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University of Exeter Medical School

Dr Harriet Hunt

Dr Harriet Hunt

Research Fellow

 H.A.Hunt@exeter.ac.uk

 6074

 +44 (0)1392 726074

 South Cloisters 309

 

South Cloisters, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK


Overview

My research focuses on complex interventions and how evidence is used in the real world. My training is in epidemiology, psychology and public health with particular experience using various qualitative and quantitative research approaches to diagnosis, human behaviour, public health initiatives and mental health.

I have particular topic specialisms in health and the environment, primary care, health system evaluation, behaviour change and dementia diagnosis. I work closely with service users, stakeholders and disciplinary professionals in embedded and collaborative roles to develop deeper understanding, explore a range of perspectives and co-create guidance for improved health outcomes.

I am interested in understanding complex and dynamic information for specialist and non-specialist decision making - what do people find useful, versus what evidence is available? How do we identify and measure things that matter to people, versus the things that are usually measured? Who do we produce this evidence for, and why?

I am part of the European Centre for the Environment and Human Health team evaluating green and blue health through several linked programmes of work, including the Horizon 2020 pan-European RESONATE project.

Research specialisms:

  • evidence based decision making
  • consultation and coproduction with diverse groups
  • evaluating healthcare
  • qualitative evaluation and mixed methods approaches
  • dementia testing and treatment
  • systematic reviews and meta-analysis
  • creative approaches to communicating complex information
  • theory-driven and realist synthesis
  • diagnostic and prognostic evaluation

Qualifications

  • PhD (University of Exeter, 2019) Medical Studies

  • MSc (Open University, 2009) Psychological Research Methods

  • BSc Dual Hons (Keele, 2001) Psychology and Criminology

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Research

Research interests

I’m interested in how health-related evidence is understood and applied by both the people who produce it and the people who use it. Making the most of the best evidence available is at the core of my work, alongside producting tangible benefits for people on the receiving end of that evidence. This is in order to reduce research waste, increase awareness and buy-in from non-specialists and ensure integrity in the practical application of research to real life.

I have extensive experience in taking collaborative and cross-disciplinary approaches to exploring complexity in interventions and evaluation, including running a rapid RCT based in ICUs at the height of the Covid-19 pandemic, conducting embedded research within communities and managing stakeholder-led and co-developed research projects.

Research projects

Current and recent work includes:

  • Horizon 2020 pan-European RESONATE project, bringing together a consortium of world leaders in nature-based therapy (NbT) research, practice, policy, and innovation with stakeholders in the health, environmental, economic, and societal sectors
  • National Evaluation of the Green Social Prescribing Test & Learn Pilot, a national £5.77 million pilot project supported by NHS England, Defra and others to test how to embed green social prescribing into communities;
  • A Handbook for Nature on Prescription to Promote Mental Health, a free evidence-based guide for anyone interested in using Nature on Prescription to support people’s mental health;
  • Blue Communities, funded by the Global Challenges Research Fund, synthesising  evidence on the interactions between marine and coastal resource management and the health and well-being of coastal communities, centred on South East Asia;
  • COVID-NURSE, a randomised clinical trial of a complex behavioural intervention involving nursing care for patients with Covid-19;
  • ICON, evaluating evidence for interventions to improve continence in children and young people with neurodisability; and
  • PaReNt, exploring parent-to-parent support interventions for parents of babies cared for in neonatal units.

My PhD explored the diagnostic accuracy of brief cognitive assessments when used to identify dementia in general practice with support from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula (PenCLAHRC, now PenARC). My principal supervisor was Professor Chris Hyde.

I was lead researcher of a diagnostic test accuracy review Thromboelastography (TEG) and rotational thromboelastometry (ROTEM) for trauma-induced coagulopathy in adult trauma patients with bleeding with the Cochrane Injuries Group, published in the Cochrane Library and working with colleagues at the University of Exeter, National Institute for Health Research (NIHR) Oxford Biomedical Research Centre (Oxford), John Radcliffe Hospital, NHS Blood & Transplant (Oxford), Churchill Hospital, Oxford Haemophilia & Thrombosis Centre and the Royal Centre for Defence Medicine ICT Centre, Department of Military Anaesthesia and Critical Care in Birmingham, UK.

Research networks

As part of the 2023 Foundation Future Leaders programme, I was selected to join a group of approximately 10 representatives each from the research community, industry, and the civil service and wider public sector. Over a 12-month period, the group meet and discuss with senior figures from government, parliament, universities, large industry, SMEs, research charities and others. Just as importantly, Future Leaders present their own expertise, develop skills and make future contacts. The programme includes external visits and the development of an annual conference for a wider group of mid-career future leaders in science, technology, research and innovation.

I contributed to guidance development on reporting standards in diagnostic test accuracy as part of the PRISMA-DTA Working Group (PRISMA-DTA statement here: http://www.prisma-statement.org/Extensions/DTA).

I am also a member of the GW4 Network (Bristol, Bath, Exeter and Cardiff Universities); Alzheimer's Research UK South West Hub; Sociology of Diagnosis network.

Research grants

  • 2016 University of Exeter Doctoral College
    The University of Exeter Doctoral College Postdoctoral Research Awards (Santander award)
  • 2014 University of Exeter
    Researcher-led Initiative - Developing research capacity by increasing the knowledge and skills of researchers involved in diagnostic accuracy research
  • 2014 RCUK Newton Fund
    The Department for Business, Innovation & Skills (BIS South Central & West) Newton Fund - £49, 531: to delivery health technology assessment teaching at the National Institute of Infectious Diseases Evandro Chagas, Rio de Janeiro, Brazil
  • 2013 University of Exeter Medical School
    Translational Medicine Discretionary Fund - Initiative to support and develop ideas for systematic reviews of dementia for University of Exeter researchers

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Publications

Journal articles

Eke H, Ball S, Allinson A, Anderson R, Hunt H, Hutton E, Lindsay C, Logan S, Madden N, Melluish J, et al (In Press). Interventions to improve continence for children and young people with neurodisability: a national survey of practitioner and family perspectives and experiences. BMJ Paeditatrics Open Abstract.
Coon JT, Orr N, Shaw L, Hunt H, Garside R, Nunns M, Gröppel-Wegener A, Whear B (2022). Bursting out of our bubble: using creative techniques to communicate within the systematic review process and beyond. Systematic Reviews, 11(1). Abstract.
Thompson G, Zhelev Z, Hunt H, Hyde C (2022). It was not easy to identify the study design from the title and abstract of articles indexed as diagnostic (test) accuracy studies in EMBASE in 2012 and 2019. J Clin Epidemiol, 144, 102-110. Abstract.  Author URL.
Sugg HVR, Richards DA, Russell A, Burnett S, Cockcroft EJ, Thompson Coon J, Cruickshank S, Doris FE, Hunt HA, Iles‐Smith H, et al (2022). Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with <scp>COVID</scp>‐19 caused by infection with the <scp>SARS‐COV</scp>‐2 virus: Results from the ‘<scp>COVID‐NURSE</scp>’ survey. Journal of Advanced Nursing, 79(3), 1003-1017. Abstract.
Richards DA, Sugg HVR, Cockcroft E, Cooper J, Cruickshank S, Doris F, Hulme C, Logan P, Iles-Smith H, Melendez-Torres GJ, et al (2021). COVID-NURSE: evaluation of a fundamental nursing care protocol compared with care as usual on experience of care for noninvasively ventilated patients in hospital with the SARS-CoV-2 virus—protocol for a cluster randomised controlled trial. BMJ Open, 11(5), e046436-e046436. Abstract.
Sugg HVR, Russell A-M, Morgan L, Iles-Smith H, Richards DA, Morley N, Burnett S, Cockcroft E, Thompson Coon J, Cruickshank S, et al (2021). Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care. BMC Nursing, 20
Eke H, Hunt H, Ball S, Rogers M, Whear R, Allinson A, Melluish J, Lindsay C, Richardson D, Rogers J, et al (2021). Improving continence in children and young people with neurodisability: survey of current NHS practice and systematic review of effectiveness, cost-effectiveness and contextual factors that modify implementation of interventions. Health Technology Assessment
Cohen JF, Deeks JJ, Hooft L, Salameh J-P, Korevaar DA, Gatsonis C, Hopewell S, Hunt HA, Hyde CJ, Leeflang MM, et al (2021). Preferred reporting items for journal and conference abstracts of systematic reviews and meta-analyses of diagnostic test accuracy studies (PRISMA-DTA for Abstracts): checklist, explanation, and elaboration. BMJ, 372 Abstract.  Author URL.
Salameh JP, Bossuyt PM, McGrath TA, Thombs BD, Hyde CJ, MacAskill P, Deeks JJ, Leeflang M, Korevaar DA, Whiting P, et al (2020). Preferred reporting items for systematic review and meta-analysis of diagnostic test accuracy studies (PRISMA-DTA): Explanation, elaboration, and checklist. The BMJ, 370(12). Abstract.
McCartney M, Fell G, Finnikin S, Hunt H, McHugh M, Gray M (2020). Why 'case finding' is bad science. JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 113(2), 54-58. Author URL.
Olsen M, Zhelev Z, Hunt H, Peters JL, Bossuyt P, Hyde C (2019). Use of test accuracy study design labels in NICE's diagnostic guidance. Diagn Progn Res, 3 Abstract.  Author URL.
Hunt H, Abbott R, Boddy K, Whear R, Wakely L, Bethel A, Morris C, Prosser S, Collinson A, Kurinczuk J, et al (2019). “They've walked the walk”: a systematic review of quantitative and qualitative evidence for parent-to-parent support for parents of babies in neonatal care. Journal of Neonatal Nursing, 25(4), 166-176. Abstract.
Hunt H, Pollock A, Campbell P, Estcourt L, Brunton G (2018). An introduction to overviews of reviews: planning a relevant research question and objective for an overview. Syst Rev, 7(1). Abstract.  Author URL.
Hunt H, Whear R, Boddy K, Wakely L, Bethel A, Morris C, Abbott R, Prosser S, Collinson A, Kurinczuk J, et al (2018). Parent-to-parent support interventions for parents of babies cared for in a neonatal unit-protocol of a systematic review of qualitative and quantitative evidence. Syst Rev, 7(1). Abstract.  Author URL.
McInnes MDF, Moher D, Thombs BD, McGrath TA, Bossuyt PM, Clifford T, Cohen JF, Deeks JJ, Gatsonis C, Hooft L, et al (2018). Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies the PRISMA-DTA Statement. JAMA - Journal of the American Medical Association, 319(4), 388-396. Abstract.
Pollock A, Campbell P, Brunton G, Hunt HA, Estcourt L (2017). Selecting and implementing overview methods: implications from five exemplar overviews. Systematic Reviews, 6(1), 145-163. Abstract.
Hunt HA, Van Kampen S, Takwoingi Y, Llewellyn DJ, Pearson M, Hyde CJ (2017). The comparative diagnostic accuracy of the Mini Mental State Examination (MMSE) and the General Practitioner assessment of Cognition (GPCOG) for identifying dementia in primary care: a systematic review protocol. Diagnostic and Prognostic Research, 1, 1-6.
Pearson M, Hunt HA, Cooper C, Shepperd S, Pawson R, Anderson R (2015). Providing effective and preferred care closer to home: a realist review of intermediate care. Health and Social Care in the Community, 2(23).
Hunt HA, Stanworth S, Curry N, Wolley T, Cooper C, Ukoumunne O, Zhelev Z, Hyde C (2015). Thromboelastography (TEG) and rotational thromboelastometry (ROTEM) for trauma-induced coagulopathy in adult trauma patients with bleeding. Cochrane Database of Systematic Reviews 2015(2).
Hunt HA, Hyde CJ, Stanworth S, Curry N, Perel P, Woolley T, Cooper C, Ukoumunne O (2013). Thromboelastography (TEG) and thromboelastometry (ROTEM) for trauma-induced coagulopathy in adult trauma patients with bleeding [Protocol]. Cochrane Database of Systematic Reviews 2013
Pearson M, Hunt H, Garside R, Moxham T, Peters J, Anderson R (2012). Preventing unintentional injuries to children under 15 years in the outdoors: a systematic review of the effectiveness of educational programs. Inj Prev, 18(2), 113-123. Abstract.  Author URL.
Peason MN, Hunt HA, Garside R, Moxham T, Peters J, Anderson R (2011). Preventing unintentional injuries to children under 15 years in the outdoors: a systematic review of the effectiveness of educational programs. Inj Prev, 2(18). Abstract.  Author URL.

Conferences

Hunt HA, Hyde CJ (2017). An overview of systematic reviews summarising the accuracy of brief cognitive assessments for identifying dementia in primary care. Methods for Evaluating Medical Tests and Biomarkers. 19th - 20th Jul 2016. Abstract.
Hunt HA (2017). Testing times for dementia: How long do brief cognitive assessments actually take to carry out?. University of Exeter Academic Research Event. 11th - 12th May 2017. Abstract.
Lourida I, Kuzma E, Ranson JM, Hunt H, Talens‐Bou J, Rogers M, Thompson‐Coon J, Llewellyn DJ (2017). [P2–094]: DEVELOPMENT OF a DEMENTIA META‐EVIDENCE DATABASE (EMANATE).
Hunt HA (2016). Cochrane overviews of reviews: exploring the methods and challenges. An overview of systematic reviews of diagnostic test accuracy (workshop). Cochrane UK & Ireland Symposium 2016: Impact, Innovation and Ingenuity. 15th - 16th Mar 2016.
Hunt HA (2016). How can primary care support a more effective route to dementia diagnosis?. University of Exeter Medical School Academic Research Event. 18th - 20th May 2016. Abstract.
Hunt HA, Hyde CJ (2016). Overview (de)generation: a. review of reviews on the. diagnostic accuracy of. brief cognitive assessments for identifying dementia in primary care. 24th Cochrane Colloquium. 23rd - 27th Oct 2016. Abstract.
Hunt HA (2015). Constructing an overview of systematic reviews of diagnostic test accuracy. 23rd Cochrane Colloquium. 3rd - 7th Oct 2015. Abstract.
Hyde CJ, Hunt HA (2015). Test evaluation and decision making – what further information is needed? (workshop). 23rd Cochrane Colloquium. 3rd - 7th Oct 2015. Abstract.
Hunt HA, Hardwick RJ (2013). An analysis of theory building in realist synthesis: perspectives from the literature. 21st Cochrane Colloquium 2013.
Hunt HA, Hyde CJ, Ukoumunne O, Cooper C (2013). Identifying uncontrolled haemorrhage after trauma. University of Exeter Medical School Medical and Health Research Showcase 2013.
Hunt HA, Hyde CJ, Pearson M (2013). Realist synthesis – what is it and how could it add value to the diagnosis of dementia in primary care?. Methods for Evaluating Medical Tests and Biomarkers Symposium 2013.
Zhelev Z, Hunt HA, Hyde CJ (2013). The reporting of research design of diagnostic test accuracy (DTA) studies in the abstracts in major medical journals. Methods for Evaluating Medical Tests and Biomarkers Symposium 15th – 16th July 2013; Birmingham, UK.
Zhelev Z, Hunt HA, Hyde CJ (2013). The reporting of research design of diagnostic test accuracy (DTA) studies in the abstracts in major medical journals. Methods for Evaluating Medical Tests and Biomarkers Symposium.
Zhelev Z, Hunt H, Hyde CJ (2013). Using QUADAS-2 in systematic reviews of Diagnostic Test Accuracy (DTA) studies: Survey of users’ experience. 21st Cochrane Colloquium 2013.
Pearson MN, Hunt HA, Anderson R (2012). Assessing the quality of sources in a systematic review of implementation: Reflections from a realist review. 12th Annual Colloquium of the Campbell Collaboration 2012 29th – 31st May; Copenhagen, Denmark.
Pearson MN, Hunt HA, Cooper C, Shepherd S, Pawson R, Anderson R (2012). Moving care closer to home through intermediate care: a realist review of what works for whom and why. Delivering better health services: Health Services Research Network Symposium 2012; 19th & 20th June; Manchester, UK.
Hunt H, Pearson M, Cooper C, Shepperd S, Pawson R, Anderson R (2012). Moving care closer to home through intermediate care: developing a conceptual framework. Health Services Research Network Symposium 2012.

Reports

Garside R, Pearson M, Hunt HA, Moxham T, Anderson R (In Press). Identifying the key elements and interactions of a whole system approach to obesity prevention. NICE Centre for Public Health Excellence, NICE. Abstract.  Author URL.
Garside RUTH, Lovell REBECCA, Hunt HARRIET (2023). PREVENTING AND TACKLING MENTAL ILL HEALTH THROUGH GREEN SOCIAL PRESCRIBING PROJECT EVALUATION. INTERIM REPORT. Defra, Defra.
Fullam J, Hunt H, Lovell R, Husk K, Byng R, Richards D, Bloomfield D, Warber S, Tarrant M, Lloyd J, et al (2021). A handbook for Nature on Prescription to promote mental health. University of Exeter.
Pearson M, Hunt H, Cooper C, Shepperd S, Pawson R, Anderson R (2013). Intermediate care: a realist review and conceptual framework. Final report. NIHR Service Delivery and Organisation Programme, NIHR Service Delivery and Organisation Programme.
Hunt HA, Anderson R, Coelho HF, Garside R, Bayliss S, Fry-Smith A (2012). Preventing obesity: the effectiveness of whole system approaches. NICE Programme Development Group, NICE. Author URL.
Hunt HA, Anderson R, Garside R, Coelho HF, Bayliss S, Fry-Smith A (2012). Preventing obesity: the effectiveness of whole system approaches. NICE Centre for Public Health Excellence, NICE. 126 pages.  Abstract.  Author URL.
Pearson M, Hunt H, Cooper C, Shepperd S, Pawson R, Anderson R (2012). The effective and cost-effective use of intermediate, step-down, hospital at home and other forms of community care as an alternative to acute inpatient care: a realist review., NIHR. Author URL.
Hunt H, Anderson R (2011). Whole system approaches to obesity prevention case studies: Analysis of documentary evidence from three localities – Sheffield, Newcastle-upon-Tyne, and Barking & Dagenham.
Garside R, Pearson M, Hunt H, Moxham T, R A (2010). Preventing obesity using a ‘whole system’ at local and community level: Identifying the key elements and interactions of a whole system approach to obesity prevention. Author URL.
Pearson M, Hunt H, Garside R, Moxham T, Peters J, R A (2010). Preventing unintentional injuries among under-15s: outdoor play and leisure – systematic review of effectiveness of educational interventions. Author URL.

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Teaching

I have taught Yr 1 and Yr2 sessions as part of the Clinical Decision Making and Using Evidence Based Medicine modules for University of Exeter Medical School BMBS medical students. I also contributed to developing and teaching the new BMBS elective diagnostic evidence workshops.

I taught on the MSc in Health Services Research - Evidence Synthesis module, and have co-supervised Yr 2 students on their research practical module.

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