Ann-Marie Towers

Senior Research Fellow

a.towers@kent.ac.uk
01227 827954

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Research Interests

I am a Senior Research Fellow at the PSSRU in the University of Kent’s School of Social Policy, Sociology and Social Research (SSPSSR). I joined the unit in 2003 as a research associate to work on the national evaluation of the Extra Care Housing Initiative. Since then, I have worked on a number of national and local research projects funded by the Department of Health, the Treasury and the NIHR School for Social Care Research. My undergraduate (from Warwick University) and Masters degree (from Kent) are in Psychology and I am currently building a body of work in social policy that will feed into a PhD.

I was involved in the development and testing of the Adult Social Care Outcomes Toolkit (ASCOT) and have led a programme of work, funded by the Quality and Outcomes of Person Centred Care Research unit (QORU), to support and develop it further since 2014. International interest in ASCOT has grown considerably over the last few years and I have been invited to provide training and support for the measures in Europe and Australia. As well as being included in the Australian Department of Health’s quality indicator pilot for Aged Care Services (https://agedcare.health.gov.au/national-aged-care-quality-indicator-program-residential-and-home-care-pilot-outcomes), ASCOT has been piloted in care planning conversations by a large care provider in New South Wales (https://www.whiddon.com.au/research-and-innovation/) and we have established the first accredited provider of ASCOT training and support in Sydney: https://www.artshealthinstitute.org.au/Education/ASCOT.aspx

I am particularly interested in the quality of life and quality of care of older people and am a co-applicant on a grant led by Dr Hannah Swift , funded by the Big Lottery, to evaluate the impact of dementia friendly gardens in care homes and day services (http://dementiagarden.org.uk/). I was involved in the development and testing of the Adult Social Care Outcomes Toolkit (ASCOT) and have led a programme of work, funded by the Quality and Outcomes of Person Centred Care Research unit (QORU), to support and develop it further since 2014. My research interests include measuring and improving the outcomes of care homes and I am currently leading an NIHR School for Social Care Research project to examine the relationship between resident outcomes and regulator quality ratings. In July 2017, I will be building on this project by leading a work package in a new three-year NIHR study, led by the University of Sussex and Brighton Medical School, examining pathways to improving the care provided by staff in care homes.

Ann-Marie Towers' Publications

Journal Articles

Journal Article

Exploring the feasibility and validity of a pragmatic approach to estimating the impact of long-term care. The 'expected' ASCOT method. (2017)

Malley J, Rand S, Netten A, Towers A, Forder J,

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Journal Article

Validity and test-retest reliability of the self-completion adult social care outcomes toolkit (ASCOT-SCT4) with adults with long-term physical, sensory and mental health conditions in England (2017)

Rand S, Malley J, Towers A, Netten A, Forder J

Health and Quality of Life Outcomes 15, 163

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Journal Article

Being Occupied: Supporting ‘meaningful activity’ in care homes for older people in England (2017)

Smith N, Towers A, Palmer S, Beecham J, Welch E

Ageing and Society

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Journal Article

Why are relatives of care home residents reluctant to ‘rock the boat’? Is there a culture of acceptance? (2017)

Welch E, Palmer S, Towers A, Smith N

Working with Older People 21, 2, 124-132

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Journal Article

The acceptability and feasibility of using the Adult Social Care Outcomes Toolkit (ASCOT) to inform practice in care homes (2016)

Towers A, Smith N, Palmer S, Welch E, Netten A

BMC Health Services Research 16, 16:523

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Journal Article

The Long-Term Conditions Questionnaire (LTCQ): Conceptual framework and item development (2016)

Peters M, Potter C, Kelly L, Hunter C, Gibbons E, Jenkinson C, Coulter A, Forder J, Towers A, A’Court C, Fitzpatrick R

Patient Related Outcome Measures 7, 109-125

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Journal Article

Dutch translation and cross-cultural validation of the Adult Social Care Outcomes Toolkit (ASCOT) (2015)

Van Leeuwen K, Bosmans J, Jansen A, Rand S, Towers A, Smith N, Razik K, Trukeschitz B, van Tulder M, van der Horst H, Ostelo R

Health and Quality of Life Outcomes , 13:56

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Journal Article

Adapting the adult social care outcomes toolkit (ASCOT) for use in care home quality monitoring: conceptual development and testing (2015)

Towers A, Holder J, Smith N, Crowther T, Netten A, Welch E, Collins G

BMC Health Services Research 15, 15:304

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Journal Article

Using cost-effectiveness estimates from survey data to guide commissioning: an application to home care (2014)

Forder J, Malley J, Towers A, Netten A

Health Economics 28, 3, 979-992

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Journal Article

Feeling in control: comparing older people’s experiences in different care settings (2014)

Callaghan L, Towers A

Ageing and Society 34, 8, 1427-1451

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Journal Article

Outcomes of social care for adults: Developing a preference weighted measure (2012)

Netten A, Burge P, Malley J, Potoglou D, Towers A, Brazier J, Flynn T, Forder J, Wall B

Health Technology Assessment 16, 16, 1-165

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Journal Article

Quality of life outcomes for residents and quality ratings of homes: is there a relationship? (2012)

Netten A, Trukeschitz B, Beadle-Brown J, Forder J, Towers A, Welch E

Age and Ageing 41, 4, 512-517

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Journal Article

Deciding to move into extra care housing: residents’ views (2012)

Bäumker T, Callaghan L, Darton R, Holder J, Netten A, Towers A

Ageing and Society 32, 7, 1215-1245

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Journal Article

The characteristics of residents in extra care housing and care homes in England (2012)

Darton R, Bäumker T, Callaghan L, Holder J, Netten A, Towers A

Health and Social Care in the Community 20, 1, 87-96

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Journal Article

An assessment of the construct validity of the ASCOT measure of social care-related quality of life with older people (2012)

Malley J, Towers A, Netten A, Brazier J, Forder J, Flynn T

Health and Quality of Life Outcomes 10, 21

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Journal Article

The power of observation: A reliable method for measuring outcomes in care homes? (2010)

Towers A, Welch E, Beadle-Brown J, Alden E, Smith J, Netten A

Generations Review 20, 2

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Journal Article

Slicing up the pie: Allocation of central government funding of care of older people (2010)

Darton R, Forder J, Netten A, Bebbington A, Holder J, Towers A

Social Policy and Administration 44, 5, 529-553

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Book Sections

Book Section

Alternative Housing and Care Arrangements: The Evidence (2005)

Darton R, Towers A

Blackwell Publishing

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Reports

Report

The development of the long-term conditions questionnaire (LTCQ). Interim report (2015)

Peters M, Hunter C, Kelly L, Potter C, Gibbons E, Jenkinson C, Towers A, Forder J, Coulter A, Fitzpatrick R

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Project Outlines

Project Outline

Measuring Outcomes of Care Homes (MOOCH) (2016)

Towers A, Smith N, Palmer S, Collins G, Forder J

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