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University of Exeter Medical School

 Rachel Winder

Rachel Winder

Research Fellow

 r.e.winder@exeter.ac.uk

 6095

 01392 726095

 Smeall building 

 

Smeall Building, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK


Overview

Rachel Winder is a qualified general nurse, having trained at The Middlesex Hospital in London in 1983 and specialising in neuro-intensive care nursing. After completing a BSc Hons in psychology, she moved into research in 2000 and has worked as a researcher at The Royal College of Surgeons in Ireland (Dublin), at King's College, London and later joined the Department of Primary Care and General Practice at (now) the University of Exeter Medical School). She has been involved in both qualitative and quantitative research projects concerning the health, social services and welfare needs of older people, pre-diabetes and exploring access to out-of-hours care for patients with cancer and their carers. More recently she worked on two multi-centre depression trials: TREAD – a randomised controlled trial of physical activity as a treatment of depression and CoBalT, a randomised controlled trial of Cognitive Behavioural Therapy as an adjunct to pharmacotherapy for treatment resistant depression in primary care. From 2011 to 2014, Rachel worked with Professor David Melzer’s epidemiology/primary care team (University of Exeter Medical School), on an Age UK-funded project exploring the health care needs of the older population and investigating a wide range of health care issues in old age and in centenarians using the Clinical Practice Research Datalink (CPRD). Later she worked as a primary care qualitative research fellow on CADENCE Study, exploring the feasibility of and piloting an RCT to establish methods for assessing the acceptability, and clinical and cost-effectiveness of Enhanced Psychological Care in cardiac rehabilitation services. She worked on the process evaluation for a multi-centred asthma RCT (ARRISA-UK: At-Risk Registers Integrated into primary care to Stop Asthma crises in the UK). She a Research Fellow and project manager for the Di-Facto study (Facilitating access to online NHS primary care services) and his currently working on two cancer studies; CoPECaD (Early Detection of Cancer in Community Pharmacies) and SPOCC (Spotting Cancer among Comorbidities). She also maintains her role (since 2016) within a general practice as research facilitator.

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Research

Research interests

Health services research, cancer, patient access to online primary care services, mental health, older people, asthma, mixed methods, pre-diabetes, cardiac rehabilitation

Research projects

2023-ongoing: Early cancer diagnosis and community pharmacies in deprived areas

2022- ongoing: Research Fellow and Co-applicant SPOCC, (Primary Care Research Group, University of Exeter Medical School)

2020-2023  Research Fellow and Project Manager, Di-Facto study, (Primary Care Research Group, University of Exeter Medical School)

2016-ongoing: Research Facilitator in a General Practice Exeter

2018-2020: Research Fellow, ARRISA-UK process evaluation, (Primary Care Research Group, University of Exeter Medical School)

2017-2018: Research Fellow, University of Plymouth

2017-2018: Research Fellow, Employment and Mental Health, University of Plymouth

2014-2016: Qualitative Research Fellow - CADENCE (Primary Care Research Group, University of Exeter Medical School)

2011- 2014: Research Fellow, Health and Health Care Needs of the Older People using the Clinical Practice Research Datalink) (Epidemiology and Public Health Group, University of Exeter Medical School)

2010-2011: Research Fellow - CoBalT: Cognitive Behavioural Therapy as an adjunct to pharmacotherapy for treatment resistant depression in primary care (Peninsula College of Medicine and Dentistry, Exeter)

2007-2011: Associate Research Fellow - TREAD: A pragmatic randomised controlled trial to evaluate physical activity as a treatment for depression within primary care (Peninsula Medical School)

2005-2006: Research Associate - Macmillan Out-of-Hours Studies (Peninsula Medical School)

2004-2006: Research Associate - WAKEUP: Ways to Address Knowledge, Education and Understanding in Pre-diabetes (Peninsula Medical School)

2003-2004: Research Associate - FAB: Financial Assessment and Benefits Advice for Older People (Peninsula Medical School)

2001-2003: Research Associate - The Lambeth Older People Central Heating Project (Guy's, Thomas' and King's Medical School, King's College London)

2000-2001: Research Officer, HeSSOP: Health and Social Services for Older People (Royal College of Surgeons, Dublin)

1998-2000: Neuro-intensive care Senior Staff Nurse, The Beaumont Hospital, Dublin

1990-1993: Neuro-intensive care Staff Nurse Hospital of Neurology and Neurosurgery, Queen’s Sq. London

1983-1987: Student nurse, then Staff Nurse, The Middlesex Hospital, Mortimer St. London

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Publications

Journal articles

Richards SH, Dickens C, Anderson R, Richards DA, Taylor RS, Ukoumunne OC, Turner KM, Gandhi M, Kuyken W, Gibson A, et al (2018). Assessing the effectiveness of Enhanced Psychological Care for patients with depressive symptoms attending cardiac rehabilitation compared with treatment as usual (CADENCE): a pilot cluster randomised controlled trial. Trials, 19(1). Abstract.  Author URL.
Richards SH, Campbell JL, Dickens C, Anderson R, Gandhi M, Gibson A, Kessler D, Knight L, Kuyken W, Richards DA, et al (2018). Enhanced psychological care in cardiac rehabilitation services for patients with new-onset depression: the CADENCE feasibility study and pilot RCT. Health Technol Assess, 22(30), 1-220. Abstract.  Author URL.
Winder R, Richards SH, Campbell JL, Richards DA, Dickens C, Gandhi M, Wright C, Turner K (2017). Development and refinement of a complex intervention within cardiac rehabilitation services: experiences from the CADENCE feasibility study. Pilot and Feasibility Studies, 3(1).
Turner KM, Winder R, Campbell JL, Richards DA, Gandhi M, Dickens CM, Richards S (2017). Patients' and nurses' views on providing psychological support within cardiac rehabilitation programmes: a qualitative study. BMJ Open, 7(9). Abstract.  Author URL.
Richards SH, Dickens C, Anderson R, Richards DA, Taylor RS, Ukoumunne OC, Kessler D, Turner K, Kuyken W, Gandhi M, et al (2016). Assessing the effectiveness of enhanced psychological care for patients with depressive symptoms attending cardiac rehabilitation compared with treatment as usual (CADENCE): study protocol for a pilot cluster randomised controlled trial. Trials, 17 Abstract.  Author URL.
Ble A, Masoli JAH, Barry HE, Winder RE, Tavakoly B, Henley WE, Kuchel GA, Valderas JM, Melzer D, Richards SH, et al (2015). Any versus long-term prescribing of high risk medications in older people using 2012 Beers Criteria: results from three cross-sectional samples of primary care records for 2003/4, 2007/8 and 2011/12. BMC Geriatr, 15 Abstract.  Author URL.
Melzer D, Tavakoly B, Winder RE, Masoli JAH, Henley WE, Ble A, Richards SH (2015). Much more medicine for the oldest old: trends in UK electronic clinical records. Age Ageing, 44(1), 46-53. Abstract.  Author URL.
Masoli J, Winder R, Tavakoly B, Henley W, Ble A, Richards S, Melzer D (2014). 63. OVERDIAGNOSING AND MISSING THE POINT?. Age and Ageing, 43(suppl 2), ii19-ii19.
Jenkinson CE, Winder RE, Sugg HVR, Roberts MJ, Ridgway N, Kuyken W, Wiles N, Kessler D, Campbell J (2014). Why do GPs exclude patients from participating in research? an exploration of adherence to and divergence from trial criteria. Fam Pract, 31(3), 364-370. Abstract.  Author URL.
Chalder M, Wiles NJ, Campbell J, Hollinghurst SP, Haase AM, Taylor AH, Fox KR, Costelloe C, Searle A, Baxter H, et al (2013). Facilitated physical activity as a treatment for depressed adults: randomised controlled trial (Reprint from BMJ, vol 344, pg e2758, 2012). BRITISH JOURNAL OF SPORTS MEDICINE, 47(10), 629-629. Author URL.
Chalder M, Wiles NJ, Campbell J, Hollinghurst SP, Haase AM, Taylor AH, Fox KR, Costelloe C, Searle A, Baxter H, et al (2013). Republished research: Facilitated physical activity as a treatment for depressed adults: Randomised controlled trial. British Journal of Sports Medicine, 47(10). Abstract.
Chalder M, Wiles NJ, Campbell J, Hollinghurst SP, Searle A, Haase AM, Taylor AH, Fox KR, Baxter H, Davis M, et al (2012). A pragmatic randomised controlled trial to evaluate the cost-effectiveness of a physical activity intervention as a treatment for depression: the treating depression with physical activity (TREAD) trial. Health Technology Assessment, 16(10). Abstract.
Chalder M, Wiles NJ, Campbell J, Hollinghurst SP, Searle A, Haase AM, Taylor AH, Fox KR, Baxter H, Davis M, et al (2012). A pragmatic randomised controlled trial to evaluate the cost-effectiveness of a physical activity intervention as a treatment for depression: the treating depression with physical activity (TREAD) trial. Health Technol Assess, 16(10), 1-iv. Abstract.  Author URL.
Chalder M, Wiles NJ, Campbell J, Hollinghurst SP, Haase AM, Taylor AH, Fox KR, Costelloe C, Searle A, Baxter H, et al (2012). Facilitated physical activity as a treatment for depressed adults: Randomised controlled trial. BMJ (Online), 344(7860). Abstract.
Richards SH, Winder R, Seamark C, Seamark D, Avery S, Gilbert J, Barwick A, Campbell JL (2011). The experiences and needs of people seeking palliative health care out-of-hours: a qualitative study. Prim Health Care Res Dev, 12(2), 165-178. Abstract.  Author URL.
Baxter H, Winder R, Chalder M, Wright C, Sherlock S, Haase A, Wiles N, Montgomery AA, Taylor AH, Fox KR, et al (2010). Physical activity as a treatment for depression: the TREAD randomised trial protocol. Trials Abstract.
Garavan R, McGee HM, Winder R, O'Neill D (2009). When and how older people discuss preferences for long-term care options. J Am Geriatr Soc, 57(4), 750-751. Author URL.
Richards SH, Winder R, Seamark D, Seamark C, Ewings P, Barwick A, Gilbert J, Avery S, Human S, Campbell JL, et al (2008). Accessing out-of-hours care following implementation of the GMS contract: an observational study. Br J Gen Pract, 58(550), 331-338. Abstract.  Author URL.
(2008). Oral and Poster Papers Submitted for Presentation at the 5th Congress of the EUGMS “Geriatric Medicine in a Time of Generational Shift September 3–6, 2008 Copenhagen, Denmark. The journal of nutrition, health & aging, 12(8), 545-593.
Winder R, Richards S, Wyatt K, Campbell J (2008). Receiving specialist welfare benefit within Social Services: a qualitative interview study of older people and their carers. Research Policy and Planning, 26(1), 33-43.
Evans PH, Greaves C, Winder R, Fearn-Smith J, Campbell JL (2007). Development of an educational 'toolkit' for health professionals and their patients with prediabetes: the WAKEUP study (Ways of Addressing Knowledge Education and Understanding in Pre-diabetes). Diabet Med, 24(7), 770-777. Abstract.  Author URL.
Campbell J, Winder R, Richards SH, Hobart J (2007). Exploring the relationships between provision of welfare benefits advice and the health of elderly people: a longitudinal observational study and discussion of methodological issues. Health Soc Care Community, 15(5), 454-463. Abstract.  Author URL.
Armstrong D, Winder R, Wallis R (2006). Impediments to policy implementation: the offer of free installation of central heating to an elderly community has limited uptake. Public Health, 120(2), 161-166. Abstract.  Author URL.
Winder R, Borrill J (1998). Fuels for memory: the role of oxygen and glucose in memory enhancement. Psychopharmacology (Berl), 136(4), 349-356. Abstract.  Author URL.

Conferences

Winder RE (2014). Keynote Address 3: Further Health Needs in Later life. GAHLF / Housing LIN Health Summit. 27th - 27th Feb 2014.
Masoli J, Winder R, Tavakoly B, Henley W, Ble A, Richards S, Melzer D (2014). OVERDIAGNOSING AND MISSING THE POINT?.  Author URL.
Ble A, Masoli JAH, Barry HE, Winder RE, Tavakoly B, Henley WE, Valderas J, Melzer D, Richards SH (2014). P429: Potentially harmful prescribing in older UK Patients: What drugs matter?.

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