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Dr Tina Gambling 

My research activities are as follows:

  • A funded three-year randomized controlled clinical trial designed to determine whether a proactive, call centre based, stepped care methodology (PACCTS) can improve HbA1c in randomly selected people with Type 2 diabetes. It was powered to detect a difference in HbA1c of 1% or greater between intervention (PACCTS supported) and control (routine care) groups over one year of application. The study also determined, whether the intervention was acceptable and cost effective. Behavioural change in this population using the Stages of Change model and its impact upon outcome were also explored. In addition the acceptability of the management system and its impact upon other health care providers, including impact on their service provision was examined. This work is also being extended to other groups of patients and other settings.
  • Collaborative work between the University of Leeds and Cardiff University. The project aims to extend understanding of the meaning of patient-centred care and empowerment and the ways that these are taken forward within interventions supporting self-care in diabetes and mental health. The study adopts a multiple case study approach, with four sets of case studies: standard primary care; outreach multi-ethnic, tele-care via the telephone and Complementary Therapy care.
  • The communication of risk 2 projects - Do ethnic minority patients really understand the meaning of ‘risk’ as applied to their current and future health status? Defining methods of conveying risk to women attending breast screening.
  • Methodology work - to develop methods for synthesising evidence which use diverse study designs.