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Charlotte Hall

Research Fellow, Faculty of Medicine & Health Sciences

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Biography

Dr. Charlotte Hall completed her PhD in Forensic and Cognitive Psychology at the University of Lincoln in 2011. Her PhD investigated the potential use of gaze patterns as a measure of detecting sexual preference in forensic populations. Prior to this Charlotte worked as a research assistant on a number of projects, investigating diverse topics including psycholinguistics, child development, emotion, comparative cognition and forensic mental health.

Charlotte joined the University of Nottingham through the NIHR- Collaborations for Leadership in Applied Health Research and Care (CLAHRC-NDL) in November 2011, as a Research Fellow investigating the use of routine outcome measures in mental health services, the transition process and service provision for young people with ADHD leaving child and adolescent mental health services, and medication management for young people with ADHD. In 2014 Charlotte took up the position of lead Research Fellow on the AQUA-Trial, a multi-site randomised control trial investigating the clinical utility and economic cost of the QbTest (a continuous performance test) in aiding the diagnostic and medication management process in ADHD. The trial was funded by NIHR-CLAHRC-EM.

In her current role, Charlotte is Trial Manager on the NIHR HTA 'ORBIT' (Online Remote Behavioral Intervention for Tics) RCT. The ORBIT trial aims to evaluate the clinical and cost -effectiveness of BiP TIC: a therapist-guided, parent-assisted iCBT (internet-based cognitive behavioural therapy) intervention programme for tics in young people with Tourette Syndrome (TS), compared with usual care plus online education.

Charlotte is also a co-investigator on the QUOTA-study funded by the NIHR- Research for Patient Benefit (RfPB). The aim of the QUOTA study are to develop a standardised QbTest medication management protocol and to measure its feasibility and acceptability in a feasibility RCT.

Expertise Summary

Keywords:

ADHD

Continious Performance Tests (CPT)

QbTest

Outcome measures

Randomised controlled trials

Research Summary

Dr. Charlotte Hall is currently the Senior Reserch Fellow on the QUOTA-study.

Overview of QUOTA-Study:

ADHD is a common, debilitating neurodevelopmental disorder with significant impact on the child, family and society. Medication is effective in reducing symptoms and improving outcomes when the optimal dose is reached quickly and reviewed regularly. In current clinical practice this is difficult to achieve because clinicians need to gather questionnaire data from parents and teachers to supplement their clinical judgement. These sources of information may be inaccurate, difficult to obtain quickly and subjective, leading to a slow, inefficient process with poorer outcomes for the child.

A commercially available computerised assessment of ADHD symptoms, 'QbTest' may overcome these difficulties by providing a rapid, accurate summary of current symptoms when administered to children at medication initiation and follow-up.However, adding QbTest to routine care for medication management has not yet been attempted systematically and there are a number of aspects of the RCT design that are uncertain. The QUOTA study aims to design an appropriate QbTest protocol and test its feasiblity and acceptablity to clinicians and service users using a feasibility RCT and qualitative interviews. The study started April 2017 and will end in 2019.

Charlotte also maintains her interest in general in investigating more objective measures for use inroutine mental health (clinical and forensic) settings, particularly through through the use of technology.

Selected Publications

Past Research

My previous research extends across multiple disciplinary fields, but primarily lies in 'applied cognitive psychology'.

My PhD investigated the potential of gaze patterns as a measure to detect sexual preference. As part of this I was particularly interested in how gaze patterns may reflect previously reported differences in sexual arousal and interest in men and women. This research also investigated the link between subjective (i.e., self-report) and objective (gaze patterns) measures of sexual preference. Of primary interest to this research was the extent to which gaze patterns may be sensitive to deviant sexual preferences.

My previous post was lead researcher on the AQUA-Trial. The primary objective of this study is to assess whether providing clinicians and patients with the results of an objective test of activity and attention (QbTest) leads to earlier correct diagnosis of Attention Deficit/Hyperactivity Disorder (ADHD). A secondary objective is to assess whether the QbTest leads to earlier optimisation of treatment and improved patient outcomes in ADHD in routine NHS settings. Together these findings assessed whether the QbTest can improve practice and patient outcome for children with ADHD, as well as its feasibility and acceptability and cost-effectiveness when added to routine healthcare settings. The findings have been published.

School of Medicine

University of Nottingham
Medical School
Nottingham, NG7 2UH

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