Mr Spencer Robinson

PhD Research student

Spencer joined the NHS in 1993 and has worked in the NHS within a variety of NHS environments gaining extensive experience working within and across challenging and complex NHS organisations. More recently, working in senior management posts within the health improvement and behavioural change arena for national, regional, strategic and local organisations within the NHS.

Spencer was an early adopter of social marketing and health related behaviour change methodology in the NHS and over the last 9 years has gained extensive experience in design and delivery of health related behaviour change interventions spanning various public health priority areas.

In 2006 he studied at the Institute of Social Marketing at Stirling University under Professor Gerard Hastings and also has a Masters Degree in Design from the University of Sunderland.

Title:  What are the factors influencing GPs in the diagnosis of lung cancer?

Background   Lung cancer is the second most common cancer diagnosed in the UK after breast cancer. Around 41,000 people were diagnosed with lung cancer in the UK in 2008, (or 112 people every day). The cancer e-atlas shows Hull to have amongst the highest incidence and the second poorest outcomes of any local authority in the UK for lung cancer.

Aims   This study aims to identify factors influencing GPs in the diagnosis of lung cancer and to identify potential modifiable factors in order to develop interventions in the future to enable GPs to recognise and refer patients with lung cancer appropriately

Methods   In-depth interviews with GPs are being carried out in Hull and the East Riding of Yorkshire. The interviews are in two parts: firstly an in-depth exploration of the process of recognition and referral of patients with potential lung cancer symptoms, and secondly, a number of clinical case scenarios are framed within a lung cancer context and think aloud methodology is being applied to the case scenarios to establish further insights into the cognitive processes involved in decision making of GPs with respect to lung cancer.

Results/ Discussion  This is work in progress. The rationale for the study and details of the methodology will be presented, along with early findings from the initial analysis.  In particular the process of the interview and the usefulness of the ‘think aloud’ methodology in researching clinical scenarios with practitioners will be discussed.

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