Annual Report 2009 The Medical Statistics Group Health Services Research Section School of Health and Related Research (ScHARR) University of Sheffield Regent Court 30 Regent Street Sheffield S1 4DA Tel 0114 2220839 FAX 0114 2220749 www.shef.ac.uk/scharr/sections/hsr/statistics Preface The Medical Statistics Group (MSG) is located within the Health Services Research (HSR) Section of the School of Health and Related Research (ScHARR) at the University of Sheffield and works closely with the Medical School, the National Institute for Health Research (NIHR) Research Design Service for Yorkshire and Humber (previously the Trent Research Development and Support Unit (RDSU) and the Clinical Trials Research Unit (CTRU). The MSG aims to: 1. Develop new statistical methodology relevant to medical and health services research; 2. Help ScHARR achieve a high rating at the Research Excellence Framework (REF) (the successor to the Research Assessment Exercise ) by providing high quality advice on research proposals and using modern statistical methods in the analysis and display of data; 3. Provide direct input to medical and health services research projects through collaborative research and consulting; 4. Develop and deliver statistics modules for undergraduate and postgraduate degree schemes within ScHARR; the Faculty of Medicine, Dentistry and Health and the University of Sheffield; 5. Train medical and health services professionals in the theory and application of appropriate statistical methods in their own research; 6. Train the next generation of medical statisticians (through the newly introduced MSc in Statistics with Medical Applications). The Group operates in three main areas of research, teaching and consultancy. MSG Annual Report 2009 2 Highlights of 2009 Dawn Teare and Richard Jacques joined us in January 2009, followed by Munyaradzi Dimairo and Neil Shephard in September and October respectively. We have a strong list of peer reviewed publications with 21 joint-authored papers in 2009 (23 in 2008) and a further 6 non-refereed papers, letters or reviews and 3 books. We also have a strong list of successful grant collaborations worth approximately £18 million. In 2009 the Medical Statistics Group worked on new grant applications, to various funders, from outline stage to full application. This resulted in 9 new research grants with a value of approximately £4.9 million (£9M in 2008 which included the RDS contract of £5M)). After many years of negotiation, the MSc in Statistics with Medical Applications commenced in October 2009 coordinated by Mike Campbell. This is part of the MSc in Probability and Statistics run through the Maths Department Members of the MSG are heavily involved with the teaching activities of ScHARR and the wider Faculty of Medicine. This year saw the introduction of the MSc in Clinical Research, for whom Dawn Teare delivered the Medical Statistics option. Stephen Walters was promoted to a personal chair in August 2009 and Steven Julious to Reader. Jenny Freeman has been appointed to the Council of the Royal Statistical Society. Steven Julious has been appointed to Appraisal Committee D of NICE. Mike Campbell has been appointed to the NIHR HSR Commissioning Board. Steven Julious and Jenny Freeman were on study leave for the second semester in 2009. Georgina Jones has been on study/maternity leave for all of 2009. Congratulations to Mike Bradburn and Tracey Young on the birth on Matthew and to Stephen and Marion Walters on the birth of Alice! MJC January 2010 MSG Annual Report 2009 3 The Medical Statistics Group Mike Bradburn (MB) Statistician (CTRU)1 Mike Campbell (MJC) Professor of Medical Statistics Munyaradzi Dimairo (MD) Research Associate (CTRU) Jenny Freeman (JF) Senior Lecturer in Medical Statistics Richard Jacques (RJ) Research Associate Georgina Jones (GL) Senior Lecturer in Social Sciences Steven Julious (SAJ) Reader in Medical Statistics Neil Shephard (NS) Research Associate (CTRU) M. Dawn Teare (MDT) Lecturer in Genetic Epidemiology Stephen Walters (SJW) Professor of Medical Statistics and Clinical Trials 1 Clinical Trials Research Unit Members of ScHARR with an Interest in Statistics Jon Nichol (JPN) Professor of HSR MCRU Alicia O’Cathain (AOC) Professor of HSR MCRU John Stevens Deputy Director, CHEBS HEDS Tracey Young (TY) Lecturer HEDS Mark Strong (MS) Clinical Lecturer Public Health Patrick Fitzgerald (PF) Research Fellow HEDS Dave Saxon (DS) Research Associate Mental Health MSG Annual Report 2009 4 Teaching 2009 by the Medical Statistics Group Undergraduate Statistics to MBChB (JF, SAJ, SJW, RJ, Mark Strong) Undergraduate/Postgraduate Statistics for the Medical and Health Sciences (HAR6036) (SAJ, SJW, JF, MB MJC, RJ) Postgraduate An Introduction to Statistics and Critical Appraisal (HAR6035) (MJC, JF, SJW. SAJ, TY, RJ, MDT) MSc Medical Statistics: Statistical Methods in Epidemiology (MJC, JVF, MDT) MSc Medical Statistics: Further Clinical Trials (SAJ, MJC, JS, MB) MPH An Introduction to Research Methods (HAR6030) (MJC, JVF) MSc Genetic Epidemiology (MDT, MJC) MPH (HSR) Promoting evidence based health care (MJC) MSc Health and Social Care (distance learning) (including RTP and MSc in Psychological Research Students (MB) Specialist Registrars short course (MJC,JF) MSc Renal Medicine (JF) PhD graduates Chirk Jeng Ng (full time): supervised by Nigel Mathers and MJC (submitted) Xiaoyan Xue (full-time): supervised by Penella Woll and MDT (graduation July 2010) Adriana Ismail ’Quality of Life in children with thalassaemia in Malaysia.’ (supervised by MJC) (graduation July 2010) Ongoing PhD Students Mubashir Arain (full time): supervised by Jon Nicholl & MJC Elton Chanakira (full-time): supervised by Liddy Goyder (Public Health), JVF & Alicia O’Cathain Nicola Clibbens (part-time university staff candidate): supervised by Wendy Baird (Public Health) & SJW Khadija Rerhou (part-time university staff candidate): supervised by MJC and SJW Olivier Wong (external): supervised by Nigel Mathers, MJC& JVF Feng Lui (part-time): supervised by SAJ& SJW Joseph Akanuwe: supervised by Liddy Goyder & SAJ Sally Hartnell: supervised by Liddy Goyder & SAJ Mamdooh Alonazi (full-time): supervised by Allan Hutchinson JVF & Rachel O’Hara Victoria Brennan (full time): supervised by GLJ, SC Radley, Dixon S Kay Bowen (full time): supervised by GLJ, DOC Anumba Rosalind Haddrill (part-time): supervised by Jones GL, Anumba DOC Mitchell C Nick Latimer (full time): supervised by Ron Akehurst, MJC, & TY (on maternity leave) Sarah Hargreaves (full time): supervised by Mark Hawley and MJC Jennifer Lai (full time): supervised by SAJ, JVF & Suzanne Mason Paul Mahoney (part-time) supervised by SAJ and MJC MSG Annual Report 2009 5 Alireza Dastgheib (joint location, full-time) supervised by MDT and Alison Gartland. MD Li Wei Water (Supervised by GLJ, TC Li) MPH Student Dissertations 2009 Mubashir Arain: ‘Components of a standard Pilot study: A review of Feasibility studies’. MJC Samuel Lassa ‘An epidemiological evaluation of scabies in the United Kingdom’.: MJC Safia Bano ‘A literature review evaluate to what extent authors of clinical trials are using the correct policy of intention to treat analysis’.: MJC PhD Internal Examining SJW John Freeman , Simon Palfreyman, Heather Brown External examining MJC PhD St George’s, University of London, PhD University of Oslo. External adviser: MSc Medical Statistics. University of Hong Kong JF MSc Statistical Epidemiology University of Leeds , Postgraduate Medical Statistics (various courses) University of Central Lancashire MDT PhD, King’s College, University of London. SJW MSc Public Health & Health Services Research. University of Newcastle External Courses Cluster Randomised Trials : afternoon course MSc Med Stats (Leicester) (MJC) Cluster Randomised Trials. One day Erasmus Winter Course, Rotterdam (MJC) Data Display. One day course RSS Conference Edinburgh (JVF) Data Display. Two day course, Barcelona (JVF) MSG Annual Report 2009 6 2-day PSI Training Course on Patient reported outcomes in Clinical Trials and Health-care evaluation: a practical guide to analysis and interpretation (SJW) Evidence for Genetic Effects (in Introduction to Genetic Epidemiology). One lecture (of four) comprising a one day course RSS Conference Edinburgh (MDT) Genetics and Quantitative Traits ( in Introduction to Genetic Epidemiology). Half day contribution to one week course. European Society of Human Genetics, Paris. (MDT) Statistical component for module ‘Design and analysis in experimental research’ lectures and tutorials (10 contact hours) for MSc in Molecular Medicine, School of Medicine (MDT) MSG Annual Report 2009 7 Medical Statistics Group peer-reviewed publications 2009 A. Pendse, A. Nisar, S. Z. Shah, A. Bhosale, JV Freeman, I. Chakrabarti. Surface replacement trapeziometacarpal joint arthroplasty – early results. The Journal of Hand Surgery (2009) 0: 0: 1–10 J Otasowie, J Freeman, R Duffy, C Hollis. Antipsychotic prescribing practice among child psychiatrists and community paediatricians. Psychiatric Bulletin (2009), 33, 08 24000/1^4. doi: 10.1192/pb.bp.108.024000. D. Sell, A. John, A. Harding-Bell, T. Sweeney, F. Hegarty, J. Freeman. Cleft Audit Protocol for Speech (CAPS-A): a comprehensive training package for speech analysis',International Journal of Language & Communication Disorders (2009). 44: 4: 529-548. URL: http://dx.doi.org/10.1080/13682820802196815 J Nicholl, J Turner, T Young, J Freeman, E Chanakira, S Dixon, M Santarelli, T Ohn, S Cross, S Mason. The long term health and healthcare outcomes of accidental (The HALO Study). Final Report. March 2009. DoH Policy Research Programme Debono M, Ghobadi C, Rostami-Hodjegan A, Huatan H, Campbell MJ, NewellPrice J, Darzy K, Merke DP, Arlt W, Ross RJ. (2009)Modified-release hydrocortisone to provide circadian cortisol profiles. The Journal of Clinical Endocrinology & Metabolism. Doi:10.1210/jc-2008-2380. Senn S and Julious SA. Assessing the repeatability of response in clinical trials. Statistics in Medicine 2009 28:3189-3209 Parker SG, Oliver P, Pennington M, Bond J, Jagger C, Julious SA, et al. Rehabilitation of older patients: day hospital compared with rehabilitation at home. A randomised controlled trial. Health Technol Assess 2009; DOI: 10.3310/hta13000 Houghton S, Saxon D, Bradburn M, Ricketts T, Hardy G. The effectiveness of routinely delivered cognitive behavioural therapy for obsessive compulsive disorder: a benchmarking study. British Journal of Clinical Psychology In press. Electronic pre-print at http://bpsoc.publisher.ingentaconnect.com/content/bpsoc/bjcp/pre-prints Maheswaran R, Pearson T, Hoysal N, Campbell MJ (2009) Evaluation of the impact of a health forecast alert service on admissions for chronic obstructive pulmonary disease in Bradford and Airedale Journal of Public Health 2009; doi: 10.1093 /pubmed/fdp068 Nancarrow S, Moran A, Freeman J, Enderby P, Dixon S, Parker S, Bradburn M. Looking inside the black box of community rehabilitation and intermediate care teams in the United Kingdom: an audit of service and staffing configuration. Quality in Primary Care. 2009; 17(5): 323-333. Al-Azemi M., Jones G., Sirkeci F., Walters S., Houdmont M., Ledger W. Immediate and delayed add-back hormonal replacement therapy during ultra long GnRH agonist MSG Annual Report 2009 8 treatment of chronic cyclical pelvic pain. Gynaecology 2009;116(12): 1646-1656. British Journal of Obstetrics and Absolom K., Eiser C., Michel G., Walters S.J., Hancock B.W., Coleman R.E., Snowden J.A., Greenfield, D.M. Follow-up care for cancer survivors: views of the younger adult. British Journal of Cancer 2009; 101(4 ): 561-567. Greenfield D.M., Absolom K., Eiser C., Walters S.J., Michel G., Hancock B.W., Snowden J.A., Coleman R.E. Follow-up care for cancer survivors: the views of clinicians. British Journal of Cancer 2009; 101(4): 568-574. Peters J., Parry G.D., Van Cleemput P., Moore J., Cooper C.L., Walters S.J. Health and use of health services: a comparison between Gypsies and Travellers and other ethnic groups. Ethnicity & Health 2009; 14(4): 359-377. Morrell C.J., Warner R., Slade P., Dixon S., Walters S., Paley G., Brugha T. Psychological Interventions for Postnatal depression: Cluster Randomised Trial and Economic Evaluation (The PoNDER Trial). Health Technology Assessment, 2009; 13(30):1–176. Walters S.J. Consultants’ forum: should post hoc sample size calculations be done? Pharmaceutical Statistics 2009; 8(2): 163-169. Naylor P.B., Cowie H.A., Walters S.J., Talamelli L., and Dawkins J. Impact of a mental health teaching programme on adolescents. British Journal of Psychiatry 2009; 194: 365-370. Farndon L.J., Barnes A., Littlewood K., Harle J., Beecroft C., Burnside J., Wheeler T., Morris S., and Walters S.J. Clinical audit of core podiatry treatment in the NHS. Journal of Foot and Ankle Research 2009, 2:7 doi:10.1186/1757-1146-2-7 Morrell C.J., Slade P, Warner R., Paley G., Dixon S., Walters S.J., Nicholl J.P., Brugha T., Barkham M., Parry G. Nicoll J.P. Clinical effectiveness of health visitor training in psychologically informed approaches for depression in postnatal women: pragmatic cluster randomised trial in primary care. British Medical Journal 2009; 338: 1-12. Read R.C., Teare M.D., Pridmore A.C., Naylor S.C., Timms J.M., Kaczmarski E.B., Borrow R., Wilson A.G. The tumor necrosis factor polymorphism TNF (-308) is associated with susceptibility to meningococcal sepsis, but not with lethality. Critical Care Medicine 2009 37 (4): 1237-1243. Xue XY Teare MD, Holen I, Zhu YM, Woll PJ.(2009) Optimizing the yield and utility of circulating cell-free DNA from plasma and serum. Clinica Chimica Acta 2009, 404: 100-104. MSG Annual Report 2009 9 Books Campbell MJ and Swinscow TDV Statistics at Square One. 11th ed Oxford; BMJ Books Blackwell Publishing 2009 Walters S.J. Quality of life outcomes in clinical trials and health care evaluation: a practical guide to analysis and interpretation. Chichester: Wiley 2009. Julious SA. Sample Sizes for Clinical Trials. Chapman and Hall, 2009 Book Chapters Walters S.J. What is a Cox Model? 2nd edition. Hayward Medical Communications, 2009. Freeman J.V. Confidence Intervals. 2000 word essay for the Encyclopedia of Medical Decision Making; Ed: Michael Kattan. Sage publishing. 2009 Book Reviews Campbell MJ Hayes RJ and Moulton Cluster Randomised Trials Chapman and Hall/CRC press. Biometrics, 65, 1307-8, 2009 Letters Campbell MJ. (2009) Resting heart rate as predictor, what about absolute risks? BMJ, 338: b1197. Journal Articles & Reports J Freeman, T Young. Correlation coefficient: association between two continuous variables. Scope. June 2009 J Thompson, H Cocker, R Coleman, B Colwell, J Freeman, K Holmes, M Reed. CA93- Breast cancer aftercare; Preparing patients for discharge from routine hospital follow-up (PREP). Draft Report. June 2009. Weston Park Hospital Cancer Appeal. Invited Conference Talks and Seminars MJC Sample size calculations: Past, present and future’ University of Southampton Public Health, April MSG Annual Report 2009 10 Workshop on ‘Adaptive designs’ with SA Julious. Randomised Controlled Trials in Public Health and Health Services Research. One day conference hosted by Sheffield CTRU with the Society for Social Medicine April A statistician on a NICE Appraisal Committee: a personal view. University of Southampton, Statistics Dept, Dec. Royal Statistical Society Conference Edinburgh September Patient decision aids: communicating risk to patients to aid decisions Societé Francais de Data and Statistique (SFDS) Organizing Committee Biopharmacy Conference Paris, September JVF J Freeman, J Crossley, F Hamilton, M Segwagwe, C Kok Shun. The application of problem-based learning to statistics education: a case study. International Statistics Institute 57, Durban South Africa, August 2009, J Freeman, J Crossley, F Hamilton, M Segwagwe, C Kok Shun. What statistics do doctors feel they need to know. Annual meeting for teachers of Medical Statistics, Leeds, July 2009 J Freeman. How (not) to Display Data. PSI data display study day, Dec 2009 SAJ Julious SA. Using meta analyses to help design prospective clinical trials. EFSPI Scientific meeting on meta analysis. Basel, 2009 O’Kelly M, Julious S, Pyke S, Day S, Todd S, Seldrup J, Matcham J, Davies J. Making available information from studies sponsored by the pharmaceutical industry: some current practices. PSI Conference, Brighton, 2009 Pyke S, Julious S, Day S, O’Kelly M, Todd S, Davies J, Matcham J. The potential for bias in reporting of industry sponsored clinical trials. PSI Conference, Brighton, 2009 Matcham J, Julious S, Pyke S, O’Kelly M, Todd S, Davies J, Seldrup J and Day S. Proposed best practice for statisticians in the reporting of industry sponsored clinical trials in medical journals. PSI Conference, Brighton, 2009 SJW Statistical methods for Patient Reported Outcome Measure validation and adaptation. Takeda GRD, London, October 2009. MSG Annual Report 2009 11 Therapist effects in randomised controlled trials – What to do about them. Health Services Research Seminar Programme. ScHARR, Sheffield, January 2009. GLJ ‘Quality of life in endometriosis’ Endometriosis UK conference (Sheffield, January 2009) Contributed talks and posters Talks Terry Brugha T., Morrell C.J., Slade P., Walters S., Dixon S., Prevention of postnatal depression: cost-effectiveness of health visitor training; results from a cluster randomised controlled trial in primary care. 9th Workshop on Costs and Assessment in Psychiatry - Quality and Outcomes in Mental Health Policy and Economics, Venice, Italy, March 2009. Posters Greenfield D.M., Ross R.J., Walters S.J., Hancock B.W., Coleman R.E., Snowden J.A., Ledger W.L. Inhibin B and AMH are NOT predictors of serum testosterone in young men after cancer. Society for Endocrinology BES 2009, Harrogate, UK, March 2009. Internal Positions Mike Campbell. University Court, Course Director MSc Statistics with Medical Applications, ScHARR Promotions panel committee Steven Julious Chair of the CTRU, University Senate Stephen Walters Course Director MPH (Health Services Research); University Senate; University of Sheffield’s Staff Promotion Panels (for Grades 1 to 6); University of Sheffield’s Appeals Committee of Senate and Discipline Committee; Senate representative on the University of Sheffield Faculty Promotion Panels, for Grades 8 & 9. Jenny Freeman University Court, Faculty Student Review committee, Maths and Statistics Help centre (MASH) steering committee & Management group. Examinations officer for ScHARR. Course director for MSc in Medical and Health Sciences. M. Dawn Teare. Quality and Progression Officer – ScHARR PGR Committee. HSR representative ScHARR REF Task Group. MSG Annual Report 2009 12 External Positions Mike Campbell is a member of Appraisal Committee C for the National Institute for Health and Clinical Excellence. He continues on the Education Committee of the International Society for Clinical Biostatistics (ISCB). He is a member of the NIHR Programme Grants Committee and the NIHR HSR Commissioning Board. Mike is a member of Data Monitoring and Ethics Committees for the FACS trial (University of Nottingham), SHIFT trial (University of Leeds), the ZiPP trial (University of Edinburgh) and the osteoporosis in men trial (Novartis). Georgina Jones continues to be on the Executive Board for the national charity PCOS UK. She is on the Editorial Board for the journal of Health and Quality of Life Outcomes. She is an expert member of the South Sheffield Ethics Committee. Stephen Walters is a member of and Secretary to Royal Statistical Society Medical Section Committee. He is also a judge for Royal Statistical Society Manchester Student Project Prize and a member of the conference organising committee for RSS 2009. Stephen is a member of the Public Health Interventions Advisory Committee (PHIAC) of the National Institute for Health and Clinical Excellence. He is also a member of the Editorial Board for the journal of Health and Quality of Life Outcomes and a member of the International Advisory Board for the journal of Quality of Life Research. Steven Julious is a member of the Editorial Advisory Board for the journals Pharmaceutical Statistics and Statistical Methods in Medical Research. Steven is guest editor for a special issue of Statistics Methods in Medical Research on drug development. Steven member of Appraisal Committee C for the National Institute for Health and Clinical Excellence. Steven is also on the DMCs of two trials the MUSTARDD trial and the SABRE trial. Jenny Freeman is a member of the Royal Statistical Society Council, the Medical Statistics committee and is chair of the Royal Statistical Society local group. She is a member of the Trial Steering Committee for the VENUS IV trial for the treatment of leg ulcers (University of York) and is a member of the Scientific Review Panel for the Sheffield Health and Social Care Consortium. She is on the editorial board for Nephron: Clinical Practice. Refereeing Both Mike Campbell and Stephen Walters are reviewers for the BMJ, whilst Jenny Freeman is a statistical referee for the BJGP, the Journal of Health and Social Care and the Statistics Education Research Journal. Stephen has acted as a referee for the following: Quality of Life Research; Statistics in Medicine; Pharmaceutical Statistics; Health and Quality of Life Outcomes; International Journal of Surgery; Medical Research Council (MRC) Clinician Scientist Fellowship Scheme and the NHS R & D MSG Annual Report 2009 13 Health Technology Assessment (HTA) Programme; NIHR Programme Grants Scheme. GLJ is a reviewer for the academic journals, Family Practice, British Journal of Obstetrics & Gynaecology, European Journal of Obstetrics & Gynaecology, Journal of Clinical Epidemiology & Public Health, Health & Quality of Life Outcomes, Quality of Life Research, International Journal of Clinical Practice and Social Science & Medicine. Steven Julious is a reviewer for many journals including Pharmaceutical Statistics, Statistics in Medicine and Statistical Methods in Medical Research and is a reviewer for the HTA, MRC and the RfPB programs. Clinical Trials Research Unit The Medical Statistic Group plays a key role in the success of the CTRU enabling it to grow from just one person (Steven Julious) to over 20 today. Mike Bradburn, Munyaradzi Dimairo and Neil Shephard are whole time in the CTRU and Steven Julious is 20%. However the whole group contributes to the CTRU through input to grant applications and in an advisory capacity. MSG Annual Report 2009 14 Research Awards and Grants (new and ongoing) New NIHR PAINTED- Evaluation and development of triage methods used to select patients with suspected pandemic influenza for hospital admission. Goodacre S (PI), Nicholl J, Campbell MJ, Strong M, Challen K, Walter D, Bently A, Wilson R. £181K HTA- REPOSE (Relative Effectiveness of Pumps Over MDI and Structured Education) Trial Heller S, Cooper C, Waugh N, Taylor C, Thompson G, Barnard K, Campbell M, Rogers H, Bradburn M, Dixon S, Smithson W, Thekkapat S, Green F, Clark M, Abraham P, Evans M, Amiel S, Lawton J, Hammond P, Ward C, Brennan A, Duennas A, about £1.5M NIHR Research for Patient Benefit. Evaluating cost effectiveness of computer therapy compared with usual stimulation for people with long standing aphasia: a pilot study. (PI) Palmer, R, Co-applicant Julious S. £250,000, . NIHR-HTA – TABUL The role of ultrasound compared to biopsy of temporal arteries in the diagnosis and treatment of giant cell arteritis. Luqmani R,(PI) Bradburn M, Hutchings A, Wailoo A, Dasgupta B, Salmon J, Wakefield R, McNally R, Hamilton W, McDonald B, Wolfe K. £1.4m NIHR HTA Head Injury Transportation Straight to Neurosurgery (HITS-NS): feasibility study. Fiona Lecky, University of Manchester (PI) J Freeman coapplicant. £748,889 SHIRE Pharmaceutical collaboration Assessing the impact of a child with ADHD on the health and well-being of their families. S Walters, J Brazier, S Dixon, C Cooper. Approx £400K NIHR - Bone Metabolism Unit Trials. Eastell R(PI) , Cooper C, M Bradburn , Chater T. Approx £140K NIHR Research for Patient Benefit (RfPB) - Pilot work for a RCT of a brief psychological intervention for non-epileptic seizures (NEST). M Reuber (PI), S Howlett, G Lawton, A House, S Kemp, RJ Brown, M Bradburn £200K NIHR Research for Patient Benefit (RfPB) PB-PG-0808-17148 The AHEAD Study: Managing anticoagulated patients who suffer head injury. S Mason PI Coapps_D Teare, Goodacre, Holmes, Stevenson, Ramlakhan. £230K over 2 years Ongoing SDO Enhancing the effectiveness of interprofessional working: costs and outcomes.Enderby P (PI), Nancarrow S, Moran A, Smith A, Ellis L, Parker S, Campbell MJ, Akehurst R. £335,135 MSG Annual Report 2009 15 UniPath M Campbell (PI), R Eastell .Unipath. Statistician to analyse data on osteoporosis. £153,361 over 2 years Research for Patient Benefit. Evaluating cost effectiveness of computer therapy compared with usual stimulation for people with long standing aphasia: a pilot study. Palmer R, Julious S, Enderby P, Cooper C, Dixon S, Marshall M and Mortley J. (PBPG-1207-14097), 2008, £250,000 NHS Health Technology Assessment Programme. Infrastructure support for Clinical Trials Research Unit. Cooper C (PI) and Julious S. £600,000 (for 3 years to be reviewed and annually re-awarded depending on performance targets for the Clinical Trials Research Unit), 2008 Yorkshire and Humber Research Design Services (YHRDS) £5,000,000 Steven Walters, Co-applicant, 60 Months 2008-2013, Funding body: NHS National Institute forHealth Research PI R. Akehurst NHS NIHR Research for Patient Benefit (RfPB) programme Stephen Walters Extension of mammographic breast screening to the over 70s: Assessment of efficacy, practicality and patient preferences £228,299 2007-2010 PI: Lynda Wyld NHS NIHR HTA Clinical Trials Stephen Walters co-applicant. A randomised controlled trial and cost-effectiveness evaluation of "booster" interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods £1,200,000 Co-applicant 48 Months 2008-2012 PI: Elizabeth Goyder NHS NIHR Research for Patient Benefit (RfPB) programme Stephen Walters Coapplicant, The long term effectiveness of 40% salicylic acid plasters on corns an RCT £250,000 2008-2011 PI: Wesley Vernon NHS NIHR Research for Patient Benefit Mike Bradburn Co-applicant Randomised controlled trial of a brief psychological intervention for non-epileptic seizures (NEST2) £185,814 26 Months 2009-2011 P I: Marcus Reuber MS Society JV Freeman.co-applicant Computerised cognitive behavioural therapy for treatment of depression in people with MS: pre-clinical trial exploratory study PI Cindy Cooper. Total £213k. NHS HTA SA Julious.co-applicant Randomised Assessment of Treatment using Panel Assay of Cardiac markers (RATPAC) (PI S Goodacre). £716,500 Diabetes UK JV Freeman. Kids In Control OF Food: A multi-centre, cluster randomised controlled trial comparing structured education (the KICk-OFF course) with standard care in 11-16 year olds with Type 1 Diabetes (T1DM) on intensive insulin therapy. (PI: K Price) £1,427,000. National Osteoporosis Society JV Freeman. Genetic and architectural associations in children who do or do not fracture (PI: Prof N Bishop). £126,191. MSG Annual Report 2009 16 NHS HTA 3Mg MJ Campbell Co-applicant A trial of nebulised versus injected magnesium for acute asthma attacks (3Mg) (PI SGoodacre) Total £1,110,333 3 yrs Funding Body NIHR Programme Grant MJ Campbell co-applicant. Improving management of Type 1 diabetes in the UK: the DAFNE programme as a research test-bed (PI S Heller ) Total £1,983,000 over 3 years Funding body HTA Research for Patient Benefit MJ Campbell co-applicant .The development and evaluation of the effectiveness of a patient decision aid (PtDA) to improve decision quality and health outcome in type 2 diabetic patients making treatment choices (PI N Mathers), Total £250,000 over 2 year Funding Body MSG Annual Report 2009 17