Professor Anne Forster

Professor of Stroke Rehabilitation; Head of Academic Unit for Ageing and Stroke Research, Director of Research, University of Leeds; NIHR Senior Investigator; NIHR Training Advocate

a.forster@leeds.ac.uk

ORCID: 0000-0001-7466-4414

Anne Forster is a physiotherapist with a long-standing interest in stroke and has undertaken a number of randomised trials and qualitative studies examining the effect of interventions to improve the longer-term outcome for patients and carers. Interventions evaluated include: the effectiveness of home physiotherapy; provision of specialist nurse support for community-based patients and their families; information/ education provision in stroke unit settings.

Anne is the chief investigator for the two largest recruiting multi-centre trials in stroke rehabilitation in the UK. She is also developing a programme of research focused on residents in care homes. This work is supported by the West Yorkshire Care Home Research Network.

In 2015 Anne has taken up the position as the Head of the Academic Unit for Ageing and Stroke Research.

In 2017 she was awarded as an NIHR Senior Investigator, who is among the most prominent and prestigious researchers funded by the NIHR and the most outstanding leaders of patient and people-based research within the NIHR Faculty.

In 2021 she was appointed as the Director of Research and Innovation at Leeds Institute of Health Sciences, University of Leeds.

Anne is also a NIHR Academic Training Advocate (with an emphasis on physiotherapy). She acts as an ambassador for a career in health research, promoting the NIHR training and career opportunities. Providing support to, and advocating for members of the non-medical professions who wish to begin or continue a research career. See http://www.nihr.ac.uk/our-faculty/academic-training-advocates.htm

Recent Funding Awarded

Clegg A, Crocker T, Ensor J, Forster A, Gladman J, Riley R. Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis NIHR HTA £298,981.99 01/12/2019-31/05/2021

Clegg A, Birks Y, Boijke C, Farrin A, Forster A, Hawkins R, Hawley M, Mountain G, Mukuria C, Rodriguez M, Reeve J, Richards S, Sheard L, Spilsbury K, Teale E, West R, Wilberforce M. Applied Research Collaborations: Older People with Frailty theme. NIHR Applied Research Collaborations £1,424,815; 01/10/2019-30/09/2024.

Hull K, Forster A, Graham L, Evaluating the validity, reliability and acceptability of a Postural Assessment Tool for older people living with frailty in care homes. Physiotherapy Research Foundation £24,908, 01/05/2019 -30/04/2020 (12 months).

Silman A, Clegg A, Prieto-Alhambra D, Strauss VY, Gentry T. Identifying trajectories of progression of frailty in elderly individuals. NIHR RfPB £149,550; 01/04/2019-31/03/2021.

Teale E, Forster A, Young J, Farrin A, Coleman S, Nixon J, Cundill B, Conroy S, Hulme C, Clarke D, Banerjee J, Jeffrey C, Lawton R. Developing a novel system of care targeting risk factors for five manifestations of frailty to maintain the independence of older people in hospital and post-discharge. NIHR Programme Development Grant £99,952; 01/04/2019-30/09/2020.

Clarke D, Forster A, Tyson S, Burton L. Talking about recovery after stroke: How do we do it and how can we do better? Stroke Association Fellowship Postgraduate Fellowship £105,000; 01/09/2017-31/08/2020.

Forster A, Clarke D, Birch K, Carter G, Holloway I, Oxley S, Farrin A, Patel A, English C, Mead G, Lawton R. Development and evaluation of strategies to reduce sedentary behaviour in patients after stroke and improve outcomes. NIHR, Programme Grants for Applied Research £3,013,121; 01/10/2017-31/09/2024 (84 months).

Clegg A, Young J, Forster A, Farrin A, Hartley S, Hulme C, Clarke D, Wright P, Cundill B. Randomised controlled trial evaluation to determine the clinical and cost effectiveness of a Home-based exercise intervention as Extended Rehabilitation in Older people with frailty following acute illness or injury, including internal pilot and embedded process evaluation (HERO). NIHR HTA £2,038,930.19; 01/03/2017- 31/05/2021 (51 months).

Thyer N, Jackson C, Cocks K, Forster A, Hickson, L, Gailey L, Gardner R, Smith R, Bell, K, Dennison J. Feasibility of a RCT of the Active Communication Education (ACE) programme plus hearing-aid provision versus hearing-aid provision alone. 2016 NIHR, RfPB  £249,935.00

Markus HS, O’Sullivan M, de Leeuw F, Hollocks MJ, Husain M, Morris R, Barrick TR, Forster A. Apathy in stroke and cerebral small vessel disease – towards better understanding and more effective treatment approaches. The Stroke Association£445,413, 01/10/2015 – 30/09/2020 (60 months).

Forster A, Graham E, Farrin A, Hulme, C, Fisher J, Hull K, Hawkins R. Skilful Care Training Package for residents in care homes: cluster randomised controlled feasibility trial. Physiotherapy Research Foundation, £300,340.55, 01/09/2016-31/03/2019.

Singh S, Clague-Baker N, Robinson T, Carpenter C, Gilles C, Forster A. A feasibility study to identify attitudes, determine outcome measures and develop an intervention to inform a definitive trial that will determine the effectiveness of adapted cardiac rehabilitation for sub-acute stroke patients. The Stroke Association, £205,240; 01/01/14-31/12/2016.

Dean S, Forster A, Taylor R, Spencer A, James M, Allison R, Stevens S, Norris M, Poltawski L. Community-based Rehabilitation Training after Stroke (ReTrain): a pilot RCT. Stroke Association, £161,180; 01/01/2015-31/10/2017.

Clarke DJ, Forster A, Rodgers H, Tyson S, Drummond A, Palmer R, Prescott M. ReAcT: Why do stroke patients not receive the recommended amount of therapy? NIHR RfPB, £346,189; 01/09/2014-28/02/2017.

Forster A, Young J, Hewison J, House A, Hulme C, Hawkins R, Dickerson J, Richardson G, Bhakta B, Hartley S, Speed M, McKevitt C, Farrin A, Fay M, McEachan R, Foy R. Development and evaluation of strategies to provide longer-term health and social care for stroke survivors and their carers. NIHR Programme Grants for Applied Research £1,643,906, 01/10/2013 – 30/09/2018.

Forster A, Young J, Farrin A, Johnson L, Birch K, Hulme C, Godfrey M, Keighley L, Buttle L, Graham E, Firth J, Siddiqi N, Ellard D, Lawton R. Development and preliminary testing of strategies to enhance routine physical activity in care homes. NIHR Programme Grant for Applied Research. £1,647,249, 01/05/2013 – 30/04/2017

Pollock A, Morris J, Forster A. Physical rehabilitation treatment approaches following stroke: Cochrane systematic review of the evidence. Chief Scientist Office. £49,951, 01/03/2013 – 2/02/2014.

CIMSS programme (5th year funding). NIHR CLAHRC £2million, 01/10/2012 – 30/09/2013.

Young J, Forster A, Noonan K, Barber S, Kirby J, Speed M, Ozer S, Jones R. Investigation of screening tools for amnestic mild cognitive impairment (a-MCI). NIHR RfPB. £225,934, 03/12/2012 – 02/12/2015.

Rodgers H, Deverill M, Drummond A, Ford G, Forster A, Howel D, Laverty A, McKevitt C, McMeekin P, Price C, Shaw L, Cant R. A trial to evaluate an extended rehabilitation service for stroke patients. NIHR HTA £1,795,544, 01/10/2012 – 30/09/2017.

Rodgers H, Price C, Shaw L, van Wijck F, Watkins C, Forster A, Langhorne P. Development and feasibility evaluation of a repetitive functional task practice (RFTP) programme for upper limb recovery early after stroke. The Stroke Association £157,923, 01/07/2011 – 30/06/2014.

Siddiqi N, Young J, Cheater F, Godfrey M, Forster A, Hulme C, Farrin A, Pilot trial of Stop Delirium! A complex intervention to prevent delirium in care homes for older people. NIHR RfPB, £244,877, 01/12/2011 – 30/11/2012.

Forster A, Young J, Siddiqi N, Godfrey M, Ellard D, Johnson L, Pighills A, Lawton R, Hulme C, Torgerson D, Hewitt C, Mitchell J, Birch K, Firth J. Development and testing of strategies to enhance physical activity in care homes: a feasibility study NIHR Programme Development Grant. £85,370, 01/12/2010 – 01/09/2011.

Young J, Brooker D, Brown A, Cheater F, Farrin A, Forster A, George J, Green J, Hulme C, Hurst K, Inouye S, Siddiqi N. An investigation of the Hospital elder Life Program (HELP) system of care to prevent delirium. NIHR Programme Grant. £1,949,9391, 16/12/2009 – 30/09/2015.

Forster A, Young J. Junior Research Fellowship: Realist evaluation of the LoTscare trial. The Stroke Association. £85,000 & NIHR £20,000. 01/05/2009 – 31/04/2012.

Young J, Keen J, Forster A, Bamford J, McDermid J. Outcome-Driven Stroke Care: Clinical Information Management System for Stroke (CIMSS). National Institute for Health and Care Research (NIHR) Collaboration for Leadership In Applied Health Research and Care (CLAHRC), £1,499,919.00, 01/10/2008 – 31/09/2013.

Forster A, McKevitt C, Young J, Clarke D, Farrin A, Lalit K, Smithard D. Process evaluation embedded within a randomised trial of caregiver training after stroke. NIHR RfPB, £249,633, 01/07/2008 to 31/12/2011.

Forster A, Young J, Farrin A, Kalra L, Knapp M, Nixon J, Patel A, Smithard D. A cluster randomised controlled trial of a structured training programme for caregivers of in-patients after stroke. MRC, £2,029,049, 03/07/2007- 31/08/2011.

Forster A, Young J, Bhakta B, Brady T, Farrin A, Hewison J, House A, Knapp M, Murray J, Patel A, Powell J, Steele V. Improving patient and carer centred outcomes in longer-term stroke care. NIHR £1,861,488, 01/08/2007 – 31/12/2012.

Forster A, Young J, Farrin A, Nixon J, Murray J. Stroke system of care trial: a cluster randomised trial evaluation of a patient- and carer-centred system for longer-term stroke care. The Stroke Association, £31,339, 01/06/2008 – 30/04/2012.

Recent Publications

Crocker TF, Brown L, Lam N, Wray F, Knapp P, Forster A. Information provision for stroke survivors and their carers: Cochrane review. Stroke 2022;53(7):e269-e270. doi:10.1161/STROKEAHA.121.038162

Clegg A, Bandeen-Roche K, Farrin A, Forster A, Gill TM, Gladman J, Kerse N, Lindley R, McManus RJ, Melis R, Mujica-Mota R, Raina P, Rockwood K, Teh R, van der Windt D, Witham M. New horizons in evidence-based care for older people: individual participant data meta-analysis. Age and Ageing. 2022;51(4):afac090https://doi.org/10.1093/ageing/afac090

Airlie J, Forster A, Birch KM. An investigation into the optimal wear time criteria necessary to reliably estimate physical activity and sedentary behaviour from ActiGraph wGT3X+ accelerometer data in older care home residents. BMC Geriatrics 2022, 22:136. https://doi.org/10.1186/s12877-021-02725-6

Johansson JF, Lam N, Ozer S, Hall J, Morton S, English C, Fitzsimons C, Lawton R, Forster A, Clarke D. A Systematic Review of Process Evaluations of Interventions in Trials Investigating Sedentary Behaviour in Adults. BMJ Open 2022;12(1) e053945; http://dx.doi.org/10.1136/bmjopen-2021-053945

Wray F, Coleman S, Clarke D, Hudson K, Forster A, Teale E. Risk factors for manifestations of frailty in hospitalized older adults: A qualitative study. Journal of Advanced Nursing 2021. https://doi.org/10.1111/jan.15120

Crocker TF, Brown L, Lam N, Wray F, Knapp P, Forster A. Information provision for stroke survivors and their carers. Cochrane Database of Systematic Reviews 2021, Issue 11. Art. No.: CD001919. https://doi.org/10.1002/14651858.cd001919.pub4

Wray F, Clarke D, Cruice M, Forster A. Development of a self-management intervention for stroke survivors with aphasia using co-production and behaviour change theory: An outline of methods and processes. PLoS One 2021;16(11):e0259103. https://doi.org/10.1371/journal.pone.0259103

Prescott M, Lilley-Kelly A. Cundill B, Clarke D, Drake S, Farrin AJ, Forster A, Goodwin M, Goodwin VA, Hall AJ, Hartley S, Holland M, Hulme C, Nikolova S, Parker C, Wright P, Ziegler F, Clegg A. Home-based Extended Rehabilitation for Older people (HERO): study protocol for an individually randomised controlled multi-centre trial to determine the clinical and cost-effectiveness of a home-based exercise intervention for older people with frailty as extended rehabilitation following acute illness or injury including embedded process evaluation. Trials 2021;22(783). https://doi.org/10.1186/s13063-021-05778-5.

Forster A, Godfrey M, Green J, McMaster N, Airlie J, Cundill B, Lawton R, Hawkins R, Hulme C, Birch K, Brown L, Cicero R, Crocker T, Dawkins B, Ellard D, Ellwood A, Firth J, Gallagher B, Graham L, Johnson L, Lusambili A, Marti J, McCrorie C, McLellen V, Patel I, Prashar A, Siddiqi N, Trépel D, Wheeler I, Wright A, Young J, Farrin A. Strategies to enhance routine physical activity in care home residents: the REACH research programme including a cluster feasibility RCT. Programme Grants Applied Research 2021;9(9). https://doi.org/10.3310/pgfar09090

Forster A, Airlie J, Ellwood A, Godfrey M, Green J, Cundill B, Dawkins B, McMaster N, Hulme C, Cicero R, McLellan V, Graham L, Gallagher B, Ellard DR, Firth J, Farrin A, the REACH Programme Team. An intervention to increase physical activity in care home residents: results of a cluster-randomised, controlled feasibility trial (the REACH trial), Age and Ageing 2021; afab130, https://doi.org/10.1093/ageing/afab130

Kelly C, Hulme C, Graham L, Ellwood A, Patel I, Cundill B, Farrin A, Goodwin M, Hull K, Fisher J, Forster A. Inter-rater reliability of care home staff’s proxy judgements with residents’ assessments of their own health-related quality of life: an analysis of the PATCH trial EQ-5D data. Age and Ageing 2021; afab053, https://doi.org/10.1093/ageing/afab053

English C, Weerasekara I, Carlos A, Chastin S, Crowfoot G, Fitzsimon, C, Forster A, Holliday E, Janssen H, Mackie P, Mead G, Dunstan D. Investigating the rigour of research findings in experimental studies assessing the effects of breaking up prolonged sitting – extended scoping review. Brazilian Journal of Physical Therapy 2020;25(1) 4-16. https://doi.org/10.1016/j.bjpt.2020.04.007

Watson J, Coleman E, Jackson C, Bell K, Maynard C, Hickson L, Forster A, Fairhurst C, Hewitt C, Gardner R, Iley K , Gailey L, Thyer NJ. Randomised controlled feasibility trial of an active communication education programme plus hearing aid provision versus hearing aid provision alone (ACE To HEAR). BMJ Open 2021;11: e043364. http://dx.doi.org/10.1136/bmjopen-2020-043364

Hall J, Morton S, Hall J. Clarke DJ, Fitzsimons CF, English C, Forster A, Mead GE, Lawton R. A co-production approach guided by the behaviour change wheel to develop an intervention for reducing sedentary behaviour after stroke. Pilot Feasibility Studies 2020; 6:115 https://doi.org/10.1186/s40814-020-00667-1

Burton L, Forster A, Johnson J, Crocker TF, Tyson SF, Wray F, Clarke DJ. Experiences and views of receiving and delivering information about recovery in acquired neurological conditions: a systematic review of qualitative literature. BMJ Open 2021;11:e045297. doi: 10.1136/bmjopen-2020-045297

Young J, Green J, Godfrey M, Smith J, Cheater F, Hulme C, Collinson M, Hartley S, Anwar S, Fletcher M, Santorelli G, Meads D, Hurst K, Siddiqi N, Brooker D, Teale E, Brown A, Forster A, Farrin A, Inouye S. The Prevention of Delirium system of care for older patients admitted to hospital for emergency care: the POD research programme including feasibility RCT. Programme Grants Applied Research 2021;9(4). https://doi.org/10.3310/pgfar09040

Forster A, Ozer S, Crocker TF, House A, Hewison J, Roberts E, Dickerson J, Carter G, Hulme C, Fay M, Richardson G, Wright A, McKevitt C, McEachan R, Foy R, Barnard L, Moreau L, Prashar A, Clarke D, Hardicre N, Holloway I, Brindle R, Hall J, Burton L, Atkinson R, Hawkins R J, Brown L, Cornwall N, Dawkins B, Meads D, Schmitt L, Fletcher M, Speed M, Grenfell K, Hartley S, Young J, Farrin A. Longer-term health and social care strategies for stroke survivors and their carers: the LoTS2Care research programme including cluster feasibility RCT. Programme Grants for Applied Research Volume 2021;9(3). https://doi.org/10.3310/pgfar09030

Crocker TF, Clegg A, Riley RD, Lam N, Bajpai R, Jordão M, Patetsini E, Ramiz R, Ensor J, Forster A, Gladman JRF. Community-based complex interventions to sustain independence in older people, stratified by frailty: a protocol for a systematic review and network meta-analysis. BMJ Open 2021;11(2):e045637. https://doi.org/10.1136/bmjopen-2020-045637

Hall J, Morton S, Fitzsimons CF, Hall JF, Corepal R, English C, Forster A, Lawton R, Patel A, Mead G, Clarke DJ. Factors influencing sedentary behaviours after stroke: findings from qualitative observations and interviews with stroke survivors and their caregivers. BMC Public Health 2020;20:967. https://doi.org/10.1186/s12889-020-09113-6

Shaw L, Bhattarai N, Cant R, Drummond A, Ford GA, Forster A, Francis R, Hills K, Howel D, Laverty AM, McKevitt C, McMeekin P, Price C, Stamp E, Stevens E, Vale L, Rodgers H. An extended stroke rehabilitation service for people who have had a stroke: the EXTRAS RCT. Health Technology Assessment 2020;24(24). https://doi.org/10.3310/hta24240

Graham L, Ellwood A, Hull K, Fisher J, Cundill B, Holland M, Goodwin M, Clarke D, Hawkins R, Hulme C, Patel I, Kelly C, Williams R, Farrin A, Forster A. Posture and mobility training package for care home staff: results of a cluster randomised controlled feasibility trial (the PATCH trial). Age and Ageing 2020;49(5):821–828. https://doi.org/10.1093/ageing/afaa046

Wray F, Clarke D, Forster A. “Guiding them to take responsibility”: exploring UK speech and language therapists’ views of supporting self-management of aphasia. Aphasiology 2020, 34(4):411-430. https://doi.org/10.1080/02687038.2019.1697865

Tay J, Lisiecka-Ford DM, Hollocks MJ, Tuladhar AM, Barrick TR, Forster A, O’Sullivan MJ, Husain M, de Leeuw FE, Morris RG, Markus HS. Network neuroscience of apathy in cerebrovascular disease. Progress in Neurobiology 2020;188:101785. https://doi.org/10.1016/j.pneurobio.2020.101785

Rodgers H, Howel D, Bhattarai N, Cant R, Drummond A, Ford GA, Forster A, Francis R, Hills K, Laverty AM, McKevitt C, McMeekin P, Price CIM, Stamp E, Stevens E, Vale L, Shaw L. Evaluation of an Extended Stroke Rehabilitation Service (EXTRAS): A Randomized Controlled Trial and Economic Analysis. Stroke 2019;50(12):3561-3568. https://doi.org/10.1161/STROKEAHA.119.024876

Hall JF, Crocker TF, Clarke DJ, Forster A. Supporting carers of stroke survivors to reduce carer burden: development of the Preparing is Caring intervention using Intervention Mapping. BMC Public Health 2019;19:1408. https://doi.org/10.1186/s12889-019-7615

Rawlings G, Willliams R, Clarke D, English C, Fitzsimons C, Holloway I, Lawton R, Mead G, Patel A, Forster A. Exploring adults’ experiences of sedentary behaviour and participation in non-workplace interventions designed to reduce sedentary behaviour: a thematic synthesis of qualitative studies. BMC Public Health 2019;19:1099 https://doi.org/10.1186/s12889-019-7365-1

Corepal R, Hall JF, English C, Farrin A, Fitzsimons CF, Forster A, Lawton R, Mead G, Clarke D. A protocol for a systematic review of process evaluations of interventions investigating sedentary behaviour in adults. BMJ Open 2019;9:e031291. https://bmjopen.bmj.com/content/9/9/e031291

Wray F, Clarke D, Forster A. How do stroke survivors with communication difficulties manage life after stroke in the first year? A qualitative study. International Journal of Language and Communication Disorders 2019;54(5):814-827. https://doi.org/10.1111/1460-6984.12487

Crocker TF, Ozer S, Brown L, Hall J, Forster A. Non‐pharmacological interventions for longer‐term stroke survivors or their carers: an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews 2019; Issue 4. Art. No.: CD013317. https://doi.org/10.1002/14651858.cd013317

Morton S, Fitzsimons C, Hall J, Clarke D, Forster A, English C, Chastin S, Birch KM, Mead G. Sedentary behavior after stroke: A new target for therapeutic intervention. International Journal of Stroke 2019;14(1):9-11. https://doi.org/10.1177/1747493018784505

Liu H, Lindley R, Alim M, Felix C, Gandhi DBC, Verma SJ, Tugnawat DK, Syrigapu A, Ramamurthy RK, Pandian JD, Walker M, Forster A, Hackett ML, Anderson CS, Langhorne P, Murthy GVS, Maulik PK, Harvey LA, Jan S. Family-led rehabilitation in India (ATTEND)—Findings from the process evaluation of a randomized controlled trial. International Journal of Stroke 2019;14(1):53-60. https://doi.org/10.1177/1747493018790076

Ellwood A, Airlie J, Cicero R, Cundill B, Ellard DR, Farrin A, Godfrey M, Graham L, Green J, McLellan V, Siddiqi N, Forster A, on behalf of the REACH Programme Team. Recruiting Care Homes to a Randomised Controlled Trial. Trials 2018;19(1):535. https://doi.org/10.1186/s13063-018-2915-x

Graham L, Cicero R, Clarke D, Cundill B, Ellwood A, Farrin A, Fisher J, Goodwin M, Hawkins R, Hull K, Hulme C, Trépel D, Williams R, Forster A. PATCH: posture and mobility training for care staff versus usual care in care homes: study protocol for a randomised controlled trial. Trials 2018;19(1):521. https://doi.org/10.1186/s13063-018-2863-5

Forster A, Hartley S, Barnard, Ozer S, Hardicre N, Crocker T, Fletcher M, Moreau L, Atkinson R, Hulme C, Holloway I, Schmitt L, House A, Hewison J, Richardson G, Farrin A, LoTS”Care Programme Management Group. An intervention to support stroke survivors and their carers in the longer term (LoTS2Care): study protocol for a cluster randomised controlled feasibility trial. Trials 2018;19(1):317. https://doi.org/10.1186/s13063-018-2669-5

Hardicre NK, Crocker TF, Wright A, Burton L, Ozer S, Atkinson R, House A, Hewison J, McKevitt C, Forster A, Farrin AJ & on behalf of the LoTS2Care Programme Management Group. An intervention to support stroke survivors and their carers in the longer term (LoTS2Care): study protocol for the process evaluation of a cluster randomised controlled feasibility trial. Trials 2018;19:368. https://doi.org/10.1186/s13063-018-2683-7

Shepherd A, Pulsford R, Poltawski L, Forster A, Taylor RS, Spencer A, Hollands L, James M, Allison R, Norris M, Calitri R, Dean SG. Physical activity, sleep, and fatigue in community dwelling Stroke Survivors. Scientific Reports 2018;8:7900. https://doi.org/10.1038/s41598-018-26279-7

Norris M, Poltawski L, Calitri R on behalf of the ReTrain Team, et al Acceptability and experience of a functional training programme (ReTrain) in community-dwelling stroke survivors in South West England: a qualitative studyBMJ Open 2018;8:e022175. http://dx.doi.org/10.1136/bmjopen-2018-022175

Dean SG, Poltawski L, Forster A, Taylor RS, Spencer A, James M, Allison R, Stevens S, Norris M, Shepherd AI, Landa P, Pulsford RM, Hollands L, Calitri R. Community-based rehabilitation training after stroke: results of a pilot randomised controlled trial (ReTrain) investigating acceptability and feasibility
BMJ Open 2018;8:e018409. https://doi.org/10.1136/bmjopen-2017-018409

Clarke DJ, Burton L, Tyson SF, Rodgers H, Drummond A, Palmer R, Hoffman A, Prescott M, Tyrrell P, Brkic L, Grenfell K, Forster A. Why do stroke survivors not receive recommended amounts of active therapy? Findings from the ReAcT study, a mixed-methods case-study evaluation in eight stroke units. Clinical Rehabilitation 2018;32(8):1119-1132. https://doi.org/10.1177/0269215518765329

Wray F, Clarke DJ, Forster A. Post-stroke self-management interventions: a systematic review of effectiveness and investigation of the inclusion of stroke survivors with aphasia. Disability and Rehabilitation 2018;40(11):1237-1251. https://doi.org/10.1080/09638288.2017.1294206

Hawkins R, Jowett A, Godfrey M, Mellish K, Young J, Farrin A, Holloway I, Hewison J, Forster A. On Behalf of the LoTS Care Program Team. Poststroke Trajectories: The Process of Recovery Over the Longer Term Following Stroke. Global Qualitative Nursing Research 2017;4:1–13. https://doi.org/10.1177/2333393617730209

Ramadan H, Patterson C, Maguire S, Melvin I, Kain K, Teale E, Forster A. Incidence of first stroke and ethnic differences in stroke pattern in Bradford, UK: Bradford Stroke Study. International Journal of Stroke 2017;13(4):374-378. https://doi.org/10.1177/1747493017743052

Walker MF, Hoffmann TC, Brady MC, Dean CM, Eng JJ, Farrin AJ, Felix C, Forster A, Langhorne P, Lynch EA, Radford KA, Sunnerhagen KS, Watkins CL. Improving the Development, Monitoring and Reporting of Stroke Rehabilitation Research: Consensus-Based Core Recommendations from the Stroke Recovery and Rehabilitation Roundtable. Neurorehabilitation and Neural Repair 2017;31(10-11):877-884. https://doi.org/10.1177/1545968317732686

Walker MF, Hoffmann TC, Brady MC, Dean CM, Eng JJ, Farrin AJ, Felix C, Forster A, Langhorne P, Lynch EA, Radford KA, Sunnerhagen KS, Watkins CL. Improving the development, monitoring and reporting of stroke rehabilitation research: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable. International Journal of Stroke 2017;12(5):472-479. https://doi.org/10.1177/1747493017711815

Lindley R, Anderson C, Billot L, Forster A, Hackett M, Harvey L, Jan S, Li Q, Liu H, Langhorne P, Maulik P, Murthy G, and Walker M, Pandian J. Family-led rehabilitation after stroke in India: a randomised controlled trial. Lancet 2017 390(10094):588-599. https://doi.org/10.1016/s0140-6736(17)31447-2

Ozer S, Noonan K, Burke M, Young J, Barber S, Forster A, Jones R. An Investigation of Two Brief Cognitive Tests (M@T And TYM) For Identifying Amnestic Mild Cognitive Impairment (aMCI). Age and Ageing 2017;46(1):i35-i38. https://doi.org/10.1093/ageing/afx068.130

Forster A, Airlie J, Birch K, Cicero R, Cundill B, Ellwood A, Godfrey M, Graham L, Green J, Hulme C, Lawton R, McLellan V, McMaster N, Farrin A, on behalf of the REACH Programme Team. Research Exploring Physical Activity in Care Homes (REACH): study protocol for a randomised controlled trial. Trials 2017;18:182. https://doi.org/10.1186/s13063-017-1921-8

Clarke D, Drummond A, Burton L, Tyson S, Rodgers H, Palmer R, Grenfell K, Prescott M, Forster A. What factors influence the provision of therapy to stroke survivors? Findings from an in-depth qualitative case-study series in eight stroke units. International Journal of Stroke 2016;11(3):35. https://doi.org/10.1177/1747493016670567

Billot L, Lindley R, Harvey L, Maulik P, Hackett M, Murthy G, Anderson C, Shamanna B, Jan S, Walker M, Forster A, Langhorne P, Verma S, Felix C, Alim M, Gandhi D, Pandian J. Statistical analysis plan for the family-led rehabilitation after stroke in India (ATTEND) trial: A multicenter randomized controlled trial of a new model of stroke rehabilitation compared to usual care. International Journal of Stroke 2016;12(2):208-10. https://doi.org/10.1177/1747493016674956

Brkic L, Shaw L, van Wijck F, Francis R, Price C, Forster A, Langhorne P, Watkins C, Rodgers H. Repetitive arm functional tasks after stroke (RAFTAS): a pilot randomised controlled trial. Pilot and Feasibility Studies 2016;2(1). https://doi.org/10.1186/s40814-016-0088-5

Siddiqi N, Cheater F, Collinson M, Farrin A, Forster A, George D, Godfrey M, Graham E, Harrison J, Heaven A, Heudtlass P, Hulme C, Meads D, North C, Sturrock A, Young J. The PiTSTOP study: a feasibility cluster randomized trial of delirium prevention in care homes for older people. Age and Ageing 2016;45(5):652-661. https://doi.org/10.1093/ageing/afw091

Heslin M, Forster A, Healey A, Patel A. A systematic review of the economic evidence for interventions for family carers of stroke patients. Clinical Rehabilitation 2016;30(2):119-133. https://dx.doi.org/10.1177%2F0269215515575334

Ozer S, Noonan K, Burke M, Young J, Barber S, Forster A, Jones R. The validity of the Memory Alteration Test and the Test Your Memory test for community-based identification of amnestic mild cognitive impairment. Alzheimer’s & Dementia 2016;12(9):987-995. https://doi.org/10.1016/j.jalz.2016.03.014

Alim M, Lindley R, Felix C, Gandhi DBC, Verma SJ, Tugnawat DK, Syrigapu A, Anderson CS, Ramamurthy RK, Langhorne P, Murthy GVS, Shamanna BR, Hackett ML, Maulik PK, Harvey LA, Jan S, Liu H, Walker M, Forster A, Pandian JD. Family-led rehabilitation after stroke in India: the ATTEND trial, study protocol for a randomized controlled trial. Trials. 2016;17:13. https://doi.org/10.1186/s13063-015-1129-8

Shannon R, Forster A, Hawkins R. A qualitative exploration of patient identified unmet need one year after stroke. Disability and Rehabilitation 2016;38(20). http://dx.doi.org/10.3109/09638288.2015.1107784

Dickerson J, Forster A. Questions people ask about stroke: What’s changed in 20 years? SAGE Open Medicine 2015;3:2015;3:2050312115591623. https://dx.doi.org/10.1177%2F2050312115591623

Forster A, Young J, Chapman K, Nixon J, Patel A, Holloway I, Mellish K, Anway S, Breen R, Knapp M, Murray J, Farrin A. Cluster Randomized Controlled Trial: Clinical and Cost-Effectiveness of a System of Longer-Term Stroke Care. Stroke 2015;46(8):2212-2219. https://doi.org/10.1161/strokeaha.115.008585

Clarke DJ, Forster A. Improving post-stroke recovery: the role of the multidisciplinary health care team. Journal of Multidisciplinary Healthcare 2015;8:433–442. https://dx.doi.org/10.2147%2FJMDH.S68764

Clarke DJ, Tyson S, Palmer R, Drummond A, Rodgers H, Forster A, Burton L, Brkic L, Grenfell K, Tyrrell P, Prescott M. Why do patients with stroke not receive the recommended amount of active therapy (ReAcT)? Study protocol for a multisite case study investigation BMJ Open 2015;5(8) e008443 https://doi.org/10.1136/bmjopen-2015-008443

Young J, Cheater F, Collinson M, Fletcher M, Forster A, Godfrey M, Green J, Anwar S, Hartley S, Hulme C, Inouye SK, Meads D, Santorelli G, Siddiqi N, Smith J, Teale E, Farrin AJ. Prevention of delirium (POD) for older people in hospital: study protocol for a randomised controlled feasibility trial. Trials 2015, 16:340. https://doi.org/10.1186/s13063-015-0847-2

Brown L, Forster A, Young J, Crocker T, Benham A, Langhorne P, Day Hospital Group. Medical day hospital care for older people versus alternative forms of care. Cochrane Database of Systematic Reviews 2015;6. Art. No.: CD001730. https://doi.org/10.1002/14651858.CD001730.pub3

Rodgers H, Shaw L, Cant R, Drummond A, Ford GA, Forster A, Price C. Evaluating an extended rehabilitation service for stroke patients (EXTRAS): Study protocol for a randomised controlled trial. Trials 2015;16:205. https://doi.org/10.1186/s13063-015-0704-3

Poltawski L, Boddy K, Forster A, Goodwin VA, Pavey AC, Dean S. Motivators for uptake and maintenance of exercise: perceptions of long-term stroke survivors and implications for design of exercise programmes. Disability and Rehabilitation 2015;37(9),795-801. https://doi.org/10.3109/09638288.2014.946154

Pollock A, Campbell P, Baer G, Choo PL, Morris J, Forster A. User involvement in a Cochrane systematic review: using structured methods to enhance the clinical relevance, usefulness and usability of a systematic review update. Systematic Reviews, 2015;4:55. https://doi.org/10.1186/s13643-015-0023-5

Pandian JD, Felix C, Kaur P, Sharma D, Julia L, Toor G, Forster A, Lindley R. (2015). FAmily-Led RehabiliTaTion aftEr Stroke in INDia: The ATTEND pilot study. International Journal of Stroke 2015;10(4):609–614. https://doi.org/10.1111/ijs.12475

Forster A, Dickerson J, Melbourn A, Steadman J, Wittink M, Young J, Kalra L, Farrin A, on behalf of the TRACS trial collaboration. The development and implementation of the structured training programme for caregivers of inpatients after stroke (TRACS) intervention: The London Stroke Carers Training Course. Clinical Rehabilitation 2015;29(3):211-220. https://doi.org/10.1177/0269215514543334

Forster A, Young J, Nixon J, Chapman K, Murray J, Patel A, Knapp M, Anwar S, Breen R, Mellish K, Holloway I, Farrin A. Protocol of a cluster randomized trial evaluation of a patient and carer-centered system of longer-term stroke care (LoTS care). International Journal of Stroke 2015;10(2):259-63. https://doi.org/10.1111/ijs.12038

Barber SE, Birch KM, Forster A. Levels and patterns of daily physical activity and sedentary behaviour measured objectively in older care home residents in the UK. Journal of Aging and Physical Activity 2015;23(1):133-143. https://doi.org/10.1123/japa.2013-0091

Forster A, Mellish K, Farrin A, Bhakta B, House A, Hewison J, Murray J, Patel A, Knapp M, Breen R, Chapman K, Holloway I, Hawkins R, Shannon R, Nixon J, Jowett A, Horton M, Alvarado N, Anwar S, Tennant A, Godfrey M, Young J. Development and evaluation of interventions and tools to improve patient and carer centred outcomes in longer-term stroke care (LoTS care) and exploration of adjustment post stroke. Southampton (UK): NIHR Journals Library 2014;2(6). https://doi.org/10.3310/pgfar02060

Heaven A, Cheater F, Clegg A, Collinson M, Farrin A, Forster A, Godfrey M, Graham L, Grice A, Holt R, Hulme C, Lloyd E, Meads D, North C, Young J, Siddiqi N. Pilot trial of Stop Delirium! (PiTStop) – A complex intervention to prevent delirium in care homes for older people: study protocol for a cluster randomised controlled trial. Trials 2014;15:47. https://dx.doi.org/10.1186%2F1745-6215-15-47

Pollock A, Campbell P, Baer G, Choo PL, Forster A, Morris J, Langhorne P. Challenges in integrating international evidence relating to stroke rehabilitation: Experiences from a Cochrane systematic review. International Journal of Stroke 2014;9(8):965-967.

Dickerson J, Forster A, Collaboration L-2-C. A national survey of community stroke service provision beyond six-months post-stroke. International Journal of Stroke 2014;9:36.

Dickerson J, Forster A, Young J, Holloway I, Walwyn R, Farrin A. Predictors of caregivers’ burden 6 months post-stroke: Data from the Training Caregivers After Stroke (TRACS) trial. International Journal of Stroke 2014;9:21.

Pollock A, Baer G, Campbell P, Choo P, Langhorne P, Morris J, Pomeroy V, Forster A. Content of physical rehabilitation interventions: Can we generalise from Chinese trials to other geographical regions? International Journal of Stroke 2014;9:30.

Forster A, Dickerson J, Hall J, Crocker T, House A, Hewison J, MacEachan R, McKevitt C, Foy R, Farrin A. Development and evaluation of strategies to provide longer-term health and social care for stroke survivors and their carers International Journal of Stroke 2014;9:250.

Forster A. Long-term management of patients with stroke International Journal of Stroke 2014;9:5.
Clarke DJ, Hawkins R, Sadler E, Harding G, McKevitt C, Godfrey M, Dickerson J, Farrin AJ, Kalra L, Smithard D. Forster A. Introducing structured caregiver training in stroke care: findings from the TRACS Process Evaluation study. BMJ Open 2014;4(4):e004473. https://doi.org/10.1136/bmjopen-2013-004473

Pollock A, Baer G, Campbell P, Choo PL, Forster A, Morris J, Pomeroy VM, Langhorne P. Physical rehabilitation approaches for the recovery of function and mobility following stroke. Cochrane Database of Systematic Reviews 2014; Issue 4. ARTN: CD001920.

Pollock A, Baer G, Campbell P, Choo PL, Forster A, Morris J, Pomeroy VM, Langhorne P. Physical rehabilitation approaches for the recovery of function and mobility after stroke: Major update. Stroke 2014;45(10):e202.

Clegg A, Barber S, Young J, Iliffe S, Forster A. (HOPE) trial: a pilot randomised controlled trial of a home-based exercise intervention for older people with frailty. Age and Ageing 2014;43(5):687-695.

Dickerson J, Forster A, Young J, Holloway I, Farrin A. Recruitment of stroke patients into a UK multi-centre trial of stroke rehabilitation (TRACS). International Journal of Stroke 2013;8:19.

Baer G, Campbell P, Choo PL, Morris J, Forster A, Pollock A. A new taxonomy of current physiotherapy treatment approaches, developed with a stakeholder group, enables clinically relevant evidence synthesis within a Cochrane systematic review International Journal of Stroke 2013;8:6.

Walwyn REA, Holloway I, Farrin AJ, Forster A, Teams TRACSLOTSC, Methods for handling missing data in two large stroke rehabilitation trials. International Journal of Stroke 2013;8:35.

Pollock A, Campbell P, Morris J, Baer G, Choo PL, Pomeroy V, Langhorne P, Forster A. Physiotherapy treatment approaches following stroke: major update of Cochrane systematic review of evidence. International Journal of Stroke 2013;8:67.

Campbell P, Baer G, Morris J, Forster A, Choo PL, Pollock A. Using the nominal group technique to engage stakeholders with experience of stroke in a Cochrane systematic review of physiotherapy treatment approaches. International Journal of Stroke 2013;8:16.

Forster A, Dickerson J, Young J, Patel A, Kalra L, Nixon J, Smithard D, Knapp M, Holloway I, Anwar S, et al. A cluster randomised controlled trial and economic evaluation of a structured training programme for caregivers of inpatients after stroke: the TRACS trial. Health Technology Assessment Journal 2013;17(46):1-216.

Poltawski L, Abraham C, Forster A, Goodwin VA, Kilbride C, Taylor RS, Dean S. Synthesising practice guidelines for the development of community-based exercise programmes after stroke. Implementation Science 2013;8:(1)115.

Forster A, Dickerson J, Young J, Patel A, Kalra L, Nixon J, Smithard D, Knapp M, Holloway I, Anwar S, Farrin A. A Structured training programme for caregivers of inpatients after stroke (TRACS): a cluster randomised controlled trial and cost-effectiveness analysis. The Lancet 2013;382(9910):2069-2076.

Clarke DJ, Godfrey M, Hawkins R, Sadler E. Harding G, Forster A, McKevitt C, Dickerson J, Farrin AJ. Implementing a training intervention to support caregivers after stroke: a process evaluation examining the initiation and embedding of programme change. Implementation Science 2013; 8(96):1-15.

Crocker T, Young J, Forster A, Brown L, Ozer S, Greenwood DC. The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis. Age and Ageing 2013;42(6):682-8.

Poltawski L, Briggs J, Forster A, Goodwin VA, James M, Taylor RS, Dean S. Informing the design of a randomised controlled trial of an exercise-based programme for long term stroke survivors: lessons from a before-and-after case series study. BMC Research Notes 2013;6:324.

Forster A, Dickerson J, Young J, Patel A, Kalra L, Nixon J, Smithard D, Knapp M, Holloway I, Anwar S, Farrin A. A cluster randomised controlled trial and cost-effectiveness analysis of a structured training programme for caregivers of in-patients after stroke (TRACS). Cerebrovascular Diseases 2013;35:193.

Holloway I, Farrin A, Forster A, and TRACS and LoTS Care teams. Can follow-up reminders from postal questionnaires help determine the mechanism of missing data in trials? Trials 2013;14:108. https://doi.org/10.1186/1745-6215-14-S1-P108

Patel A, Forster A, Young J, Nixon J, Chapman K, Knapp M, Mellish K, Holloway I, Farrin A. Cluster randomised trial evaluation of a patient and carer centred system of longer-term stroke care (the LoTS care trial): economic evaluation. Cerebrovascular Diseases 2013;35:584.

Dickerson J, Forster A, Chapman K, Mellish K, Young J, Patel A, Kalra L, Nixon J, Smithard D, Knapp M, Holloway I, Anwar S, Farrin A. Successful Delivery of Stroke Rehabilitation Trials of Complex Interventions: The Examples of the Training Caregivers after Stroke (TRACS) and Longer Term Stroke Care (LoTS care) Trials. Cerebrovascular Diseases 2013;35:854.

Crocker T, Forster A, Young J, Brown L, Ozer S, Smith J, Green J, Hardy J, Burns E, Glidewell E, Greenwood DC. Physical rehabilitation for older people in long-term care. Cochrane Database Systematic Reviews CD004294 2013 (https://doi.org/10.1002/14651858.CD004294).

Barber SE, Birch KM, Forster A. Levels and patterns of daily physical activity and sedentary behaviour measured objectively in older care home residents in the UK. Journal of Aging And Physical Activity Aug 2012; 20:S251-S252

Goodwin V, Poltawski L, Kilbride C, Abraham C, Taylor RS, Forster A, Dean SG. Exercise for Stroke survivors: A synthesis of evidence-based guidelines. Journal of Aging And Physical Activity Aug 2012; 20:S245-S245.

Teale EA, Forster A, Munyombwe T, Young JB. A systematic review of case-mix adjustment models for stroke. Clinical Rehabilitation 2012; 26(9):771 – 786.
Clarke D, Hawkins R, Sadler E, Harding G, Forster A, McKevitt C, Godfrey M, Dickerson J, Farrin A. Interdisciplinary Health Research: perspectives from a process evaluation research team. Quality in Primary Care 2012;20:179–89.

Forster A, Young J, Nixon J, Kalra L, Smithard D, Patel A, Knapp M, Monaghan J, Breen R, Anwar S. Farrin A. A cluster randomized controlled trial of a structured training programme for caregivers of inpatients after stroke (TRACS). International Journal of Stroke Jul 2012;7(5): 94–99.

Forster A, Brown L, Smith J, House A, Knapp P, Wright JJ, Young J. Information provision for stroke patients and their caregivers. Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD001919. HTTPS://DOI.ORG/10.1002/14651858.CD001919.pub3

Clegg A, Barber S, Young J, Forster A, Iliffe S. Do home-based exercise interventions improve outcomes for frail older people? Findings from a systematic review. Reviews in clinical gerontology 2012 22; 68–78.

McKevitt C, Fudge N, Redfern J, Sheldenkar A, Crichton S, Rudd AR, Forster A, Young J, Nazareth I, Silver LE, et al.Rothwell PM, Wolfe CDA. Self-Reported Long-Term Needs After Stroke. Stroke 2011;42(5):1398-1403

Clegg A, Barber S, Young J, Forster A, Iliffe S. The Home-Based Older People’s Exercise (HOPE) trial: study protocol for a randomised controlled trial. BMC Trials 2011;12:143.

Forster A; Young J. Community rehabilitation for older people: day hospital or home-based services? Age and Ageing Jan 2011; 40 (1): 2-4.