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Dr Lucy Selman, BA MPhil PG Cert Pall Care PhD

Cicely Saunders International Faculty Scholar

Phone: 0207 848 5566
Fax: 0207 848 5517
Email: lucy.selman@kcl.ac.uk
Location: Cicely Saunders Institute
Department of Palliative Care
Policy & Rehabilitation
Denmark Hill
London SE5 9PJ
United Kingdom


Research

Outcome measurement and tool validation, spiritual care and assessment of spiritual outcomes, integrative medicine interventions, palliative care in non-cancer (HIV, heart failure) and developing country settings (Africa, India), models of palliative care delivery including public health approaches to palliative care, audit and quality improvement, mixed methods and qualitative research, phenomenological approaches to illness, the philosophy of palliative care.

Biography

Lucy Selman did her first degree in Philosophy at the University of Nottingham (1st; 2000), followed by an MPhil specialising in epistemology and the philosophy of science at Birkbeck College, University of London (2003). Lucy joined King’s as a Research Associate in 2005, completed the King’s Post-graduate Certificate in Palliative Care with distinction in 2006) and was awarded a PhD in Palliative Care in February 2012.

Most recently, Lucy was appointed Cicely Saunders International Faculty Scholar, a prestigious post-doctoral post for future leaders in palliative care. From 2013-14 Lucy is a Visiting Scholar at the University of California, San Francisco, where she is contributing to a pilot study of a yoga intervention for patients with heart failure and COPD as well as leading the San Franciscan arm of the International Access, Rights and Empowerment (IARE) study. The IARE study, funded by Atlantic Philanthropies and Cicely Saunders International and coordinated by Dr Daveson and Prof Higginson, is examining models of hospital-based palliative care in the UK, USA and Ireland. Lucy also continues to collaborate with Dr Harding on the IMPAQT study evaluating and improving quality of palliative care in South Africa (funded by the European Commission).

Key Leadership Roles

In 2012 Lucy was awarded the European Palliative Care Association (EAPC)’s Early Researcher Award for her PhD studies. The prize is awarded by the EAPC to honour a young scientist or clinician in the field of palliative care who has made an outstanding contribution to research. She has been co-chair of the Research Sub-Group of the EAPC Spiritual Care Taskforce since 2011, leading on a 2012 survey on research priorities in spiritual care. She is an invited member of the National Council of Palliative Care’s Faith, Meaning & Belief Advisory Group and in 2009 was awarded the Frances Sheldon Prize by the Palliative Care Research Society.

Selected Publications
Teaching
  • King’s MSc in Palliative Care: Research Methods and Statistics (core module), Psychosocial, Cultural, Ethical and Spiritual Issues (core module)
  • King’s Intercalated BSc in Global Health
  • King’s Special Study Modules on Global Health for medical students
Current PHD Students
Selected Grants
  • Selman 2012: UCSF-KHP Travelling Fellowship Grant (NIHR), for a period of research at UCSF investigating the feasibility and acceptability of a yoga intervention in patients with COPD and heart failure (£20,000)
  • Selman, Speck, Koffman, Bausewein, Higginson 2012: Sir Halley Stewart Trust Symposia in Spiritual Care in Palliative Care and the InSpirit International Focus Group Study on Spiritual Care (£32,200)
  • Selman, Harding, Higginson 2010: Wellcome Trust Value in People Award (£17,617.50)
  • Harding, Higginson, Selman 2008: Improving spiritual care in advanced disease among African communities. Project grant from the Sir Halley Stewart Trust (£55,891)
Critical Impact

During Lucy’s PhD study she collaborated with UK and African experts to produce two sets of spiritual care recommendations for palliative care services in the UK and Africa, with a foreword by Archbishop Emeritus Desmond Tutu. These recommendations have been referenced by the Department of Health and the African Palliative Care Association and are used by service providers. Lucy contributed to the UK Department of Health’s eLearning module on spiritual care in end of life care.

The APCA African Palliative Outcome Scale is now widely used across clinical care and research in sub-Saharan Africa, including in the PEPFAR Public Health Evaluation of HIV Care Services. The Spirit 8 spiritual well-being measure is also being used in studies in sub-Saharan Africa.

International Links

Studies in India, South Africa, Kenya and Uganda:

Teaching for the African Palliative Care Association and the Indian Association of Palliative Care.

Partnership visit to the University of Carolina, USA (2010). Currently on secondment to the University of California, San Francisco, funded by a UCSF-KHP Travelling Fellowship Grant (NIHR).

International conferences

  • Selman L, Harding R, Higginson IJ and the ENCOMPASS collaborative. Providing spiritual care in multi-cultural Europe: Meeting the needs of African patients. EAPC conference, Vienna, 6.5.09
  • Selman L, Harding R, Agupio G, Amery J, Dinat N, Goring D, Gwyther L, Higginson IJ, Mashao T, Mmoledi K, Moll T, Nkabinde T, Panajatovic B. Improving the Quality of Palliative Care Through Clinical Audit in Developing Countries, Indian Association of Palliative Care (IAPC) conference, 15.2.09 (Winner of 2nd prize for oral presentation)
  • Selman L, Harding R, Agupio G, Dinat N, Downing J, Gwyther L, Mashao T, Mmoledi K, Moll T, Mpanga Sebuyira L, Panajatovic B. What effect does palliative care have on HIV-infected patients quality of life? – Results from an international, multi-centred longitudinal study. World AIDS conference, Mexico City, 2-10.8.08
  • Gwyther L, Agupio G, Dinat N, Gillespie C, Mashao T, Mmoledi K, Ndlovu P, Mpanga-Sebuyira L, Panajatovic B, Selman L, Harding R. Symptom burden in advanced HIV. World AIDS conference, Mexico City, 2-10.8.08
  • Agupio G, Selman L, Harding R, Amery J, Mpanga-Sebuyira L. Quality improvement: results from a full clinical audit cycle in a Ugandan hospice, PEPFAR HIV/AIDS Implementers’ Meeting, Kampala, 4.6.2008
  • Selman L, Harding R, Agupio G, Amery J, Dinat N, Goring D, Gwyther L, Mashao T, Mmoledi K, Moll T, Nkabinde T, Panajatovic B. Audit in resource-poor settings: Design issues from a 5-centre Sub-Saharan study using the APCA African POS. EAPC conference, Trondheim, 28.5.08
  • Selman L, Harding R, Agupio G, Dinat N, Gillespie C, Gwyther L, Mashao T, Mpanga-Sebuyira L, Mmoledi K, Moll T, Ndlovu P, Panajatovic B. Quality improvement in developing countries I: Validation of the APCA African Palliative Outcome Scale (POS). IAPC conference, 8.2.08
  • Selman L, Harding R, Agupio G, Amery J, Dinat N, Goring D, Gwyther L, Mashao T, Mmoledi K, Moll T, Nkabinde T, Panajatovic B. Quality improvement in developing countries II: Methodology of the first palliative care audit cycle in Africa. IAPC conference, 8.2.08
  • Mmoledi K, Selman L, Harding R, Dinat N, Agupio G, Gwyther L, Mashao T, Moll T, Mpanga-Sebuyira L, Ndlovu P, Panajatovic B. Quality improvement in resource-poor settings IV: Undertaking palliative care research. IAPC conference, 8.2.08
  • Mmoledi K, Selman L, Harding R, Dinat N. Quality improvement in developing countries III: A complete audit cycle at a South African service. IAPC conference, 8.2.08
  • Harding R, Selman L and the ENCOMPASS group. The validation of the APCA African POS. African Palliative Care Association (APCA) conference, Kenya, 19.9.07
  • Harding R, Selman L and the ENCOMPASS group What factors are associated with symptom prevalence and burden among HIV-infected patients attending palliative care services in 5 African countries? APCA conference, Kenya, 19.9.07
  • Harding R, Selman L, Agupio G, Gillespie C, Mashao T, Mmoledi K, Ndlovu P, Dinat N, Gwyther L, Mpanga-Sebuyira L, Panajatovic B. Measuring pain and symptoms in resource-poor settings: a comparison of verbal, visual and hand scoring methods in Sub-Saharan Africa. EAPC conference, Budapest, 6.6.07
  • Selman L, Agupio G, Dinat N, Gillespie C, Gwyther L, Mashao T, Mmoledi K, Ndlovu P, Mpanga Sebuyira L, Panajatovic B, Harding R. The needs and experiences of palliative care patients in South Africa and Uganda - Communication. EAPC conference, Budapest. 6.6.07
  • Gwyther L, Agupio G, Dinat N, Gillespie C, Mashao T, Mmoledi K, Ndlovu P, Mpanga Sebuyira L, Panajatovic B, Selman L, Harding R. Symptom prevalence and factors associated with burden indices among palliative care patients: a multi-centre study in 2 Sub-Saharan African countries. EAPC conference, Budapest. 6.6.07
  • Mashao T, Gwyther L, Agupio G, Gillespie C, Mmoledi K, Ndlovu P, Dinat N, Mpanga Sebuyira L, Panajatovic B, Harding R, Selman L. The needs and experiences of palliative care patients in South Africa and Uganda – The role of the family. South African AIDS conference, Durban 4.6.07
  • McDermott E, Selman L, Clark D. Palliative care in India. EAPC conference, Venice 27.5.06
  • Harding R, Selman L, Beynon T, Hodson F, Coady E. A mixed methods approach to generate and evidence-based chronic heart failure palliative care service. EAPC conference, Venice. 27.5.06
  • Gwyther L, Agupio G, Dinat N, Gillespie C, Mashao T, Mmoledi K, Ndlovu P, Mpanga Sebuyira L, Panajatovic B, Selman L, Harding R. Symptom prevalence and factors associated with burden indices among palliative care patients: a multi-centre study in 2 Sub-Saharan African countries. EAPC conference, Budapest. 6.6.07
  • Mashao T, Gwyther L, Agupio G, Gillespie C, Mmoledi K, Ndlovu P, Dinat N, Mpanga Sebuyira L, Panajatovic B, Harding R, Selman L. The needs and experiences of palliative care patients in South Africa and Uganda – The role of the family. South African AIDS conference, Durban 4.6.07
  • McDermott E, Selman L, Clark D. Palliative care in India. EAPC conference, Venice 27.5.06
  • Harding R, Selman L, Beynon T, Hodson F, Coady E. A mixed methods approach to generate and evidence-based chronic heart failure palliative care service. EAPC conference, Venice. 27.5.06

Research

  • 2008-ongoing:
    Mixed-methods PhD study exploring the meaning and measurement of spiritual well being in South Africa and Uganda, collaborating with three palliative care services in South Africa and one in Uganda. The study involves analysis of patient survey data (N=285) and qualitative data from interviews with patients (N=72) and spiritual care providers (N=21).
  • 2006-2008: ENCOMPASS Project
    Collaboration between Cicely Saunders International, King’s College London, four palliative care services in South Africa and one in Uganda. In its first year the project completed the validation of an outcome measurement tool for African palliative care services (the APCA African POS), which was developed in conjunction with APCA and the NHPCO (US), based on a tool originally developed by Prof Irene Higginson. In the second year a full clinical audit cycle using the APCA African POS was conducted at the African partner organisations.
  • 2006: Winston Churchill Trust Fellowship
    To work with an Indian palliative care service to research the use of yoga and meditation at the end of life, building on links established during previous post as fieldworker for the International Observatory on End of Life Care (Lancaster University).
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