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Dr Sarah Morgan-Trimmer

Senior Research Fellow

6035

+44 (0) 1392 726035

College House 2.25

College House, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK

Overview

I am a social scientist in the Health and Community Sciences department, where I conduct research to understand how and why health interventions work. This includes leading process evaluations, realist evaluations, qualitative studies and mixed methods studies within trials, feasibility studies, intervention development studies and larger research programmes. I have also designed and conducted studies in public health and socioeconomic interventions. I support methods development through lectures, seminars, workshops, advice clinics and PhD supervision.

Career

I was previously a Research Associate at the Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), University of Cardiff. Prior to academia, I worked as a researcher on child well-being programmes, employment services and substance abuse services in low-income areas. I have also worked for several voluntary organisations, including an education charity in the South Bronx (New York). My PhD (University of Bath) examined community participation in urban regeneration, working with both the Governance Research Group at Bath and the European CINEFOGO Network group on governance in Trento (Italy) and Prague.

Research group links

Institute of Health Research

Research

Research interests

Research interests: health inequalities, complex interventions, community development approaches to public health, citizen-state interactions in public services

Methodological interests: process evaluation, realist evaluation, qualitative methods and mixed methods. I apply these methods - using critical realist and social science perspectives - to understand relationships between behaviours, organisations, social contexts and health outcomes.

Research projects

RESONATE: Building individual and community resilience through nature-based therapies

EQUATED: Towards equality of opportunity for timely and equitable dementia diagnosis

MAINTAIN: Maintaining Independence in People with Dementia who have had a fall: a pilot cluster randomised controlled trial

Understanding discordance with NICE Suspected Cancer: recognition and referral (NG12) guidance in primary care in England

Development and testing of an intervention to improve Recovery after an Episode of Delirium (RecoverED)

A visual ethnography exploring the experiences of people living with memory concerns and engaging with health and lifestyle changes to improve cognitive decline.

The SPOtting Cancer among Comorbidities (SPOCC) programme. Supporting clinical decision making in patients with symptoms of cancer and pre-existing conditions. (NIHR PGfAR) (Co-lead for two work packages)

The clinical and cost effectiveness of intra-operative Laser Speckle Imaging of tissue blood flow to avoid post-operative complications following breast reconstruction after mastectomy for breast cancer: A feasibility study. (RfPB) (Role: qualitative lead)

The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce (ESRC-NIHR) (Process evaluation lead)

ESMI-II: The Effectivenes and cost effectiveness of community perinatal Mental health servIces (NIHR HS&DR) (Qualitative lead)

HemiSPAIRE: The effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthoplasty for displaced intracapsular fractures on post-operative function compared to a standard lateral approach: A randomised controlled trial (NIHR RfPB) (Qualitative lead)

Dementia - Person Aligned Care Team (D-PACT) (NIHR PGfAR) (Qualitative and realist evaluation methods advisor)

At-Risk Registers Integrated into Primary Care to Stop Asthma Crises in the UK (ARRISA) (NIHR HTA) (Qualitative and process evaluation advisor)

Research grants

2021 NIHR Programme Grant
Development and testing of an intervention to improve Recovery after an Episode of Delirium (RecoverED) (Qualitative and process evaluation lead) (£2,527,719)
2020 NIHR Programme Grant
The SPOtting Cancer among Comorbidities (SPOCC) programme. Supporting clinical decision making in patients with symptoms of cancer and pre-existing conditions (Work package lead) (£1,754,535)
2020 NIHR Research for Patient Benefit
The clinical and cost effectiveness of intra-operative Laser Speckle Imaging of tissue blood flow to avoid post-operative complications following breast reconstruction after mastectomy for breast cancer: A feasibility study (Qualitative lead) (£249,976)
2020 SWDTP
Centre for Qualitative Research (Bath): Development and Delivery of Bespoke Qualitative Training (£7000)
2019 National Institute for Health Research, Research for Patient Benefit
The HemiSPAIRE study: The effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthoplasty for displaced intracapsular fractures on post-operative function compared to a standard lateral approach; A randomised controlled trial (Qualitative lead) (£349,636)
2019 ESRC-NIHR
The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build Resilience (Process evaluation lead) (£4,855,510)
2019 NIHR Health Services and Delivery Research
ESMI-II: The Effectiveness and cost effectiveness of community perinatal mental health services (Qualitative lead) (£1,189,980)
2019 Alzheimers Society
Improving night-time care and reducing hypnotic drug use in people with dementia living in care homes (NightCAP): A randomised factorial trial (£399,999)
2015 MRC/NIHR Efficacy and Mechanisms Evaluation (EME) programme
Mechanisms of Action in Group Interventions (MAGI) study
2015 Researcher-Led Initiative, University of Exeter
Developing Expertise in Process Evaluation Seminar Series (£1,000)
2013 NIHR Public Health Research
'Helpmedoit!' a web and text based intervention to facilitate social support to achieve and maintain health related behaviour change (£430,883)
2012 Children and Young People's Research Network
Health Improvement for Looked After Children (£3,000)

Publications

Key publications | Publications by category | Publications by year

Publications by category

Journal articles

Ball S, McAndrew A, Aylward A, Cockcroft E, Gordon E, Kerridge A, Morgan-Trimmer S, Powell R, Price A, Rhodes S, et al (In Press). Detailed statistical analysis plan for a randomised controlled trial of the effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthroplasty for displaced intracapsular fractures on post-operative function compared to a standard. lateral approach: HemiSPAIRE. Trials Abstract.

Clare L, Kudlicka A, Oyebode JR, Jones RW, Bayer A, Leroi I, Kopelman M, James IA, Culverwell A, Pool J, et al (In Press). Goal-oriented cognitive Rehabilitation in Early-stage Alzheimer’s and related dementias: a multi-centre single-blind randomised controlled Trial (GREAT). Health Technology Assessment

Chestnutt IG, Hutchings S, Playle R, Morgan-Trimmer SA, Fitzsimmons D, Aawar N, Angel L, Derrick S, Drew C, Hoddell C, et al (In Press). Seal or Varnish? a randomised controlled trial to determine the relative cost and effectiveness of pit and fissure sealant and fluoride varnish in preventing dental decay. Health Technology Assessment

Alzehr A, Hulme C, Spencer A, Morgan-Trimmer S (In Press). The Economic Impact of Cancer Diagnosis to Individuals and Their Families: a Systematic Review. Supportive Care in Cancer Abstract.

Poltawski L, Van Beurden S, Morgan-Trimmer S, Greaves C (In Press). The dynamics of decision-making in weight loss and maintenance: a qualitative enquiry. BMC Public Health

Raghuraman S, Richards E, Morgan-Trimmer S, Clare L, Anderson R, Goodwin V, Allan L (2023). 1354 USING REALIST PROGRAMME THEORY TO DESIGN a NEW INTERVENTION FOR IMPROVING RECOVERY AFTER DELIRIUM. Age and Ageing, 52(Supplement_1).

Griffiths S, Weston L, Morgan-Trimmer S, Wheat H, Gude A, Manger L, Oh TM, Clarkson P, Quinn C, Sheaff R, et al (2022). Engaging Stakeholders in Realist Programme Theory Building: Insights from the Prospective Phase of a Primary Care Dementia Support Study. International Journal of Qualitative Methods, 21

Wyman DL, Butler L, Cooper C, Bright P, Morgan-Trimmer S, Barber J (2022). Process evaluation of the New Interventions for independence in Dementia Study (NIDUS) Family stream randomised controlled trial: protocol. BMJ Open, 12(6).

INTRODUCTION: New Interventions for independence in Dementia Study (NIDUS)-Family is an Alzheimer's Society funded new manualised, multimodal psychosocial intervention to support people living with dementia (PLWD) to achieve goals that they and their family carers set, towards living as independently and as well as possible at home for longer. This process evaluation will be embedded within the NIDUS-Family Randomised Controlled Trial intervention-arm (n=199), testing how the intervention influences change, as measured by goal attainment. The evaluation will test, refine and develop the NIDUS-Family theoretical model, associated causal assumptions and logic model to identify key mechanisms of impact, implementation and contextual factors influencing the intervention's effectiveness. Findings will inform how the programme is implemented in practice. METHODS AND ANALYSIS: the process evaluation will be theory driven and apply a convergent mixed-methods design. Dyads (PLWD and family carer) will be purposively sampled based on high or low Goal Attainment Scaling scores (trial primary outcome). Qualitative interviews with dyads (approx. n=30) and their respective facilitators post-trial will explore their experiences of receiving and delivering the intervention. Interviews will be iteratively thematically analysed. Matching observational quantitative data will be collected concurrently from videorecordings and/or audiorecordings of NIDUS-Family dyad trial sessions. Further quantitative data will be collected through an acceptability questionnaire for all intervention-arm dyads (n=199). Mixed-method integration will use an interactive analysis strategy, considering qualitative and quantitative findings through mixed-method matrix for dyadic level 'case studies', and a joint display for 'population' level analysis and interpretation. ETHICS AND DISSEMINATION: Ethical approval was received from Camden & Kings Cross Research Ethics Committee (REC). Study reference: 19/LO/1667. IRAS project ID: 271 363. This work is carried out within the UCL Alzheimer's Society Centre of Excellence (grant 300) for Independence at home, NIDUS programme.Findings will be disseminated through publications and conferences, and as recommendations for the implementation study and strategy. TRIAL REGISTRATION NUMBER: ISRCTN11425138.

Abstract. Author URL.

Poppe M, Duffy L, Marchant NL, Barber JA, Hunter R, Bass N, Minihane AM, Walters K, Higgs P, Rapaport P, et al (2022). The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce—randomised controlled trial. Trials, 23(1).

Abstract
. Background
. Large-scale trials of multidomain interventions show that modifying lifestyle and psychological risk factors can slow cognitive decline. We aim to determine if a lower intensity, personally tailored secondary dementia prevention programme for older people with subjective or mild objective memory decline, informed by behaviour change theory, reduces cognitive decline over 2 years.
.
. Methods
. A multi-site, single-blind randomised controlled trial recruiting 704 older adults at high dementia risk due to mild cognitive impairment (MCI) or subjective cognitive decline (SCD). Participants are randomised using 1:1 allocation ratio to the APPLE Tree intervention versus control arm (dementia prevention information), stratified by site. The intervention explores and implements strategies to promote healthy lifestyle, increase pleasurable activities and social connections and improve long-term condition self-management. Two facilitators trained and supervised by a clinical psychologist deliver ten, 1-h group video call sessions over 6 months (approximately every fortnight), video-call ‘tea breaks’ (less structured, facilitated social sessions) in intervening weeks and individual goal-setting phone calls every 2 weeks. From 6 to 12 months, participants meet monthly for ‘tea breaks’, with those not attending receiving monthly goal-setting phone calls. Participants receive a food delivery, pedometer and website access to cognitive training and information about lifestyle modification. Follow-ups for all outcome measures are at 12 and 24 months. The primary outcome is cognition (Neuropsychological Test Battery (NTB) score) at 24 months. Secondary outcomes are quality of life, cost per quality-adjusted life year (QALY) and wellbeing and lifestyle factors the intervention targets (diet, vascular risk, body weight, activity, sleep, anxiety, depression, social networks and loneliness, alcohol intake and smoking). Participants from purposively selected sites participate in qualitative process evaluation interviews, which will be analysed using thematic analytic methods.
.
. Discussion
. If effective, the intervention design, involving remote delivery and non-clinical facilitators, would facilitate intervention roll-out to older people with memory concerns.
.
. Trial registration
. ISRCTN17325135. Registration date 27 November 2019
.

Abstract.

Luscombe N, Morgan-Trimmer S, Savage S, Allan L (2021). Digital technologies to support people living with dementia in the care home setting to engage in meaningful occupations: protocol for a scoping review. Syst Rev, 10(1).

BACKGROUND: People living with all stages of dementia should have the opportunity to participate in meaningful occupations. For those living in care homes, this may not always occur and residents may spend significant parts of the day unengaged, especially those living with more advanced dementia. Digital technologies are increasingly being used in health care and could provide opportunities for people living with dementia (PLWD) in care homes to engage in meaningful occupations and support care staff to provide these activities. With technology advancing at a rapid rate, the objective of this scoping review is to provide an up-to-date systematic map of the research on the diverse range of digital technologies that support engagement in meaningful occupations. In particular, focus will be given to barriers and facilitators to inform future intervention design and implementation strategies, which have not yet been clearly mapped across the full range of these digital technologies. METHOD: a scoping review will be conducted to systematically search for published research using a comprehensive search strategy on thirteen databases. Published, peer-reviewed studies that focused on PLWD in the care home setting and assessed any form of digital technology that supported a meaningful occupation will be included. All methodologies which meet the criteria will be included. Data will be extracted and charted to report the range of digital technologies, underlying mechanisms of action, facilitators and barriers to implementation. DISCUSSION: Mapping the range of technologies to support PLWD to engage in meaningful occupations will identify gaps in research. The systematic search will include a diverse range of technologies such as software to enhance care planning, tablets devices, smartphones, communication robots and social media platforms, rather than focussing on a specific design or interface. This will enable comparison between mechanisms of action, barriers and facilitators to implementation which will be useful for future research and intervention design. TRIAL REGISTRATION: Open Science Framework https://doi.org/10.17605/OSF.IO/7UDM2.

Abstract. Author URL.

Price A, Ball S, Rhodes S, Wickins R, Gordon E, Aylward A, Cockcroft E, Morgan-Trimmer S, Powell R, Timperley J, et al (2021). Effects of a modified muscle sparing posterior technique in hip hemiarthroplasty for displaced intracapsular fractures on postoperative function compared to a standard lateral approach (HemiSPAIRE): protocol for a randomised controlled trial. BMJ Open, 11(6), e045652-e045652.

IntroductionCurrently National Institute for Health and Care Excellence clinical guidelines in the UK suggest that surgeons performing partial hip replacements (hemiarthroplasty) should consider using the lateral approach. Alternatively, a newer, modified posterior approach using a muscle sparing technique named ‘Save Piriformis and Internus, Repairing Externus’ (SPAIRE) can be used leaving the major muscles intact. This randomised controlled trial (RCT) aims to compare the SPAIRE approach to the standard lateral approach, to determine if it allows patients to mobilise better and experience improved function after surgery.Methods and analysisHemiSPAIRE is a two-arm, assessor-blinded, definitive pragmatic RCT with nested pilot and qualitative studies. Two hundred and twenty-eight participants with displaced intracapsular fractures requiring hip hemiarthroplasty will be individually randomised 1:1 to either the SPAIRE, or control (standard lateral approach) surgical procedure. Outcomes will be assessed at postoperative day 3 (POD3) and 120 (POD120). The primary outcome measure will be level of function and mobility using the Oxford Hip Score at POD120. Secondary outcomes include: De Morton Mobility Index (DEMMI), Cumulated Ambulatory Score and Numeric Pain Rating Scale (NPRS) at POD3; DEMMI, NPRS and EQ-5D-5L at POD120, complications, acute and total length of hospital stay, and mortality. Primary analysis will be on an intention-to-treat basis. Participant experiences of the impact of surgery and recovery period will be examined via up to 20 semi-structured telephone interviews.Ethics and disseminationThe protocol has been approved by Yorkshire and the Humber—Bradford Leeds Research Ethics Committee. Recruitment commenced in November 2019. Findings will be disseminated via research articles in peer-reviewed journals, presentations at conferences, public involvement events, patient groups and media releases. A summary of the trial findings will be shared with participants at the end of the study.Trial registration numberNCT04095611.

Abstract.

Morgan-Trimmer S, Kudlicka A, Warmoth K, Leroi I, Oyebode JR, Pool J, Woods R, Clare L (2021). Implementation processes in a cognitive rehabilitation intervention for people with dementia: a complexity-informed qualitative analysis. BMJ Open, 11(10), e051255-e051255.

ObjectivesHealthcare is often delivered through complex interventions. Understanding how to implement these successfully is important for optimising services. This article demonstrates how the complexity theory concept of ‘self-organisation’ can inform implementation, drawing on a process evaluation within a randomised controlled trial of the GREAT (Goal-oriented cognitive Rehabilitation in Early-stage Alzheimer’s and related dementias: a multi-centre single-blind randomised controlled Trial) intervention which compared a cognitive rehabilitation intervention for people with dementia with usual treatment.DesignA process evaluation examined experiences of GREAT therapists and participants receiving the intervention, through thematic analysis of a focus group with therapists and interviews with participants and their carers. Therapy records of participants receiving the intervention were also analysed using adapted framework analysis. Analysis adopted a critical realist perspective and a deductive-inductive approach to identify patterns in how the intervention operated.SettingThe GREAT intervention was delivered through home visits by therapists, in eight regions in the UK.ParticipantsSix therapists took part in a focus group, interviews were conducted with 25 participants and 26 carers, and therapy logs for 50 participants were analysed.InterventionA 16-week cognitive rehabilitation programme for people with mild-to-moderate dementia.Results‘Self-organisation’ of the intervention occurred through adaptations made by therapists. Adaptations included simplifying the intervention for people with greater cognitive impairment, and extending it to meet additional needs. Relational work by therapists produced an emergent outcome of ‘social support’. Self-organised aspects of the intervention were less visible than formal components, but were important aspects of how it operated during the trial. This understanding can help to inform future implementation.ConclusionsResearchers are increasingly adopting complexity theory to understand interventions. This study extends the application of complexity theory by demonstrating how ‘self-organisation’ was a useful concept for understanding aspects of the intervention that would have been missed by focusing on formal intervention components. Analysis of self-organisation could enhance future process evaluations and implementation studies.Trial registration numberISRCTN21027481.

Abstract.

Cooper C, Mansour H, Carter C, Rapaport P, Morgan-Trimmer S, Marchant NL, Poppe M, Higgs P, Brierley J, Solomon N, et al (2021). Social connectedness and dementia prevention: Pilot of the APPLE-Tree video-call intervention during the Covid-19 pandemic. Dementia (London), 20(8), 2779-2801. Abstract. Author URL.

Poppe M, Mansour H, Rapaport P, Palomo M, Burton A, Morgan-Trimmer S, Carter C, Roche M, Higgs P, Walker Z, et al (2020). "Falling through the cracks"; Stakeholders' views around the concept and diagnosis of mild cognitive impairment and their understanding of dementia prevention. Int J Geriatr Psychiatry, 35(11), 1349-1357. Abstract. Author URL.

Cooper C, Aguirre E, Barber JA, Bass N, Brodaty H, Burton A, Higgs P, Hunter R, Huntley J, Lang I, et al (2020). APPLE-Tree (Active Prevention in People at risk of dementia: Lifestyle, bEhaviour change and Technology to REducE cognitive and functional decline) programme: Protocol. Int J Geriatr Psychiatry, 35(8), 811-819. Abstract. Author URL.

Simpson SA, Matthews L, Pugmire J, McConnachie A, McIntosh E, Coulman E, Hughes K, Kelson M, Morgan-Trimmer S, Murphy S, et al (2020). An app-, web- and social support-based weight loss intervention for adults with obesity: the 'HelpMeDoIt!' feasibility randomised controlled trial. Pilot Feasibility Stud, 6

BACKGROUND: Social support has an important role in successful weight loss. The aim of this study was to assess the feasibility and acceptability of an app-, web- and social support-based intervention in supporting adults with obesity to achieve weight loss. METHODS: the intervention and evaluation methods were tested in a feasibility randomised controlled trial. Adults in the Greater Glasgow and Clyde Health Board area of Scotland with a body mass index ≥ 30 kg/m2 were recruited and randomised 2:1 (intervention to control). The feasibility and acceptability of the intervention and trial methods were assessed against pre-specified progression criteria, via process, economic and outcome evaluation. Three primary outcomes were explored: BMI, diet and physical activity, as well as a number of secondary outcomes. The intervention group had access to the HelpMeDoIt! intervention for 12 months. This encouraged them to (i) set goals, (ii) monitor progress and (iii) harness social support by inviting 'helpers' from their existing social network. The control group received a healthy lifestyle leaflet. RESULTS: One hundred and nine participants were recruited, with 84 participants (77%) followed-up at 12 months. The intervention and trial methods were feasible and acceptable. Participants and helpers were generally positive. of the 54 (74%) participants who downloaded the app, 48 (89%) used it. Interview data indicated that HelpMeDoIt! promoted social support from existing social networks to support weight loss. This support was often given outside of the app.Outcomes were compared using linear regression models, with randomised group, the baseline measurement of the outcome, age and gender as predictor variables. These analyses were exploratory and underpowered to detect effects. However, all pre-specified primary outcome effects (BMI, diet and physical activity) had wide confidence intervals and were therefore consistent with clinically relevant benefits. Objective physical activity measures perhaps showed most potential (daily step count (p = 0.098; 1187 steps [- 180, 2555])) and sedentary time (p = 0.022; - 60.8 min [- 110.5, - 11.0]). However, these outcomes were poorly completed. CONCLUSIONS: the study demonstrated that a novel social support intervention involving support from participants' close social networks, delivered via app and website, has potential to promote weight loss and is feasible and acceptable. TRIAL REGISTRATION: ISRCTN, ISRCTN85615983. Registered 25 September 2014.

Abstract. Author URL.

Simpson SA, Matthews L, Pugmire J, McConnachie A, McIntosh E, Coulman E, Hughes K, Kelson M, Morgan-Trimmer S, Murphy S, et al (2020). An app-, web- and social support-based weight loss intervention for adults with obesity: the HelpMeDoIt! feasibility RCT. Public Health Research, 8(3), 1-270. Abstract.

Mansour H, Whitty E, Aguirre E, Palomo M, Charlesworth G, Ramjee S, Poppe M, Brodaty H, Kales HC, Morgan‐Trimmer S, et al (2020). Effectiveness of lifestyle and psychosocial interventions in reducing cognitive decline in older people: Systematic review. Alzheimer's & Dementia, 16(S7).

Whitty E, Mansour H, Aguirre E, Palomo M, Charlesworth G, Ramjee S, Poppe M, Brodaty H, Kales HC, Morgan-Trimmer S, et al (2020). Efficacy of lifestyle and psychosocial interventions in reducing cognitive decline in older people: Systematic review. Ageing Res Rev, 62 Abstract. Author URL.

O’Rourke G, Parker D, Anderson R, Morgan-Trimmer S, Allan L (2020). Interventions to support recovery following an episode of delirium: a realist synthesis. Aging & Mental Health, 25(10), 1769-1785.

Warmoth K, Morgan-Trimmer S, Kudlicka A, Toms G, James IA, Woods B (2020). Reflections on a personalized cognitive rehabilitation intervention: Experiences of people living with dementia and their carers participating in the GREAT trial. Neuropsychological Rehabilitation, 32(2), 268-286.

Poppe M, Mansour H, Rapaport P, Palomo M, Burton A, Morgan‐Trimmer S, Carter C, Roche M, Higgs P, Walker Z, et al (2020). Stakeholders’ views around the concept and diagnosis of mild cognitive impairment and their understanding of dementia prevention: a qualitative study. Alzheimer's & Dementia, 16(S7).

Bleiker J, Knapp K, Morgan-Trimmer S, Hopkins S (2020). What Medical Imaging Professionals Talk About When They Talk About Compassion. Journal of Medical Imaging and Radiation Sciences, 51(4), S44-S52.

Borek AJ, Smith JR, Greaves CJ, Gillison F, Tarrant M, Morgan-Trimmer SA, McCabe R, Abraham SCS (2019). Developing and applying a framework to understand mechanisms of action in group-based, behaviour change interventions: the MAGI mixed-methods study. Efficacy and Mechanism Evaluation, 6(3), 1-162. Abstract.

Borek AJ, Abraham SCS, Greaves CJ, Gillison F, Tarrant M, Morgan-Trimmer SA, McCabe R, Smith JR (2019). Identifying change processes in group-based health behaviour-change interventions: development of the mechanisms of action in group-based interventions (MAGI) framework. Health Psychology Review Abstract.

Bleiker J, Morgan-Trimmer S, Knapp K, Hopkins S (2019). Navigating the maze: Qualitative research methodologies and their philosophical foundations. Radiography, 25, S4-S8. Abstract.

Morgan-Trimmer S, Chadwick BL, Hutchings S, Scoble C, Lisles C, Drew CJ, Murphy S, Pickles T, Hood K, Chestnutt IG, et al (2019). The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting. Community Dent Health, 36(1), 33-38. Abstract. Author URL.

Bleiker J, Knapp KM, Morgan-Trimmer S, Hopkins SJ (2018). “It's what's behind the mask”: Psychological diversity in compassionate patient care. Radiography, 24, S28-S32. Abstract.

Segrott J, Murphy S, Rothwell H, Scourfield J, Foxcroft D, Gillespie D, Holliday J, Hood K, Hurlow C, Morgan-Trimmer S, et al (2017). An application of Extended Normalisation Process Theory in a randomised controlled trial of a complex social intervention: Process evaluation of the Strengthening Families Programme (10–14) in Wales, UK. SSM - Population Health, 3, 255-265.

Chestnutt IG, Playle R, Hutchings S, Morgan-Trimmer S, Fitzsimmons D, Aawar N, Angel L, Derrick S, Drew C, Hoddell C, et al (2017). Fissure Seal or Fluoride Varnish? a Randomized Trial of Relative Effectiveness. J Dent Res, 96(7), 754-761. Abstract. Author URL.

Chestnutt IG, Hutchings S, Playle R, Morgan-Trimmer S, Fitzsimmons D, Aawar N, Angel L, Derrick S, Drew C, Hoddell C, et al (2017). Seal or Varnish? a randomised controlled trial to determine the relative cost and effectiveness of pit and fissure sealant and fluoride varnish in preventing dental decay. Health Technol Assess, 21(21), 1-256.

BACKGROUND: Fissure sealant (FS) and fluoride varnish (FV) have been shown to be effective in preventing dental caries when tested against a no-treatment control. However, the relative clinical effectiveness and cost-effectiveness of these interventions is unknown. OBJECTIVE: to compare the clinical effectiveness and cost-effectiveness of FS and FV in preventing dental caries in first permanent molars (FPMs) in 6- and 7-year-olds and to determine their acceptability. DESIGN: a randomised controlled allocation-blinded clinical trial with two parallel arms. SETTING: a targeted population programme using mobile dental clinics (MDCs) in schools located in areas of high social and economic deprivation in South Wales. PARTICIPANTS: in total, 1016 children were randomised, but one parent subsequently withdrew permission and so the analysis was based on 1015 children. The randomisation of participants was stratified by school and balanced for sex and primary dentition baseline caries levels using minimisation in a 1 : 1 ratio for treatments. A random component was added to the minimisation algorithm, such that it was not completely deterministic. of the participants, 514 were randomised to receive FS and 502 were randomised to receive FV. INTERVENTIONS: Resin-based FS was applied to caries-free FPMs and maintained at 6-monthly intervals. FV was applied at baseline and at 6-month intervals over the course of 3 years. MAIN OUTCOME MEASURES: the proportion of children developing caries into dentine (decayed, missing, filled teeth in permanent dentition, i.e. D4-6MFT) on any one of up to four treated FPMs after 36 months. The assessors were blinded to treatment allocation; however, the presence or absence of FS at assessment would obviously indicate the probable treatment received. Economic measures established the costs and budget impact of FS and FV and the relative cost-effectiveness of these technologies. Qualitative interviews determined the acceptability of the interventions. RESULTS: at 36 months, 835 (82%) children remained in the trial: 417 in the FS arm and 418 in the FV arm. The proportion of children who developed caries into dentine on a least one FPM was lower in the FV arm (73; 17.5%) than in the FS arm (82, 19.6%) [odds ratio (OR) 0.84, 95% confidence interval (CI) 0.59 to 1.21; p = 0.35] but the difference was not statistically significant. The results were similar when the numbers of newly decayed teeth (OR 0.86, 95% CI 0.60 to 1.22) and tooth surfaces (OR 0.85, 95% CI 0.59 to 1.21) were examined. Trial fidelity was high: 95% of participants received five or six of the six scheduled treatments. Between 74% and 93% of sealants (upper and lower teeth) were intact at 36 months. The costs of the two technologies showed a small but statistically significant difference; the mean cost to the NHS (including intervention costs) per child was £500 for FS, compared with £432 for FV, a difference of £68.13 (95% CI £5.63 to £130.63; p = 0.033) in favour of FV. The budget impact analysis suggests that there is a cost saving of £68.13 (95% CI £5.63 to £130.63; p = 0.033) per child treated if using FV compared with the application of FS over this time period. An acceptability score completed by the children immediately after treatment and subsequent interviews demonstrated that both interventions were acceptable to the children. No adverse effects were reported. LIMITATIONS: There are no important limitations to this study. CONCLUSIONS: in a community oral health programme utilising MDCs and targeted at children with high caries risk, the twice-yearly application of FV resulted in caries prevention that is not significantly different from that obtained by applying and maintaining FSs after 36 months. FV proved less expensive. FUTURE WORK: the clinical effectiveness and cost-effectiveness of FS and FV following the cessation of active intervention merits investigation. TRIAL REGISTRATION: EudraCT number 2010-023476-23, Current Controlled Trials ISRCTN17029222 and UKCRN reference 9273. FUNDING: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 21, No. 21. See the NIHR Journals Library website for further project information.

Abstract. Author URL.

Matthews L, Pugmire J, Moore L, Kelson M, McConnachie A, McIntosh E, Morgan-Trimmer S, Murphy S, Hughes K, Coulman E, et al (2017). Study protocol for the 'HelpMeDoIt!' randomised controlled feasibility trial: an app, web and social support-based weight loss intervention for adults with obesity. BMJ Open, 7(10).

INTRODUCTION: HelpMeDoIt! will test the feasibility of an innovative weight loss intervention using a smartphone app and website. Goal setting, self-monitoring and social support are three key facilitators of behaviour change. HelpMeDoIt! incorporates these features and encourages participants to invite 'helpers' from their social circle to help them achieve their goal(s). AIM: to test the feasibility of the intervention in supporting adults with obesity to achieve weight loss goals. METHODS AND ANALYSIS: 12-month feasibility randomised controlled trial and accompanying process evaluation. Participants (n=120) will be adults interested in losing weight, body mass index (BMI)> 30 kg/m2 and smartphone users. The intervention group will use the app/website for 12 months. Participants will nominate one or more helpers to support them. Helpers have access to the app/website. The control group will receive a leaflet on healthy lifestyle and will have access to HelpMeDoIt! after follow-up. The key outcome of the study is whether prespecified progression criteria have been met in order to progress to a larger randomised controlled effectiveness trial. Data will be collected at baseline, 6 and 12 months. Outcomes focus on exploring the feasibility of delivering the intervention and include: (i) assessing three primary outcomes (BMI, physical activity and diet); (ii) secondary outcomes of waist/hip circumference, health-related quality of life, social support, self-efficacy, motivation and mental health; (iii) recruitment and retention; (iv) National Health Service (NHS) resource use and participant borne costs; (v) usability and acceptability of the app/website; and (vi) qualitative interviews with up to 50 participants and 20 helpers on their experiences of the intervention. Statistical analyses will focus on feasibility outcomes and provide initial estimates of intervention effects. Thematic analysis of qualitative interviews will assess implementation, acceptability, mechanisms of effect and contextual factors influencing the intervention. ETHICS AND DISSEMINATION: the protocol has been approved by the West of Scotland NHS Research Ethics Committee (Ref: 15/WS/0288) and the University of Glasgow MVLS College Ethics Committee (Ref: 200140108). Findings will be disseminated widely through peer-reviewed publication and conference presentations. TRIAL REGISTRATION NUMBER: ISRCTN85615983.

Abstract. Author URL.

Morgan-Trimmer S, Wood F (2016). Ethnographic methods for process evaluations of complex health behaviour interventions. Trials, 17(1). Abstract. Author URL.

Morgan-Trimmer S, Channon S, Gregory JW, Townson J, Lowes L (2016). Family preferences for home or hospital care at diagnosis for children with diabetes in the DECIDE study. Diabet Med, 33(1), 119-124. Abstract. Author URL.

Morgan-Trimmer S (2015). Improving Process Evaluations of Health Behavior Interventions: Learning from the Social Sciences. Eval Health Prof, 38(3), 295-314. Abstract. Author URL.

Morgan-Trimmer S (2015). People-centred Public Health. SOCIOLOGY OF HEALTH & ILLNESS, 37(5), 799-800. Author URL.

Segrott J, Rothwell H, Murphy S, Morgan-Trimmer S, Scourfield J, Holliday J, Thomas C, Gillespie D, Roberts Z, Foxcroft D, et al (2014). Fidelity of implementation of the Strengthening Families Programme 10-14 UK in Wales UK: a mixed-method process evaluation within a randomised controlled trialLaurence Moore. European Journal of Public Health, 24(suppl_2).

Morgan-Trimmer S (2014). Policy is political; our ideas about knowledge translation must be too. J Epidemiol Community Health, 68(11), 1010-1011. Author URL.

Morgan-Trimmer S (2013). 'It's who you know': community empowerment through network brokers. Community Development Journal, 49(3), 458-472.

Chestnutt IG, Chadwick BL, Hutchings S, Playle R, Pickles T, Lisles C, Kirkby N, Morgan MZ, Hunter L, Hodell C, et al (2012). Protocol for "Seal or Varnish?" (SoV) trial: a randomised controlled trial to measure the relative cost and effectiveness of pit and fissure sealants and fluoride varnish in preventing dental decay. BMC Oral Health, 12

BACKGROUND: Dental caries remains a significant public health problem, prevalence being linked to social and economic deprivation. Occlusal surfaces of first permanent molars are the most susceptible site in the developing permanent dentition. Cochrane reviews have shown pit and fissure sealants (PFS) and fluoride varnish (FV) to be effective over no intervention in preventing caries. However, the comparative cost and effectiveness of these treatments is uncertain. The primary aim of the trial described in this protocol is to compare the clinical effectiveness of PFS and FV in preventing dental caries in first permanent molars in 6-7 year-olds. Secondary aims include: establishing the costs and the relative cost-effectiveness of PFS and FV delivered in a community/school setting; examining the impact of PFS and FV on children and their parents/carers in terms of quality of life/treatment acceptability measures; and examining the implementation of treatment in a community setting. METHODS/DESIGN: the trial design comprises a randomised, assessor-blinded, two-arm, parallel group trial in 6-7 year old schoolchildren. Clinical procedures and assessments will be performed at 66 primary schools, in deprived areas in South Wales. Treatments will be delivered via a mobile dental clinic. In total, 920 children will be recruited (460 per trial arm). At baseline and annually for 36 months dental caries will be recorded using the International Caries Detection and Assessment System (ICDAS) by trained and calibrated dentists. PFS and FV will be applied by trained dental hygienists. The FV will be applied at baseline, 6, 12, 18, 24 and 30 months. The PFS will be applied at baseline and re-examined at 6, 12, 18, 24, and 30 months, and will be re-applied if the existing sealant has become detached/is insufficient. The economic analysis will estimate the costs of providing the PFS versus FV. The process evaluation will assess implementation and acceptability through acceptability scales, a schools questionnaire and interviews with children, parents, dentists, dental nurses and school staff. The primary outcome measure will be the proportion of children developing new caries on any one of up to four treated first permanent molars. DISCUSSION: the objectives of this study have been identified by the National Institute for Health Research as one of importance to the National Health Service in the UK. The results of this trial will provide guidance on which of these technologies should be adopted for the prevention of dental decay in the most susceptible tooth-surface in the most at risk children. TRIAL REGISTRATIONS: ISRCTN ref: ISRCTN17029222 EudraCT: 2010-023476-23 UKCRN ref: 9273.

Abstract. Author URL.

Chapters

Denford S, Abraham C, Van Beurden S, Smith JR, Morgan-Trimmer S (2019). Health behaviour change interventions. In (Ed) Cambridge Handbook of Psychology, Health and Medicine: Third Edition, 270-273.

Morgan-Trimmer S (2019). Participatory governing at the margins of the state. In (Ed) Governance Analysis, 173-190.

Tsekleves E, Cooper R, Denford S, Abraham C, Van Beurden S, Smith JR, Morgan-Trimmer S (2017). Behaviours. In (Ed) Design for Health, 58-71.

Denford S, Abraham C, Van Beurden S, Smith JR, Morgan-Trimmer S (2017). Behaviours: Behaviour-change interventions for public health. In (Ed) Design for Health, 58-71. Abstract.

Denford S, Abraham C, Smith JR, Morgan-Trimmer S, Lloyd J, Wyatt K (2016). Intervention design and evaluation: behaviour change imperatives. In (Ed) Beyond Behaviour Change, 49-70.

Denford S, Abraham C, Smith J, Morgan-Trimmer S, Lloyd J, Wyatt K (2016). Intervention design and evaluation: behaviour change imperatives. In Spotswood F (Ed) Beyond behaviour change Key issues, interdisciplinary approaches and future directions, Bristol: Policy Press, 49-70. Abstract.

Denford S, Abraham C, Smith JR, Morgan-Trimmer S, Lloyd J, Wyatt K (2016). Intervention design and evaluation: behaviour change imperatives. In (Ed) Beyond Behaviour Change, 49-70.

Morgan-Trimmer S (2012). Participation outcomes in governance networks: the role of network ties. In Enjolras B, Bozzini B (Eds.) Governing Ambiguities New Forms of Local Governance and Civil Society, Nomos Verlagsgesellschaft Mbh & Company. Abstract.

Conferences

Smith JR, Noble MJ, Winder R, Poltawski L, Ashford PA, Musgrave S, Stirling S, Morgan-Trimmer S, Caress AL, Wilson AM, et al (2019). INITIAL PROCESS EVALUATION FINDINGS FROM THE AT-RISK REGISTERS INTEGRATED INTO PRIMARY CARE TO STOP ASTHMA CRISES IN THE UK (ARRISA-UK) TRIAL: PRACTICE CHARACTERISTICS, ENGAGEMENT AND EARLY EXPERIENCES OF THE INTERVENTION. Author URL.

Borek AJ, Smith JR, Abraham C, Greaves CJ, Morgan-Trimmer S, Gillison F, Jones M, Tarrant M, McCabe R (2017). MECHANISMS OF ACTION IN GROUP-BASED INTERVENTIONS (MAGI) STUDY: a FRAMEWORK OF CHANGE PROCESSES IN GROUP-BASED HEALTH INTERVENTIONS. Author URL.

Morgan-Trimmer S, Gregory J, Townson J, Channon S, Chestnutt I, Chadwick B, Murphy S, Hutchings S (2017). Understanding intervention acceptability: changing participant views over time and the importance of context. Society for Social Medicine Annual Scientific Meeting 2017. 5th - 8th Sep 2017. Abstract.

Smith JR, Borek A, Abraham C, Greaves C, Morgan-Trimmer S, Gillison F, Jones M, Keable J, Tarrant M, McCabe R, et al (2016). MECHANISMS OF ACTION IN GROUP INTERVENTIONS (MAGI) STUDY: INITIAL FINDINGS AND a CONCEPTUAL FRAMEWORK. Author URL.

Simpson SA, Matthews L, Pugmire J, Moore L, Kelson M, McIntosh E, McConnachie A, John E, Morgan-Trimmers S, Murphy S, et al (2016). MOBILISING SOCIAL SUPPORT: INSIGHTS FOR THE DEVELOPMENT OF a WEB AND APP BASED INTERVENTION FOR WEIGHT LOSS. Author URL.

Publications by year

In Press

Alzehr A, Hulme C, Spencer A, Morgan-Trimmer S (In Press). The Economic Impact of Cancer Diagnosis to Individuals and Their Families: a Systematic Review. Supportive Care in Cancer Abstract.

Poltawski L, Van Beurden S, Morgan-Trimmer S, Greaves C (In Press). The dynamics of decision-making in weight loss and maintenance: a qualitative enquiry. BMC Public Health

2023

2022

Ball S, McAndrew A, Aylward A, Cockcroft E, Gordon E, Kerridge A, Morgan-Trimmer S, Powell R, Rhodes S, Timperley AJ, et al (2022). Detailed statistical analysis plan for a randomised controlled trial of the effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthroplasty for displaced intracapsular fractures on post-operative function compared to a standard lateral approach: HemiSPAIRE.

Abstract. Author URL.

Poppe M, Duffy L, Marchant N, Barber J, Hunter R, Bass N, Minihane A, Walters K, Higgs P, Rapaport P, et al (2022). The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce: Randomised Controlled Trial.

Abstract.

2021

Abstract. Author URL.

Abstract.

2020

Bleiker J (2020). An Inquiry into Compassion in Diagnostic Radiography.

Compassion is a poorly understood concept in Diagnostic Imaging (DI), but an increase in its focus was recommended in the Francis Report (2013). Much of the healthcare literature including policy and protocol has focussed on benchmarking and individualising compassion. This project aimed to conceptualise compassion in order to understand its meaning and application in DI.
A constructivist approach was taken with appropriate ethical approval. Thirty-four semi-structured interviews with a purposive sample of DI ex-patients, five focus groups with approximately six student radiographers and one group of recently qualified radiographers were conducted. Tweets were also harvested from a Twitter journal club discussion between radiographers of the author’s published literature review. Data were transcribed and analysed thematically.
Compassion in DI is conceptualised according to three themes constructed from the data: 1) Perceptible elements of the procedure; 2) Underlying qualities, skills and abilities of radiographers; 3) Proposed moral and ethical principles. Perceptions of an impersonal ‘production-line’ procedure can be avoided and rapport developed by exercising skills and abilities in asking patient-specific clinical questions and giving explanations. Offering information to patients about their x-ray images may compassionately reduce uncertainty and anxiety. Ethically good practice need not necessarily involve in every interaction expressions of compassion, feelings in a radiographer of caring about their patient or feelings in patients of being valued. Contradictory organisational values were exposed with an over-emphasis on individuals’ responsibility for providing compassionate care.
The original contribution to knowledge is a concept of compassion bespoke to DI, components of which include qualities, skills and values underpinning perceptible acts and behaviours aimed at ameliorating suffering. Radiographers could take a proactive and critically questioning stance to the conflicting demands of efficiency and throughput at the expense of patient care. Clinical and communication skills teaching and reflective learning would promote compassionate professionalism. Compassionate future healthcare policy could be derived from an interpersonal rather than individualist philosophy.

Abstract.

Abstract. Author URL.

Simpson SA, Matthews L, Pugmire J, McConnachie A, McIntosh E, Coulman E, Hughes K, Kelson M, Morgan-Trimmer S, Murphy S, et al (2020). An app-, web- and social support-based weight loss intervention for adults with obesity: the HelpMeDoIt! feasibility RCT. Public Health Research, 8(3), 1-270. Abstract.

2019

Bleiker J, Morgan-Trimmer S, Knapp K, Hopkins S (2019). Navigating the maze: Qualitative research methodologies and their philosophical foundations. Radiography, 25, S4-S8. Abstract.

Morgan-Trimmer S (2019). Participatory governing at the margins of the state. In (Ed) Governance Analysis, 173-190.

2018

Bleiker J, Knapp KM, Morgan-Trimmer S, Hopkins SJ (2018). “It's what's behind the mask”: Psychological diversity in compassionate patient care. Radiography, 24, S28-S32. Abstract.

2017

Tsekleves E, Cooper R, Denford S, Abraham C, Van Beurden S, Smith JR, Morgan-Trimmer S (2017). Behaviours. In (Ed) Design for Health, 58-71.

Denford S, Abraham C, Van Beurden S, Smith JR, Morgan-Trimmer S (2017). Behaviours: Behaviour-change interventions for public health. In (Ed) Design for Health, 58-71. Abstract.

Abstract. Author URL.

2016

Morgan-Trimmer S, Wood F (2016). Ethnographic methods for process evaluations of complex health behaviour interventions. Trials, 17(1). Abstract. Author URL.

Denford S, Abraham C, Smith JR, Morgan-Trimmer S, Lloyd J, Wyatt K (2016). Intervention design and evaluation: behaviour change imperatives. In (Ed) Beyond Behaviour Change, 49-70.

2015

Morgan-Trimmer SA, Spooner S, Audrey S (2015). Health, health behaviours and health promoting services for care leavers: perspectives of young people and LAC nurses, CASCADE Paper 03.

This working paper reports findings from a qualitative study of care leavers’ and looked after children’s (LAC) nurses’ perspectives on the health, health behaviours and health promoting services for care leavers. Looked after children and adults with a prior history of being looked after tend to have poorer health and social outcomes, even when compared to populations with similar socio-economic backgrounds (Viner and Taylor 2010; Dregan et al. 2011). Additionally, very little is known about how looked after children and care leavers view their own health and lifestyles. This study explored care leaver and LAC nurse perspectives on health and health behaviours of young people leaving care, and what effective health promoting services for care leavers might look like. Sixteen young people leaving care in the south Wales area were interviewed, and a focus group with 14 looked after children’s nurses from mid, south and west Wales was also conducted.
The first main finding was that the care leavers tended to identify their overall health in terms of psychological health, and most experienced difficulties in mental health and emotional well-being. Most care leavers reported at least one mental health problem such as depression. LAC nurses also identified mental health and inadequate access to mental health services as a concern. Emotional well-being was discussed by young people in terms of loneliness, self-harm and stress, and LAC nurses mentioned care leavers’ low self-esteem. The second main finding was the interaction between physical health, psychological health and social issues in care leavers’ lives. Physical and psychological health were regarded by the young people interviewed as being closely related to each other, for example smoking and alcohol were used by some care leavers as a coping mechanism for stress. Psychological and physical health also interacted with social factors in various ways. For example, poor emotional well-being reduced the amount and quality of sleep and increased sedentary behaviour, which then affected social participation. Wider social factors such as employment and housing also affected the health of this group, for example some interviewees valued employment for reducing financial-related stress and social isolation. Half of the young people interviewed mentioned financial problems being a significant source of stress, and most thought that lack of money had a negative impact on their physical health. Overall, the period of transition to independent living created challenges which made a healthy lifestyle difficult to achieve.
Care leavers saw their health as primarily their own responsibility, though some lacked skills in accessing health and other services due to lack of confidence, organisational skills, and money to travel to services. Interviewees had mixed experience of public sector social and medical services, while eleven commented on positive experiences of voluntary sector support service. Care leavers identified several factors which they thought characterised good services:. consistent and long-term staff; staff they could develop relationships with, who were caring and had good listening skills; services that could be contacted in flexible ways (e.g. by telephone, internet or face-to-face) and which had long opening hours; holistic services which could address multiple needs were also valued.
Findings presented here on the multiple, interrelated factors that affect care leavers’ health suggest that holistic, accessible and consistent services could go some way towards improving health for this group. Given pressures on public services and the immediacy of care leavers’ other needs, health promotion is not often a priority for care leaver services. Nonetheless, health promotion to improve psychological and physical health would reduce short and long-term disadvantage for this group.

Abstract.

Morgan-Trimmer SA, Spooner S, Audrey S (2015). Health, health behaviours health promoting services for care leavers: Perspectives of young people and LAC nurses, Research Briefing 04.

Morgan-Trimmer S (2015). Improving Process Evaluations of Health Behavior Interventions: Learning from the Social Sciences. Eval Health Prof, 38(3), 295-314. Abstract. Author URL.

Morgan-Trimmer S (2015). People-centred Public Health. SOCIOLOGY OF HEALTH & ILLNESS, 37(5), 799-800. Author URL.

2014

Morgan-Trimmer S (2014). Policy is political; our ideas about knowledge translation must be too. J Epidemiol Community Health, 68(11), 1010-1011. Author URL.

2013

Morgan-Trimmer S (2013). 'It's who you know': community empowerment through network brokers. Community Development Journal, 49(3), 458-472.

2012

Abstract. Author URL.

2007

Morgan-Trimmer SA (2007). An Experiment in Visual Ethnography.

Sarah_Morgan-Trimmer Details from cache as at 2023-03-30 20:56:55

Refresh publications

External Engagement and Impact

Committee/panel activities

Steering group member MoodHwb: mood and wellbeing in young people (University of Cardiff)

Steering group member Self-Consent for the HPV Vaccine Study (University of Bristol)

Steering group member Trial of Acute Femoral Fracture Fixation (TrAFFix) (University of Oxford)

Editorial responsibilities

Associate Editor, Pilot and Feasibility Studies 2018-2022

External Examiner Positions

Exeternal examiner for University of Bath

Conferences and invited presentations

Panel member for ‘Future Directions in Qualitative Research and Collaboration’, at the Qualitative Research Symposium, University of Bath, Bath, 2016

Introduction to Process Evaluations of Complex Interventions, ‘Think Tank’ Seminar, Mood Disorders Centre, School of Psychology, University of Exeter,2016

Health Improvement for Looked After Children, invited presentation at 'New Belongings' Care Leavers Week 2014, Cardiff University/Voices from Care, Cardiff, 2014

Evidence of impact on policy and professional practice

‘Reimagination: The reframing of Memory’. Photographic exhibition from ‘A visual ethnography exploring the experiences of people living with memory concerns and engaging with health and lifestyle changes to improve cognitive decline’ study. Funded by ESRC. London Wellcome Collection, 8 Sept 2022, attended by around 200 people. Also displayed at Upper Waiting Hall in the Houses of Parliament (23 January 2023) and Holy Sepulchre church (February-April 2023). Elenyd Whitfield E., Parnell Johnson S., Higgs P., Martin W., Morgan-Trimmer S., Burton S., Poppe M., Cooper C.

Long-term Impact of Digital Technology on Our Social and Economic Wellbeing. Written evidence submitted by the ‘ESMI’ research team from the Universities of Exeter, Liverpool, King’s College London, and Oxford, December 2020. House of Lords Inquiry. O’Mahen H., Howard L., Sharp H., Wong G., Morgan-Trimmer S., Maitland J., Atmore K., Fisher L., Davey A.

Women’s experiences of Perinatal Mental Health care during COVID-19. Written evidence submitted by the ‘ESMI’ research team from the Universities of Exeter, Liverpool, King’s College London, and Oxford. NHSE Policy Brief December 2020. O’Mahen H., Howard L., Sharp H., Wong G., Morgan-Trimmer S., Maitland J., Atmore K., Fisher L., Davey A.

Workshops/Conferences organised

Co-organiser of international workshop ‘Thinking Critically about Governance: Explorations of Power in Practice’, University of Bath, April 2009

Teaching

Current teaching

HPDM055 Qualitative Research and Process Evaluation, MSc Health Research Methods (Process Evaluation)
HPDM092 Fundamentals of Research Design, MSc Health Research Methods (Process Evaluation, Mixed Methods)

Past teaching

HPDM119 Analytics and Evidence Based Public Health, MPH Masters of Public Health (Process Evaluation, Mixed Methods)
SWDTP Qualitative Training Workshops, University of Bath Centre for Qualitative Research (Planning and Designing Qualitative Research)
HPDM055 Qualitative Research and Process Evaluation, MSc Applied Health Services Research (Ethnography, Qualitative Research for RCTs)
HPDM052 Core Concepts in Applied Health Services Research, MSc Health Research Methods (Mixed Methods)
HPDM058 Implementation Science, MSc Healthcare Leadership and Management (Using theory in implementation research)
PSYD050 Advanced Skills in Clinical Research and Critical Appraisal, Doctorate in Clinical Research (Implementation Science, Process Evaluation)
CSC2007 Introduction to Health Research, BSc Medical Sciences (Introduction to Qualitative Analysis)
Process evaluation workshops for doctoral and post-doctoral researchers: Introduction to Process Evaluation; Developing Theory and Logic Models for Process Evaluations; and Integrating Data in Mixed Methods Process Evaluations
Qualitative research methods, MSc Social Science Research Methods (University of Cardiff)
Community development and social policy approaches to public health, Masters in Public Health (University of Cardiff)

Supervision / Group

Research Fellows

Mary Carter
Maria Valasaki

Postgraduate researchers

Sheemah Alenezi
Aymen Alzehr
Nicholas Luscombe
Danielle Wyman

Alumni

Jill Bleiker

Back | Edit Profile

Profile

Dr Sarah Morgan-Trimmer

Senior Research Fellow

Overview

Career

Links

Research group links

Research

Research interests

Research projects

Research grants

Publications

Publications by category

Journal articles

Abstract:Detailed statistical analysis plan for a randomised controlled trial of the effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthroplasty for displaced intracapsular fractures on post-operative function compared to a standard. lateral approach: HemiSPAIRE

Abstract:The Economic Impact of Cancer Diagnosis to Individuals and Their Families: a Systematic Review

Abstract:Process evaluation of the New Interventions for independence in Dementia Study (NIDUS) Family stream randomised controlled trial: protocol.

Abstract:The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce—randomised controlled trial

Abstract:Digital technologies to support people living with dementia in the care home setting to engage in meaningful occupations: protocol for a scoping review.

Abstract:Effects of a modified muscle sparing posterior technique in hip hemiarthroplasty for displaced intracapsular fractures on postoperative function compared to a standard lateral approach (HemiSPAIRE): protocol for a randomised controlled trial

Abstract:Implementation processes in a cognitive rehabilitation intervention for people with dementia: a complexity-informed qualitative analysis

Abstract:Social connectedness and dementia prevention: Pilot of the APPLE-Tree video-call intervention during the Covid-19 pandemic.

Abstract:"Falling through the cracks"; Stakeholders' views around the concept and diagnosis of mild cognitive impairment and their understanding of dementia prevention.

Abstract:APPLE-Tree (Active Prevention in People at risk of dementia: Lifestyle, bEhaviour change and Technology to REducE cognitive and functional decline) programme: Protocol.

Abstract:An app-, web- and social support-based weight loss intervention for adults with obesity: the 'HelpMeDoIt!' feasibility randomised controlled trial.

Abstract:An app-, web- and social support-based weight loss intervention for adults with obesity: the HelpMeDoIt! feasibility RCT

Abstract:Efficacy of lifestyle and psychosocial interventions in reducing cognitive decline in older people: Systematic review.

Abstract:Developing and applying a framework to understand mechanisms of action in group-based, behaviour change interventions: the MAGI mixed-methods study

Abstract:Identifying change processes in group-based health behaviour-change interventions: development of the mechanisms of action in group-based interventions (MAGI) framework

Abstract:Navigating the maze: Qualitative research methodologies and their philosophical foundations

Abstract:The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting.

Abstract:“It's what's behind the mask”: Psychological diversity in compassionate patient care

Abstract:Fissure Seal or Fluoride Varnish? a Randomized Trial of Relative Effectiveness.

Abstract:Seal or Varnish? a randomised controlled trial to determine the relative cost and effectiveness of pit and fissure sealant and fluoride varnish in preventing dental decay.

Abstract:Study protocol for the 'HelpMeDoIt!' randomised controlled feasibility trial: an app, web and social support-based weight loss intervention for adults with obesity.

Abstract:Ethnographic methods for process evaluations of complex health behaviour interventions.

Abstract:Family preferences for home or hospital care at diagnosis for children with diabetes in the DECIDE study.

Abstract:Improving Process Evaluations of Health Behavior Interventions: Learning from the Social Sciences.

Abstract:Protocol for "Seal or Varnish?" (SoV) trial: a randomised controlled trial to measure the relative cost and effectiveness of pit and fissure sealants and fluoride varnish in preventing dental decay.

Chapters

Abstract:Behaviours: Behaviour-change interventions for public health

Abstract:Intervention design and evaluation: behaviour change imperatives

Abstract:Participation outcomes in governance networks: the role of network ties

Conferences

Abstract:Understanding intervention acceptability: changing participant views over time and the importance of context

Publications by year

In Press

Abstract:Detailed statistical analysis plan for a randomised controlled trial of the effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthroplasty for displaced intracapsular fractures on post-operative function compared to a standard. lateral approach: HemiSPAIRE

Abstract:The Economic Impact of Cancer Diagnosis to Individuals and Their Families: a Systematic Review

2023

2022

Abstract:Process evaluation of the New Interventions for independence in Dementia Study (NIDUS) Family stream randomised controlled trial: protocol.

Abstract:The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce—randomised controlled trial

2021

Abstract:Digital technologies to support people living with dementia in the care home setting to engage in meaningful occupations: protocol for a scoping review.

Abstract:Effects of a modified muscle sparing posterior technique in hip hemiarthroplasty for displaced intracapsular fractures on postoperative function compared to a standard lateral approach (HemiSPAIRE): protocol for a randomised controlled trial

Abstract:Implementation processes in a cognitive rehabilitation intervention for people with dementia: a complexity-informed qualitative analysis

Abstract:Social connectedness and dementia prevention: Pilot of the APPLE-Tree video-call intervention during the Covid-19 pandemic.

2020

Abstract:"Falling through the cracks"; Stakeholders' views around the concept and diagnosis of mild cognitive impairment and their understanding of dementia prevention.

Abstract:APPLE-Tree (Active Prevention in People at risk of dementia: Lifestyle, bEhaviour change and Technology to REducE cognitive and functional decline) programme: Protocol.

Abstract:An Inquiry into Compassion in Diagnostic Radiography

Abstract:An app-, web- and social support-based weight loss intervention for adults with obesity: the 'HelpMeDoIt!' feasibility randomised controlled trial.

Abstract:An app-, web- and social support-based weight loss intervention for adults with obesity: the HelpMeDoIt! feasibility RCT

Abstract:Efficacy of lifestyle and psychosocial interventions in reducing cognitive decline in older people: Systematic review.

2019

Abstract:Developing and applying a framework to understand mechanisms of action in group-based, behaviour change interventions: the MAGI mixed-methods study

Abstract:Identifying change processes in group-based health behaviour-change interventions: development of the mechanisms of action in group-based interventions (MAGI) framework

Abstract:Navigating the maze: Qualitative research methodologies and their philosophical foundations

Abstract:The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting.

2018

Abstract:“It's what's behind the mask”: Psychological diversity in compassionate patient care

2017

Abstract:Behaviours: Behaviour-change interventions for public health

Abstract:Fissure Seal or Fluoride Varnish? a Randomized Trial of Relative Effectiveness.

Abstract:Seal or Varnish? a randomised controlled trial to determine the relative cost and effectiveness of pit and fissure sealant and fluoride varnish in preventing dental decay.

Abstract:Study protocol for the 'HelpMeDoIt!' randomised controlled feasibility trial: an app, web and social support-based weight loss intervention for adults with obesity.

Abstract:Understanding intervention acceptability: changing participant views over time and the importance of context

2016

Abstract:Ethnographic methods for process evaluations of complex health behaviour interventions.

Abstract:
Detailed statistical analysis plan for a randomised controlled trial of the effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthroplasty for displaced intracapsular fractures on post-operative function compared to a standard. lateral approach: HemiSPAIRE

Abstract:
The Economic Impact of Cancer Diagnosis to Individuals and Their Families: a Systematic Review

Abstract:
Process evaluation of the New Interventions for independence in Dementia Study (NIDUS) Family stream randomised controlled trial: protocol.

Abstract:
The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce—randomised controlled trial

Abstract:
Digital technologies to support people living with dementia in the care home setting to engage in meaningful occupations: protocol for a scoping review.

Abstract:
Effects of a modified muscle sparing posterior technique in hip hemiarthroplasty for displaced intracapsular fractures on postoperative function compared to a standard lateral approach (HemiSPAIRE): protocol for a randomised controlled trial

Abstract:
Implementation processes in a cognitive rehabilitation intervention for people with dementia: a complexity-informed qualitative analysis

Abstract:
Social connectedness and dementia prevention: Pilot of the APPLE-Tree video-call intervention during the Covid-19 pandemic.

Abstract:
"Falling through the cracks"; Stakeholders' views around the concept and diagnosis of mild cognitive impairment and their understanding of dementia prevention.

Abstract:
APPLE-Tree (Active Prevention in People at risk of dementia: Lifestyle, bEhaviour change and Technology to REducE cognitive and functional decline) programme: Protocol.

Abstract:
An app-, web- and social support-based weight loss intervention for adults with obesity: the 'HelpMeDoIt!' feasibility randomised controlled trial.

Abstract:
An app-, web- and social support-based weight loss intervention for adults with obesity: the HelpMeDoIt! feasibility RCT

Abstract:
Efficacy of lifestyle and psychosocial interventions in reducing cognitive decline in older people: Systematic review.

Abstract:
Developing and applying a framework to understand mechanisms of action in group-based, behaviour change interventions: the MAGI mixed-methods study

Abstract:
Identifying change processes in group-based health behaviour-change interventions: development of the mechanisms of action in group-based interventions (MAGI) framework

Abstract:
Navigating the maze: Qualitative research methodologies and their philosophical foundations

Abstract:
The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting.

Abstract:
“It's what's behind the mask”: Psychological diversity in compassionate patient care

Abstract:
Fissure Seal or Fluoride Varnish? a Randomized Trial of Relative Effectiveness.

Abstract:
Seal or Varnish? a randomised controlled trial to determine the relative cost and effectiveness of pit and fissure sealant and fluoride varnish in preventing dental decay.

Abstract:
Study protocol for the 'HelpMeDoIt!' randomised controlled feasibility trial: an app, web and social support-based weight loss intervention for adults with obesity.

Abstract:
Ethnographic methods for process evaluations of complex health behaviour interventions.

Abstract:
Family preferences for home or hospital care at diagnosis for children with diabetes in the DECIDE study.

Abstract:
Improving Process Evaluations of Health Behavior Interventions: Learning from the Social Sciences.

Abstract:
Protocol for "Seal or Varnish?" (SoV) trial: a randomised controlled trial to measure the relative cost and effectiveness of pit and fissure sealants and fluoride varnish in preventing dental decay.

Abstract:
Behaviours: Behaviour-change interventions for public health

Abstract:
Intervention design and evaluation: behaviour change imperatives

Abstract:
Participation outcomes in governance networks: the role of network ties

Abstract:
Understanding intervention acceptability: changing participant views over time and the importance of context

Abstract:
Detailed statistical analysis plan for a randomised controlled trial of the effects of a modified muscle sparing posterior technique (SPAIRE) in hip hemiarthroplasty for displaced intracapsular fractures on post-operative function compared to a standard. lateral approach: HemiSPAIRE

Abstract:
The Economic Impact of Cancer Diagnosis to Individuals and Their Families: a Systematic Review

Abstract:
Process evaluation of the New Interventions for independence in Dementia Study (NIDUS) Family stream randomised controlled trial: protocol.

Abstract:
The APPLE Tree programme: Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce—randomised controlled trial

Abstract:
Digital technologies to support people living with dementia in the care home setting to engage in meaningful occupations: protocol for a scoping review.

Abstract:
Effects of a modified muscle sparing posterior technique in hip hemiarthroplasty for displaced intracapsular fractures on postoperative function compared to a standard lateral approach (HemiSPAIRE): protocol for a randomised controlled trial

Abstract:
Implementation processes in a cognitive rehabilitation intervention for people with dementia: a complexity-informed qualitative analysis

Abstract:
Social connectedness and dementia prevention: Pilot of the APPLE-Tree video-call intervention during the Covid-19 pandemic.

Abstract:
"Falling through the cracks"; Stakeholders' views around the concept and diagnosis of mild cognitive impairment and their understanding of dementia prevention.

Abstract:
APPLE-Tree (Active Prevention in People at risk of dementia: Lifestyle, bEhaviour change and Technology to REducE cognitive and functional decline) programme: Protocol.

Abstract:
An Inquiry into Compassion in Diagnostic Radiography

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An app-, web- and social support-based weight loss intervention for adults with obesity: the 'HelpMeDoIt!' feasibility randomised controlled trial.

Abstract:
An app-, web- and social support-based weight loss intervention for adults with obesity: the HelpMeDoIt! feasibility RCT

Abstract:
Efficacy of lifestyle and psychosocial interventions in reducing cognitive decline in older people: Systematic review.

Abstract:
Developing and applying a framework to understand mechanisms of action in group-based, behaviour change interventions: the MAGI mixed-methods study

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Identifying change processes in group-based health behaviour-change interventions: development of the mechanisms of action in group-based interventions (MAGI) framework

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Navigating the maze: Qualitative research methodologies and their philosophical foundations

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The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting.

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“It's what's behind the mask”: Psychological diversity in compassionate patient care

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Behaviours: Behaviour-change interventions for public health

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Fissure Seal or Fluoride Varnish? a Randomized Trial of Relative Effectiveness.

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Seal or Varnish? a randomised controlled trial to determine the relative cost and effectiveness of pit and fissure sealant and fluoride varnish in preventing dental decay.

Abstract:
Study protocol for the 'HelpMeDoIt!' randomised controlled feasibility trial: an app, web and social support-based weight loss intervention for adults with obesity.

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Understanding intervention acceptability: changing participant views over time and the importance of context

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Ethnographic methods for process evaluations of complex health behaviour interventions.

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Family preferences for home or hospital care at diagnosis for children with diabetes in the DECIDE study.

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Intervention design and evaluation: behaviour change imperatives

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Health, health behaviours and health promoting services for care leavers: perspectives of young people and LAC nurses, CASCADE Paper 03

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Improving Process Evaluations of Health Behavior Interventions: Learning from the Social Sciences.

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Participation outcomes in governance networks: the role of network ties

Abstract:
Protocol for "Seal or Varnish?" (SoV) trial: a randomised controlled trial to measure the relative cost and effectiveness of pit and fissure sealants and fluoride varnish in preventing dental decay.