Staff Profiles

I teach on a wide range of modules at Oxford Brookes including Psychological Interventions, Qualitative Methods in Psychology, Evidence Based Prevention and Psychology of Food. I also supervise undergraduate and postgraduate research projects on topics related to health psychology. I completed my Postgraduate Certificate in Teaching in Higher Education (PCTHE) in 2014 and I am a Fellow of the Higher Education Academy. In 2015 and 2019 I was shortlisted for a Brookes Union Teaching Award. I have also been an Associate Lecturer with The Open University since 2008.

Research Grants

Brett, J., Watson, E., Radley, A., Stoner, N., Davies, E.L., Foxcroft, D.R., Matley, F., & Jakes, S. Cancer Research UK Tobacco Advisory Group (£49,733.22) Community and Hospital Pharmacists and E-cigarettes awarded June 2019

Davies, E.L. Department of Psychology, Health and Professional Development Research Support Scheme (£3,000) Theoretical moderators of the impact of alcohol health information labels awarded October 2018

Brett, J., Watson, E., Aveyard, P., Wells, M., Nicholson, B., Foxcroft, D., Sinclair, L., Davies, E.L., De Silva-Minor, S., & Jakes., S. Cancer Research UK Tobacco Advisory Group (£44,582) Knowledge, attitudes and current practice of health professionals regarding the use of e-cigarettes and other smoking cessation interventions in cancer survivors, awarded January 2017.

Davies, E.L. Department of Psychology, Social Work & Public Health Research Award Scheme (£8750) Pilot study to explore teachers' views about digital alcohol interventions for use in Personal, Social, Health and Economic Education Awarded December 2016

Davies, E.L, Lonsdale, A. & Foxcroft, D.R. Oxford Brookes University Competitive Funding Call (£15,785) Alcohol related social embarrassment: A pilot trial to explore the feasibility and effectiveness of a novel intervention to reduce alcohol consumption in undergraduates, Awarded May 2015

Davies. E.L. Alcohol Research UK Small grant scheme (£4930) A digital media intervention tool to reduce alcohol misuse in adolescents: programming and pilot work, Awarded July 2014

Carter, W., Davies, E.L. & Paltoglou, A.E. Oxford Brookes Team Teaching Fellowship Award (£15,000) Vertical Enhancement of Statistics and Psychology Research, Awarded June 2014

Davies, E.L, Martin, J. & Foxcroft, D.R. Alcohol Research UK Studentship (£21,000) Designing and testing an intervention to reduce alcohol misuse in young people based on the Prototype Willingness Model, Awarded May 2010

PhD Students

Josephine Jacobs -2019-present: Developing a wellbeing intervention for parents of Primary School aged children - third supervisor

Urvita Bhatia- 2019-present: Understanding why initially promising Prevention Programmes do not seem to work as well in different contexts and settings – second supervisor

Fiona Matley – 2018-present: Using automatic processes to change drinking behaviour in midlife adults – Director of Studies

Parvati Perman Howe 2016-present: The effect of alcohol strength on alcohol consumption – second supervisor

Catherine Wheatley 2015-2018 Explaining Young Adolescents’ Physical Activity Decision-Making Using the Prototype Willingness Model of Health Behaviour – second supervisor  

Journal articles

• Perman-Howe P, Davies EL, Foxcroft DR, 'The effect of alcohol strength on alcohol consumption: findings from a randomised controlled cross-over pilot trial.'
  Pilot and Feasibility Studies x (2021)
  ISSN: 2055-5784 eISSN: 2055-5784
  Abstract

  Background. Reducing the alcohol content of drinks has the potential to reduce alcohol consumption. Aims: (1) test the feasibility of a randomised controlled trial (RCT) to assess the effect of alcohol strength on alcohol consumption within licensed premises in the United Kingdom (UK), (2) provide data to estimate key parameters for a RCT. 

  Methods. Double-blind randomised controlled cross-over pilot trial based within four licensed premises in the UK. Participants (n=36) purchased and consumed ad libitum a 3.5% lager and a 4.8% lager during two separate study sessions. Descriptive statistics reported the efficacy and efficiency of the study processes, and the rates of licensed premises recruitment, and participant recruitment and attrition. Mean and the 95% confidence interval (CI) compared alcohol consumption between conditions. The mean, standard deviation (SD) and CI of UK units of alcohol consumed were used to calculate a sample size for a RCT. Responses to participant questionnaires and duration of participation in study sessions between conditions were analysed.

  Results. Components of the study protocol were effective and efficient. The venue recruitment rate was less than anticipated. The participant recruitment rate was greater than anticipated. The rate of attrition was 23% and varied by less than 1% according to the arm of the trial. There was a reduction of alcohol consumed under the intervention conditions. Estimated mean difference, and 95% CI (UK units): -3.76 (-5.01 to -2.52). The sample size required for a RCT is 53. Participants did not find one lager more pleasant in taste: (on a scale of one to 10) -0.95 (-2.11 to 0.21). Participants found the reduced-strength lager less enjoyable: (on a scale of one to 10) -1.44 (-2.64 to -0.24) and they perceived themselves to be less intoxicated after consuming it: (on a scale of one to 10) -1.00 (-1.61 to -0.40).

  Conclusion. A RCT is feasible with minor alterations to the study protocol and scoping work to establish different brands of alcohol that are more alike and more enjoyable than the products used in the pilot trial. 

• de Visser RO, Conroy D, Davies EL, Cooke R, 'Understanding motivation to adhere to guidelines for alcohol intake, physical activity, and fruit and vegetable intake among UK university students'
  Health Education and Behavior x (2021)
  ISSN: 1090-1981 eISSN: 1552-6127
  Abstract

  Background: To encourage people to lead healthier lifestyles, governments in many countries publish guidelines for alcohol intake, physical activity (PA), and fruit and vegetable (FV) intake. However, there is a need for better understanding of whether people understand such guidelines, consider them useful, and adhere to them. University students are a group worth of attention because although they are less likely than older adults to exceed UK weekly alcohol intake guidelines or to be inactive, they are also less likely to meet FV consumption targets. Furthermore, because behaviour during youth predicts adult behaviour, it is important to identify influences on healthier behaviour.
  

  Methods: An online survey was completed by 559 UK university students. Key outcome variables were knowledge of guidelines, motivation to adhere to them, and adherence to them.
  

  Results: 72% adhered to guidelines for alcohol intake, 58% for PA, and 20% for FV intake. Students generally had poor or moderate knowledge of guidelines, perceived them as only moderately useful, and were only moderately motivated to adhere to them. Greater motivation to adhere to guidelines was not significantly related to more accurate knowledge. However, it was related to greater familiarity, and perceiving guidelines as useful and realistic, and greater conscientiousness.
  

  Discussion: There is a need to ensure that students understand the UK guidelines for alcohol intake, PA, and FV intake. However, simply increasing knowledge may not lead to greater adherence to the guidelines: there is also a need to focus on improving perceptions of how useful and realistic they are.
  

• Brown K, Hill, K, Smith J, Johansson M, Davies EL, 'Acceptability of alcohol-free dance in place of traditional alcohol-focused events'
  Health Education Journal x (2020)
  ISSN: 0017-8969 eISSN: 1748-8176
  Abstract

  Objective: Alcohol misuse prevention often fails to account for or replace the pleasurable benefits of drinking such as relaxing and socialising with friends.  Increasingly, alcohol free dance music events are emerging, allowing people to gain the positive outcomes of dancing without recourse to alcohol. This study sought to explore whether conscious-clubbing would be rated as an acceptable alternative to traditional alcohol-focused events.

  Design/Setting: An online cross-sectional survey was completed by 281 young respondents (80.4% female; mean age = 22).

  Method: Health-related cognitions (attitudes, intentions), perceived acceptability towards alcohol free dance events and the extent to which these were predicted by demographics and individual differences were assessed in the survey.

  Results: T-tests indicated overall positive attitudes, acceptability, support towards and intention to attend alcohol-free clubbing events regardless of drinking status, with the exception of drinkers’ intentions to attend an event. Exploratory multiple regression analyses indicated that young women and individuals who had previously attended these events held more positive attitudes. These attitudes were associated with acceptability and support, but more favourable attitudes towards alcohol consumption were inversely related to acceptability. More positive attitudes, previous attendance and lower life satisfaction associated with higher intentions to attend an event.

  Conclusion: Results indicate that alcohol free events may provide an alternative socialising experience, with greater potential utility for young women, non-drinkers and individuals who have previously attended these events. This is of particular importance given that recent literature highlights the need for (non-alcohol) alternatives to socialise in a growing number of individuals.

  Website 
• Brett J, Davies EL, Matley F, Aveyard P, Wells M, Foxcroft D, Nicholson B, De Minor-Silva S, Sinclair L, Jakes S, Watson E, 'Electronic cigarettes as a smoking cessation aid for cancer patients: beliefs and behaviours of clinicians in the UK'
  BMJ Open 10 (2020)
  ISSN: 2044-6055 eISSN: 2044-6055
  Abstract

  Objectives. To explore UK clinicians’ beliefs and behaviours around recommending e-cigarettes as a smoking cessation aid for patients with cancer.

  Design. Cross-sectional online survey.

  Setting. England, Wales, Scotland and Northern Ireland.

  Participants. Clinicians involved in the care of patients with cancer.

  Primary and secondary outcomes. Behavioural Change Wheel capability, opportunity and motivation to perform a behaviour, knowledge, beliefs, current practice around e-cigarettes and other smoking cessation practices.

  Method. Clinicians (n=506) completed an online survey to assess beliefs and behaviours around e-cigarettes and other smoking cessation practices for patients with cancer. Behavioural factors associated with recommending e-cigarettes in practice were assessed.

  Results. 29% of clinicians would not recommend e-cigarettes to patients with cancer who continue to smoke. Factors associated with recommendation include smoking cessation knowledge (OR 1.56, 95% CI 1.01 to 2.44) and e-cigarette knowledge (OR 1.64, 95% CI 1.06 to 2.55), engagement with patients regarding smoking cessation (OR 2.12, 95% CI 1.12 to 4.03), belief in the effectiveness of e-cigarettes (OR 2.36 95% CI 1.61 to 3.47) and belief in sufficient evidence on e-cigarettes (OR 2.08 95% CI 1.10 to 4.00) and how comfortable they felt discussing e-cigarettes with patients (OR 1.57 95% CI 1.04 to 2.36).

  Conclusion. Many clinicians providing cancer care to patients who smoke do not recommend e-cigarettes as a smoking cessation aid and were unaware of national guidance supporting recommendation of e-cigarettes as a smoking cessation aid.

  Website 
• Davies EL, Cooke R, Maier LJ, Winstock AR, Ferris JA, 'Drinking to excess and the tipping point: An international study of alcohol intoxication in 61,000 people'
  International Journal of Drug Policy 83 (2020)
  ISSN: 0955-3959
  Abstract

  Background: People who drink alcohol often seek to manage their intake in order to maximise the pleasurable effects, such as feelings of sociability and relaxation, without reaching their ‘tipping point’, where they feel out of control, or unwell. This paper aimed to explore three stages of intoxication; feeling the effects; being as drunk as you would like to be; and reaching the tipping point (feeling more drunk than you want to be) in a large international sample.
  

  Methods: The Global Drug Survey (GDS) is an annual, cross-sectional, online survey of drug use. This paper draws on data from 61,043 respondents (63.7% male) from 21 countries who took part in GDS2015 collected in November 2014 to January 2015. Respondents reported their usual type of drink; how many drinks they would require to reach each stage of intoxication and how frequently they reached each stage. Alongside socio-demographic measures, they also completed the Alcohol Use Disorders Identification Test (AUDIT).
  

  Results: Male respondents reported consuming 87.55gm to be as drunk as they want to be and female respondents reported 70.16gm, on average. The tipping point was reached at 138.65gm for male respondents and 106.54 gm for female respondents. Overall 20.3% reported reaching their tipping point at least once a month. Being male, aged under 25 and at higher risk for alcohol use disorder was associated with reporting reaching the tipping point more frequently.
  

  Conclusions: The amount of alcohol being consumed to reach a desired point of intoxication is much higher than the maximum daily, and sometimes weekly, amount recommended by country guidelines. Encouraging people to avoid reaching their tipping point may be a useful intervention point alongside better communication of low risk drinking guidelines.
  

  Website 
• Winstock AR, Lynskey M, Maier LJ, Ferris JA, Davies EL, 'Perceptions of cannabis health information labels among people who use cannabis in the U.S. and Canada'
  International Journal of Drug Policy x (2020)
  ISSN: 0955-3959
  Abstract

  Background. The emergence of legal cannabis industries poses a new public health challenge. Health information labels are part of the public health strategy for tobacco and alcohol, but there is limited research on cannabis-related messaging. This study explored perceptions of cannabis health information labels among people who used cannabis in the last 12 months residing in the U.S. and Canada.
  Methods. The Global Drug Survey (GDS) is a large anonymous cross-sectional web-survey. In GDS2019, respondents were presented with six labels with cannabis-related health information (dependence; driving stoned; harms of smoking; harms to developing brain; lack of motivation; effects on memory), and asked if information was new, believed, would it change behavior, and about acceptability of having health labels on legal products. This paper includes 1,275 respondents from Canada and 2,224 from U.S. states where cannabis was legal at the time of the survey, and 5,230 from other U.S. states.
  Results. Few respondents said that the information was new (6.6-24.6%). Most said the information was believable (63.5-72.0%) other than for the dependence message (28.1% new, 56.8% believed), which was perceived to be the least likely to change behavior (10.2%). Driving stoned was the message perceived to be the most likely to change behavior (58.5%). Respondents living in Canada were less likely to say information was new and rated most messages more believable than those in the U.S. Respondents from legal U.S. states were less likely to say information was new compared to other states. Respondents who used cannabis daily rated acceptability of labels lower (27.8%) than those using 1-48 days (40.6%).
  Conclusions. Novel, believable information may be more effective at changing behavior. Regular consumers may be less susceptible to messages. Information focusing on safer use strategies and benefits of reducing use may be more acceptable and should be assessed in future research.

  Website 
• Wheatley C, Johansen-Berg H, Dawes H, Davies EL, 'Perceptions of active and inactive prototypes are associated with objective measures of physical activity in adolescents'
  Psychology, Health and Medicine 25 (10) (2020) pp.1216-1227
  ISSN: 1354-8506 eISSN: 1465-3966
  Abstract

  The benefits of physical activity are known, but the proportion of adolescents meeting daily activity guidelines remains low. Physical activity interventions based on psychological behavioural models can be more effective than programmes which are not underpinned by theory, so exploring behavioural constructs to target is important.  The Theory of Planned Behaviour, which assumes reasoned intentions explain actions, is a useful framework for predicting activity, but it leaves variance unexplained.  The Prototype Willingness Model, which proposes a second pathway in which perceptions of social images, or prototypes, explain actions via behavioural willingness, may account for the more impulsive decisions that adolescents are inclined to make in social situations.   We aimed to determine whether variables in the social reactive pathway of the Prototype Willingness Model explain variance in an objective measure of daily activity, over and above the reasoned action path.  Participants aged 12-13 (n= 205) from three schools were invited to complete measures of constructs in the Prototype Willingness Model and to wear an accelerometer for the next seven days to measure physical activity.  Overall, 126 students (65 males) participated. Hierarchical regression showed that intention, attitudes and subjective norms explained 12.8% of variance in activity.  Prototype perceptions and willingness explained an additional 13.1% of variance. Participants’ perceived similarity to active prototypes, and unfavourable perceptions of inactive prototypes, significantly predicted activity in the full model.   Boys were significantly more active than girls, t(124) = 6.11, p <.001 but there were no significant differences between sexes on any of the psychological variables. Results indicate that variance in adolescent physical activity is explained by constructs associated with the Prototype Willingness Model over and above reasoned action variables linked to the Theory of Planned Behaviour.  These findings highlight the importance of targeting prototype perceptions to encourage physical activity in this age group. 
  

  Website 
• Connolly D, Davies EL, Lynskey M, Barratt MJ, Maier L, Ferris J, Winstock A, Gilchrist G, 'Comparing intentions to reduce substance use and willingness to seek help among transgender and cisgender participants from the Global Drug Survey'
  Journal of Substance Abuse Treatment 112 (2020) pp.86-91
  ISSN: 0740-5472 eISSN: 1873-6483
  Abstract

  Introduction. Transgender (trans) people experience stressors related to their minority status which have been associated with increased rates of psychoactive substance use and related harm. Despite this, there is a paucity of evidence relating to the treatment needs of trans people who use psychoactive substances, beyond a small body of literature describing a culture of transphobic hostility in general substance misuse services. This paper aims to describe and compare psychoactive substance misuse help-seeking among trans and cisgender (cis) participants from a large multi-national cross-sectional survey.

  Methods. Over 180,000 participants, recruited from the world's largest annual survey of drug use - the Global Drug Survey - during 2018 and 2019, reported use of a range of psychoactive substances in the preceding 12 months. Five gender groups (118,157 cis men, 64,319 cis women, 369 trans men, 353 trans women and 1857 non-binary people) were compared on items relating to the desire to use less psychoactive substances and the need to seek help to achieve this.

  Results. Trans respondents (n = 1710) to GDS 2018 were significantly more likely to report use of illicit substances (OR = 1.66–2.93) and dependence on cannabis (OR = 2.39) and alcohol (OR = 3.28). In the combined GDS 2018 and 2019 dataset, there were no significant differences between trans (n = 2579) and cis (n = 182,476) participants on the desire to reduce substance use. However, among those who did report wanting to use less, trans participants were more likely to want help to achieve this.

  Conclusion. Trans respondents reported a greater need for help with reducing substance use than cis respondents. Given the deficit of specialist services for psychoactive substance users who are trans, there is a need for a more thorough understanding of the barriers and facilitators to their engagement in general substance misuse services. In the interim, substance misuse service providers require education about gender minority status to help meet the needs of trans clients.

  Website 
• Davies EL, Matley F, 'Teachers and pupils under pressure: UK teachers’ views on the content and format of Personal, Social, Health and Economic Education'
  Pastoral Care in Education 38 (1) (2020) pp.4-22
  ISSN: 0264-3944
  Abstract

  Personal, Social, Health and Economic Education (PSHE) is undergoing changes within UK schools, and many topics, including healthy lifestyles, sex and relationships, and mental resilience/wellbeing will become statutory parts of the curriculum.  The overall aim of this study was to describe teachers’ views about these topics and how they should be delivered.  A cross sectional online survey was completed by 167 teachers (87.8% female).  Questions were asked about what was currently covered in schools, and which topics were important, and appropriate.  Rating scales were used to garner attitudes and open ended questions probed for more details from the participants.  Peer pressure about drugs and alcohol was commonly discussed (72% of participants) however pleasurable effects of drugs were rated inappropriate by 38.1%.  Sexting (75.4%), sexual consent (69.5%) were the most frequently discussed in the sex and relationship topics, while 26.5% said that sexually transmitted diseases were not appropriate to talk about in school. Resilience (94.3%), body image/appearance (91.9%) had high levels of coverage, while 41.8% said treatments for mental health conditions were not discussed but should be. For all topics, most teachers rated their access to training as insufficient. Confidence in talking about the topic of mental health and wellbeing was lower than for the other topics. Issues highlighted by these findings should be addressed when new curriculums are being planned. Teachers witness the challenges faced by their pupils on a daily basis and their experiences, alongside further engagement with pupils, should be used to meaningfully inform the new PSHE curriculum.
  

  Website 
• Winstock AR, Winstock CJ, Davies EL, 'Inhaling Alcohol Vapour or Mist: An International Study of Use, Effects and Harms'
  International Journal of Drug Policy x (2020)
  ISSN: 0955-3959
  Abstract

  Objectives. To determine the prevalence, patterns of use and consequences of inhaling alcohol vapour or mist. 
  

  Design. Cross-sectional survey recruiting an international non-probability sample of people who use alcohol and other drugs as part of the annual Global Drug Survey (GDS).
  

  Setting. Online questionnaire translated into 19 languages. 
  

  Participants. 110,557 people took part in GDS2020 and 88,124 completed a question about inhaling alcohol in the last 12 months. The focus of this study is GDS2020 respondents who reported inhaling alcohol mist/vapour from a balloon in the last 12 months. 
  

  Main outcomes. Last 12-month use of alcohol vapour, onset duration, intensity of effects, value for money compared with alcohol, and incidence of falls/injuries.  
  

  Results. A total of 803 people reported the use of alcohol vapour in the last 12 months, with 51% of the sample coming from 3 countries: Australia, Denmark and England.  Two-thirds were male, and they were more likely to be under 25. 45.7% reported that they were a bit/very drunk before they inhaled alcohol. 51.3% reported that the effects lasted for less than 5 minutes. Both the intensity of effect and perceived value for money showed a normal distribution on a 10-point scale. 12.7% of respondents reported falling/injuring themselves.
  

  Conclusion. Inhaling alcohol vapour appears to be more common among younger, higher-risk drinkers.  The rapid onset of action and inability to titrate consumption to effect is a risk for acute injury. We consider that alcohol is harmful enough through oral consumption without adding to the risk of injury by offering such a potentially risky additional administration method. 
  

• Winstock AR, Holmes J, Ferris JA, Davies EL, 'Perceptions of alcohol health warning labels in a large international cross sectional survey of people who drink alcohol'
  Alcohol and Alcoholism 55 (3) (2019) pp.315-322
  ISSN: 0735-0414 eISSN: 1464-3502
  Abstract

  Aims:  This paper aimed to explore perceptions of alcohol health warning labels among a large international sample of people who drink alcohol. 
  Methods: The Global Drug Survey (GDS) is the world’s largest annual cross sectional survey of drug use. Seven health warning labels were presented (relating to heart disease, liver, cancer, calories, violence, taking two days off and the myth of benefits to moderate drinking). People were asked if they were aware of the information, believed it, if it was personally relevant, and if it would change their drinking. This paper included data from 75,969 respondents from 29 countries/regions who reported the use of alcohol in the last 12 months, collected during November-December 2017 (GDS2018).  
  Results:  The fact that drinking less can reduce the risk of seven types of cancer was the least well known, and yet was demonstrated to encourage almost 40% of drinkers to consider drinking less. Women and high risk drinkers were more likely to indicate they would reduce their drinking in response to all labels. Personal relevance was identified as a key predictor of individual responses.
  Conclusions:  Findings highlight the potential of a range of health messages displayed on alcoholic beverages to raise awareness of alcohol related harms and potentially support a reduction in drinking. Further research should explore what influences personal relevance of messages as this may be a barrier to effectiveness.

  Website 
• Hennelly SE, Hussain S, Hale T Cadle M, Brooke J, Davies EL, 'University student attitudes to prosocial bystander behaviours'
  Health Education 119 (5/6) (2019) pp.408-424
  ISSN: 0965-4283 eISSN: 1758-714X
  Abstract

  Purpose: Half of British university students experience assault and harassment behaviours; few report them. Bystander intervention training has been recommended as a means of reducing these behaviours, but there is little evidence about their potential effectiveness in UK contexts. This study sought to understand UK students’ attitudes towards reporting and intervening in sexual assault, harassment, and hate crimes. Design: A mixed methods cross sectional survey (N=201; 75.6% women) was conducted in one British university. Open text data were analysed using thematic analysis. Findings: Students considered harassment and assault unacceptable, and were confident to intervene in and likely to report incidents. However, fear of backlash was a barrier to intervening and reporting, and they felt that victims should decide whether to report incidents. Students perceived perpetrators as being ignorant about what constitutes consent, harassment, and assault. They identified a need for university community education about this and how to report incidents and support peers. Research limitations/implications: This cross sectional survey was conducted at one UK University. The data might not reflect other students’ attitudes, and may be subject to response bias. 
  Practical implications: University community bystander training should be acceptable, report and support systems might be utilised by students. This may have potential to reduce prevalence and increase reporting. 
  Originality: This is the first study to investigate UK student attitudes to prosocial bystander behaviours.

  Website 
• Instone R, Davies EL, 'Exploring the application of the Prototype Willingness Model to weight loss dieting behaviour among UK adults'
  Psychology, Health and Medicine 24 (9) (2019) pp.1075-1089
  ISSN: 1354-8506 eISSN: 1465-3966
  Abstract

  Frequent weight loss dieting leads to increased BMI and is associated with eating pathologies.  Theoretical models can aid the development of interventions to reduce risk behaviours such as frequent dieting if they are able to adequately account for the target behaviour.  The Prototype Willingness Model (PWM) may be able to account for weight loss dieting as this behaviour is often associated with social images. This study explored whether the PWM could predict weight loss dieting status over and above the Theory of Planned Behaviour (TPB).  One hundred and ninety two participants (69% female; mode age 35-44) completed PWM and TPB measures and recorded their height and weight. Males were more likely to be non-dieters than females. Frequent dieters had a higher BMI than non-dieters and rated themselves as more similar to the overweight prototype.  Prototype perceptions predicted willingness to eat unhealthy foods alone. Similarity to the overweight prototype predicted weight loss dieting status over and above TPB measures and sex. Further research should explore prototype perceptions in an obese/overweight frequent dieting population as this may be a fruitful direction for developing interventions to reduce weight loss dieting.
  

  Website 
• Burgess M, Cooke R, Davies EL, 'My own personal hell: Approaching and exceeding thresholds of too much alcohol'
  Psychology and Health 34 (12) (2019) pp.1451-1469
  ISSN: 0887-0446 eISSN: 1476-8321
  Abstract

  Objectives: Government guidelines aim to promote sensible alcohol consumption but such advice is disconnected from people’s lived experiences. This research investigated how people construct personal thresholds of ‘too much’ alcohol. 

  Design and measures: 150 drinkers completed an online survey (Mage=23.29(5.51); 64.7þmale). Participants were asked whether they had an intuitive sense of what constitutes too much alcohol. They wrote open-ended descriptions of how that threshold had been established and how it felt to approach/exceed it. These qualitative accounts were coded using thematic analysis and interpreted with an experiential theoretical framework. 

  Results: Personal thresholds were based on previously experienced embodied states rather than guidelines, or health concerns. Describing the approach to their threshold, 75% of participants fell into two distinct groups. Group 1’s approach was an entirely negative (nausea/anxiety) and Group 2’s approach was an entirely positive, embodied experience (relaxed/pleasurable). These groups differed significantly in awareness of alcohol’s effects, agency and self-perceptions, but not on alcohol consumption. Exceeding their threshold was an entirely negative embodied experience for all.

  Conclusion: These findings illustrate that people are guided by experientially grounded conceptions of consumption. Interventions could target different groups of drinker according to their embodied experience during the approach to ‘too much’ alcohol.

  Website 
• Davies EL, Maier LJ, Winstock AR, Ferris JA, 'Intention to reduce drinking alcohol and preferred sources of support: an international cross-sectional study'
  Journal of Substance Abuse Treatment 99 (2019) pp.80-87
  ISSN: 0740-5472 eISSN: 1873-6483
  Abstract

  Introduction. Drinking alcohol is legal in most countries of the world. Given the social acceptance of this behavior despite potential negative impact on health, help-seeking behavior could differ when compared to other drugs. This paper aimed to assess intentions to reduce drinking and the preferred sources of support among a large international sample of people who drink alcohol.  Materials and methods. The Global Drug Survey (GDS) is the world’s largest annual survey of drug use. This paper included data from 82,190 respondents from 12 countries on four continents who reported the use of alcohol in the last 12 months, collected during November 2016 - January 2017 (GDS2017). Results. Overall, 34.8% said they would like to drink less in the following 12 months and 7.6% said they would like help to drink less. Online tools were the preferred source of support to reduce drinking by respondents from Australia, New Zealand, and the UK, those with low AUDIT scores and without a mental health condition. Specialist counselling was most preferred by those from Germany, Switzerland, and Denmark and those with high AUDIT scores, not educated to degree level and with a mental health condition. Conclusion. Interest in online interventions for harmful drinking is significant and highest among people who drink at low risk. Online tools should offer brief screening and feedback, ensuring that people with high risk drinking patterns are referred to more specialist services. 
  

  Website 
• Paltoglou AE, Morys-Carter WL, Davies EL, 'From anxiety to confidence: Exploring the measurement of statistics confidence and its relationship with experience, knowledge, and competence within psychology undergraduate students'
  Psychology Learning and Teaching 18 (2) (2019) pp.165-178
  ISSN: 1475-7257 eISSN: 1475-7257
  Abstract

  Psychology students often feel anxious about learning statistics, which can impact their performance.  However, less research has explored statistics confidence, which may be an important way to reduce the negative connotations of associating statistics with anxiety.  We aimed to explore whether modifying an existing measure of statistics anxiety (the STARS scale) and reframing the questions so students rated their confidence instead, would be associated with competence, prior knowledge and experience. A total of 104 undergraduate students completed an online questionnaire comprising these measures.  The factor structure of the STARS scale was predominantly maintained when wording was changed to measure confidence instead of anxiety.  Confidence was related to experience and competence, but not knowledge.  Two aspects of confidence (interpretation of statistics, and exam confidence) plus initial experiences were significant predictors of competence. Confidence was a mediator of the relationship between experience and competence.  These findings suggest statistics confidence can be measured in a similar way to anxiety, and highlight areas that could be addressed to increase competence.  Future research is needed to explore the relationship between statistics anxiety and statistics confidence, as well as to determine their individual impact on performance in assessments. 
  

  Website 
• Davies EL, Paltoglou AE, 'Public self-consciousness, pre-loading and drinking harms among university students'
  Substance Use & Misuse 54 (5) (2018) pp.747-757
  ISSN: 1082-6084 eISSN: 1532-2491
  Abstract

  Background. Social anxiety and self-consciousness are associated with alcohol-related problems in students. The practice of pre-loading is one avenue for exploration regarding this relationship.  Individuals may pre-load to reduce social anxiety and feel more confident when socialising, which could lead to the increased harms experienced. The current study aimed to explore reasons for pre-loading, and whether public and private self-consciousness and social anxiety were related to pre-loading, increased drinking and harms. Method. Prospective study with four-week follow up of 325 UK students aged 18-30 years old. Participants completed measures of private and public self-consciousness, social anxiety, alcohol consumption, alcohol-related harms and pre-loading. Results. Financial motives and mood-related reasons, such as gaining confidence were reported as reasons for pre-loading. Pre-loading predicted hazardous alcohol consumption, but social anxiety, and public and private self-consciousness did not.  However, pre-loading, public self-consciousness and social anxiety predicted alcohol-related harms.  Furthermore, public self-consciousness mediated the relationship between pre-loading and harms in a positive direction and this appeared to be more relevant in high risk (AUDIT 8+) than low risk drinkers. Conclusion. Students who scored higher in public self-consciousness appeared to be at greater risk of harms from pre-loading.  Further research should examine this relationship further with particular attention to high risk drinkers, and explore which aspects of a night out are related to heightened self-consciousness. Interventions could incorporate measures to reduce public self-consciousness, in order to reduce the negative impacts of pre-loading.

  Website 
• Davies EL, 'Similarity to prototypical heavy drinkers and non-drinkers predicts AUDIT-C and risky drinking in young adults: prospective study'
  Psychology and Health 34 (4) (2018) pp.403-421
  ISSN: 0887-0446 eISSN: 1476-8321
  Abstract

  Objective. The aim of the present study was to explore whether constructs within the Prototype Willingness Model (PWM) predicted risky drinking as measured by AUDIT-C, drinking harms and unplanned drunkenness in a sample of UK young adults.  Previous studies exploring the PWM often do not use validated measures of alcohol consumption, and the outcomes of risky drinking are underexplored. Design. An online prospective study design with four week follow up was employed and 385 young adults completed the study (M age = 21.76, SD = 3.39, 69.6% female; 85.2% students). Main outcome measures. Intentions to get drunk, AUDIT-C, drinking harms experienced in the last four weeks, and unplanned drunkenness in the last four weeks. Results.  Heavy and non-drinker prototype similarity predicted AUDIT-C, drinking harms and unplanned drunkenness when controlling for past behaviour and reasoned action pathway constructs.  Intentions and willingness both mediated the relationship between prototype perceptions and AUDIT-C. Conclusion. This study supports the use of the PWM in the prediction of AUDIT-C, drinking harms and unplanned drinking in a UK sample.  Prototype perceptions influenced behaviour via both reasoned and reactive cognitions. Targeting similarity to heavy and non-drinker prototypes should be the focus of future interventions in this population.

  Website 
• Perman-Howe PR, Davies EL, Foxcroft DR, 'The effect of alcohol strength on alcohol consumption: a randomised controlled cross-over pilot trial'
  Pilot and Feasibility Studies 4 (2018)
  ISSN: 2055-5784
  Abstract
  Background: Effective interventions are required to reduce alcohol consumption and its associated harms at the population level. Reducing the alcohol content of beverages has the potential to reduce alcohol consumption through non-conscious processes. Before implementing a randomised controlled trial (RCT) to assess the effect of alcohol strength on alcohol consumption its feasibility needs to established. This study aims to pilot a RCT and obtain data to estimate key parameters required when designing a RCT. These key parameters include the direction and size of the intervention effect, the efficacy and efficiency of the study processes, and the rates of licensed premises recruitment, participant recruitment and attrition. 
  Methods: A double blind randomised controlled cross-over pilot trial comparing the number of units of reduced strength lager consumed and the number of units of regular strength lager consumed in a single drinking occasion within licensed premises in the UK. Descriptive statistics will report the efficacy and efficiency of the study processes, and the rates of licensed premises recruitment, participant recruitment and attrition. Mean and 95% confidence intervals will be used to compare the consumption of alcohol, and the duration of participation in study sessions, between the intervention arm and the control arm. The mean and standard deviation of UK units of alcohol consumed will be used to calculate a sample size for a definitive RCT. 
  Discussion: This is the first naturalistic experimental study to assess the effect of alcohol strength on alcohol consumption in a single drinking occasion within licensed premises. Results from this pilot study will establish the feasibility of, and inform key data parameters for, a larger-scale study. 
  Website 
• Camp SJ, Sherlock-Smith AC, Davies EL, 'Awareness and support: students’ views about the prevention of sexual assault on UK campuses'
  Health Education 118 (5) (2018) pp.431-446
  ISSN: 0965-4283 eISSN: 1758-714X
  Abstract
  Purpose: Sexual assault is prevalent on UK University campuses, and prevention efforts are being increased. However, at present there is limited evidence about UK students’ attitudes towards sexual assault prevention and what they think should be done to effectively address the issue. The purpose of this study was to explore these views to provide a foundation for the development of a new intervention.
  Methods: A cross sectional anonymous online survey was completed by 515 students (73% women; M age 21.56; 79% heterosexual; 82.9% White). There were quantitative questions about experiences of sexual assault, attitudes towards sexual consent and victim blaming. Qualitative data was collected regarding participants’ views on what universities should do to target sexual assault.
  Findings: In line with previous studies, we found evidence of commonplace and normalised sexual assault behaviours. Women had more positive attitudes towards explicit consent than men, and were less likely to blame victims of sexual assault who had been drinking. Consent behaviour was predicted by positive views towards consent and lower levels of blaming. Themes relating to ‘awareness’, ‘attitudes’, ‘environment’ and ‘opposition’ were identified in the qualitative data.
  Practical implications: Findings highlight the importance of engaging with students to develop effective prevention measures. Students are likely to find university led prevention strategies acceptable, but this topic needs to be addressed in the context of the prevailing culture, which may provide an environment where certain behaviours are tolerated. New prevention programmes need to treat the issue as one that is relevant to all students and not just target men as perpetrators and women as victims. Such strategies need to do more than treat this as an isolated issue, to which the solution is re-education about the meaning of consent.
  Website 
• Davies EL, Joshi MS, '"Here’s to a night of drunken mistakes": Exploring experiences, regrets and optimism in young adult drinkers'
  Substance Use & Misuse 53 (13) (2018) pp.2174-2183
  ISSN: 1082-6084 eISSN: 1532-2491
  Abstract Background: Studies exploring ‘anticipated regret’ concerning alcohol rarely consider the broader consequences of excessive drinking that might be regretted.  Even if specific regrettable experiences are identified, interventions targeting them may not succeed because individuals are often optimistic about their risk susceptibility. Objectives:  This study examined the consequences young adult drinkers reported, and the extent to which these were regretted. It then explored whether consequences and regrets differentiated between high risk, low risk and light drinkers, and whether regret was related to optimism. Methods:  A cross-sectional on-line questionnaire measured drinking behaviour, consequences (frequency) and regrets (extent of likely regret) and risk perceptions (in general, and compared to others). Results: 273 participants were recruited (light (30%), low-risk (40%), and high-risk drinkers (30%). PCA detected three types of experience (common – e.g. vomiting; after-effects – e.g. being depressed; and ‘serious’ – e.g. drunk-driving), and three types of regret (‘serious’ – e.g. being aggressive; ‘common’ – e.g. wasting time; and ‘risky behaviour regrets’ – e.g. drugs).  Multinomial regression found the high-risk drink group more likely to be male, had more experiences but regretted these experiences less than other groups.  Regrets and optimism interacted, so that higher scores on common regrets were associated with greater optimism. The high-risk group was particularly characterised by optimism.
  Conclusions: High-risk drinkers may be unresponsive to anticipated regret manipulations as they do not regret post-alcohol ‘bad’ experiences, and some regrets were associated with comparative optimism.  Interventions may need to focus less on regret and aim to change risk perceptions. Website 
• Perman-Howe P, Davies EL, Foxcroft D, 'The Classification and Organisation of Alcohol Misuse Prevention with a Focus on Environmental Prevention'
  Current Addiction Reports 5 (1) (2018) pp.87-92
  ISSN: 2196-2952 eISSN: 2196-2952
  Abstract Purpose of Review. Classifying prevention as universal, selective or indicated only considers the form of interventions. This is limited as it fails to explain the function, or purpose, of interventions. This paper discusses a taxonomy for alcohol misuse prevention that considers both the form and function of prevention interventions. It adds to the previous literature by incorporating subcategories of classification for environmental prevention. Recent Findings. Within each taxonomy category there are interventions which are more, and less effective, but not one single category has comprehensive evidence of efficacy. Environmental prevention may have the greatest potential to deliver interventions that are efficient, cost effective and reduce health inequalities. However, comprehensive, systems oriented, prevention coverage should combine all three functional approaches. Summary. This taxonomy can be used to organise and classify alcohol misuse prevention interventions and to determine where alcohol misuse prevention strategies and research is warranted. Furthermore, it can help practitioners and researchers to consider the subcategories of environmental prevention: an area that is rapidly gaining traction in the prevention field.Website 
• Davies EL, Lewis E-B C, Hennelly SE, '"I am quite mellow but I wouldn't say everyone else is”: how UK students compare their drinking behaviour to their peers’'
  Substance Use & Misuse 53 (9) (2018) pp.1549-1557
  ISSN: 1082-6084 eISSN: 1532-2491
  Abstract Background:  Excessive drinking is commonplace at UK Universities.  Individuals may misperceive how much they drink compared to others and are less likely to think that they will suffer adverse consequences.  Young people often distance themselves and their friends from ‘problem drinkers’. Objectives:  The aim of the study was to explore how student drinkers compared their own drinking behaviours to the drinking behaviours of others.
  Methods:  An online survey was completed by 416 students aged 18-30 (68.5% female). They were asked ‘how do you think your drinking compares with other people like you?’ and ‘how do you think your behaviour when you drink compares with other people like you?’ Answers were subjected to thematic analysis. Results: The first main theme was about ‘identification as a ‘good’ drinker’.  Participants suggested their own behaviour when drinking was similar to their sober behaviour.  Further, they viewed themselves as more able to maintain a balance between staying in control and having fun while drinking.   The second main theme was about ‘distancing from being a ‘bad’ drinker.  Participants distanced themselves from negative prototypical drinkers, such compulsive or anti-social drinkers.  They also attributed their own drinking behaviours to situational factors, but described other people as intentionally violent or aggressive.
  Conclusions/Importance: These findings may explain the failure of some health messages to change drinking behaviours.  If drinkers perceive that their behaviour when they drink is better than other people’s then they may discount intervention messages. Targeting these biases could be incorporated into future interventions.
  Website 
• Wheatley CM, Davies EL, Dawes H, 'Unspoken playground rules discourage adolescent physical activity in school: A focus group study of constructs in the Prototype Willingness Model'
  Qualitative Health Research 28 (4) (2018) pp.624-632
  ISSN: 1049-7323
  Abstract The health benefits of exercise in school are recognised, yet physical activity continues to decline during early adolescence despite numerous interventions.  In this study we investigated whether the Prototype Willingness Model, an account of adolescent decision-making that includes both reasoned behavioural choices and unplanned responses to social environments, might improve understanding of physical activity in school.  We conducted focus groups with British pupils aged 12-13 and used deductive thematic analysis to search for themes relating to the model.  Participants described reasoned decisions about physical activity outside school and unplanned choices to be inactive during break, in response to social contexts described as more ‘judgmental’ than in primary school.  Social contexts appeared characterised by anxiety about competence, negative peer evaluation and inactive playground norms.  The Prototype Willingness Model might more fully explain physical activity in school than reasoned behavioural models alone, indicating potential for interventions targeting anxieties about playground social environments. Website 
• Davies EL, Law C, Hennelly SE, '"You have to be prepared to drink" : students’ views about reducing excessive alcohol consumption at university'
  Health Education 118 (1) (2017) pp.2-16
  ISSN: 0965-4283
  Abstract Purpose: Many existing interventions to reduce excessive drinking in University students attempt to target individual cognitions, which ignore the wider contextual features that drive excessive drinking and mark it as an important aspect of university life.  The overall aim of this study was to explore students’ views about preventing excessive drinking at university, specifically by using frameworks that take into both account individual and social influences.
  Methods: Twenty-three young adults aged 20-30 (12 females; M age = 22.91; SD = 2.57; 18 students, 5 recent graduates) took part in semi-structured interviews to explore their views about drinking and measures to reduce excessive consumption.  Transcripts were analysed using thematic analysis.
  Findings: There were three themes identified in the analysis.  These themes were named ‘the role of alcohol in student life’, drinking transitions’, and ‘prevention challenges’ and each had related sub-themes.
  Practical implications: Targeting students before they commence their course and highlighting aspects of university life that do not involve alcohol may help to reduce the pressure often felt to drink in social situations.  Providing novel, credible alternative socialising options that do not involve alcohol should be explored to determine their acceptability, and their potential to reduce excessive drinking.
  Originality/value: Few studies explore what students themselves think about reducing alcohol consumption, and most interventions focus on changing individual cognitions rather than features of the social environment. This study highlights that changing social practices related to drinking in combination with targeting individuals may be more fruitful approach to reduce excessive alcohol consumption. Website 
• Davies EL, Law C, Hennelly SE, Winstock AR, 'Acceptability of targeting social embarrassment in a digital intervention to reduce student alcohol consumption: A qualitative think aloud study.'
  Digital Health 3 (2017)
  ISSN: 2055-2076 eISSN: 2055-2076
  Abstract Objective: Increasing knowledge about alcohol related harms, changing social norms, or encouraging drinking within safe unit levels often fails to change behaviour in young people.   A novel intervention called ‘OneTooMany’ was developed which targets the short term social, and potentially, embarrassing consequences of drinking alcohol.   The aim of this paper was to explore its acceptability, and to determine any features that might influence its effectiveness as a means of reducing alcohol consumption.  
  Methods: Participants were 23 young adults (aged 18-30) currently studying at university (N=18) or in the first six months following graduation (N=5). A think aloud interview approach was employed. Three main themes were identified in a deductive thematic analysis.
  Results: Embarrassing experiences were a normalised part of drinking occasions, while some were actively avoided, others were celebrated. Humour served as a device to engage and interest participants, but could also diminish intervention messages.  OneTooMany prompted reflections on many regrettable drinking experiences, but the participants did not see themselves as the target audience for this intervention.
  Conclusions: Interventions may benefit from focussing on some of the short term, embarrassing consequences of excessive alcohol consumption. Further research is needed to ensure that reflections on past behaviour are helpful in addressing future behaviour.Website 
• Davies EL, Lonsdale A, Hennelly S, Winstock A, Foxcroft D, 'Personalized digital interventions showed no impact on risky drinking in young adults: a pilot randomised controlled trial'
  Alcohol and Alcoholism 52 (6) (2017) pp.671-676
  ISSN: 0735-0414 eISSN: 1464-3502
  Website 
• Matley F, Davies EL, 'Resisting temptation: Alcohol specific self-efficacy mediates the impacts of compensatory health beliefs and behaviours on alcohol consumption'
  Psychology, Health and Medicine 23 (3) (2017) pp.259-269
  ISSN: 1354-8506
  Abstract Awareness of health risks linked with excessive alcohol consumption appears to have little influence on how much some people drink. Compensatory health beliefs (CHBs), in which the consequences of unhealthy behaviour are considered to be neutralised by additional healthy behaviours, are one way of justifying poor health choices. Currently, the role of CHBs within the context of drinking behaviour is not well understood. This research examined associations between alcohol specific compensatory health beliefs (ACH-Beliefs) and behaviours (ACH-Behaviours), alcohol consumption and alcohol specific self-efficacy (ASE), via an online survey completed by 249 participants, aged 18 + years (63.1% female; M age = 41.62 years; SD = 14.80). Higher ACH-Beliefs were associated with increases in ACH-Behaviours. While both predicted alcohol consumption, a greater proportion of variance was explained by ACH-Behaviours. ASE was a significant mediator of those relationships, suggesting that those with higher ASE may be better equipped to regulate drinking behaviour. Recommendations for future research include measuring both CHBs and behaviours within an experimental design, and further investigation of related cognitions such as compensatory behaviour intentions. Alcohol misuse interventions may wish to consider the potential roles of CHBs and behaviours in facilitating maladaptive coping strategies, and how addressing these may reduce harms.Website 
• Davies EL, Conroy D, Winstock AR, Ferris J, 'Motivations for reducing alcohol consumption: An international survey exploring experiences that may lead to a change in drinking habits'
  Addictive Behaviors 75 (2017) pp.40-46
  ISSN: 0306-4603 eISSN: 1873-6327
  Abstract
  Aims. Brief interventions delivered by doctors and other healthcare practitioners might be meaningfully enhanced by understanding what individual experiences might lead patients to cut down. The aim of the current paper was to explore the experiences that might lead people to reduce their alcohol consumption and to compare these findings between respondents from 21 different countries.
  Methods. Global Drug Survey is an online cross sectional, opportunistic anonymous survey. This paper includes 72,209 respondents from 21 counties with over 250 respondents (60.8% male).
  Results. Almost a third (32.9%) of participants reported that they would like to drink less alcohol over the next 12 months, and a third thought their GP would tell them to cut down if they were honest about their drinking. The primary experiences that were rated as most likely to lead to a change in behaviour were related to physical health, sexual assault and having to seek emergency medical treatment. Respondents from Germany were more likely to select embarrassment as a motivation to reduce drinking than those from other counties. Females were more likely to report indicate motivations related to sexual regret, sexual assault or seeking treatment. Older participants and those in the low risk audit category were more likely to report embarrassment or forgetfulness as potential motivation for change.
  Conclusion. Understanding the different motivations that may lead individuals to change their drinking behaviours can be used to inform targeted brief interventions and targeted public health guidance.
  Website 
• Davies EL, Jolley D, Coiffait F-M, 'Reflection and connection: UK Psychologists’ views and experiences of blogging'
  E-Learning and Digital Media 13 (5-6) (2017) pp.196-211
  ISSN: 2042-7530 eISSN: 2042-7530
  Abstract The value of using social media is being increasingly recognised among the academic community.  Blogging has been identified by some researchers as a means of reaching a non-academic audience and in order to increase research citations.  However, there is little research exploring this method of communication within specific disciplines.  This study, therefore, explored UK psychologists’ views and experiences of blogging using an online survey, of both blog writers and non-blog writers. In addition, the study sought to determine whether those who identified as blog writers when they completed the survey, and who consented to a content analysis of their posts, were still posting regularly 12 months later. The majority of the blog writers said that they wrote blogs as a means of expressing themselves and their research.  Content analysis reflected the survey findings, with research as the most common category for posts, but we identified that the intended audience for such posts appeared to be other academics.  Interestingly, 37% of blog writers had stopped regularly posting at the point where posts were analysed, 12 months after the survey.   Moreover, despite positive attitudes and subjective norms about blogging across the sample, we also identified that for respondents who were non-blog writers were reluctant to blog because they worried that their contribution may not be valued, or that they did not have the time.  These findings highlight that there is work to do in order to convince psychologists to engage – and to continue doing so - with this medium of communication. Website 
• Davies EL, Paltoglou AE, Foxcroft DR, 'Implicit alcohol attitudes predict drinking behavior over and above intentions and willingness in young adults but willingness is more important in adolescents: implications for the Prototype Willingness Model.'
  British Journal of Health Psychology 22 (2) (2017) pp.238-253
  ISSN: 1359-107X eISSN: 2044-8287
  Abstract Objectives: Dual process models, such as the Prototype Willingness Model (PWM), propose to account for both intentional and reactive drinking behaviour.  Current methods of measuring constructs in the PWM rely on self-report, thus require a level of conscious deliberation.  Implicit measures of attitudes may overcome this limitation and contribute to our understanding of how prototypes and willingness influence alcohol consumption in young people.  This study aimed to explore whether implicit alcohol attitudes were related to PWM constructs and if they would add to the prediction of risky drinking. 
  
  Design: The study involved a cross-sectional design. The sample included 501 participants from the United Kingdom (Mean age 18.92; range 11-51; 63% female); 230 school pupils and 271 university students.
   
  Methods: Participants completed explicit measures of alcohol prototype perceptions, willingness, drunkenness, harms, and intentions.  They also completed an implicit measure of alcohol attitudes, using the Implicit Association Test.
   
  Results: Implicit alcohol attitudes were only weakly related to the explicit measures. When looking at the whole sample, implicit alcohol attitudes did not add to the prediction of willingness over and above prototype perceptions. However, for university students implicit attitudes added to the prediction of behaviour, over and above intentions and willingness.  For school pupils, willingness was a stronger predictor of behaviour than intentions or implicit attitudes. 
  
  Conclusions: Adding implicit measures to the PWM may contribute to our understanding of the development of alcohol behaviours in young people.  Further research could explore how implicit attitudes develop alongside the shift from reactive to planned behaviour.  
   
  Website 
• Davies EL, '"The monster of the month": teachers’ views about alcohol within personal, social and health education (PSHE) in schools'
  Drugs and Alcohol Today 16 (4) (2016) pp.279-288
  ISSN: 1745-9265
  Abstract Purpose:  There is a lack of evidence for effective school based prevention programmes to reduce alcohol misuse in adolescents.  This study sought to explore teacher’s views about alcohol education in secondary schools in order to inform the subsequent development of new educational and intervention measures.
  
  
  Methodology: Semi structured interviews were conducted with nine female teachers from a range of schools who had responsibility for designing and delivering Personal Social and Health Education (PSHE).
   
  Findings: Three main themes were identified in a thematic analysis of the interview transcripts.  The themes demonstrated the importance of PSHE to these teachers, who faced challenges in delivering a comprehensive enough curriculum.  Alcohol unit knowledge and responsible drinking were priorities for the teachers.  However, given the many pressures faced by young people, alcohol could be viewed as just one challenge amongst many.  
  Research Implications: Interventions may be seen as too compartmentalised by teachers if they fail to address the wider concerns of adolescents.  Intervention developers should consider gaining input from teachers on the content of their programmes prior to running a trial to enhance feasibility and acceptability.
  
  Originality/Value: There are few studies that have explored what teachers think about alcohol education in general or about the content of specific interventions prior to their implementation.
  
  This study adds their voice to the literature, and highlights the importance of considering the views and first hand experiences when developing new alcohol interventions aimed at adolescents.
   
  Website 
• Foxcroft D, Callen H, Davies EL, Okulicz-Kozaryn K, 'Effectiveness of the Strengthening Families Programme 10–14 in Poland: cluster randomized controlled trial'
  European Journal of Public Health 27 (3) (2016) pp.494-500
  ISSN: 1101-1262 eISSN: 1464-360X
  Abstract

  Background: The Strengthening Families Programme for youth aged 10-14 and parents/carers (SFP10-14) is a family-based prevention intervention with positive results in trials in the United States. We assessed the effectiveness of SFP10-14 for preventing substance misuse in Poland.
  

  Methods: Cluster randomized controlled trial with 20 communities (511 families; 614 young people) were allocated to SFP10-14 or a control arms. Primary outcomes were alcohol, smoking and other drug use. Secondary outcomes included parenting practices, parent–child relations, and child problem behaviour. Interview-based questionnaires were administered at baseline and at 12- and 24-months post-baseline, with respective 70.4% and 54.4% follow-up rates.
  

  Results: In Bayesian regression models with complete case data we found no effects of SFP10-14 for any of the primary or secondary outcomes at either follow-up. For example at 24-months, posterior odds ratios and 95% credible intervals for past year alcohol use, past month binge drinking, past year smoking, and past year other drug use, were 0.83 (0.44-1.56), 0.83 (0.27-2.65), 1.94 (0.76-5.38), and 0.74 (0.15-3.58), respectively. Although moderate to high attrition rates, together with some evidence of systematic attrition bias according to parent education and family disposable income, could have biased the results, the results were supported in further analyses with propensity score matched data and 40 multiple imputed datasets.

  Conclusion: We found no evidence for the effectiveness of SFP10-14 on the prevention of alcohol or tobacco use, parenting behaviour, parent-child relations or 4 child problem behaviour at 12- or 24-month follow-up in a large cluster randomised controlled trial in Poland. 

  Website 
• Kennedy S, Davies EL, Ryan L, Clegg ME, 'Applying an extended Theory of Planned Behaviour to predict breakfast consumption in adolescents'
  European Journal of Clinical Nutrition 71 (2016) pp.607-613
  ISSN: 0954-3007 eISSN: 1476-5640
  Abstract

  Background/Objectives: Breakfast skipping increases during adolescence and is associated with lower levels of physical activity and weight gain. Theory-based interventions promoting breakfast consumption in adolescents report mixed findings, potentially due to limited research identifying which determinants to target. This study aimed to: (i) utilise the Theory of Planned Behaviour (TPB) to identify the relative contribution of attitudes (affective, cognitive and behavioural) to predict intention to eat breakfast and breakfast consumption in adolescents; (ii) determine whether demographic factors moderates the relationship between TPB variables, intention and behaviour.

  Subjects/Methods: Questionnaires were completed by 434 students (mean 14 ± 0.9 years) measuring breakfast consumption (0-2, 3-6 or 7 days), physical activity levels and TPB measures. Data were analysed by breakfast frequency and demographics using hierarchical and multinomial regression analyses. 

  Results: Breakfast was consumed every day by 57% of students with boys more likely to eat a regular breakfast, report higher activity levels and more positive attitudes towards breakfast than girls (p<.001). The TPB predicted 58% of the variation in intentions. Overall, the model was predictive of breakfast behaviours (p<.001), but the relative contribution of TPB constructs varied depending on breakfast frequency. Interactions between gender and intentions were significant when comparing 0-2 and 3-6 day breakfast eaters only highlighting a stronger intention-behaviour relationship for girls. 

  Conclusions: Findings confirm that the TPB is a successful model for predicting breakfast intentions and behaviours in adolescents. The potential for a direct effect of attitudes on behaviours should be considered in the implementation and design of breakfast interventions. 

  Website 
• Davies EL, 'Feasibility of the Prototype Willingness Model as the basis for school-delivered alcohol misuse prevention: A qualitative think aloud study to explore acceptability of ‘The Alcohol Smart Quiz’ with adolescents and teachers.'
  Journal of Health Psychology 23 (9) (2016) pp.1196-1210
  ISSN: 1359-1053
  Abstract This study sought feedback from teachers and adolescents on a novel intervention to reduce alcohol misuse based on the Prototype Willingness Model.  A qualitative, think aloud interview study was conducted with 17 adolescents aged 11-14 and nine teachers. Transcripts were analysed using thematic analysis.
  
  Adolescents found the content of the intervention appealing and credible.  Teachers welcomed the content and format of as a means of generating discussion.  ‘Moderate’ drinking appeared to be an acceptable message, although difficult to define.  Enacting ‘if-then’ plans in real social situations might be challenging and representations of drinking on social media should be considered.
  Website 
• Davies EL, Martin J, Foxcroft D, 'Development of an adolescent alcohol misuse intervention based on the Prototype Willingness Model: A Delphi study'
  Health Education 116 (3) (2016) pp.275-291
  ISSN: 0965-4283 eISSN: 1758-714X
  Abstract

  Purpose of the paper: The purpose of this paper is to report on the use of the Delphi method to gain expert feedback on the identification of behaviour change techniques (BCTs) and development of a novel intervention to reduce adolescent alcohol misuse, based on the Prototype Willingness Model (PWM) of health risk behaviour.

  Methodology:  Four BCTs based on the PWM were identified and incorporated into a draft intervention that aimed to change alcohol prototypes and enable adolescents to deal with social pressure.  Using the Delphi process, successive questionnaires were distributed to 20 international experts to build consensus on the theoretical validity of the intervention.

  Findings: Fifteen experts completed round one and eleven completed round two of the Delphi study.  A high level of consensus was achieved.   Four priority areas were identified to improve the intervention: 1) incorporating extra techniques to address social pressure, 2) increasing intensity, 3) providing incentives, and 4) addressing credibility.

  Limitations:  The sample of experts was self-selected and four participants were lost between the first and second round of the study.

  Implications: The effectiveness of the identified BCTs will be evaluated within an intervention to reduce alcohol misuse in adolescents.  Further work should build towards a more unified approach to developing interventions based on the PWM.  The Delphi method is likely to be particularly useful when there is no existing consensus about which BCTs to use that reflect certain theoretical constructs or that best target a specific population or behaviour.

  Originality/ value: This paper is the first to address the identification of specific BCTs based on the PWM and thus makes an important contribution to the application of this model to interventions.  This novel application of the Delphi method also makes a useful addition to the growing field of intervention development and design.   

  Website 
• Jolley D, Coiffait F, Davies EL, 'Welcome to ‘blogademia’'
  Psychologist 29 (4) (2016) pp.284-287
  ISSN: 0952-8229
  Abstract

  The British Psychological Society’s Public Engagement and Media Award in 2015 went to Mindhacks, a blog led by psychologists Dr Vaughan Bell and Dr Tom Stafford that has featured over 5000 posts across the past decade. Example posts include descriptions of visual illusions, a self-test for synaesthesia, and tips on the best way to win an argument. Accepting the award at the Society’s Annual Conference, the pair urged: ‘Each one of you has probably got those 5000 posts inside you. Make use of the resources on the internet, but put your own thoughts online too.’ We share their passion for ‘blogademia’ (a term coined by Saper, 2006), and here we aim to reflect on its purpose, positives and pitfalls, moving on to some general tips and guidance on blogging specifically for psychologists.

  Website 
• Davies EL, Morys-Carter WL, Paltoglou AE, 'Helping students to climb the mountain: A study to inform the development of a resource to improve the learning of statistics in psychology'
  Psychology Teaching Review 21 (1) (2015) pp.56-67
  ISSN: 0965-948X
  Abstract

  Students often struggle with learning about statistics, which encompass a large proportion of a psychology degree.  This pilot study explored how first- and final-year students reflected on their experiences of being taught this topic, in order to identify needs that could be addressed in a project to improve their learning. 

  First-year students reported that they initially found their module challenging but that it became easier towards the end.  Third year students recognised the importance of the topic but were not confident in their abilities.  Most students reported anxiety about statistics.  Although students were positive about practical classes, many felt that they could not easily remember the materials.   The findings suggested three areas of focus to improve student learning.  Firstly, diverse needs and levels of ability should be catered for.  Secondly, students need help to go beyond surface learning and button clicking.  Finally, low levels of engagement should be addressed.

  This work has informed a project to develop an online resource to address the above identified needs to enhance teaching of this important topic. 

  Website 
• Morys-Carter WL, Paltoglou AE, Davies EL, 'Vertical enhancement of second-year psychology research'
  Psychology Teaching Review 21 (1) (2015) pp.68-72
  ISSN: 0965-948X
  Abstract
  Statistics and Research Methods modules are often unpopular with psychology students; however, at Oxford Brookes University the seminar component of the second-year research methods module tends to get very positive feedback. Over half of the seminars work towards the submission of a research-based experimental lab report. This article introduces and reflects on some of the recent changes made to improve this coursework by increasing the similarities with staff research; specifically targeting the areas of supervision, ethical review, peer review and dissemination. These developments are aligned with the teaching fellowship project, Vertical Enhancement of Statistics and Psychology Research, and aim to encourage second-year students to treat their group experiments as part of the department’s research activity, rather than simply as pieces of coursework. Enhancing this research-based aspect of the student experience teaching will hopefully, in turn, lead to higher quality third-year dissertations by increasing student enthusiasm for academic research. 
• Davies EL, Martin J, Foxcroft D, 'Age differences in alcohol prototype perceptions and willingness to drink in UK adolescents'
  Psychology, Health and Medicine 21 (3) (2015) pp.317-329
  ISSN: 1354-8506
  Abstract

  Using the Prototype Willingness Model (PWM) as a framework, this study sought to explore the relationship between prototype perceptions, willingness and alcohol consumption in a sample of adolescents in the United Kingdom.  Adolescents aged 11-17 were asked about their alcohol prototype perceptions, willingness to drink, intentions, alcohol consumption, drunkenness and harms using a cross sectional online survey.  Participants were recruited through opportunity sampling via schools and parents.  The survey was completed by 178 respondents (51% female; 91 aged 11-15, 87 aged 16-17).  Multivariate analysis revealed significant differences between participants aged 11-15 and 16-17 on PWM measures, even when experience with drinking was accounted for (p<.001).  There were significant interactions (p<.001) between age and prototype perceptions; younger participants rated non-drinker prototypes as more favourable and more similar to the self than 16-17 year old participants.  Willingness and intentions interacted with age; both measures were similar in 16-17 year olds, whereas younger participants scored significantly higher on willingness than intentions (p<.001).  Three distinct scales of prototype descriptions were identified in principal components analysis.  Characteristics related to sociability significantly predicted willingness to drink alcohol in the sample (p<.001).  This study extends previous research by demonstrating that the PWM can provide a theoretical explanation of adolescent drinking in the UK.  The results suggest that 11-15 year olds may the most suitable age group for an intervention that targets alcohol prototypes, with a focus on characteristics related to sociability.

   

  Website 
• Davies EL, Martin J, Foxcroft DR, 'Development and acceptability of a co-produced online intervention to prevent alcohol misuse in adolescents: A think aloud study'
  JMIR Human Factors 2 (2) (2015)
  ISSN: 2292-9495
  Abstract

  Background: The Prototype Willingness Model (PWM) may offer an appropriate basis for explaining and preventing adolescent alcohol misuse.  An intervention was developed using a co-production approach, and consisted of an online quiz featuring 10 questions linked to PWM.

  Objectives: This study sought to determine the acceptability and relevance of the intervention content to young people, in order to incorporate their feedback into a final version.

  Methods: A qualitative think aloud study with follow up semi-structured interviews was undertaken with 16 young people aged 11-15 (50% female), Transcripts were analysed using thematic analysis.

  Results: Three main themes relating the acceptability of the intervention were identified; ‘challenging expectations of alcohol education’; ‘motivations for drinking or not drinking’ and ‘the inevitability of drinking’.  Participants found the intervention appealing because it was counter to their expectations.  The content appeared to reflect their experiences of social pressure and drinking encounters.  There was evidence that a focus on drinker/non-drinker prototypes was too narrow and that because adolescents perceived drinking as inevitable, it would be challenging to enact any plans to resist pressure to drink. 

  Conclusions: An online intervention based on the PWM has the potential to engage and interest adolescents.  A wide range of alcohol prototypes should be targeted and a focus on short term harms should ensure that the intervention is credible to young people.  

  Website 
• Davies EL, Jackson EJ, 'Some students really want to know obscure facts about chi-square but others will pass out in terror if you mention it’: Psychology postgraduates’ experiences of teaching research methods'
  Psychology Teaching Review 20 (1) (2014) pp.13-22
  ISSN: 0965-948X
  Abstract

  Gaining teaching experience is an important aspect of being a psychology postgraduate.  We undertook an online survey of 140 postgraduates from 50 UK institutions to explore their experiences of teaching with a focus on research methods in order to inform training and workshop provision. Of the sample, 91% we involved in some type of teaching; the most commonly reported activity was marking.  Participants reported a high level of enjoyment of teaching and thought it was an important part of their future careers.  Written responses were received from 85 respondents about their experiences of teaching research methods.  Qualitative analysis of these findings allowed us to identify the positive aspects of this experience, such as finding it rewarding to help students with this important area of their learning.  Our findings also identified challenges in teaching research methods such as confidence, student disengagement and lack of control over content taught.   The findings are discussed in light of their implications for future training provision for postgraduates who teach.

• Davies EL, Martin J, Foxcroft DR, 'Young People Talking About Alcohol: Focus Groups Exploring Constructs in the Prototype Willingness Model'
  Drugs: Education, Prevention, and Policy 20 (2013) pp.269-277
  ISSN: 0968-7637 eISSN: 1465-3370
  Abstract

  Aim: This study aimed to explore constructs in the prototype willingness model (PWM) to establish if it provides a basis for understanding and preventing alcohol misuse in teenagers in the UK.

  Methods: Four focus groups were carried out with 11–13 and 16–17 year olds. There were 13 males and 14 females. Transcripts of the focus groups were analysed using thematic analysis in NVivo.

  Findings: Three PWM relevant themes were identified. The first theme brought together the alcohol prototypes described by participants. The second theme addressed drinking contexts and contrasts evidence that suggests that some drinking is planned and some is unplanned. The final theme looks at attitudes and norms including participants’ attitudes towards alcohol education.

  Conclusions: The findings from this study show that young people in this sample held clear prototypes in relation to alcohol. The evident difference between ‘planned’ and ‘unplanned’ drinking contexts suggests that the PWM provides a more satisfactory explanation of young people's drinking than a decisional model based on intentions alone. Drinking alcohol was reported by the participants as a normative teenage behaviour. Implications for an intervention programme targeting alcohol prototypes and future research are discussed.

   

  Website 

Book chapters

• Davies EL, Smith J, Johansson M, Hill K, Brown K, 'Can’t dance without being drunk? Exploring the enjoyment and acceptability of conscious clubbing in young people' in D. Conroy, & F. Measham (ed.), Young Adult Drinking Styles: Current Perspectives on Research, Policy and Practice, Palgrave Macmilan (2020)
  ISBN: 9783030286071 eISBN: 9783030286064
  Abstract

  In this chapter, we focus on the emergence of the conscious-clubbing movement and its potential benefits to young adults as a way of spending social time without drinking alcohol.  Efforts to promote moderate drinking among young people may be challenging when the environment strongly encourages drinking, but conscious clubbing, which has roots in rave culture and involves dancing without the use of alcohol or other drugs, may offer an alternative.  Drawing on literature from the rave scene and the benefits of dancing in a group, we introduce conscious clubbing and how it could bring about meaningful experiences in participants’ lives, while at the same time, reducing the consumption of alcohol, and in doing so, we draw on our own recent survey research.  This research illuminates challenges in the acceptability of conscious clubbing to some young people, which we discuss alongside suggestions for new directions for research in this area, at the end of the chapter. 
  

  Website 

Conference papers

• Brett J, Matley F, Aveyard P, Davies E, Foxcroft D, Wells M, Nicholson B, Sinclair L, De Silva Minor S, Jake S, Watson E, 'E-cigarettes as a Smoking Cessation aid in Cancer Patients: Health Professionals knowledge, attitude and current practice.'
  (2018)
  Abstract

  Background. The adverse effects of smoking continue after a diagnosis of cancer, increasing risk of treatment-related complications, recurrence, development of second primary cancer, and mortality. E-cigarettes have become increasingly popular, and there is growing evidence of a significant reduction in harm compared to tobacco smoking, providing an alternative approach for smoking cessation in cancer patients.  However, while Public Health England and the Royal College of Physicians support the use of e-cigarettes for smoking cessation, their use remains controversial. Method. This study was a national online survey to investigate UK health professionals’ knowledge, attitudes, and current practice of e-cigarettes as a smoking cessation intervention in cancer patients. 506 health professionals (HPs) completed the survey including GPs (n=103), oncologists (n=102), cancer surgeons (n=100), practice nurses (n=102), cancer nurse specialists (n=99).  The sample was stratified by NHS regions. Results. Twenty nine percent of HPs would not recommend e-cigarettes to cancer patients who smoke, with cancer surgeons and cancer nurse specialists significantly less likely to recommend e-cigarettes.  38% believed colleagues would feel uncomfortable about recommending e-cigarettes to cancer patients.  The majority of respondents reported that e-cigarettes were either banned or only allowed in designated tobacco smoking areas in both primary and secondary care.  46% of HPs reported their organisation did not have guidance on e-cigarettes, with 45% of HPs saying they were unsure. Over half of HPs believed their knowledge was not sufficient to recommend e-cigarettes to cancer patients, and 25% did not know whether e-cigarettes were less harmful than smoking tobacco cigarettes. Conclusion. While UK health policy promotes e-cigarettes as a smoking cessation aid, this has not yet been adopted by local health organisations, causing barriers to and uncertainty around promoting use of e-cigarettes in cancer patients that smoke. Training of health professionals and local adoption of e-cigarette advice are needed.
  

  Website 

Membership of professional bodies

Membership of Professional Bodies

• Member of the Global Drug Survey (GDS) International Expert Advisory Group.
• Member of the UK Society for Behavioural Medicine UKSBM Early Career Network Committee 2017-2017
• Chartered Psychologist and member of the British Psychological Society (BPS)
• Fellow of the Higher Education Academy (HEA)
• Communications Officer, Newsletter Editor, Oxford Hub Coordinator for BPS West Midlands Branch 2014-2015
• Psychology Postgraduate Affairs Group (PsyPAG) Vice Chair 2012-2014

Conferences

Selected Conference Presentations

Davies, E.L., Lynskey, M, Maier, L.J, Ferris, J.A. & Winstock, A.R  Perceptions of cannabis health information labels in a large international sample of people who use cannabis: will cannabis companies grow to be different to the alcohol and tobacco industries? (oral presentation) EUSPR Conference, Ghent, September 2019

Davies, E.L., Maier, L.J, Barratt, M, Winstock, A.R & Ferris, J.A. What a quarter of a million clubbers can tell us about alcohol related harms using findings from the last five years of Global Drug Survey, Club Health Conference Amsterdam May 2019.

Davies, E.L., Holmes, J, Maier, L.J., Barratt, M., Ferris, J.A. & Winstock, A.R. The impact of alcohol health warning labels on drinking behaviours: an international survey, UK Society for Behavioural Medicine (UKSBM) Annual Scientific Meeting, Birmingham, UK, December 2018

Davies, E.L., Holmes, J, Maier, L.J., Barratt, M., Ferris, J.A. & Winstock, A.R.  Alcohol health warning labels and their impact on drinking behaviours: an international survey, European Society for Prevention Research, Lisbon, Portugal, October 2018.

Davies, E.L., Maier, L.J., Winstock, A.R. & Ferris, J.A. Intention to reduce drinking and preferred sources of support: an international cross-sectional study, European Health Psychology Society Conference, Galway, Ireland, August 2018.

Davies, E., Lewis, E-B. & Hennelly, S. “I am quite mellow but I wouldn't say everyone else is”: A mixed methods exploration of normative misperceptions of alcohol consumption and self-evaluation of drinking behaviour compared to others (Poster presentation) British Psychological Society Annual Conference, Brighton, May 2017

Davies, E.L. ‘You can be different types of drunk’: A think aloud study with adolescents and teachers to explore acceptability of a digital intervention to reduce alcohol misuse (oral presentation as part of symposium  on ‘Applying user-centred development methods to create acceptable and persuasive digital health interventions’) UK Society for Behavioural Medicine Annual Conference, Cardiff, UK, December 2016

Davies, E.L. Lonsdale, A.J., Hennelly, S. & Foxcroft, D.R. Personalised digital interventions have no impact on risky drinking and alcohol related harms in young people in a randomised controlled trial (poster presentation) European Society for Prevention Research Annual Conference, Berlin, Germany, November 2015

Davies, E.L. How much is too much? A think aloud study to explore the feasibility and acceptability of a digital intervention for the prevention of alcohol related harm in adolescents (oral presentation) European Society for Prevention Research Annual Conference, Ljubljana, Slovenia, October 2015

Davies, E.L. It's okay to have alcohol every now and again but excessive drinking is a bit weird: exploring the acceptability and feasibility of the alcohol smart quiz in a think aloud study (poster presentation) British Psychological Society Division of Health Psychology Annual Conference, London, September 2015

Davies. E.L, Martin, J & Foxcroft D.R. Development of a co-produced intervention to prevent alcohol misuse in young people: A think aloud study (Poster presentation) British Psychological Society Annual Conference, Liverpool, May 2015

Davies. E.L, Martin, J & Foxcroft, D. A think aloud study evaluating the acceptability and feasibility of an alcohol misuse intervention for young people (Oral presentation) Alcohol Research UK Postgraduate and early career research symposium, London, March 2014.

Invited Talks/Workshops

International comparisons of drinking behaviours and responses to alcohol health warning labels: findings from the global drug survey. Invited talk at London South Bank University, February 2019.

Psychological Approaches to Reducing Alcohol Related Harms in Adolescents Invited talk at Oxford University Psychology and Neuroscience Applications Society 24th February 2016 http://psynapps.org/2016/03/11/psychological-approaches-to-alcohol-related-problems-in-adolescence/

Adding value to your PhD Invited workshop at PsyPAG 30th Anniversary conference, Glasgow, July 2015.

Member of early career researcher panel at Emerging New Researchers in Geographies of Health and Impairment(ENRGHI)Conference, Portsmouth, June 2014

Development and specification of novel behavioural interventions. Pre-conference workshop sponsored by Science for Prevention Academic Network (SPAN) at European Society for Prevention Research, Paris, November 2013.

Press, publicity and reviews

https://www.oxfordmail.co.uk/news/17666620.alcohol-study-shows-hangovers-not-health-influence-drinking-say-oxford-brookes-university-researchers/

Further information

https://twitter.com/I_am_emma