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Dr Daniella Holland-Hart

Research Associate

School of Medicine

+44 29206 87138
Neuadd Meirionnydd, Room 6th Floor, University Hospital of Wales, Heath Park, Cardiff, CF14 4YS
Available for postgraduate supervision


I am a researcher in the Marie Cure Palliative Care Research Centre (Division of Population Medicine) with a background in social science and policy. My current research focuses on patients' experiences along cancer pathways with a specific interest in palliative treatment and care, patient- clinician communication, coproduction including shared decision making, inequalities and quality of life.











Current research

Currently my research focuses on integrating patient preferences and priorites into precision medicine approaches and optimising patient experience along cancer pathways including                                  

The information and communication needs of patients with advanced incurable cancer: A rapid review [CRD42023434023]

Realist Review: How do shared decision making approaches and patient aids influence treatment decisions for patients with advanced incurable cancer. PROSPERO:

This work is Wales Cancer Research Centre (WCRC), CRUK and Marie Curie funded. I also conduct qualitative research for cancer trials:

(VALTIVE1) Study on the validation of Tie2 as the first tumour vascular response biomarker for VEGF inhibitors. Qualitative study of patients' perceptions of having the Tie2 biomarker test and how they might feel if their treatment was to be changed based upon the results from the test.

(SCOPE 2) Study of Chemoradiotherapy in Oesophageal cancer including PET response and dose Escalation projects. Qualitative analysis of patient experiences and perceptions of participating in a trial of escalated definitive chemoradiotherapy (dCRT) compared with standard dose and of the two PET driven drug regimes.

(CHRONOS) Study of Comparative Health Research Outcomes of Novel Surgery in prostate cancer. Qualitative research with patients and staff participating in a trial, decision making for prostate cancer treatment pathways and patient's quality of life.  

Previous research

(PLUS): Pharmacy Referrals for Lung Cancer Symptoms Study. Exploring the acceptability and feasibility of a pharmacy referral service for lung cancer which focused on people from lower-socio-economic communities.

(PREDICT-CAT) Predicting Self-reported Benefit for cataract patients, Supporting Decision. Making and Calibrating Health utilities for Cataract Surgery. A mixed methods study developing and user testing of a decision support intervention for cataract patients. 

(Prudent Healthcare)- exploring the perceptions and experiences of clinicians, patients and public regarding the concept of the Prudent healthcare policy, focusing on coproduction and shared decision making. 

Training and developmental needs of social care workers who support older people with learning disabilities in relation to their health.


Edwards, M, Holland-Hart, D et al. 2023. Understanding how shared decision‐making approaches and patient aids influence patients with advanced cancer when deciding on palliative treatments and care: A realist reviewHealth Expectations (10.1111/hex.13822)

Holland-Hart D, Edwards M, Mann M, et al.  26 A rapid realist review: how shared decision-making approaches and patient aids influence treatment decisions for patients with advanced (non-curative) cancer? BMJ Supportive & Palliative Care 2023;13:A11.

Holland-Hart D, McCutchan GM, Quinn-Scoggins HD, et al. (2021) Feasibility and acceptability of a community pharmacy referral service for suspected lung cancer symptoms. BMJ Open Respiratory Research 2021;8:e000772. doi: 10.1136/bmjresp-2020-000772

Jordan, A., Joseph-Williams, N., Edwards, A., Holland-Hart, D., Wood, F. (2019) "I'd Like to Have More of a Say because it's my Body": Adolescents' Perceptions around Barriers and Facilitators to Shared Decision-Making. Journal of Adolescent Health, Elsevier.

Holland-Hart, D., Addis, S., Edwards, A., Kenkre, J., Wood, F. (2018) Co-production and health: public and clinicians' perceptions of the barriers and facilitators, Health Expectations. Wiley doi:10.1111/hex.12834

Addis, S., Holland-Hart, D., Edwards, A., Neal, R, Wood, F. (2018), Implementing Prudent Healthcare in the NHS in Wales: what are the Barriers and Enablers for Clinicians? Journal of Evaluation in Clinical Practice, Wiley. doi:10.1111/jep.13023

Northway, R., Holland-Hart, D. and Jenkins, R. (2016), Meeting the health needs of older people with intellectual disabilities: exploring the experiences of residential social care staff. Health Soc. Community Care. doi:10.1111/hsc.12380

Northway, R., Jenkins, R. and Holland-Hart, D. (2016), Training of Residential Social Care Staff to Meet the Needs of Older People with Intellectual Disabilities who develop Age-Related Health Problems: An Exploratory Study. Journal of Applied Research in Intellect Disabilities. doi:10.1111/jar.12283


Sparrow J., Grzeda M., Frost A., Liu C., Johnston R., Scanlon P., Pithara C., Elliott D., Donovan J., Joseph-Williams N., Holland-Hart D., Donachie PHJ., Dixon P., Taylor, H., Breheny K., Kandiyali, R., Sterne J., Hollingworth W., Evans, D., Fox, F., Theodoropoulou S., Hughes, R., Quinn, M., Gray, D., Benjamin, L., Loose, A., Edwards, L., Craggs, P., Paget, F., Kapoor K., Searle J.,   Cataract Surgery: Measuring and predicting patient level vision related health benefits and harms. (2022) NIHR.


Recknagel, Gabi and Holland, Daniella (2013) How Inclusive and How Empowering? Two Case Studies Researching the Impact of Active Citizenship Learning Initiatives in a Social Policy Context (chapter) in M Mayo, Mendiwelso-Bendek, Z and Packham, C (ed.) (2013) Community Research for Community Development, Baskingstoke: Palgrave Macmillan



2022- Present: Lecturer: Long-term conditions module- Health literacy (School of Medicine)

2020- Present: Tutor/ facilitator: Evidence Based Medicine module- Patient centre care -Shared decision making (School of Medicine)               

2017-2019: Lecturer: Teaching Diverse Learners -Creating and managing inclusive learning environments. (Doctoral Academy)  



Education and Qualifications

2014: PhD: Sociology Goldsmiths, University of London. 

2002 MA: International Relations, Swansea University

2000 BSc/Econ: Politics with International Relations, Swansea University

2019 i-act practitioner- (Understanding and promoting positive mental health and wellbeing training) Royal College of Psychiatrists accredited

Honours and awards

ESRC CASE Studentship PhD (2019)

Academic positions

2016- Present: Research Associate, Division of Population Medicine, School of Medicine, Cardiff University

2014 –2015: Research Assistant, Unit for development in Intellectual Disabilities, University of South Wales      


Committees and reviewing

Journal reviewer: BMJ Leader; Journal of Participatory Medicine; Health Expectations; PMC Public Health; Research Involvement and Engagement


I am interested in supervising students in the areas of:
  • Palliative treatment and care,
  • Public Health (Qualitative research),
  • Patient experience and patient communication, 
  • Coproduction (shared decision making)
  • Healthcare policy and inequalities.

Previously supervised

Lead supervisor (33%) Kiran Datta- Intercalated BSc Population Medicine. Factors Affecting Treatment Resilience in Patients with Oesophago-Gastric Cancers Undergoing Palliative Chemotherapy (2022-2023)
Student Selected Component (Content Analysis)                                                                               October 2021- March 2022
Intercalated BSc Epidemiology dissertation (Discourse analysis)                                                     September 2021- May 2022
Intercalated BSc Epidemiology dissertation (Prudent Healthcare)                                                    September 2017- May 2018


Past projects

Amy Gamble: Comparing the potential of the RTS,S/AS0 vaccination with current malaria preventative methods for children in sub-Saharan Africa to reduce health and socio-economic inequalities.  June- October 2022
Nina George: What the barriers and facilitators to colorectal cancer screening among ethnic minorities in developed countries?                   June- October 2021
Grace King: How can breastfeeding uptake be increased in HIV positive women living in South Africa?’  June -October 2020
Daniele DeLeone: A Systematic Qualitative Review of How Different Low-Incidence Countries Afflicted with Tuberculosis Approach Healthcare Systems for Migrants in an effort to Reduce Infection. (Case Studies of Sweden and the Netherlands)   June- October 2019


Public Engagement and Involvement Forum, PIRIT panel members, July 2023 (Health and Care Research Wales)

Public Patient Involvement- Impact Pilot 2021-2022 (Marie Curie Palliative Care Research Centre)

PPI coordination for Optimising Patient Experience workpakage (Marie Curie Palliative Care Research Centre)

Research themes


  • Social policy
  • shared decision making
  • coproduction
  • communication and medicine
  • Health Inequalities