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Professor Sara MacLennan

Professor Sara MacLennan
Professor Sara MacLennan
Professor Sara MacLennan

PhD CPsychol AFBPsS

Personal Chair

About
Email Address
s.maclennan@abdn.ac.uk
Telephone Number
+44 (0)1224 438125
Office Address

Academic Urology Unit Health Sciences Building (2nd Floor) University of Aberdeen Foresterhill Aberdeen AB25 2ZD

School/Department
School of Medicine, Medical Sciences and Nutrition

Biography

Co-director Aberdeen Cancer Centre

Aberdeen Cancer Centre | The School of Medicine, Medical Sciences and Nutrition | The University of Aberdeen

I am a psychosocial oncologist and a health psychologist with expertise in qualitative research methodology. I pursue an interdisciplinary approach building multi-stakeholder working in cancer care and have established global partnerships of academics, patients, non-profit organisations, professional organisations and policy makers.

I am Deputy Director of the Academic Urology Unit, Director of Operations for UCAN (Urological CANcer charity) and hold an honorary contract with NHS Grampian. I am an Honorary Research Fellow, Birkbeck University of London. I am a Chartered Psychologist and Associate Fellow of the British Psychological Society, and a registered health psychologist (Health & Care Professions Council).

 

 Current projects include:

Stakeholder engagement in the design and implementation of cancer care:

ICANBE – Managing Fear of Cancer Recurrence

EVOLVE – Giving cancer patients a meaningful voice within the design and delivery of clinical practice guidelines


ICANTREATNEPAL / ICANTREATINDIA – Increasing participation in cancer screening and treatment in India & Nepal (International Global Health Network)

PARTNER –Men’s prostate cancer treatment preferences


OPTIMA – Optimal treatments for patients with solid tumours in Europe through AI

PIONEER – Enhancing prostate cancer diagnosis and treatment through the power of big data in Europe

Example of Impact:

 

 I am to keen to supervise PhD students interested in working in cancer survivorship and supportive care.

Memberships and Affiliations

Internal Memberships

University Committees:

Lead - Collaborations and Projects - IAHS Executive Committee

 

Previous Committees:

Chair - Institute of Applied Health Sciences (IAHS) Research Strategy Group
Chair - Institute of Applied Health Sciences (IAHS) Health, Safety & Well-being Committee

 

External Memberships

Current External Membership:

Trustee: Lobular Breast Cancer UK (2023 onwards - )

Member - European Cancer Organisation Steering Committee for Survivorship and Quality of Life (2021 onwards)
Member - European Cancer Organisation Survivorship Focused Topic Network (2021 onwards)
Member - European Cancer Organisation Workforce Focused Topic Network (2021 onwards)

Member – Patient Advocacy Group, European Association of Urologists (2018 - onwards)

Previous External Membership:
Member – Executive Committee, British Psychosocial Oncology Society (2016 - 2022)
Member – National Cancer Research Institute –Living With and Beyond Cancer Late Effects Workstream (2019 -2021)
Member – Breast Cancer Now, Grants Award Committee (2018 – 2021)
Member – ESRC Peer Review College (2017 – 2020)Member – MRC Strategic Skills Panel (2013 - 2017)
Member – Grants Award Panel, Carnegie Trust
Member – Executive Committee, Division of Health Psychology Scotland (2016 - 2017)
External Examiner (MSc) MSc Health Psychology, University of Westminster (2008 - 2011)
Member - BPS working party on ‘Work and Health’
Elected Member – Training Committee, Division of Health Psychology (2006 - 2008)
Elected Member - Executive Committee, Division of Health Psychology (2006 – 2008)
Assessor - Board of Assessors, Division of Health Psychology (2002 - 2008)
Examiner – Paper 4 (Health Psychology), Qualifying Examination (2002 – 2012)
Member - BPS working party on ‘Psychological Debriefing’(2001 - 2002)

Latest Publications

  • Impact of the COVID-19 pandemic on quality of life of adults with diabetes in rural Uganda: a cross-sectional survey

    Sseguya, W., Bahendeka, S., MacLennan, S., Guntupalli, A. M.
    International Health
    Contributions to Journals: Articles

  • AGREE-II appraisal of lung cancer management clinical practice guidelines by the OPTIMA consortium

    Naidu, S. B., Bhamani, A., Murray, C., Beyer, K., Rancourt, R. C., Witte, T., van Geffen, W. H., Tietzova, I., Frille, A., Costantini, A., Schäfer, M., MacLennan, S., Kruger, H., Zibaite, S., N'Dow, J., MacLennan, S., Roobol, M. J., Janes, S. M., Navani, N., Omar, M. I., Blum, T., The OPTIMA Consortium
    Lung Cancer, vol. 205, 108610
    Contributions to Journals: Articles

  • CATHETER II, a Randomised Controlled Trial Comparing the Clinical and Cost Effectiveness of Various Washout Policies versus No Washout Policy in Preventing Catheter Associated Complications in Adults Living with Long Term Catheters

    Abdel-Fattah, M., Omar, M. I., Johnson, D., Cooper, D., Constable, L., Tripathee, S., MacLennan, S., Cotton, S., Norrie, J., MacLennan, G., Catheter II Team
    45th Congress of the Société Internationale d'Urologie
    Contributions to Conferences: Posters

  • Prevalence and correlates of diagnosed and undiagnosed diabetes mellitus among adults in rural Uganda during the COVID-19 pandemic: an evaluation of a community-based screening program

    Sseguya, W., Bahendeka, S., Mody, N., MacLennan, S., Guntupalli, A.
    International Health
    Contributions to Journals: Articles

  • Patients and health care professionals’ perception of weekly prophylactic catheter washout in adults living with long-term catheters: Qualitative Study of the CATHETER II Trial

    Tripathee, S., Abdel-Fattah, M., Johnson, D., Constable, L., Cotton, S., Cooper, D., MacLennan, G., Evans, S., Young, A. J., Dimitropoulos, K., Hashim, H., Kilonzo, M., Larcombe, J., Little, P., Murchie, P., Myint, P. K., N'Dow, J., Paterson, C., Powell, K., Scotland, G., Thiruchelvam, N., Norrie, J., Omar, M. I., MacLennan, S.
    BMJ Open, vol. 15, no. 4, e087206
    Contributions to Journals: Articles

View My Publications

Research

Research Overview

I am a psychosocial oncologist and a health psychologist with expertise in qualitative research methodology. I pursue an interdisciplinary approach building multi-stakeholder working in cancer care and have established global partnerships of academics, patients, non-profit organisations, professional organisations and policy makers. Key to this is an understanding of processes within the delivery of routine clinical care. My research expertise includes process evaluation.

My research strategy focuses on understanding the impact of cancer and treatment on individual’s lives and methods for involving different stakeholder groups, particularly patients, in the design and delivery of care.

 

Research Areas

Applied Health Sciences

View Research Area

Nutrition and Health

View Research Area

Psychology

View Research Area

Research Specialisms

  • Health and Social Care
  • Applied Psychology
  • Health Psychology
  • Oncology

Our research specialisms are based on the Higher Education Classification of Subjects (HECoS) which is HESA open data, published under the Creative Commons Attribution 4.0 International licence.

Current Research

I currently have eleven funded projects (total awards £5,644,624) across three themes:

Stakeholder engagement in the design and implementation of cancer care (Developed and Lead Projects):

  1. ICANBE – Fear of Cancer Recurrence
  2. EVOLVE – Giving cancer patient’s a meaningful voice within the design and delivery of clinical practice guidelines across Europe
  3. PIONEER – Enhancing prostate cancer diagnosis and treatment through the power of big data in Europe; €12,000,000 EU grant (Lead for Aberdeen)
  4. ICANTREAT – Increasing participation in breast cancer screening and treatment in Nepal and in Uganda; screening and treatment inequalities in India (International Global Health Research Group)

 

The design and implementation of better cancer care (Co-applicant):

  1. OPTIMA – Optimal treatments for patients with solid tumours in Europe through AI
  2. PARTNER – Men’s prostate cancer treatment preferences
  3. ICAN – Improving understanding of Urological cancer (Cancer Research Group)
  4. RCOS – Kidney Cancer core outcome set

 

The design and delivery of care and after care - Urology and other long-term conditions (Co-applicant)

  1. SIMS LTFU – Surgical management of female stress urinary incontinence
  2. CATHETER II – Understanding the patient experience of care; embedded qualitative study within a clinical trial to look at Catheter washout policies
  3. PACFIND – Patient-centred care for Fibromyalgia

Funding and Grants

£1,185,670 Arthritis UK (2019 – 2024). Patient-centred Care for Fibromyalgia: New pathway Design (PACFIND). MacFarlane, G [PI], Maclennan SJ et al. [co-applicants]

£24,537 NHS Grampian. (2018-2019). Achieving Self-Directed Integrated Cancer Aftercare (ASICA): developing digitally supported cancer aftercare to achieve high quality, equitable care for diverse populations. Murchie, P [PI], Maclennan SJ et al. [co-applicants]

£9,805 GCRF-IPPF3 (2018). Increasing participation in breast cancer screening and treatment within Manipal, India (CANTREAT). MacLennan, SJ., & Poobalan, A.

£5,341,011 EU IMI (2018-2023). Prostate Cancer Diagnosis and TreatmeNt Enhancement through the Power of Big Data in EuRope – PIONEER (2018 – 2023). PIONEER Consortium – MacLennan SJ – lead applicant for University of Aberdeen group.

£2,271,424 NIHR HTA (2018-2023) Randomised Controlled Trial CompAring THE Clinical And CosT- Effectiveness Of Various Washout Policies Versus No Washout Policy In Preventing Catheter Associated Complications In Adults Living With Long-Term Catheters (CATHETER II Study). Abdel-Fattah, M. [PI], Maclennan SJ et al. [co-applicants]

£175,000 NHS Grampian Endowments (via UCAN) (2018-2021). EVOLVE: Giving Patients a Meaningful Voice in the Design and Delivery of Care. S J MacLennan

£50,000 European Association of Urology (2017-2018). Review of Renal Cell Carcinoma: Muscle-invasive & Metastatic Bladder Cancer (Lymph node Dissection) & Penile Cancer. N’Dow, J., & MacLennan, S.J.

£123,357 UCAN (2017- 2019). Meeting the Needs of Patients: Developing Core outcome Sets for Urological Cancer. MacLennan, S.J.

€1,070    EU COST action STSM-IS1211-35195 (2016). Cancer and Work Participation: Research visit to Dr Angela de Boer, Coronel Institute for Occupational Health, Academic Medical Centre, Amsterdam. MacLennan, SJ.

 £11,548   NHS Grampian Endowments Award (2015 – 2016). Understanding the hard choices made by working women with breast cancer between treatment compliance and working on: clinical vs economic survival. Improving the Role of the NHS in Grampian. MacLennan SJ., Cox T., N’Dow, J & Heys, S.

 £750    Santander Mobility Award (2015), University of Aberdeen. Developing the METIS Collaboration: Cancer Survivorship, Work & Working Life. MacLennan SJ.

 £29,500   ESRC (2014 – 2017) Social Science Perspectives on the Working Lives of Those with Cancer: Psychosocial, Organisational and Economic Perspectives. Cox, T., MacLennan, SJ., Hassard, J., & Brown, H.

 £25,000 Birkbeck University of London (2014) The Metis Collaboration: Cancer Survivorship, Work & Working Life. MacLennan, SJ.

 £109,646    Macmillan Cancer Support (2013 – 2015) Cancer Survivorship: The Patient Journey, Work & Working Life.   MacLennan, SJ., Cox, T., & N’Dow, J.

 £1,426,755  Health Technology Assessment Programme (HTA) (2013 – 2017)Therapeutic Interventions for Stones of the Ureter (TISU): a multicentre randomised controlled trial of extracorporeal shockwave lithotripsy, as first treatment option, compared with direct progression to ureteroscopic retrieval, for ureteric stones. (McClinton,S., N’Dow, J., MacLennan, GS., Kilonzo, M., Keeley, F., Anson, K., Clark, C., Pickard, R., Norrie, J., MacLennan, SJ., Thomas, R., Starr, K., Burgess, N., Lam, T., Kurban, L.)

£292,253  Health Technology Assessment Programme (HTA) (2012 – 2015) Ablative therapy for men with localised prostate cancer (Ramsay, C., Pickard, R., Vale, L., Lam, T., Mowatt, G., MacLennan, SJ., Rushton, S., N’Dow, J., Merseburger, A., Shirley, M., & Heidenreich, A. )

 £176,903 Cancer Research Aberdeen & North East Scotland (CRANES) (2012 – 2015) Development of core outcomes for surgical management of localised prostate cancer to support decision-making by patients, clinicians and policy makers (Lam, T., N’Dow, J., MacLennan, SJ., Ramsay, C., & Campbell, M)

£24,680 The Prostate Cancer Charity Scotland (2011 – 2012) Support groups for men who have prostate cancer, their families and friends: identifying best practice models (MacLennan, SJ., Skea, Z, N’Dow, J & McCann, S)

£14,042 Scottish Cancer Research Network (2011 – 2012) Information for choice in urological cancer: What people need, prefer and use (MacLennan, SJ., & Skea, Z)

£10,317 Scottish Cancer Research Network (2010 – 2011) Delivering Peer Support Interventions in Urological Cancer (Employing a research nurse) (MacLennan, SJ., & N’Dow, J)

£150,700UCAN (Urological Cancer Charity) (2008 – 2013) Addressing the gaps in evidence for treatment of urological cancers (Employing a systematic reviewer) (N’Dow, J., MacLennan, SJ., & Imamura, M)

£165,975 The Scottish Government – CSO (2009 – 2012) Postdoctoral Training Fellowship in Health Services and Health of Public Research – The Acceptability and Usefulness of a Trial Participation Decision Aid: A Mixed Methods Study of Patients and Clinicians in the UK (Schumm, K., Campbell, M., Ramsay, C., N’Dow, J., Skea, Z., & MacLennan, SJ)

£245,482 UCAN (Urological Cancer Charity) (2009 – 2013) Information needs of those living with urological cancer (MacLennan, SJ)

£147,000 Macmillan in partnership with UCAN (2009 – 2012) Making life better for those living with urological cancer (MacLennan, SJ)



Datasets

  • Health status and associated factors of middle-aged and older adult cancer survivors in India: results from the Longitudinal Ageing Study in India

    Background The number of persons who have survived cancer has been increasing in India as elsewhere due to advances in detection and treatment of this disease. However, evidence on the standardised number of cancer survivors, their characteristics and their complex health challenges on a national level does not exist due to data limitations. This study, therefore, examines the profile of cancer survivors and their health status using the recently released Longitudinal Ageing Study in India (LASI) survey data. Methods LASI wave 1 is a cross-sectional nationally representative survey of 65,562 middle and older adults aged 45 and above. We first calculated the socioeconomic, demographic and geographical characteristics of cancer survivors (per 100,000 population). We later estimated the adjusted odds of poor health, sleep problems, depressive symptoms, activities of living limitations (ADL and IADL), and hospitalisation of cancer survivors using multivariable logistic regression analysis. Results According to LASI estimates, there were 2.1 million cancer survivors in India (95% CI 1.8 million to 2.6 million) in 2017–18. Overall, 440 cancer survivors have been identified in this study, with considerable state variations. The number of cancer survivors per 1,00,000 population was relatively more in non-indigenous groups, people with a history of cancer in their families, those who worked earlier but currently not working and those in the richest quintile categories. As compared to those who never had cancer, the cancer survivors are at higher risk of hospitalisation (adjusted odds ratio (aOR) = 2.61 CI 1.86, 3.67), poor self-rated health (aOR = 3.77, CI 2.55, 5.54), depressive symptoms (aOR = 1.53, CI 1.41, 2.05) and sleep problems (aOR = 2.29, CI 1.50, 3.47). They also reported higher ADL (aOR = 1.61, CI 1.11, 2.34) and IADL (aOR = 1.49, CI 1.07, 2.07) limitations. Cancer survivors who had their cancer diagnosis in the past 2 years or a cancer-related treatment in the past 2 years have significantly higher odds of poor health status than middle-aged and older adults without a cancer history. Conclusion Middle-aged and older cancer survivors, particularly those who underwent cancer diagnosis or treatment in the past 2 years, are at a significantly higher risk of experiencing poor self-reported health and other health challenges, suggesting the need for an integrated healthcare approach.
    DOI
    10.6084/m9.figshare.c.6262030.v1
    Publisher
    Figshare
    Links
    Date Made Available
    23 October 2022
    Related Research Outputs
    Contributors
    Guntupalli, A. M. (Creator), Selvamani, Y. (Creator), Maclennan, S. J. (Creator), Dilip, T. R. (Creator)

  • Data From Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review

    DOI
    10.1186/s43058-023-00498-0
    Publisher
    University of Aberdeen
    Links
    Date Made Available
    18 December 2023
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator)

  • Data From Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review

    DOI
    10.1186/s43058-023-00498-0
    Publisher
    University of Aberdeen
    Links
    Date Made Available
    18 December 2023
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator)

  • Data From Influences on androgen deprivation therapy prescribing before surgery in high-risk prostate cancer

    DOI
    10.1002/bco2.411
    Publisher
    University of Aberdeen
    Links
    Date Made Available
    01 July 2024
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), Cornford, P. (Creator), Esperto, F. (Creator), Pavan, N. (Creator), Ribal, M. J. (Creator), Roobol, M. J. (Creator), Skolarus, T. A. (Creator), MacLennan, S. (Creator)

  • Data From Influences on androgen deprivation therapy prescribing before surgery in high-risk prostate cancer

    DOI
    10.1002/bco2.411
    Publisher
    University of Aberdeen
    Links
    Date Made Available
    01 July 2024
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), Cornford, P. (Creator), Esperto, F. (Creator), Pavan, N. (Creator), Ribal, M. J. (Creator), Roobol, M. J. (Creator), Skolarus, T. A. (Creator), MacLennan, S. (Creator)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 6

    Additional file 6 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 6. Table of Reported consequences in included studies.
    DOI
    10.6084/m9.figshare.26618200
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 6

    Additional file 6 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 6. Table of Reported consequences in included studies.
    DOI
    10.6084/m9.figshare.26618200
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 3

    Additional file 3 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 3. Table of Outcomes and effects of the intervention.
    DOI
    10.6084/m9.figshare.26618191
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 3

    Additional file 3 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 3. Table of Outcomes and effects of the intervention.
    DOI
    10.6084/m9.figshare.26618191
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care - Additional file 1

    Additional file 1 of Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care Additional file 1. Identification of the behavioural elements as coded to the AACTT framework domians for control groups.
    DOI
    10.6084/m9.figshare.26517854.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care - Additional file 1

    Additional file 1 of Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care Additional file 1. Identification of the behavioural elements as coded to the AACTT framework domians for control groups.
    DOI
    10.6084/m9.figshare.26517854.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 4

    Additional file 4 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 4. Table of Barriers to de-implementation categorised to the TDF Domains.
    DOI
    10.6084/m9.figshare.26618194.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 4

    Additional file 4 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 4. Table of Barriers to de-implementation categorised to the TDF Domains.
    DOI
    10.6084/m9.figshare.26618194.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 5

    Additional file 5 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 5. Table of Facilitators to de-implementation categorised to the TDF Domains.
    DOI
    10.6084/m9.figshare.26618197.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review - Additional file 5

    Additional file 5 of Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review Additional file 5. Table of Facilitators to de-implementation categorised to the TDF Domains.
    DOI
    10.6084/m9.figshare.26618197.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator), St Clair Gibson, A. (Other)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review

    Abstract Background/aims Considerable efforts have been made to improve guideline adherence in healthcare through de-implementation, such as decreasing the prescription of inappropriate medicines. However, we have limited knowledge about the effectiveness, barriers, facilitators and consequences of de-implementation strategies targeting inappropriate medication prescribing in secondary care settings. This review was conducted to understand these factors to contribute to better replication and optimisation of future de-implementation efforts to reduce low-value care. Methods A systematic review of randomised control trials was conducted. Papers were identified through CINAHL, EMBASE, MEDLINE and Cochrane register of controlled trials to February 2021. Eligible studies were randomised control trials evaluating behavioural strategies to de-implement inappropriate prescribing in secondary healthcare. Risk of bias was assessed using the Cochrane Risk of Bias tool. Intervention characteristics, effectiveness, barriers, facilitators and consequences were identified in the study text and tabulated. Results Eleven studies were included, of which seven were reported as effectively de-implementing low-value prescribing. Included studies were judged to be mainly at low to moderate risk for selection biases and generally high risk for performance and reporting biases. The majority of these strategies were clinical decision support at the ‘point of care’. Clinical decision support tools were the most common and effective. They were found to be a low-cost and simple strategy. However, barriers such as clinician’s reluctance to accept recommendations, or the clinical setting were potential barriers to their success. Educational strategies were the second most reported intervention type however the utility of educational strategies for de-implementation remains varied. Multiple barriers and facilitators relating to the environmental context, resources and knowledge were identified across studies as potentially influencing de-implementation. Various consequences were identified; however, few measured the impact of de-implementation on usual appropriate practice. Conclusion This review offers insight into the intervention strategies, potential barriers, facilitators and consequences that may affect the de-implementation of low-value prescribing in secondary care. Identification of these key features helps understand how and why these strategies are effective and the wider (desirable or undesirable) impact of de-implementation. These findings can contribute to the successful replication or optimisation of strategies used to de-implement low-value prescribing practices in future. Trial registration The review protocol was registered at PROSPERO (ID: CRD42021243944).
    DOI
    10.6084/m9.figshare.c.6841186.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N’Dow, J. (Creator), MacLennan, S. (Creator)

  • Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review

    Abstract Background/aims Considerable efforts have been made to improve guideline adherence in healthcare through de-implementation, such as decreasing the prescription of inappropriate medicines. However, we have limited knowledge about the effectiveness, barriers, facilitators and consequences of de-implementation strategies targeting inappropriate medication prescribing in secondary care settings. This review was conducted to understand these factors to contribute to better replication and optimisation of future de-implementation efforts to reduce low-value care. Methods A systematic review of randomised control trials was conducted. Papers were identified through CINAHL, EMBASE, MEDLINE and Cochrane register of controlled trials to February 2021. Eligible studies were randomised control trials evaluating behavioural strategies to de-implement inappropriate prescribing in secondary healthcare. Risk of bias was assessed using the Cochrane Risk of Bias tool. Intervention characteristics, effectiveness, barriers, facilitators and consequences were identified in the study text and tabulated. Results Eleven studies were included, of which seven were reported as effectively de-implementing low-value prescribing. Included studies were judged to be mainly at low to moderate risk for selection biases and generally high risk for performance and reporting biases. The majority of these strategies were clinical decision support at the ‘point of care’. Clinical decision support tools were the most common and effective. They were found to be a low-cost and simple strategy. However, barriers such as clinician’s reluctance to accept recommendations, or the clinical setting were potential barriers to their success. Educational strategies were the second most reported intervention type however the utility of educational strategies for de-implementation remains varied. Multiple barriers and facilitators relating to the environmental context, resources and knowledge were identified across studies as potentially influencing de-implementation. Various consequences were identified; however, few measured the impact of de-implementation on usual appropriate practice. Conclusion This review offers insight into the intervention strategies, potential barriers, facilitators and consequences that may affect the de-implementation of low-value prescribing in secondary care. Identification of these key features helps understand how and why these strategies are effective and the wider (desirable or undesirable) impact of de-implementation. These findings can contribute to the successful replication or optimisation of strategies used to de-implement low-value prescribing practices in future. Trial registration The review protocol was registered at PROSPERO (ID: CRD42021243944).
    DOI
    10.6084/m9.figshare.c.6841186.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N’Dow, J. (Creator), MacLennan, S. (Creator)

  • Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care

    Data from: Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care Background /Aims De-implementation, including the removal or reduction of unnecessary or inappropriate prescribing, is crucial to ensure patients receive appropriate evidence-based health care. The utilization of de-implementation efforts is contingent on the quality of strategy reporting. To further understand effective ways to de-implement medical practices, specification of behavioural targets and components of de-implementation strategies are required. This paper aims to critically analyse how well the behavioural targets and strategy components, in studies that focused on de-implementing unnecessary or inappropriate prescribing in secondary healthcare settings, were reported. Methods A supplementary analysis of studies included in a recently published review of de-implementation studies was conducted. Article text was coded verbatim to two established specification frameworks. Behavioural components were coded deductively to the five elements of the Action, Actor, Context, Target, Time (AACTT) framework. Strategy components were mapped to the nine elements of the Proctor’s ‘measuring implementation strategies’ framework. Results The behavioural components of low-value prescribing, as coded to the AACTT framework, were generally specified well. However, the Actor and Time components were often vague or not well reported. Specification of strategy components, as coded to the Proctor framework, were less well reported. Proctor’s Actor, Action target: specifying targets, Dose and Justification elements were not well reported or varied in the amount of detail offered. We also offer suggestions of additional specifications to make, such as the ‘interactions’ participants have with a strategy. Conclusion Specification of behavioural targets and components of de-implementation strategies for prescribing practices can be accommodated by the AACTT and Proctor frameworks when used in conjunction. These essential details are required to understand, replicate and successfully de-implement unnecessary or inappropriate prescribing. In general, standardisation in the reporting quality of these components is required to replicate any de-implementation efforts. Trial registration Not registered.
    DOI
    10.6084/m9.figshare.c.7392878.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator)

  • Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care

    Data from: Specifying behavioural and strategy components of de-implementation efforts targeting low-value prescribing practices in secondary health care Background /Aims De-implementation, including the removal or reduction of unnecessary or inappropriate prescribing, is crucial to ensure patients receive appropriate evidence-based health care. The utilization of de-implementation efforts is contingent on the quality of strategy reporting. To further understand effective ways to de-implement medical practices, specification of behavioural targets and components of de-implementation strategies are required. This paper aims to critically analyse how well the behavioural targets and strategy components, in studies that focused on de-implementing unnecessary or inappropriate prescribing in secondary healthcare settings, were reported. Methods A supplementary analysis of studies included in a recently published review of de-implementation studies was conducted. Article text was coded verbatim to two established specification frameworks. Behavioural components were coded deductively to the five elements of the Action, Actor, Context, Target, Time (AACTT) framework. Strategy components were mapped to the nine elements of the Proctor’s ‘measuring implementation strategies’ framework. Results The behavioural components of low-value prescribing, as coded to the AACTT framework, were generally specified well. However, the Actor and Time components were often vague or not well reported. Specification of strategy components, as coded to the Proctor framework, were less well reported. Proctor’s Actor, Action target: specifying targets, Dose and Justification elements were not well reported or varied in the amount of detail offered. We also offer suggestions of additional specifications to make, such as the ‘interactions’ participants have with a strategy. Conclusion Specification of behavioural targets and components of de-implementation strategies for prescribing practices can be accommodated by the AACTT and Proctor frameworks when used in conjunction. These essential details are required to understand, replicate and successfully de-implement unnecessary or inappropriate prescribing. In general, standardisation in the reporting quality of these components is required to replicate any de-implementation efforts. Trial registration Not registered.
    DOI
    10.6084/m9.figshare.c.7392878.v1
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator)

  • Data from: Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review

    Abstract Background/aims Considerable efforts have been made to improve guideline adherence in healthcare through de-implementation, such as decreasing the prescription of inappropriate medicines. However, we have limited knowledge about the effectiveness, barriers, facilitators and consequences of de-implementation strategies targeting inappropriate medication prescribing in secondary care settings. This review was conducted to understand these factors to contribute to better replication and optimisation of future de-implementation efforts to reduce low-value care. Methods A systematic review of randomised control trials was conducted. Papers were identified through CINAHL, EMBASE, MEDLINE and Cochrane register of controlled trials to February 2021. Eligible studies were randomised control trials evaluating behavioural strategies to de-implement inappropriate prescribing in secondary healthcare. Risk of bias was assessed using the Cochrane Risk of Bias tool. Intervention characteristics, effectiveness, barriers, facilitators and consequences were identified in the study text and tabulated. Results Eleven studies were included, of which seven were reported as effectively de-implementing low-value prescribing. Included studies were judged to be mainly at low to moderate risk for selection biases and generally high risk for performance and reporting biases. The majority of these strategies were clinical decision support at the ‘point of care’. Clinical decision support tools were the most common and effective. They were found to be a low-cost and simple strategy. However, barriers such as clinician’s reluctance to accept recommendations, or the clinical setting were potential barriers to their success. Educational strategies were the second most reported intervention type however the utility of educational strategies for de-implementation remains varied. Multiple barriers and facilitators relating to the environmental context, resources and knowledge were identified across studies as potentially influencing de-implementation. Various consequences were identified; however, few measured the impact of de-implementation on usual appropriate practice. Conclusion This review offers insight into the intervention strategies, potential barriers, facilitators and consequences that may affect the de-implementation of low-value prescribing in secondary care. Identification of these key features helps understand how and why these strategies are effective and the wider (desirable or undesirable) impact of de-implementation. These findings can contribute to the successful replication or optimisation of strategies used to de-implement low-value prescribing practices in future. Trial registration The review protocol was registered at PROSPERO (ID: CRD42021243944).
    DOI
    10.6084/m9.figshare.c.6841186
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator)

  • Data from: Effectiveness of de-implementation strategies for low-value prescribing in secondary care: a systematic review

    Abstract Background/aims Considerable efforts have been made to improve guideline adherence in healthcare through de-implementation, such as decreasing the prescription of inappropriate medicines. However, we have limited knowledge about the effectiveness, barriers, facilitators and consequences of de-implementation strategies targeting inappropriate medication prescribing in secondary care settings. This review was conducted to understand these factors to contribute to better replication and optimisation of future de-implementation efforts to reduce low-value care. Methods A systematic review of randomised control trials was conducted. Papers were identified through CINAHL, EMBASE, MEDLINE and Cochrane register of controlled trials to February 2021. Eligible studies were randomised control trials evaluating behavioural strategies to de-implement inappropriate prescribing in secondary healthcare. Risk of bias was assessed using the Cochrane Risk of Bias tool. Intervention characteristics, effectiveness, barriers, facilitators and consequences were identified in the study text and tabulated. Results Eleven studies were included, of which seven were reported as effectively de-implementing low-value prescribing. Included studies were judged to be mainly at low to moderate risk for selection biases and generally high risk for performance and reporting biases. The majority of these strategies were clinical decision support at the ‘point of care’. Clinical decision support tools were the most common and effective. They were found to be a low-cost and simple strategy. However, barriers such as clinician’s reluctance to accept recommendations, or the clinical setting were potential barriers to their success. Educational strategies were the second most reported intervention type however the utility of educational strategies for de-implementation remains varied. Multiple barriers and facilitators relating to the environmental context, resources and knowledge were identified across studies as potentially influencing de-implementation. Various consequences were identified; however, few measured the impact of de-implementation on usual appropriate practice. Conclusion This review offers insight into the intervention strategies, potential barriers, facilitators and consequences that may affect the de-implementation of low-value prescribing in secondary care. Identification of these key features helps understand how and why these strategies are effective and the wider (desirable or undesirable) impact of de-implementation. These findings can contribute to the successful replication or optimisation of strategies used to de-implement low-value prescribing practices in future. Trial registration The review protocol was registered at PROSPERO (ID: CRD42021243944).
    DOI
    10.6084/m9.figshare.c.6841186
    Publisher
    Figshare
    Links
    Date Made Available
    17 December 2025
    Related Research Outputs
    Contributors
    Dunsmore, J. (Creator), Duncan, E. (Creator), MacLennan, S. (Creator), N'Dow, J. (Creator), MacLennan, S. (Creator)
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  • How can we improve patient-clinician communication in men diagnosed with prostate cancer?: PA04

    Beyer, K., Lawlor, A., Remmers, S., Venderbos, L. D., Willemse, P. M., Omar, M. I., Smith, E. J., Bezuidenhout, C., Collette, L., MacLennan, S., MacLennan, S., Evans-Axelsson, S., N'Dow, J., Roobol, M. J., Van Hemelrijck, M., Briers, E.
    23rd International Meeting of the European Association of Urology Nurses
    Contributions to Conferences: Abstracts

  • How can we improve patient-clinician communication in men diagnosed with prostate cancer?

    Beyer, K., Lawlor, A., Remmers, S., Venderbos, L. D., Willemse, P. M., Omar, M. I., Smith, E. J., Bezuidenhout, C., Collette, L., MacLennan, S., MacLennan, S., Evans-Axelsson, S., N'Dow, J., Roobol, M. J., Van Hemelrijck, M., Briers, E.
    38th Annual EAU Congress
    Contributions to Conferences: Abstracts

  • Treatment burden in survivors of prostate and colorectal cancer:: a qualitative interview study.

    Adam, R., Duncan, L., MacLennan, S., Locock, L.
    BMJ Open, vol. 13, no. 3, e068997
    Contributions to Journals: Articles

  • A systematic review to evaluate Patient-Reported Outcomes Measures (PROMs) for metastatic prostate cancer according to the COSMIN methodology – A PIONEER wp2 project

    Ratti, M., Gandaglia, G., Armando, S., Mazzone, E., Scuderi, S., Barletta, F., Mottet, N., Williamson, P., Moss, C., Beyer, K., Muhammad imran, O., Maclennan, S., Zong, J., Cornford, P., Maclennan, S., Aiyegbusi, O., Van hemelrijck, M., Alleva, E., Derevianko, A., Sisca, E., N’dow, J., Francesco, M., Briganti, A.
    European Urology, vol. 83, no. Supplement 1, pp. S1432-S1433
    Contributions to Journals: Abstracts

  • Cost utility analysis of shockwave lithotripsy versus ureteroscopic stone treatment in adults

    Kilonzo, M. M., Dasgupta, R., Thomas, R., Aucott, L., MacLennan, S., Lam, T., Anson, K., Cameron, S., Starr, K., Burgess, N., Keeley, F. X., Clark, C. T., N’Dow, J., MacLennan, G., McClinton, S.
    BJU International, vol. 131, no. 2, pp. 253-261
    Contributions to Journals: Articles

  • Randomised controlled trial comparing the clinical and cost-effectiveness of various washout policies versus no washout policy in preventing catheter associated complications in adults living with long-term catheters: study protocol for the CATHETER II study

    Abdel-fattah, M., Johnson, D., Constable, L., Thomas, R., Cotton, S., Tripathee, S., Cooper, D., Boran, S., Dimitropoulos, K., Evans, S., Granitsiotis, P., Hashim, H., Kilonzo, M., Larcombe, J., Little, P., MacLennan, S., Murchie, P., Myint, P., N’Dow, J., Norrie, J., Omar, M. I., Paterson, C., Scotland, G., Thiruchelvam, N., MacLennan, G.
    Trials, vol. 23, no. 1, 630
    Contributions to Journals: Articles

  • Health Status and Associated factors of middle-aged and Older Adult Cancer Survivors in India: Results from the Longitudinal Ageing Study in India

    Guntupalli, A. M., Selvamani, Y., MacLennan, S., Dilip, T.
    BMC Cancer, vol. 22, no. 1, 1087
    Contributions to Journals: Articles

  • A Systematic Review to Evaluate Patient-Reported Outcomes Measures (PROMs) for Metastatic Prostate Cancer According to the COnsensus-based Standard for the selection of Health Measurement INstruments (COSMIN) Methodology

    Ratti, M. M., Gandaglia, G., Sisca, E. S., Derevianko, A., Alleva, E., Beyer, K., Moss, C., Barletta, F., Scuderi, S., Omar, M. I., MacLennan, S., Williamson, P. R., Zong, J., MacLennan, S., Mottet, N., Cornford, P., Aiyegbusi, O. L., Van Hemelrijck, M., N'Dow, J., Brigantic, A.
    Cancers, vol. 14, no. 20, 5120
    Contributions to Journals: Articles

  • An interpretative phenomenological analysis of the meaning of work to women living with breast cancer

    MacLennan, S., Cox, T., Murdoch, S., Eatough, V.
    Chronic Illness, vol. 18, no. 3, pp. 503-516
    Contributions to Journals: Articles

  • Secondary Treatment for Men with Localized Prostate Cancer: a pooled analysis of PRIAS and ERSPC-Rotterdam data within the PIONEER data platform

    Beyer, K., Straten, V., Remmers, S., MacLennan, S., Gandaglia, G., Willemse, P. M., Herrera, R., Omar, M. I., Russell, B., Huber, J., Kreuz, M., Asiimwe, A., Abbott, T., Briganti, A., Vanhemelrijck, M., Roobol, M. J., MacLennan, S., The PRIAS Consortium, , The ERSPC Rotterdam Study Group, , The PIONEER Consortium,
    Journal of Personalized Medicine, vol. 12, no. 5, 751
    Contributions to Journals: Articles
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