Browsing by Author "Skea, Zoe Christina"

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Analysis of patient information leaflets (PILs), used in clinical trials using the Informed Consent Evaluation instrument (ICEi)
(2011-12-13) Gillies, Kate; Skea, Zoe Christina; Huang, W; Cotton, Seonaidh Claire; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Institute of Applied Health Sciences
'Avoiding harm to others' considerations in relation to parental MMR vaccination discussions : an analysis of an online chat forum
(Elsevier, 2008-11) Skea, Zoe Christina; Entwistle, Vikki; Watt, Ian; Russell, Elizabeth; University of Aberdeen, School of Medicine & Dentistry, Division of Applied Health Sciences
Vaccination against contagious diseases is intended to benefit individuals and contribute to the eradication of such diseases from the population as a whole. The Measles, Mumps and Rubella (MMR) vaccine is widely recommended for all children with the aim of protecting against measles, mumps, and rubella. However, within the UK, there has been significant controversy surrounding its safety. This paper presents findings from a UK study of discussions about MMR in an online chat forum for parents. We observed archived discussions (without posting any messages) and conducted a thematic analysis to explore in more detail how participants discussed particular topics. Most participants were female, had young children, lived in the UK. They had reached a range of decisions regarding MMR vaccination. This analysis focuses on discussions about ‘avoiding harm to others,’ which were important considerations for many of the participating parents. In the context of concerns about MMR safety, participants expressed a desire to both (a) protect their own child and (b) help protect others by contributing to herd immunity. Parents made a distinction between healthy and vulnerable children which had important implications for their views about who should bear the burden of vaccination. Some parents were quite critical of those who did not vaccinate healthy children, and urged them to do so on grounds of social responsibility. Our findings suggest that social scientists with an interest in vaccination practice should attend carefully to lay understandings of herd immunity as a public good and views about obligations to others in society. Policy makers, too, might consider giving more emphasis to herd immunity in vaccination promotional material, although attention should be paid to the ways in which parents distinguish between healthy and vulnerable children.
Effectiveness and cost-effectiveness of arthroscopic lavage in the treatment of osteoarthritis of the knee: a mixed methods study of the feasibility of conducting a surgical placebo-controlled trial (the KORAL study)
(2010-01-01) Campbell, Marion Kay; Skea, Zoe Christina; Sutherland, Alasdair George; Cuthbertson, Brian; Entwistle, Vikki Ann; McDonald, Alison Mary; Norrie, John David Taylor; Carlson, R V; Bridgman, S; KORAL study group; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Institute of Applied Health Sciences; University of Aberdeen.Applied Medicine; University of Aberdeen.Aberdeen Centre for Evaluation
Enabling mutual helping? : Examining variable needs for facilitated peer support
(2011-11) Skea, Zoe Christina; MacLennan, Sara; Entwistle, Vikki; N'Dow, James Michael Olu; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Aberdeen Centre for Evaluation; University of Aberdeen.Academic Urology Unit
‘Get away from it all’ or ‘Too good to be true?’ : a qualitative exploration of job advertisements for remote and rural posts
(2025-09-16) Skea, Zoe Christina; Locock, Louise; Tse, Benjamin; Maclaren, Andrew; Angell, Lorraine; Cleland, Jennifer; Dawson, Topher; Denison, Alan; Dobson, Christina; Hollick, Rosemary; Murchie, Peter; Skatun, Diane; Watson, Verity; University of Aberdeen.Aberdeen Centre for Evaluation; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Epidemiology Group; University of Aberdeen.Institute of Applied Health Sciences; University of Aberdeen.Health Economics Research Unit
'I've used the word cancer but it's actually good news' : discursive performativity of cancer and the identity of urological cancer services
(2015-03-01) Kazimierczak, Karolina Agata; Skea, Zoe Christina; University of Aberdeen.Business Management; University of Aberdeen.Aberdeen Centre for Evaluation
Inadequate reporting of research ethics review and informed consent in cluster randomized trials : review of random sample of published trials
(2011) Taljaard, Monica; McRae, Andrew; Weijer, C; Bennett, C; Dixon, S; Taleban, J; Skea, Zoe Christina; Brehaut, J; Eccles, M; Donner, A; Saginur, R; Grimshaw, J; University of Aberdeen.Other Applied Health Sciences
Involvement in treatment decision making : its meaning to people with diabetes and implications for conceptualisation
(Elsevier, 2007-10-23) Entwistle, Vikki; Prior, Maria; Skea, Zoe Christina; Francis, Jillian Joy; University of Aberdeen, School of Medicine & Dentistry, Division of Applied Health Sciences
Patient involvement in decision-making is widely regarded as an important feature of good-quality healthcare. Policy-makers have been particularly concerned to ensure that patients are informed about and enabled to choose between relevant treatment options, but it is not clear how patients understand and value involvement. We investigated the meaning of involvement in treatment decision-making for people with diabetes. We conducted semi-structured interviews with 18 people aged between 20 and 79 who had type 1 or type 2 diabetes selected from 4 multi-practitioner outpatient clinics in the Grampian area of Scotland. We used several strategies to probe their understandings of involvement, including a discussion of how they would respond to a question about involvement in treatment decisions that appears on the National Patient Survey used to monitor the quality of healthcare in England. Participants associated involvement in decision-making with a number of features relating to the ethos and feel of healthcare encounters (welcoming; respectful; facilitative of patients’ contributions; and non-judgemental); communication about health problems (practitioners attending to patients’ views and patients feeling listened to; practitioners giving clear explanations based on their professional knowledge and patients understanding these); and communication about treatments (practitioners explaining treatment rationales in ways that patients understand and enabling patients to feel they have a say). Our findings have implications for practical attempts to involve patients in decisions about their care and for the conceptualisation and assessment of patient involvement. They suggest that practitioners who aspire to facilitate patient involvement should attend to the ethos they foster in consultations and the way they discuss problems as well as to the provision of information about treatment options and the scope patients have to influence decisions. Models and taxonomies of patient involvement in decision-making need to be developed to accommodate both problem-solving phases and the relational and subjective dimensions of involvement.
“It’s trying to manage the work” : A qualitative evaluation of recruitment processes within a UK multi-centre trial
(2017-08) Skea, Zoe Christina; Treweek, Shaun; Gillies, Katie; University of Aberdeen.Aberdeen Centre for Evaluation; University of Aberdeen.Institute of Applied Health Sciences