Dr Felix Gradinger
Profiles

Dr Felix Gradinger

Research Fellow-Integrated Care Researcher in Residence

Peninsula Medical School (Faculty of Health)

Researcher-in-Residence

As part of the research prgramme led by Richard Byng (https://www.plymouth.ac.uk/research/primarycare/person-centred-coordinated-care)
this project seeks to address implementation and impact aspects of the research question: How can multiple initiatives for integrated care improve experience and outcomes for patients with multiple long term conditions in the Torbay and South Devon area?

From April 2016-2021, the overall approach will include researching the ICO 'case' across its five localities with a mix of combining stories and numbers building on the above service evaluations, doing additional interviews and observations, and looking at documents. This will be conducted by so called researchers-in-residence, i.e. University researchers based within local NHS organisations. This role involves talking to key stakeholders and members of the public, and includes developing an overarching theory for how the system is responding to local initiatives and their potential impact on the experience of integrated care.

Qualifications

PhD in Public Health, Institute for Health and Rehabilitation Sciences, Ludwig-Maximilian University, Munich, Germany.
MSc in Social and Cultural Theory, Sociology, University of Bristol.
MA International Culture and Business Studies, University of Passau, Germany.

Roles on external bodies

International Foundation for Integrated Care (IFIC); contribution to the Voluntary Sector and Intermediate Care Special Interest Groups (SIGs); webinars :

Dr. Felix Gradinger Presents - Implementation and impact of co-locating the voluntary sector with a multidisciplinary, cross-sector community 

Co-authoring Understanding transitional and intermediate care for older people: An International Delphi Study” submitted in Journal Aging Clinical and Experimental Research; and Contributor to ADVANTAGE JA project (“A comprehensive approach to promote a disability-free Advanced age in Europe: the ADVANTAGE Joint Action initiative”), co-funded by the European Union’s Health Programme

Teaching interests

I take joy in developing myself by developing others and volunteer to mentor my peers informally wherever I can.

For example, at Exeter University this included contributing to monthly Qualitative Research Advice Clinics for staff and students, teaching on the 'making sense of evidence' module to medical students, and the successful bidding for Researcher-led Initiative Awards 2014 teaching two workshops on qualitative interviewing and thematic analysis to service users and students.

During my PhD and as a graduate teaching assistant I also delivered practice-based method seminars at both under- and post-graduate levels at the University of Lucerne, Switzerland.

I have supervised 4 Master Students at the Centre for Mindfulness Research and Practice (CMRP) at Bangor University: https://www.bangor.ac.uk/mindfulness/postgraduate-courses/


I am also teaching on the MSc in Applied Health Services Research and the PGCert in Clinical Leadership at Exeter University.

Research interests

An efficient and versatile international health services researcher and educator: ►with a multidisciplinary background in the Humanities, Medical Sociology, Clinical Psychology and ► experience in clinical (sleep disorders, mental health) and non-clinical research (public health, systematic reviews, implementation science, public involvement) ► whose research is inspired by a bio-psycho-social model of health, and ► who has applied mainly qualitative but also mixed-/quantitative methods ► with a passion to make public involvement matter in my own and others’ research and teaching.

Previous research:

Jan 2016-Mar 2016
Research Fellow in Systematic Review, NIHR-funded ReGROUP project -The changing general practitioner workforce; conducting a systematic review describing factors influencing GPs decisions to quit patient care within the Evidence Synthesis & Modelling for Health Improvement (ESMI) group, University of Exeter Medical School.

Nov 2013-Feb 2016
Research Fellow, University of Exeter Medical School, Health Services Research, Evidence Synthesis & Modelling for Health Improvement.
Named researcher on a mixed qualitative methods project entitled 'Accessibility and Implementation in UK services of an effective depression relapse prevention programme: Mindful-based cognitive therapy (MBCT)' (http://medicine.exeter.ac.uk/aspire/) 
Operational delivery of project milestones of two-phase project (interview survey of 40 NHS trusts; 10 ethnographic case studies).

Jan 2013-Oct 2013
Associate Research Fellow, College of Life and Environmental Sciences, Department of Psychology, Mood Disorders Centre, University of Exeter, UK, http://www.prevent-southwest.org.uk/
Trial researcher and coordination of eight qualitative work streams within the PREVENT clinical trial: ‘Preventing depressive relapse in NHS settings through mindfulness-based cognitive therapy’.

Feb 2011-Dec 2012
Research Fellow, Peninsula College of Medicine and Dentistry, Exeter University, United Kingdom
MRC funded Evidence synthesis and literature review around impacts, values and normative debates within a Public Involvement Impact Assessment Framework (http://www.piiaf.org.uk/).

Dec 2006 – Dec 2010
Graduate Teaching Assistant, University of LUCERNE, Switzerland
Faculty of Humanities and Social Sciences, Department of Sociology. Both undergraduate and postgraduate levels: developing mixed methods research projects in problem-based learning modules (www.unilu.ch)

Dec 2006 – Dec 2010
Project Leader, Swiss Paraplegic Research, Nottwil, Switzerland (www.paranet.ch)
WHO-Project: ‚Development of ICF Core Sets for Sleep’. Supervising and conducting four preliminary studies (Individual Interviews, Focus Groups, Expert Survey, Literature Review), in the development of a core data set of categories of WHO’s International Classification of Functioning, Disability and Health (ICF) relevant to people with any kind of sleep disorder. (http://www.icf-core-sets.org/en/page1.php/en/page1.php)

Apr 2016 – Apr 2021  (0.7FTE) Research Fellow – Integrated Care Researcher in Residence, Peninsula Schools of Medicine and Dentistry, based at Torbay and South Devon NHS Trust, working alongside public, commissioners and providers to support understanding about how Person Centred and Coordinated Care (PCCC) within Torbay and South Devon are operating; https://www.arc-swp.nihr.ac.uk/research/researcher-in-residence

January 2017-Dec 2017 (0.1FTE) Research Fellow; local site facilitation in South Devon and Torbay working as a co-applicant on an NIHR Programme Development Grant on ‘Education and facilitation to improve clinical decisions and multidisciplinary team-working with older adults with multimorbidity’; multisite study with Keele, Warwick, Birmingham.

Grants & contracts

 

►Future submissions:

♦12th June 2020, NIHR 131329: Peninsula Adult Social Care Research Collaborative (PARC) (£2.5Mio)

►Current, successful submissions:

♦20th January 2020, Co-Principal Investigator on Torbay Medical Research Fund bid: ‘Understanding the high numbers of children in statutory care in Torbay: an engaged and embedded approach to supporting families and communities’ (£253,000).

♦2nd September 2019, Co-applicant on Sustainability and Transformation Plan (STP) bid: ‘Devon STP Social Prescribing Evaluation and Research’ (SCW/NHSSCWCSU/00001010/2017); South, Central and West Commissioning Support Unit. (£99,998)

♦16th November 2018, Co-Principal Investigator on ‘Formative and Summative evaluation of telephone based health coaching for frequent attenders in A&E’, South Devon and Torbay Clinical Commissioning Group (£30,162)

♦15th July 2018, Co-applicant on ‘Organisational integration and implementing new care models in South Devon and Torbay– A mixed methods case study using a researcher-in-residence model’; subsequent two-year extension from Torbay and South Devon NHS Foundation Trust,1 Apr 2019 -31 Mar 2021 (£149,360)

►Past submissions (unsuccessful):

♦30th July 2019, Co-applicant on NIHR Public Health Resarch Call: 19/04 - Community Focused Approaches that Mobilise People as Assets: ‘What interventions work best to maximise the potential of people in building community, reducing health inequalities, and improving health?’ (£560,824)

♦22nd March 2019, Co-applicant with Healthwatch Torbay on Wellcome Public Engagement Fund on ‘Parallel Thoughts – Generations Apart: Cross-sector, Participatory, and Intergenerational engagement of teenage communities inTorbay’ (£95,731)

♦11th January 2019, Principal Investigator on Wellcome Trust Small Grant in Humanities and Social Science, “Embedded, co-produced research using the researcher-in-residence model in integrated care - International research impact, networking and agenda setting” (£15,834)

♦4th July 2018, Co-applicant on evidence synthesis under NIHR RfPB Social Care Call: ‘Social prescribing for adults with social care needs, a synthesis of existing evaluations in the South West’ (Tier 3: £150k).

♦30th May 2018, Principal Investigator on Wellcome Trust, ‘Research on Research’ Concept Note: ‘Increasing research capacity and improving services through hybrid roles in health and social care systems: an embedded, scoping study exploring mechanisms of impact’ (£239,803)

♦31st May 2018; Co-applicant on University of Plymouth Research Innovation & Impact Fund: Developing a ‘live’ system to improve patient experience of integrated health and social care services in Torbay and South Devon using the P3C-EQ (£44,260)

♦ 04th April 2018: Co-applicant on stage 2 NIHR Programme Development Grant submission (Phase 1 deadline Nov 2017) for full trial of a complex intervention: ‘Education and facilitation to improve clinical decisions and multidisciplinary team-working with older adults with multimorbidity’ (PI Richard Lilford; £3,218,227.49)

♦ 22nd Nov 2017, PI Sheena Asthana – co-applicant on 2 year co-design project on healthy ageing and social prescribing, Public Health Research programme and NIHR Themed Call on: Complex Health and Care Needs in Older People

♦ 12 Septh 2017, PI Rod Sheaff – co-applicant on NIHR Health Services and Delivery Research Programme Reference: 17/52/25: ‘Knowledgable Implementation: an ‘Engaged Scholarship’ approach to developing implementation interventions to support adoption of new service models at scale’ (£569,692.00)

♦ Co-applicant on a bid to the NIHR Methodology Research Programme (submitted 19.01.17, worth £200.000), on ‘Mixed methods strategies for process evaluations of complex interventions’ with Exeter researchers from the HELP, STARS and PREVENT trials (PI-Morgan-Trimmer S, Abraham C, Smith J, Ford T, Hayes R, Hansford L, Wyatt K, Lloyd J).

►Past submissions (successful):

♦ Named researcher to the ASPIRE Implementation Project (NIHR portfolio worth £451,837.65).

♦PI on Researcher-led Initiative Awards 2014 (£1000) for two workshops on qualitative interviewing and thematic analysis

Key publications

Key publications are highlighted

Journals
Articles
Gradinger F, Elston J, Asthana S, Myers C, Wroe S & Byng R 2020 'Integrating the voluntary sector in personalised care: mixed methods study of the outcomes from wellbeing co-ordination for adults with complex needs' Journal of Integrated Care ahead-of-print, (ahead-of-print) , DOI PEARL
Sezgin D, O’Caoimh R, O’Donovan MR, Salem MA, Kennelly S, Samaniego LL, Carda CA, Rodriguez-Acuña R, Inzitari M & Hammar T 2020 'Defining the characteristics of intermediate care models including transitional care: an international Delphi study' Aging Clinical and Experimental Research , DOI PEARL
Tickell A, Byng R, Crane C, Gradinger F, Hayes R, Robson J, Cardy J, Weaver A, Morant N & Kuyken W 2020 'Recovery from recurrent depression with mindfulness-based cognitive therapy and antidepressants: a qualitative study with illustrative case studies' BMJ Open 10, (2) Author Site , DOI PEARL
Asthana S, Gradinger F, Elston J, Martin S & Byng R 2020 'Capturing the Role of Context in Complex System Change: An Application of the Canadian Context and Capabilities for Integrating Care (CCIC) Framework to an Integrated Care Organisation in the UK' International Journal of Integrated Care , DOI PEARL
Elston J, Gradinger F, Asthana S, Lilley-Woolnough C, Wroe S, Harman H & Byng R 2019 'Does a social prescribing ‘holistic’ link-worker for older people with complex, multi-morbidity improve well-being and frailty and reduce health and social care use and costs? A 12-month before and after evaluation' Primary Health Care Research and Development , DOI PEARL
Rycroft-Malone J, Gradinger F, Owen Griffiths H, Anderson R, Crane RS, Gibson A, Mercer SW & Kuyken W 2019 '‘Mind the gaps’: the accessibility and implementation of an effective depression relapse prevention programme in UK NHS services: learning from mindfulness-based cognitive therapy through a mixed-methods study' BMJ Open 9, (9) e026244-e026244 , DOI PEARL
Gradinger F, Elston J, Asthana S, Martin S & Byng R 2019 'Reflections on the Researcher-in-Residence model co-producing knowledge for action in an Integrated Care Organisation: a mixed methods case study using an impact survey and field notes' Evidence & Policy: A Journal of Research, Debate and Practice 15, (2) 197-215 , DOI PEARL
Husk K, Elston J, Gradinger F, Callaghan L & Asthana S 2018 'Social prescribing: where is the evidence? Commissioned editorial' British Journal of General Practice 69, (678) 6-7 Author Site , DOI PEARL
Kuyken W, Hayes R, Barrett B, Byng R, Dalgleish T, Kessler D, Lewis G, Watkins E, Morant N & Taylor RS 2015 'The effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse/recurrence: results of a randomised controlled trial (the PREVENT study)' Health Technology Assessment 19, (73) 1-124 , DOI
Kuyken W, Hayes R, Barrett B, Byng R, Dalgleish T, Kessler D, Lewis G, Watkins E, Brejcha C & Cardy J 2015 'Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial' The Lancet 386, (9988) 63-73 , DOI PEARL
Snape D, Kirkham J, Britten N, Froggatt K, Gradinger F, Lobban F, Popay J, Wyatt K & Jacoby A 2014 'Exploring perceived barriers, drivers, impacts and the need for evaluation of public involvement in health and social care research: a modified Delphi study' BMJ Open 4, (6) e004943-e004943 , DOI PEARL
Rycroft-Malone J, Anderson R, Crane RS, Gibson A, Gradinger F, Owen Griffiths H, Mercer S & Kuyken W 2014 'Accessibility and implementation in UK services of an effective depression relapse prevention programme – mindfulness-based cognitive therapy (MBCT): ASPIRE study protocol' Implementation Science 9, (1) , DOI PEARL
Gradinger F, Britten N, Wyatt K, Froggatt K, Gibson A, Jacoby A, Lobban F, Mayes D, Snape D & Rawcliffe T 2013 'Values associated with public involvement in health and social care research: a narrative review' Health Expectations 18, (5) 661-675 , DOI PEARL
Finger ME, Glässel A, Erhart P, Gradinger F, Klipstein A, Rivier G, Schröer M, Wenk C, Gmünder HP & Stucki G 2011 'Identification of Relevant ICF Categories in Vocational Rehabilitation: A Cross Sectional Study Evaluating the Clinical Perspective' Journal of Occupational Rehabilitation 21, (2) 156-166 , DOI
Escorpizo R, Finger ME, Glässel A, Gradinger F, Lückenkemper M & Cieza A 2011 'A Systematic Review of Functioning in Vocational Rehabilitation Using the International Classification of Functioning, Disability and Health' Journal of Occupational Rehabilitation 21, (2) 134-146 , DOI
GRADINGER F, KÖHLER B, KHATAMI R, MATHIS J, CIEZA A & BASSETTI C 2011 'Problems in functioning from the patient perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference' Journal of Sleep Research 20, (1pt2) 171-182 , DOI
Gradinger F, Glässel A, Bentley A & Stucki A 2011 'Content comparison of 115 health status measures in sleep medicine using the International Classification of Functioning, Disability and Health (ICF) as a reference' Sleep Medicine Reviews 15, (1) 33-40 , DOI
Gradinger F, Cieza A, Stucki A, Michel F, Bentley A, Oksenberg A, Rogers AE, Stucki G & Partinen M 2011 'Part 1. International Classification of Functioning, Disability and Health (ICF) Core Sets for persons with sleep disorders: Results of the consensus process integrating evidence from preparatory studies' Sleep Medicine 12, (1) 92-96 , DOI
Gradinger F, Boldt C, Högl B & Cieza A 2011 'Part 2. Identification of problems in functioning of persons with sleep disorders from the health professional perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference: A worldwide expert survey' Sleep Medicine 12, (1) 97-101 , DOI
Reinhardt JD, Ballert CS, Fellinghauer B, Lötscher A, Gradinger F, Hilfiker R, Graf S & Stucki G 2011 'Visual perception and appraisal of persons with impairments: a randomised controlled field experiment using photo elicitation' Disability and Rehabilitation 33, (5) 441-452 , DOI
GRADINGER F, GLÄSSEL A, GUGGER M, CIEZA A, BRAUN N, KHATAMI R, SCHMITT W & MATHIS J 2010 'Identification of problems in functioning of people with sleep disorders in a clinical setting using the International Classification of Functioning Disability and Health (ICF) Checklist' Journal of Sleep Research 20, (3) 445-453 , DOI
Stucki A, Cieza A, Schuurmans MM, Ustun B, Stucki G, Gradinger F & Partinen M 2008 'Content comparison of health-related quality of life instruments for obstructive sleep apnea' Sleep Medicine 9, (2) 199-206 , DOI
Conference Papers
Stucki A, Joost C, Baertschi E, Eisenmann L, Luethi F, Gradinger F & Schuurmans MM 2009 'Implementation of a standardised smoking cessation programme in a respiratory rehabilitation clinic - First results' 15S-15S
Gradinger F, Stucki A, Koehler B, Cieza A, Schmitt W, Mathis J, Gugger M & Sleep ICFCS 2009 'Use of International Classification of Functioning, Disability and Health to describe patient-reported functioning in sleep apnoea and identification of relevant environmental factors' 21S-21S
Gradinger FP, Glaessel A, Amann E, Kollerits B & Stucki A 2008 'Identifying the concepts contained in health status measures in sleep medicine practice and research using the International Classification of Functioning, Disability and Health as a reference' 178-179
Stucki A, Gradinger F, Cieza A, Cottagnoud P & Schuurmans MM 2008 'Content differences in health status measures and withdrawal scales used for smoking cessation' 44S-44S
Posters
Elston J, Gradinger F, Asthana S, Fox M, Dawson L, Butler D & Byng R Elston J, Gradinger F, Asthana S, Fox M, Dawson L, Butler D & Byng R 0 'Impact of “enhanced” intermediate care located in a health & wellbeing hub at the integrated care organisation (ico) in torbay and south devon, uk' , DOI PEARL
Gradinger F, Elston J, Asthana S, Lilley-Woolnough C, Myers C, Fox M, Butler D & Byng R Gradinger F, Elston J, Asthana S, Lilley-Woolnough C, Myers C, Fox M, Butler D & Byng R 0 'Implementation and impact of co-locating the voluntary sector with a multidisciplinary, cross-sector community hub at the Integrated Care Organisation (ICO) in Torbay and South Devon, UK' , DOI PEARL
Gradinger F, Elston J, Fox M, Myers C & Butler D Gradinger F, Elston J, Fox M, Myers C & Butler D 0 'Mrs Smith - Chapter 2: Vertical and horizontal integration and care model implementation in the Integrated Care Organisation (ICO) in Torbay and South Devon, UK - a workshop on leadership and co-production' , DOI PEARL