burden, and positive and negative emotions.Participants provided significantly more positive responses than negative responses to PRCI items, demonstrating their use of positive reappraisal coping. Thematic analyses showed that positive responses focused on factors such as their loved one's personality and achievements, the contributions caregivers had made to this person's progress, the support received, and their own personal development. Positive reappraisal coping was associated with greater resilience, more positive and less negative emotions, and a lesser sense of caregiver burden.This modelling study suggests that positive reappraisal strategies were used by caregivers and associated with greater psychological wellbeing. The findings will inform the development of a self-help PRCI for the caregivers of those with ASD. Future studies will systematically evaluate that PRCI to determine the nature of intervention effects and mediators and moderators of effects.

Positive Psychology

Thematic Analysis

10.1371/journal.pone.0264837

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Citations (9)

Review: Physical activity interventions for the mental health and well‐being of adolescents – a systematic review

Child and Adolescent Mental Health (2021)

Gabrielle Hale Luke Colquhoun Deborah Lancastle Nicky Lewis Philip John Tyson

Background Rates of physical activity decline throughout adolescence, and evidence indicates that this has an adverse impact on psychological health. This paper aims to synthesise available evidence for physical activity interventions on the mental health and well‐being of young people (11–19 years) from the general population. Method Nine databases were searched to identify studies published between January 2005 and June 2020: Web of Science, ProQuest Psychology Journals, PsycINFO, Pub Med, ASSIA, CINHAL PLUS, SPORTDiscus, EMBASE and Wiley Online Library. Key search terms included ‘physical activity intervention’, ‘mental health’ and ‘adolescen*’. Eligible studies were independently screened by two authors based on inclusion/exclusion criteria. Results Twenty‐eight interventions were narratively synthesised in four categories: Quality of Life (QOL), self‐esteem, psychological well‐being and psychological ill‐being (e.g. depression, stress). A large proportion (67.9%) of interventions were multicomponent and combined physical activity with other features such as health education (e.g. nutrition). However, only a limited number ( N = 5) specifically addressed mental health. Findings suggest that interventions are useful in improving psychological well‐being and QOL, yet evidence for self‐esteem is mixed. Conclusions Although effectiveness in improving well‐being is evident, evidence for a reduction in the frequency and severity of mental health problems is less clear. A summary of the overall impact of physical activity interventions on the mental health of young people is presented.

PsycINFO

Well-Being

10.1111/camh.12485

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Citations (51)

The prevalence of depression and anxiety among neuroendocrine tumour and general gastroenterology outpatients and the psychometric validity of emotional thermometers

Endocrine Abstracts (2020)

Kirsty Linton Hannah Newton Sophie Harris Deborah Lancastle Bev John

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Depression

10.1530/endoabs.72.p8

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Citations (0)