Professor Chris Todd
Professor of Primary Care and Community Health
- Email: firstname.lastname@example.org
- Telephone: +44 (0)161 306 7865
- Alternative Telephone: ++44 (0)161 306 7862 (PA: Knewly McGuigan)
- Fax: +44 (0) 161 306 7894
The School of Nursing, Midwifery and Social Work
The University of Manchester
Room 6.314b, Jean McFarlane Building
Manchester M13 9PL
Fall Prevention Falling is very common amongst older people and is responsible for considerable disability and distress. Interventions such as exercise aimed at improving balance and increasing muscle strength can reduce falling amongst older people, but we still need to know a lot more about how to ensure such interventions are most effective. Much of Chris's work relates to identifying how to encourage uptake and adherence to promote effectiveness of interventions. Chris led the Prevention of Falls Network Europe and currently leads a number of projects related to fall prevention. He also lead the ProFaNE team that developed the FES-I, a very widely used measure of fear of falling. His current work is focusing on interventions for people with visual impairments and using smartphones and other technologies to predict detect and prevent falls (FARSEEING). He is part of the EC's European Innovation Partnership on Active and Healthy Ageing (see EC website1 and website2 ) and leads the Prevention of Falls Network for Dissemination ProFouND.
Cancer and Palliative Care A major area of interest is how to support people during their last illness so that they can have maximum quality of life and remain with their family and friends. Chris’ group have been investigating access to palliative care services and the way that community based palliative care services, nursing services and social care, can help people to remain at home when they are seriously ill. His most recent studies have focused on supporting the family carers of people with palliative care needs, and the methodological challenges of palliative and end of life care research. He was recwently co-PI on the MORECare project and played a central role in the Cancer Experiences Collaborative CECo leading work on methdology.
Breast cancer amongst older women. Breast cancer is prevalent amongst older women but evidence shows that older women are less likely to receive surgery and other standard interventions than their younger counterparts. Chris works on a programme of studies with Dr Katrina Lavelle and Prof Nigel Bundred investigating aspects of the management of breast cancer.
Integrating nutrition into the care pathway for colorectal cancer patients. Chris works with Dr Sorrel Burden on a programme that uses the MRC Framework/Guidance for developing complex interventions in this case using nutritional interventions for cancer. The first phase of the work involved qualitative interviews with people with colorectal cancer. We are currently conducting a randomised controlled trial of a nutritional intervention in preoperative colorectal cancer patients.
A description of my expertise is also held on the ResearcherID website
Promoting positive ageing: The prevention of falls and fractures in older people (See the ProFaNE website). Outcomes of care. Age related inequalities in access to cancer treatments. See the FARSEEING website
The psychology of falling: Mechanisms to promote uptake and adherence to fall prevention interventions. Psycho-social consequences and sequellae of falls (fear of falling). See Prevention of Falls Network Europe (ProFaNE) website.
Stress amongst health care professionals: Surveys of stress in professional groups. Interventions and job redesign to reduce stress.
Chris teachs on a number of courses in the School, including the BNurs. MRes and PhD programmes.
Chris has supervised many PhD students over the years and is always keen to hear from potential students in his areas of interest.
Chris read Psychology at the University of Durham and obtained BA, MA and PhD. He is currently Professor of Primary Care and Community Health (formerly Director of Research 2003-2013) in The School of Nursing, Midwifery and Social Work. He is a Chartered Psychologist and Associate Fellow of The British Psychological Society.
He has held and/or currently holds grants from the Department of Health, NHS, various research charities, MRC, NIHR and the European Commission, He was a member of the European Commission DG12 Expert Working Party on research into postural stability and fall prevention in the elderly population. He has reviewed for a wide range of research committees and charities both in UK and overseas. He is currently a member of NIHR Health Services Research Board and the Dimbleby Cancer Care Scientific Advisory Board.
He wrote The World Health Organisation’s policy synopsis on the prevention of falls amongst older people and was a member of the group which wrote the 2007 WHO Global Report on Falls Prevention.
Brundle C, Waterman H, Ballinger C, Olleveant N, Skelton D, Stanford P, Todd C. (2015).
Daveson BA, Smith M, Yi D, McCrone P, Grande G, Todd C, Gysels M, Costantini M, Murtagh FE, Higginson IJ, Evans CJ. (2015).
The effectiveness and cost-effectiveness of inpatient specialist palliative care in acute hospitals for adults with advanced illness and their caregivers. Cochrane Database Syst Rev, (3), eScholarID:268828 | DOI:10.1002/14651858.CD011619
Coventry, P., Dickens, C. & Todd, C (2014).
How does mental-physical multimorbidity express itself in lived time and space? A phenomenological analysis of encounters with depression and chronic physical illness. Soc Sci Med, 118, 108-18. eScholarID:236802 | PMID:25112565 | DOI:10.1016/j.socscimed.2014.07.068
Hawley-Hague, H., Boulton, E., Hall, A., Pfeiffer, K. & Todd, C (2014).
Older adults' perceptions of technologies aimed at falls prevention, detection or monitoring: a systematic review. Int J Med Inform, 83(6), 416-26. eScholarID:236805 | PMID:24798946 | DOI:10.1016/j.ijmedinf.2014.03.002
Hawley-Hague, H., Horne, M., Campbell, M., Demack, S., Skelton, D. & Todd, C (2014).
Horne, M., Skelton, D., Speed, S. & Todd, C (2014).
Falls prevention and the value of exercise: salient beliefs among South asian and white british older adults. Clin Nurs Res, 23(1), 94-110. eScholarID:236800 | PMID:23749340 | DOI:10.1177/1054773813488938
Lavelle, K., Sowerbutts, A., Bundred, N., Pilling, M., Degner, L., Stockton, C. & Todd, C (2014).
Is lack of surgery for older breast cancer patients in the UK explained by patient choice or poor health? A prospective cohort study. Br J Cancer, 110(3), 573-83. eScholarID:236801 | PMID:24292450 | DOI:10.1038/bjc.2013.734
Rapp, K., Freiberger, E., Todd, C., Klenk, J., Becker, C., Denkinger, M., Scheidt-Nave, C. & Fuchs, J (2014).
Fall incidence in Germany: results of two population-based studies, and comparison of retrospective and prospective falls data collection methods. BMC Geriatr, 14, 105. eScholarID:236799 | PMID:25241278 | DOI:10.1186/1471-2318-14-105
Evans, C. Benalia, H. Preston, N. Grande, Gysels, M. Short, V. Daveson, B. Bausewein, C. Todd, C. Higginson, I. on behalf of MORECare. (2013).
The Selection and Use of Outcome Measures in Palliative and End-of-Life Care Research: The MORECare International Consensus Workshop. Journal of Pain and Sympton Mangement, eScholarID:195576
Evans, C., Harding, R., Higginson, I. & . (2013).
'Best practice' in developing and evaluating palliative and end-of-life care services: a meta-synthesis of research methods for the MORECare project. Palliat Med, 27(10), 885-98. eScholarID:236796 | PMID:23322647 | DOI:10.1177/0269216312467489
Farquhar, M., Preston, N., Evans, C., Grande, G., Short, V., Benalia, H., Higginson, I. & Todd, C (2013).
Mixed Methods Research in the Development and Evaluation of Complex Interventions in Palliative and End-of-Life Care: Report on the MORECare Consensus Exercise. J P M, eScholarID:213325 | PMID:24195755 | DOI:10.1089/jpm.2012.0572
Gysels, M., Evans, C., Lewis, P., Speck, P., Benalia, H., Preston, N., Grande, G., Short, V., Owen-Jones, E., Todd, C. & Higginson, I (2013).
MORECare research methods guidance development: recommendations for ethical issues in palliative and end-of-life care research. Palliat Med, 27(10), 908-17. eScholarID:236797 | PMID:23695828 | DOI:10.1177/0269216313488018
Higginson, I. Evans, C. Grande, G. Preston, N. Morgan, M. McCrone, P. Lewis, P. Fayers, P. Harding, R. Hotopf, M. Murray, S. Benalia, H. Gysels, M. Farquhar, M. Todd, C. and on behalf of MORECare. (2013).
Evaluating complex interventions in End of Life Care: the MORECare Statement on good practice generated by a synthesis of transparent expert consultations and systematic reviews. BMC Medicine, 11, 111. eScholarID:193064 | DOI:10.1186/1741-7015-11-111
Horne, M., Skelton, D., Speed, S. & Todd, C (2013).
Perceived barriers to initiating and maintaining physical activity among South Asian and White British adults in their 60s living in the United Kingdom: a qualitative study. Ethn Health, eScholarID:209596 | PMID:23834070 | DOI:10.1080/13557858.2013.814762
Klenk, J., Chiari, L., Helbostad, J., Zijlstra, W., Aminian, K., Todd, C., Bandinelli, S., Kerse, N., Schwickert, L., Mellone, S., Bagalá, F., Delbaere, K., Hauer, K., Redmond, S., Robinovitch, S., Aziz, O., Schwenk, M., Zecevic, A., Zieschang, T., Becker, C. & . (2013).
Development of a standard fall data format for signals from body-worn sensors : the FARSEEING consensus. Z Gerontol Geriatr, 46(8), 720-6. eScholarID:236806 | PMID:24271252 | DOI:10.1007/s00391-013-0554-0
L. Schwickert, C. Becker, U. Lindemann, C. Maréchal, A. Bourke, L. Chiari, J.L. Helbostad, W. Zijlstra, K. Aminian, C. Todd, S. Bandinelli, J. Klenk. (2013).
Preston, N., Fayers, P., Walters, S., Pilling, M., Grande, G., Short, V., Owen-Jones, E., Evans, C., Benalia, H., Higginson, I., Todd, C. & . (2013).
Recommendations for managing missing data, attrition and response shift in palliative and end-of-life care research: part of the MORECare research method guidance on statistical issues. Palliat Med, 27(10), 899-907. eScholarID:236798 | PMID:23652842 | DOI:10.1177/0269216313486952
Roberts, D. Wilson, C. Todd, C. Long, A. F. Mackerethd, P. Stringerd, J. Cartera, A. Parkine, S. Caress, A. L. (2013).
Complementary therapies in cancer: Patients’ views on their purposes and value pre and post receipt of complementary therapy—A multi-centre case study. European Journal of Integrative Medicine, 5(5), 443-449. eScholarID:213324 | DOI:10.1016/j.eujim.2013.06.005
Schwickert, L., Becker, C., Lindemann, U., Maréchal, C., Bourke, A., Chiari, L., Helbostad, J., Zijlstra, W., Aminian, K., Todd, C., Bandinelli, S., Klenk, J. & . (2013).
Stanmore, E., Oldham, J., Skelton, D., O'Neill, T., Pilling, M., Campbell, A. & Todd, C (2013).
Stone P, Gwilliam B, Keeley V, Todd C, Kelly LC, Barclay S. (2013).
Addington-Hall J, Gerard K, Brien S, Brailsford S, Salisbury C, Heaney D, Todd C, Moore M, Leydon G, England H, Lattimer V. (2013).
Variations in out of hours end of life care provision across primary care organisations in England and Scotland. Final Report. NIHR Service Delivery and Organistaion programme. Southampton: Queen's Printer and Controller of the HMSO. eScholarID:236808
Becker, C., Schwickert, L., Mellone, S., Bagalà, F., Chiari, L., Helbostad, J., Zijlstra, W., Aminian, K., Bourke, A., Todd, C., Bandinelli, S., Kerse, N. & Klenk, J (2012).
Burden, S., Todd, C., Hill, J. & Lal, S (2012).
Gwilliam, B., Keeley, V., Todd, C., Roberts, C., Gittins, M., Kelly, L., Barclay, S. & Stone, P (2012).
Prognosticating in patients with advanced cancer--observational study comparing the accuracy of clinicians' and patients' estimates of survival. Ann Oncol, 1-7. eScholarID:173291 | PMID:23028038 | DOI:10.1093/annonc/mds341
Hawley, H. Skelton, D.A. Campbell, M. Todd. C. (2012).
Are the attitudes of Exercise Instructors who work with Older Adults influenced by training and personal characteristics? Journal of Ageing and Physical Activity, 20, 47-63. eScholarID:141641
Horne, M., Skelton, D., Speed, S. & Todd, C (2012).
Attitudes and beliefs to the uptake and maintenance of physical activity among community-dwelling South Asians aged 60-70 years: a qualitative study. Public Health, 126(5), 417-23. eScholarID:192342 | PMID:22445713 | DOI:10.1016/j.puhe.2012.02.002
McAllister, M. Dunn, G. Payne, K. Davies, L. and Todd, C. (2012).
Payne S. Seymour J, Grande G. Froggatt K, Molassiotis A Lloyd-Williams M, Foster C.L, Addington-Hall J, Rolls L, Todd. (2012).
Preston NJ, Farquhar MC, Walshe CE, Stevinson C, Ewing G, Calman LA, Burden S, Brown Wilson C, Hopkinson JB, Todd CJ. (2012).
Schwenk, M. Lauenroth, A. Stock, C. Moreno, R.R. Oster, P. McHugh, G. Todd, C.Hauer, K. (2012).
Definitions and methods of measuring and reporting on injurious falls in randomised controlled fall prevention trials: a systematic review. BMC Medical Research Methodology, 12(50), eScholarID:164445 | DOI:10.1186/1471-2288-12-50
Stanmore, E., Oldham, J., Skelton, D., O'Neill, T., Pilling, M., Campbell, A. & Todd, C (2012).
Stone P, Gwilliam B, Keeley V, Todd C, Gittens M, Kelly L, Barclay S and Roberts C. (2012).
Patients’ reports or clinicians’ assessments – which are better for prognosticating? An observational study. BMJ Supportive & Palliative Care, 2, 219-223. eScholarID:192345 | DOI:doi:10.1136/bmjspcare-2012-000216
Whitehead, S.H., Nyman, S.R., Skelton, D.A., Broaders, F. and Todd, C.J. (2012).
The quality of English language websites offering falls prevention advice to older members of the public and their families. Health Informatics Journal, 18(1), 50-65. eScholarID:136968 | DOI:10.1177/1460458211432588
Burden, S., Hill, J., Shaffer, J., Campbell, M. & Todd, C (2011).
An unblinded randomised controlled trial of preoperative oral supplements in colorectal cancer patients. J Hum Nutr Diet, 24(5), 441-8. eScholarID:136966 | PMID:21699587 | DOI:10.1111/j.1365-277X.2011.01188.x
Coventry, P; Gemmell, I; Todd, C. (2011).
Gwilliam, B., Keeley, V., Todd, C., Gittins, M., Roberts, C., Kelly, L., Barclay, S. & Stone, P (2011).
Development of Prognosis in Palliative care Study (PiPS) predictor models to improve prognostication in advanced cancer: prospective cohort study. BMJ, 343, d4920. eScholarID:136963 | PMID:21868477 | DOI:10.1136/bmj.d4920
Hauer, K., Kempen, G., Schwenk, M., Yardley, L., Beyer, N., Todd, C., Oster, P. & Zijlstra, G (2011).
Validity and sensitivity to change of the falls efficacy scales international to assess fear of falling in older adults with and without cognitive impairment. Gerontology, 57(5), 462-72. eScholarID:136956 | PMID:20975251 | DOI:10.1159/000320054
McAllister, M. Wood, AM. Dunn, G. Shiloh, S. Todd, C. (2011).
The Genetic Counseling Outcome Scale: a new patient-reported outcome measure for clinical genetics services. Clinical Genetics, 79(5), 413-424. eScholarID:118508 | DOI:10.1111/j.1399-0004.2011.01636.x
McAllister, M., Wood. A. M., Dunn., G., Shiloh, S., Todd., C. (2011).
Payne, S. Seymour, J. Molassiotis, A. Froggatt, K. Grande, G. Lloyd-Williams, M. Foster, C. Wilson, R. Rolls, L. Todd, C. Addington-Hall, J. (2011).
Burden, S., Hill, J., Shaffer, J. & Todd, C (2010).
Funk L, Stajduhar KI, Toye C, Aoun S, Grande GE, Todd CJ. (2010).
Part 2: Home based family caregiving at the end of life: a comprehensive review of published qualitative research (1998 - 2008). Palliative Medicine, 26(6), 594-607. eScholarID:101252 | DOI:10.1177/0269216310371411
Gilbert R, Ben-Shlomo Y, Yardley L, Todd C. (2010).
Socio-demographic factors predict the likelihood of not returning home after hospital admission following a fall. Journal of Public Health, 32(1), 117-124. eScholarID:1d19781 | DOI:10.1093/pubmed/fdp077
Hauer KS, Kempen GIJM, Schwenk M, Yardley L, Beyer N, Todd C, Oster P, Zilstra GAR. (2010).
Validity and Sensitivity to Change of the Falls Efficacy Scales International to Assess Fear of Falling in Older Adults with and without Cognitive Impairment. Gerontology, 57(5), 462-199. eScholarID:101358 | DOI:10.1159/000320054
Helbostad JL, Taraldsen K, Granbe R, Yardley L, Todd CJ, Sletvold O. (2010).
Horne M, Speed S, Skelton DA, Todd C. (2010).
The influence of primary health care professionals in encouraging exercise and physical activity uptake among White and South Asian older adults: experiences of young older adults. Patient Education and Counselling, 78(1), 97-103. eScholarID:1d28322 | DOI:10.1016/j.pec.2009.04.004
McAllistair M, Dunn G, Todd C. (2010).
Rogers, MS. Tood, C. (2010).
Stajduhar KI, Funk L, Toye C, Grande GE, Aoun S, Todd CJ. (2010).
Part 1: Home based family caregiving at the end of life: a comprehensive review of published quantitative research (1998 - 2008). Palliative Medicine, 24(6), 573-593. eScholarID:101250 | DOI:10.1177/0269216310371412
Stevinson C, Preston N, Todd C and Cancer Experiences Collaberative (CECo). (2010).
Walshe C, Caress A, Chew-Graham C, Todd C. (2010).
Nurses' feelings of 'ownership' of palliative care patients: findings from a qualitative case study. Progress in Palliative Care, 18(6), 347-351. eScholarID:101389 | DOI:10.1179/096992610X12775428637060
Tocc C. (2010).
Rapid response to Groves J. Bicycle weight and commuting time... De Selby theory requires repeated weighing. BMJ, eScholarID:236811
Todd C. (2010).
Rapid response to Groves J. Bicycle weight and commuting time... Trial design not cycle design at fault. BMJ, eScholarID:236810
Grande GE, Stajduhar K, Aoun S, Toye C, Funk L, Addington-Hall J, Payne S, Todd C. (2009).
Grande, G., Farquhar, M., Barclay, S. & Todd, C (2009).
Quality of life measures (EORTC QLQ-C30 and SF-36) as predictors of survival in palliative colorectal and lung cancer patients. Palliat Support Care, 7(3), 289-97. eScholarID:136790 | PMID:19788770 | DOI:10.1017/S1478951509990216
Hauer, K. Tremmell, AD. Ramroth, H. Pfisterer, M. Todd, C. Oster, P. Schuler, M. (2009).
Horne, M., Speed, S., Skelton, D. & Todd, C (2009).
Mackereth, P., Carter, A., Parkin, S., Stringer, J., Caress, A., Todd, C., Long, A. & Roberts, D (2009).
Molassiotis, A., Brearley, S., Saunders, M., Craven, O., Wardley, A., Farrell, C., Swindell, R., Todd, C. & Luker, K (2009).
Effectiveness of a home care nursing program in the symptom management of patients with colorectal and breast cancer receiving oral chemotherapy: a randomized, controlled trial. J Clin Oncol, 27(36), 6191-8. eScholarID:135817 | PMID:19917849 | DOI:10.1200/JCO.2008.20.6755
Peter, M., Ann, C., Sam, P., Jacqui, S., Dai, R., Andrew, L., Chris, T. & Ann, C (2009).
Complementary therapists' motivation to work in cancer/supportive and palliative care: a multi-centre case study. Complement Ther Clin Pract, 15(3), 161-5. eScholarID:136863 | PMID:19595418 | DOI:10.1016/j.ctcp.2009.03.004
Preston N, Payne S, Todd C. (2009).
Conducting research in palliative care patients: a burden or an opportunity? Journal of Palliative Nursing, 15(11), 524-525. eScholarID:101235
Pye SR, Tobias J, Silman AJ et al (EPOS). (2009).
Childhood fractures do not predict future fractures: Results from the European Prospective Osteoporosis Study. Journal of Bone and Mineral Research, 24(7), 1314-1318. eScholarID:101458 | DOI:10.1359/jbmr.090220
Walshe C, Todd C, Caress A, Chew-Graham CA. (2009).
Barberia, A., Attree, M. & Todd, C (2008).
Cullum S, Metcalfe C, Brayne C, Todd C. (2008).
Does depression predict adverse outcomes for older medical inpatients? A prospective cohort study of individuals screened for a trial. Age and Ageing, 37, 690-695. eScholarID:1d28188 | DOI:10.1093/ageing/afn193
Keeley, P., Creed, F., Tomenson, B., Todd, C., Borglin, G. & Dickens, C (2008).
Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain. Pain, 135(1-2), 142-50. eScholarID:136442 | PMID:17611036 | DOI:10.1016/j.pain.2007.05.015
Kempen GIJM, Yardley L, van Haastregt JCM, Zijlstra RGA, Beyer N, Hauer K, Todd C. (2008).
Lavelle KJ, Todd C, Campbell MG. (2008).
Do postage stamps versus pre-paid envelopes increase responses to patient mail surveys?: A randomised controlled trial. BMC Health Service Research, 8, 113. eScholarID:1d17295 | DOI:10.1186/1472-6963-8-113
Walshe C, Caress A, Chew-Graham CA, Todd C. (2008).
Implementation and impact of the Gold Standards Framework in community palliative care: a qualitative study of three Primary Care Trusts. Palliative Medicine, 22(6), 736-743. eScholarID:1d28124 | DOI:10.1177/0269216308094103
Walshe, C., Chew-Graham, C., Todd, C. & Caress, A (2008).
Walshe, C., Todd, C., Caress, A. & Chew-Graham, C (2008).
Judgements about fellow professionals and the management of patients receiving palliative care in primary care: a qualitative study. Br J Gen Pract, 58(549), 264-72. eScholarID:135782 | PMID:18494176 | DOI:10.3399/bjgp08X279652
Yardley, L., Kirby, S., Ben-Shlomo, Y., Gilbert, R., Whitehead, S. & Todd, C (2008).
Yardley L, Beyer N, Hauer K, McKee K, Ballinger C, Todd C. (2007).
Yardley L, Donovan-Hall M, Francis K, Todd C. (2006).
Yardley L, Todd C, Beyer N, Hauer K, Kempen G, Piot-Zeigler C. (2005).
Selected research projects
- Effectiveness of home care nursing in decreasing side effects and improving quality of life in breast and colorectal cancer patients receiving oral chemotherapy
- Evaluating the impact of a Carer Support Needs Assessment Tool in Hospice at Home care: a feasibility trial
- FARSEEING FAll Repository for the design of Smart and sElf-adaptive Environments prolonging INdependent livinG
- Management of older women with breast cancer in north west England
- Methods for evaluating service delivery models for end of life care (EoLC): development of best practice guidance
- MORECare - Methods for evaluating service delivery models for end of life care (EoLC): development of best practice guidance
- Piloting a carer support needs assessment tool to facilitate communication in palliative home care practice
- Predictors of patients' use of cancer support groups: A prospective study
- Presenting advice about falls prevention interventions to older people
- ProFaNE – Prevention of Falls Network Europe Thematic Network
- Prognosis in Palliative Care Study (PiPS)
- Socio-economic and ethnic differences in fall-related mortality, morbidity, health care seeking behaviour and provision of services
- The course, correlates and outcomes of quality of life and needs of palliative colorectal and lung cancer patients
- The efficacy and cost effectiveness of falling prediction and prevention programme in older patients with rheumatoid arthritis.
- The impact of variations in out of hours end of life care provision on patient experience, staff and health systems
- Treatment decision making for elderly breast cancer patients in Greater Manchester