Dr Ben Britton

Dr Ben Britton

Conjoint Lecturer

School of Medicine and Public Health

Career Summary

Biography

"What I love about clinical research is the chance to make things better for my patients" says Dr Ben Britton, Senior Clinical & Health Psychologist from Hunter New England Health. 

"Working in Liaison Psychiatry, going onto every ward, I'm constantly aware of the opportunities for health improvement through behaviour change, at the individual patient level, the clinician level or at the service level".

Dr Britton, who works at the John Hunter Hospital, is focused on translation of evidence-based psychological interventions and theories to promote better health outcomes. He has conducted research across a number of health problems and settings such as mental health, oncology, malnutrition, diabetes and cardiac rehabilitation. 

"Health problems are increasingly chronic, which requires more self-management from patients. So we need to think more specifically about behavioural change in our patients, and ensure our health staff are equipped with the best-evidenced and importantly practical interventions to bring about that shift in behaviour."  

In 2013 Dr Britton led an NHMRC funded multi-centre trial of an intervention he wrote to prevent malnutrition head and neck cancers undergoing radiotherapy using psychological strategies. The trial, which was a collaboration with the Trans-Tasman Radiation Oncology Group, trained existing dietitians in hospitals in Brisbane, Melbourne, Adelaide and Perth. The trial demonstrated a significant improvement in nutritional status, reduced weight loss and quality of life. 


Qualifications

  • Doctor of Philosophy in Psychiatry, University of Newcastle
  • Bachelor of Economic&Social Sc (Gov&Internat Rels), University of Sydney
  • Post Graduate Diploma of Psychology, Macquarie University

Keywords

  • Health
  • Health Behaviour
  • Medicine
  • Mental Health
  • Psychiatry
  • Psychological Medicine
  • Psychology

Fields of Research

Code Description Percentage
111708 Health and Community Services 30
170106 Health, Clinical and Counselling Psychology 70

Professional Experience

UON Appointment

Title Organisation / Department
Casual Academic University of Newcastle
School of Health Sciences
Australia
Casual Academic University of Newcastle
School of Psychology
Australia
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (35 outputs)

Year Citation Altmetrics Link
2020 Clover K, Lambert SD, Oldmeadow C, Britton B, King MT, Mitchell AJ, Carter GL, 'Apples to apples? Comparison of the measurement properties of hospital anxiety and depression-anxiety subscale (HADS-A), depression, anxiety and stress scale-anxiety subscale (DASS-A), and generalised anxiety disorder (GAD-7) scale in an oncology setting using Rasch analysis and diagnostic accuracy statistics', Current Psychology, (2020)

© 2020, Springer Science+Business Media, LLC, part of Springer Nature. A range of anxiety measures is used in oncology but their comparability is unknown. We examined variations i... [more]

© 2020, Springer Science+Business Media, LLC, part of Springer Nature. A range of anxiety measures is used in oncology but their comparability is unknown. We examined variations in measurement across three commonly used instruments: Hospital Anxiety and Depression-Anxiety subscale (HADS-A); Depression, Anxiety, Stress Scale - Anxiety subscale (DASS-A); and Generalised Anxiety Disorder scale (GAD-7). Participants (n = 164) completed the self-report measures and the Generalised Anxiety Disorder module of the Structured Clinical Interview for DSM-IV (SCID). We performed Rasch analysis and calculated diagnostic accuracy statistics. Instruments measured similar constructs of anxiety, but had different ranges of measurement, with the HADS-A including lower severity symptoms than the other two measures. Anxiety severity was similar for GAD-7 ¿mild¿ and HADS-A ¿possible¿ categories, but ¿mild¿ anxiety on the DASS-A represented more severe symptoms. Conversely, DASS-A ¿severe¿ anxiety represented less intense symptoms than GAD-7 ¿severe¿ anxiety. Co-calibration indicated a score of eight on the HADS-A was equivalent in anxiety severity to scores of three on the DASS-A and six on the GAD-7. Area under the curve (AUC) was just acceptable for HADS-A and GAD-7 but not DASS-A. The HADS-A, DASS-A and GAD-7 displayed important differences in how they measured anxiety. In particular, categorical classifications of anxiety severity (mild/moderate/severe) were not equivalent across instruments. Thus, prevalence estimates of anxiety symptoms will vary as a consequence of the instrument used. The GAD-7 and HADS-A obtained more similar results and better AUC than the DASS-A. Our co-calibration could be used in future studies and meta-analyses of individual participant data to set cut-off points that provide more consistent classification of anxiety severity.

DOI 10.1007/s12144-020-00906-x
Co-authors Gregory Carter, Christopher Oldmeadow
2020 Fradgley EA, Byrnes E, McCarter K, Rankin N, Britton B, Clover K, et al., 'A cross-sectional audit of current practices and areas for improvement of distress screening and management in Australian cancer services: is there a will and a way to improve?', Supportive Care in Cancer, 28 249-259 (2020) [C1]

© 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Background: It is unknown how many distressed patients receive the additional supportive care recommended by Austral... [more]

© 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Background: It is unknown how many distressed patients receive the additional supportive care recommended by Australian evidence-based distress management guidelines. The study identifies the (1) distress screening practices of Australian cancer services; (2) barriers to improving practices; and (3) implementation strategies which are acceptable to service representatives interested in improving screening practices. Method: Clinic leads from 220 cancer services were asked to nominate an individual involved in daily patient care to complete a cross-sectional survey on behalf of the service. Questions related to service characteristics; screening and management processes; and implementation barriers. Respondents indicated which implementation strategies were suitable for their health service. Results: A total of 122 representatives participated from 83 services (51%). The majority of respondents were specialist nurses or unit managers (60%). Approximately 38% of representatives¿ services never or rarely screen; 52% who screen do so for all patients; 55% use clinical interviewing only; and 34% follow referral protocols. The most common perceived barriers were resources to action screening results (74%); lack of time (67%); and lack of staff training (66%). Approximately 65% of representatives were interested in improving practices. Of the 8 implementation strategies, workshops (85%) and educational materials (69%) were commonly selected. Over half (59%) indicated a multicomponent implementation program was preferable. Conclusions: Although critical gaps across all guideline components were reported, there is a broad support for screening and willingness to improve. Potential improvements include additional services to manage problems identified by screening, more staff time for screening, additional staff training, and use of patient-report measures.

DOI 10.1007/s00520-019-04801-5
Co-authors Elizabeth Fradgley, Kristen Mccarter, Chris Paul, Gregory Carter
2020 Fraser A, Odelli C, Britton B, Kumar M, Day F, Tieu MT, Wratten C, 'Gastrostomy dependency trends over 15 years of patients at a large tertiary referral center following the insertion of a prophylactic gastrostomy for chemoradiation for mucosal head and neck cancer', Asia-Pacific Journal of Clinical Oncology, 16 e198-e206 (2020)

© 2020 John Wiley & Sons Australia, Ltd Aim: The routine use of prophylactic percutaneous endoscopic gastrostomy (PEG) tubes for nutrition support during radical chemoradiat... [more]

© 2020 John Wiley & Sons Australia, Ltd Aim: The routine use of prophylactic percutaneous endoscopic gastrostomy (PEG) tubes for nutrition support during radical chemoradiation for head and neck cancer has been suggested to result in PEG dependency. This research aimed to determine the rates of gastrostomy dependency at the Calvary Mater Newcastle (CMN) where PEGs are routinely used and to identify potentially modifiable risk factors. Methods: All patients with head and neck cancer planned for curative chemoradiation with a prophylactic PEG inserted were included in this review. Medical records of 250 patients treated between 2000 and 2015 were examined. Results: Overall, eight patients (3%) were unable to wean. At 12 months following treatment, 16 patients (6%) still required PEG tubes for feeding. A greater T extent (T4 or synchronous head and neck tumors) and number of days Nil By Mouth (NBM) remained as significant independent risk factors for PEG dependency at 12 months (Textent OR 6.96 P¿'.001; NBM OR 1.01 P¿=.004) and overall (Textent OR8.04 P¿=.02; NBM OR1.01 P¿=.001). Associations with NBM were investigated, which demonstrated that patients had less NBM days with intensity-modulated radiation therapy (IMRT) (ß-13.3, P¿=.007) and seeing a speech pathologist during treatment (ß-11.9, P¿=.026). More NBM days were associated with tumors with greater T extent (ß+22; P¿'.001). Conclusion: The routine use of prophylactic PEGs has not resulted in significant rates of PEG dependency at the CMN. Seeing a speech pathologist during treatment and IMRT may decrease time NBM, which was identified as a potentially modifiable risk factor for PEG dependency.

DOI 10.1111/ajco.13342
2020 Beck AK, Baker AL, Carter G, Wratten C, Bauer J, Wolfenden L, et al., 'Assessing Adherence, Competence and Differentiation in a Stepped-Wedge Randomised Clinical Trial of a Complex Behaviour Change Intervention.', Nutrients, 12 (2020)
DOI 10.3390/nu12082332
Co-authors Luke Wolfenden, Gregory Carter, Kristen Mccarter, Amanda Baker
2019 Murray R, Baker A, Halpin S, Britton B, McCarter K, Palazzi K, Beck AK, 'Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention', ANNALS OF BEHAVIORAL MEDICINE, 53 756-768 (2019) [C1]
DOI 10.1093/abm/kay083
Co-authors Amanda Baker, Sean Halpin, Kristen Mccarter
2019 Britton B, Baker AL, Wolfenden L, Wratten C, Bauer J, Beck AK, et al., 'A Randomised Controlled Trial of a Health Behaviour Change Intervention Provided by Dietitians to Improve Nutrition in Patients With Head and Neck Cancer Undergoing Radiotherapy (TROG 12.03) Reply', INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 103 1283-1284 (2019)
DOI 10.1016/j.ijrobp.2018.12.017
Co-authors Luke Wolfenden, Gregory Carter, Kristen Mccarter, Amanda Baker, Christopher Oldmeadow
2019 Beck AK, Forbes E, Baker AL, Britton B, Oldmeadow C, Carter G, 'Adapted motivational interviewing for brief healthcare consultations: protocol for a systematic review and meta-analysis of treatment fidelity in real-world evaluations of behaviour change counselling', BMJ OPEN, 9 (2019)
DOI 10.1136/bmjopen-2018-028417
Citations Scopus - 1Web of Science - 1
Co-authors Gregory Carter, Christopher Oldmeadow, Amanda Baker
2018 McCarter KL, Baker A, Britton B, Halpin S, Beck A, Carter G, et al., 'Head and neck cancer patient experience of a new dietitian-delivered health behaviour intervention: "You know you have to eat to survive ', SUPPORTIVE CARE IN CANCER, 26 2167-2175 (2018) [C1]
DOI 10.1007/s00520-017-4029-5
Citations Scopus - 3Web of Science - 3
Co-authors Amanda Baker, Sean Halpin, Kristen Mccarter, Gregory Carter, Luke Wolfenden
2018 McCarter KL, Baker A, Britton B, Beck A, Carter G, Bauer J, et al., 'Effectiveness of clinical practice change strategies in improving dietitian care for head and neck cancer patients according to evidence based clinical guidelines: A stepped wedge randomised controlled trial.', Translational Behavioral Medicine, 8 166-174 (2018) [C1]
DOI 10.1093/tbm/ibx016
Citations Scopus - 7Web of Science - 7
Co-authors Christopher Oldmeadow, Liz Holliday, Luke Wolfenden, Gregory Carter, Kristen Mccarter, Sean Halpin, Amanda Baker
2018 Clover K, Lambert SD, Oldmeadow C, Britton B, King MT, Mitchell AJ, Carter G, 'PROMIS depression measures perform similarly to legacy measures relative to a structured diagnostic interview for depression in cancer patients.', Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 27 1357-1367 (2018) [C1]
DOI 10.1007/s11136-018-1803-x
Citations Scopus - 13Web of Science - 13
Co-authors Gregory Carter, Christopher Oldmeadow
2018 McCarter K, Baker A, Britton B, Wolfenden L, Wratten C, bauer J, et al., 'Smoking, drinking, and depression: comorbidity in head and neck cancer patients undergoing radiotherapy', Cancer Medicine, 7 2382-2390 (2018) [C1]
DOI 10.1002/cam4.1497
Citations Scopus - 4
Co-authors Amanda Baker, Luke Wolfenden, Gregory Carter, Kristen Mccarter, Sean Halpin, Christopher Oldmeadow
2018 McCarter K, Britton B, Baker AL, Halpin SA, Beck AK, Carter G, et al., 'Interventions to improve screening and appropriate referral of patients with cancer for psychosocial distress: Systematic review', BMJ Open, 8 (2018) [C1]
DOI 10.1136/bmjopen-2017-017959
Citations Scopus - 14Web of Science - 11
Co-authors Kristen Mccarter, Gregory Carter, Luke Wolfenden, Sean Halpin, Amanda Baker
2017 Beck AK, Britton B, Baker A, Odelli C, Wratten C, Bauer J, et al., 'Preliminary report: training head and neck cancer dietitians in behaviour change counselling', Psycho-Oncology, 26 405-407 (2017) [C1]
DOI 10.1002/pon.4129
Citations Scopus - 4Web of Science - 3
Co-authors Amanda Baker, Luke Wolfenden, Gregory Carter
2017 Clover KA, Rogers KM, Britton B, Oldmeadow C, Attia J, Carter GL, 'Reduced prevalence of pain and distress during 4 years of screening with QUICATOUCH in Australian oncology patients', European Journal of Cancer Care, 26 1-10 (2017) [C1]
DOI 10.1111/ecc.12636
Citations Scopus - 3Web of Science - 2
Co-authors Christopher Oldmeadow, Gregory Carter, John Attia
2017 Britton B, Baker A, Clover K, McElduff P, Wratten C, Carter G, 'Heads Up: a pilot trial of a psychological intervention to improve nutrition in head and neck cancer patients undergoing radiotherapy', EUROPEAN JOURNAL OF CANCER CARE, 26 (2017) [C1]
DOI 10.1111/ecc.12502
Citations Scopus - 13Web of Science - 6
Co-authors Patrick Mcelduff, Amanda Baker, Gregory Carter
2016 McCarter K, Martinez U, Britton B, Baker A, Bonevski B, Carter G, et al., 'Smoking cessation care among patients with head and neck cancer: a systematic review', BMJ OPEN, 6 (2016) [C1]
DOI 10.1136/bmjopen-2016-012296
Citations Scopus - 22Web of Science - 43
Co-authors Amanda Baker, Sean Halpin, Luke Wolfenden, Gregory Carter, Billie Bonevski, Kristen Mccarter, Ashleigh Guillaumier
2016 Parker V, Bennett L, Bellamy D, Britton B, Lambert S, 'Study Protocol: Evaluation of a DVD intervention designed to meet the informaton needs of patients with head and neck cancer and their partner, carer and families', BMC HEALTH SERVICES RESEARCH, 16 (2016)
DOI 10.1186/s12913-016-1875-7
Citations Scopus - 3Web of Science - 2
2015 Clover KA, Mitchell AJ, Britton B, Carter G, 'Why do oncology outpatients who report emotional distress decline help?', Psycho-Oncology, 24 812-818 (2015) [C1]

Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd. Objective Many patients who experience distress do not seek help, and little is known... [more]

Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd. Objective Many patients who experience distress do not seek help, and little is known about the reasons for this. We explored the reasons for declining help among patients who had significant emotional distress. Methods Data were collected through QUICATOUCH screening at an Australian hospital. Oncology outpatients scoring 4 or more on the Distress Thermometer were asked if they would 'like help' with their distress. Those who declined help were asked their reasons. Demographic variables and a clinical measure of anxiety and depression (PSYCH-6) were used to identify factors associated with reasons for declining help. Results Of 311 patients with significant distress, 221 (71%) declined help. The most common reasons were 'I prefer to manage myself' (n = 99, 46%); 'already receiving help' (n = 52, 24%) and 'my distress is not severe enough' (n = 50, 23%). Younger patients and women were more likely to decline help and were more likely to already be receiving help. Distress score and PSYCH-6 scores were significantly lower among patients who rated their distress as not severe enough to require help. Nevertheless, there were patients who had maximal scores on distress and PSYCH in each group. Conclusions Two common patient barriers to help with distress are a preference for self-help and a belief that distress is not sufficiently severe to warrant intervention. These beliefs were held by a sizeable proportion of individuals who reported very high levels of distress. Qualitative research and subsequent interventions for overcoming these barriers are required to obtain the most benefit from distress screening programs.

DOI 10.1002/pon.3729
Citations Scopus - 66Web of Science - 66
Co-authors Gregory Carter
2015 McCarter KL, Britton B, Baker A, Halpin S, Beck A, Carter G, et al., 'Interventions to improve screening and appropriate referral of patients with cancer for distress: Systematic review protocol', BMJ Open, 5 (2015) [C3]
DOI 10.1136/bmjopen-2015-008277
Citations Scopus - 7Web of Science - 7
Co-authors Luke Wolfenden, Kristen Mccarter, Gregory Carter, Sean Halpin, Amanda Baker
2015 Britton B, McCarter K, Baker A, Wolfenden L, Wratten C, Bauer J, et al., 'Eating As Treatment (EAT) study protocol: a stepped-wedge, randomised controlled trial of a health behaviour change intervention provided by dietitians to improve nutrition in patients with head and neck cancer undergoing radiotherapy.', BMJ open, 5 e008921 (2015) [C3]
DOI 10.1136/bmjopen-2015-008921
Citations Scopus - 18Web of Science - 17
Co-authors Patrick Mcelduff, Amanda Baker, Kristen Mccarter, Luke Wolfenden, Gregory Carter, Sean Halpin
2015 Carter G, Clover K, Britton B, Mitchell AJ, White M, McLeod N, et al., 'Wellbeing during Active Surveillance for localised prostate cancer: A systematic review of psychological morbidity and quality of life', Cancer Treatment Reviews, 41 46-60 (2015) [C1]

© 2014 Elsevier Ltd. Background: Active Surveillance (AS) is recommended for the treatment of localised prostate cancer; however this option may be under-used, at least in part be... [more]

© 2014 Elsevier Ltd. Background: Active Surveillance (AS) is recommended for the treatment of localised prostate cancer; however this option may be under-used, at least in part because of expectations of psychological adverse events in those offered or accepting AS. Objective: (1) Determine the impact on psychological wellbeing when treated with AS (non-comparative studies). (2) Compare AS with active treatments for the impact on psychological wellbeing (comparative studies). Method: We used the PRISMA guidelines and searched Medline, PsychInfo, EMBASE, CINHAL, Web of Science, Cochrane Library and Scopus for articles published January 2000-2014. Eligible studies reported original quantitative data on any measures of psychological wellbeing. Results: We identified 34 eligible articles (. n=. 12,497 individuals); 24 observational, eight RCTs, and two other interventional studies. Studies came from North America (16), Europe (14) Australia (3) and North America/Europe (1). A minority (5/34) were rated as high quality. Most (26/34) used validated instruments, whilst a substantial minority (14/34) used watchful waiting or no active treatment rather than Active Surveillance. There was modest evidence of no adverse impact on psychological wellbeing associated with Active Surveillance; and no differences in psychological wellbeing compared to active treatments. Conclusion: Patients can be informed that Active Surveillance involves no greater threat to their psychological wellbeing as part of the informed consent process, and clinicians need not limit access to Active Surveillance based on an expectation of adverse impacts on psychological wellbeing.

DOI 10.1016/j.ctrv.2014.11.001
Citations Scopus - 28Web of Science - 28
Co-authors Gregory Carter, Jim Denham
2015 Lambert SD, Clover K, Pallant JF, Britton B, King MT, Mitchell AJ, Carter G, 'Making sense of variations in prevalence estimates of depression in cancer: A co-calibration of commonly used depression scales using rasch analysis', JNCCN Journal of the National Comprehensive Cancer Network, 13 1203-1211 (2015) [C1]

© JNCCN-Journal of the National Comprehensive Cancer Network. Background: The use of different depression self-report scales warrants co-calibration studies to establish relations... [more]

© JNCCN-Journal of the National Comprehensive Cancer Network. Background: The use of different depression self-report scales warrants co-calibration studies to establish relationships between scores from 2 or more scales. The goal of this study was to examine variations in measurement across 5 commonly used scales to measure depression among patients with cancer: Hospital Anxiety and Depression Scale-Depression subscale (HADS-D), Centre for Epidemiologic Studies Depression Scale (CES-D), Patient Health Questionnaire-9 (PHQ-9), Beck Depression Inventory-II (BDI-II), and Depression Anxiety and Stress Scale-Depression subscale (DASS-D). Methods: The depression scales were completed by 162 patients with cancer. Participants were also assessed by the major depressive episode module of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. Rasch analysis and receiver operating characteristic curves were performed. Results: Rasch analysis of the 5 scales indicated that these all measured depression. The HADS and BDI-II had the widest measurement range, whereas the DASS-D had the narrowest range. Co-calibration revealed that the cutoff scores across the scales were not equivalent. The mild cutoff score on the PHQ-9 was easier to meet than the mild cutoff score on the CES-D, BDI-II, and DASS-D. The HADS-D possible cutoff score was equivalent to cutoff scores for major to severe depression on the other scales. Optimal cutoff scores for clinical assessment of depression were in the mild to moderate depression range for most scales. Conclusions: The labels of depression associated with the different scales are not equivalent. Most markedly, the HADS-D possible case cutoff score represents a much higher level of depression than equivalent scores on other scales. Therefore, use of different scales will lead to different estimates of prevalence of depression when used in the same sample.

DOI 10.6004/jnccn.2015.0149
Citations Scopus - 12Web of Science - 11
Co-authors Gregory Carter
2015 Beck AK, Baker A, Britton B, Wratten C, Bauer J, Wolfenden L, Carter G, 'Fidelity considerations in translational research: Eating As Treatment - a stepped wedge, randomised controlled trial of a dietitian delivered behaviour change counselling intervention for head and neck cancer patients undergoing radiotherapy', Trials, 16 (2015) [C3]

© 2015 Beck et al. Background: The confidence with which researchers can comment on intervention efficacy relies on evaluation and consideration of intervention fidelity. Accordin... [more]

© 2015 Beck et al. Background: The confidence with which researchers can comment on intervention efficacy relies on evaluation and consideration of intervention fidelity. Accordingly, there have been calls to increase the transparency with which fidelity methodology is reported. Despite this, consideration and/or reporting of fidelity methods remains poor. We seek to address this gap by describing the methodology for promoting and facilitating the evaluation of intervention fidelity in The EAT (Eating As Treatment) project: a multi-site stepped wedge randomised controlled trial of a dietitian delivered behaviour change counselling intervention to improve nutrition (primary outcome) in head and neck cancer patients undergoing radiotherapy. Methods/Design: In accordance with recommendations from the National Institutes of Health Behaviour Change Consortium Treatment Fidelity Workgroup, we sought to maximise fidelity in this stepped wedge randomised controlled trial via strategies implemented from study design through to provider training, intervention delivery and receipt. As the EAT intervention is designed to be incorporated into standard dietetic consultations, we also address unique challenges for translational research. Discussion: We offer a strong model for improving the quality of translational findings via real world application of National Institutes of Health Behaviour Change Consortium recommendations. Greater transparency in the reporting of behaviour change research is an important step in improving the progress and quality of behaviour change research. Trial registration number:ACTRN12613000320752(Date of registration 21 March 2013)

DOI 10.1186/s13063-015-0978-5
Citations Scopus - 7Web of Science - 6
Co-authors Amanda Baker, Gregory Carter, Luke Wolfenden
2014 Lambert SD, Pallant JF, Clover K, Britton B, King MT, Carter G, 'Using Rasch analysis to examine the distress thermometer's cut-off scores among a mixed group of patients with cancer', QUALITY OF LIFE RESEARCH, 23 2257-2265 (2014) [C1]
DOI 10.1007/s11136-014-0673-0
Citations Scopus - 12Web of Science - 12
Co-authors Gregory Carter
2014 Parker V, Bellamy D, Rossiter R, Graham V, Britton B, Bennett L, Giles M, 'The experiences of head and neck cancer patients requiring major surgery.', Cancer Nurs, 37 263-270 (2014) [C1]
DOI 10.1097/NCC.0b013e31829ded0e
Citations Scopus - 8Web of Science - 6
2013 Maher NG, Britton B, Hoffman GR, 'Early Screening in Patients With Head and Neck Cancer Identified High Levels of Pain and Distress', JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 71 1458-1464 (2013) [C1]
DOI 10.1016/j.joms.2013.02.009
Citations Scopus - 6Web of Science - 6
2013 Lambert SD, Girgis A, Turner J, Regan T, Candler H, Britton B, et al., '"You need something like this to give you guidelines on what to do": patients' and partners' use and perceptions of a self-directed coping skills training resource', SUPPORTIVE CARE IN CANCER, 21 3451-3460 (2013) [C1]
DOI 10.1007/s00520-013-1914-4
Citations Scopus - 13Web of Science - 12
2013 Lambert SD, Pallant JF, Boyes AW, King MT, Britton B, Girgis A, 'A Rasch Analysis of the Hospital Anxiety and Depression Scale (HADS) Among Cancer Survivors', PSYCHOLOGICAL ASSESSMENT, 25 379-390 (2013) [C1]
DOI 10.1037/a0031154
Citations Scopus - 18Web of Science - 17
Co-authors Allison Boyes
2013 Wolfenden L, Kypri K, Britton B, James EL, Francis JL, Wyse R, 'Effects of Introductory Information on Self-Reported Health Behavior', EPIDEMIOLOGY, 24 170-172 (2013) [C1]
DOI 10.1097/EDE.0b013e3182788c98
Citations Scopus - 1Web of Science - 1
Co-authors Rebecca Wyse, Kypros Kypri, Luke Wolfenden, Erica James
2013 Clover K, Kelly P, Rogers K, Britton B, Carter GL, 'Predictors of desire for help in oncology outpatients reporting pain or distress', PSYCHO-ONCOLOGY, 22 1611-1617 (2013) [C1]
DOI 10.1002/pon.3188
Citations Scopus - 15Web of Science - 15
Co-authors Gregory Carter
2012 Britton B, Clover K, Bateman L, Odelli C, Wenham K, Zeman A, Carter GL, 'Baseline depression predicts malnutrition in head and neck cancer patients undergoing radiotherapy', Supportive Care in Cancer, 20 335-342 (2012) [C1]
Citations Scopus - 46Web of Science - 42
Co-authors Gregory Carter
2012 Carter GL, Britton B, Clover K, Rogers K, Adams CA, McElduff P, 'Effectiveness of QUICATOUCH: A computerised touch screen evaluation for pain and distress in ambulatory oncology patients in Newcastle, Australia', Psycho-Oncology, 21 1149-1157 (2012) [C1]
Citations Scopus - 19Web of Science - 19
Co-authors Patrick Mcelduff, Gregory Carter
2012 Wolfenden L, Wyse RJ, Britton BI, Campbell KJ, Hodder RK, Stacey FG, et al., 'Interventions for increasing fruit and vegetable consumption in children aged 5 years and under', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2012) [C1]
DOI 10.1002/14651858.CD008552.pub2
Citations Scopus - 50Web of Science - 53
Co-authors Erica James, Rebecca Hodder, Luke Wolfenden, Patrick Mcelduff, Rebecca Wyse
2011 Luckett T, Britton B, Clover K, Rankin NM, 'Evidence for interventions to improve psychological outcomes in people with head and neck cancer: A systematic review of the literature', Supportive Care in Cancer, 19 871-881 (2011) [C1]
DOI 10.1007/s00520-011-1119-7
Citations Scopus - 44Web of Science - 41
2010 Wolfenden L, Brennan L, Britton B, 'Intelligent obesity interventions using Smartphones', Preventive Medicine, 51 519-520 (2010) [C3]
Citations Scopus - 6Web of Science - 6
Co-authors Luke Wolfenden
Show 32 more journal articles

Conference (36 outputs)

Year Citation Altmetrics Link
2019 Britton B, Baker AL, Wolfenden L, Wratten C, Bauer J, Beck AK, et al., 'Eating As Treatment (EAT): A Stepped-Wedge, Randomized Controlled Trial of a Health Behavior Change Intervention Provided by Dietitians to Improve Nutrition in Patients With Head and Neck Cancer Undergoing Radiation Therapy (TROG 12.03)', INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2019)
DOI 10.1016/j.ijrobp.2018.09.027
Citations Scopus - 12Web of Science - 11
Co-authors Amanda Baker, Patrick Mcelduff, Kristen Mccarter, Luke Wolfenden, Gregory Carter, Christopher Oldmeadow
2018 Fradgley EA, Byrnes E, Mccarter K, Britton B, Rankin N, Carter G, et al., 'A report card on Australian cancer services' distress screening and management practices: A pass mark or time to go back to school?', PSYCHO-ONCOLOGY (2018)
Co-authors Elizabeth Fradgley, Kristen Mccarter, Gregory Carter, Chris Paul
2018 Clover K, Forbes E, Carter G, Wratten C, Britton B, Tieu M, et al., 'Procedural anxiety during radiotherapy using a mask in patients with head and neck cancer: Interim data', PSYCHO-ONCOLOGY (2018)
Co-authors Amanda Baker, Kristen Mccarter, Gregory Carter
2018 Fradgley E, Byrnes E, Rankin N, McCarter K, Britton B, Carter G, et al., 'Exploring the evidence-practice gap in distress management: Are Australian cancer services aware of and benefiting from evidence-based guidelines?', PSYCHO-ONCOLOGY (2018)
Co-authors Elizabeth Fradgley, Chris Paul, Kristen Mccarter, Gregory Carter
2018 Forbes E, Clover K, Carter G, Wratten C, Britton B, Tieu M, et al., 'Rates of Procedural Anxiety During Radiotherapy Using A Mask in Patients with Head and Neck Cancer: Interim Data', PSYCHO-ONCOLOGY (2018)
Co-authors Amanda Baker, Gregory Carter, Kristen Mccarter
2017 Britton B, Wratten C, Baker A, Wolfenden L, Bauer J, Beck A, Carter G, 'Eating As Treatment: A Stepped Wedge Randomized Controlled Trial to Improve Nutrition in Head and Neck Cancer Patients Undergoing Radiation Therapy', INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, San Diego, CA (2017)
DOI 10.1016/j.ijrobp.2017.06.283
Co-authors Luke Wolfenden, Gregory Carter, Amanda Baker
2017 Byrnes E, Fradgley E, Paul C, Carter G, Britton B, McCarter K, Bellamy D, 'Distress Screening and Management for Australian Cancer Patients: The Evidence Practice Gap and Potential Bridges', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2017)
Citations Web of Science - 1
Co-authors Gregory Carter, Elizabeth Fradgley, Chris Paul
2017 Britton B, Baker A, Beck A, McCarter K, Wolfenden L, Wratten C, Bauer J, 'Eating as Treatment (EAT): Improving Treatment Outcomes for Head and Neck Cancer Patients Undergoing Radiotherapy with a Health Behavior Intervention', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2017)
Co-authors Amanda Baker, Luke Wolfenden
2016 Britton B, McCarter K, Beck A, Baker A, Wolfenden L, Wratten C, et al., 'EATING AS TREATMENT (EAT): A HEALTH BEHAVIOR CHANGE INTERVENTION TO IMPROVE TREATMENT OUTCOMES FOR HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2016)
Co-authors Sean Halpin, Kristen Mccarter, Gregory Carter, Luke Wolfenden, Amanda Baker
2016 McCarter K, Britton B, Baker A, Wolfenden L, Wratten C, Bauer J, et al., 'CO-OCCURRING DEPRESSION, TOBACCO AND ALCOHOL USE IN A SAMPLE OF HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Sean Halpin, Gregory Carter, Luke Wolfenden, Amanda Baker, Patrick Mcelduff
2016 Britton B, Beck A, McCarter K, Baker A, Wolfenden L, Wratten C, et al., 'EATING AS TREATMENT (EAT): A HEALTH BEHAVIOR CHANGE INTERVENTION TO IMPROVE TREATMENT OUTCOMES FOR HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Gregory Carter, Amanda Baker, Luke Wolfenden, Patrick Mcelduff
2016 Britton B, Baker A, Wolfenden L, Wratten C, Bauer J, Beck A, et al., ''HEADS UP': A PILOT STUDY OF A BEHAVIOR CHANGE INTERVENTION FOR HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Amanda Baker, Gregory Carter, Luke Wolfenden, Patrick Mcelduff
2016 Beck A, Britton B, Baker A, Wolfenden L, Wratten C, Bauer J, et al., 'USING BEHAVIOR CHANGE COUNSELLING TO FACILITATE HEAD AND NECK CANCER PATIENTS' ENGAGEMENT WITH DIETETIC INTERVENTION ...', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Amanda Baker, Gregory Carter, Luke Wolfenden, Patrick Mcelduff
2016 McCarter K, Britton B, Baker A, Wolfenden L, Wratten C, Bauer J, et al., 'IMPROVING SCREENING AND REFERRAL OF HEAD AND NECK CANCER PATIENTS FOR PSYCHOSOCIAL DISTRESS', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Sean Halpin, Patrick Mcelduff, Luke Wolfenden, Gregory Carter, Amanda Baker
2016 Britton B, Baker A, Wolfenden L, Wratten C, Bauer J, Beck A, et al., 'REDUCING MALNUTRITION IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Patrick Mcelduff, Luke Wolfenden, Gregory Carter, Amanda Baker
2015 Britton B, Baker A, Bauer J, Wolfenden L, Wratten C, McElduff P, Carter G, 'Eating As Treatment: A stepped wedge multi-centre trial of a psycho-nutrition intervention to improve outcomes in head and neck cancer patients undergoing radiotherapy', PSYCHO-ONCOLOGY (2015) [E3]
Co-authors Amanda Baker, Luke Wolfenden, Gregory Carter, Patrick Mcelduff
2015 McCarter K, Wolfenden L, Baker A, Britton B, Beck A, Carter G, et al., 'A CLINICAL PRACTICE CHANGE INTERVENTION TO INCREASE DIETITIAN PROVISION OF DEPRESSION SCREENING AND REFERRAL FOR HEAD AND NECK CANCER PATIENTS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2015) [E3]
Co-authors Gregory Carter, Luke Wolfenden, Kristen Mccarter, Sean Halpin, Patrick Mcelduff, Amanda Baker
2015 McCarter K, Baker A, Britton B, Carter G, Beck A, Bauer J, et al., 'CONTINUED TOBACCO SMOKING, ALCOHOL USE AND DEPRESSIVE SYMPTOMS IN A SAMPLE OF HEAD AND NECK CANCER PATIENTS ABOUT TO UNDERGO RADIOTHERAPY', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2015) [E3]
Co-authors Sean Halpin, Patrick Mcelduff, Gregory Carter, Luke Wolfenden, Kristen Mccarter, Amanda Baker
2014 Carter G, Clover KA, Britton B, Mitchell AJ, White M, McLeod N, et al., 'WELLBEING DURING ACTIVE SURVEILLANCE FOR LOCALISED PROSTATE CANCER: A SYSTEMATIC REVIEW OF PSYCHOLOGICAL MORBIDITY AND QUALITY OF LIFE', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Gregory Carter, Jim Denham
2014 Clover K, Britton B, Mitchell AJ, Wooldridge S, Carter GL, 'WHY DO ONCOLOGY OUTPATIENTS WHO REPORT EMOTIONAL DISTRESS DECLINE HELP?', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Gregory Carter
2014 Britton B, Baker A, Bauer J, Wolfenden L, Wratten C, Beck A, et al., 'EAT: RANDOMISED CONTROLLED TRIAL TO IMPROVE NUTRITION IN HEAD AND NECK CANCER PATIENTS UNDERGOING RADIOTHERAPY', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, Brainerd, MN (2014)
Co-authors Patrick Mcelduff, Amanda Baker, Luke Wolfenden, Gregory Carter
2014 McCarter K, Baker AL, Britton B, Beck A, Carter G, Bauer J, et al., 'PREVALENCE OF ALCOHOL USE AND DEPRESSIVE SYMPTOMS IN A SAMPLE OF HEAD AND NECK CANCER PATIENTS ABOUT TO UNDERGO RADIOTHERAPY', DRUG AND ALCOHOL REVIEW (2014) [E3]
Co-authors Luke Wolfenden, Kristen Mccarter, Gregory Carter, Amanda Baker, Sean Halpin, Patrick Mcelduff
2014 Carter G, Clover K, Britton B, Mitchell A, 'Are Pain and Distress Improving in the Outpatient Cancer Population? Effectiveness of Four Years of Computerised Screening Assessments for Pain and Distress using QUICATOUCH', JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS (2014) [E3]
Co-authors Gregory Carter
2014 Clover KA, Britton B, Mitchell AJ, Wooldridge S, Carter G, 'WHY DO ONCOLOGY OUTPATIENTS WHO REPORT EMOTIONAL DISTRESS DECLINE HELP?', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Citations Web of Science - 1
Co-authors Gregory Carter
2014 McElduff P, Britton B, Baker A, 'CAUSAL MODELLING IN CANCER RESEARCH', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Patrick Mcelduff, Amanda Baker
2014 McCarter K, Forbes E, Baker A, Britton B, Beck A, Carter G, et al., 'PREVALENCE OF TOBACCO SMOKING IN A SAMPLE OF HEAD AND NECK CANCER PATIENTS ABOUT TO UNDERGO RADIOTHERAPY', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Sean Halpin, Patrick Mcelduff, Amanda Baker, Gregory Carter, Luke Wolfenden, Billie Bonevski, Kristen Mccarter
2012 Baker AL, Beck AK, Carter GL, Bauer J, Wratten C, Bauer J, et al., 'Alcohol, tobacco use and readiness to change in an Australian sample of head and neck cancer patients undergoing radiotherapy', Asia-Pacific Journal of Clinical Oncology: Special Issue: Abstracts of the Joint Meeting of the COSA 39th Annual Scientific Meeting and IPOS 14th World Congress of Psycho-Oncology, Brisbane, Qld (2012) [E3]
Co-authors Gregory Carter, Amanda Baker, Patrick Mcelduff, Luke Wolfenden
2012 Beck AK, Baker AL, Britton B, Carter GL, Bauer J, Wratten C, et al., 'Therapeutic alliance between dietitians and patients with head and neck cancer: Relationship to quality of life and nutritional status following a dietitian delivered health behaviour intervention', Asia-Pacific Journal of Clinical Oncology: Special Issue: Abstracts of the Joint Meeting of the COSA 39th Annual Scientific Meeting and IPOS 14th World Congress of Psycho-Oncology, Brisbane, Qld (2012) [E3]
Co-authors Luke Wolfenden, Gregory Carter, Amanda Baker, Patrick Mcelduff
2012 Britton B, Baker AL, Bauer J, Wolfenden L, Wratten C, Beck AK, et al., 'Eat: A stepped wedge cluster randomised trial to improve nutrition in head and neck cancer patients undergoing radiotherapy', Asia-Pacific Journal of Clinical Oncology: Special Issue: Abstracts of the Joint Meeting of the COSA 39th Annual Scientific Meeting and IPOS 14th World Congress of Psycho-Oncology, Brisbane, Qld (2012) [E3]
Citations Web of Science - 2
Co-authors Gregory Carter, Amanda Baker, Patrick Mcelduff, Luke Wolfenden
2012 Clover K, Kelly PJ, Rogers K, Britton B, Carter GL, 'Predictors of desire for help in oncology outpatients reporting pain or distress', Asia-Pacific Journal of Clinical Oncology, Brisbane (2012) [E3]
Co-authors Gregory Carter
2011 James EL, Wolfenden L, Wyse R, Britton B, Campbell K, Hodder R, et al., 'Interventions to increase fruit and vegetable consumption amongst preschool aged children: A systematic review of randomised trials', 2011 Annual Meeting of the International Society for Behavioral Nutrition and Physical Activity (ISBNPA) eProceedings, Melbourne, VIC (2011) [E3]
Co-authors Patrick Mcelduff, Rebecca Hodder, Rebecca Wyse, Erica James, Luke Wolfenden
2010 Britton B, Clover K, Carter GL, 'Heads Up: A Phase II trial of a psychological intervention to reduce malnutrition and depression in head and neck cancer patients undergoing radiotherapy', Australian Journal of Clinical Oncology, Melbourne, Vic (2010) [E3]
Co-authors Gregory Carter
2010 Rossiter RC, Graham V, Bennett L, Donnellan M, Giles M, Shylan G, et al., 'The needs of cancer patients who undergo major disfiguring head and neck surgery: The findings of a qualitative study', First International Conference on Qualitative Research in Nursing and Health, Thailand, 2010, Chiang Rai, Thailand (2010) [E3]
2009 Britton B, Clover K, Carter GL, Baker AL, 'The innovation in the intervention: Design, recruitment and treatment innovations in head and neck cancer psycho-oncology trials', Asia-Pacific Journal of Clinical Oncology, Gold Coast, QLD (2009) [E3]
DOI 10.1111/j.1743-7563.2009.01252.x
Co-authors Gregory Carter, Amanda Baker
2008 Britton B, Clover K, Odelli C, Wenham K, Bateman L, Zeaman A, et al., 'Baseline depression predicts end of treatment malnutrition and ECOG status in head and neck cancer radiotherapy patients', PSYCHO-ONCOLOGY (2008) [E3]
Co-authors Gregory Carter
2008 Britton B, Clover K, Carter GL, Odelli C, Wenham K, Bateman L, et al., 'Baseline depression predicts end of treatment malnutrition and ECOG status in head and neck cancer radiotherapy patients', Australian and New Zealand Journal of Psychiatry, Newcastle, NSW (2008) [E3]
Co-authors Gregory Carter
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Grants and Funding

Summary

Number of grants 3
Total funding $1,183,642

Click on a grant title below to expand the full details for that specific grant.


20171 grants / $7,593

Head and neck cancer patient experience of EAT: A new dietitian-delivered health behaviour intervention$7,593

Funding body: Calvary Mater Newcastle

Funding body Calvary Mater Newcastle
Project Team Doctor Kristen McCarter, Professor Amanda Baker, Associate Professor Sean Halpin, Doctor Ben Britton, Doctor Alison Beck, Conjoint Professor Gregory Carter, Doctor Chris Wratten, Associate Professor Luke Wolfenden, Associate Professor Judith Bauer
Scheme Project Grant
Role Investigator
Funding Start 2017
Funding Finish 2017
GNo G1700913
Type Of Funding C3112 - Aust Not for profit
Category 3112
UON Y

20141 grants / $19,749

Improving radiotherapy outcomes with smoking cessation: Pilot trial in had and neck cancer patients$19,749

Funding body: Calvary Mater Newcastle

Funding body Calvary Mater Newcastle
Project Team Doctor Ben Britton, Professor Amanda Baker, Doctor Chris Wratten, Conjoint Professor Gregory Carter, Associate Professor Luke Wolfenden, Doctor Alison Beck, Doctor Craig Sadler, Associate Professor Judith Bauer
Scheme Project Grant
Role Lead
Funding Start 2014
Funding Finish 2014
GNo G1400766
Type Of Funding Contract - Aust Non Government
Category 3AFC
UON Y

20121 grants / $1,156,300

Eating As Treatment (EAT): A stepped wedge, randomised control trial of a health behaviour change intervention provided by dietitians to improve nutrition in head and neck cancer patients undergoing r$1,156,300

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Professor Amanda Baker, Conjoint Professor Gregory Carter, Associate Professor Judith Bauer, Associate Professor Luke Wolfenden, Doctor Chris Wratten, Doctor Ben Britton
Scheme Project Grant
Role Investigator
Funding Start 2012
Funding Finish 2014
GNo G1100093
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y
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Research Supervision

Number of supervisions

Completed0
Current2

Current Supervision

Commenced Level of Study Research Title Program Supervisor Type
2018 PhD Innovative Interventions to Address Procedure Related Anxiety in Patients Undergoing Radiotherapy PhD (Medicine), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2018 PhD Treatment Fidelity in Complex Health Behaviour Change Research: An in-depth Examination of Real World Evaluations of Behaviour Change Counselling PhD (Psychiatry), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
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Dr Ben Britton

Positions

Conjoint Lecturer
School of Medicine and Public Health
Faculty of Health and Medicine

Casual Academic
School of Health Sciences
Faculty of Health and Medicine

Casual Academic
School of Psychology
Faculty of Science

Contact Details

Email benjamin.britton@newcastle.edu.au
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