University of Exeter Medical School

Prof Julia Frost

Prof Julia Frost

Associate Professor Health Services Research

 J.Frost@exeter.ac.uk

 2970

 +44 (0) 1392 722970

 South Cloisters 2.19

 

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

Overview

Julia is a medical sociologist who undertakes health services research using a range of theoretically informed approaches:

http://medicine.exeter.ac.uk/research/healthresearch/qualitativeresearch/

http://orcid.org/0000-0002-3503-5911

Qualifications

PG Cert: Learning and Teaching in Higher Education (Fellow Higher Education Academy)

PhD, MSc, BA (Hons), Dip ANC.

STAR® Accredited Internal Coach

Career

Previously worked as a cardiac intensive care nurse (ENB254)

Research group links

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Research

Research interests

Currently holds a UKRI/MRC Innovation Scholarship award, qualitative lead on several NIHR funded studies

Previous projects and publications see: http://orcid.org/0000-0002-3503-5911

Research projects

Current research projects:

UKRI/MRC Innovation Scholarship: Widening patient engagement for orphan drugs trials: https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/widening-patient-engagement-for-orphan-drugs-trials-v10/

A randomised controlled trial of a facilitated home-based rehabilitation intervention in patients with
heart failure with preserved ejection fraction and their caregivers (REACH-HFpEF): https://www.gla.ac.uk/schools/healthwellbeing/research/mrccsosocialandpublichealthsciencesunit/programmes/complexity/complexinterventions/reach-hfpef/

Use of simulation and machine learning to identify key levers for maximising the disability benefit of intravenous thrombolysis in acute stroke pathways (SAMueL): https://arc-swp.nihr.ac.uk/research/projects/samuel/

Research networks

Fellow Higher Education Academy

British Sociological Association

Qualitative Research Reference Group

Qualitative Research Forum

Research grants

  • 2023 NIHR Health Technology Assessment programme
    Comprehensive geriatric assessment to sustain independence for older people living with heart failure with preserved ejection fraction
  • 2022 NIHR
    Digital and Remote Enhancements for the Assessment and Management of older people living with frailty (DREAM)
  • 2022 NIHR Health Services and Delivery Research
    Stroke Audit Machine Learning (SAMueL)
  • 2021 NIHR Policy Research Programme
    Optimising key components of the community mental health policy through implementation of the PARTNERS intervention: learning about personalisation, integration and team-based supervision
  • 2021 MRC
    Widening patient engagement for orphan drugs trials
  • 2018 NIHR Health Services and Delivery Research
    Use of simulation and machine learning to identify key levers for maximising the disability benefit of intravenous thrombolysis in acute stroke pathways (SAMueL)
  • 2015 NIHR Programme Grant
    The Essence Programme: Amalgamating marginal gains in ESSEntial Nursing CarE
  • 2011 NIHR Research for Patient Benefit
    Diabetes intervention for agenda trial (DIAT)
  • 2011 National Institute for Health Research, Research for Patient Benefit
    Diabetes self-management strategies for long-term biomedical outcomes and quality of life: a synthesis of longitudinal quantitative and qualitative research.
  • 2004 Economic and Social Research Council
    ESRC Post-Doctoral Research Fellowship
  • 0 NIHR HTA
    Randomised controlled trial of a facilitated home-based rehabilitation intervention in patients with heart failure with preserved ejection fraction and their caregivers: the REACH-HFpEF Studyex intervention for heart failure and process evaluation

Links


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Publications

Journal articles

Goodwin V, Febrey S, Frost J, Hall A, Morley N (In Press). Advanced practitioners working with older people in primary care and community settings: a cross-sectional, web-based survey of roles and use of technology. International Journal for Advancing Practice Abstract.
Taylor E, Goodwin V, Ball S, Frost J (In Press). Participation, autonomy and control are shared concepts within older people’s interpretations of independence: a qualitative interview study. Ageing & Society
Bollen J, Morley N, Jamaludin EA, Hall A, Bethel A, Mahmoud A, Crocker T, Lyndon H, Del Din S, Frost J, et al (2024). 1964 Wearable devices to measure gait and balance remotely that could be used in Comprehensive Geriatric Assessment: a scoping review. Age and Ageing, 53(Supplement_1).
Whitney J, Jamaludin EA, Bollen JC, Hall A, Bethel A, Frost J, Mahmoud A, Morley N, Freby S, Goodwin V, et al (2024). 1972 a scoping review of remotely delivered cognitive assessment tools that could be used in comprehensive geriatric assessment. Age and Ageing, 53(Supplement_1).
Mahmoud A, Goodwin V, Morley N, Lamb S, Creanor E, Frost J (2024). How can we improve Comprehensive Geriatric Assessment for older people living with frailty in primary care and community settings? a Qualitative Study. BMJ Open, 14 Abstract.
Mahmoud A, Frost J, Morley N, Whitney J, Goodwin V (2023). 1616 HOW CAN WE ENHANCE COMPREHENSIVE GERIATRIC ASSESSMENT FOR OLDER PEOPLE LIVING WITH FRAILTY IN PRIMARY CARE AND COMMUNITY SETTING. Age and Ageing, 52(Supplement_2).
Morrow EM, Morris C, Theologis T, Frost J (2023). Allied health professionals' views on important outcomes of children's elective lower limb orthopaedic surgery: a qualitative interview study to inform a core outcome set. Disabil Rehabil, 1-9. Abstract.  Author URL.
Noonan MC, Frost J, Dalal HM, Taylor RS (2023). Caregiver presence in a home-based cardiac rehabilitation programme improves the health-related quality of life of patients with heart failure. European Journal of Cardiovascular Nursing, 23(1), 90-94. Abstract.
Frost J, Hall A, Taylor E, Lines S, Mandizha J, Pope C (2023). How do patients and other members of the public engage with the orphan drug development? a narrative qualitative synthesis. Orphanet Journal of Rare Diseases, 18(1). Abstract.
Frost J, Hobson-Merrett C, Gask L, Clark M, Pinfold V, Plappert H, Reilly S, Gibson J, Richards D, Denyer R, et al (2023). Liquidity and uncertainty: digital adaptation of a complex intervention for people with severe mental illness during the COVID-19 lockdown. BMC Digital Health, 1(1). Abstract.
Taylor E, Goodwin VA, Ball S, Clegg A, Brown L, Frost J (2023). Older Adults’ Perspectives of Independence Through Time: Results of a Longitudinal Interview Study. The Gerontologist, 64(2). Abstract.
Byng R, Creanor S, Jones B, Hosking J, Plappert H, Bevan S, Britten N, Clark M, Davies L, Frost J, et al (2023). The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial. The British Journal of Psychiatry, 222(6), 246-256. Abstract.
Goodwin VA, Hall AJ, Bethel A, Taylor E, Tatnell L, Turner M, Frost J (2023). Understanding joy amongst older people: a scoping review. Archives of Gerontology and Geriatrics, 115, 105118-105118.
Taylor E, Goodwin V, Clegg A, Ball S, Frost J (2022). 696 UNDERSTANDING INDEPENDENCE—OLDER PEOPLE’S PERSPECTIVES. Age and Ageing, 51(Supplement_1). Abstract.
Taylor E, Goodwin V, Clegg A, Frost J, Ball S (2022). 768 PREDICTORS OF INDEPENDENCE IN COMMUNITY-DWELLING OLDER PEOPLE. Age and Ageing, 51(Supplement_1). Abstract.
Cooper C, Booth A, Husk K, Lovell R, Frost J, Schauberger U, Britten N, Garside R (2022). A Tailored Approach: a model for literature searching in complex systematic reviews. Journal of Information Science, 016555152211144-016555152211144. Abstract.
Taylor E, Frost J, Goodwin V, Ball S, Clegg A (2022). OLDER ADULTS' PERSPECTIVES OF INDEPENDENCE THROUGH TIME: RESULTS OF a LONGITUDINAL INTERVIEW STUDY. Innovation in Aging, 6(Suppl 1), 153-154.
Parker H, Frost J, Day J, Bethune R, Kajamaa A, Hand K, Robinson S, Mattick K (2022). Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings. PLoS One, 17(7). Abstract.  Author URL.
Allen M, James C, Frost J, Liabo K, Pearn K, Monks T, Everson R, Stein K, James M (2022). Use of Clinical Pathway Simulation and Machine Learning to Identify Key Levers for Maximizing the Benefit of Intravenous Thrombolysis in Acute Stroke. Stroke, 53(9), 2758-2767. Abstract.  Author URL.
Allen M, James C, Frost J, Liabo K, Pearn K, Monks T, Zhelev Z, Logan S, Everson R, James M, et al (2022). Using simulation and machine learning to maximise the benefit of intravenous thrombolysis in acute stroke in England and Wales: the SAMueL modelling and qualitative study. Health and Social Care Delivery Research, 10(31). Abstract.
Dalal H, Taylor R, Wingham J, Greaves C, Jolly K, Lang C, Davis R, Smith KM, van Lingen R, Warren F, et al (2021). A facilitated home-based cardiac rehabilitation intervention for people with heart failure and their caregivers: a research programme including the REACH-HF RCT. Programme Grants for Applied Research, 9(1).
Germeni E, Garside R, Frost J, Rogers M, Britten N (2021). Can a Meta-ethnography be Updated by Different Reviewers? Reflections from a Recent Update. International Journal of Qualitative Methods, 20 Abstract.
Plappert H, Hobson-Merrett C, Gibbons B, Baker E, Bevan S, Clark M, Creanor S, Davies L, Denyer R, Frost J, et al (2021). Evaluation of a primary care-based collaborative care model (PARTNERS2) for people with diagnoses of schizophrenia, bipolar, or other psychoses: study protocol for a cluster randomised controlled trial. BJGP Open, 5(3), BJGPO.2021.0033-BJGPO.2021.0033. Abstract.
Smith K, Lang C, Wingham J, Frost J, Greaves C, Abraham C, Warren FC, Coyle J, Jolly K, Miles J, et al (2021). Process evaluation of a randomised pilot trial of home-based rehabilitation compared to usual care in patients with heart failure with preserved ejection fraction and their caregiver’s. Pilot and Feasibility Studies, 7(1). Abstract.
Frost J, Britten N (2020). Learning from a Feasibility Trial of a Simple Intervention: is Research a Barrier to Service Delivery, or is Service Delivery a Barrier to Research?. Healthcare, 8(1), 53-53. Abstract.
Sugg HVR, Frost J, Richards DA (2020). Personalising psychotherapies for depression using a novel mixed methods approach: an example from Morita therapy. Trials, 21(1). Abstract.
Frost J, Wingham J, Britten N, Warren F, Taylor R (2020). The value of Social Practice Theory for implementation science: Learning from a theory-based mixed methods process evaluation of a randomised controlled trial. BMC Medical Research Methodology, 20, 181-181.
Parker H, Frost J, Britten N, Robinson S, Mattick K (2020). Understanding surgical antimicrobial prescribing behaviour in the hospital setting: a systematic review and meta-ethnography protocol. Syst Rev, 9(1). Abstract.  Author URL.
Sugg HVR, Richards DA, Frost J (2020). What is Morita Therapy? the Nature, Origins, and Cross-Cultural Application of a Unique Japanese Psychotherapy. Journal of Contemporary Psychotherapy, 50(4), 313-322. Abstract.
Wingham J, Frost J, Britten N, Greaves C, Abraham C, Warren FC, Jolly K, Miles J, Paul K, Doherty PJ, et al (2019). Caregiver outcomes of the REACH-HF multicentre randomized controlled trial of home-based rehabilitation for heart failure with reduced ejection fraction. Eur J Cardiovasc Nurs, 18(7), 611-620. Abstract.  Author URL.
Frost J, Gibson A, Ukoumunne O, Vaidya B, Britten N (2019). Does a simple web-based intervention facilitate the articulation of patients' unvoiced agenda for a consultation with their diabetologists? a qualitative study. BMJ Open, 9(6). Abstract.  Author URL.
Frost J, Wingham J, Britten N, Abraham C, Greaves C, Warren F, Jolly K, Doherty P, Miles J, Taylor R, et al (2019). Home-based rehabilitation for heart failure with reduced ejection fraction: Mixed methods process evaluation of the REACH-HF multicentre randomised controlled trial. BMJ Open
Richards DA, Bazeley P, Borglin G, Craig P, Emsley R, Frost J, Hill J, Horwood J, Hutchings HA, Jinks C, et al (2019). Integrating quantitative and qualitative data and findings when undertaking randomised controlled trials. BMJ Open, 9(11), e032081-e032081. Abstract.
Sugg HVR, Frost J, Richards DA (2019). Morita Therapy for depression (Morita Trial): an embedded qualitative study of acceptability. BMJ Open, 9(5). Abstract.  Author URL.
Pentecost C, Frost J, Sugg HVR, Hilli A, Goodwin VA, Richards DA (2019). Patients' and nurses' experiences of fundamental nursing care: a systematic review and qualitative synthesis. Journal of Clinical Nursing, 29(11-12), 1858-1882. Abstract.
Taylor RS, Sadler S, Dalal HM, Warren FC, Jolly K, Davis RC, Doherty P, Miles J, Greaves C, Wingham J, et al (2019). The cost effectiveness of REACH-HF and home-based cardiac rehabilitation compared with the usual medical care for heart failure with reduced ejection fraction: a decision model-based analysis. Eur J Prev Cardiol, 26(12), 1252-1261. Abstract.  Author URL.
Dalal HM, Taylor RS, Jolly K, Davis RC, Doherty P, Miles J, van Lingen R, Warren FC, Green C, Wingham J, et al (2019). The effects and costs of home-based rehabilitation for heart failure with reduced ejection fraction: the REACH-HF multicentre randomized controlled trial. European Journal of Preventive Cardiology, 26(3), 262-272. Abstract.
Germeni E, Frost J, Garside R, Rogers M, Valderas JM, Britten N (2018). Antibiotic prescribing for acute respiratory tract infections in primary care: an updated and expanded meta-ethnography. Br J Gen Pract, 68(674), e633-e645. Abstract.  Author URL.
Richards DA, Hilli A, Pentecost C, Goodwin VA, Frost J (2018). Fundamental nursing care: a systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene. J Clin Nurs, 27(11-12), 2179-2188. Abstract.  Author URL.
Sugg HVR, Richards DA, Frost J (2018). Morita Therapy for depression (Morita Trial): a pilot randomised controlled trial. BMJ Open, 8(8). Abstract.  Author URL.
Frost J, Gibson A, Harris-Golesworthy F, Harris J, Britten N (2018). Patient involvement in qualitative data analysis in a trial of a patient-centred intervention: Reconciling lay knowledge and scientific method. Health Expectations, 21(6), 1111-1121. Abstract.
Ukoumunne OC, Vaidya B, Frost J, Anderson R, Argyle C, Daly M, Harris-Golesworthy F, Harris J, Gibson A, Ingram W, et al (2017). A preconsultation web-based tool to generate an agenda for discussion in diabetes outpatient clinics to improve patient outcomes (DIAT): a feasibility study. BMJ Open, 7(3). Abstract.  Author URL.
Frost J, Grose J, Britten N (2017). A qualitative investigation of lay perspectives of diagnosis and self-management strategies employed by people with progressive multiple sclerosis. Health (London), 21(3), 316-336. Abstract.  Author URL.
Britten N, Garside R, Pope C, Frost J, Cooper C (2017). Asking More of Qualitative Synthesis: a Response to Sally Thorne. Qual Health Res, 27(9), 1370-1376. Abstract.  Author URL.
Wingham J, Frost J, Britten N (2017). Behind the smile: qualitative study of caregivers' anguish and management responses while caring for someone living with heart failure. BMJ Open, 7(7). Abstract.  Author URL.
Demeyin WA, Frost J, Ukoumunne OC, Briscoe S, Britten N (2017). N of 1 trials and the optimal individualisation of drug treatments: a systematic review protocol. Syst Rev, 6(1). Abstract.  Author URL.
Sugg HVR, Richards DA, Frost J (2017). Optimising the acceptability and feasibility of novel complex interventions: an iterative, person-based approach to developing the UK Morita therapy outpatient protocol. Pilot Feasibility Stud, 3 Abstract.  Author URL.
Frost J, Garside R, Cooper C, Britten N (2016). Meta-Study as Diagnostic. Qualitative Health Research, 26(3), 307-319. Abstract.
Sugg HVR, Richards DA, Frost J (2016). Morita therapy for depression and anxiety (Morita Trial): study protocol for a pilot randomised controlled trial. Trials, 17 Abstract.  Author URL.
Greaves CJ, Wingham J, Deighan C, Doherty P, Elliott J, Armitage W, Clark M, Austin J, Abraham C, Frost J, et al (2016). Optimising self-care support for people with heart failure and their caregivers: development of the Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention using intervention mapping. Pilot Feasibility Stud, 2 Abstract.  Author URL.
Moore L, Frost J, Britten N (2015). Context and complexity: the meaning of self-management for older adults with heart disease. Sociol Health Illn, 37(8), 1254-1269. Abstract.  Author URL.
Wingham J, Frost J, Britten N, Jolly K, Greaves C, Abraham C, Dalal H, REACH-HF research investigators (2015). Needs of caregivers in heart failure management: a qualitative study. Chronic Illn, 11(4), 304-319. Abstract.  Author URL.
Frost J, Garside R, Cooper C, Britten N (2014). A qualitative synthesis of diabetes self-management strategies for long term medical outcomes and quality of life in the UK. BMC Health Services Research Abstract.
Denford S, Frost J, Dieppe P, Cooper C, Britten N (2014). Individualisation of drug treatments for patients with long-term conditions: a review of concepts. BMJ Open, 4(3). Abstract.  Author URL.
Frost J, Anderson R, Argyle C, Daly M, Harris-Golesworthy F, Harris J, Gibson A, Ingram W, Pinkney J, Ukoumunne OC, et al (2013). A pilot randomised controlled trial of a preconsultation web-based intervention to improve the care quality and clinical outcomes of diabetes outpatients (DIAT). BMJ Open, 3(7). Abstract.  Author URL.
Denford S, Frost J, Dieppe P, Britten N (2013). Doctors' understanding of individualisation of drug treatments: a qualitative interview study. BMJ Open, 3(5). Abstract.  Author URL.
Denford S, Campbell JL, Frost J, Greaves CJ (2013). Processes of change in an asthma self-care intervention. Qual Health Res, 23(10), 1419-1429. Abstract.  Author URL.
Grose J, Frost J, Richardson J, Skirton H (2013). Using meta-ethnography to understand the emotional impact of caring for people with increasing cognitive impairment. Nurs Health Sci, 15(1), 113-123. Abstract.  Author URL.
Frost J, Shaw A, Montgomery A, Murphy DJ (2009). Women's views on the use of decision aids for decision making about the method of delivery following a previous caesarean section: qualitative interview study. BJOG, 116(7), 896-905. Abstract.  Author URL.
Frost J (2008). Combining approaches to qualitative data analysis: synthesising the mechanical (CAQDAS) with the thematic (a voice-centred relational approach). Methodological Inniovations, 3(1). Abstract.
Frost J (2007). Review: Family communication about cystic fibrosis from the mother's perspective: an exploratory study. Journal of Research in Nursing, 12(6), 635-636.
Frost J, Bradley H, Levitas R, Smith L, Garcia J (2007). The loss of possibility: scientisation of death and the special case of early miscarriage. Sociol Health Illn, 29(7), 1003-1022. Abstract.  Author URL.
Frost J, Pope C, Liebling R, Murphy D (2006). Utopian Theory and the Discourse of Natural Birth. Social Theory and Health, 4, 299-318. Abstract.
Smith LF, Frost J, Levitas R, Bradley H, Garcia J (2006). Women's experiences of three early miscarriage management options: a qualitative study. British Journal of General Practice, 56(524), 198-205. Abstract.
Murphy DJ, Pope C, Frost J, Liebling RE (2003). Women's views on the impact of operative delivery in the second stage of labour: Qualitative interview study. British Medical Journal, 327(7424), 1132-1135. Abstract.

Chapters

Frost J (2006). Older women and early miscarriage: Leaky bodies and boundaries. In  (Ed) Exploring the Dirty Side of Women's Health, 219-231.

Conferences

Frost J, Pope C (2024). Curating the Patient Voice. BSA Annual conference 2024: Crisis, Continuity and Change. 3rd - 5th Apr 2024. Abstract.
Frost J, Pope C (2023). Is there room for deliberative democracy in pharmaceutical development? Exploring mini-publics in small pharma. BSA Annual Conference 2023 Sociological Voices in Public Discourse. 12th - 14th Apr 2023. Abstract.
Warmoth KM, Frost J, Britten N (2019). The contribution of digital technology in supporting older people manage their medicines. Prescribing and Research in Medicines Management (UK & Ireland) Annual Conference 2018. 14th - 14th Dec 2018. Abstract.
Moore L, Frost J, Britten N (2018). HOW PATIENTS OPTIMISE MEDICINES IN EVERYDAY LIFE.  Author URL.
Warmoth K, Frost J, Britten N (2018). Supporting older people manage their medicines: a scoping review of medicines self-management tools.  Author URL.
Frost J, Britten N (2016). Do Our Answers Fit Their Questions? Critical Humility in Patient-led Research.  Author URL.

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External Engagement and Impact

Editorial responsibilities

Editorial Board Member for BMC Health Services Research


Competitively won research fellowships

2021 UKRI (MRC) Innovation scholarship

2004 ESRC Postdoctoral fellowship


Evidence of impact on policy and professional practice

REACH HF:

BMJ Award for Stroke and Cardiovasular Team of the Year 2020 http://thebmjawards.bmj.com/showcase/

NICE shared learning 2020 https://www.nice.org.uk/sharedlearning/covid-19-ready-rehabilitation-for-heart-failure-reach-hf-can-deliver

Diabetes syntheses:

J Frost, R Garside, C Cooper, N Britten (2014) A qualitative synthesis of diabetes self-management strategies for long term medical outcomes and quality of life in the UK. BMC Health Services Research. 14:348 included in NIHR themed review ‘On the Level: evidence for action on type 2 diabetes’ (2016) https://evidence.nihr.ac.uk/themedreview/on-the-level-evidence-for-action-on-type-2-diabetes/


Invited lectures & workshops

What I talk about when I talk about personalised medicine. (Re)conceptualising personalised medicine: Research showcase. Centre for Personalised Medicine, St Anne’s College, University of Oxford. 16th November 2023

Galapagos NV, Belgium: Lecture/workshop series: Widening patient engagement for orphan drug trials (March 2022);  Focus groups and qualitative interviews (May 2022);  Research designs for qualitative research (Sept 2022)

Incorporating perspectives and experiences seminar, Health Economics and Health Technology Assessment (HEHTA), Institute of Wellbeing, University of Glasgow, 12th June 2018: The value of theoretically informed and methodologically rigorous qualitative process evaluation: More than barriers and facilitators. Julia Frost

BSA Medical Sociology South Coast Regional Study Group Meeting 4th July 2016: Do our answers fit their questions? Critical humility in patient led research. Julia Frost and Nicky Britten


Workshops organised

Qualtiative Research Reference Group Symposium: Frontiers, peripheries and boundaries: Qualitative research, PPIE and peer research, Exeter and Hybrid. 21st September, 2023

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Teaching

The application of sociological theory and methods

Modules

2023/24


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Supervision / Group

Postdoctoral researchers

  • Jessica Bollen
  • Rachel Jarvie
  • Sam Van Beurden

Postgraduate researchers

  • Asma Al Rehaili
  • Raeburn Crawford
  • Hazel Parker

Alumni

  • Miriam Noonan
  • Holly Sugg
  • Emily Taylor

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