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Dr Victoria Shepherd
(hi/ei)
- Ar gael fel goruchwyliwr ôl-raddedig
Timau a rolau for Victoria Shepherd
Prif Gymrawd Ymchwil
Trosolwyg
Rwy'n Brif Gymrawd Ymchwil ac yn nyrs gofrestredig yn y Ganolfan Ymchwil Treialon lle rwy'n arwain ymchwil i wella cynhwysiant poblogaethau sydd heb eu gwasanaethu, gyda ffocws penodol ar boblogaethau a lleoliadau lle gall cydsyniad gwybodus fod yn heriol, gan gynnwys defnyddio modelau amgen o gydsynio.
Wedi'i lywio gan fy mhrofiad clinigol blaenorol fel nyrs gofal critigol, rwy'n arwain rhaglen o ymchwil methodolegol sy'n archwilio'r materion moesegol, cyfreithiol ac ymarferol sy'n ymwneud ag ymchwil sy'n ymwneud ag oedolion sydd heb ganiatâd capasiti a datblygu ymyriadau cymhleth i fynd i'r afael â'r rhwystrau i gynhwysiant. Fel rhan o'r rhaglen ymchwil hon, rwyf wedi datblygu gwefan sy'n darparu gwybodaeth ac adnoddau ar allu a chaniatâd i ymchwil: https://www.capacityconsentresearch.com/
Rwyf hefyd yn gweithredu'r gwaith hwn ar yr un pryd mewn ystod o dreialon clinigol trwy arwain ymchwil fethodolegol wedi'i fewnosod i archwilio a mynd i'r afael â'r rhwystrau a geir mewn poblogaethau a chyd-destunau penodol. Mae fy ngwaith yn cyfrannu at ystod o gydweithrediadau cenedlaethol a rhyngwladol, ac mae'n cael ei ddyfynnu'n eang mewn canllawiau i ymchwilwyr ac yn cael ei amlygu gan sefydliadau sydd â diddordeb mewn gwella cynhwysiant grwpiau heb eu gwasanaethu fel cyllidwyr ymchwil a sefydliadau llywodraethu. O fewn CTR, rwy'n cyd-arwain y Grŵp Cynhwysiant mewn Treialon/Astudiaethau. Yn 2025, dyfarnwyd Gwobr Arweinwyr sy'n Dod i'r Amlwg i mi gan Gyfadran Ymchwil Iechyd a Gofal Cymru a Gwobr Datblygu Gyrfa Wellcome 8 mlynedd (ACCORD)
Cyhoeddiad
2026
- Shepherd, V. et al. 2026. Addressing the challenges of including older people with osteoarthritis and multi-morbidity in digitally enabled trials: a mixed methods Study Within a Project (TIPTOE SWAP). Trials (10.1186/s13063-026-09907-w)
- Barry, C. et al., 2026. Proxy decision-making about participation in palliative care research: A scoping review. Palliative Medicine 40 (6), pp.793-809. (10.1177/02692163261431100)
- Roberts, K. et al., 2026. Translation and interpreting services must be considered across the lifecycle of clinical trials [Commentary]. Trials 27 534. (10.1186/s13063-026-09840-y)
- Button, K. et al. 2026. Addressing the challenges of including older people with OA and multi-morbidity in digitally enabled trials: lessons from the tiptoe trial [Abstract]. Osteoarthritis and Cartilage 34 (S), pp.S402. (10.1016/j.joca.2026.01.588)
- Alexander-Sefre, A. et al., 2026. Health experiences and inequalities across intersecting social identities in health research: a scoping review. Journal of Clinical Epidemiology 191 112112. (10.1016/j.jclinepi.2025.112112)
- Doughty, H. et al., 2026. Enhancing communication with bereaved relatives about emergency and critical care trials (ENHANCE): a mixed-methods study.. BMJ Open 16 (2) e106677. (10.1136/bmjopen-2025-106677)
- Wallis, L. et al., 2026. The QuinteT recruitment intervention and its role in oncology randomised controlled trials [Editorial]. Clinical Oncology 49 103976. (10.1016/j.clon.2025.103976)
- Shepherd, V. et al. 2026. Redesigning trials to be inclusive of people with a learning disability—a practical example. Trials 27 120. (10.1186/s13063-026-09446-4)
2025
- Jacob, N. et al. 2025. What is known about the design, delivery and implementation of mental capacity training in care homes?: a scoping review. BMC Geriatrics 25 (1) 860. (10.1186/s12877-025-06476-6)
- Shepherd, V. et al. 2025. Addressing the knowledge gap: development of stakeholder-informed training to improve the inclusion of adults with impaired capacity to consent in trials. Trials 26 (1) 429. (10.1186/s13063-025-09182-1)
- Shepherd, V. , Anderson, A. and Russell, A. M. 2025. How to conduct research involving people who may not have capacity to consent for themselves. [Online].Times Higher Education. Available at: http://www.timeshighereducation.com/campus/how-conduct-research-involving-people-who-may-not-have-capacity-consent-themselves.
- Shamy, M. et al., 2025. Permissibility & necessity in the ethical justification of RCTs: The four quadrants framework and the case of endovascular thrombectomy trials for acute ischemic stroke. Journal of Clinical Epidemiology 184 111831. (10.1016/j.jclinepi.2025.111831)
- Shepherd, V. et al. 2025. Feasibility of a Study Within a Trial to evaluate a decision support intervention for families deciding about research on behalf of adults lacking capacity to consent (CONSULT SWAT). Trials 26 (1) 313. (10.1186/s13063-025-09021-3)
- Shepherd, V. 2025. Research must be (re)designed to include older people if it is to meet tomorrow's health and care needs [Rapid Response Letter to Editor]. [Online].The BMJ Website: BMJ Publishing Group. Available at: https://www.bmj.com/content/390/bmj.r1719/rr.
- Udoh, U. et al., 2025. Advance consent for participation in Acute Stroke Trials (ACTION): protocol for a feasibility study. Stroke and Vascular Neurology 003029. (10.1136/svn-2023-003029)
- Anderson, A. M. et al., 2025. A global call to action for disability inclusion in health research. Nature Medicine 31 , pp.1399-1403. (10.1038/s41591-025-03587-w)
- Udoh, U. et al., 2025. Advance consent for participation in acute stroke trials: a focus group study with people with lived experience of stroke. Canadian Journal of Neurological Sciences 52 (3), pp.526-527. (10.1017/cjn.2024.302)
- Stokes, L. et al., 2025. Barriers and facilitators to implementation of mental capacity legislation in care homes for older adults in the United Kingdom: a mixed-methods systematic review. Age and Ageing 54 (5) afaf119. (10.1093/ageing/afaf119)
- Seeger, R. et al., 2025. Developing a model of advance consent for participation in acute stroke trials. Journal of Stroke 27 (1), pp.133-135. (10.5853/jos.2024.02544)
2024
- Nocivelli, B. et al. 2024. “Research happens a lot in other settings—so why not here?” A qualitative interview study of stakeholders’ views about advance planning for care home residents’ research participation. Age and Ageing 53 (10) afae235. (10.1093/ageing/afae235)
- Biggs, K. et al., 2024. Time to STEP UP: methods and findings from the development of guidance to help researchers design inclusive clinical trials. BMC Medical Research Methodology 24 (1) 227. (10.1186/s12874-024-02342-y)
- Deere, R. et al. 2024. Multi-domain self-management in older people with osteoarthritis and multimorbidities: protocol for the TIPTOE randomised controlled trial. Trials 25 557. (10.1186/s13063-024-08380-7)
- Shepherd, V. , Hood, K. and Wood, F. 2024. ‘It’s not making a decision, it’s prompting the discussions’: a qualitative study exploring stakeholders’ views on the acceptability and feasibility of advance research planning (CONSULT-ADVANCE). BMC Medical Ethics 25 (1) 80. (10.1186/s12910-024-01081-5)
- Nocivelli, B. et al. 2024. Widening research participation: a survey exploring stakeholders' views about opportunities for older adults living in UK care homes to participate in research. Nursing and Residential Care 26 (7), pp.1-9. (10.12968/nrec.2023.0039)
- Griffiths, S. , Shepherd, V. and Volkmer, A. 2024. Determining capacity of people with dementia to take part in research: an electronic survey study of researcher confidence, competence and training needs. BMC Medical Ethics 25 (1) 65. (10.1186/s12910-024-01056-6)
- Seeger, R. et al., 2024. Advance consent in acute stroke trials: survey of Canadian Research Ethics Board chairs. Canadian Journal of Neurological Sciences 51 (2), pp.285-288. (10.1017/cjn.2023.247)
- Biggs, K. et al., 2024. Effective interventions to increase representation of under-served groups in randomised trials in UK and Ireland: a scoping literature review [version 1; peer review: awaiting peer review]. NIHR Open Research 4 12. (10.3310/nihropenres.13524.1)
- Shepherd, V. et al. 2024. Improving the inclusion of an under-served group in trials: development and implementation of the INCLUDE Impaired Capacity to Consent Framework. Trials 25 (1) 83. (10.1186/s13063-024-07944-x)
2023
- Gillespie, D. et al. 2023. Gut microbiology of UK care home residents: cross-sectional analysis from a randomised controlled trial. Clinical Microbiology and Infection 29 (11), pp.1437-1442. (10.1016/j.cmi.2023.08.001)
- Shepherd, V. , Hood, K. and Wood, F. 2023. Planning ahead for research participation: survey of public and professional stakeholders' view about the acceptability and feasibility of advance research planning. BMC Medical Ethics 24 70. (10.1186/s12910-023-00948-3)
- Nocivelli, B. et al. 2023. Identifying barriers and facilitators to the inclusion of older adults living in UK care homes in research: a scoping review. BMC Geriatrics 23 (1) 446. (10.1186/s12877-023-04126-3)
- Goodwin, V. A. et al., 2023. Including older people in health and social care research: best practice recommendations based on the INCLUDE framework. Age and Ageing 52 (6) afad082. (10.1093/ageing/afad082)
- Burgher, T. , Shepherd, V. and Nollett, C. 2023. Effective approaches to public involvement in care home research: a systematic review and narrative synthesis. Research Involvement and Engagement 9 (38)(10.1186/s40900-023-00453-2)
- Russell, A. M. et al., 2023. Complex and alternate consent pathways in clinical trials: methodological and ethical challenges encountered by underserved groups and a call to action. Trials 24 (1) 151. (10.1186/s13063-023-07159-6)
- Udoh, U. et al., 2023. Advance consent in acute stroke trials: survey of canadian stroke physicians. Canadian Journal of Neurological Sciences (10.1017/cjn.2023.12)
- Nocivelli, B. et al. 2023. Identifying barriers and facilitators to the inclusion of older adults living in UK care homes in research: a scoping review. BMC Geriatrics
2022
- Shepherd, V. et al. 2022. Feasibility, effectiveness and costs of a decision support intervention for consultees and legal representatives of adults lacking capacity to consent (CONSULT): protocol for a randomised study within a trial. Trials 23 (1) 957. (10.1186/s13063-022-06887-5)
- Shepherd, V. et al. 2022. Development of a measure to assess the quality of proxy decisions about research participation on behalf of adults lacking capacity to consent: the Combined Scale for Proxy Informed Consent Decisions (CONCORD scale). Trials 23 843. (10.1186/s13063-022-06787-8)
- Shepherd, V. et al. 2022. Recruitment interventions for trials involving adults lacking capacity to consent: methodological and ethical considerations for designing Studies Within a Trial (SWATs). Trials 23 756. (10.1186/s13063-022-06705-y)
- Shepherd, V. et al. 2022. Development of a core outcome set for the evaluation of interventions to prevent COVID-19 in care homes (COS-COVID-PCARE Study). BMC Geriatrics 22 710. (10.1186/s12877-022-03395-8)
- Dawson, S. et al., 2022. Trial Forge Guidance 3: randomised trials and how to recruit and retain individuals from ethnic minority groups- practical guidance to support better practice. Trials 23 672.
- Shepherd, V. 2022. (Re)conceptualising 'good' proxy decision-making for research: the implications for proxy consent decision quality. BMC Medical Ethics 23 75. (10.1186/s12910-022-00809-5)
- Shepherd, V. , Hood, K. and Wood, F. 2022. Unpacking the 'black box of horrendousness': a qualitative exploration of the barriers and facilitators to conducting trials involving adults lacking capacity to consent. Trials 23 471. (10.1186/s13063-022-06422-6)
- Fitzpatrick, A. , Wood, F. and Shepherd, V. 2022. Trials using deferred consent in the emergency setting: a systematic review and narrative synthesis of stakeholders' attitudes. Trials 23 411. (10.1186/s13063-022-06304-x)
2021
- Shepherd, V. et al. 2021. Development of a core outcome set for the evaluation of interventions to enhance trial participation decisions on behalf of adults who lack capacity to consent: a mixed methods study (COnSiDER Study). Trials 22 935. (10.1186/s13063-021-05883-5)
- Andreae, M. H. et al., 2021. Decisions on innovation or research for devastating disease. American Journal of Bioethics 21 (12), pp.28-31. (10.1080/15265161.2021.1991042)
- Raven-Gregg, T. and Shepherd, V. 2021. Exploring the inclusion of under-served groups in trials methodology research: an example from ethnic minority populations' views on deferred consent. Trials 22 589. (10.1186/s13063-021-05568-z)
- Raven-Gregg, T. , Wood, F. and Shepherd, V. 2021. Effectiveness of participant recruitment strategies for critical care trials: a systematic review and narrative synthesis. Clinical Trials 18 (4), pp.436-448. (10.1177/1740774520988678)
- Shepherd, V. 2021. Consent support tool: Including people with communication disorders in health research studies [Book Review]. Dementia 20 (5), pp.1855-1856. (10.1177/1471301220985401)
- Butler, C. C. et al., 2021. Probiotics to reduce antibiotic administration in care home residents aged 65 years and older: the PRINCESS RCT. Efficacy and Mechanism Evaluation 8 (7)(10.3310/eme08070)
- Shepherd, V. 2021. How nurses can support the inclusion in research of older people who lack capacity to consent. Nursing Older People 33 (2), pp.26-31. (10.7748/nop.2020.e1267)
- Wachhloz, P. A. et al., 2021. Mapping research conducted on long-term care facilities for older people in Brazil: a scoping review. International Journal of Environmental Research and Public Health 18 (4) 1522. (10.3390/ijerph18041522)
- Jones, A. et al. 2021. Conducting focus groups in neurodegenerative disease populations: ethical and methodological considerations. BMJ Open 11 (1) e041869. (10.1136/bmjopen-2020-041869)
- Shepherd, V. et al. 2021. Development of a decision support intervention for family members of adults who lack capacity to consent to trials. BMC Medical Informatics and Decision Making 21 30. (10.1186/s12911-021-01390-4)
- Shepherd, V. et al. 2021. 'There's more to life than money and health': family caregivers' views on the role of Power of Attorney in proxy decisions about research participation for people living with dementia. Dementia 20 (1), pp.308-325. (10.1177/1471301219884426)
2020
- Shepherd, V. et al. 2020. Constructing authentic decisions: proxy decision making for research involving adults who lack capacity to consent. Journal of Medical Ethics 47 (12) e42. (10.1136/medethics-2019-106042)
- Jacinto, A. F. et al., 2020. Using international collaborations to shape research and innovation into care homes in Brazil: a white paper. Journal of Nursing Home Research Sciences 6 , pp.109-113. (10.14283/jnhrs.2020.28)
- Shepherd, V. 2020. Advances and challenges in conducting ethical trials involving populations lacking capacity to consent: a decade in review. Contemporary Clinical Trials 95 106054. (10.1016/j.cct.2020.106054)
- Kirby, N. et al. 2020. Nocebo effects and participant information leaflets: evaluating information provided on adverse effects in UK clinical trials. Trials 21 (1) 658. (10.1186/s13063-020-04591-w)
- Butler, C. C. et al., 2020. Effect of probiotic use on antibiotic administration among care home residents: a randomized clinical trial. Journal of the American Medical Association 324 (1), pp.47 - 56. (10.1001/jama.2020.8556)
- Shepherd, V. 2020. Decision-making during pandemics and other serious illness. Geriatrics, Gerontology and Aging 14 (2), pp.79-80. (10.5327/Z2447-21232020142EDT1)
- Shepherd, V. 2020. An under-represented and underserved population in trials: methodological, structural, and systemic barriers to the inclusion of adults lacking capacity to consent. Trials 21 (1) 445. (10.1186/s13063-020-04406-y)
- Shepherd, V. and Davies, J. 2020. Conducting a randomized controlled trial in care homes: the challenges of recruiting residents who lack capacity to consent. In: SAGE Research Methods Cases: Medicine and Health. SAGE(10.4135/9781529726626)
2019
- Shepherd, V. et al. 2019. 'It's a tough decision': A qualitative study of proxy decision-making for research involving adults who lack capacity to consent in England and Wales. Age and Ageing 48 (6), pp.903-909. (10.1093/ageing/afz115)
- Wachholz, P. et al., 2019. Research on long-term care homes for older people in Brazil: protocol for a scoping review. East Midlands Research into Ageing Network 32 , pp.1-16.
- Owen-Jones, E. et al. 2019. Protocol for a double-blind placebo-controlled trial to evaluate the efficacy of probiotics in reducing antibiotics for infection in care home residents: the Probiotics to Reduce Infections iN CarE home reSidentS (PRINCESS) trial. BMJ Open 9 (6) e027513. (10.1136/bmjopen-2018-027513)
- Shepherd, V. et al. 2019. Research involving adults lacking capacity to consent: a content analysis of participant information sheets for consultees and legal representatives in England and Wales. Trials 20 233. (10.1186/s13063-019-3340-5)
- Edvardsson, D. et al., 2019. Advancing long-term care science through using common data elements: candidate measures for care outcomes of personhood, well-being, and quality of life. Gerontology and Geriatric Medicine 5 , pp.1-15. (10.1177/2333721419842672)
- Shepherd, V. 2019. Deciding about research for others: normative, empirical, and legal accounts of proxy decision-making for research and the development of a decision support intervention. PhD Thesis , Cardiff University.
- Shepherd, V. et al. 2019. Protection by exclusion? The (lack of) inclusion of adults who lack capacity to consent to research in clinical trials in the UK. Trials 20 474. (10.1186/s13063-019-3603-1)
2018
- Shepherd, V. et al. 2018. Ethical understandings of proxy decision making for research involving adults lacking capacity: a systematic review (framework synthesis) of empirical research. American Journal of Bioethics 9 (4), pp.267-286. (10.1080/23294515.2018.1513097)
- Francis, N. A. et al. 2018. Oral steroids for hearing loss associated with otitis media with effusion in children aged 2 8 years: the OSTRICH RCT. Health Technology Assessment 22 (61)(10.3310/hta22610)
- Jordan, A. et al. 2018. What adolescents living with long-term conditions say about being involved in decision-making about their healthcare: A systematic review and narrative synthesis of preferences and experiences. Patient Education and Counseling 101 (10), pp.1725-1735. (10.1016/j.pec.2018.06.006)
- Shepherd, V. et al. 2018. Healthcare professionals' understanding of the legislation governing research involving adults lacking mental capacity in England and Wales: a national survey. Journal of Medical Ethics 44 (9), pp.632-637. (10.1136/medethics-2017-104722)
- Francis, N. A. et al. 2018. Oral steroids for resolution of otitis media with effusion in children (OSTRICH): a double-blinded, placebo-controlled randomised trial. Lancet 392 (10147), pp.557-568. (10.1016/S0140-6736(18)31490-9)
2017
- Shepherd, V. et al. 2017. Impact of a deferred recruitment model in a randomised controlled trial in primary care (CREAM study). Trials 18 (1) 533. (10.1186/s13063-017-2284-x)
- Francis, N. A. et al. 2017. Oral and topical antibiotics for clinically infected eczema in children: a pragmatic randomized controlled trial in ambulatory care. Annals of Family Medicine 15 (2), pp.124-130. (10.1370/afm.2038)
- Shepherd, V. , Wood, F. and Hood, K. 2017. Establishing a set of research priorities in care homes for older people in the UK: a modified Delphi consensus study with care home staff. Age and Ageing 46 (2), pp.284-290. (10.1093/ageing/afw204)
2016
- Gkiousias, V. et al., 2016. Parental perceptions and understanding of information provision, management options and factors influencing the decision-making process in the treatment of children with glue ear. International Journal of Pediatric Otorhinolaryngology 89 , pp.6-12. (10.1016/j.ijporl.2016.07.021)
- Shepherd, V. 2016. Research involving adults lacking capacity to consent: the impact of research regulation on 'evidence biased' medicine. BMC Medical Ethics 17 (1) 55. (10.1186/s12910-016-0138-9)
- Francis, N. A. et al. 2016. A randomised placebo-controlled trial of oral and topical antibiotics for children with clinically infected eczema in the community: the ChildRen with Eczema, Antibiotic Management (CREAM) study. Health Technology Assessment 20 (19), pp.1-84. (10.3310/hta20190)
- Waldron, C. et al. 2016. Oral Steroids for the Resolution of Otitis Media with Effusion (OME) in Children (OSTRICH): study protocol for a randomised controlled trial. Trials 17 115. (10.1186/s13063-016-1236-1)
2015
- Shepherd, V. et al. 2015. Setting up a clinical trial in care homes: challenges encountered and recommendations for future research practice. BMC Research Notes 8 306. (10.1186/s13104-015-1276-8)
2014
Adrannau llyfrau
- Shepherd, V. and Davies, J. 2020. Conducting a randomized controlled trial in care homes: the challenges of recruiting residents who lack capacity to consent. In: SAGE Research Methods Cases: Medicine and Health. SAGE(10.4135/9781529726626)
Erthyglau
- Shepherd, V. et al. 2026. Addressing the challenges of including older people with osteoarthritis and multi-morbidity in digitally enabled trials: a mixed methods Study Within a Project (TIPTOE SWAP). Trials (10.1186/s13063-026-09907-w)
- Barry, C. et al., 2026. Proxy decision-making about participation in palliative care research: A scoping review. Palliative Medicine 40 (6), pp.793-809. (10.1177/02692163261431100)
- Roberts, K. et al., 2026. Translation and interpreting services must be considered across the lifecycle of clinical trials [Commentary]. Trials 27 534. (10.1186/s13063-026-09840-y)
- Button, K. et al. 2026. Addressing the challenges of including older people with OA and multi-morbidity in digitally enabled trials: lessons from the tiptoe trial [Abstract]. Osteoarthritis and Cartilage 34 (S), pp.S402. (10.1016/j.joca.2026.01.588)
- Alexander-Sefre, A. et al., 2026. Health experiences and inequalities across intersecting social identities in health research: a scoping review. Journal of Clinical Epidemiology 191 112112. (10.1016/j.jclinepi.2025.112112)
- Doughty, H. et al., 2026. Enhancing communication with bereaved relatives about emergency and critical care trials (ENHANCE): a mixed-methods study.. BMJ Open 16 (2) e106677. (10.1136/bmjopen-2025-106677)
- Wallis, L. et al., 2026. The QuinteT recruitment intervention and its role in oncology randomised controlled trials [Editorial]. Clinical Oncology 49 103976. (10.1016/j.clon.2025.103976)
- Shepherd, V. et al. 2026. Redesigning trials to be inclusive of people with a learning disability—a practical example. Trials 27 120. (10.1186/s13063-026-09446-4)
- Jacob, N. et al. 2025. What is known about the design, delivery and implementation of mental capacity training in care homes?: a scoping review. BMC Geriatrics 25 (1) 860. (10.1186/s12877-025-06476-6)
- Shepherd, V. et al. 2025. Addressing the knowledge gap: development of stakeholder-informed training to improve the inclusion of adults with impaired capacity to consent in trials. Trials 26 (1) 429. (10.1186/s13063-025-09182-1)
- Shamy, M. et al., 2025. Permissibility & necessity in the ethical justification of RCTs: The four quadrants framework and the case of endovascular thrombectomy trials for acute ischemic stroke. Journal of Clinical Epidemiology 184 111831. (10.1016/j.jclinepi.2025.111831)
- Shepherd, V. et al. 2025. Feasibility of a Study Within a Trial to evaluate a decision support intervention for families deciding about research on behalf of adults lacking capacity to consent (CONSULT SWAT). Trials 26 (1) 313. (10.1186/s13063-025-09021-3)
- Udoh, U. et al., 2025. Advance consent for participation in Acute Stroke Trials (ACTION): protocol for a feasibility study. Stroke and Vascular Neurology 003029. (10.1136/svn-2023-003029)
- Anderson, A. M. et al., 2025. A global call to action for disability inclusion in health research. Nature Medicine 31 , pp.1399-1403. (10.1038/s41591-025-03587-w)
- Udoh, U. et al., 2025. Advance consent for participation in acute stroke trials: a focus group study with people with lived experience of stroke. Canadian Journal of Neurological Sciences 52 (3), pp.526-527. (10.1017/cjn.2024.302)
- Stokes, L. et al., 2025. Barriers and facilitators to implementation of mental capacity legislation in care homes for older adults in the United Kingdom: a mixed-methods systematic review. Age and Ageing 54 (5) afaf119. (10.1093/ageing/afaf119)
- Seeger, R. et al., 2025. Developing a model of advance consent for participation in acute stroke trials. Journal of Stroke 27 (1), pp.133-135. (10.5853/jos.2024.02544)
- Nocivelli, B. et al. 2024. “Research happens a lot in other settings—so why not here?” A qualitative interview study of stakeholders’ views about advance planning for care home residents’ research participation. Age and Ageing 53 (10) afae235. (10.1093/ageing/afae235)
- Biggs, K. et al., 2024. Time to STEP UP: methods and findings from the development of guidance to help researchers design inclusive clinical trials. BMC Medical Research Methodology 24 (1) 227. (10.1186/s12874-024-02342-y)
- Deere, R. et al. 2024. Multi-domain self-management in older people with osteoarthritis and multimorbidities: protocol for the TIPTOE randomised controlled trial. Trials 25 557. (10.1186/s13063-024-08380-7)
- Shepherd, V. , Hood, K. and Wood, F. 2024. ‘It’s not making a decision, it’s prompting the discussions’: a qualitative study exploring stakeholders’ views on the acceptability and feasibility of advance research planning (CONSULT-ADVANCE). BMC Medical Ethics 25 (1) 80. (10.1186/s12910-024-01081-5)
- Nocivelli, B. et al. 2024. Widening research participation: a survey exploring stakeholders' views about opportunities for older adults living in UK care homes to participate in research. Nursing and Residential Care 26 (7), pp.1-9. (10.12968/nrec.2023.0039)
- Griffiths, S. , Shepherd, V. and Volkmer, A. 2024. Determining capacity of people with dementia to take part in research: an electronic survey study of researcher confidence, competence and training needs. BMC Medical Ethics 25 (1) 65. (10.1186/s12910-024-01056-6)
- Seeger, R. et al., 2024. Advance consent in acute stroke trials: survey of Canadian Research Ethics Board chairs. Canadian Journal of Neurological Sciences 51 (2), pp.285-288. (10.1017/cjn.2023.247)
- Biggs, K. et al., 2024. Effective interventions to increase representation of under-served groups in randomised trials in UK and Ireland: a scoping literature review [version 1; peer review: awaiting peer review]. NIHR Open Research 4 12. (10.3310/nihropenres.13524.1)
- Shepherd, V. et al. 2024. Improving the inclusion of an under-served group in trials: development and implementation of the INCLUDE Impaired Capacity to Consent Framework. Trials 25 (1) 83. (10.1186/s13063-024-07944-x)
- Gillespie, D. et al. 2023. Gut microbiology of UK care home residents: cross-sectional analysis from a randomised controlled trial. Clinical Microbiology and Infection 29 (11), pp.1437-1442. (10.1016/j.cmi.2023.08.001)
- Shepherd, V. , Hood, K. and Wood, F. 2023. Planning ahead for research participation: survey of public and professional stakeholders' view about the acceptability and feasibility of advance research planning. BMC Medical Ethics 24 70. (10.1186/s12910-023-00948-3)
- Nocivelli, B. et al. 2023. Identifying barriers and facilitators to the inclusion of older adults living in UK care homes in research: a scoping review. BMC Geriatrics 23 (1) 446. (10.1186/s12877-023-04126-3)
- Goodwin, V. A. et al., 2023. Including older people in health and social care research: best practice recommendations based on the INCLUDE framework. Age and Ageing 52 (6) afad082. (10.1093/ageing/afad082)
- Burgher, T. , Shepherd, V. and Nollett, C. 2023. Effective approaches to public involvement in care home research: a systematic review and narrative synthesis. Research Involvement and Engagement 9 (38)(10.1186/s40900-023-00453-2)
- Russell, A. M. et al., 2023. Complex and alternate consent pathways in clinical trials: methodological and ethical challenges encountered by underserved groups and a call to action. Trials 24 (1) 151. (10.1186/s13063-023-07159-6)
- Udoh, U. et al., 2023. Advance consent in acute stroke trials: survey of canadian stroke physicians. Canadian Journal of Neurological Sciences (10.1017/cjn.2023.12)
- Nocivelli, B. et al. 2023. Identifying barriers and facilitators to the inclusion of older adults living in UK care homes in research: a scoping review. BMC Geriatrics
- Shepherd, V. et al. 2022. Feasibility, effectiveness and costs of a decision support intervention for consultees and legal representatives of adults lacking capacity to consent (CONSULT): protocol for a randomised study within a trial. Trials 23 (1) 957. (10.1186/s13063-022-06887-5)
- Shepherd, V. et al. 2022. Development of a measure to assess the quality of proxy decisions about research participation on behalf of adults lacking capacity to consent: the Combined Scale for Proxy Informed Consent Decisions (CONCORD scale). Trials 23 843. (10.1186/s13063-022-06787-8)
- Shepherd, V. et al. 2022. Recruitment interventions for trials involving adults lacking capacity to consent: methodological and ethical considerations for designing Studies Within a Trial (SWATs). Trials 23 756. (10.1186/s13063-022-06705-y)
- Shepherd, V. et al. 2022. Development of a core outcome set for the evaluation of interventions to prevent COVID-19 in care homes (COS-COVID-PCARE Study). BMC Geriatrics 22 710. (10.1186/s12877-022-03395-8)
- Dawson, S. et al., 2022. Trial Forge Guidance 3: randomised trials and how to recruit and retain individuals from ethnic minority groups- practical guidance to support better practice. Trials 23 672.
- Shepherd, V. 2022. (Re)conceptualising 'good' proxy decision-making for research: the implications for proxy consent decision quality. BMC Medical Ethics 23 75. (10.1186/s12910-022-00809-5)
- Shepherd, V. , Hood, K. and Wood, F. 2022. Unpacking the 'black box of horrendousness': a qualitative exploration of the barriers and facilitators to conducting trials involving adults lacking capacity to consent. Trials 23 471. (10.1186/s13063-022-06422-6)
- Fitzpatrick, A. , Wood, F. and Shepherd, V. 2022. Trials using deferred consent in the emergency setting: a systematic review and narrative synthesis of stakeholders' attitudes. Trials 23 411. (10.1186/s13063-022-06304-x)
- Shepherd, V. et al. 2021. Development of a core outcome set for the evaluation of interventions to enhance trial participation decisions on behalf of adults who lack capacity to consent: a mixed methods study (COnSiDER Study). Trials 22 935. (10.1186/s13063-021-05883-5)
- Andreae, M. H. et al., 2021. Decisions on innovation or research for devastating disease. American Journal of Bioethics 21 (12), pp.28-31. (10.1080/15265161.2021.1991042)
- Raven-Gregg, T. and Shepherd, V. 2021. Exploring the inclusion of under-served groups in trials methodology research: an example from ethnic minority populations' views on deferred consent. Trials 22 589. (10.1186/s13063-021-05568-z)
- Raven-Gregg, T. , Wood, F. and Shepherd, V. 2021. Effectiveness of participant recruitment strategies for critical care trials: a systematic review and narrative synthesis. Clinical Trials 18 (4), pp.436-448. (10.1177/1740774520988678)
- Shepherd, V. 2021. Consent support tool: Including people with communication disorders in health research studies [Book Review]. Dementia 20 (5), pp.1855-1856. (10.1177/1471301220985401)
- Butler, C. C. et al., 2021. Probiotics to reduce antibiotic administration in care home residents aged 65 years and older: the PRINCESS RCT. Efficacy and Mechanism Evaluation 8 (7)(10.3310/eme08070)
- Shepherd, V. 2021. How nurses can support the inclusion in research of older people who lack capacity to consent. Nursing Older People 33 (2), pp.26-31. (10.7748/nop.2020.e1267)
- Wachhloz, P. A. et al., 2021. Mapping research conducted on long-term care facilities for older people in Brazil: a scoping review. International Journal of Environmental Research and Public Health 18 (4) 1522. (10.3390/ijerph18041522)
- Jones, A. et al. 2021. Conducting focus groups in neurodegenerative disease populations: ethical and methodological considerations. BMJ Open 11 (1) e041869. (10.1136/bmjopen-2020-041869)
- Shepherd, V. et al. 2021. Development of a decision support intervention for family members of adults who lack capacity to consent to trials. BMC Medical Informatics and Decision Making 21 30. (10.1186/s12911-021-01390-4)
- Shepherd, V. et al. 2021. 'There's more to life than money and health': family caregivers' views on the role of Power of Attorney in proxy decisions about research participation for people living with dementia. Dementia 20 (1), pp.308-325. (10.1177/1471301219884426)
- Shepherd, V. et al. 2020. Constructing authentic decisions: proxy decision making for research involving adults who lack capacity to consent. Journal of Medical Ethics 47 (12) e42. (10.1136/medethics-2019-106042)
- Jacinto, A. F. et al., 2020. Using international collaborations to shape research and innovation into care homes in Brazil: a white paper. Journal of Nursing Home Research Sciences 6 , pp.109-113. (10.14283/jnhrs.2020.28)
- Shepherd, V. 2020. Advances and challenges in conducting ethical trials involving populations lacking capacity to consent: a decade in review. Contemporary Clinical Trials 95 106054. (10.1016/j.cct.2020.106054)
- Kirby, N. et al. 2020. Nocebo effects and participant information leaflets: evaluating information provided on adverse effects in UK clinical trials. Trials 21 (1) 658. (10.1186/s13063-020-04591-w)
- Butler, C. C. et al., 2020. Effect of probiotic use on antibiotic administration among care home residents: a randomized clinical trial. Journal of the American Medical Association 324 (1), pp.47 - 56. (10.1001/jama.2020.8556)
- Shepherd, V. 2020. Decision-making during pandemics and other serious illness. Geriatrics, Gerontology and Aging 14 (2), pp.79-80. (10.5327/Z2447-21232020142EDT1)
- Shepherd, V. 2020. An under-represented and underserved population in trials: methodological, structural, and systemic barriers to the inclusion of adults lacking capacity to consent. Trials 21 (1) 445. (10.1186/s13063-020-04406-y)
- Shepherd, V. et al. 2019. 'It's a tough decision': A qualitative study of proxy decision-making for research involving adults who lack capacity to consent in England and Wales. Age and Ageing 48 (6), pp.903-909. (10.1093/ageing/afz115)
- Wachholz, P. et al., 2019. Research on long-term care homes for older people in Brazil: protocol for a scoping review. East Midlands Research into Ageing Network 32 , pp.1-16.
- Owen-Jones, E. et al. 2019. Protocol for a double-blind placebo-controlled trial to evaluate the efficacy of probiotics in reducing antibiotics for infection in care home residents: the Probiotics to Reduce Infections iN CarE home reSidentS (PRINCESS) trial. BMJ Open 9 (6) e027513. (10.1136/bmjopen-2018-027513)
- Shepherd, V. et al. 2019. Research involving adults lacking capacity to consent: a content analysis of participant information sheets for consultees and legal representatives in England and Wales. Trials 20 233. (10.1186/s13063-019-3340-5)
- Edvardsson, D. et al., 2019. Advancing long-term care science through using common data elements: candidate measures for care outcomes of personhood, well-being, and quality of life. Gerontology and Geriatric Medicine 5 , pp.1-15. (10.1177/2333721419842672)
- Shepherd, V. et al. 2019. Protection by exclusion? The (lack of) inclusion of adults who lack capacity to consent to research in clinical trials in the UK. Trials 20 474. (10.1186/s13063-019-3603-1)
- Shepherd, V. et al. 2018. Ethical understandings of proxy decision making for research involving adults lacking capacity: a systematic review (framework synthesis) of empirical research. American Journal of Bioethics 9 (4), pp.267-286. (10.1080/23294515.2018.1513097)
- Francis, N. A. et al. 2018. Oral steroids for hearing loss associated with otitis media with effusion in children aged 2 8 years: the OSTRICH RCT. Health Technology Assessment 22 (61)(10.3310/hta22610)
- Jordan, A. et al. 2018. What adolescents living with long-term conditions say about being involved in decision-making about their healthcare: A systematic review and narrative synthesis of preferences and experiences. Patient Education and Counseling 101 (10), pp.1725-1735. (10.1016/j.pec.2018.06.006)
- Shepherd, V. et al. 2018. Healthcare professionals' understanding of the legislation governing research involving adults lacking mental capacity in England and Wales: a national survey. Journal of Medical Ethics 44 (9), pp.632-637. (10.1136/medethics-2017-104722)
- Francis, N. A. et al. 2018. Oral steroids for resolution of otitis media with effusion in children (OSTRICH): a double-blinded, placebo-controlled randomised trial. Lancet 392 (10147), pp.557-568. (10.1016/S0140-6736(18)31490-9)
- Shepherd, V. et al. 2017. Impact of a deferred recruitment model in a randomised controlled trial in primary care (CREAM study). Trials 18 (1) 533. (10.1186/s13063-017-2284-x)
- Francis, N. A. et al. 2017. Oral and topical antibiotics for clinically infected eczema in children: a pragmatic randomized controlled trial in ambulatory care. Annals of Family Medicine 15 (2), pp.124-130. (10.1370/afm.2038)
- Shepherd, V. , Wood, F. and Hood, K. 2017. Establishing a set of research priorities in care homes for older people in the UK: a modified Delphi consensus study with care home staff. Age and Ageing 46 (2), pp.284-290. (10.1093/ageing/afw204)
- Gkiousias, V. et al., 2016. Parental perceptions and understanding of information provision, management options and factors influencing the decision-making process in the treatment of children with glue ear. International Journal of Pediatric Otorhinolaryngology 89 , pp.6-12. (10.1016/j.ijporl.2016.07.021)
- Shepherd, V. 2016. Research involving adults lacking capacity to consent: the impact of research regulation on 'evidence biased' medicine. BMC Medical Ethics 17 (1) 55. (10.1186/s12910-016-0138-9)
- Francis, N. A. et al. 2016. A randomised placebo-controlled trial of oral and topical antibiotics for children with clinically infected eczema in the community: the ChildRen with Eczema, Antibiotic Management (CREAM) study. Health Technology Assessment 20 (19), pp.1-84. (10.3310/hta20190)
- Waldron, C. et al. 2016. Oral Steroids for the Resolution of Otitis Media with Effusion (OME) in Children (OSTRICH): study protocol for a randomised controlled trial. Trials 17 115. (10.1186/s13063-016-1236-1)
- Shepherd, V. et al. 2015. Setting up a clinical trial in care homes: challenges encountered and recommendations for future research practice. BMC Research Notes 8 306. (10.1186/s13104-015-1276-8)
- Hood, K. et al. 2014. Probiotics for Antibiotic-Associated Diarrhoea (PAAD): a prospective observational study of antibiotic-associated diarrhoea (including Clostridium difficile-associated diarrhoea) in care homes. Health Technology Assessment 18 (63)(10.3310/hta18630)
Gosodiad
- Shepherd, V. 2019. Deciding about research for others: normative, empirical, and legal accounts of proxy decision-making for research and the development of a decision support intervention. PhD Thesis , Cardiff University.
Gwefannau
- Shepherd, V. , Anderson, A. and Russell, A. M. 2025. How to conduct research involving people who may not have capacity to consent for themselves. [Online].Times Higher Education. Available at: http://www.timeshighereducation.com/campus/how-conduct-research-involving-people-who-may-not-have-capacity-consent-themselves.
- Shepherd, V. 2025. Research must be (re)designed to include older people if it is to meet tomorrow's health and care needs [Rapid Response Letter to Editor]. [Online].The BMJ Website: BMJ Publishing Group. Available at: https://www.bmj.com/content/390/bmj.r1719/rr.
Ymchwil
Trosolwg o'r ymchwil
Mae fy ymchwil yn ceisio gwella cynnwys grwpiau heb eu gwasanaethu mewn ymchwil gyda ffocws penodol ar boblogaethau lle gall fod heriau ychwanegol ynghylch cydsyniad gwybodus. Mae fy ngwaith yn canolbwyntio'n bennaf ar archwilio'r heriau moesegol a methodolegol ynghylch cynnwys oedolion sydd heb allu mewn ymchwil a datblygu a gwerthuso ymyriadau i gefnogi cynhwysiant. Rwyf hefyd yn gweithredu'r gwaith hwn ar yr un pryd mewn ystod o dreialon clinigol trwy arwain ymchwil fethodolegol wedi'i fewnosod i archwilio a mynd i'r afael â'r rhwystrau a geir mewn cyd-destunau penodol. Mae fy ngwaith yn cael ei ddyfynnu'n eang mewn canllawiau i ymchwilwyr a gan sefydliadau fel cyllidwyr ymchwil a sefydliadau llywodraethu.
Oedolion sydd â nam ar allu i gydsynio
Ar hyn o bryd rwy'n arwain prosiect 8 mlynedd 'Addressing consent-based challenges to improve inclusivity in research (ACCORD) ( 2026-2034) fel rhan o Wobr Datblygu Gyrfa Wellcome. Mae'r prosiect yn archwilio sut mae'r fframweithiau moesegol a chyfreithiol sy'n llywodraethu ymchwil sy'n ymwneud ag oedolion heb allu yn cael eu dehongli ar hyn o bryd mewn ystod o wahanol gyd-destunau ymchwil, a bydd yn defnyddio'r canfyddiadau i ddatblygu dealltwriaeth gysyniadol newydd o'r materion moesegol-gyfreithiol ac yna i gyd-ddylunio ymyriadau ymddygiadol mewn cydweithrediad â rhanddeiliaid cyhoeddus a phroffesiynol i dargedu rhwystrau ar lefel unigol a system gyfan.
Yn flaenorol, cynhaliais Gymrodoriaeth Uwch NIHR a ariennir gan Lywodraeth Cymru drwy Ymchwil Iechyd a Gofal Cymru 'Deciding about research for others: a feasibility study and effectiveness trial of a novel decision support intervention for consultees and legal representatives of adults lacking capacity to consent (CONSULT)' (2021-2026). Bydd yr ymyrraeth (offeryn cymorth penderfyniadau i wella'r broses o wneud penderfyniadau dirprwyol ar gyfer ymchwil yn cael ei werthuso gan ddefnyddio dyluniad 'Astudiaeth o fewn Treial' (SWAT) i ymgorffori'r gwerthusiad mewn hyd at 5 treial cynnal. Gellir dod o hyd i allbynnau CONSULT ar wefan y prosiect (www.capacityconsentresearch.com) ochr yn ochr â gwybodaeth ac adnoddau wedi'u coladu.
Fel rhan o brosiect CONSULT, arweiniais astudiaeth ansoddol sy'n archwilio barn ymchwilwyr a gweithwyr gofal iechyd proffesiynol am y rhwystrau a'r hwyluswyr i gynnal treialon sy'n cynnwys oedolion heb allu i gydsynio (Astudiaeth CONSULT-ENABLE). Fe wnes i hefyd arwain yr Astudiaeth CONSULT-ADVANCE i archwilio barn rhanddeiliaid am ddichonoldeb a derbynioldeb cynllunio ymchwil ymlaen llaw, sy'n broses i bobl fynegi eu dymuniadau am gyfranogiad ymchwil cyn colli unrhyw allu i gydsynio. Roedd hyn yn cynnwys arolwg ac astudiaeth cyfweliad ansoddol , gydag adolygiad cwmpasu dilynol wedi'i gwblhau'n ddiweddar. Cefais hefyd Gymrodoriaeth Churchill i archwilio safbwyntiau rhyngwladol ar gynllunio ymlaen llaw ar gyfer ymchwil gydag ymweliadau â Chanada ac Awstralia yn 2024, gan arwain at gyhoeddi fy adroddiad.
Arweiniais y gwaith o ddatblygu set canlyniadau craidd i werthuso ymyriadau sy'n gwella penderfyniadau dirprwyol ynghylch cyfranogiad ar ran oedolion sydd heb allu (Astudiaeth COnSiDER) sydd wedi'i chofrestru ar gronfa ddata COMET (#1409). Ochr yn ochr â hyn, datblygais fesur canlyniadau newydd i asesu ansawdd penderfyniadau a wneir am ymchwil ar ran rhywun sydd heb allu i gydsynio - y Raddfa Gyfunol ar gyfer Penderfyniadau Cydsyniad Gwybodus Dirprwy (graddfa CONCORD).
Fe wnes i hefyd arwain y gwaith o ddatblygu Fframwaith Capasiti i Gydsynio â Nam NIHR INCLUDE sy'n offeryn i helpu ymchwilwyr i ddylunio treialon sy'n cynnwys oedolion sydd â nam ar allu i gydsynio, gyda phecyn cymorth gweithredu a gefnogir gan gyllid 'Arloesi i Bawb' gan Brifysgol Caerdydd (2022-2023). Yn ddiweddar, cwblheais brosiect a ariennir gan Wobr Cyflymydd Effaith UKRI i ddatblygu hyfforddiant CONSULT sy'n seiliedig ar randdeiliaid ar gyfer ymchwilwyr ar ddylunio a chynnal treialon sy'n cynnwys oedolion sydd â nam ar allu i gydsynio. Ar hyn o bryd rwy'n arwain prosiect dilynol, a ariennir hefyd gan Wobr Cyflymydd Effaith UKRI, i ddatblygu set o egwyddorion allweddol y dylai ymchwilwyr eu dilyn i sicrhau bod prosesau cydsynio wedi'u cynllunio i fod yn fwy hygyrch mewn treialon (OPTIMISE).
Yn flaenorol, cynhaliais Gymrodoriaeth Ymchwil Doethurol NIHR i archwilio'r heriau moesegol, cyfreithiol ac ymarferol ynghylch cynnwys y poblogaethau hyn sydd wedi'u tangynrychioli, gan ddefnyddio dulliau cymysg a dulliau rhyngddisgyblaethol (2016-2019). Arweiniais astudiaeth ddilynol i gynnal profion gwybyddol o'r ymyrraeth cymorth penderfyniadau (Astudiaeth PENDERFYNIAD 2) a ariennir gan Ymddiriedolaeth Wellcome trwy Gyllid Sefydliadol ISSF (2020).
Rwy'n cydweithio ag ystod eang o ymchwilwyr cenedlaethol a rhyngwladol ym meysydd accros gan gynnwys biomoeseg, y gyfraith, nyrsio, dementia, gofal lliniarol, gofal critigol ac ymchwil brys. Rwy'n goruchwylio nifer o brosiectau PhD a BSc rhyngweithiol yn y maes hwn, ac yn curadu ymchwil ac adnoddau ar 'Ymchwil a gallu i gydsynio' ar gyfer Gofal Cymdeithasol Cymru.
Treialon Clinigol
Rwy'n arwain 'Astudiaeth o fewn prosiect' (SWAP) sy'n astudiaeth fethodolegol wedi'i hymgorffori â threial i werthuso effeithiolrwydd clinigol a chost-effeithiolrwydd ymyrraeth cymorth hunanreoli osteo-arthritis wedi'i gyd-gynllunio ar y cyd ar gyfer hyrwyddo ansawdd bywyd sy'n gysylltiedig ag iechyd a lleihau costau gofal iechyd (TIPTOE) (2023-2026). Mae'r SWAP wedi'i fewnosod yn archwilio ac yn mynd i'r afael â recriwtio a chadw grwpiau sydd wedi'u tanwasanaethu yn y treial ac yn nodi rhwystrau i'w cynnwys. Rwyf hefyd yn arwain ail SWAP sy'n archwilio cynnwys grwpiau heb eu gwasanaethu (gan gynnwys pobl hŷn fregus) mewn treial o radiotherapi cynorthwyol mewn cleifion â charcinoma celloedd squamous croenol sylfaenol risg uchel ar ôl llawdriniaeth (SCC-AFTER) (2023-2030), ochr yn ochr ag Ymyrraeth Recriwtio QUINTET (QRI + INCLUSION SWAP).
Fi yw'r arweinydd ar gyfer cynhwysiant mewn treial sy'n gwerthuso gwrthfiotigau ar gyfer canser y croen wlseredig i leihau'r risg o haint clwyfau ar ôl tynnu llawfeddygol (EXCISE) (2025-2027 ) a threial sydd ar ddod o gyn-hab ac adsefydlu mewn amnewid ysgwydd (SPRING) (2025-2029).
Mae gweithgareddau ymchwil blaenorol yn cynnwys cyfrannu at ddylunio, cyflwyno ac adrodd ar hap-dreialon a reolir aml-ganolfan a ariennir gan yr NIHR, gan gynnwys: Plant ag Ecsema, Rheoli Gwrthfiotigau (Astudiaeth CREAM), STeroidau Llafar ar gyfer Datrys Otitis cyfau gydag effusion (OME) mewn Plant (Astudiaeth OSTRICH) a Probiotics i Lleihau Heintiau iN CarE home reSidentS (Astudiaeth PRINCESS).
Cartrefi Gofal
Mae gen i ddiddordeb arbennig mewn ymchwil cartrefi gofal. Arweiniais Astudiaeth Gosod Blaenoriaethau Ymchwil mewn Cartrefi Gofal ledled y DU, a oedd yn anelu at nodi set o flaenoriaethau ymchwil ar gyfer ymchwil cartrefi gofal gyda grŵp allweddol o randdeiliaid, a set o ganlyniadau craidd ar gyfer atal COVID-19 mewn cartrefi gofal (COS COVID PCARE). Rwyf hefyd yn ymwneud â chydweithio ag ymchwilwyr/sefydliadau cenedlaethol a rhyngwladol eraill i ddatblygu cynigion ymchwil sy'n cynnwys pobl hŷn mewn gofal hirdymor, rhai ohonynt yn mynd i'r afael â meysydd a nodwyd fel blaenoriaethau ymchwil.
Rwy'n arwain pecyn gwaith ethnograffeg fel rhan o brosiect i archwilio gweithredu'r Ddeddf Galluedd Meddyliol mewn cartrefi gofal (ENACT) ac yn cyd-ymgeisydd ar brosiect sy'n datblygu hyfforddiant cymorth hunanreoli ar gyfer gofalwyr oedolion hŷn ag osteoarthritis a chyflyrau ychwanegol (SUSTAIN).
Ymchwil Methodoleg Treialon
Mae gen i ddiddordeb mewn ymchwil i wella cynnal treialon, gyda ffocws penodol ar wella cynhwysiant poblogaethau sydd heb eu gwasanaethu mewn ymchwil. Rwy'n cyd-arwain y Grŵp Cydsyniad Cymhleth ac Amgen o fewn Gweithgor Cynnal Treialon Partneriaeth Ymchwil Methodoleg Treialon MRC-NIHR.
Moeseg Ymchwil
Rwy'n ymwneud â nifer o brosiectau sy'n archwilio agweddau moesegol ar ymchwil, gan gynnwys modelau cydsyniad a ddefnyddir mewn gwahanol gyd-destunau ymchwil megis defnyddio cydsyniad uwch mewn sefyllfaoedd brys.
Cyllid a grantiau
2025
- Mynd i'r afael â heriau sy'n seiliedig ar ganiatâd i wella cynhwysiant mewn ymchwil (ACCORD) - Gwobr Datblygu Gyrfa Wellcome (Ymgeisydd arweiniol) (2026-2034)
- Gwobr Arweinwyr sy'n Dod i'r Amlwg, Ymchwil Iechyd a Gofal Cymru (2025-2026)
- Optimeiddio dyluniad prosesau cydsynio gwybodus ar gyfer ymchwil sy'n ymwneud ag oedolion â nam ar gyfathrebu a/neu wneud penderfyniadau (OPTIMISE) - Cronfa Cyflymu Effaith UKRI (Ymgeisydd arweiniol) (2025)
2024
- Amnewid Ysgwydd Prehabillitation ac Adsefydlu yn Gynnar (GWANWYN). Rhaglen Asesu Technoleg Iechyd NIHR (Cyd-ymgeisydd) (2025-2029)
- Cynllunio ymlaen llaw: cyfathrebu dewisiadau am ymchwil trwy gynllunio ymchwil ymlaen llaw. Cymrodoriaeth Churchill (Ymgeisydd arweiniol) (2024)
- Dim llais, dim dewis? Lleihau ffactorau system sy'n ffurfio rhwystr i ymchwil i'r rhai sydd â nam ar allu agosáu at ddiwedd oes ar draws lleoliadau gofal. GIG Lloegr, Cyllid Rhwydwaith Ymgysylltu Ymchwil (Cyd-ymgeisydd) (2024 – 2025)
- Dichonoldeb Caniatâd Ymlaen llaw ar gyfer Cyfranogiad mewn Treialon Strôc Acíwt (GWEITHREDU). Grant prosiect Sefydliad Ymchwil Iechyd Canada (Cyd-ymgeisydd) (2024 - 2025)
- Gwrthfiotigau EXamining ar gyfer canser wlseredig Excision Llawfeddygol (EXCISE) Grant prosiect Rhaglen Asesu Technoleg Iechyd NIHR (Cyd-ymgeisydd) (2025-2027)
2023
- Datblygu hyfforddiant sy'n hysbys gan randdeiliaid ar gyfer ymchwilwyr sy'n dylunio a chynnal treialon sy'n cynnwys oedolion â nam ar allu i gydsynio. Cronfa Cyflymu Effaith UKRI (Ymgeisydd arweiniol) (2023 - 2024)
- Hunanreoli parth MulTI mewn Pobl Hŷn gyda OstEoarthritis ac Aml-morbidrwydd (TIPTOE). Rhaglen Asesu Technoleg Iechyd NIHR (Cyd-ymgeisydd) (2023 - 2026)
- Gwella cyfathrebu â pherthnasau mewn profedigaeth am dreialon brys a gofal critigol (ENHANCE). Ymchwil NIHR er budd cleifion (Cyd-ymgeisydd) (2023 - 2024)
- Radiotherapi cynorthwyol mewn cleifion â Carcinoma Celloedd Squamous croenol cynradd risg uchel AR ÔL llawdriniaeth (SCC-AFTER): hap-dreial cam III dwy fraich label agored, aml-ganolfan. Grant prosiect Rhaglen Asesu Technoleg Iechyd NIHR (Cyd-ymgeisydd) (2023 - 2030)
- Dim ymchwil amdanom ni, heb ni! Dileu rhwystrau ymchwil i bobl ag anableddau dysgu. Grant Rhaglen NIHR ar gyfer Grant Datblygu Rhaglen Ymchwil Gymhwysol (Cyd-ymgeisydd) (2023 – 2024)
- Canolfan Gofal Cymdeithasol i Oedolion (CARE). Gwobr seilwaith Ymchwil Iechyd a Gofal Cymru (Cyd-ymgeisydd) (2023 - 2028)
- Gwerthuso hyfforddiant staff a gweithredu'r Ddeddf Galluedd Meddyliol mewn cartrefi gofal i oedolion hŷn (ENACT). Grant prosiect Ymchwil Cyflenwi Iechyd a Gofal Cymdeithasol (HSDR) NIHR (Cyd-ymgeisydd) (2023 – 2026)
- Health Data Research UK: Tools for Trials. Gwobr seilwaith HDR y DU (Cyd-ymgeisydd) (2023 - 2028)
2022
- Implementation o'r 'INCLUDE Impaired Capacity to Consent Framework' ar gyfer ymchwilwyr. Rhaglen Arloesi i Bawb, Prifysgol Caerdydd (Ymgeisydd Arweiniol) (2022 - 2023)
- Penderfynu am ymchwil i eraill: astudiaeth ddichonoldeb a threial effeithiolrwydd o ymyrraeth cymorth penderfyniadau newydd ar gyfer ymgyngoreion a chynrychiolwyr cyfreithiol oedolion sydd heb allu i gydsynio (CONSULT). Cymrodoriaeth Uwch NIHR (a ariennir gan Ymchwil Iechyd a Gofal Cymru) (Ymgeisydd arweiniol) (2021 - 2026)
- Hyfforddiant cymorth hunanreoli ar gyfer gofalwyr oedolion hŷn ag osteoarthritis a chyflyrau ychwanegol sy'n byw mewn cartrefi gofal (SUSTAIN). Cyngor Ymchwil Economaidd a Chymdeithasol UKRI. Catalydd Heneiddio Iechyd (Cyd-ymgeisydd) (2022 - 2023)
- Ymgysylltu â phreswylwyr cartrefi gofal mewn ymchwil: nodi rhwystrau a hwyluswyr a datblygu ymyrraeth i gefnogi preswylwyr wrth wneud penderfyniadau a chynllunio ymlaen llaw ar gyfer ymchwil (ENGAGE). Ymchwil Iechyd a Gofal Cymru. Ysgoloriaeth PhD Gofal Cymdeithasol (Cyd-ymgeisydd arweiniol) (2022 - 2024)
2021
- Astudiaeth gydweithredol rhwng CTUs i nodi'r gweithgaredd a'r adnoddau sydd eu hangen i wella cynrychiolaeth grwpiau heb eu gwasanaethu mewn treialon (ACCESS). Cyllid Cymorth CTU NIHR (Cyd-ymgeisydd) (2021 - 2023)
2020
- Proxy decision-making for research involving adults who lack capacity to consent: cognitive testing of a novel decision support intervention and setting a core outcome measurement set. Gwobr Cydgrynhoi Cronfa Cymorth Strategol Sefydliadol Ymddiriedolaeth Wellcome (Ymgeisydd Arweiniol) (2020 - 2020)
- Cydsyniad gwybodus a gwneud penderfyniadau drwy ddirprwy mewn ymchwil sy'n cynnwys oedolion sydd heb allu: datblygu ymyrraeth i gefnogi gwneud penderfyniadau gwybodus gan ddirprwy, wedi'i osod o fewn fframweithiau moesegol a chyfreithiol. Cymrodoriaeth Ymchwil Doethurol NIHR (a ariennir gan Ymchwil Iechyd a Gofal Cymru) (Ymgeisydd arweiniol) (2016 - 2019)
Bywgraffiad
Anrhydeddau a dyfarniadau
GIG 75 Wynebau Ymchwil Nyrsio (2024)
Cymrodoriaeth Churchill (2023-2024)
Gwobrau Nyrs y Flwyddyn Cymru - Gwobr Cefnogi Gwelliant Drwy Ymchwil (ail, 2019)
PhD Penderfynu am ymchwil i eraill: cyfrifon normadol, empirig a chyfreithiol o wneud penderfyniadau drwy ddirprwy ar gyfer ymchwil a datblygu ymyrraeth cymorth penderfyniadau (Tachwedd 2019)
MA Cyfraith a Moeseg Gofal Iechyd. Traethawd hir: Poblogaethau agored i niwed mewn ymchwil feddygol: a yw rheoleiddio ymchwil yn 'eu hamddiffyn i farwolaeth'? (Medi 2014)
Aelodaethau proffesiynol
NMC (Cyngor Nyrsio a Bydwreigiaeth)
Sefydliad Moeseg Feddygol
Pennod Sigma Phi Mu
Rhwydwaith Cyn-fyfyrwyr Nyrs y Flwyddyn RCN Cymru
Pwyllgorau ac adolygu
Aelod o baneli cyllido cymrodoriaeth - FWO (Gwlad Belg), NIHR, Ymchwil Iechyd a Gofal Cymru
Aelod o Bwyllgor Moeseg Ymchwil y GIG (2019-presennol)
Cadeirydd Grŵp Cynghori ENRICH Cymru (2020-2025)
Aelod o Grŵp Cynghori Ecwiti Iechyd Cochrane
Aelod o Grŵp Cynghori HRA ar drefniadau cydsynio symlach (2025-2026)
Golygydd Ymgynghorol mewn astudiaethau treialon clinigol a chartrefi gofal ar gyfer Geriatreg, Gerontoleg a Heneiddio (Mawrth 2020-presennol)
Adolygydd cyfnodolion (e.e. Treialon, Oedran a Heneiddio, Addysg Nyrsio yn Ymarferol)
Adolygydd grant (e.e. NIHR, Ymchwil Iechyd a Gofal Cymru, Ymddiriedolaeth Feddygol Dunhill)
Meysydd goruchwyliaeth
Mae gennyf ddiddordeb mewn goruchwylio myfyrwyr PhD yn y meysydd canlynol:
- Ymchwil Methodoleg Treialon sy'n canolbwyntio ar gynnwys grwpiau heb eu gwasanaethu
- materion moesegol a chyfreithiol mewn ymchwil sy'n ymwneud â phoblogaethau lle gall fod heriau ynghylch y gallu i gydsynio
- Ymchwil cartrefi gofal a chartrefi gofal
- nyrsio gyda ffocws penodol ar ofal critigol a gofal pobl hŷn
Goruchwyliaeth PhD cyfredol:
Teitl: Hyrwyddo a chefnogi cyfranogiad a chysylltiad cymdeithasol i bobl â chyflyrau niwrolegol i leihau unigrwydd ac ynysu: grymuso cymunedau lleol trwy gydlynu gofal cymdeithasol, cymorth cymunedol lleol, a thechnoleg ddigidol
Myfyriwr PhD: Hannah Trotman
Tîm goruchwylio: Dr Katy Hamana, Yr Athro Dikaios Sakellariou, Dr Victoria Shepherd, (yr Athro Fiona Wood gynt)
Nod yr ymchwil newydd hon yw darganfod: a) Beth sydd ei angen ar bobl â chyflyrau niwrolegol ac yr hoffai, er mwyn galluogi cymryd rhan mewn gweithgareddau cymunedol sy'n lleihau ynysu cymdeithasol ac unigrwydd, tra'n cefnogi lles a chysylltedd cymdeithasol, b) Pa gymorth a ddarperir ar hyn o bryd (gofal cymdeithasol, elusennau, clybiau cymunedol, awdurdodau lleol, gofal preswyl), ac c) Beth sydd angen ei wella a sut, gan gynnwys atebion technoleg ddigidol posibl.
Manylion pellach: https://healthandcareresearchwales.org/about/blog/do-you-live-progressive-neurological-condition-or-work-people-who-do
Teitl: Gofyn y cwestiynau cywir mewn treialon clinigol canser: Datgloi potensial y fframwaith estimand fel dull amlddisgyblaethol o ddatblygu treialon
Myfyriwr PhD: Morgaine Stiles
Tîm goruchwylio: Yr Athro Christina Yap, Dr Fay Cafferty, Dr Beatriz Goulao, Dr Victoria Shepherd
Manylion pellach: https://mrctmrpdtp.com/2024-entry-dtp-student-profiles/
Goruchwyliaeth PhD wedi'i gwblhau:
Teitl: Ei gwneud hi'n haws i dimau treial ddylunio treialon cynhwysol
Myfyriwr PhD: Azar Alexander-Sefre
Tîm goruchwylio: Yr Athro Shaun Treweek, Dr Heidi Gardner, Dr Victoria Shepherd, Dr Frances Sherratt
Mae angen i gyfranogwyr y treial gynrychioli'r rhai mewn cymdeithas sydd wedi'u bwriadu i elwa o ganlyniadau'r treial. Bydd y grwpiau sydd angen cynrychiolaeth fwyaf yn amrywio o dreial i dreial. Gall grŵp sydd wedi'i danwasanaethu ar gyfer un math o dreial fod yn wahanol iawn i grŵp arall. Gall rhesymau pam nad yw grwpiau heb eu gwasanaethu yn cael eu cynnwys mewn rhywfaint o ymchwil fod yn gymhleth, ond mae atebion i ddatrys rhwystrau cynhwysiant yn haws i'w penderfynu os ystyrir o ddechrau treial. Mae intersectionality yn mynd gam ymhellach wrth gydnabod y gall fod ffactorau lluosog (er enghraifft ethnigrwydd a rhyw) sy'n cyfuno ac yn arwain at anfantais neu wahaniaethu. Datblygwyd ychydig o offer yn ddiweddar o'r enw Fframweithiau INCLUDE (gweler https://www.trialforge.org/trial-forge-centre/diversity/) i helpu timau treialon i feddwl am sut y gallai eu penderfyniadau dylunio ei gwneud hi'n hawdd neu'n anodd i rai grwpiau gymryd rhan. Nod y prosiect PhD dulliau cymysg hwn yw darparu proses symlach i dimau treial i lywio eu ffordd drwy'r Fframweithiau yn effeithlon. Er mwyn gwneud hyn, bydd angen i ni benderfynu yn gyntaf ble mae intersectionality rhwng gwahanol grwpiau heb eu gwasanaethu yn bodoli a beth mae hyn yn ei olygu i ymchwilwyr y bydd angen iddynt ystyried y grwpiau hyn wrth ddylunio eu treialon. Yn ogystal, bydd y prosiect yn ystyried pa fathau o awgrymiadau all alluogi ymchwilwyr i ymchwilio'n effeithiol i'r rhwystrau a'r heriau y gall y poblogaethau croestoriadol hyn gael gyda chyfranogiad. Yn olaf, bydd y prosiect yn ymchwilio pa fathau o atebion y gellid eu rhoi i ymchwilwyr i wneud yn siŵr bod y cwestiynau Fframwaith beirniadol hyn nid yn unig yn cael eu gofyn ond yn gweithredu, er mwyn sicrhau bod eu treialon yn wirioneddol gynhwysol yn ymarferol. Mae'n cael ei ariannu trwy Ysgoloriaeth MRC TMRP DTP YM Mhrifysgol Aberdeen (2022-2025).
Manylion pellach: https://www.abdn.ac.uk/hsru/what-we-do/research/projects/making-it-easier-for-trial-teams-to-design-inclusive-trials-341
Teitl: Ymgysylltu â phreswylwyr cartrefi gofal mewn ymchwil: nodi rhwystrau a hwyluswyr a datblygu ymyrraeth i gefnogi preswylwyr wrth wneud penderfyniadau a chynllunio ymlaen llaw ar gyfer ymchwil (ENGAGE)
Myfyriwr PhD: Brittany Nocivelli
Y tîm goruchwylio: Yr Athro Fiona Wood, Dr Victoria Shepherd, Yr Athro Kerry Hood, Yr Athro Carolyn Wallace
Nod y prosiect PhD dulliau cymysg hwn yw archwilio sut y gall preswylwyr cartrefi gofal a'u gofalwyr gymryd rhan yn well mewn ymchwil, a'r rhwystrau a'r hwyluswyr i'w cynhwysiant. Gan ddefnyddio dulliau datblygu ymyrraeth sefydledig, bydd ymyrraeth yn cael ei ddatblygu i gefnogi sgyrsiau am ymchwil gyda phreswylwyr cartrefi gofal a hwyluso cynllunio ymlaen llaw ar gyfer cyfranogiad ymchwil. Bydd y canfyddiadau yn cefnogi cyfleoedd i breswylwyr cartrefi gofal gymryd rhan mewn ymchwil, cael eu lleisiau yn cael eu clywed, a derbyn gofal o ansawdd sy'n seiliedig ar dystiolaeth yn y dyfodol. Mae'n cael ei ariannu drwy ysgoloriaeth PhD Gofal Cymdeithasol Ymchwil Iechyd a Gofal Cymru (2021-2024).
Manylion pellach: https://healthandcareresearchwales.org/researchers/our-funded-projects/engaging-care-home-residents-research-identification-barriers-and
Goruchwyliwr wedi'i enwi ar Raglen Hyfforddiant Academaidd Clinigol GW4 ar gyfer Gweithwyr Iechyd Proffesiynol (GW4-CAT HP)
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