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School of Nursing, Midwifery and Social Work

Professor Chris Todd 

Photograph of Chris Todd

Professor of Primary Care and Community Health/Director of Research

  • Email: chris.todd@manchester.ac.uk
  • Telephone: +44 (0)161 306 7865
  • Alternative Telephone: ++44 (0)161 306 7860 (PA: Stacey Body)
  • Fax: +44 (0) 161 306 7894

The School of Nursing, Midwifery and Social Work
The University of Manchester
Room 6.314b, Jean McFarlane Building
University Place
Oxford Road
Manchester M13 9PL 

 

Research

Fall Prevention

Falling is very common amongst older people and is responsible for considerable disability and distress. Whilst interventions such as exercise aimed at improving balance and increasing muscle strength can reduce falling amongst older people this evidence has not successfully been rolled out into useful treatments taken up by older people. No one has yet demonstrated fall prevention programmes can reduce the numbers of fractures experienced by older people.

The Prevention of Falls Network Europe led by Chris Todd co-ordinates research across Europe into the prevention of falling amongst older people. This work co-ordinates trials of fall prevention, identifies best practice treatment regimes, investigates assessment of balance and gait, and focuses on psychological consequences of falls, and psychological processes which motivates older people to take up fall prevention activities. In particular Chris’ group have been investigating how to make fall prevention, attractive to older people by investigating their beliefs and attitudes towards falls and exercise. They recently devised a new measure of fear of falling to be used across Europe. In addition they are investigating the effect of social deprivation and ethnicity on the use of services aimed at reducing falls.

Palliative Care

Many people with cancer and other life threatening illnesses would prefer to die at home, but many who prefer to remain at home fail to do so. 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. An important issue is the way that services are organised and the training and skill mix of professional providing those services.

However patient and family factors are not clearly understood and they have been looking at patient and carer variables involved in continued patient support. Some of the most needy patients fail to access services which could help them and their families during their final illness. The group are investigating ways of improving access to services and how novel interventions can help. These include access to complementary therapies and they are investigating what patients expect and their experiences of such services.

Promoting positive ageing: The prevention of falls and fractures in older people (see www.profane.eu.org ). Outcomes of care. Age related inequalities in access to cancer treatments.

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.

Research methods: Trial design, outcome measurement, quality of life, interfacing between quantitative and qualitative methods.  

 

Biography

Chris read Psychology at the University of Durham and obtained BA, MA and PhD. He is currently Professor of Primary Care and Community Health and Director of Research in The School of Nursing, Midwifery and Social Work. He is a Chartered Psychologist and Chartered Health Psychologist and Associate Fellow of The British Psychological Society.

He has held grants from the Department of Health, NHS, research charities and MRC, and currently holds major grants from the European Commission, The Community Fund, and the NHS. 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 including MRC Advisory Board and is currently a member of The Medical Research Council’s College of Experts.

He recently 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.

 

Selected publications

2012

  • 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
  • Schwenk, M. Lauenroth, A. Stock, C. Rodriguez Moreno, 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 Reserach Methodology, 12(50), eScholarID:159118 | DOI:10.1186/1471-2288-12-50
  • 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

2011

  • 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). Hospital re-admission in COPD patients on early discharge schemes: psychosocial factors. European Respiratory Journal, eScholarID:111611
  • Coventry, P; Gemmell, I; Todd, C. (2011). Psychosocial risk factors for hospital readmission in COPD patients on early discharge services: a cohort study. BMC Pulmonary Medicine, 11(49), eScholarID:136955 | DOI:doi:10.1186/1471-2466-11-49
  • 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). The Perceived Personal Control (PPC) Questionnaire: Reliability and validity in a UK sample. American Journal of Medical Genetics, eScholarID:136967 | DOI:DOI 10.1002/ajmg.a.34374
  • 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). Benefit and challenges of collaberative research: lessons from supportive and palliative care. BMJ Supportive & Palliative Care, 1(1), 5-11. eScholarID:127445 | DOI:10.1136/bmjspcare-2011-000018

2010

  • Burden, S., Hill, J., Shaffer, J. & Todd, C (2010). Nutritional status of preoperative colorectal cancer patients. J Hum Nutr Diet, 23(4), 402-7. eScholarID:135748 | PMID:20487172 | DOI:10.1111/j.1365-277X.2010.01070.x
  • 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, 56(2), 190-199. eScholarID:101358 | DOI:10.1159/000320054
  • Helbostad JL, Taraldsen K, Granbe R, Yardley L, Todd CJ, Sletvold O. (2010). Validation of the Falls Efficacy Scale-International in fall-prone older persons. Age and Ageing, 39(2), 256-259. eScholarID:101228 | DOI:10.1093/ageing/afp224
  • 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). Empowerment: qualitative underpinning of a new clinical genetics-specific patient-reported outcome. Journal of Human Genetics, 19, 125-130. eScholarID:101366 | DOI:doi:10.1038/ejhg.2010.160
  • Rogers, MS. Tood, C. (2010). Can cancer influence the pain agenda in Oncology Outpatient Consultations? Journal of Pain and Symptom Management, 39(2), 268-282. eScholarID:106125 | DOI:10.1016/j.jpainsymman.2009.05.024
  • 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). Defining priorities in prognostication research: results of a consensus workshop. Palliative Medicine, 24, 462-468. eScholarID:101237 | DOI:10.1177/0269216310368452
  • 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

2009

  • Grande GE, Stajduhar K, Aoun S, Toye C, Funk L, Addington-Hall J, Payne S, Todd C. (2009). Supporting lay carers in the end of life care: current gaps and future priorities. Palliative Medicine, 23, 339-344. eScholarID:1d28313 | DOI:10.1177/0269216309104875
  • 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, Yardley L, Beyer, N, Kempen, G, Dias, N, Campbell, M, Becker, C, Todd, C. (2009). Validation of the Falls Efficacy Scale and Falls Efficacy Scale International in Geriatric Patients with and without Cognitive Impairment: Results of Self-Report and Interview-Based Questionnaires. Gerontology, 39(2), 256-259. eScholarID:12919 | DOI:10.1159/000236027
  • Hauer, K. Tremmell, AD. Ramroth, H. Pfisterer, M. Todd, C. Oster, P. Schuler, M. (2009). Repressive coping in geriatric patients' reports - impact on fear of falling. Zeitschrift für Gerontologie und Geriatrie, 42(2), 137-144. eScholarID:106085 | DOI:10.1007/s00391-008-0552-9
  • Horne, M., Speed, S., Skelton, D. & Todd, C (2009). What do community-dwelling Caucasian and South Asian 60-70 year olds think about exercise for fall prevention? Age Ageing, 38(1), 68-73. eScholarID:136438 | PMID:19039019 | DOI:10.1093/ageing/afn237
  • Mackereth, P., Carter, A., Parkin, S., Stringer, J., Caress, A., Todd, C., Long, A. & Roberts, D (2009). Complementary therapists' training and cancer care: a multi-site study. Eur J Oncol Nurs, 13(5), 330-5. eScholarID:136864 | PMID:19505850 | DOI:10.1016/j.ejon.2009.04.009
  • 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). Patterns of access to community palliative care services: a literature review. Journal of Pain and Symptom Management, 37, 884-912. eScholarID:1d28184 | DOI:10.1016/j.jpainsymman.2008.05.004

2008

  • Barberia, A., Attree, M. & Todd, C (2008). Understanding eating behaviours in Spanish women enrolled in a weight-loss treatment. J Clin Nurs, 17(7), 957-66. eScholarID:136441 | PMID:18321293 | DOI:10.1111/j.1365-2702.2007.02073.x
  • 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). The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age and Ageing, 37(1), 45-50. eScholarID:1d28026 | DOI:10.1093/ageing/afm157
  • 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
  • Todd CJ. (2008). Falls strategies (editorial). Nursing Older People, 20(1), 3. eScholarID:101218
  • 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). What influences referrals within community palliative care services? A qualitative case study. Soc Sci Med, 67(1), 137-46. eScholarID:136862 | PMID:18433963 | DOI:10.1016/j.socscimed.2008.03.027
  • 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). How likely are older people to take up different falls prevention activities? Prev Med, 47(5), 554-8. eScholarID:136439 | PMID:18817810 | DOI:10.1016/j.ypmed.2008.09.001

2007

  • Berman, R., Campbell, M., Makin, W. & Todd, C (2007). Occupational stress in palliative medicine, medical oncology and clinical oncology specialist registrars. Clin Med, 7(3), 235-42. eScholarID:136444 | PMID:17633943

2005

  • Yardley Lucy, Todd C. (2005). Encouraging positive attitudes to falls prevention in later life. ( February, ). eScholarID:5d43

2004

  • Walshe C, Caress A, Chew-Graham CA, Todd C. (2004). Choosing case study - what does it have to offer palliative care research?. eScholarID:2d1292
  • Todd C, Griffiths JM. (2004). Commentary on "Community support: Older adults perceptions" Gallagher, L. P. & Truglio-Londrigan, M. Clinical Nursing Research, 13 (1), 24-32. eScholarID:1d25895
  • Grande GE, Farquhar M, Barclay SIG, Todd C. (2004). Changes in informal carers' retrospective evaluations of palliative care. Palliative Medicine, 18 (4), 388. eScholarID:17d181
  • Skelton DA, Todd C, Dinan S, Iliffe S, Laventure B, Masud T. (2004). Exercise interventions in frequent fallers - evidence emerges faster than guidelines. British Medical Journal, eScholarID:17d659
  • Skelton DA, Todd C. (2004). What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls? How should interventions to prevent falls be implemented?. World Health Organisation. eScholarID:5d73

2003

  • Cullum S, Nandhra H, Darley J, Todd C. (2003). Screening for depression in older people in medical wards: which cut-off should we use? International Journal of Geriatric Psychiatry, 18, 358-359. eScholarID:17d231

2001

  • O'Leary D, Paykel ES, Todd C, Vardulaki K. (2001). Suicide in primary affective disorders revisited: A systematic review by treatment era. Journal of Clinical Psychiatry, 62, 804-811. eScholarID:1d24018

Research projects

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