Profile

Flora Douglas
Title: Dr
First Name: Flora
Surname: Douglas
Position: Reader and Post Graduate Research Degrees Coordinator
Telephone: +44 (0)1224 263198
Email:
ORCID: ORCID Icon https://orcid.org/0000-0002-0333-6605

Flora joined the School of Nursing, Midwifery and Paramedic Practice as a Reader in 2018. Her main roles are concerned with undertaking research relevant to the School’s research themes, and supporting postgraduate and PhD research work, and staff research activity across the School. Flora has a background in public health, public health research and nursing. Her main research interests are concerned with health inequalities arising from experiences of food insecurity, poverty and social disadvantage and their impact on health and wellbeing, health condition management (clinical and self-management) and maternal and child health. She uses primarily qualitative research methods in her own research practice, but is experienced in the deployment of mixed methods studies. She is particularly keen on the use of ethnographic and community-based participatory research methods in health-related research.

Flora contributes to a number of national (including the Scottish Government) and local steering and advisory groups concerned with addressing household food insecurity and health in Scotland. Flora also holds a Research Associate appointment with the University of Bournemouth.

Researchgate Link https://www.researchgate.net/profile/Flora_Douglas

Duties and Responsibilities

  • Conceptualising, gaining external funding and conducting primary research studies relevant to the SNMP research priorities.
  • Developing research capability and capacity in conjunction with academic and clinical colleagues based within the School.
  • Masters and PhD research supervision
  • SNMP Post Graduate Research Degree Coordinator
  • Research methods teaching
  • Member of the SNMP Ethics Review Panel
  • Member of RGU’s Orkney Project Steering Group
  • Member of RGU’s Research Degrees Committee

Academic Background

Prior to joining Robert Gordon University, Flora held two academic posts at the University of Aberdeen (UoA). Latterly, she was a Principal Investigator on the Scottish Government-funded RESAS research programme (administered by the Rowett Institute of Nutrition and Health, UoA) where she held a role as lead public health / social scientist for three years. In this role, she was responsible for conceptualising and undertaking policy-orientated research concerned with household food insecurity, health and well-being.

In her former role at the UoA, which she held for over a decade, Flora was as a lecturer within the Department of Public Health. This post was jointly funded with NHS Grampian and involved close working with senior public health clinical and non-clinical colleagues throughout the period of this appointment on a range of national public health policy and programme intervention issues. In this role, she also variously undertook teaching, degree programme coordination, course coordination, Masters and PhD supervision roles associated with undergraduate and post-graduate teaching programmes delivered within the Institute of Applied Health Sciences (i.e. Health Sciences, Master of Public Health and Health Services Research programmes, MSc Human Nutrition, MB CHB). Flora also contributed to local UK Specialist Public Health Registrar training programmes, and various CPD activities aimed at NHS Grampian public health staff. Flora also undertook a variety of lead and co-investigator research and evaluation roles in a number of externally-funded public health research and policy evaluation projects.

Flora started her career in clinical nursing in Glasgow (the Southern General Hospital) after she graduated with a Bachelor of Nursing degree from the University of Glasgow in 1985. She then moved to Perth, Western Australia (WA) where she worked as a senior clinical nurse at St Anne’s Mercy Hospital, and as a nurse lecturer at Edith Cowan University (also in Perth). Flora returned to Scotland in 1992 to study for a Master’s in Public Health degree at the University of Glasgow, after which she worked in professional public health practice in Fife Health Board, and Grampian Health Board / NHS Grampian. She returned to Perth (WA) for a 2-year period in the early 2000s where she worked as a research associate in the School of Public Health: Curtin University.

As well as her Bachelor of Nursing and Master’s degree in Public Health, Flora has a PG Diploma in Health Promotion (from Curtin University, Western Australia) and gained her PhD in Public Health from the University of Aberdeen in 2011.

Teaching Interests

  • Health Inequalities
  • Household Food Insecurity
  • Research Methods

Research Interests

 

  •  Household food insecurity, health and well-being
  • Health care professionals’ role associated with supporting food insecure people with one or more long term condition to live well, and tackling health inequalities more generally.
  • Adverse health outcomes (physical, social and psychological) associated with chronic and unrecognised household food insecurity in adults and children.
  • Health inequalities
  • Obesity and weight management
  • Public health policy processes and evaluation.

Researchgate Link https://www.researchgate.net/profile/Flora_Douglas

·         a generic interest in interventions (policy and programmatic) that promote health and well-being, and their evaluation;

·         Household Food Insecurity  / Food Poverty - nature and prevalence, and its impact on health and well-being in the UK, including long-term condition management and maternal and child health;

·         Obesity and Weight Management - including the role that the experience of poverty plays as a determinant and influence on both;

·         Health Inequalities

·         Use of ethnographic approaches to explore and generate an understanding of lay perspectives  / lived experiences of health issues and health care.

Current Research

Flora’s current research projects focused the following areas:

  • A qualitative investigation of health and social care (HSC) early entrant experiences and coping strategies during rapid transition into professional practice during the COVID-19 pandemic (funded by the Chief Scientist’s Office)
  • Midwives’, health visitors’, family nurse practitioners’ and women’s experiences of the NHS Grampian’s Financial Inclusion Pathway in practice: A qualitative investigation of early implementation and impact (Funded by NHS Grampian’s Endowment Fund Annual Award Scheme)
  • Low income, parenting and the NHSG Financial Inclusion Pathway. A preliminary investigation of community-based parents perspectives in Aberdeen City. (Funded by NHS Grampian’s Public Health Directorate).
  • A systematic review of qualitative research studies associated with adults with type 1 and 2 diabetes and healthcare professionals' experiences of household food insecurity management in high income countries: a systematic review. (Supported by the SNMP and the Queen’s Nursing Institute for Scotland).
  • An integrative systematic review of the impact of food insecurity in high income countries on polypharmacy medicines adherence. (Supported by SNMP and the Health Service’s Research Unit: University of Aberdeen).

Recently completed research included:

  • A deep scan case study on empowerment approaches to food poverty in NE Scotland funded by the Johnson Woods Foundation.
  • A qualitative investigation of the lived experiences of long-term condition management by people affected by food insecurity funded by RGU’s Vice-Principle’s for Research Pump Prime Award.
  • A mixed methods study of the nature and extent of food poverty/insecurity in Scotland funded by NHS Health Scotland.

Funding

Principal Investigator: Qualitative investigation of health and social care (HSC) early entrant experiences and coping strategies during rapid transition into professional practice during the COVID-19 pandemic. For the Chief Scientist’s Office. Co-Investigators Aileen Grant, Angela Kydd, Catriona Kennedy, Nicola Torrance, Scott Cunningham. Award £55,788.82. May 2020 -

Principal Investigator: Midwives’, health visitors’, family nurse practitioners’ and women’s experiences of the NHS Grampian’s Financial Inclusion Pathway in practice: A qualitative investigation of early implementation and impact. For NHS Grampian Endowments Fund Co-Investigators Tracy Davis, Chris Littlejohn and Emma Williams. Award £12,000.00. April 2020 -

Principal Investigator: Low income, parenting and the NHSG Financial Inclusion Pathway. For NHS Grampian Public Health Directorate. Award £5,000.00. March 2020 -

Principal Investigator: Long term condition management and food insecurity: A formative study exploring the lived experiences of people affected by both. Funded by Robert Gordon University, Pump Prime Award Scheme 2018/2019Co-Investigator: Chris Yuill: Award £11,380 Commenced November 2018 – July 2019

Co-Investigator: Deep scan case study on empowerment approaches to food poverty in NE Scotland. Funded by the Training and Resources Centre Charities Aid Foundation of America/Robert Wood Johnson Foundation.
Co-Investigators: Pamela Abbott, Lucia D’Ambruoso (Global Centre for Development, UoA). Award £16,000. Commenced November 2016 – Completed October 2017.

Principal Investigator: The nature and extent of food poverty/insecurity in Scotland. For NHS Health Scotland. Co-Investigators: Stephen Whybrow, (Health Economics Research Unit, UoA), Lynda Williams (Health Economics Research Unit, UoA) Ada Garcia (Nutrition and Dietetics, University of Glasgow). Award: £25,000. Commenced October 2014 – Completed May 2015.

Co-Investigator: European Union JPI HDHL knowledge hub on the determinants of diet and physical activity (DEDIPAC KH).
Co-Investigators: Allan, J. (Institute of Applied Health Sciences, UoA), De Roos, B. and McNeill, G. (Rowett Institute of Nutrition and Health, UoA), Ludbrook, A. (Health Economics Research Unit, UoA). Award: £26,290. Commenced December 2013 – Completed December 2016.

Principal Investigator: Research to inform the development of a child healthy weight intervention for pre-school children. For NHS Grampian. Co-Investigator: Leone Craig (Rowett Institute of Nutrition and Health, UoA). Award: £29,500. Commenced May 2012 – Completed Dec 2013.

Co-Investigator: Eat, play grow well evaluation. For NHS Grampian.
Principal Investigator: Dr Leone Craig (Rowett Institute of Nutrition and Health, UoA). Award £29,500. Commenced October 2010 – Completed June 2011.

Co-Investigator: Integrated systematic review of quantitative and qualitative evidence associated with weight management interventions targeting men.  Funded by the National Institute for Health ResearchPrincipal Investigator: Dr Alison Avenell (Health Services Research Unit, UoA). Award £100,000. Commenced October 2011 – Completed May 2013.

Co-Investigator: External evaluation of Keep Well (Wave 2). For NHS Grampian
Principal Investigator: Professor Anne Ludbrook (Health Economics Research Unit, UoA). Award £41,000. Commenced April 2008 – Completed May 2011.

Co-investigator: Grampian Youth Health and Lifestyle Survey
Principal Investigator: Professor Cairns Smith (School of Public Health, UoA). For NHS Grampian. Award £50,000. Commenced May 2007 – Completed 2008.

Principal Investigator: Exploratory evaluation of smoking cessation initiatives designed to target pregnant women and young people in Grampian. External evaluation for NHS Grampian. Co-investigator: Dr. Edwin van Teijlingen (School of Public Health, UoA). Award £105,000. Commenced April 2007 – Completed April 2010.

Co-investigator: An Economic Evaluation of Obesity in the UK. Funded by the National Prevention Research Initiative Scientific Committee.
Principal Investigator: Mr. Luke Vale (Health Economics Research Unit, UoA). Award £400,000. Commenced July 2006 – Completed April 2010.

Principal Investigator: Independent evaluation Well Men’s Services Pilots Programme for the Scottish Government.
Co-Investigators: Ms Anne Ludbrook (Health Economics Research Unit), Dr Edwin van Teijlingen (School of Public Health, UoA). Award £210,000. Awarded September 2004 – Completed in June 2007.

Principal Investigator: An investigation of primary health care staff’s knowledge and beliefs related to the health benefits of physical activity, and their attitudes and self-reported practice associated with promoting it in the Scottish context. For NHS Health Scotland. Co-Investigators: Dr E. van Teijlingen (School of Public Health, UoA), Dr. N. Torrance (Department of General Practice, UoA). Award £25,000. Awarded October 2003 – Completed May 2004.

Principal Investigator: An evaluation of a computer screen based health promotion intervention aimed at students in higher education in Scotland. For the Health Education Board for Scotland. Co-Investigators: E. van Teijlingen; S. Brindle. Award total £17,000. Awarded December 2002 – Completed December 2003.

External / Professional Roles

  • NHS Grampian Public Health Directorate: Senior Public Health Leadership Team Member
  • NHS Grampian Long Term Condition Transformation Board Member
  • Aberdeen Sustainable Food City Steering Group

Publications

Douglas, F., MacIver, E & Yuill, C. 2020 A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure. BMC Public Health 20:1309 https://doi.org/10.1186/s12889-020-09299-

MASSON, L.F., DOUGLAS, F. and MACLURE, K. 2020. Nutrition and physical activity recommendations for cancer survivors in Scotland: feasibility of a short course to promote behaviour change. Nutrition Bulletin [online], 45(1), pages 66-73. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/nbu.12419

Douglas, F., Machray, K. and Entwistle, V., 2019. Health professionals’ experiences and perspectives on food insecurity and long?term conditions: A qualitative investigation. Health & Social Care in the Community. https://onlinelibrary.wiley.com/doi/full/10.1111/hsc.12872

Piotr Teodorowski, Flora Douglas, Catriona Kennedy (2019)  Adults with type 1 and 2 diabetes and healthcare professionals' experiences of household food insecurity management in high income countries: a systematic review National Institute of Health Research PROSPERO International prospective register of systematic reviews https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=127618

Ejebu, OE; Whybrow, S; Mckenzie, L; Dowler, E; Garcia, AL; Ludbrook,A; Barton, KL, Wrieden  WL, Douglas, F. What can Secondary Data Tell Us about Household Food Insecurity in a High-Income Country Context? Int. J. Environ. Res. Public Health 2019, 16, 82; https://www.mdpi.com/1660-4601/16/1/82/htm

Douglas, F.; MacKenzie, F.; Ejebu, O.-Z.; Whybrow, S.; Garcia, A.L.; McKenzie, L.; Ludbrook, A.; Dowler, E. “A Lot of People Are Struggling Privately. They Don’t Know Where to Go or They’re Not Sure of What to Do”: Frontline Service Provider Perspectives of the Nature of Household Food Insecurity in Scotland. Int. J. Environ. Res. Public Health 2018, 15, 2738 https://www.mdpi.com/1660-4601/15/12/2738

Gombert, K., Douglas, F., McArdle, K., Carlisle, S. (2018) Talking About Food Choices of Former Homeless Young People:   Making Sense of Conflicting Discourses of Blame Through Social Worlds Theory. International Journal of Contemporary Education. 1(1).

Gombert, K., Douglas, F., McArdle, K & Carlisle, S. (2017) Contradictions between Wanting to and being Able to Practice Food Shopping: The Experiences of ‘Vulnerable’ Young People in the North East of Scotland. Global Journal of Human Social Science

Macdiarmid, J. I., Douglas, F. & Campbell, J. 2015 In : Appetite. Eating like there's no tomorrow: public awareness of the environmental impact of food and reluctance to eating less meat as part of a sustainable diet. 96 (2016): 487-493. https://doi.org/10.1016/j.appet.2015.10.011

Archibald, D., Douglas, F., Hoddinot, P.,van Teijlingen, E., Stewart, F.,Robertson, C.,Boyers, Avenell, A. A qualitative evidence synthesis on the management of male obesity. BMJ Open 2015 5, 10, e008372

Douglas, F. Sakpo, J, Kiezebrink, K & Kyle, J.   Resourcefulness, desperation, shame, gratitude and powerlessness: Common themes emerging from a study of food bank use in northeast Scotland. AIMS Public Health doi:10.3934/publichealth.2015.3.29, Vol 2, (3): 297-317.

Robertson, C, Stewart, F, Boyers, D, Douglas, F, Hoddinot, P, Van Teijlingen, E, Avenell, A.  2015.  Should weight loss and maintenance programmes be designed differently for men? A systematic review of long-term randomised controlled trials presenting data for men and women: The ROMEO Project" Obesity research and clinical practice.

Douglas, F., van Teijlingen, E., Smith, C. and Moffat, M., 2015. Implementing Health Policy: Lessons from the Scottish Well Men's Policy Initiative. AIMS Public Health, 2 (4), 887-905. https://dx.doi.org/10.3934%2Fpublichealth.2015.4.887 

F Douglas, J Clark, L. Craig, Campbell, J. and G. McNeill Mothers’ talk about pre-school childhood obesity and obesity prevention in Scotland.  BMC Public Health 2014 14:1009 doi:10.1186/1471-2458-14-1009 URL: http://www.biomedcentral.com/1471-2458/14/1009

Douglas, F. C. G., Greener, J., Van Teijlingen, E. & Ludbrook, A. 2013. Services just for men? Insights from a national study of the well men services pilots. BMC Public Health. 10:25 http://www.biomedcentral.com/1471-2458/13/425

Watson, M. & Douglas, F. 2013.  It’s making us look disgusting . . . and it makes me feel like a mink . .. . it makes me feel depressed!: Using Photovoice to help ‘see’ and understand the perspectives of disadvantaged young people about the neighbourhood determinants of their mental well-being. International Journal of Health Promotion and Education. 50, 6: 278-295. https://doi.org/10.1080/14635240.2012.723379

Greener, J., Douglas, F., van Teijlingen, E. 2010 More of the same? Conflicting perspectives of obesity causation and intervention amongst overweight people, health professionals and policy makers. Social Science and Medicine 70: 1042–1049. https://www.sciencedirect.com/science/article/abs/pii/S0277953609008120?via%3Dihub

Published reports

D'Ambruoso, Lucia and Abbott, Pamela and Douglas, Flora and Macpherson, Emma and Okpo, Emmanuel, Case Study: Empowerment Approaches to Food Poverty in NE Scotland (August 26, 2017). D’Ambruoso L, Abbott P, Douglas F, McPherson E, Okpo E (2017) The Shaping Health programme on Learning from international experience on approaches to community power, participation and decision-making in health, University of Aberdeen, TARSC, July 2017. Available at SSRN: https://ssrn.com/abstract=3027083

Douglas, F  Ejebu, Z, Ada Garcia, A.  MacKenzie, F.  Whybrow, S  McKenzie, L.  Ludbrook, A. Dowler, E. 2015 The nature and prevalence of food poverty in Scotland. For NHS Health Scotland. http://www.healthscotland.com/documents/25717.aspx doi:10.13140/RG.2.1.4898.0963

Robertson C, Archibald D, Avenell A, Douglas F, Hoddinott P, van Teijlingen E, et al. Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men. Health Technol Assess 2014;18(35).

Douglas, F., Amaya, A., Greener, J., Ludbrook, A, Reid, G., Robertson, L. & van Teijlingen, E., 2008 Evaluation of Well Men Health Service Pilots. Research Findings No.62/2008. Scottish Government Social Research.

http://www.scotland.gov.uk/Publications/2008/04/01091605/0

Research Grants

Principle Investigator: Study Title: Long Term Condition Management and Food Insecurity: A Formative Study Exploring the Lived Experiences of People Affected by Both: Funded by Robert Gordon University 2018/2019 Pump Prime Research Funding Programme.

Co-Investigator: Chris Yuill (School of Applied Social Studies) Award: £11,700. Commenced Nov 2018 – present.

Co-Investigator: Deep scan case study on empowerment approaches to food poverty in NE Scotland. Funded by the Training and Resources Centre Charities Aid Foundation of America/Robert Wood Johnson Foundation. 
Co-Investigators: Pamela Abbott, Lucia D’Ambruoso (Global Centre for Development, UoA). Award £16,000. Commenced November 2016. 

Principal Investigator: The nature and extent of food poverty/insecurity in Scotland for NHS Health Scotland.
Co-Investigators: Stephen Whybrow, (Health Economics Research Unit, UoA), Lynda Williams (Health Economics Research Unit, UoA) Ada Garcia (Nutrition and Dietetics, University of Glasgow). Award: £25,000. Commenced October 2014 – Completed May 2015.

Co-Investigator: European Union JPI HDHL knowledge hub on the determinants of diet and physical activity (DEDIPAC KH).
Co-Investigators: Allan, J. (Institute of Applied Health Sciences, UoA), De Roos, B. and McNeill, G. (Rowett Institute of Nutrition and Health, UoA), Ludbrook, A. (Health Economics Research Unit, UoA). Award: £26,290. Commenced December 2013 – Completed December 2016.

Principal Investigator: Research to inform the development of a child healthy weight intervention for pre-school children for NHS Grampian.
Co-Investigator: Leone Craig (Rowett Institute of Nutrition and Health, UoA). Award: £29,500. Commenced May 2012 – Completed.

Co-Investigator: Eat, play grow well evaluation for NHS Grampian.
Principal Investigator: Dr Leone Craig (Rowett Institute of Nutrition and Health, UoA). Award £29,500. Commenced October 2010 – Completed June 2011.

Co-Investigator: Integrated systematic review of quantitative and qualitative evidence associated with weight management interventions targeting men.  Funded by the National Institute for Health Research.  
Principal Investigator: Dr Alison Avenell (Health Services Research Unit, UoA). Award £100,000. Commenced October 2011 – Completed May 2013.

Co-Investigator: External evaluation of Keep Well (Wave 2) for NHS Grampian.
Principal Investigator: Professor Anne Ludbrook (Health Economics Research Unit, UoA). Award £41,000. Commenced April 2008 – Completed May 2011.

Co-investigator: Youth Health and Lifestyle Survey for NHS Grampian.
Principal Investigator: Professor Cairns Smith (School of Public Health, UoA). Award £50,000. Commenced May 2007 – Completed 2008.

Principal Investigator: External evaluation for NHS Grampian.
Exploratory evaluation of smoking cessation initiatives designed to target pregnant women and young people in Grampian. 
Co-investigator: Dr. Edwin van Teijlingen (School of Public Health, UoA). Award £105,000. Commenced April 2007 – Completed April 2010.

Co-investigator: An Economic Evaluation of Obesity in the UK. Funded by the National Prevention Research Initiative Scientific Committee.
Principal Investigator: Mr. Luke Vale (Health Economics Research Unit, UoA). Award £400,000. Commenced July 2006 – Completed April 2010.

Principal Investigator: Independent evaluation Well Men’s Services Pilots Programme for the Scottish Government.
Co-Investigators: Ms Anne Ludbrook (Health Economics Research Unit), Dr Edwin van Teijlingen (School of Public Health, UoA). Award £210,000. Awarded September 2004 – Completed in June 2007.

Principal Investigator: Research study for NHS Health Scotland. 
“An investigation of primary health care staff’s knowledge and beliefs related to the health benefits of physical activity, and their attitudes and self-reported practice associated with promoting it in the Scottish context.” 
Co-Investigators: Dr E. van Teijlingen (School of Public Health, UoA), Dr. N. Torrance (Department of General Practice, UoA). Award £25,000. Awarded October 2003 – Completed May 2004.

Principal Investigator: Research study for the Health Education Board for Scotland. 
”An evaluation of a computer screen based health promotion intervention aimed at students in higher education in Scotland.”
Co-Investigators: E. van Teijlingen; S. Brindle. Award total £17,000. Awarded December 2002 – Completed December 2003.

Invited Speaking Engagements

  • NHS Grampian: Health Visitors Protected Learning Time Seminar, Living with food insecurity: What does it mean for maternal and child health? 30th January, 2019. Summerfield House, Aberdeen.
  • Evidence contribution to Children’s Future Food Inquiry Scotland, January 24th2019, Scottish Parliament, Edinburgh.
  • Food Foundation and Sustain ESRC funded seminar: Making the Case for Household Food Insecurity measurement in the UK. Palace of Westminster London. November 2016.
  • NHS Health Scotland: Community Food and Health Scotland Annual Networking Event Household Food Insecurity Measurement workshop. Dynamic Earth. 26 October 2016.
  • School Nutrition and Health Sciences Queen Margaret University Staff seminar on Food Poverty in Scotland. April 2016.
  • NHS Health Scotland /RINH workshop on food insecurity measurement “Monitoring, measurement and taking action” January 2016.
  • Sustain, Oxfam and University College London meeting on food insecurity measurement. Mapping the way forward. January 2016.
  • Aberdeen City Council’s Welfare Review Board in December 2015 and January 2016.
  • Scottish Parliament’s Festival of Politics August 2015.
  • Glasgow City Council Food Poverty Policy Partnership meeting in October 2015.
  • NHS Health Scotland: Community Food and Health Scotland Annual Networking Event Food Insecurity Study results and the Right to Food workshop. Perth Concert Hall 15 October 2016.
  • Poverty Alliance knowledge exchange events regarding the Making the Connections report in August (Aberdeen), September (Inverness) and December (Glasgow) 2015.
  • Scottish Parliament’s Festival of Politics August 2015.