Reader in Public Health and Health Promotion
areas of expertise
Lorna Porcellato is Reader in Public Health and Health Promotion at the Centre for Public Health. She teaches on both undergraduate and post graduate programmes. Specialist teaching areas include: qualitative research methods, health promotion and community engagement. Lorna also leads the faculty-based dissertation module for the MSc Public Health programme.
Lorna has successfully supervised a number of PhD students and currently supervises students conducting qualitative and/or mixed methods research on a range of topics including: alcohol and pregnancy, factors affecting physically disabled children and young people participating in mainstream out-of-school activities, the challenges of developing Malaysian nursing leaders and decision-making within undergraduate healthcare students’ fitness to practise panels.
Lorna has been involved in a range of health related research studies over the years, bringing qualitative expertise to projects around tobacco control, health and physical activity and discrimination and older workers. Latterly she has been involved in health services research in collaboration with Staffordshire, Shropshire & Black Country maternity network and Birmingham Women’s NHS Foundation Trust to inform policy development and service provision.
Current research interests include: understanding health risk behaviours (smoking, obesity, alcohol); developing effective health interventions, developing innovative qualitative research methods, community based participatory research and the patient experience of health services.
In addition to the papers and publications in the relevant sections below, Lorna has also contributed to the following:
Woolfall K, Porcellato L, Stredder K, Wareing M, Atkinson A, Lushey C, McVeigh J, Sumnall H (2008). The prevention of uptake of smoking by children and young people, with reference to areas of mass media and the sale of tobacco products: findings from a multi-method primary research study. Liverpool, UK. National Collaborating Centre for Drug Prevention. Available from www.nice.org.uk
Porcellato, L., Dugdill, L. and Springett, J. (2005) A Longitudinal Study Exploring Primary Schoolchildren’s Perspectives on Smoking: Results from the Early Years Phase. Childhood A Global Journal of Child Research 12(4),425-443.
Porcellato, L., Dugdill, L. Springett, J. and Sanderson, F. (2000) Exploring children’s perceptions of smoking with the ‘draw and write’ investigative technique in Lu, R., Mackay, J., Niu, S., and Peto, R. (eds) Tobacco: The Growing Epidemic – Proceedings of the Tenth World Conference on Tobacco or Health, Beijing, China, 24-28 August 1997. London: Springer-Verlag
Porcellato L., and Zoe Knowles (2013) Reflecting forward: Exploring reflective methodologies with and for children in Knowles, Z., Gilbourne, D., Cropley, B and Dugdill, L. (eds) Reflective Practice in the Sport and Exercise Sciences: Contemporary Issues. Routledge: London ISBN: 978-0415814935
Carmichael F., Hulme. C., Porcellato, L., Ingham. B., Prashar, A., (2010) Ageism and age discrimination: the experiences and perceptions of older employees, in Parry, E. and Tyson, S. (eds.) Managing age diversity. Palgrave Macmillan: Basingstoke, UK, 115-128, ISBN: 9780230240933
Non Peer Reviewed Outputs
Carmichael F, Hulme C, Porcellato L. 2013 Work histories of older people: evidence from mixed method occupational history calendars. Working Paper WP13-05, Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds.
Porcellato, L. (2008) Exploring Young Adults Perceptions of Smoking Prevention and Cessation. University of Salford and Salford NDC.
Anderson, G; Brennan, C; Carmichael, F; Dobson, J; Hulme, C; Ingham, B; Porcellato, L; Prashar, A; Sharif, S; Syme, T; Tanner, A and Ward R (2007) Older Men in the North West Labour Market: A Report for the European Social Fund. Salford Business School / European Social Fund.
Brennan, C; Carmichael, F; Ingham, B; Prashar, A; Dobson, J; Sharif, S; and Porcellato, L. (2007) Ageism and Employment: A Survey of the Literature in the Context of the Current Research Agenda. Salford Business School and European Social Fund
Carmichael, F; Ingham, B; Porcellato, L; Prashar, A and Sharifi, S. and Dobson, J. (2007) ‘Anyone can get old but…’ Ageism and older male participation in the labour market. Salford Business School/ European Social Fund
Carmichael, F; Dobson, J; Hulme, C; Ingham, B; Marshall, K; Porcellato, L; Prashar, A and Sharifi, S. (2006) Older Male and Female Participation in the North West Labour Market: Exploring the Role of Age Discrimination. Salford Business School/ European Social Fund
Anderson, G; Brennan, C; Carmichael, F; Connell, G; Hulme, C; Porcellato, L; Prashar, A; Syme, T; Tanner, A and Ward R. (2006) Older Workers in the North West – A Report for the European Social Fund Vol 1 and Vol 11. Salford Business School / European Social Fund.
Cavill, N., Dugdill, L., Almond, L and Porcellato L. (2006) An Evaluation of the NW Region Physical Activity Coordinator’s Post – Final Report. Big Lottery Fund.
Dugdill,L., Cavill, N and Porcellato, L. (2005) Regional Health and Physical Activity Coordinator Evaluation: interim report. Government Office North West/Dept of Health
Cavill, N., ,Dugdill, L and Porcellato, L. (2005) Physical Activity in the North West of England: a Policy Audit. Government Office North West
Woods, S., Dugdill, L., Milton, B., Porcellato, L. and Springett, J. (2005) The Liverpool Longitudinal Study on Smoking: the primary school phase. Liverpool: John Moores University, Centre for Public Health and Roy Castle Foundation
Springett, J., Wainright, A., Porcellato, L., Chendo-Thomas, M. and Tobert, N. (2003) Unfinished Business: An Evaluation Synthesis for Merseyside Health Action Zone – Pan Regional Element. Liverpool: John Moores University, Institute For Health.
Wainwright, A., Porcellato, L. and Lake, J. (2002) Smoking in Public Places: A Survey of Public Houses, Bars, Restaurants and Cafes in Merseyside and Barriers to Uptake of Smoking Policies. Liverpool: John Moores University, Institute For Health.
Springett, J., Young, A. and Porcellato, L. ( 2002) Manchester, Salford and Trafford Health Action Zone: Learning For the Future. Salford: University of Salford- IPHRP.
Springett, J., Young, A. and Porcellato, L. (2001) Working Outside the Box: A Preliminary Report for the Manchester, Salford and Trafford Health Action Zone. Salford: University of Salford- IPHRP.
Porcellato, L. (1998) Perspectives on Smoking of Liverpool Primary Schoolchildren in their Early Years. (Unpublished PhD Thesis) Liverpool: John Moores University.
Porcellato, L., Dugdill, L. Springett, J. and Sanderson, F. (1996) Attitudes, Beliefs and Smoking Behaviour in Primary Schoolchildren: An Interim Research Report. Occasional Paper Series, The Institute for Health: Liverpool John Moores University
Dr Lorna Porcellato's Publications
Evaluation of Rapid Access to Alcohol Detoxification Acute Referral (RADAR)
Alcohol-related presentations to hospital have been increasing in the United Kingdom, with one of the major causes of such admissions being the occurrence of acute withdrawal symptoms. In response to this, the RADAR (Rapid Access to Alcohol Detox Acute Referral) service was established in Greater Manchester as an innovative pathway from A&E departments into specialist detox facilities. The RADAR service has four main aims: reducing the burden on acute trusts, improving clinical outcomes for service users, providing improved experience for service users in a therapeutic setting and demonstrating cost-effectiveness. The Centre for Public Health conducted an evaluation of RADAR to explore experiences and cost-effectiveness. Service users and stakeholders described positive experiences and felt that RADAR provides specialist support which makes a difference to people’s lives. Six months after discharge, just over half of those who could be contacted reported either being abstinent or being controlled drinkers. This reduction in the levels of alcohol consumption resulted in fewer contacts with Acute Hospitals, with reductions in both the number of A&E attendances and nights in hospital being reported. The cost-effectiveness analysis of RADAR suggests that the service is cost-effective, with a projected saving of £ 1,320,921 over a 12 month period.
A systematic review of qualitative research on the views, perspectives and experiences of hepatitis B and C testing among practitioners and people at greatest risk of infection
The impact of advocacy initiatives led by, or on behalf of, young people: A systematic map and summary of evidence
Dr Lorna Porcellato's Papers
Influence of family and friend smoking on intentions to smoke and smoking-related attitudes and refusal self-efficacy among 9–10 year old children from deprived neighbourhoods: a cross-sectional study
BMC Public Health 15:225, 2015.
Abstract: Background: Smoking often starts in early adolescence and addiction can occur rapidly. For effective smoking prevention there is a need to identify at risk groups of preadolescent children and whether gender-specific intervention components are necessary. This study aimed to examine associations between mother, father, sibling and friend smoking and cognitive vulnerability to smoking among preadolescent children living in deprived neighbourhoods. Methods: Cross-sectional data was collected from 9–10 year old children (n =1143; 50.7% girls; 85.6% White British) from 43 primary schools in Merseyside, England. Children completed a questionnaire that assessed their smoking-related behaviour, intentions, attitudes, and refusal self-efficacy, as well as parent, sibling and friend smoking. Data for boys and girls were analysed separately using multilevel linear and logistic regression models, adjusting for individual cognitions and school and deprivation level. Results: Compared to girls, boys had lower non-smoking intentions (P = 0.02), refusal self-efficacy (P = 0.04) and were less likely to agree that smoking is ‘definitely’ bad for health (P < 0.01). Friend smoking was negatively associated with non-smoking intentions in girls (P < 0.01) and boys (P < 0.01), and with refusal self-efficacy in girls (P < 0.01). Sibling smoking was negatively associated with non-smoking intentions in girls (P < 0.01) but a positive association was found in boys (P = 0.02). Boys who had a smoking friend were less likely to ‘definitely’ believe that the smoke from other people’s cigarettes is harmful (OR 0.57, 95% CI: 0.35 to 0.91, P = 0.02). Further, boys with a smoking friend (OR 0.38, 95% CI: 0.21 to 0.69, P < 0.01) or a smoking sibling (OR 0.45, 95% CI: 0.21 to 0.98) were less likely to ‘definitely’ believe that smoking is bad for health. Conclusion: This study indicates that sibling and friend smoking may represent important influences on 9–10 year old children’s cognitive vulnerability toward smoking. Whilst some differential findings by gender were observed, these may not be sufficient to warrant separate prevention interventions. However, further research is needed.
Preventing smoking among nine to ten-year-old children using a novel school-based physical activity intervention: Overview of SmokeFree Sports
Education and Health, 2014.
P hysical activity (PA) is associated with many health benefits, including reduced risk of of hypertension, coronary heart disease, stroke and heart disease (Chief Medical Officers, 2011). From an educational perspective, PA has been found to improve cognitive functioning, aiding children’s learning through improved concentration (Norlander et al., 2005), attention (Maher, 2011) and memory (Kamijo et al., 2011). Children participate in PA in multiple ways; for example, active play, physical education (PE), and extra-curricular and community sport programmes. Moreover, children enjoy participating in PA and often want to increase their participation (Ridgers et al., 2006). Given that there is evidence that taking part in PA may be protective against smoking uptake (Audrain-McGovern et al., 2003; Rodriguez and Audrain-McGovern, 2005; Kaczynski et al., 2008), it is suggested that PA contexts such as PE and sport could be utilised as a vehicle for smoking prevention. The use of sport to deliver smoking education has previously been trialled in the US and Canada with initiatives such as Tobacco Free Sports (The US Centers for Disease Control and Prevention, 2007), Tobacco Free Athletes (www.tobaccofreemaine.org) and Play, Live, Be Tobacco Free.
Views and experiences of hepatitis C testing and diagnosis among people who inject drugs: Systematic review of qualitative research
Int J Drug Policy., 21st November, 2013.
Abstract: Background: Many developed countries are facing a major challenge to improve identification of individuals acutely and chronically infected with hepatitis C virus (HCV) infection. We explored the views and experiences of people who inject drugs (PWID) in relation to HCV testing, and diagnosis through a review and synthesis of qualitative research. Methods: Based on the thematic synthesis of qualitative research. Searches were conducted in 14 databases and supplemented by reference checking, hand searching of selected journals, and searches of relevant websites. Studies of any qualitative design that examined the views and experiences of, and attitudes towards, HCV testing and diagnosis among PWID or practitioners involved in their care were included. Key themes and sub-themes were systematically coded according to the meaning and content of the findings of each study which proceeded to the preparation of a narrative account of the synthesis. Results: 28 qualitative studies were identified. We identified a number of overarching descriptive themes in the literature, finding overall that PWID hold complex and differing views and experiences of testing and diagnosis. Three major themes emerged: missed opportunities for the provision of information and knowledge; shifting priorities between HCV testing and other needs; and testing as unexpected and routine. Evidence of missed opportunities for the provision of knowledge and information about HCV were clear, contributing to delays in seeking testing and providing a context to poor experiences of diagnosis. Influenced by the nature of their personal circumstances, perceptions of the risk associated with HCV and the prioritisation of other needs acted both to encourage and discourage the uptake of HCV testing. Undergoing HCV testing as part of routine health assessment, and an unawareness of being testing was common. An unexpected positive diagnosis exacerbated anxiety and confusion. Conclusion: This review has identified that there are modifiable factors that affect the uptake of HCV testing and experiences of HCV diagnosis among PWID. Intervention development should focus on addressing these factors. There is a need for further research that engages PWID from a diverse range of populations to identify interventions, strategies and approaches that they consider valuable.
- Published 26 March 2014