Dr Leah Avery
Senior Research Associate
- Email: email@example.com
- Telephone: 0191 208 7132
- Address: MoveLab
Institute of Cellular Medicine
Room M4:078, 4th Floor
William Leech Building
Newcastle upon Tyne
I am a Chartered Health Psychologist and my research interests and expertise include the development and evaluation of complex behavioural interventions targeting a range of health/lifestyle behaviours (e.g., diet, physical activity, alcohol) in the context of:
- Type 2 diabetes
- Liver disease (NAFLD/ALD/PBC)
- Surgical procedures (e.g., orthopaedics, liver transplantation)
My work also involves the development, delivery and evaluation of training programmes and resources for healthcare professionals to help optimise consultation behaviour in clinical settings. This work includes identifying ways to successfully translate/implement interventions into routine practice.
I use evidence-based behavioural techniques as part of my own practice in the context of Type 2 diabetes management.
I am willing to supervise PhD students and Stage 2 Qualification in Health Psychology trainees who wish to pursue training in any of the areas outlined above.
PhD Health Psychology, Newcastle University
Stage 2 Qualification in Health Psychology , British Psychological Society
PgCert Teaching & Learning in Higher Education , Teesside University
MSc Health Psychology , Teesside University
BSc (Hons) Psychology, University of Liverpool
Chartered Psychologist (C.Psychol), British Psychological Society
Practitioner Health Psychologist, Health & Care Professions Council
Health Psychology Lead/Senior Research Associate
Development of the first evidence based lifestyle service pathway for people with non-alcoholic fatty liver disease (NAFLD)
A systematic review assessing the effectiveness of lifestyle interventions on the gut microbiota in adults with type 2 diabetes and/or non-alcoholic fatty liver disease: https://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015019274.
A systematic review assessing the effectiveness of behaviour change interventions that target a single behaviour versus multiple behaviours of adults with type 2 diabetes: http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015017928
A systematic review and meta-analysis assessing the relationship between habit and healthcare professional behaviour in clinical practice: http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015020024
Preoperative Behavioural Intervention for Risky Drinkers before elective orthopaedic Surgery (PreopBIRDS).
Changing Health: A weight loss and weight loss maintenance intervention targeting dietary and physical activity behaviour in adults with Type 2 diabetes.
Movement as Medicine for Type 2 Diabetes: A multifaceted behavioural intervention targeting consultation behaviour in primary care clinicians and physical activity behaviour in adults with Type 2 diabetes.
Development of a personalised home-based physical activity intervention in older adults with heart failure: advancing towards an effective clinical therapy.
2010-2015 Research Associate/Project Lead, Newcastle University
2008-2010 Lecturer/Senior Lecturer in Research Methods, Teesside University
2007-2008 Junior Research Associate, Newcastle University
2006-2007 Research Assistant, Teesside University
2003-2006 Project Officer, Children's Rights Department, Commission for Social Care Inspection
Newcastle Health Psychology Group
European Health Psychology Society
British Psychological Society, Division of Health Psychology
UK Society for Behavioural Medicine
Co-Investigator: Snowden CP, Avery L, Gerrand C, Prentis J, Haighton CA, Howell D, McColl E, Kaner E. Preoperative Behavioural Intervention for Risky Drinkers before elective orthopaedic Surgery (PreopBIRDS). NIHR-HTA (2016-18) £607,095.80.
Co-Investigator: Jakovljevic J, MacGowan G, Avery L, Skinner J, Bailey K, O'Brien N. Personalised home-based physical activity intervention in older adults with heart failure: advancing towards an effective clinical therapy (2015-16). NIHR-BRC £39,551.
Co-Investigator: Trenell MI, Avery L, Taylor L. Pharmacy enhanced services for people with Type 2 diabetes (2015). Medical Research Council, £28,000.
Co-Investigator: Kaner E, Avery L, Presseau J, Sniehotta F, Thomson R, Vale L. PhD awards for improvement science (2014-17). Health Foundation, £280,000.
Co-Investigator: Newbury-Birch D, Gilvarry E, McArdle P, Ramesh V, Stewart S, Walker J, Avery L, Beyer F, Brown, N, Jackson K, Lock C, McGovern R, Kaner E. The impact of alcohol consumption on young people: A review of reviews (2009). Department for Children, Schools and Families £50,977.
Co-Investigator: Kaner E, Avery L, Brown N, Jackson K, Mason H, Newbury-Birch D. A rapid review of evidence on liver disease epidemiology, treatment and services (2007). NIHR-CCF £28,327.
Invited speaker: Changing behaviours: A better future for heart failure patients. Session entitled: How can we create real change in heart failure: A behavioural psychologist view. A Novartis sponsored symposium at the British Cardiovascular Disease Society Annual Meeting., Manchester, June 2016.
Invited speaker: Motivation and behaviour change in Type 2 diabetes, Protected Learning Initiative, Sheffield Clinical Commissioning Group, Sheffield, May 2015.
Invited speaker: Movement as Medicine. Primary Billiary Cirrhosis (PBC) Foundation annual meeting, Edinburgh, March 2015.
Symposium: How to deliver effective lifestyle change in diabetes. Diabetes UK Annual Professional Conference, Liverpool, Feb 2014.
Invited speaker: 'Physical activity, where it fits in to diabetes care and the practicalities of changing behaviour using behaviour change techniques'. Joint Diabetes Management & Education Group (DMEG) and Dietitians in Obesity Management UK (DOMUK) study day "The war on weight", Newcastle, Sept 2013
Invited speaker: 'Physical activity and Type 2 Diabetes: Changing behaviour using behavioural strategies'. Health Psychology Master class. Northumbria Healthcare Foundation Trust. July 2013.
Invited member of the Team Blood Glucose Professional Advisory Group (a not for profit social enterprise company) to provide expert opinion on the company website and associated materials for people living with diabetes. May 2013. http://www.teambloodglucose.com/TeamBG/Home.html
Invited speaker: 'Physical activity and exercise in Type 2 diabetes: Maximising glycaemic control'. 5th Annual Abracadabra Diabetes Nursing Conference; tackling the challenges of managing diabetes in Ireland: Pragmatic solutions for complex scenarios, Naas, Dublin, Feb 2013
Invited workshop: 'Using behaviour change techniques to increase physical activity behaviour'; Conference entitled: 'Helping people with diabetes better self-manage' hosted by NHS Grampian; Stirling Management Centre, University of Stirling, Scotland, Nov 2012
Interactive poster award winner: 'Systematic review to identify active ingredients in behaviour change interventions targeting physical activity behaviour in adults with type 2 diabetes'. 25th European Health Psychology Society (EHPS) Conference, Crete, Greece, Sept 2011
Invited manuscript reviewer for: BMJ, Diabetes Care, BMC Family Practice, American Journal of Preventive Medicine, Journal of Medical Internet Research (JMIR), Annals of Behavioral Medicine, Health Psychology Review, Implementation Science.
This project involves the development of an online behaviour change programme and mobile phone app targeting dietary and physical activity behaviour to initiate weight loss and support weight loss maintenance in adults with Type 2 diabetes. To date the development process has involved early exploratory work and a literature search to identify intervention components associated with effectiveness.
Past ProjectsMovement as Medicine for Type 2 Diabetes
This project has involved the development of a theory-based multifaceted intervention designed to support healthcare professionals in primary care to deliver a brief behavioural intervention targeting physical activity/exercise behaviour in adults with type 2 diabetes. The development process has involved early exploratory work; a systematic review of the evidence to inform intervention content, qualitative work and usability testing with healthcare professionals and adults with Type 2 diabetes in primary care; and an open pilot study with an in-built qualitative process evaluation to optimise acceptability, feasibility and fidelity ahead of a pilot RCT. 'Movement as Medicine for Type 2 Diabetes' is currently being evaluated via a pilot RCT to assess acceptability, feasibility and fidelity at 12 months follow-up in primary care practices in County Durham and Darlington.
The IDEA Trial
Led by Dr Justin Presseau, the IDEA trial aims evaluate the effectiveness and cost of an intervention targeting primary healthcare professionals to improve the behaviours involved in high quality type 2 diabetes care. A two-armed cluster randomised controlled trial in 44 general practices in the North of England will be conducted to evaluate a theory-based behaviour change intervention. Six underperformed clinical behaviours highlighted in the NICE quality standards for type 2 diabetes (prescribing for hypertension and glycaemic control, providing self-management, physical activity and weight advice, and general education, and examination of feet) will be targeted by the intervention. The intervention will be delivered in group sessions by a clinician with expertise in diabetes and an interventionist with expertise in heath psychology. My role as the latter involves training primary care professionals to use a range of behaviour change techniques to improve use of the pre-specified behaviours.
An RCT to investigate the reversibility of Type 2 diabetes. Participants followed an 8-week very low calorie diet and were subsequently randomised to a Mediterranean diet or to continue with their usual diet. Both participant groups were randomised for the second time prior to the 6 month 'weight loss maintenance phase' to receive a behavioural intervention targeting physical activity/exercise or no intervention. My role involved the delivery of the 6 month behaviour change intervention. Institute of Cellular Medicine, Newcastle University.
A multi-centre RCT of three screening and brief intervention approaches targeting increased and high risk alcohol use in adults in primary care, A&E and probation settings (SIPS Alcohol Project). This project also involved training healthcare professionals and probation managers in the delivery of arm 2 of the study: brief behavioural advice. Institute of Health & Society, Newcastle University.
Obesity prevention in primary school children in Teesside. A feasibility study of a diet and physical activity intervention (TeesCAKE). School of Health & Social Care, Teesside University.
Psychological therapies scoping project to assess the potential need for psychological therapies in the workplace. School of Health & Social Care, Teesside University.
Focus group and survey work covering a variety of topics with looked after children and their carers from a range of residential care settings. Commission for Social Care Inspection.
I have trained a number of NHS healthcare and public health professionals in the delivery of behaviour change interventions targeting health and lifestyle behaviours.
Academic supervisor to Mr Sebastian Potthoff, Health Foundation Doctoral Fellowship 2014-17 (Health Psychology)
Co-supervisor to Ms Rebecca Brown, MRC Doctoral Fellowship 2013-17 (Human Nutrition)
Co-supervisor to Mr Nduka Okwose, 2014-17 (Exercise Physiology and Cardiology)
Primary supervisor to Mr Babak Mostafaee - MSc Psychology, Foundations in Clinical and Health Psychology (2015). Assessing fidelity of delivery of a behavioural intervention targeting physical activity behaviour of adults with type 2 diabetes in the primary care setting. Awarded Distinction
Stage 2 Qualification in Health Psychology
Co-ordinating supervisor to Mr Sebastian Potthoff (2015-17)Teaching:
Newcastle University (present)
MSc Foundations of Clinical and Health Psychology
- PSY8040 Research Apprenticeship Module
- PSY8037 Dissertation Module
- PSY8039 Physical Activity and Health Module
MSc Public Health and Health Services Research
-HSC8055 Introduction to Systematic Review Module
Teesside University (2008-2010)
Postgraduate: Designing Research Projects - systematic review, quantitative and qualitative research methods (Module Leader); Dissertation Preperation (Module Leader); and Health Psychology (Introduction to Health Psychology and Models/Theories of Behaviour Change). Undergraduate: Appraising Evidence for Practice and Dissertation Preparation for Allied Health Professionls.
Newcastle University (2008-2010, Part-time)
Essential Junior Rotation in Public Health. 'Public Health Intervention: Alcohol as case study' delivered as part of the MBBS Degree Programme (Year 3 medical students).
Student supervision (2008-2010)
I have successfully supervised 3 undergraduate and 2 masters level students through their final year degree projects as primary supervisor.
- Avery L, Exley C, McPherson S, Trenell MI, Anstee QM, Hallsworth K. Lifestyle Behavior Change in Patients With Nonalcoholic Fatty Liver Disease: A Qualitative Study of Clinical Practice. Clinical Gastroenterology and Hepatology 2017, 15(12), 1968-1971.
- Potthoff S, Presseau J, Sniehotta FF, Johnston M, Elovainio M, Avery L. Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals. Implementation Science 2017, 12, 24.
- 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.
- Steven S, Hollingsworth KG, Al-Mrabeh A, Avery L, Aribisala B, Caslake M, Taylor R. Very-Low-Calorie Diet and 6 Months of Weight Stability in Type 2 Diabetes: Pathophysiological Changes in Responders and Nonresponders. Diabetes Care 2016, 39(5), 808-815.
- 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.
- Hallsworth K, Avery L, Trenell MI. Targeting lifestyle behaviour change in adults with NAFLD during a 20 minute consultation: Summary of the dietary and exercise literature. Current Gastroenterology Reports 2016, 18(3), 1-7.
- 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.
- Potthoff S, Rasul O, Sniehotta F, Beyer F, Bryant A, Marques M, Thomson R, Avery L, Presseau J. A Systematic Review assessing the relationship between habit and healthcare professional behavior in clinical practice. In: International Journal of Behavioral Medicine. 2016, Melbourne, Australia: Springer.
- Polthoff S, Presseau J, Sniehotta F, Breckons M, Rylance A, Avery L. The impact of dual processes and competing goals on health professionals' uptake of a new information prescription for diabetes. In: International Congress of Behavioral Medicine. 2016, Melbourne, Australia: Springer.
- Avery L, Mostafaee B, Charman S, Taylor R, Sniehotta F, Trenell M. Can a behavioural intervention targeting physical activity behaviour of adults with type 2 diabetes be delivered faithfully by healthcare professionals during routine primary care?. In: Diabetes UK Professional Conference 2016. 2016, Glasgow, UK: Wiley.
- 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.
- Avery L, Denton SJ, Lavender M, Sniehotta F, Trenell MI. Barriers and enabling factors to use of a physical activity behavioural intervention for adults with Type 2 diabetes delivered in primary care: qualitative findings from the Movement as Medicine open pilot study. In: Diabetes UK Professional Conference. 2015, London, UK: Wiley-Blackwell Publishing Ltd.
- Avery L, Denton SJ, Lavender M, Sniehotta FF, Trenell MI. Barriers and enabling factors to use of a physical activity behavioural intervention for adults with Type 2 diabetes delivered in primary care: Qualitative findings from the Movement as Medicine Open Pilot Study. In: Diabetes UK Annual Professional Conference. 2015, London, UK: Wiley-Blackwell Publishing Ltd.
- Avery L, Sniehotta FF, Denton SJ, Steen N, McColl E, Taylor R, Trenell MI. Movement as Medicine for Type 2 Diabetes: Protocol for an open pilot study and external pilot clustered randomised controlled trial to assess acceptability, feasibility and fidelity of a multifaceted behavioural intervention targeting physical activity in primary care. Trials 2014, 15(46), 1-18.
- Avery L, Denton SJ, Sniehotta FF, Steen N, McColl E, Taylor R, Trenell MI. Integrating an Evidence-Based Behaviour Change Intervention Targeting Physical Activity Behaviour into Routine Primary Care: Movement as Medicine for Type 2 Diabetes: An open pilot study. In: Diabetes UK Annual Professional Conference. 2014, Liverpool, UK: Wiley-Blackwell.
- 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. Changing Physical Activity Behavior in Type 2 Diabetes: A Systematic Review and Meta-Analysis of Behavioral Interventions. Diabetes Care 2012, 35(12), 2681-2689.
- 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, Taylor L, Lievesley M, Mosely K, Speight J, Sniehotta FF, Trenell MI. Development of a behavioural intervention targeting free-living physical activity in adults with type 2 diabetes in primary care: Movement as Medicine. In: Diabetic Medicine: DUK Annual Professional Conference. 2012, Glasgow, UK: Wiley-Blackwell Publishing Ltd.
- 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.
- Brown T, Avenell A, Edmunds LD, Moore H, Whittaker V, Avery L, Summerbell C. Systematic Review of Long-term interventions to prevent weight gain and morbidity in adults. Obesity Reviews 2009, 10, 627-638.
- Newbury-Birch D, Gilvarry E, McArdle P, Ramesh V, Stewart S, Walker J, Avery L, Beyer F, Brown N, Jackson K, Lock C, McGovern R, Kaner E. Impact of alcohol consumption on young people: A systematic review of published reviews. Department for Children, Schools and Families, 2009. DCSF-RR067.
- 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.
- Kaner E, Newbury-Birch D, Avery L, Brown N, Jackson K, Mason H. A rapid review of liver disease epidemiology, treatment and service provision in England [Report Commissioned by Department of Health and the British Liver Trust]. Newcastle upon Tyne: Institute of Health and Society, University of Newcastle upon Tyne, 2007.
- Morgan R, Lindsay M, Avery L, Noble J, Clay L, Roscoe A, Ellis D, Georgiou E, Nicholson J. Being fostered. London: Social Care Inspection, 2005.
- Morgan R, Lindsay M, Noble J, Avery L, Clay L, Roscoe A, Ellis D, Georgiou E, Nicholson J. The children’s view of inspection. London: Social Care Inspection, 2005.
- Morgan R, Lindsay M, Noble J, Roscoe A, Clay L, Avery L, Ellis D, Georgiou E. Being a boarder: A survey of boarders and parents views on boarding schools. London: Commission for Social Care Inspection, 2004.
- Morgan R, Lindsay M, Avery L, Noble J, Clay L, Roscoe A, Ellis D, Georgiou E. Young People's Views on Leaving Care. Newcastle-upon-Tyne: Commission for Social Care Inspection, 2006.
- Houghton D, Hardy T, Stewart C, Errington L, Day CP, Trenell MI, Avery L. Systematic review assessing the effectiveness of dietary intervention on gut microbiota in adults with type 2 diabetes. Diabetologia 2018, Epub ahead of print.
- 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.
- Potthoff S, Presseau J, Sniehotta F, Elovainio M, Avery L. Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals. In: 29th Conference of the EHPS: Principles of Behaviour Change in Health and Illness. 2015.