Dr Alexis Foster
BA, MSc, PhD
School of Health and Related Research
Research Fellow/Research Design Service Advisor
+44 114 222 6129
Full contact details
School of Health and Related Research
3012, Regent Court
Regent Court (ScHARR)
30 Regent Street
I started working as a research assistant at ScHARR in January 2011 in the Mental Health Group. I was involved in a number of projects including statistical analysis, reviews, qualitative research and stakeholder consultation. During this time I completed my Masters in Public Health gaining a distinction. This included a dissertation exploring whether client-associated variables are related to deterioration in psychological therapies (published).
Between February 2012 and 2015 I worked in the Medical Care Research Unit. I worked as a research associate, project managing the Northern sites of the Healthlines Randomised Controlled Trial, which tested the effectiveness of telehealth for long-term condition management. As part of this role I was involved in interviewing trial participants and health professionals about their experience of the intervention. I was awarded a grant to run a qualitative study alongside the trial, where I conducted interviews with patients regarding the acceptability of telehealth in their future healthcare
Between 2015 and 2017 I worked as a trial manager at the Sheffield Clinical Trials Research Unit. I managed the Journeying through Dementia Randomised Controlled Trial, which is explored the effectiveness of group support for people in the early stages of dementia.
Between 2017 and 2020 I was a NIHR Doctoral Research Fellow. My research was a mixed methods study using a community based participatory approach to explore the facilitators and barriers to implementing outcome measures in third sector wellbeing organisations. This cumulated in a toolkit on implementing PROMs, available from: https://issuu.com/niftyfoxcreative/docs/proms_booklet_final
Since 2020, I have worked on a number of projects linked to wellbeing, the social determinants of health and supporting people with accessing health services. Current projects include:
- Stakeholder lead on a NIHR funded systematic review exploring which interventions can support people to increase their health literacy to reduce use of urgent services for minor problems.
- Evaluating the delivery and impact of a housing support service delivered by a housing association for people being discharged from hospital.
- A scoping review of interventions to improve the mental health of Mental Health Nurses.
- Working with third sector organisations to help them develop capacity and capability in respect of evaluation.
Alongside undertaking research, I am an advisor at the Research Design Service, supporting researchers and clinicians with developing research ideas and applying for grants. This includes working for the PHRADA- a national service to support people interested in applying to the NHR Public Health Research funding stream.
Before joining ScHARR I worked in a number of health related roles including:
- Health Promotion Trainee- NHS Sheffield
- Development Officer- Sheffield Local Involvement Network
- Team Leader and Carer Support Officer- Rethink
These roles enabled me to develop my skills and knowledge of project management, health improvement initiatives, service evaluation, health inequalities and patient and public involvement.
BA Politics and Social Studies (1st Class Honours), Masters in Public Health (Distinction), PhD in Health Services Research (University of Sheffield).
- Research interests
My key area of interest is how to improve the evidence base of wellbeing interventions, such as implementing routine measurement and improving the quantity and scale of research on wellbeing interventions.
Alongside this, I am interested in researching interventions which address the social determinants of health including housing and welfare advice services.
I have experience of a range of research methods including qualitative, randomised controlled trials, participatory research and secondary analysis. I am passionate about using mixed methods and I am interested in how research is implemented into health services.
I am currently working on a number of studies related to improving wellbeing.
- Identifying the evidence base of interventions supporting mental health nurses to cope with stressful working enviroments: a scoping review. Journal of Nursing Management.
- Impact of social prescribing to address loneliness: a mixed methods evaluation of a national social prescribing programme. Health & Social Care in the Community.
- How do third sector organisations or charities providing health and wellbeing services in England implement patient reported outcome measures (PROMs)?: A qualitative interview study. BMJ Open, 10. View this article in WRRO
- Connecting communities: A qualitative investigation of the challenges in delivering a national social prescribing service to reduce loneliness. Health & Social Care in the Community. View this article in WRRO
- Study protocol for a randomised controlled trial assessing the clinical and cost-effectiveness of the Journeying through Dementia (JtD) intervention compared to usual care. BMJ Open, 9(9). View this article in WRRO
- The facilitators and barriers to implementing patient reported outcome measures in organisations delivering health related services: a systematic review of reviews. Journal of Patient-Reported Outcomes. View this article in WRRO
- An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk. Programme Grants for Applied Research, 5(1). View this article in WRRO
- Cost-effectiveness modelling of telehealth for patients with raised cardiovascular disease risk: evidence from a cohort simulation conducted alongside the Healthlines randomised controlled trial. BMJ Open, 6(9). View this article in WRRO
- Cost-effectiveness of telehealth for patients with raised cardiovascular disease risk: evidence from the Healthlines randomised controlled trial. BMJ Open, 6(8), e012352-e012352. View this article in WRRO
- Cost-effectiveness of telehealth for patients with depression: evidence from the Healthlines randomised controlled trial. British Journal of Psychiatry Open, 2(4), 262-269. View this article in WRRO
- The Contribution of Therapist Effects to Patient Dropout and Deterioration in the Psychological Therapies. Clinical Psychology & Psychotherapy. View this article in WRRO
- Being Human: A Qualitative Interview Study Exploring Why a Telehealth Intervention for Management of Chronic Conditions Had a Modest Effect. Journal of Medical Internet Research, 18(6). View this article in WRRO
- Telehealth for patients at high risk of cardiovascular disease: pragmatic randomised controlled trial. BMJ, 353. View this article in WRRO
- Effectiveness of an integrated telehealth service for patients with depression: a pragmatic randomised controlled trial of a complex intervention. The Lancet Psychiatry, 3(6), 515-525. View this article in WRRO
- Increasing follow-up questionnaire response rates in a randomized controlled trial of telehealth for depression: three embedded controlled studies. Trials, 17. View this article in WRRO
- Who does not participate in telehealth trials and why? A cross-sectional survey. Trials, 16(1). View this article in WRRO
- The self-management of longer-term depression: learning from the patient, a qualitative study. BMC Psychiatry, 15(1). View this article in WRRO
- Exploring the components and impact of social prescribing. Journal of Public Mental Health, 14(3), 127-134. View this article in WRRO
- Innovation in Health Economic Modelling of Service Improvements for Longer-Term Depression: Demonstration in a Local Health Community. JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS, 16, S34-S35.
- Innovation in health economic modelling of service improvements for longer-term depression: demonstration in a local health community.. BMC Health Serv Res, 13, 150. View this article in WRRO
NIHR HS&DR Project (Co-app)- Identifying health literacy interventions that reduce the use of primary care and emergency services for minor problems: a systematic review
NIHR Doctoral Research Fellowship (PI)- Exploring the facilitators and barriers to implementing the routine use of outcome measures in third sector wellbeing organisations.
NHS Solent (PI)- Developing and leading a research project exploring patients’ views on the acceptability of telehealth.
Yorkshire and Humber Research Design Service (PI) - Involving patients and the public in developing a research proposal exploring the use of outcome measures in third sector wellbeing activities.
Alongside grants, I have been a co-applicant and PI on a number of knowledge exchange projects including with the British Red Cross (>£200,000) and Cruse bereavement services (>£30,000).
- Teaching interests
I am involved in delivering various aspects of Master level programs at ScHARR including:
- Deputy module lead- Knowledge mobilisation in healthcare
- Delivering teaching on the dissertation module for the Masters in Public Health students
- Supervising and marking dissertations on the Masters in Public Health, Masters in Health Services Research and Masters in Clinical Research.
- Personal tutor to Master’s level students.
- Providing research attachments for undergraduate medical students.
- Leading a peer network for supervisors of qualitative post-graduate dissertations.
Much of my teaching involves taking a collaborative approach with community organisations, providing opportunities for students to get hands on experience of addressing health and wellbeing through taking a holistic wellbeing approach. For example, organising dissertation placements at local charities
- Professional activities
I am a member of ScHARR’s Athena SWAN Committee.
I set up and currently lead the Wellbeing Intervention Network. This is a cross departmental network which shares knowledge and develops collaborations amongst people interested in wellbeing interventions.
I am on the Executive for the Centre for Wellbeing in Public Policy.
Conferences and seminars
2019- Involvement of Patients and the Public in implementing PROMs- National PROMs conference
2019- Implementing PROMs in social prescribing- a qualitative study- International Social Prescribing Service
2018- National Patient Reported Outcome Measures conference- Identifying the facilators and barriers to implementing Patient Reported Outcome Measures: A systematic review of reviews.
2018- Knowledge Mobilization Conference- Taking a collaborative measurement approach.
2018- South West Prescribing Conference- What do we know about the impact of social prescribing- Keynote speaker
2015 - Health Services Research Network Annual Conference - The effectiveness and cost-effectiveness of telehealth for depression.
2014- National Conference of the Society of Academic Primary Care-What can we do for patients we don't know how to help?-Could social prescribing be the answer?
2013- Regional Conference of the Society of Academic Primary Care-Healthlines: Exploring the effectiveness of telehealth support for longer-term conditions
2012 and 2013- Sheffield Health and Social Care Trust-Doing collaborative research for patient benefit: The IQuESTs Study-Improving quality and effectiveness of services, treatments and self-management
2013- ScHARR Seminar- Are certain clients more likely have an unplanned ending or experience reliable deterioration when engaging in psychological therapy?