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Sarah Hewlett
OBE
Born
Sarah Elizabeth Hewlett
Alma materSt Bartholomew's Hospital
University of Bristol
Known forRheumatoid arthritis
AwardsFellow of the Royal College of Nursing
Scientific career
InstitutionsUniversity of the West of England
University of Bristol
ThesisValues, disability and personal impact in rheumatoid arthritis (2000)
Websitepeople.uwe.ac.uk/Person/SarahHewlett

Sarah Elizabeth Hewlett OBE is an emeritus Professor of Rheumatology Nursing at the University of the West of England and expert on rheumatoid arthritis (RA).[1][2] She was appointed an Officer of the Order of the British Empire in the 2019 Birthday Honours.

Early life and education

Hewlett studied nursing at St Bartholomew's Hospital and graduated in 1975.[3] She spent five years as a senior sister in a neurosurgical unit before becoming a clinical researcher.[3] She was supported by the Arthritis Research Campaign (now Versus Arthritis).[4] She studied health care ethics at the University of Wales, investigating the ethics of informed consent.[3] She earned a PhD at the University of Bristol in 2000,[5] where she studied the impact of disability in rheumatoid arthritis.[3]

Research and career

Hewlett spent the early part of her nursing career in clinical care.[6] She then moved into research, where worked on rheumatology care, education and research. She collaborated with the University Hospitals Bristol NHS Foundation Trust. Hewlett identified that patients suffering from rheumatoid arthritis (RA) consider fatigue as a significant and often overlooked problem. She estimated that up to 98% of people who suffer from RA experience fatigue.[7] She noticed that whilst fatigue makes the symptoms worse for patients with multiple sclerosis, rheumatoid arthritis makes fatigue worse.[8] She described flares of rheumatoid arthritis as "duvet and chocolate days".[9] Hewlett evaluated the provisions nurses had for treating fatigue, and found that they had limited ways to measure and manage fatigue.[8] Hewlett went on to develop a protocol to evaluate fatigue. She then ensured that it was evaluated in every rheumatoid arthritis trial.[10] In 2007 she was the first person to be named a Chair in Rheumatology Nursing at the University of the West of England.[4]

The protocol developed by Hewlett, the Bristol RA Fatigue Scales (BRAFs), can be used to evaluate the severity of disease, and have been translated into 36 languages.[11][12][13][14] Once she had developed a metric to measure fatigue, Hewlett developed interventions to manage fatigue, including the use of cognitive behavioural therapy (CBT).[10][15] Her research into the design and testing of CBT interventions was supported by the National Institute for Health Research.[16] CBT was shown to reduce the impact and severity of fatigue in patients with RA, and adopted by occupational therapists in Scotland and British Columbia.[10]

Hewlett contributed to the Oxford Textbook of Rheumatology.[17]

Awards and honours

Her awards and honours include:

References

  1. ^ Sarah Hewlett publications from Europe PubMed Central
  2. ^ Flurey, Caroline A; Hewlett, Sarah; Rodham, Karen; White, Alan; Noddings, Robert; Kirwan, John R (2016). "Identifying different typologies of experiences and coping strategies in men with rheumatoid arthritis: a Q-methodology study". BMJ Open. 6 (10): e012051. doi:10.1136/bmjopen-2016-012051. ISSN 2044-6055. PMC 5073491. PMID 27697872.
  3. ^ a b c d "Professor Sarah Hewlett - UWE Bristol". people.uwe.ac.uk. Retrieved 9 June 2019.
  4. ^ a b "UWE appoints first UK Chair in Rheumatology Nursing - UWE Bristol: News Releases". info.uwe.ac.uk. Retrieved 9 June 2019.
  5. ^ Hewlett, Sarah. (2000). Values, disability and personal impact in rheumatoid arthritis. jisc.ac.uk (PhD thesis). University of Bristol. OCLC 557428868. EThOS uk.bl.ethos.310640.
  6. ^ a b "Researcher elected fellow of the Royal College of Nursing | University Hospitals Bristol NHS Foundation Trust". www.uhbristol.nhs.uk. Retrieved 9 June 2019.
  7. ^ Krishan, Shubhra. "4 Warning Signs You Could Have Rheumatoid Arthritis". www.our-arthritis.com. Retrieved 9 June 2019.
  8. ^ a b "Too tired to care | Arthritis Research UK". www.arthritisresearchuk.org. Retrieved 9 June 2019.
  9. ^ "RA Flare Up | What Is a Rheumatoid Arthritis Flare". arthritis.org. Retrieved 9 June 2019.
  10. ^ a b c "Rheumatoid arthritis - UWE Bristol: Research with impact". www1.uwe.ac.uk. Retrieved 9 June 2019.
  11. ^ Hewlett, Sarah; Kirwan, John; Bode, Christina; Cramp, Fiona; Carmona, Loreto; Dures, Emma; Englbrecht, Matthias; Fransen, Jaap; Greenwood, Rosemary; Hagel, Sofia; van de Laar, Maart; Molto, Anna; Nicklin, Joanna; Petersson, Ingemar F; Redondo, Marta; Schett, Georg; Gossec, Laure (2018). "The revised Bristol Rheumatoid Arthritis Fatigue measures and the Rheumatoid Arthritis Impact of Disease scale: validation in six countries". Rheumatology. 57 (2): 300–308. doi:10.1093/rheumatology/kex370. ISSN 1462-0324. PMC 5850460. PMID 29087507.
  12. ^ Kirwan, John; Nicholls, Claire; Dures, Emma; Davis, Bev; Cramp, Fiona; Choy, Ernest; Chalder, Trudie; Hewlett, Sarah (2011). "Fatigue in rheumatoid arthritis: time for a conceptual model". Rheumatology. 50 (6): 1004–1006. doi:10.1093/rheumatology/keq282. ISSN 1462-0324. PMID 20819797.
  13. ^ Hewlett, Sarah; Dures, Emma; Almeida, Celia (2011). "Measures of fatigue: Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire (BRAF MDQ), Bristol Rheumatoid Arthritis Fatigue Numerical Rating Scales (BRAF NRS) for Severity, Effect, and Coping, Chalder Fatigue Questionnaire (CFQ), Checklist Individual Strength (CIS20R and CIS8R), Fatigue Severity Scale (FSS), Functional Assessment Chronic Illness Therapy (Fatigue) (FACIT-F), Multi-Dimensional Assessment of Fatigue (MAF), Multi-Dimensional Fatigue Inventory (MFI), Pediatric Quality Of Life (PedsQL) Multi-Dimensional Fatigue Scale, Profile of Fatigue (ProF), Short Form 36 Vitality Subscale (SF-36 VT), and Visual Analog Scales (VAS)". Arthritis Care & Research. 63 (S11): S263–S286. doi:10.1002/acr.20579. ISSN 2151-4658. PMID 22588750.
  14. ^ "Rheumatoid arthritis fatigue research - UWE Bristol: Centre for Health and Clinical Research". www1.uwe.ac.uk. Retrieved 9 June 2019.
  15. ^ "Cognitive behavioral therapy could lessen the impact of fatigue in RA patients". rheumatology.medicinematters.com. 2 May 2018. Retrieved 9 June 2019.
  16. ^ "Research Design Service South West". www.rds-sw.nihr.ac.uk. Retrieved 9 June 2019.
  17. ^ Watts, Richard A.; Conaghan, Philip G.; Denton, Christopher; Foster, Helen; Isaacs, John; Müller-Ladner, Ulf (31 October 2013). Oxford Textbook of Rheumatology. Oxford University Press. ISBN 9780191666988.
  18. ^ "The Queen's birthday honours in full". 8 June 2019. ISSN 0140-0460. Retrieved 9 June 2019.
  19. ^ Ely, John (7 June 2019). "The nurses and midwives named in the Queen's Birthday honours 2019". rcni.com. Retrieved 9 June 2019.
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