Joe Kai

Contact

• workRoom 1403, Floor 14 Tower Building
  University Park
  Nottingham
  NG7 2RD
  UK
• work0115 846 6903
• joe.kai@nottingham.ac.uk

Expertise Summary

Expertise in research, teaching and service development focused upon reducing inequality and responding to ethnic diversity in health and health care. An increasing interest in applied genetics (haemoglobin disorders and primary care). Health services research, in particular qualitative and community participatory methods, and primary care based clinical trials.

Teaching Summary

Cross-cultural health care; ethnic diversity, inequality and health

Applied genetics; haemoglobin disorders (sickle cell & thalassaemia); women's health

Current undergraduate teaching includes primary care/general practice, community follow up course components

Current postgraduate teaching includes Masters in Public Health and Masters in Clinical Genetics

Research Summary

Health services research including qualitative and community participatory methods, primary care and primary care based trials.

The majority of work focuses on reducing inequality and responding to ethnic diversity in health and health care, and applied genetics in this context.

While often focusing on diverse ethnic communities, the generic application and utility of this research across populations and care settings is sought and emphasised. Current activity includes over £3m of externally funded R&D:

• Intervention development to enhance health professional responses to ethnic diversity (Kai et al PLoS Med 2007)
• Community informed interventions to reduce diabetes risk, and to improve preconception health among ethnic communities (NIHR-CLARHC)
• Universal screening for common inherited haemoglobin disorders (sickle cell and thalassaemia) in non-European origin populations
• Use and communication of genetic information in primary care
• Access to genetic health care in minority communities with familial cancer risk
• Effect of adding systematic family history to cardiovascular risk assessment in primary care
• ECLIPSE trial of medical management of menorrhagia in primary care (with University of Birmingham - www.eclipse@bham.ac.uk)

Selected Publications

• KAI, J., ULPH, F., CULLINAN, T. and QURESHI, N., 2009. Communication of carrier status information following universal newborn screening for sickle cell disorders and cystic fibrosis: qualitative study of experience and practice. Health Technology Assessment. 13(57), 1-106
• KAI, J., BEAVAN, J. and FAULL, C., 2011. Challenges of mediated communication, disclosure and autonomy in cross-cultural cancer care British Journal of Cancer. 105(7), 918-924
• LOCOCK, L and KAI J., 2008. Parents' experiences of universal screening for haemoglobin disorders: Implications for practice in a new genetics era British Journal of General Practice. 58, 161-8
• ULPH, F., CULLINAN, T., QURESHI, N. and KAI, J., 2011. Familial influences on antenatal and newborn haemoglobinopathy screening. Ethnicity & Health. 16(4-5), 361-75

• View all publications

Past Research

• Interventions to improve health care of ethnically diverse communities (Valuing Diversity, RCGP 2006)
• Care of cancer (PROCEED - Professionals responding to cancer and ethnic diversity, Cancer Research UK 2005)
• Community participatory methods to engage & train minority communities in research (Kai & Hedges, Health Expectations 1999; Bush et al, BMJ 2003)
• Influences on smoking (Bush, White, Kai et al BMJ 2003) and physical activity in South Asian communities
• Primary care of mental ill health
• Primary care of acutely ill children

• MIR, G., SALWAY, S., KAI, J., KARLSEN, S., BHOPAL, R.S., ELLISON, G. and SHEIKH, A., 2012. Consensus principles for research on ethnicity and health: European Journal of Public Health European Journal of Public Health. (In Press.)
• QURESHI, N., ARMSTRONG, S., DHIMAN, P., SAUKKO, P., MIDDLEMASS, J.B., EVANS, P.H., KAI, J. and FOR THE ADDFAM (ADDED VALUE OF FAMILY HISTORY IN CVD RISK ASSESSMENT) STUDY GROUP,, 2012. Effect of Adding Systematic Family History Enquiry to Cardiovascular Disease Risk Assessment in Primary Care Annals of Internal Medicine. 156(4), 253-262
• MAGUIRE, S., RANMAL, R., KOMULAINEN, S., PEARSE, S., MACONOCHIE, I., LAKHANPAUL, M., DAVIES, F., KAI, J. and STEPHENSON, T. ON BEHALF OF THE RCPCH FEVER PROJECT BOARD, 2011. Which urgent care services do febrile children use and why? Archives of disease in childhood. 96(9), 810-816
• PATTISON, H., DANIELS, J.P., KAI, J. and GUPTA, J.K., 2011. The measurement properties of the menorrhagia multi-attribute quality-of-life scale: a psychometric analysis. BJOG : an international journal of obstetrics and gynaecology. 118(12), 1528-1531
• ULPH, F., CULLINAN, T., QURESHI, N. and KAI, J., 2011. Familial influences on antenatal and newborn haemoglobinopathy screening. Ethnicity & Health. 16(4-5), 361-75
• KAI, J., BEAVAN, J. and FAULL, C., 2011. Challenges of mediated communication, disclosure and autonomy in cross-cultural cancer care British Journal of Cancer. 105(7), 918-924
• NEILSON, S.J., KAI, J., MACARTHUR, C. and GREENFIELD, S.M., 2011. Caring for children dying from cancer at home: a qualitative study of the experience of primary care practitioners. Family Practice. 28(5), 545-553
• NEILSON, S., KAI, J., MACARTHUR, C. and GREENFIELD, S., 2010. Exploring the experiences of community-based children's nurses providing palliative care. Paediatric nursing. 22(3), 31-6
• QURESHI, N., ARMSTRONG, S., SAUKKO, P., SACH, T., MIDDLEMASS, J., EVANS, P.H., KAI, J., FARRIMOND, H. and HUMPHRIES, S.E., 2009. Realising the potential of the family history in risk assessment and primary prevention of coronary heart disease in primary care: ADDFAM study protocol BMC Health Services Research. 9(1), 184
• KAI, J., ULPH, F., CULLINAN, T. and QURESHI, N., 2009. Communication of carrier status information following universal newborn screening for sickle cell disorders and cystic fibrosis: qualitative study of experience and practice. Health Technology Assessment. 13(57), 1-106
• RAFI, I., QURESHI, N., LUCASSEN, A., MODELL, M., ELMSLIE, F., KAI, J., KIRK, M., STAREY, N., GOFF, S., BRENNAN, P. and HODGSON, S., 2009. 'Over-the-counter' genetic testing: what does it really mean for primary care? The British journal of general practice : the journal of the Royal College of General Practitioners. 59(561), 283-7
• JORDAN, RACHEL E, HAWKER, JEREMY I, AYRES, JON G, ADAB, PEYMANÉ, TUNNICLIFFE, WILLIAM, OLOWOKURE, BABATUNDE, KAI, JOE, MCMANUS, RICHARD J, SALTER, ROS and CHENG, KAR KEUNG, 2008. Effect of social factors on winter hospital admission for respiratory disease: a case-control study of older people in the UK. British Journal of General Practice. 58(551), 400-2
• LOCOCK, L and KAI J., 2008. Parents' experiences of universal screening for haemoglobin disorders: Implications for practice in a new genetics era British Journal of General Practice. 58, 161-8
• QURESHI, N. and KAI, J., 2008. Informing patients of familial diabetes mellitus risk: how do they respond? A cross-sectional survey. BMC Health Services Research. 8(1), 37
• ELKAN, R, AVIS, M, COX, K, WILSON, E, PATEL, S, MILLER, S, DEEPAK, N, EDWARDS, C, STANISZEWSKA, S and KAI, J, 2007. The reported views and experiences of cancer service users from minority ethnic groups: a critical review of the literature. European Journal of Cancer Care. 16(2), 109-21
• KAI, J., BEAVAN, J., FAULL, C., DODSON, L., GILL, P. and BEIGHTON, A., 2007. Professional uncertainty and disempowerment responding to ethnic diversity in health care: a qualitative study PLOS Medicine. 4(11), 1766-1775
• KAI, J., 2007. Safety and achieving equality amid diversity in health care (Editorial) British Journal of General Practice. 57(543), 774-776
• KAI, JOE, 2007. Safety and achieving equality amid diversity in health care. British Journal of General Practice. 57(543), 774-6
• JORDAN, R E, HAWKER, J I, AYRES, J G, TUNNICLIFFE, W, ADAB, P, OLOWOKURE, B, KAI, J, MCMANUS, R J, SALTER, R and CHENG, K K, 2007. A case-control study of elderly patients with acute respiratory illness: Effect of influenza vaccination on admission to hospital in winter 2003-2004. Vaccine. 25(46), 7909-13
• JONES, M. and KAI, J., 2007. Capturing ethnicity data in primary care: challenges and feasibility in a diverse metropolitan population Diversity in Health and Social Care. 4(3), 211-220
• PARKER, H., QURESHI, N., ULPH, F. and KAI, J., 2007. Imparting carrier status results detected by universal newborn screening for sickle cell and cystic fibrosis in England: qualitative study of current practice and policy challenges BMC Health Services Research. 7, 203
• GILL, P.S, KAI, J and BHOPAL R.S, WILD, S., 2007. Health Care Needs Assessment of Black and Minority Ethnic Groups. In: STEVENS, A., RAFTERY, J., MANT, J. and SIMPSON, S, eds., The Epidemiologically Based Health Needs Assessment Reviews Radcliffe. (In Press.)
• SRISKANTHARAJAH, J. and KAI, J., 2007. Promoting physical activity among South Asian women with coronary heart disease and diabetes: what might help? Family Practice. 24(1), 71-76
• KAI, J., 2006. PEGASUS (Professional education for genetic assessment and screening):For front line professionals. V1.5 University of Nottingham, Nottingham.
• KAI, J., 2006. PEGASUS: Professional Education for Genetic Assessment and Screening: Manual for Health Professional Educators and Training Facilitators. (NHS Antenatal and Newborn Screening Programmes) University of Nottingham.
• KAI, J., 2006. Valuing Diversity: A resource for health professional training to respond to cultural diversity 2nd. Royal College of General Practitioners, London, Uk.
• WHITE, M., BUSH, J., KAI, J., BHOPAL, R. and RANKIN, J., 2006. Quitting smoking and experience of smoking cessation interventions among UK Bangladeshi and Pakistani adults: the views of community members and health professionals Journal of Epidemiology and Community Health. 60(5), 405-411
• GILL, PARAMJIT S, BHOPAL, RAJ, WILD, SARAH and KAI, JOE, 2005. Limitations and potential of country of birth as proxy for ethnic group. BMJ. 330(7484), 196
• KAI, J., ed., 2005. Proceed: Professionals responding to ethnic diversity and cancer Cancer Research UK, London.
• QURESHI, NADEEM and KAI, JOE, 2005. Genomic medicine for underserved minority populations in family medicine. American Family Physician. 72(3), 386-7
• KAI,J. and DRINKWATER,C., 2004. Primary Care in Urban Disadvantaged Communities Radcliffe.
• KAI,J.P., 2004. Ethnicity, Health and Primary Care. Oxford University Press, Oxford.
• SHEIKH, AZIZ, NETUVELI, GOPALAKRISHNAN, KAI, JOE and PANESAR, SUKHMEET SINGH, 2004. Comparison of reporting of ethnicity in US and European randomised controlled trials. BMJ. 329(7457), 87-8
• BUSH, J., WHITE, M., KAI, J., RANKIN, J. and BHOPAL, R., 2003. Understanding influences on smoking in Bangladeshi and Pakistani adults: community based, qualitative study BMJ : British Medical Journal. 326(7396), 962-965
• KAI, J, SPENCER, J and WOODWARD, N, 2001. Wrestling with ethnic diversity: toward empowering health educators. Medical Education. 35(3), 262-71
• KAI, J, BRIDGEWATER, R and SPENCER, J, 2001. " 'Just think of TB and Asians', that's all I ever hear": medical learners' views about training to work in an ethnically diverse society. Medical Education. 35(3), 250-6
• KAI, J., 2001. Commentary: Stereotyping may delay proper and systematic investigation BRITISH MEDICAL JOURNAL. VOL 323(ISSU 7305), 151
• SKELTON, J R, KAI, J and LOUDON, R F, 2001. Cross-cultural communication in medicine: questions for educators. Medical Education. 35(3), 257-61
• THOMAS, P, GRIFFITHS, F, KAI, J and O'DWYER, A, 2001. Networks for research in primary health care. British Medical Journal. 322(7286), 588-90
• KAI, J. and CROSLAND, A., 2001. Perspectives of people with enduring mental ill health from a community-based qualitative study. British Journal of General Practice. 51(470), 730-736
• KAI, J, CROSLAND, A and DRINKWATER, C, 2000. Prevalence of enduring and disabling mental illness in the inner city. British Journal of General Practice. 50(461), 992-4
• KAI, and HEDGES,, 1999. Minority ethnic community participation in needs assessment and service development in primary care: perceptions of Pakistani and Bangladeshi people about psychological distress. Health Expectations. 2(1), 7-20
• KAI, J, 1996. What worries parents when their preschool children are acutely ill, and why: a qualitative study. British Medical Journal. 313(7063), 983-6
• KAI, J, 1996. Parents' difficulties and information needs in coping with acute illness in preschool children: a qualitative study. British Medical Journal. 313(7063), 987-90
• KAI, J, 1994. 'Baby Check' in the inner city--use and value to parents. Family Practice. 11(3), 245-50
• KAI, J, 1993. Parents' perceptions of taking babies' rectal temperature. British Medical Journal. 307(6905), 660-2