Systematic reviews - appraisal and synthesis of all primary research - are increasingly being used to inform policy and practice in health care. Therefore, it is important to understand how the key questions in systematic reviews are identified and prioritised and whether they are relevant to policy makers, practitioners and members of the public. Research priority setting (RPS) is usually defined as any interpersonal activity that leads to the selection of topics and/or choices of key questions to investigate . Diverse approaches to setting research priorities are used in different countries, regions and organisations. There is no consensus in the literature on the most effective processes with which to set these priorities. However, these decisions define the quality and implications of the evidence, and syntheses of it, available to patients, public and policy makers to help them make informed decisions. My initial scoping work, was to design and conduct a survey across an influential international systematic review organisation (Cochrane Collaboration ) on how they set priorities for their reviews. We identified 13 structured approaches to setting priorities. As part of the project, we developed an evaluation framework that demonstrated whether the priority setting processes meet the values and principles of the Cochrane Collaboration. Subsequently, we developed an equity lens for research priority setting exercises to inform the design of research priority setting processes to ensure that they consider the priorities of disadvantaged groups along with advantaged groups. We used the equity lens to do a second evaluation on the priority setting processes in the Cochrane Collaboration. Both evaluation frameworks demonstrated that the Cochrane Collaboration requires better designed priority setting approaches and must be more transparent in reporting those processes. The evaluation of research priority setting exercises in the Cochrane Collaboration, along with the wider literature, demonstrates that research priority setting exercises cannot be evaluated in isolation from organisational cultures, values and context. Therefore, the next step of the project focused on a specific stakeholder group (major research funders) with significant influence on research, including support for systematic reviews. We selected 11 national research agencies in the UK, Netherlands, France, Norway, Denmark, Germany, Australia, Canada, and the USA. We devised and used a checklist based on Chalmers and Glasziou’s “avoidable research waste” framework (and evaluated the processes and policies of these agencies using this checklist). As previous evaluations had demonstrated, this second evaluation found a lack of transparency in the process of setting priorities for research and other related organisational and policy issues. Increased funding is needed for methodological research to evaluate research practices and to monitor how funding research projects is done and reported. My evaluation of funding agencies and the Cochrane Collaboration found a similar lack of transparency and accountability in the context of conflicting values among stakeholders that decreases accountability and scrutiny of researchers and their institutions. However, the projects have led to organisational and policy changes in the two key stakeholder groups (the Cochrane Collaboration and selected funding agencies). Officials of national health research funding agencies have approached me to collaborate with them to address the issues raised by my work on reducing research waste. This led to the establishment of Funders Forum - the Ensuring Value in Research (EViR) Funders’ Collaboration and Development Forum - to enable agencies in various countries to exchange their experience in addressing issues and creating work groups to address them. The Forum is chaired by individuals from three major research funders: NIHR (UK), ZonMW (Netherlands) and Patient-Centered Outcomes Research Institute (PCORI; USA). The Forum organises several meetings to establish common principles, standards and work plans to achieve the common objective around reducing research waste and adding value for research for a national research funder.

Background and objectives: A thesis is a requirement of the doctoral counselling psychology programme and plays an important role in forming an identity as a trainee counselling psychologist. While extensive research exists for doctorate experiences in general, less is known about the experiences of trainee counselling psychologists undertaking a thesis in the United Kingdom. The rationale behind this study is therefore to explore how trainee counselling psychologists perceive and make meaning of their experiences and how they go about writing their doctoral thesis. Method and analysis: A qualitative design was employed to answer the research question. Semi-structured focus group interviews were conducted with twenty trainee counselling psychologists who were either starting to write their thesis or at the stage of almost completing it. A grounded theory analysis was used in this study, which aims to generate a theory based on categories that have been discovered from the data. Several strategies were employed in this study to demonstrate the rigour and trustworthiness in a qualitative design. Findings: The results of this study show that two categories emerged from the data: (1) obstacles in completing a thesis and (2) positive perspective towards undertaking a thesis. The theory that emerged from this study shows that trainee counselling psychologists have both positive and negative experiences which appear to fluctuate during the process of undertaking a thesis and vary from person to person due to individual circumstances. It is vital not to envisage a dichotomy between the positive and negative experiences, which form a natural and necessary journey for all doctoral students. Conclusions: The trainee counselling psychologists' experiences of undertaking a thesis can be viewed as an emotional and multifaceted journey. Overall, the shared experiences of trainee counselling psychologists undertaking a doctoral thesis was a valuable contribution to this study. The paper discusses avenues for further research alongside some practical recommendations that might be useful for trainee counselling psychologists undertaking a doctoral thesis.

Improvements of neuroscience tools and their wider availability complements previously used qualitative and quantitative research methods and techniques with neurophysiological methods and techniques to help us find out what respondents really think. In the Czech Republic, these methods are relatively new. Agencies focusing on market research have started using these methods in 2010 and currently are in the process of establishing neurological and neurophysiological techniques in the portfolio of offered services. There are not many studies on the techniques in the academic world, there is no guide for sociologists and students of sociology and this paper therefore aims to present neurological and neurophysiological research methods and techniques, to define their place in research methods, to highlight their advantages, disadvantages and limitations as a tool for marketing (eventually sociological) research in comparison with traditional methods and techniques, to map the current situation of their use in the Czech Republic, to reflect on the ethical issue of using the methods and their future.

One problem with the traditional marketing segmentation view of consumer markets is that it treats social categories as an ontology, which somehow becomes independent of its own members. It assumes that the self is required to adjust to its segment. In my research, I follow writers such as Hall (1996) who claim that consumer identity is not a reflection of a fixed, natural, state of being but a process of becoming. The meaning of social economic class, Britishness, religion, masculinity and so forth, are subject to continual change. Identity then becomes a ‘cut’ or a snapshot of unfolding meanings; it is a strategic positioning of the individual, which makes meaning possible. My primary research focuses on one cultural category - second generation British South Asian. This is a group of consumers who are required to negotiate with multiple discourses – local, global, past, present, future, western, eastern, religious, national, popular culture and more - and with many social and cultural categories - British society, South Asian community, county of origin, religion, professional identity and others. The mainstream literature takes an essentialist view when analysing this group treating ethnic minority consumers as acculturating individuals who hold a hyphenated identity and who have to balance pressures from two sides of the hyphen- South Asian and BritishIn my research I take inspiration from Hall (1996) and treat ethnicity in its de-totalised, or deconstructed forms, recognising ethnicity as a concept that cannot be thought of in the ‘old way’ as representing essential, discrete differences between groups. Ethnicity and race are conceptualised here as socially constructed, relationally and culturally locatedMy data collection strategy is designed to help participants (Sample size of 13) to explore the landscape of their self by eliciting life narratives and their constituent attachments. The data were collected in two stages. The initial phase is based on the collection of 2 collages one of self-identity and one of shopping experience. The objective of this phase was to give the participants an opportunity to explore and map the different discursive influences in their lives. The second stage uses a narrative interview where the collages were used as a guide for the structure of the conversation. The findings of this research confirm a picture of self-identity as a ‘Field of Discursivity’ (Laclau and Mouffe, 1985) where self-identity can be viewed as a field in which no one discourse can fully master the others. Consequently, ‘who one is’ becomes an open question, with a shifting answer depending upon the positions available between one's own and others' discursive practices and within those practices. This understanding is the foundation of my claim that traditional marketing discussion rests on a flawed assumption which renders segmentation strategy incompatible with current market reality.

Long-term conditions (LTCs) such as diabetes, cardiovascular diseases, respiratory diseases and cancers are recognised as the greatest challenge facing public healthcare systems globally in the 21st century. Healthcare provision for people with LTCs is shifting towards a model that puts patients at the centre of their own care through supported self-care. Self-care support has emerged as a distinct concept in the management of LTCs and is now considered an inseparable component of high quality healthcare provided by healthcare professionals. People with LTCs are regular users of community pharmacy where dispensing and other services provide opportunities for self-care support. While self-care support as a concept has been explored extensively in health disciplines like nursing, medicine and health psychology, there is a paucity of published literature in community pharmacy. The main aim of this programme of work was to explore the place and contribution of community pharmacy in self-care support of LTCs. A preliminary scoping literature review captured and synthesised the overarching components of self-care support of LTCs into a single theoretical framework consisting of collaborative care planning, self-care information and advice, self-care skills support and training, self-care support networks and self-care technology. The research programme of work employed a mixed methods design consisting of three Work Streams. The qualitative arm of the programme consisted of semi-structured interviews with 24 patients with LTCs and 24 community pharmacists in England and Scotland; these informed the quantitative arm, which was a cross-sectional, online survey of 10,000 community pharmacists in England. The survey instrument was informed and developed from the findings of the pharmacists’ interviews in combination with existing literature. Data collection and analysis in the three work streams incorporated the theoretical framework of self-care support. The qualitative data analyses were undertaken thematically, while quantitative data were analysed using a range of descriptive and inferential statistics. Interviews with patients explored their ‘lived experience’ with LTCs and found that self-care was an integral part of daily living; patients engaged in self-care in a variety of ways to attain normality in their lives. Patients used a wide range of resources for self-care support; family/carers, friends and healthcare professionals (mainly doctors and nurses). Patients viewed and used community pharmacy mainly for the supply of prescribed medicines and suggested that community pharmacy played minimal roles in self-care support. The interviews and survey of community pharmacists showed that pharmacists recognised the broad range of activities and principles of self-care. However, in terms of pharmacists’ contributions to self-care support, their perspectives were narrower and focussed on providing information and advice on medicines-use to patients, while other activities such as lifestyle advice were provided opportunistically. They indicated that they were already providing medicines-focussed self-care support through the services available in community pharmacy. The theoretical framework allowed detailed exploration of how community pharmacists operationalised the different elements of self-care support of LTCs. Collaborative care planning was viewed as important but not within the remit of community pharmacy. Self-care information and advice was unidimensional and provided opportunistically and one-off, using the paternalistic biomedical model. Pharmacists valued the roles of patients’ personal communities but were not proactive in signposting to other support networks. Self-care skills training and support and the use of self-care technologies were limited. Barriers to providing self-care support were priority accorded to dispensing activities, the structure of the community pharmacy contract, lack of incentives to provide self-care support and patients’ expectations and lack of awareness of community pharmacy’s role in LTCs management. The theoretical framework of self-care support of LTCs provided novel insights into the perspectives of patients and community pharmacists. The findings highlighted the need for a coherent LTC strategy if community pharmacy is to align with the self-care support paradigm. Recommendations are made for a comprehensive package of care, underpinned by self-care support. A case is also made for incorporating the often ‘unheard’ patient voice into community pharmacy research and interventions.

Methodological studies of health research are undertaken to investigate the practice of research. They have been instrumental in inciting developments in the design, conduct, analysis, and reporting of health research. Due in part to the field’s diversity, these studies can be difficult to identify in databases. As these studies have not been comprehensively examined to date, the overarching goal of this thesis was to characterize methodological studies and to investigate how they have been labelled and reported in the literature. First, we demonstrate how methodological studies are conducted to provide guidance to end-users—in this case physiatrists and rehabilitation researchers—in a methods guidance paper on pilot and feasibility studies (PAFS), a type of health research design. Second, we performed a pilot study testing the feasibility of searching for and identifying methodological studies in literature databases. Third, based on the pilot study findings and previous research, we outline a protocol for the development of a reporting guideline for methodological studies of health research. Lastly, as part of the first phase of the reporting guideline development process, we performed a review of methodological studies focusing on those that specifically investigated PAFS. In a case study of rehabilitation research, a third of studies labelled as PAFS did not outline any feasibility outcomes, and few provided progression plans to definitive studies. Guidance was focused on providing recommendations and resources for assessing feasibility to help reduce the prevalence of small studies disguised as PAFS, which wastes research resources. In the pilot of methodological studies, preliminary findings on nomenclature and reporting reinforced the notion that there are many names used to describe studies with similar intentions. It was also determined feasible to build a search strategy to identify methodological studies in literature databases. Subsequent findings from the review of methodological studies illustrated that reporting practices are the most common aspect of research investigated. Study design names such as ‘methodological review’, ‘systematic review’, and ‘systematic survey’ were often used to describe studies with similar motives, i.e., to synthesize data from previously published research, whether the synthesis approach was quantitative or qualitative. Existing reporting checklists were rarely used, and when used not appended, possibly due to irrelevance of fields oriented to studies with persons. This work demonstrates the necessity and importance of consensus on reporting and nomenclature for making methodological studies more accessible to the health research community. / Dissertation / Doctor of Philosophy (PhD)

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This thesis adds a complex account to existing climate change engagement literature, which captures the ways that interactions with, and interpretations of, climate change emerge across the spaces and practices of day-to-day life. The empirical research for this thesis was based in Penryn and Falmouth, two small adjoining coastal towns located in the county of Cornwall, in the southwest of the UK. Fieldwork across a number of sites including schools, community groups and the local fishery engaged participants in a wide variety of research interactions. A combination of ethnographic and autoethnographic techniques were applied to produce complex, nuanced and personal accounts of interactions with and reflections on climate change that emerged in a day-to-day context. This study employed the innovative use of a personal research archive to facilitate the process of sense making across a body of highly detailed and contextual data. Through the use of thematic coding, links between data collected in diverse research encounters has been drawn together to produce meaningful narratives of climate change engagement in day-to-day life. These narratives capture the adaptive, imperfectly situated and inconsistent engagement responses that emerge as a result of the challenging nature of climate change and the inevitable, multiple pressures of the day-to-day context. The research approach taken in this study, and the findings set out in the thesis make contributions to three main areas of climate change engagement literature. Firstly, it explores the way that climate change is situated and understood in the context of day-to-day life. Secondly, it considers the implications of conceptualising climate change engagement as either a ‘process’ or a ‘state’. Finally, it extends existing analysis of ‘barriers to engagement’, locating them within the complexity of the day-to-day context and identifying them as part of essential interpretive iterations of engagement.

Through the lens of identity process theory, the present thesis explores: (i) the qualitative nature of British national and ethnic attachments and their respective outcomes for identity processes among British South Asians (BSA); and (ii) the impact of media representations for identification and identity processes. In study I, 20 first generation South Asians (FGSA) were interviewed regarding identity, national and ethnic group memberships and inter-ethnic relations. The results revealed that (i) social representations of the ethnic 'homeland' could accentuate national attachment, but that both national and ethnic identities could have positive outcomes for identity processes in distinct social contexts; (ii) the phenomenological importance of 'special moments' and family identity can shape and accentuate national identification; (iii) ethnic and national identities are strategically 'managed' in order to achieve psychological coherence. In study II, 20 second generation South Asians (SGSA) were interviewed regarding similar issues. The results revealed that (i) SGSAs' awareness of the hardship faced by FGSA in the early stages of migration could induce disidentification with Britishness and accentuate identification with the ethnic group; (ii) the Press may be regarded as excluding BSA from Britishness; (iii) SGSA may manifest hybridised identities to enhance psychological coherence. In study III, a sample of 50 tabloid articles regarding BSA was analysed qualitatively. The results revealed that (i) BSA are constructed as 'deviating' from self-aspects of Britishness; (ii) BSA may be represented in terms of a hybridised threat to the ethno-national ingroup. Study IV investigated some of the findings of the previous studies quantitatively. The questionnaire was administered to 215 BSA. A series of statistical analyses confirmed (i) the impact of negative media representations of one's ethnic group for identity processes; (ii) the accentuation of ethnic identity and attenuation of British national identity as a result of exposure to negative media representations; (iii) a weaker national attachment among British Pakistanis than British Indians. It is argued that levels of British national and ethnic identities will likely fluctuate in accordance with social and temporal context and that BSA will make strategic use of both identities in order to optimise identity processes.

The aim of this thesis is to highlight the relevance of the spiritual dimension of Islamic calligraphy, focusing on the Turkish contemporary calligraphic tradition. Academic literature in the field has been dominated by the tendency to focus on the objects produced by artists, neglecting their personal experience and understanding of the art. Using a phenomenological perspective, I give voice to calligraphers I met in Istanbul and Konya, letting emerge their views on issues related to the relationship between art, religion and spirituality. I explore several themes that have arisen from the interviews I conducted with fifteen exponents of the contemporary tradition, organised as a journey from the most material aspects to the most abstract ones. The exploration of these themes starts with the symbolism hidden behind physical calligraphic tools, moving to the analysis of the symbolism of the point and the letters, elementary forms of the calligraphic creations. The bodily dimension has been taken into consideration, showing how the control of the body is an essential aspect of the calligraphic practice. The art can be conceived as a pathway requiring the development of several moral qualities and virtues, all necessary to improve both the artistic capabilities and the spiritual maturity of the practitioner, until the achievement of the authorisation to teach the art. Once a calligrapher reaches the license and the mastery of the art, they bear the responsibility of transmitting the art to others. Furthermore, they become agents of remembrance, portraying in the most beautiful manners the verses of the Quran in social religious spaces, as in mosques, or on calligraphic panels acquired by individual collectors or museums. Since their artwork focuses on representing religious materials, including the remembrance of the attributes of God and of Prophet Muhammad, their art is considered an act of worship. Finally, I investigate what the meaning of Divine Beauty is in Islamic calligraphy, presenting the perspectives of Turkish calligraphers and analysing the connections between the artistic form and the meaning of the contents of specific calligraphic works. In conclusion, I have not limited my analysis to the formal aspects of the art, rather I have highlighted the existential dimension of a complex practice which connects together several aspects of the human being, including the spiritual dimension. Thus, the traditional stream of Turkish contemporary calligraphy can be seen as a full manifestation of a culture, a lifestyle and a religion.