Can women with Multimorbidity rely on advice about HRT? A mixed methods study.

Supervisors: 

Prof Frank Sullivan, School of Medicine (University of St Andrews)

Dr Margaret McCartney, School of Medicine (University of St Andrews)

Prof Peter Donnelly, School of Medicine (University of St Andrews) 

Dr David Nunan, Nuffield Department of Primary Care Health Sciences (University of Oxford)

Summary: 

As the use of hormone replacement therapy is increasing, there is a need to ensure that women have high quality information about potential benefits and harms in order to make high quality choices. This is especially true in women who have multimorbidity, and may be using multiple medications and/or have multiple risk factors. Little is known about the information women use when considering HRT and whether this information is reliable and fit for purpose. This PhD will use a variety of research techniques in four work packages. First, a systematic review will find current information resources used by women. Secondly, this information will be assessed, using existing but adapted tools, for quality. Next, qualitative interviews with patients and primary care clinicians will research what kind of information would meet needs. An information resource will the be co-created based on this information and piloted with patients and practitioners. This PhD will give a wide range of research experience, including systematic reviewing, qualitative interviewing, evidence assessment and communication, and patient collaboration. The final output will be of wide practical use across the UK. Informal discussions are welcome.