Complex Interventions

Latest Publications

In Press

Gilbody S, Lewis H, Adamson J, Atherton K, Bailey D, Birtwistle J, Bosanquet K, Clare E, Delgadillo J, Ekers D, et al (In Press). Effect of Collaborative Care vs Usual Care on Depressive Symptoms in Older Adults with Subthreshold Depression: the CASPER Randomized Clinical Trial. JAMA, 317(7), 728-737.

O‘Mahen HA, Richards DR, Woodford J, Wilkinson E, McGinley J, Taylor R, Warren F (In Press). Netmums: a Phase II Randomized Controlled Trial of a Guided Internet Behavioral Activation Treatment for Postpartum Depression. Psychological Medicine.

Kieft E, Day J, Byng R, McArdle P, Goodwin VA (in press). Bridging the second gap in translation: a case study of barriers and facilitators to implementing patient initiated clinics into secondary care. European Journal of Person Centred Healthcare.

2017

Lewis H, Adamson J, Atherton K, Bailey D, Birtwistle J, Bosanquet K, Clare E, Delgadillo J, Ekers D, Foster D, et al (2017). CollAborative care and active surveillance for Screen-Positive EldeRs with subthreshold depression (CASPER): a multicentred randomised controlled trial of clinical effectiveness and cost-effectiveness. Health Technol Assess, 21(8), 1-196.

Richards DA, Finning K, Taylor RS(2017). Behavioural activation training for depression - Authors' reply. Lancet, 389(10067), 367-368.

Finning K, Richards DA, Moore L, Ekers D, McMillan D, Farrand PA, O'Mahen HA, Watkins ER, Wright KA, Fletcher E, et al (2017). Cost and outcome of behavioural activation versus cognitive behavioural therapy for depression (COBRA): a qualitative process evaluation. BMJ Open, 7(4).

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).

Gilbody S, Brabyn S, Lovell K, Kessler D, Devlin T, Smith L, Araya R, Barkham M, Bower P, Cooper C, et al (2017). Telephone-supported computerised cognitive-behavioural therapy: REEACT-2 large-scale pragmatic randomised controlled trial. Br J Psychiatry

Hall AJ, Lang IA, Endacott R, Hall A, Goodwin VA. Physiotherapy interventions for people with dementia and a hip fracture: a scoping review of the literature.Physiotherapy 2017.

Watkins R, Goodwin VA, Abbot RA, Hall AJ, Tarrant R. Attitudes, perceptions and experiences of mealtimes among residents and staff in care homes for older adults: a systematic review of the qualitative literature. Geriatric Nursing 2017

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).

O'Mahen HA, Wilkinson E, Bagnall K, Richards DA, Swales A (2017). Shape of change in internet based behavioral activation treatment for depression. Behaviour Research and Therapy, 95, 107-116.

2016

Brabyn S, Araya R, Barkham M, Bower P, Cooper C, Duarte A, Kessler D, Knowles S, Lovell K, Littlewood E, Mattock R, Palmer S, Pervin J, Richards D, Tallon D, White D, Walker S, Worthy G & Gilbody S (2016).The second Randomised Evaluation of the Effectiveness, cost-effectiveness and Acceptability of Computerised Therapy trial (REEACT-2): does the provision of telephone support enhance the effectiveness of computer-delivered cognitive behaviour therapy? A randomised controlled trial. Health Technology Assessment. 20(89).

Panagioti M, Bower P, Kontopantelis E, Lovell K, Gilbody S, Waheed W, Dickens C, Archer J, Simon G, Ell K, Huffman JC, Richards DA, van der Feltz-Cornelis C, Adler DA, Bruce M, Buszewicz M, Cole MG, Davidson KW, de Jonge P, Gensichen J, Huijbregts K, Menchetti M, Patel V, Rollman B, Shaffer J, Zijlstra-Vlasveld MC, Coventry PA. (2016). Association Between Chronic Physical Conditions and the Effectiveness of Collaborative Care for Depression: An Individual Participant Data Meta-analysis. JAMA Psychiatry. Sep 1;73(9):978-89. doi:10.1001/jamapsychiatry.2016.1794

Pentecost CL, Richards DA, Goodwin V, Medina-Lara A (2016). ESSENCE: Amalgamating marginal gains in ESSEntial Nursing CarE. A scoping review of the evidence.  

Overend K, Lewis H, Bailey D, Bosanquet K, Chew-Graham C, Ekers D, Gascoyne S, Hems D, Holmes J, Keding A, et al (2016). Erratum to: CASPER plus (CollAborative care in screen-positive EldeRs with major depressive disorder): Study protocol for a randomised controlled trial. [Trials. (2014), 15, 451.]. Trials, 17(1). 

Craig P, Rahm-Hallberg I, Britten N, Borglin G, Meyer G, Köpke S, Noyes J, Chandler J, Levati S, Sales A, et al (2016)Erratum to: Researching Complex Interventions in Health: the State of the Art. BMC Health Serv Res, 16(1). 

Allison R, Shenton L, Bamforth K, Kilbride C, Richards D (2016). Incidence, Time Course and Predictors of Impairments Relating to Caring for the Profoundly Affected arm After Stroke: a Systematic Review. Physiotherapy Research International, 21(4), 210-227.

Richards, SH, Dickens, C, Anderson, R, Richards, DA, Taylor, RS, Ukoumunne, OC, Kessler, D, Turner, K, Kuyken, W, Gandhi, M, Knight, L, Gibson, A, Davey, A, Warren, F, Winder, R, Wright, C and Campbell, J. (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 (2016) 17:59. DOI 10.1186/s13063-016-1184-9

Richards DA, Bower P, Chew-Graham C, Gask L, Lovell K, Cape J, Pilling S, Araya R, Kessler D, Barkham M, Bland JM, Gilbody S, Green C, Lewis G, Manning C, Kontopantelis E, Hill JJ, Hughes-Morley A, Russell, A. (2016). Clinical effectiveness and cost-effectiveness of collaborative care for depression in UK primary care (CADET): a cluster randomised controlled trial. Health Technology Assessment;20(14).

Richards DA, Ekers D, McMillan D, Taylor RS, Byford S, Warren FC, Barrett B, Farrand PA, Gilbody S,
Kuyken W, O’Mahen H, Watkins ER, Wright KA, Hollon SD, Reed N, Rhodes S, Fletcher E, Finning K (2016).
Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial.  The Lancet, Online First, 22 July 2016. http://dx.doi.org/10.1016/S0140-6736(16)31140-0

Goodwin VA, Hall AJ, Rogers E, Bethel A. Orthotics and taping in the management of vertebral fractures in people with osteoporosis: a systematic review. BMJ Open

Goodwin VA, Paudyal P, Perry MG, Day N, Hawton A, Gericke C, Ukoumunne OC, Byng R. Implementing a patient-initiated review system for people with rheumatoid arthritis: a prospective, comparative service evaluation. Journal of Evaluation in Clinical Practice. 2016 doi:10.1111/jep.12505

Tarrant M, Warmoth K, Code C, Dean S, Goodwin VA, Stein K, Sugavanam T. Creating psychological connections between intervention recipients: Development and focus group evaluation of a group singing session for people with aphasia. BMJ Open 2016;6:e009652. doi:10.1136/bmjopen-2015-009652

Goodwin VA, Pickering R, Roberts H, Ballinger C, McIntosh E, Nieuwboer A, Rochester L, Ashburn A. A multi-centre, randomised controlled trial of the effectiveness of PDSAFE to prevent falls among people with Parkinson’s: Study protocolBMC Neurology (2015) 15:81 DOI 10.1186/s12883-015-0332-2

Jie, LJ, Goodwin VA, Kleynen M, Braun S, Nunns M, Wilson M. Analogy learning in Parkinson’s disease: a proof of concept study. International Journal of Therapy and Rehabilitation, March 2016, Vol 23, No 3, 233-240

Sugg H, Richards D, Frost J (2016). Morita therapy for depression and anxiety (Morita Trial): study protocol for a pilot randomised controlled trial. Trials, 17:161.

Holt T, Fletcher E, Warren F, Richards S, Calitri R, Green C (2016). Telephone triage systems in UK general practice: analysis of consultation duration during the index day in a pragmatic randomised controlled trial. Br J Gen Pract

Varley A, Warren FC, Richards SH, Calitri R, Chaplin K, Fletcher E, Holt TA, Lattimer V, Murdoch J, Richards DA, et al (2016). The effect of nurses’ preparedness and nurse practitioner status on triage call management in primary care: a secondary analysis of cross-sectional data from the ESTEEM trial. International Journal of Nursing Studies, 58, 12-20.

Richards DA (2016). You SHOULD 'sweat the small stuff'. Amalgamating marginal gains in ESSEntial Nursing CarE. 

Read more at http://medicine.exeter.ac.uk/people/profile/index.php?web_id=david_richards#bkL8QXSGmw1hSIdj.99

2015

Richards DA, Rahm Hallberg I (2015). A Few Final Thoughts in Richards DA, Rahm Hallberg I (eds.) Complex Interventions in Health: an Overview of Research Methods, London: Routledge, 326-333.

Littlewood E, Duarte A, Hewitt C, Knowles S, Palmer S, Walker S, Andersen P, Araya R, Barkham M, Bower P, et al (2015). A randomised controlled trial of computerised cognitive behaviour therapy for the treatment of depression in primary care: the Randomised Evaluation of the Effectiveness and Acceptability of Computerised Therapy (REEACT) trial. Health Technol Assess, 19(101), 1-174.

Richards, D.A., Rahm Hallberg, I. (eds). (2015). Complex Interventions in Health: an Overview of Research Methods. London, Routledge.

Richards DA (2015). Complex interventions and the amalgamation of marginal gains: a way forward for understanding and researching essential nursing care?. International Journal of Nursing Studies, 52(7), 1143-1145.

Warren FC, Calitri R, Fletcher E, Varley A, Holt TA, Lattimer V, Richards D, Richards S, Salisbury C, Taylor RS, et al (2015). Exploring demographic and lifestyle associations with patient experience following telephone triage by a primary care doctor or nurse: secondary analyses from a cluster randomised controlled trial. Bmj Qual Saf, 24(9), 572-582.

Gilbody S, Littlewood E, Hewitt C, Brierley G, Tharmanathan P, Araya R, Barkham M, Bower P, Cooper C, Gask L, et al (2015). Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): large scale pragmatic randomised controlled trial. Bmj, 351.

Richards DA (2015). Investigating Feasibility and Undertaking Pilot Testing of Complex Interventions. Introduction to Section 2 in Richards DA, Rahm Hallberg I (eds.) Complex Interventions in Health. An Overview of Research Methods, Oxon: Routledge, 123-126.

Backhouse A, Dickens C, Richards D, McCabe R (2015). Key components in models of community-based interventions coordinating care in dementia: a mixed studies systematic review protocol. Syst Rev, 4.

Titov N, Dear BF, Staples LG, Bennett-Levy J, Klein B, Rapee RM, Shann C, Richards D, Andersson G, Ritterband L, et al (2015). MindSpot clinic: an accessible, efficient, and effective online treatment service for anxiety and depression. Psychiatric Services, 66(10), 1043-1050.

Bidargaddi N, Bastiampillai T, Allison S, Jones GM, Furber G, Battersby M, Richards D (2015). Telephone-based low intensity therapy after crisis presentations to the emergency department is associated with improved outcomes. J Telemed Telecare, 21(7), 385-391.

Richards DA (2015). The Critical Importance of Patient and Public Involvement for Research into Complex Interventions in Richards DA, Rahm Hallberg I (eds.) Complex Interventions in Health. An Overview of Research Methods, Oxon: Routledge, 46-50.

Richards DA (2015). Using activity to combat depression: more about behavioural activation. In Brosan L, Westbrook D (eds.) The Complete CBT Guide for Depression and Low Mood, London: Robinson, 129-161.                          

Richards DA (2015). Feasibility in Practice: Undertaking a feasibility study to answer procedural, methodological and clinical questions prior to a full-scale evaluation in Richards DA, Rahm Hallberg I (eds.) Complex Interventions in Health. An Overview of Research Methods, Oxon: Routledge, 175-182.

Murdoch J, Varley A, Fletcher E, Britten N, Price L, Calitri R, Green C, Lattimer V, Richards SH, Richards DA, et al (2015). Implementing telephone triage in general practice: a process evaluation of a cluster randomised controlled trial. Bmc Fam Pract, 16.

Allison R, Shenton L, Bamforth K, Kilbride C, Richards D (2015). Incidence, Time Course and Predictors of Impairments Relating to Caring for the Profoundly Affected arm After Stroke: a Systematic Review. Physiotherapy Research International.

Campbell JL, Fletcher E, Britten N, Green C, Holt T, Lattimer V, Richards DA, Richards SH, Salisbury C, Taylor RS, et al (2015). The clinical effectiveness and cost-effectiveness of telephone triage for managing same-day consultation requests in general practice: a cluster randomised controlled trial comparing general practitioner-led and nurse-led management systems with usual care (the ESTEEM trial). Health Technol Assess, 19(13), 1-viii.

Poltawski L, Boddy K, Forster A, Goodwin VA, Pavey AC, Dean S. ‘Motivators for uptake and maintenance of exercise: perceptions of long-term stroke survivors and implications for design of exercise programmes’ Disability and Rehabilitation (2015) 37 (9). 795-801 http://informahealthcare.com/doi/pdf/10.3109/09638288.2014.946154

NICE Quality Standards. 2015. Falls in older people: assessment after a fall and preventing further falls https://www.nice.org.uk/guidance/qs86

Child S, Goodwin VA, Perry MG, Gericke CA, Byng R. Implementing a patient-initiated review system in rheumatoid arthritis: a qualitative evaluation. BMC Health Services Research (2015) 15:157 DOI 10.1186/s12913-015-0837-9

National Osteoporosis Society. 2015. Effective Secondary Prevention of Fragility Fractures: Clinical Standards for Fracture Liaison Services: https://nos.org.uk/health-professionals/fracture-liaison-services

Goodwin VA, Pickering R, Roberts H, Ballinger C, McIntosh , Nieuwboer A, Rochester L, Ashburn A. A multi-centre, randomised controlled trial of the effectiveness of PDSAFE to prevent falls among people with Parkinson’s:  Study protocol BMC Neurology (2015)

Pentecost C, Farrand P, Greaves CJ, Taylor RS, Warren FC, Hillsdon M, Green C, Welsman JR, Rayson K, Evans PH, et al (2015). Combining behavioural activation with physical activity promotion for adults with depression: findings of a parallel-group pilot randomised controlled trial (BAcPAc). Trials, 16(367), 1-15.

Child S, Goodwin VA, Perry MG, Gericke CA, Byng R. Implementing a patient-initiated review system in rheumatoid arthritis: a qualitative evaluation. BMC Health Services Research (2015) 15:157 DOI 10.1186/s12913-015-0837-9

2014

Ekers D, Webster L, Van Straten A, Cuijpers P, Richards D, Gilbody S (2014). Behavioural activation for depression; an update of meta-analysis of effectiveness and sub group analysis. Plos One, 9(6).

Overend K, Lewis H, Bailey D, Bosanquet K, Chew-Graham C, Ekers D, Gascoyne S, Hems D, Holmes J, Keding A, et al (2014). CASPER plus (CollAborative care in Screen-Positive EldeRs with major depressive disorder): study protocol for a randomised controlled trial. Trials, 15

 
 
 

Campbell JL, Fletcher E, Britten N, Green C, Holt TA, Lattimer V, Richards DA, Richards SH, Salisbury C, Calitri R, et al (2014). Campbell JL, Fletcher E, Britten N, Green C, Holt TA, Lattimer V, Richards DA. Richards S H, Salisbury C, Calitri R, Bowyer V, Chaplin K, Kandiyali R, Murdoch J, Roscoe J, Varley A, Warren FC., Taylor RS. Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster-randomised controlled trial and cost-consequence analysis. Lancet, 384(9957), 1859-1868.

Coventry PA, Hudson JL, Kontopantelis E, Archer J, Richards DA, Gilbody S, Lovell K, Dickens C, Gask L, Waheed W, et al (2014). Characteristics of effective collaborative care for treatment of depression: a systematic review and meta-regression of 74 randomised controlled trials. Plos One, 9(9).

 
 
 
 
 

Rhodes S, Richards DA, Ekers D, McMillan D, Byford S, Farrand PA, Gilbody S, Hollon SD, Kuyken W, Martell C, et al (2014). Cost and outcome of behavioural activation versus cognitive behaviour therapy for depression (COBRA): study protocol for a randomised controlled trial. Trials, 15.

Green C, Richards DA, Hill JJ, Gask L, Lovell K, Chew-Graham C, Bower P, Cape J, Pilling S, Araya R, et al (2014). Cost-effectiveness of collaborative care for depression in UK primary care: economic evaluation of a randomised controlled trial (CADET). Plos One, 9(8).

Hill JJ, Kuyken W, Richards DA (2014). Developing stepped care treatment for depression (STEPS): study protocol for a pilot randomised controlled trial. Trials, 15.

 
 
 

Coupe N, Anderson E, Gask L, Sykes P, Richards DA, Chew-Graham C (2014). Facilitating professional liaison in collaborative care for depression in UK primary care; a qualitative study utilising normalisation process theory. Bmc Family Practice, 15.

O‘Mahen HA, Richards DA, Woodford J, Wilkinson E, McGinley J, Taylor RS, Warren FC (2014). Netmums: a phase II randomized controlled trial of a guided Internet behavioural activation treatment for postpartum depression. Psychological Medicine, 44, 1675-1689.

 

Van Straten A, Hill J, Richards DA, Cuijpers P (2014). Stepped care treatment delivery for depression: a systematic review and meta-analysis. Psychological Medicine, 45(2), 231-246.

Masterson C, Ekers D, Gilbody S, Richards D, Toner-Clewes B, McMillan D (2014). Sudden gains in behavioural activation for depression. Behaviour Research and Therapy, 60, 34-38.

Woodford J, Farrand P, Watkins ER, Richards DA, Llewellyn DJ (2014). Supported cognitive-behavioural self-help versus treatment-as-usual for depressed informal carers of stroke survivors (CEDArS): study protocol for a feasibility randomized controlled trial. Trials, 157.

Richards DA, Ross S, Robens S, Borglin G (2014). The DiReCT study - improving recruitment into clinical trials: a mixed methods study investigating the ethical acceptability, feasibility and recruitment yield of the cohort multiple randomised controlled trials design. Trials, 15(1).

Richards DA, Coulthard V, Borglin G (2014). The state of European nursing research: dead, alive, or chronically diseased? a systematic literature review. Worldviews on Evidence-based Nursing.

Hubbard RE, Goodwin VA, Llewellyn DJ, Warmouth K, Lang IA. ‘Frailty, financial resources and subjective well-being in later life’ Archives of Gerontology and Geriatrics (2014) 58: 364–369 http://www.sciencedirect.com/science/article/pii/S0167494313002008

Goodwin VA, Abbott RA, Whear R, Bethel A, Ukoumunne OC, Thompson-Coon J, Stein K ‘Multiple component interventions for preventing falls and fall-related injuries among older people: systematic review and meta-analysis’  BMC Geriatrics 2014, 14:15 doi:10.1186/1471-2318-14-15

Kleynen M, Wilson MR, Jie L-J, te Lintel Hekkert F, Goodwin VA, Braun SM. ‘Exploring the utility of analogies in motor learning after stroke: a feasibility study’ International Journal of Rehabilitation Research 2014, 37(3) 277-280

Bollen JC, Dean SG, Siegert RJ, Howe TE, Goodwin VA.  ‘A systematic review of measures of self-reported adherence to unsupervised home-based rehabilitation exercise programmes, and their psychometric properties’. BMJ Open 2014; 4:e005044.doi:10.1136/bmjopen-2014-005044

Farrand P, Pentecost C, Greaves C, Taylor RS, Warren F, Green C, Hillsdon M, Evans P, Welsman J, Taylor AH, et al (2014). A written self-help intervention for depressed adults comparing behavioural activation combined with physical activity promotion with a self-help intervention based upon behavioural activation alone: study protocol for a parallel group pilot randomised controBAcPAc). Trials, 15lled trial (BAcPAc). Trials, 15.

Healy ML, Gibney J, Pentecost C, Wheeler MJ, Sonksen PH (2014). Endocrine profiles in 693 elite athletes in the postcompetition setting. Clinical Endocrinology, 81(2), 294-305.

2013

Richards, D., Hill, J., Gask, L., Lovell K, Chew-Graham, C., Bower, P., Cape, J., Pilling, S., Araya, R., Kessler, D., Bland J.M., Green, C., Gilbody, S., Lewis, G., Manning, C., Hughes-Morley, A., Barkham, M. (2013). Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial. BMJ, 347.

Bower, P., Kontopantelis, E., Sutton, A., Kendrick, T., Richards, D.A., Gilbody, S., Knowles, S., Cuijpers, P., Andersson, G., Christensen, H., et al (2013). Influence of initial severity of depression on effectiveness of low intensity interventions: Meta-analysis of individual patient data. BMJ (online), 346(7899).

O'Mahen, H.A., Woodford, J., McGinley, J., Warren, F.C., Richards, D.A., Lynch, T.R., Taylor, R.S. (2013). Internet-based behavioral activation--treatment for postnatal depression (Netmums): a randomized controlled trial. Journal of Affective Disorders, 150(3), 814-822.

Vasilakis C, Pagel C, Gallivan S, Richards D, Weaver A, Utley M (2013). Modelling toolkit to assist with introducing a stepped care system design in mental health care. Journal of the Operational Research Society, 64(7), 1049-1059.

Woodford J, Farrand P, Richards D, Llewellyn DJ (2013). Psychological treatments for common mental health problems experienced by informal carers of adults with chronic physical health conditions (Protocol). Syst Rev, 2

Barkham M, Bewick B, Mullin T, Gilbody S, Connell J, Cahill J, Mellor-Clark J, Richards D, Unsworth G, Evans C, et al The CORE-10: a short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research, 13(1), 3-13.

Campbell JL, Britten N, Green C, Holt TA, Lattimer V, Richards DA, Richards SH, Salisbury C, Taylor RS, Fletcher E, et al (2013). The effectiveness and cost-effectiveness of telephone triage of patients requesting same day consultations in general practice: study protocol for a cluster randomised controlled trial comparing nurse-led and GP-led management systems (ESTEEM).(2013).  Trials, 14.