Dr Darren Flynn
Senior Research Associate
- Email: firstname.lastname@example.org
- Telephone: +44 (0) 191 208 5415
- Address: Institute of Health and Society
Newcastle upon Tyne
I am a Health and Care Professions Council (HCPC) registered Practitioner Health Psychologist and an Associate Fellow of the British Psychological Society (AFBPsS), with 16 years’ experience of multi-disciplinary/method applied research. Prior to joining the Institute of Health and Society (IHS) I was a lecturer in psychology, and a lecturer in research methods at Teesside University. I have worked on a range of primary research studies in a variety of clinical and non-clinical settings, including a number of secondary research studies (e.g., evaluation of behaviour change models, development and evaluation of behavioural interventions targeting physical activity and diet, referral behaviour of general practitioners for suspected GI disorders, patient education for prostate cancer and psychological aspects of idiopathic scoliosis).
Upon joining IHS in 2009, I worked as the lead researcher on the strand of the NIHR-funded DASH (Development and Assessment of Services for Hyper-acute Stroke) PGFaR. This involved the development of a computerised decision aid for thrombolytic treatment in acute stroke care (COMPASS) that provides individualised information on risks and benefits of treatment to (i) assist clinicians with deciding who should be offered thrombolysis; and (ii) providing personalised information on benefits and risks of treatment to patients/families in order to support the process of informed consent and shared decision making.
My current work involves (1) the development of patient education/shared decision making in mental health settings; (2) implementation of a computerised decision aid for stroke thrombolysis (COMPASS) in the NHS; (2) development of a Lewy-body dementia information and support group; and (3) Promoting Effective and Rapid Stroke (PEARS) Care: development and evaluation of an extended paramedic role in acute stroke care and statistical modelling to inform service re-design for thrombectomy (Delphi survey and systematic review with meta-analysis).
I have also co-produced a theory-based educational film to raise awareness of the benefits of shared decision making in primary care for
depression, in partnership with experts by experience from Moving Forward Newcastle and input/contribution from Frank Bruno MBE. The film and associated materials can be viewed or downloaded from the SDM and Depression website
There have been over 8,000 visitors to the film website from 93 different countries (Google Analytics).
The film is listed as a resource as part of Health Foundation’s Person-centred Care Resource Centre: webpages: http://personcentredcare.health.org.uk/resources/shared-decision-making-depression
The film development process was selected by the NHS Improving Quality as example of best practice for PPI/E and appears on their website as a case study: http://www.hqip.org.uk/resources/case-study-a-journey-twoards-recovery-from-depression/
Press interviews and coverage related to the film about SDM and mental health:
Metro Radio (http://www.metroradio.co.uk/): Shared decision making – why it is important for mental health? 13th
NE1fm (http://www.ne1fm.net/everyones-tomorrow-today/). Elders Council. Everyone’s Tomorrow Today programme. Maintaining mental health while we age. 5th June 2015
Google scholar PROFILE (H Index = 14)
Research Tutor, Doctorate in Clinical Psychology (Teesside University)
Senior Lecturer in Research Methods (Teesside University)
Lecturer in Psychology (Teesside University)
- PhD in Psychology (2007)
- MSc Health Psychology (2001)
- BSc Psychology (1997)
- Postgraduate Certificate in Learning and Teaching in Higher Education (2009)
- Practitioner Health Psychologist, Health and Care Professions Council (2013-date)
- Associate Fellow of the British Psychological Society (AFBPsS)
- Applied Psychology Practice Supervisor, British Psychology Society (2013-date)
- Chartered Psychologist, British Psychological Society (2007 - date)
- Full Member of the Division of Health Psychology, British Psychological Society, (2007-date)
I am a Coordinating Supervisor Training for the Qualification
Psychology (Stage 2). I would be happy to consider providing supervision
to students who are eligible to enrol on the Stage 2 Qualification in
Health Psychology via the independent route.
- Health and Care Professions Council (HCPC): http://www.hpc-uk.org/
- British Psychological Society: http://www.bps.org.uk/
- Division of Health Psychology - British Psychological Society: http://www.health-psychology.org.uk/
- Decision Making and Organisation of Care (DMOC) Group, Institute of Health and Society, Newcastle University: http://www.ncl.ac.uk/ihs/research/dmoc/
- Stroke Research Group, Institute of Neuroscience, Newcastle University: http://www.ncl.ac.uk/biomedicine/research/groups/stroke.htm
- The Newcastle University Institute for Ageing: http://www.ncl.ac.uk/ageing/
- Health Psychology Group, Institute of Health and Society, Newcastle University: http://research.ncl.ac.uk/healthpsychology/
East Shared Decision Making Community of Interest: https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=SDM-NORTHEAST
Awards and other esteem indicators
- COMPASS (COMPuterised decision Aid for Stroke thrombolysiS) - Runner up in 'Future Impact' Category, Faculty of Medical Sciences Impact Awards 2015, Newcastle University (£500 prize)
- COMPASS (COMPuterised decision Aid for Stroke thrombolysiS) won first place in the 'Innovative Service Delivery' category of the Bright Ideas in Health Awards 2013 convened by NHS Innovations North (£2,000 prize): http://www.ncl.ac.uk/ihs/news/news/item/compass-computerised-decision-aid-for-stroke-thrombolysis-won-first-place-in-the-innovative-service-delivery
- Several citations of research underpinning the development of COMPASS in a report produced by the Medicines and Healthcare Products Regulations Agency (MHRA) expert working group on thrombolysis (Alteplase) for stroke. They concluded: “The COMPASS decision making tool is considered to be the most highly developed risk estimation tool for acute ischaemic stroke patients potentially treated with rt-PA.”https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/448994/Communication_of_benefit_and_risk_with_patients.pdf
- Finalist in two categories: Access to Information; and Partnership Working to Improve the Experience, Patent Experience Network National Awards (PENNA), The Rep, Birmingham, 11th March 2015: http://www.patientexperienceawards.org/penna-2014/penna-2014-winners-and-finalists/
- Finalist: British Universities Film and Video Council Learning on Screen Awards 2016 in the category 'Courseware and Curriculum In-House Production award': http://bufvc.ac.uk/events/learningonscreen/learning-on-screen-award-2016-nominations
- Contributed to research and review of POSTnote 459, Stroke:http://www.parliament.uk/briefing-papers/POST-PN-459/stroke
- Newcastle and Gateshead Vanguard, Enhancing the health of care home residents (participation and engagement programme). How to involve people in making decisions. Gateshead Civic Centre, 10th June 2016
Advancing Quality Alliance (AQuA). Improving Access and Experience for People with First Episode Psychosis. Third Improvement Community Event. Involving mental health service users in shared decision making. Mercure Georgian House Hotel, Manchester Rd, Blackrod, Bolton 23rd March 2016.
Advancing Quality Alliance (AQuA). Mental Health Crisis Care Concordat – National Improvement Collaborative Meeting, Shared decision making and mental health crisis care planning. Mercure Georgian House Hotel, Manchester Rd, Blackrod, Bolton 3rd Feb 2016
- NHS England Northern Clinical Networks and Shared Decision Making Community of Interest. Co-production and shared decision making: Co-production in action: The SDM in Depression film (case study) Seminar Room, Institute of Health and Society, Newcastle University; 14th Jan 2016
- Keele University. COMPuterised decision Aid for Stroke thrombolysis (COMPASS) Seminar Room, Postgraduate Medicine, Department of Stroke Medicine, Royal Stoke University Hospital, 12th Aug 2015
Tees Suicide and Self Harm Prevention Taskforce Partnership. Shared decision making and mental health. Middlesbrough, Riverside Stadium, 9th June 2015
- Northumberland Tyne and Wear (NTW) Mental Health Trust. Screening of the film about shared decision making and mental health; North of Tyne Jubilee Theatre, St Nicholas Hospital, Gosforth, 28th May 2015
- South Tyneside Mental Health User Voice service. John's Experience of Shared Decision Making in Primary Care for Depression. Library Theatre, Central Library, South Shields; 15th May 2015
- Mind the Gap: The NUSU Mental Health Conference. A new film about shared decision making and mental health. Newcastle University Student’s Union, 25th April 2015
- Shared Decision Making Community of Interest. The Benefits and Challenges of Shared Decision Making in Dementia Care. Great North Museum, Newcastle upon Tyne, 26th November 2014
- Service User and Carer Reference Group, NTW. A New Educational Film about Shared Decision Making in Primary Care for Depression, Royal Station Hotel, Newcastle upon Tyne. 20th Nov 2014
- Cumbria, Northumberland, Tyne and Wear TRANSFORMING PARTICIPATION FORUM, Nursing and Quality Directorate, NHS England. Learning from innovative work in shared decision making: Co-production: Innovation in work with patients with depression, Waterfront 4, Newburn, Newcastle upon Tyne, 4th Nov 2014
- NHS England and Health Foundation Engagement Event. Implementing a COMPuterised decision Aid for Stroke thrombolySis (COMPASS). Fenwick Room, Castle Leazes, Newcastle upon Tyne, 14th February 2014
- Northern Clinical Networks and Newcastle University event on Shared Decision Making. Involving People in their Care: Evidence-based decision support in the emergency care setting – a COMPuterised decision Aid for Stroke thrombolySis (COMPASS). Millennium Suite, Waterfront 4, Newburn Riverside, Newcastle upon Tyne, 23rd January 2014
- North East Stroke Research Network – Focus on Research. DASH II: Decision Support and Risk Communication for Thrombolytic Treatment in Acute Stroke, Stadium of Light, Sunderland, 8th March 2012
I am interested in research across the entire sphere of influence in health psychology (i.e.,
application of psychological theory/methods to management of health problems;
health promotion; psychological factors associated with illness; and quality
improvement in both healthcare practice and policy). I am particularly interested in
research on decision support, patient engagement, shared decision making and risk communication; especially in
emergency settings and mental health consultations. I am also in the process of developing a programme of work on adults with physical and psychological multi-morbidity.
I am a Coordinating Supervisor Training for the Qualification in Health
Psychology (Stage 2). I would be happy to consider providing supervision to students who are eligible to enrol on the Stage 2 Qualification in Health Psychology via the independent route.
- Taylor JP, Killen A, Flynn D, O’Brien N. Feasibility and acceptability of a dementia with Lewy bodies support and information group. The Lewy Body Society, (1st Apr 2017 to 30th March 2019): £50,000
- Flynn D, Thomson RG. Delivery of decision aids to the NHS: COMPASS as proof of concept. MRC Funded Proximity to Discovery: Development scheme, (Nov 2016-Apr 2017): £8,388
- Flynn D. Development of a research application to the NIHR on person-centred care interventions for common patterns of psychological and physical multi-morbidity. IHS Strategic Investment Funding; (Apr 2016 - Oct 2016); £11,697
- De Brún A and Flynn D. Impact of a Shared Decision Making Film about Depression: Qualitative investigation of the processes and therapeutic value of co-production Faculty of Medical Sciences Engage, Evaluation Fund, Newcastle University; July 2015; £5,000
G, Price C, White P, McMeekin P, Vale L, Exley C, Flynn D, Snooks H, Russell I,
Tyrrell P, Fell P, Dodd P. Promoting Effective And Rapid Stroke Care (PEARS). NIHR
Programme Grant for Applied Research (RP-PG-1211-20012)
Upon Tyne Hospitals, Northumbria Healthcare, North East Ambulance Service and
Newcastle University: April 2014 – March 2019; £1,938,941
- Thomson RG, Lancsar E, Flynn D, Ternent L, Rodgers H, Price C, Ford GA. Understanding clinicians’
decisions to offer intravenous thrombolytic treatment to patients with acute
ischaemic stroke: a discrete choice experiment. National Institute for
Health Research, Health Services and Delivery Research Programme,
(Project:12/5001/45), 1st April 2013- 31st March 2015; £241,345
- Flynn D and Thomson RG. Dissemination of a Computerised Decision Aid for Stroke Thrombolysis (COMPASS) in Acute Stroke Care. Faculty of Medical Sciences: Research and Enterprise Funding to facilitate commercial relationships and business-facing activities, Newcastle University, 2014, £2,500
- Flynn D and De Brún A. Development of educational film about shared decision making in primary care for depression. Faculty of Medical Sciences, Public and Patient Engagement and Involvement. Newcastle University, 1st June to 21st Dec 2014, £1,030
Flynn D, Thomson RG. Developing interventions to support shared
decision making in mental healthcare for working age adults with depression.
NIHR Research Capability Funding: Northumberland, Tyne and Wear NHS
Foundation Trust and NHS North of Tyne, Oct 1st 2012-Sep 30th 2013; £51,000
- van Schaik P. Kusev P, Davies M. A behavioural study of online healthcare-provider choice. British Academy/Leverhulme Small Research Grants, 25/08/2014 to 24/02/2016; £9,219.
- Thomson RG, Flynn D, Ford GA. Implementing a Computerised
Decision Aid for Stroke Thrombolysis (COMPASS) in Acute Stroke Care. North of
England Cardiovascular Network, Feb 2013-June 2013; £7,500
- Flynn D. Development of educational DVD: Shared Decision Making and Mental Health. Faculty of Medical Sciences: Seed corn funding for PPE, Newcastle University, 2012-2013, £2,000
- van Wersch A, van Schaik P, Flynn D, Barker P. Breast Cancer: Prevention and Education. University of Teesside Research Doctoral Scholarships, 2008-2011; ~£100,000
D, van Wersch A, van Schaik P. Development of scoliosis education tools. Department
of Health: Specialised Commissioning Group for Spinal Deformities, July 2005; £1,500
- Blackman T, van Schaik P, Hobbs B, Fencott C, Calderon C. (2003-2006), Using virtual reality technology to empower people with dementia: Accessing and using public spaces. PPP Foundation, £147,000
Implementation of a Computerised decision aid for stroke thrombolysis (COMPASS)- MRC Proximity to Discovery Funding
- development of a platform to enable use of COMPASS in the NHS and EU health systems, In collaboration with Fr3dom health
Supporting patients and healthcare staff to improve patient safety: Developing a Supported Implementation Package for ThinkSAFE (NENC AHSN)
- Building of a business model of sustainability for ThinkSAFE in order to promote and spread effective implementation of ThinkSAFE at scale, whilst producing the resources to do so
Promoting Effective and Rapid Stroke (PEARS) Care (NIHR PgFAR)
- development and evaluation of an extended paramedic role in acute stroke care
- statistical modelling to inform service re-design for thrombectomy (informed by a Delphi survey, discrete choice experiment and systematic review with meta-analysis)
Facilitating informed decision making in haemato-oncology (NIHR PgFAR)
- development and delivery of high-quality personalised information about the range of therapy options available for chronic haematological malignancies and their likely consequences to patients, clinicians and commissioners
Development of a Lewy-body dementia information and support group (Lewy Body Society Grant)
- Feasibility study of a theory- and evidence-based psychoeducational support group delivered in the community setting for impacting on psychological well-being of patients and carers
Development and evaluation of a mimic probability score to improve the precision of pre-hospital stroke recognition (Stroke Association)
- Phased study to develop a decision support tool for use by ambulance personnel to identify stroke mimics from suspected stroke patients at the scene: Prehospital Stroke Mimic (PaStraMi) Study
Developing a pathway of care supporting long-term physical activity post stroke (Stroke Association)
- Development and evaluation of theory-based physical activity behaviour intervention for stroke survivors for delivery by physiotherapists
Interrupted time series to establish any geographical, regional or service level variation in use of percutaneous endoscopic gastrostomy (PEG) for stroke patients (unfunded)
Identification of a threshold to define excessive emergency calls from care homes (unfunded)
- Analysis of routinely available data to construct a statistical model of factors involved in 999 emergency calls
2015 – date: Expert Panel Member. Decision support tools for motor neurone disease multidisciplinary care. Macquarie Neurology Motor Neurone Disease clinic, Centre for Healthcare Resilience and Implementation Science (CHRIS), Australian Institute of Health Innovation, Macquarie University, NSW, Australia
2015 – 2016: North East Mental Health Development Unit. Evaluation of Finchale College’s Joint Transition Support Service for Medically-discharged Veterans and their Families.
2015 – date: Expert Panel Member (Behaviour Change) for the Consensus Exercise as part of the following MRC-funded Project: Designing and evaluating theory-based interventions: developing and testing a methodology for linking behaviour change techniques to theory, University College London: http://www.ucl.ac.uk/behaviour-change-techniques/People/Study2Experts
2014- date: North of England Mental Health Development Unit. Living Well with Dementia: A Participation and Engagement Programme for People with Dementia and their Carers. Getting the most out of your consultations: the value of shared understandings and decisions. see development and evaluation report 2015
2013 - 2014: Interventionist: delivery of an intervention to primary care practitioners for the IDEA trial - targeting improvement in six underperformed clinical behaviours highlighted in NICE’s quality standards for type 2 diabetes. http://research.ncl.ac.uk/idea/
2012: Co-author of two brief decision aids for the Making Good Decisions in Collaboration (MAGIC) Programme, Health Foundation.
- Plantar fasciitis: http://www.patient.co.uk/decision-aids/plantar-fasciitis-decision
- Carpal Tunnel Syndrome: http://www.patient.co.uk/decision-aids/carpal-tunnel-syndrome-decision
Previous Projects at Newcastle University
Assessment of Services for Hyper-acute Stroke (DASH)
Project Leader(s): Professor Gary Ford (IAH), Professor Richard Thomson, Professor Martin White
- To determine the views of clinicians, the public, stroke patients and their relatives/carers about the risks and benefits of thrombolysis and other hyper-acute treatments and how to engage patients and families in decision-making. This work led to the development of a computerised decision aid for stroke thrombolysis (COMPASS).
Current Supervisory Duties
- PhD supervisor, Graham McClelland (Institute of Neuroscience, Stroke Research Group), Development of stroke mimic probability score for use in the pre-hospital setting. Stroke Association Fellowship (2015-2018)
- Academic mentor for NIHR post-doctoral lecturer: Dr Sarah Moore, Stroke Research Group, Institute of Neuroscience, Newcastle University
- MRes co-supervision (with Dr Sarah Moore), Lucy Bednall - An exploration of potential facilitators and barriers to change in long-term physical activity behaviour in community dwelling stroke survivors
- Internal PhD assessor x 2, Institute of Health and Society, Newcastle University
- External PhD assessor, Teesside University
Previous Supervisory Experience (primary supervisor):
Stage 2 Qualification in Health Psychology Co-ordinating supervisor (2016-17)
- Dr Suzanne McDonald, Institute of Health and Society, Newcastle University
MSc in Psychology (Foundations in Clinical and Health Psychology), School of Psychology, Newcastle University:
- Samouelle, A: Exploring the barriers faced by stroke survivors and their families when accessing psychological therapies.
- Ayres M: A systematic review of quality of life measures for adults with autistic spectrum disorders.
- Lyons NEA: service users about their perceptions of what would be important in interventions to tackle stigma.
- Sluman RE: Evaluating the impact of an educational DVD on attitudes and knowledge of depression and shared decision making.
MSc projects (Health Sciences and Health
Psychology): Teesside University
- Association between deprivation and care pathway in pancreatic cancer
- Vaginal ultrasonography versus endometrial biopsy for diagnosing endometrial cancer in women presenting with postmenopausal bleeding
- Efficacy of percutaneous needle fasciotomy in the palm for Dupuytren’s disease
- The Lived Experience of Complementary and Alternative Medicine (CAM): Exploring the Impact of Aromatherapy on the Biopsychosocial Well-being of People with Multiple Sclerosis
- The Lived Experience of Complementary and Alternative Medicine (CAM): Exploring the Impact of Reflexology on the Biopsychosocial Well-being of Terminally ill Cancer Patients
Doctorate in Clinical Psychology, Teesside University
- The BIRT Memory and Information Processing
Battery (BMIPB): Development of Normative Data for 11 to 16 year olds
- Nurses’ attachment style and perceptions of challenging behaviour in older adults
- Grant proposal reviewer for NIHR - Programme Grant for Applied Research (PGfAR) and Research for Patient
Benefit Programme (RfPB)
- Book reviewer for Wiley
- Reviewed articles for the following journals (Implementation Science; Journal of General Internal Medicine; Journal of Psychiatry [open access]; Journal of Applied Research in Intellectual Disabilities; BMC Health Services Research; Critical Public Health; Annals, Academy of Medicine, Singapore)
Tutor - PSY8035: Research Methods in Applied Psychology, MSc in Psychology (Foundations in Clinical and Health
Psychology), School of Psychology, Newcastle University (2014- date)
- Sessions: Research Skills and Project Management, Service Improvement and Audit, Systematic Reviews
Care Quality, Public Health & Health Services Research. Faculty of Medical Sciences, Newcastle University (2015-date)
Session: Shared Decision Making
Guest Lecturer: Health Psychology in Action; MSc Health Psychology, Department of Psychology, University of Northumbria (2012-date)
- Shared Decision Making: How Can Health Psychology Contribute to Patient Choice in the NHS?
Guest Lecturer: MSc Health Psychology, School of Psychology, Teesside University (2013-date)
- Shared Decision Making: How Can Health Psychology Contribute to Patient Choice in the NHS?
Previous Teaching Experience
2009 Guest Lecturer:
- Essential Junior Rotation (EJR) in Public Health Medicine (Alcohol as a Case Study), MBBS Curriculum at Newcastle University
2009 Visiting Lecturer:
- UCPCE Designing Research Projects, Joint Health Unit, NHS Heywood, Middleton & Rochdale
2008-2009: Research Tutor, Doctorate in Clinical Psychology (Teesside University):
- Advanced Design for Clinical Psychological Research Methods; Advanced Psychological Research Methods [module leader]; and Thesis Supervision
2005-2009: Senior Lecturer in Research Methods (Teesside University):
- Undergraduate Modules (Skills for Appraising Evidence; Dissertation Preparation; and Appraising Evidence for Practice)
- Post-graduate Modules (Practical Research Methods for Allied Health Professionals [Module leader], Designing Research Projects)
2002-2005: Lecturer in Psychology (Teesside University):
- Undergraduate Psychology Modules (Social Development and Social Worlds; Psychology and Crime; and Research Methods III)
- MSc Health Psychology Modules (Module leader for two modules: Health Psychology - Context, Models and Applications; and Models of the Person)
- Ayres M, Parr JR, Rodgers J, Mason D, Avery L, Flynn D. A systematic review of quality of life of adults on the autism spectrum. Autism 2017, Epub ahead of print.
- Cora A, Gonsalves P, Ford GA, Flynn D, White P. CTA in acute stroke: short intensive training intervention is highly effective in improving radiologists’ performance. Clinical Radiology 2017, 72(10), 871-877.
- Flynn D, Francis R, Robalino S, Lally J, Snooks H, Rodgers H, McClelland G, Ford GA, Price C. A review of enhanced paramedic roles during and after hospital handover of stroke, myocardial infarction and trauma patients. BMC Emergency Medicine 2017, 17, 5.
- Flynn D, Ternent L, Becker F, Oluboyede Y, Adams J. Parental Preferences for the Organization of Preschool Vaccination Programs Including Financial Incentives: A Discrete Choice Experiment. MDM Policy & Practice 2017, 2(1), 1-13.
- Flynn D, Francis R, Halvorsud K, Gonzalo-Almorox E, Craig D, Robalino S, McMeekin P, Cora A, Balami J, Ford GA, White PM. Intra-arterial Mechanical Thrombectomy Stent Retrievers and Modern Devices in the Treatment of Acute Ischaemic Stroke: A Systematic Review and Meta-Analysis with Trial Sequential Analysis. European Stroke Journal 2017, 2(4), 308-318.
- McMeekin P, White P, James MA, Price CI, Flynn D, Ford GA. Estimating the number of UK stroke patients eligible for endovascular thrombectomy. European Stroke Journal 2017, 2(4), 319-326.
- Scott J, Flynn D, Chan K, Sujan M-A. Pre-hospital transitions and emergency care. In: Researching Quality in Care Transitions: International Perspectives. Cham, Switzerland: Palgrave Macmillan, 2017, pp.123-142.
- DeBrún A, Flynn D, Ternent L, Price CI, Rodgers H, Ford GA, Rudd M, Lancsar E, Simpson S, Teah J, Thomson RG. Factors that influence clinicians’ decisions to offer intravenous alteplase for borderline patients with acute ischaemic stroke: results of a discrete choice experiment. International Journal of Stroke 2017, (ePub ahead of Print).
- McClelland G, Flynn D, Rodgers H, Price C. A survey of UK prehospital care providers stroke training and practice. British Paramedic Journal 2017. In Press.
- Adams J, McNaughten RJ, Wigham S, Flynn D, Ternent L, Shucksmith J. Acceptability of Parental Financial Incentives and Quasi-Mandatory Interventions for Preschool Vaccinations: Triangulation of Findings from Three Linked Studies. PLoS One 2016, 11(6), e0156843.
- Avery L, Charman SJ, Taylor L, Flynn D, Mosely K, Speight J, Lievesley M, Taylor R, Sniehotta FF, Trenell MI. Systematic development of a theory-informed multifaceted behavioural intervention to increase physical activity of adults with Type 2 diabetes in routine primary care: Movement as Medicine for Type 2 Diabetes. Implementation Science 2016, 11, 99.
- Flynn D, Ford GA, McMeekin PJ, White PM. Characteristics of intra-arterial thrombectomy service provision in England. International Journal of Stroke 2016, 11(8), NP83-NP85.
- Killen A, Flynn D, De Brún A, O'Brien N, O'Brien J, Thomas AJ, McKeith I, Taylor JP. Support and information needs following a diagnosis of dementia with Lewy bodies. International Psychogeriatrics 2016, 28(3), 495-501.
- Standing H, Exley C, Flynn D, Hughes J, Joyce K, Lobban T, Lord S, Matlock D, McComb JM, Paes P, Thomson RG. A qualitative study of decision-making about the implantation of cardioverter defibrillators and deactivation during end-of-life care. Health Services and Delivery Research 2016, 4(32).
- McMeekin P, Flynn D, Ford GA, Rodgers H, Gray J, Thomson RG. Development of a decision analytic model to support decision making and risk communication about thrombolytic treatment (vol 15, pg 108, 2015). BMC Medical Informatics and Decision Making 2016, 16(4).
- Flynn D, Nesbitt D, Ford GA, McMeekin P, Rodgers H, Price C, Kray C, Thomson RG. Development of a computerised decision aid for thrombolysis in acute stroke care. BMC Medical Informatics and Decision Making 2015, 15, 6.
- Bunton R, Baldwin S, Flynn D, Whitelaw S. The ‘stages of change’ model in health promotion: science and ideology. Volume 1 - The Rise and Fall of Social Cognition Models. In: M Murray;K Chamberlain, ed. New Directions in Health Psychology. Sage Publications Ltd, 2015.
- Adams J, Bateman B, Becker F, Cresswell T, Flynn D, McNaughton R, Oluboyede Y, Robalino S, Ternent L, Gardner Sood B, Michie S, Shucksmith J, Sniehotta FSF, Wigham S. Effectiveness and acceptability of parental financial incentives and quasi-mandatory schemes for increasing uptake of vaccinations in preschool children: systematic review, qualitative study, and discrete choice experiment. Southampton: National Institute for Health Research, 2015. Health Technology Assessment 19 (94).
- Flynn D, Nesbitt D, De Brún A, Craggs C, Afolabi B, Keilty I, Lee C, Bradwel S, Dick K, Pointon S, Gerrard S, Williamson R. A theory-based educational film about shared decision making in primary care for depression. Newcastle upon Tyne, UK: Newcastle University, Digital Media Services, 2015.
- Avery L, Flynn D, Dombrowski SU, van Wersch A, Sniehotta FF, Trenell MI. Successful Behavioural Strategies to Increase Physical Activity and Improve Glucose Control in Adults with Type 2 Diabetes. Diabetic Medicine 2015, 32(8), 1058-1062.
- Flynn D, Ford G, Rodgers H, Price C, Steen N, Thomson R. A Time Series Evaluation of the FAST National Stroke Awareness Campaign in England. PLoS One 2014, 9(8), e104289.
- De Brún A, Flynn D, Joyce K, Ternent L, Price CI, Rodgers H, Ford GA, Lancsar E, Rudd M, Thomson RG. Understanding clinicians’ decisions to offer intravenous thrombolytic treatment to patients with acute ischaemic stroke: a protocol for a discrete choice experiment. BMJ Open 2014, 4(7), e005612.
- Flynn D, Ford GA, Stobbart L, Rodgers H, Murtagh M, Thomson RG. A review of decision support, risk communication and patient information tools for thrombolytic treatment in acute stroke: lessons for tool developers. BMC Health Service Research 2013, 13, 225.
- Flynn D, Knoedler MA, Hess EP, Murad MH, Erwin PJ, Montori VM, Thomson RG. Engaging Patients in Health Care Decisions in the Emergency Department Through Shared Decision-making: A Systematic Review. Academic Emergency Medicine 2012, 19(8), 959-967.
- Flynn D. Shared decision making. In: Forshaw, M., Sheffield, D, ed. Health Psychology in Action. Chichester, UK: Wiley-Blackwell Publishing, Inc, 2012, pp.69-83.
- McMeekin P, Flynn D, Ford GA, Rodgers H, Thomson RG. Validating the stroke-thrombolytic predictive instrument in a population in the United Kingdom. Stroke 2012, 43(12), 3378-3381.
- Avery L, Flynn D, van-Wersch A, Sniehotta FF, Trenell MI. Changing Physical Activity Behavior in Type 2 Diabetes: A Systematic Review and Meta-Analysis of Behavioral Interventions. Diabetes Care 2012, 35(12), 2681-2689.
- Bolas H, van Wersch A, Flynn D. The well-being of young people who care for a dependent relative: an interpretative phenomenological analysis. Psychology and Health 2007, 22(7), 829–850.
- Flynn D, van Schaik P, van Wersch A, Ahmed T, Chadwick D. The utility of a multimedia education program for prostate cancer patients: a formative evaluation. The British Journal of Cancer 2004, 91(5), 855-860.
- Flynn D, van Schaik P, van Wersch A, Douglass A, Cann P. Non-Medical Influences upon Medical Decision-Making and Referral Behavior: An Annotated Bibliography. MT, USA: Praeger Publishers, 2003.
- van Schaik P, Flynn D, van Wersch A, Douglass A, Cann P. The influence of illness script components and medical practice on medical decision-making. Journal of Experimental Psychology: Applied 2005, 11(3), 187-199.
- Dixon K, Flynn D. Consuming "celebrated athletes" - an investigation of desirable and undesirable characteristics. Journal of Qualitative Research in Sports Studies 2008, 2(1), 13-28.
- van Schaik P, Flynn D, van Wersch A, Ferguson V, Papastefanou S. Factors important in the design of information material for people with scoliosis and their families in the UK. International Journal of Rehabilitation Research 2007, 30(2), 163-165.
- Summerbell C, Swainston K, Smith S, Brown T, Flynn D, Henderson E. The effectiveness of community engagement approaches and methods for health promotion interventions: Rapid Review: Phase 1. Middlesbrough, UK: NICE Collaboration Centre, University of Teesside, 2006.
- Flynn D, van Schaik P, van Wersch A. A comparison of multi-item Likert and Visual Analogue Scales for the assessment of transactionally defined coping. The European Journal of Psychological Assessment 2004, 20(1), 49-58.
- Flynn D, van-Wersch A, van-Schaik P, Saltikov J, Papastefanou S. Coping with scoliosis: the UK experience. In: Sawatzky, B.J, ed. Research into Spinal Deformities. Amsterdam, Netherlands: IOS Press, 2004, pp.406-408.
- van Schaik P, Flynn D, van Wersch A, Douglass A, Cann P. The acceptance of a computerised decision-support system in primary care. Behaviour and Information Technology 2004, 23(5), 321-326.
- Flynn D, van Schaik P, Blackman T, Fencott PC, Hobbs B, Calderon C. Developing a Virtual Reality–Based Methodology for People with Dementia: A Feasibility Study. Journal of CyberPsychology and Behavior 2003, 6(6), 591-611.
- van-schaik P, Flynn D. Models of medical decision making. In: Non-medical influences upon medical decision making and referral behaviour: an annotated bibliography. MT: USA: Praeger Publishers, 2003, pp.237-259.
- Whitelaw S, Baldwin S, Bunton R, Flynn D. The status of evidence and outcomes in stages of change research. Health Education Research 2000, 15(6), 707-718.
- Bunton R, Baldwin S, Flynn D. The ‘stages of change’ model in health promotion: science and ideology. Critical Public Health 2000, 10(1), 55-69.
- Avery L, Flynn D, Prentis J, Snowden CP. Barriers and enabling factors to participation of older adults in physical activity/exercise prior to surgery. In: European Health Psychology Society and British Psychological Society Division of Health Psychology Conference 2016 (EHPS/DHP 2016). 2016, Aberdeen, Scotland: EHPS.
- Sharma A, Marshall A, Flynn D, Balaam M. Participatory design methods to co-design and co-produce digital health technology with adolescents. In: 18th Annual Conference of the International Society for Bipolar Disorders & 8th Biennial Conference of the International Society for Affective Disorders. 2016, Amsterdam, The Netherlands: Wiley-Blackwell Publishing, Inc.
- De Brún A, Craggs C, Nesbitt D, Afolabi B, Thomson R, Flynn D. Co-production of a Theory-Based Film about Shared Decision Making in Primary Care for Depression. In: International Shared Decision Making/ Evidence Based Health Care conference. 2015, Sydney, Australia.
- De Brún A, Flynn D, Ternent L, Lancsar E, Price CI, Rudd M, Rodgers H, Ford GA, Simpson S, Teah J, Thomson RG. Factors that influence clinicians' decisions to offer intravenous thrombolytic treatment to patients with acute ischaemic stroke. In: International Shared Decision Making and Evidence Based Health Care Conference. 2015, Sydney, Australia.
- Rudd M, Ford G, Flynn D, McClelland G, Price C. Paramedic training by online video increases the availability of information for hyperacute stroke treatment decisions. In: UK Stroke Forum 2015 Conference. 2015, Liverpool, UK: John Wiley & Sons, Inc.
- Flynn D, Ford GA, McMeekin P, White P. Characteristics of intra-arterial thrombectomy services in England. In: UK Stroke Forum 2015 Conference. 2015, Liverpool, UK: John Wiley & Sons, Inc.
- Flynn D, De Brún A, Tomson D, Cameron A, Thomson RG. Barriers and Enabling Factors to Shared Decision Making in Primary Care for Mental Health Conditions. In: 7th International Shared Decision Making (ISDM) Conference and the 4th International Society for Evidence-Based Health Care (ISEHC) Conference. 2015, University of Sydney, Sydney, Australia.
- Flynn D, Nesbitt D, McMeekin P, Rodgers H, Price C, Ford GA, Thomson RG. A Computerised Decision Aid for Treatment of Acute Stroke with Thrombolysis (COMPASS). In: 7th International Shared Decision Making (ISDM) Conference and the 4th International Society for Evidence-Based Health Care (ISEHC) Conference. 2015, University of Sydney, Sydney, Australia.
- Flynn D, De Brún A, Hrisos S, Thomson RG. Interactive Workshop: Skills Training for Shared Decision Making in Mental Health Using a Co-Produced Educational Film. In: 7th International Shared Decision Making (ISDM) Conference and the 4th International Society for Evidence-Based Health Care (ISEHC) Conference. 2015, University of Sydney, Sydney, Australia.
- Hrisos S, De Brún A, Flynn D, Thomson RG. Interactive Workshop: How To Do Co-Production: Sharing Learning from the Development of Shared Decision Making and Patient Safety Interventions. In: 7th International Shared Decision Making (ISDM) Conference and the 4th International Society for Evidence-Based Health Care (ISEHC) Conference. 2015, University of Sydney, Sydney, Australia.
- Lally J, Flynn D, Ford G, Price C, Exley C. Barriers and facilitators to further development of the paramedic role during assessment of suspected stroke patients. In: UK Stroke Forum 2015 Conference. 2015, Liverpool, UK: John Wiley & Sons, Inc.
- De Brún A, Flynn D, Ternent L, Price CI, Rodgers H, Rudd M, Lancsar E, Ford GA, Simpson S, Teah J, Thomson RG. Development process for a discrete choice experiment to explore variation in clinical decision-making about thrombolysis in acute ischaemic stroke. In: Division of Health Psychology Annual Conference 2014. 2014, York, UK.
- Hrisos S, Thomson RG, Maniatopoulos G, Flynn D. Interactive Workshop: ‘Seeing it from both sides’: Understanding the interdependence of patient and professional perspectives for Evidence Based Practice. In: 7th International Shared Decision Making (ISDM) Conference and the 4th International Society for Evidence-Based Health Care (ISEHC) Conference. 2015, University of Sydney, Sydney, Australia.
- De Brún A, Flynn D, Ternent L, Lancsar E, Price C, Rodgers H, Ford GA, Thomson RG. Understanding clinicians' decisions to offer intravenous thrombolytic treatment to patients with acute ischaemic stroke: A discrete choice experiment. In: 7th NIHR Stroke Research Network Annual Meeting. 2013, Newcastle, UK.
- Avery L, Flynn D, van Wersch A, Sniehotta FF, Trenell MI. What Behaviour Change Techniques used in Behavioural Interventions are Associated with Improvements in Physical Activity Behaviour and HbA1c in Adults with Type 2 Diabetes?. In: Diabetes UK Professional Conference 2013. 2013, Manchester: Wiley-Blackwell Publishing Ltd.
- Avery L, Flynn D, van Wersch A, Sniehotta FF, Trenell MI. A systematic review of behaviour change interventions targeting physical activity, exercise and HbA1c in adults with Type 2 diabetes. In: Diabetes UK Annual Professional Conference. 2012, Glasgow, UK: Wiley-Blackwell.
- Avery L, Flynn D, van Wersch A, Trenell MI, Sniehotta FF. Systematic Review to identify active ingredients in behaviour change interventions targeting physical activity in adults with type 2 diabetes. In: Psychology & Health: 25th European Health Psychology Conference. 2011, Crete, Greece: Routledge.
- Flynn D, Stobbart L, Murtagh MJ, Price C, Rodgers H, Ford GA, Thomson RG. Engaging Clinicians, Patients and Family Members in the Development of Decision Support for Hyperacute Stroke. In: International Stroke Conference. 2011, Los Angeles, CA: Stroke: American Heart Association.
- Smith N, van-Wersch A, van-Schaik P, Flynn D. Women’s knowledge, beliefs and behaviours towards breast cancer, breast self examination and the conventional 5 step technique: an exploratory study. In: 24th European Health Psychology Conference (Health in Context). 2010, Cluj-Napoca, Romania.
- Mansha M, Flynn D, Stothard J. Evaluation of patient’s subjective hand function using a Patient Evaluation Measure (PEM) score following percutaneous needle fasciotomy. In: XVth Congress of the Federation of Societies for Surgery of the Hand. 2010, Bucharest, Romania.
- Avery L, van Schaik P, van Wersch A, Flynn D. The relationship between sociodemographic, medical, and psychological factors and Irritable Bowel Syndrome: Implications for gastroenterology. In: UK Society for Behavioural Medicine 4th Annual Scientific Meeting. 2009, University of Exeter, UK.
- Mansha M, Flynn D, Stothard J. Is percutaneous needle fasciotomy safe and effective in treatment of Dupuytren’s Disease?. In: British Society for Surgery of the Hand / American Society for Surgery of the Hand - Combined Scientific Meeting. 2009, Church House Conference Centre, Dean’s Yard, Westminster, London, UK.
- van-Schaik P, Flynn D, van-Wersch A, Douglass A, Cann P. The influence of illness script components on physicians’ referral behaviour. In: 19th Annual Conference of the European Health Psychology Society. 2005, National University of Ireland, Galway, Ireland.
- Flynn D, van-Wersch A, van-Schaik P, Ferguson V, Papastefanou SP. Sociodemographic, medical, treatment and psychosocial correlates of pain in scoliosis. In: 19th Annual Conference of the European Health Psychology Society. 2005, National University of Ireland, Galway, Ireland.
- Papastefanou S, Flynn D, van-Schaik P, van-Wersch A. Predictors of pain in scoliosis. In: Spine Section of the Hellenic Association for Trauma and Orthopaedics. 2004, Samos, Greece.
- Flynn D, van-Schaik P, van-Wersch A, Papastefanou S. People with scoliosis: a study of the relationship between coping, acceptance of scoliosis, body image, quality of life, health locus of control and pain. In: BPS Division of Health Psychology Annual Conference. 2004, Queen Margaret University College, Edinburgh, UK.
- Flynn D, van-Schaik P, van-Wersch A, Douglass A, Cann P. Patient characteristics and general practitioners’ referral decisions for gastroenterology. In: British Society of Gastroenterology Annual Meeting. 2002, Birmingham, UK.
- Flynn D, van-Schaik P, van-Wersch A, Douglass A, Cann P. General practitioners’ perceived utility of a proposed computerised decision support system for web-based referral of patients with gastrointestinal (GI) disorders. In: British Society of Gastroenterology Annual Meeting. 2002, Birmingham, UK.
- Flynn D, van-Schaik P, van-Wersch A, Douglass A, Cann P. The development of a psychometric scale to assess the influence of medical and non-medical factors upon general practitioners’ decisions to refer patients with gastrointestinal (GI) symptoms. In: British Society of Gastroenterology Annual Meeting. 2002, Birmingham, UK.
- Van-Wersch A, van-Schaik P, Ahmed T, Flynn D, Chadwick D. The effects of a multimedia computer information program on the emotions, decision-making preference and the knowledge acquisition of prostate cancer patients. In: Proceedings of the 11th International Congress on Anti-Cancer Treatment. 2001, Palais des Congres, Paris, France.
- Flynn D, Ford G, McMeekin P, White P. Characteristics of intra-arterial thrombectomy service provision in England. In: UK Stroke Forum 2015 Conference. 2015, Liverpool, UK: Sage.
- Halvorsrud K, Flynn D, Ford G, McMeekin P, Bhalla A, Balami J, Craig D, White P. A Delphi study and ranking exercise to support commissioning services: future delivery of Thrombectomy services in England. BMC Health Services Research 2018, 18, 135.
- Flynn D, Coughlan D, McMeekin P, Ford GA, Craig D, Rice S, Burgess D, Balami J, Mawson A, Lumley H, White P. Secondary Transfer of Stroke Patients for Thrombectomy by Air Ambulance in England: A Cost-Effectiveness Analysis. In: European Stroke Organisation Conference. 2018, Gothenburg, Sweden: European Stroke Journal.
- McClelland G, Rodgers H, Flynn D, Price C. A survey of UK paramedics’ views about their stroke training, current practice and the identification of stroke mimics. British Paramedic Journal 2017, 2(1), 4-15.
- Thomson RG, De Brún A, Flynn D, Ternent L, Price CI, Rodgers H, Ford GA, Rudd M, Lancsar E, Simpson S, Teah J. Factors that influence variation in clinical decision-making about thrombolysis in the treatment of acute ischaemic stroke: results of a discrete choice experiment. Health Services and Delivery Research 2017, 5, 1-116.
- Moore SA, Hrisos N, Avery L, Errington L, Flynn D. Interventions targeting long-term physical activity and/or sedentary behaviour in stroke survivors: a systematic review of intervention components and behaviour change strategies. In: 12th UK Stroke Forum. 2017, Liverpool: Sage.