Her work on the evaluation of psychological interventions cuts across different clinical areas (including respiratory, obstetrics and psychiatry). The current management of many disorders focuses principally on pharmacological treatments, frequently with a strong underlying evidence base. However, in clinical practice, poor symptom control can remain problematic for patients. Whilst individual case reports and some trials support the use of psychological interventions as an adjunct to pharmacological therapy, the evidence is not consistent and when synthesised in meta-analyses, no firm conclusions can be drawn. A program of rigorous research is needed to improve on the methodology of existing evaluations.
Lee Kong Chian School of Medicine is committed to the development of the discipline of academic family medicine and primary care for Singapore. In preparation for this, Prof Smith plans to conduct a mapping and scoping exercise of existing research in primary care within the region. This, together with a survey of Family Physicians and General Practitioners, will help inform the design and implementation of a Primary Care Research Network for Singapore.
1. Lattimer V, Sassi F, George S, Moore M, Turnbill J, Mullee M, Smith H (2000) Cost analysis of nurse telephone consultation in out of hours primary care: evidence from a randomised controlled trial. British Medical Journal. 320:1053-7. [PMID: 10764368]
2. Smith H, Pickering RM, Struthers A, Simpson I, Mant D (2000) Biochemical diagnosis of ventricular dysfunction in elderly patients in general practice: observational study. British Medical Journal. 320:906-8. [PMID: 10741999]
3. McColl A, Roderick P, Wilkinson E, Smith H, Moore M, Exworthy M, Gabbay J (2000) Clinical governance in primary care groups: the feasibility of deriving evidence-based performance indicators. Quality in Health Care. 9:90-7. [PMID: 11067257]
4. Smith H, White P, Annila I, Poole J, Andre C, Frew A (2004) Randomized controlled trial of high-dose sublingual immunotherapy to treat seasonal allergic rhinitis. The Journal of Allergy and Clinical Immunology. 114:831-7. [PMID: 15480323]
5. Yardley L, Donovan-Hall M, Smith HE, Walsh BM, Mullee M, Bronstein A (2004) Effectiveness of primary care-based vestibular rehabilitation for chronic dizziness. Annals of Internal Medicine. 141:598-605. [PMID: 15492339]
6. Smith H, Hogger C, Lallemant C, Crook D, Frew AJ. (2009) Is structured allergy history sufficient when assessing patients with asthma and rhinitis in general practice? Journal of Allergy and Clinical Immunology. 123; 646-50. [PMID: 19135237]
7. Ford E, Nicholson A, Koeling R, Tate R, Carroll J, Axelrod L, Smith H, Rait G, Davies K, Petersen I, Williams T, Cassell J (2013) Optimising the use of electronic health records to estimate the incidence of rheumatoid arthritis in primary care: What information is hidden in free text? BMC Medical Research Methodology.13:105
8. Smith H, Hankins M, Jones J, Theadom A, Bowskill R, Horne R, Frew A (2015). Does expressive writing improve outcomes in adults with asthma? A double blind randomised controlled trial. Psychosomatic Medicine. 77;429-437
9. Smith H, Horney D, Raza A, Goubet S, Jones CJ, White P, Frew AJ (2015) A pragmatic randomised controlled trial of an allergy intervention for adults with asthma and rhinitis in general practice. Allergy. 70, 203-211
10. Smith H, Wade J, Frew A (2016) What proportion of adult allergy referrals to secondary care could be dealt with in primary care by a GP with special interest? Clinical and Translational Allergy. 6:3, DOI: 10.1186/s13601-016-0091-1