Professor Chris Todd - research

Fall Prevention  Falling is very common amongst older people and is responsible for considerable disability and distress. Interventions such as exercise aimed at improving balance and increasing muscle strength can reduce falling amongst older people, but we still need to know a lot more about how to ensure such interventions are most effective. Much of Chris's work relates to identifying how to encourage uptake and adherence to promote effectiveness of interventions. Chris led the Prevention of Falls Network Europe and currently leads a number of projects related to fall prevention.  He also lead the ProFaNE team that developed the FES-I, a very widely used measure of fear of falling.   His current work is focusing on interventions for people with visual impairments and using smartphones and other technologies to predict detect and prevent falls (FARSEEING). He is part of the EC's European Innovation Partnership on Active and Healthy Ageing (see EC website1 and website2 ) and leads the Prevention of Falls Network for Dissemination ProFouND.

Cancer and Palliative Care A major area of interest is how to support people during their last illness so that they can have maximum quality of life and remain with their family and friends. Chris’ group have been investigating access to palliative care services and the way that community based palliative care services, nursing services and social care, can help people to remain at home when they are seriously ill. His most recent studies  have focused on supporting the family carers of people with palliative care needs, and the methodological challenges of palliative and end of life care research. He was recwently co-PI on the MORECare project and played a central role in the Cancer Experiences Collaborative CECo leading work on methdology.

Breast cancer amongst older women. Breast cancer is prevalent amongst older women but evidence shows that older women are less likely to receive surgery and other standard interventions than their younger counterparts. Chris works on a programme of studies with Dr Katrina Lavelle and Prof Nigel Bundred investigating aspects of the management of breast cancer. 
 

Integrating nutrition into the care pathway for colorectal cancer patients. Chris works with Dr Sorrel Burden on a programme that uses the MRC Framework/Guidance for developing complex interventions in this case using nutritional interventions for cancer. The first phase of the work involved qualitative interviews with people with colorectal cancer.  We are currently conducting a randomised controlled trial of a nutritional intervention in preoperative colorectal cancer patients.

A description of my expertise is also held on the ResearcherID website

Promoting positive ageing: The prevention of falls and fractures in older people (See the ProFaNE website). Outcomes of care. Age related inequalities in access to cancer treatments. See the FARSEEING website

The psychology of falling: Mechanisms to promote uptake and adherence to fall prevention interventions. Psycho-social consequences and sequellae of falls (fear of falling). See Prevention of Falls Network Europe (ProFaNE) website.

Stress amongst health care professionals: Surveys of stress in professional groups. Interventions and job redesign to reduce stress.

Research methods: Trial design, outcome measurement, quality of life, interfacing between quantitative and qualitative methods.   See the MORECare and CECo websites

• Effectiveness of home care nursing in decreasing side effects and improving quality of life in breast and colorectal cancer patients receiving oral chemotherapy
• Evaluating the impact of a Carer Support Needs Assessment Tool in Hospice at Home care: a feasibility trial
• FARSEEING FAll Repository for the design of Smart and sElf-adaptive Environments prolonging INdependent livinG
• Methods for evaluating service delivery models for end of life care (EoLC): development of best practice guidance
• MORECare - Methods for evaluating service delivery models for end of life care (EoLC): development of best practice guidance
• Piloting a carer support needs assessment tool to facilitate communication in palliative home care practice
• Predictors of patients' use of cancer support groups: A prospective study
• Presenting advice about falls prevention interventions to older people
• ProFaNE – Prevention of Falls Network Europe Thematic Network
• Prognosis in Palliative Care Study (PiPS)
• Readmission for exacerbation of COPD: Psycho-social risk factors and symptom perception amongst community based elderly people
• Socio-economic and ethnic differences in fall-related mortality, morbidity, health care seeking behaviour and provision of services
• The course, correlates and outcomes of quality of life and needs of palliative colorectal and lung cancer patients
• The efficacy and cost effectiveness of falling prediction and prevention programme in older patients with rheumatoid arthritis.
• The impact of variations in out of hours end of life care provision on patient experience, staff and health systems
• Treatment decision making for elderly breast cancer patients in Greater Manchester