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Dr Julia Bailey
Primary Care and Population Health
Upper third floor, Royal Free Hospital
Rowland Hill Street
London
NW3 2PF
Appointment
  • HEFCE-NHS Senior Clinical Lecturer/Honorary in Primary Care
  • Primary Care & Population Health
  • Institute of Epidemiology & Health
  • Faculty of Pop Health Sciences
Biography

Julia is 1) a Clinical Senior Lecturer in Primary Care at the University College London e-Health Unit (http://www.ucl.ac.uk/pcph/research-groups-themes/e-health) and
2) a Speciality Doctor in Community Sexual Health in Hackney, East London (http://www.sho-me.nhs.uk/local-services/sexual-health-services.aspx).

Completed research projects:

The Sexunzipped website for sexual health for young people - online trial and qualitative evaluation. Funded by the Medical Research Council

Ongoing projects:

The MenSS (Men's Safer Sex) website
- intervention development, pilot trial in three sexual health clinics. Funded by the NIHR Health Technology Assessment Programme http://www.nets.nihr.ac.uk/projects/hta/1013101

Digital media, sexual health and young people - scoping review. Funded by the National Institute for Health Research Public Health Research Programme. http://www.nets.nihr.ac.uk/projects/phr/11300904


Research Groups
Research Themes
Research Summary

New technologies for sexual health promotion

Sexual health promotion is a huge public health challenge: for example, rates of genital Chlamydia and HIV infection are increasing, and sexual abuse, violence and sexual dysfunction are common. Primary health care services are central in tackling this crisis, but clinicians and patients may have reservations about raising sexual health problems, and clinical services are often pressurised. The scale of the problem calls for innovations in primary prevention and new models for service delivery such as delivery via new technologies. Julia’s research therefore focuses on the development and evaluation of new technologies for sexual health promotion. This theme also encompasses methodological development in innovative online research methods.

New definitions of sexual health (for intervention design and evaluation)

New approaches are needed in the development and evaluation of sexual health interventions because interventions designed by clinicians have traditionally defined sexual health in mainly physical terms (e.g. pregnancy and sexually transmitted infection). The WHO concept of sexual wellbeing goes beyond physical health to include social and psychological health. This broader definition more closely reflects the complexity of sexual health problems and patients’ priorities. Julia’s research focuses on the conceptual development and practical operationalisation of sexual wellbeing in sexual health intervention design and evaluation.

New approaches to understanding sexual health consultations

Clinicians in primary care have an increasing role to play in addressing sexual health in routine consultations, for example, offering opportunistic HIV testing and Chlamydia screening. However, unsolicited discussions of sexual health may be difficult for clinicians to initiate because of unspoken inferences about patients’ sexual behaviour and risk. Advice for clinicians about the best ways to tackle these issues is often quite general, for example to ‘avoid being judgemental’. However, it is not clear how best to do this. Discourse analysis can help to understand delicate communicative problems, identifying the intricate features of ‘successful’ and ‘unsuccessful’ communication.

Enquiries from prospective students are welcome, on the topics of
1) new technologies in sexual health promotion
2) new definitions of sexual wellbeing
3) new approaches to understanding sexual health consultations

Teaching Summary

Medical students - sexual health in primary care, systematic reviews and meta-analyses

Sexual health online - workshop for clinicians and academics
 
Diploma of the Faculty of Sexual and Reproductive Healthcare - primary trainer in clinical practice

Individual student supervision
BSc/MSc/MA student projects
PhD supervision- Lorna Hobbs - qualitative and quantitative evaluation of the Sextherapylondon website for online sex therapy

E-learning module - 'Asking clinical questions'. For the e-learning for Healthcare project. http://www.e-lfh.org.uk

Discourse analysis - tutor on the MSc/MA module 'Medical Discourses' http://www.kcl.ac.uk/sspp/departments/education/research/ldc/study/masters/modules/meddiscourses.aspx

Qualitative Research Methods in Health - joint course organiser for MA/MSc module at UCL http://www.ucl.ac.uk/pcph/postgrad/qualitative-research-method

  • Day 1: Understanding qualitative methods
  • Day 2: Designing a topic guide and in-depth interviewing
  • Day 3: Focus groups in qualitative research - theory and practice
  • Day 4: Qualitative data analysis
  • Day 5: Designing a qualitative study
  • Appointments
    18-MAR-2011 Clinical Senior Lecturer Primary Care and Population Health, UCL HEFCE-NHS, United Kingdom
    01-JUN-2009 Speciality doctor in sexual health Community Sexual Health Homerton University Hospital, United Kingdom
    Academic Background
    2007 PhD Doctor of Philosophy – General Practice King's College London
    2002 MSc Master of Science – Epidemiology London School of Hygiene and Tropical Medicine
    1996 P.Grad Dip Postgraduate Diploma – Obstetrics and Gynaecology Royal College of Obstetricians & Gynaecologists
    1993 P.Grad Dip Postgraduate Diploma – Child Health To be updated
    1992 PGCert Postgraduate Certificate – Family Planning and Reproductive Health To be updated
    1989 MBBS Bachelor of Medicine/Bachelor of Surgery – Medicine/Surgery Imperial College of Science, Technology and Medicine
    1988 IBSCHONS Intercalated Bachelor of Science (Honours) – Sociology as Applied to Medicine Imperial College of Science, Technology and Medicine
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