Professor Christi Deaton PhD, RN, FESC, FAHA

Professor of Nursing
- Email: mcdeaton@manchester.ac.uk
- Telephone: +44 (0)161 306 7769
- Alternative Telephone: +44 (0)161 306 7780 (PA. Sue Tizini)
- Fax: +44 (0)161 306 7707
The School of Nursing, Midwifery and Social Work
The University of Manchester
Room 5.318, Jean McFarlane Building
University Place
Oxford Road
Manchester
M13 9PL
Role
Christi holds a joint post as Professor of Nursing at the School of Nursing, Midwifery & Social Work, and Central Manchester NHS Foundation Trust (CMFT). She leads the cardiovascular disease and diabetes research team at the School and is engaged in teaching and supervising MPhil/PhD students. At CMFT Christi works to implement the nursing, midwifery and allied health professionals research strategy and build research capacity and capability.
Currently Christi is Past-Chair of the Council of Cardiovascular Nursing and Allied Health Professionals (CCNAP) of the European Society of Cardiology (ESC), and is engaged in the work of the ESC. She serves on the ESC Congress Planning Committee, Clinical Practice Guidelines Committee, and is invited to the ESC Board meetings 2010 - 2012 as a representative for nursing and AHPs.
Memberships of Committees and Professional Bodies
- Council of Cardiovascular Nursing and Allied Health Professionals (CCNAP) of the European Society of Cardiology (ESC)
- European Society of Cardiology
- British Cardiovascular Society and British Association of Nurses in Cardiovascular Care
- American Heart Association Council of Cardiovascular Nursing, and Quality/Outcomes Working Group
- Royal College of Nursing
- Diabetes and Obesity Research Network
Research
My research interests are broadly focused on patients with heart disease and diabetes, patients with cystic fibrosis related diabetes, and building research capacity and capability among nurses and allied professionals. My clinical experience and desire to improve patient outcomes and services offered to patients are the motivating factors for my programme of research.
- Abnormal glucose regulation in patients with heart failure, and prevention of progression to diabetes in patients with heart failure and impaired glucose tolerance through lifestyle interventions. We are beginning data collection for a HF clinical registry/cohort study and biorepository in 3 centres to begin to address these issues.
- Adherence to exercise in patients with heart failure. We have completed a systematic review and qualitative study focusing on adherence to physical activity/exercise in patients with HF, and have subsequent funding to conduct the qualitative study with South Asian patients.
- I lead the Heart Disease Implementation Theme of the Greater Manchester Collaborative Leadership for Applied Health Research and Care (CLAHRC) programme funded by NIHR. Our theme is improving care by implementing evidence into practice in primary and secondary care for patients with HF and/or atrial fibrillation. The CLAHRC is focused on improving care for patients with vascular disease through both new research and implementation of research.
- Processes of care for patients presenting with acute coronary syndromes (NSTEMI and UA). I am involved in 2 studies on this including an RfPB with colleagues from Bristol.
- Patients with heart disease and/or type 2 diabetes, especially interaction of the two conditions; coordinated health services and self-management of both conditions, functional status, cardiovascular events and procedures.
- Psychological issues in patients with long-term conditions; and the effect of depression and anxiety on patient outcomes.
- Supporting self-management in patients with cystic fibrosis related diabetes, and transition in adolescent patients with CF (study led by Dr. Stephanie Tierney).
- Mentored support for building research capacity.
- Cost-effectiveness of interventions and nurse-led services.
Methodological Knowledge
My research is primarily quantitative, although I have some qualitative experience. I have experience in clinical trials, longitudinal observational studies, and in analyses using large clinical datasets. In addition to standard statistical knowledge, I am interested in using structural equation modelling and multi-level modelling.
Teaching
- Supervision of MPhil/PhD and MRes students
- Online Tutor for Core Research Methods course unit (post-graduate)
- Quantitative methods for the MRes Programme
- Undergraduate lectures: Coronary Heart Disease and Diabetes (Epidemiology and Public Health)
Biography
Christi brings years of clinical experience in practice and research to her work in Manchester. She began her nursing career in 1977, and gained broad experience in a variety of areas (operating theatre, neonatal ICU, critical care) before focusing on cardiology practice in 1984. Christi achieved national (US) certification in both operating room (CNOR) and critical care practice (CCRN) in the U.S.
She has been staff nurse, manager, nurse consultant, and outcomes manager in acute cardiology care in the U.S., and very early in her career was interested in research and evidence to guide practice. After earning her PhD, Christi was Coordinator of Outcomes Research for Emory Heart Centre in the U.S., and Associate Director of Cardiovascular Health Services Research at Emory University (1995 - 1997).
In 1997 Christi took up an academic post at Nell Hodgson Woodruff School of Nursing (NHWSN), Emory Universtiy, U.S., while maintaining her links to Emory Heart Centre and helping to develop Emory Centre for Outcomes Research. She counts herself as extremely fortunate to have been mentored by Professor William S. Weintraub and Professor Sandra Dunbar at Emory. While at Emory, Christi developed her research interests in older patients with heart disease, and was a post-doctoral fellow in interdisciplinary research in gerontology, and was selected as a Hartford Institute Geriatric Nursing Research Fellow in 2001.
While in the U.S. Christi was extremely active in the American Heart Association, serving nationally as Programme Chair for the Council on Cardiovascular Nursing, and a member of the Committee on Scientific Sessions and Programmes.
In 2003, Christi moved to the School of Nursing, Midwifery and Social Work (NMSW) at the University of Manchester as senior research fellow. She was promoted to Professor of Nursing in 2004, a joint post with the University Hospital of South Manchester NHS Foundation Trust (UHSM). In May 2010 she took the joint post of Professor of Nursing at Central Manchester Foundation Trust.
Her research has developed out of her clinical experience and desire to improve outcomes in patients with heart disease and diabetes.
Qualifications
- 1977 AS Nursing
- 1986 BS Nursing
- 1988 Master's Degree Adult Health/Critical Care
- 1994 PhD
- Fellow of the European Society of Cardiology
- Fellow, American Heart Association
Collaborators and affiliated staff
- Dr. Mamas Mamas
- Professor Martin Gibson
- Dr. Martin Rutter
- Professor Ludwig Neyses
- Dr. Simon Ray
- Dr. Simon Williams
- Dr. Anne Cooper
- Professor William S. Weintraub
- Professor Sandra Dunbar
- Professor Karina Lovell
- Dr. Linda McGowan
- Dr. Chris Dickens
- Dr. Stephanie Tierney
- Professor Kevin Webb
- Dr. Andy Jones
- Dr. Rachel Rowe
Selected publications
2012
- Conraads VM, Deaton C, Piotrowicz E, Santalauria N, Tierney S, Piepoli MF, Pieske B, Schmid J-P, Dickstein K, Ponikowski PP, Jaarsma J. (2012). Adherence of heart failure patients to exercise: barriers and possible solutions: A position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology European Journal of Heart Failure. European Journal of Heart Failure, eScholarID:159401 | DOI:doi:10.1093/eurjhf/hfs048
- ESC Board: Komajda M, Ferrari R, Vardas P, Pinto F, Swahn E, Torbicki A, Wood DA, Bugiardini R, Derameaux G, Kautzner J, Pierard L, Borggrefe M, Degertekin M, Boehm M, Smith O, Bax J, Luescher T, van De Werf F, Deaton C, et al. (2012). Relations between professional medical associations and and the health-care industry,concerning scientific communication and continuing medical education: a Policy Statement from the European Society of Cardiology. European Heart Journal, 33, 666-674. eScholarID:156795
- Tierney S, Mamas M, Woods S, Gibson M, Rutter MK, Neyses L, Deaton C. (2012). What strategies are effective for exercise adherence in heart failure? A systematic review of controlled studies. Heart Failure Review, 17(1), 107-15. eScholarID:124353 | DOI:10.1007/s10741-011-9252-4
2011
- Deaton C, Froelicher ES, Wu LH, Ho C, Kawkab S, Jaarsma T. (2011). The Global Burden of Cardiovascular Disease. Journal of Cardiovascular Nursing, 26(4S), S5-S14. eScholarID:127496
- Deaton C, Mamas MA, Rutter M, Gibson M, Bowell S, Byrne R, Coezy K, Gow J, Williams S. (2011). Glucose and insulin abnormalities in patients with heart failure. European Journal of Cardiovascular Nursing, 10, 75-87. eScholarID:96975 | DOI:10.1016/j.ejcnurse.2010.08.007
- Tierney S, Elwers H, Sange C, Mamas M, Rutter MK, Gibson M, Neyses L, Deaton C. (In-press). What influences physical activity in people with heart failure? A qualitative study. International Journal of Nursing Studies, 48, 1234-1243. eScholarID:124352 | DOI:10.1016/j.ijnurstu.2011.03.003
- Tierney S, Skelton D, Mamas M, Gibson M, Rutter MK, Neyses L, Deaton C. (2011). What can we learn from patients with heart failure about exercise adherence? A systematic review of qualitative papers. Health Psychology, 30(4), 401-410. eScholarID:109037 | DOI:10.1037/a0022848
2010
- Deaton C. (2010). The RESPONSE Trial: A Simple Solution to a Pervasive Problem?. European Heart Journal, 31(23), 2827-2828. eScholarID:96979
- Mamas MA, Deaton C, Rutter M, New J, Williams S, Gibson M, Neyses L. (2010). Impaired Glucose Tolerance and Heart failure; under recognised and underestimated?. Journal of Cardiac Failure, 16(0), 761-768. eScholarID:96974
2009
- Deaton, Thourani V. (2009). Patients with Type 2 Diabetes Undergoing Coronary Artery Bypass Graft Surgery: Predictors of Outcomes. European Journal of Cardiovascular Nursing, 8, 48 - 56. eScholarID:1d28308 | DOI:10.1016/j.ejcnurse.2008.04.003
- Tierney S, Deaton C, Whitehead J. (2009). Caring for people with type 1 diabetes mellitus engaging in disturbed eating or weight control: A qualitative study of practitioners' attitudes and practices. Journal of Clinical Nursing, 18, 394-390. eScholarID:1d28309
2008
- Tierney S, Webb AK, Jones A, Dodd M, McKenna D, Rowe R, Whitehouse J, Deaton C. (2008). Living with CF related diabetes or type 1 diabetes mellitus: A comparative study exploring health related quality of life and patients' reported experiences of hypoglycaemia. Chronic Illness, 4(4), 278-288. eScholarID:1d28401 | DOI:10.1177/1742395308094240
- Tierney SJ, Deaton, Webb Ak, Andrew Jones, Mary Dodd, Dianne McKenna, Rachel Rowe. (2008). Isolation, motivation and balance: Living with type 1 or cystic fibrosis related diabetes. Journal of Nursing and Healthcare of Chronic Illness, 17, 235 - 243. eScholarID:1d33212
- Weintraub, WS, Spertus, JA, Kolm, P, Maron, DJ, Zhang, Z, Jurkovitz, C, Zhang, W, Hartigan, PM, Lewis, C, Veledar, E, Bowen, J, Dunbar, S, Deaton, , Kaufman, S, O'Rourke, RA, Goeree, R, Barnett, PG, Teo, KK, Boden, WE. (2008). Effect of Quality of Life in Patients with Stable Coronary Disease. New England Journal of Medicine. New England Journal Of Medicine, 359 (7), 677-687. eScholarID:1d28228 | DOI:10.1056/NEJMoa072771
Selected research projects
- Clinical outcomes utilizing revascularization and aggressive drug evaluation (Courage) trial
- Heart Failure and Glucose Regulation
- Improving Exercise Strategies and Adherence to Physical Activity in Patients with Heart Failure. Follow-up study with South Asian patients with HF
- Management and outcomes of older diabetic patients undergoing coronary bypass surgery
- The Greater Manchester Collaborative Leadership in Applied Health Services Research and Care (GM CLAHRC) Heart Disease Implementation Theme
- -Understanding hospital-level variation in outcomes for patients admitted for acute coronary syndrome: a qualitative study.