Manchester Centre for Health Psychology

Studying the psychological and behavioural processes involved in health, illness and healthcare

 

We are one of the largest international groups of researchers, educators and practitioners working in the field of health psychology.

We aim to:

  • create a healthy research culture that enables world-leading health psychology research, where staff can be ambitious and flourish;
  • deliver high quality teaching and training, building future generations of psychologists and equipping health professionals to work in psychologically-informed ways;
  • make a difference to communities and society;
  • provide health psychology consultancy skills to partners outside of the University.

The group is led by Dr Debbie Smith.

To get in touch:

 

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Our research

We seek to understand the experiences and psychological processes of preventing, identifying and managing health problems.

Our research crosses the lifespan; from perinatal care, newborn screening and child development, through adolescence and adulthood, to older adults and end-of-life care.

We work collaboratively within multidisciplinary teams in a wide range of community and healthcare settings. We investigate factors that impact access to, and quality of, interactions with health professionals from diverse populations. We discover ways to equip clinicians to work more psychologically.

Our team contributes to multiple workstreams of the NIHR Research Support Service, including Rare Conditions, Hearing Health, Mental Health, Cancer Prevention, and Musculoskeletal Diseases.

Methodological expertise

Qualitative data and analysis

We lead on innovations in qualitative methods, such as nesting qualitative approaches within clinical trials and using qualitative methods to work with non-verbal populations and young children.

Our staff have developed new analysis approaches, such as Template Analysis.

We lead on the behaviour science and qualitative methods work of the NIHR Greater Manchester Research Design Service.

Synthesising evidence

We are expert in conducting and developing new methods in systematic reviews.

Innovative approaches include crowd-resourced rapid review techniques. We led on the rapid review for the British Psychological Society’s response to COVID-19 pandemic.

Our members created a search strategy tool, SPIDER.

Trial design and intervention development

We develop and investigate complex interventions.

We lead on methods to understand the impact of taking part in research, for example on effects of measurement on behavioural and affective outcomes

Questionnaire and survey design

We have developed multiple tools and measures to investigate psychological phenomenon such as quality of life and to assess the impact of interventions.

 

Our teaching

We teach psychology, behaviour sciences and research methods at all levels, in healthcare and educational settings across the UK and worldwide.

Psychology Training

At the University of Manchester, we design and deliver psychology teaching at undergraduate and postgraduate level. Courses include:

Other training

We have links to the Manchester Health Psychology Practice Skills Group – providing professional training and support for practising health psychologists and Stage 2 trainees.

We teach behavioural & social science and communication skills to trainee health professionals, such as doctors, dentists, nurses, pharmacists and midwives.

We translate behaviour science to create tailored training for health professions working within the NHS, and globally in low and middle-income countries.

We provide training in research methodologies for novice and advanced researchers.

Want to find out more about training opportunities for yourself or your workforce? Email us: healthpsychology@manchester.ac.uk.

Interested in becoming a health psychologist? Find out more about a career in health psychology.

Psychology consultancy projects and student placements

At The University of Manchester, we support psychology consultancy projects and student placements with external partners. Our previous collaborations include the NHS, charities, and local authorities. For more information, please contact us: 

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Our team

Meet the researchers, educators and postgraduate researchers in MCHP.

Interested in joining our thriving community of PhD and Professional Doctorate Trainees? Find out about opportunities on the Doctoral Academy website.

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Current projects

Our research is supported by external funding, including grants from NIHR, MRC, ESRC, and Versus Arthritis.

We have strong collaborations with many NHS Trusts, Health Education England and government organisations such as Office for Health Improvement and Disparities, and UK Health Security Agency. We also work with a wide range of charitable, educational, and other third sector organisations nationally and globally.

See below for examples of some current projects:

MTX Study

The Managing Treatment eXperience (MTX) Study is an NIHR funded (Research for Patient Benefit) project co-developing child-friendly resources to help children and young people better understand and manage their methotrexate treatment (a first line treatment for rheumatic conditions).

Working closely with children aged 6–16, families, and clinicians, the study is creating engaging tools that make treatment information clearer and more accessible, improving health literacy around medication.

Visit the MTX Study website.

Exploring Parents’ and Health Professionals’ Experiences of Screening for SCID

This project is an in-service evaluation of the inclusion of Severe Combined Immunodeficiency (SCID) into the newborn screening panel. It is a collaboration between The University of Manchester, King’s College London, the University of Sheffield, Coventry University and City St George’s, University of London.

The study represents the longest follow-up of families who experience receiving a positive screening result, with parents followed until their child reaches five years of age. We have recruited parents and health professionals primarily from the sites where this new form of screening is being trialled (Manchester, Sheffield, Newcastle, Birmingham, South-East and South-West Thames, and Great Ormond Street), as well as additional sites where clinicians will be involved in the care of these babies and comparator groups.

SuMMiT-D

SuMMiT-D is a recently completed NIHR programme grant, focused on developing and evaluating text messages to promote medication adherence in people with type 2 diabetes.

We carried out extensive development of this intervention, creating messages based on individual Behaviour Change Techniques (BCTs). This process involved a comprehensive literature review, alongside extensive user input and fidelity checking.

A definitive trial of over 1000 people with type 2 diabetes found effects on determinants of behaviour (such as intention), but not on behaviour. Importantly, the messages were acceptable, and recipients reporting that they helped them feel cared for.

We are now exploring how these messages can be integrated into digital diabetes services that are routinely delivered to people with type 2 diabetes.

Visit the SuMMiT-D website.

DIPLOMA

DIPLOMA is a recently completed NIHR programme grant, evaluating the national NHS Diabetes Prevention Programme (NHS DPP) in England. The NHS DPP is a nine-month behaviour change intervention for people at high risk of type 2 diabetes, delivered by multiple providers. It was introduced in 2016, with a digital version added in 2019.

DIPLOMA conducted a comprehensive long-term evaluation of the programme’s implementation, uptake and effectiveness. We also carried out an extensive fidelity assessment, examining programme, staff, delivery of behaviour change techniques, and receipt (whether patients used the techniques).

Our findings directly influenced NHS policy and service delivery. We contributed behavioural science expertise to the national re-commissioning process and worked with NHS England to strengthen behaviour change content.

Visit the DIPLOMA website.

HED-LINE

HED-LINE is a recently completed NIHR programme grant, evaluating the early roll-out of the NHS ‘Healthy Living programme for people with type 2 diabetes’ in England. Healthy Living is a free web-based self-management programme supporting lifestyle changes such as increased physical activity and healthier eating.

Based on the evidence-based ‘HeLP-Diabetes’ trial, HED-LINE assessed whether the programme remained effective when delivered nationally in real-world settings.

We conducted a comprehensive evaluation of uptake, implementation, effectiveness and cost-effectiveness, alongside a fidelity assessment of the behaviour change content. Findings were regularly shared with NHS England and the service provider, informing ongoing improvements to the programme’s design and delivery.

Visit the HED-LINE website.

MyWay Diabetes

MyWay Diabetes is a digital diabetes self-management platform, available via website and mobile app, offering education and support for people with diabetes. Implemented in Scotland since 2008, it is now being rolled out across Greater Manchester, Somerset and North West London.

An NIHR-funded (i4i) evaluation of its implementation in England is underway. As part of this mixed-methods evaluation, we are conducting qualitative research with healthcare professionals, existing users, and people with diabetes who have not used the service across the three regions.

This work will explore the acceptability, usability and implementation of MyWay across diverse groups, and identify how the service can be improved.

RARE/D

Funded by the ESRC, RARE aims to stimulate and capture public conversation related to one of the biggest changes in how we think about health: what does it mean to have a rare condition and how may we all become ‘RARE’ when genomics becomes part of mainstream healthcare?

We are focusing on the psychological, ethical and economic debates, and in turn how social science is helping to shape future healthcare.

The main thread of RARE is a series of publicly accessible conversations (initially a podcast), which explores the concept of RARE, its current impact, and how we can alter that impact.

To learn more and listen to the podcasts, please visit the RARE/D website.

BC-Predict

The Breast-Cancer Predict study (BC-Predict) assessed of introducing risk-stratified screening into the NHS Breast Screening Programme.  Currently, most women aged 50–71 are offered screening every three years, despite wide variation in individual breast cancer risk.

An NIHR programme grant developed the BC-Predict programme, enabling women’s risk to be calculated as part of routine screening practice. A large study involving 18,000 women in North West England found no evidence of major harms (e.g. increased anxiety or workload) and enabled more frequent screening for those at higher risk.

A national stakeholder meeting concluded that risk-stratified screening is likely to be implemented.  Follow-up work is now supporting this transition, with findings disseminated widely, including at the House of Lords.

Visit the BC-Predict website.

BCAN-RAY

The Breast CANcer Risk Assessment in Younger women study (BCAN-RAY) evaluated the feasibility and acceptability of a comprehensive breast cancer risk assessment in a diverse population of women aged 30–39 years without a strong family history of breast cancer.

A total of 750 women participated, with no evidence of major psychological harms (e.g. anxiety, cancer worry, or decisional regret). Risk assessment and feedback were well accepted, and engagement with screening and preventive strategies was high among those at increased risk.

However, overall uptake was low with, particularly among women in the most deprived areas and those among ethnic minority groups. Follow-up work is exploring alternative delivery models to improve reach and equity of access.

Funding was provided by the International Alliance for Cancer Early Detection, The Christie Charity, The Shine Bright Foundation and Tony Thornley.

Breast density community project

The breast density community project aimed to assess the acceptability to 30–49-year-old women receiving and healthcare professionals delivering a new breast density device (Mi~Scan®) in primary care and community settings. Overall acceptability of the device and appointment process was good across delivery settings and different ethnic groups. There was strong uptake of Black women (35.6% compared to 1% in BCAN-RAY) suggesting that delivering risk assessments in community settings will support greater inclusion of underserved communities. We are now exploring whether the device can be used in a trial as part of a more comprehensive breast cancer risk assessment based in primary care.

Funding for this study was provided by: Greater Manchester Cancer Alliance, The Sarah Harding Breast Cancer Appeal Fund and NIHR Manchester Biomedical Research Centre.

PREVENT-Breast

The Proactive Risk Evaluation for the Early Detection of Breast Cancer in younger women study (PREVENT-Breast) evaluates introducing a breast cancer risk assessment service into the NHS via primary care for women aged 30–49, with a focus on underserved and minoritised communities.

Early engagement work in Manchester involved groups facing social, cultural, and systemic barriers to screening, including South Asian and Roma women, those with long-term anxiety and/or depression, learning disabilities and/or autism, and women from lower socio-economic backgrounds. Participants supported the approach, but highlighted key priorities: accessible locations, female healthcare professionals, clear data privacy, simple processes, tailored communication, and community-based awareness.

These insights informed co-design with Black and South Asian women. Tailored materials are now being tested in primary care to assess their impact on uptake.

The study is a collaboration between The University of Manchester and the University of Cambridge, funded by Cancer Research UK (ACED), NIHR Manchester BRC, and MAHSC.

 

Social responsibility

We are a key contributor to The University of Manchester’s social responsibility agenda. We work to ensure our research and teaching activities make a difference to communities and society.

Examples of current initiatives:

Equality, Diversity and Inclusion Research Unit

The Equality, Diversity and Inclusion Research Unit is a collaboration between Greater Manchester Mental Health NHS Foundation Trust and the University of Manchester.

Led by Professor Dawn Edge, it promotes and conducts innovative research to improve the health of minoritised groups and people with protected characteristics.

Psychology Education and Wellbeing in Schools (PEWS)

This award winning project introduces Year 6 pupils to psychology and life at The University of Manchester. It is run by Dr Debbie Smith and Dr Elizabeth McManus

The Change Exchange

This project is a collaboration of health psychology professionals who aim to understand, drive and evaluate behaviour change within health partnerships between high and middle or low-income countries.

It is run by Professor Lucie Byrne-Davis, Professor Jo Hart and Dr Eleanor Bull.

 

Contact us

If you want to find out more or get in involved in our work, please get in touch.

Email: healthpsychology@manchester.ac.uk

To keep up to date with our work, please follow us on social media and YouTube.