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Leone Ridsdale

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Leone Ridsdale .
Neurologist, General Practitioner, CBT Therapist
Headache, Fatigue, Epilepsy

Leone Ridsdale, is Professor of Neurology and General Practice at King's College London. Her research has focused on self-education and/or CBT therapy for people with headache, chronic fatigue and epilepsy.[1] Her teaching focus was on developing education for medical students and graduates to improve neurology patient care in the community.[2]

Training and interests

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Ridsdale trained in economics and social policy at the London School of Economics, specializing in education and medical care. After lecturing on health and social care at Manchester University, she studied medicine at McMaster University Medical School in Canada. Her specialist training in medicine, psychiatry, and neurology was at McGill University and the Montreal Neurological Institute. She accredited as a neurologist in Canada and the US in 1980, and returned to the UK.

Finding North American training was not recognised in the UK, Ridsdale trained and practiced as a GP. She then set up an MSc in General Practice at Guy's and St Thomas's Medical School.[3] The course combined social science and medical care, and led her to publish books on evidence-based practice.[4][5]

Later, Ridsdale was accredited as a Neurologist in the UK, and appointed Director of medical student teaching in neurology at King's College London.[2] She focused the curriculum on common neurology problems and core skills. Students subsequently reported more confidence and competence, and less 'neurophobia'.[6]

Continuing Professional Development

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Ridsdale did a master's degree in Life-Writing at Sussex University, and collaborated with KCL's English Department on Life-Writing research.[7] She trained in CBT Therapy at Oxford University and continues in practice.

Research

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Chronic Fatigue

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Ridsdale did a GP cohort study of patients with chronic fatigue, leading to a PhD. Poor recovery rates,[8] led her onto three trials testing therapies including counselling, cognitive-behaviour therapy (CBT) and graded-exercise.[9][10][11]

Headache

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Linking neurology and general practice, Ridsdale and colleagues described the commonness of patients presenting with headache in general practice,[12] why they were referred to neurologists,[13] whether this might be reduced by GP direct access to MRI,[14] and the potential contribution of GPs with Special Interest[15] and CBT.[16][17]

Epilepsy

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Ridsdale described the commonness and unmet needs for education among people with epilepsy, testing interventions by specially trained nurses in three trials.[18][19][20] Using general practice electronic records, Ridsdale and colleagues described risk factors for death in epilepsy,[21] and the potential for identifying risks routinely, with step-up care aimed at reducing premature loss of life in epilepsy.[22]

Ridsdale was the Chief Investigator on a National Institute for Health Research (NIHR) funded trial which assessed the effectiveness of a course called "Self-Management education for adults with Epilepsy (SMILE-UK)" in helping those with poorly controlled epilepsy to manage.[23]

Notes

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  1. ^ "Leone Ridsdale Research Portal, KCL". Retrieved 29 September 2020.
  2. ^ a b "Leone Ridsdale - Biography". King's College London. 20 August 2015. Retrieved 20 August 2015.
  3. ^ Ridsdale L, Walker M (November 1990). "Continuing medical education at a university: Evaluation of an MSc in General Practice". Journal of the Royal Society of Medicine. 83 (11): 702–703. doi:10.1177/014107689008301109. PMC 1292917. PMID 2250267.
  4. ^ Ridsdale, Leone (1995). Evidence-based General Practice. W B Saunders Company. ISBN 9780702016110.
  5. ^ Ridsdale, Leone (1998). Evidence-based practice for primary care. Churchill Livingstone. ISBN 9780443058899.
  6. ^ Ridsdale L, Massey R, Clark L (2007). "Preventing neurophobia in medical students, and so future doctors". Practical Neurology. 7 (2): 116–123. PMID 17430877.
  7. ^ Pearson, Carly; Swindale, Roseanna; Keighley, Peter; McKinlay, Alison R.; Ridsdale, Leone (June 2019). "Not Just a Headache: Qualitative Study About Web-Based Self-Presentation and Social Media Use by People With Migraine". Journal of Medical Internet Research. 21 (6): e10479. doi:10.2196/10479. PMC 6607770. PMID 31219049. Retrieved 29 September 2020.
  8. ^ Ridsdale L, Evans A, Jerrett W, Mandalia S, Osler K, Vora H (July 1993). "Patients with fatigue in general practice: a prospective study". British Medical Journal (Clinical Research Ed.). 307 (6896): 103–106. doi:10.1136/bmj.307.6896.103. PMC 1693499. PMID 8343705.
  9. ^ Ridsdale L, Godfrey E, Chalder T, Seed P, King M, Wallace P, Wessely S, Fatigue Trialists' Group (January 2001). "Chronic fatigue in general practice: is counselling as good as cognitive behaviour therapy? A UK randomised trial". British Journal of General Practice. 51 (462): 19–24. PMC 1313894. PMID 11271868.
  10. ^ Ridsdale L, Darbishire L, Seed P (January 2004). "Is graded exercise better than cognitive behaviour therapy for fatigue? A UK randomized trial in primary care". Psychological Medicine. 34 (1): 37–49. doi:10.1017/S0033291703001247. PMID 14971625. S2CID 1586818.
  11. ^ Ridsdale L, Hurley M, King M, McCrone P, Donaldson N (October 2012). "The effect of counselling, graded exercise and usual care for people with chronic fatigue in primary care: a randomized trial". Psychological Medicine. 42 (10): 2217–2224. doi:10.1017/S0033291712000256. PMC 3435871. PMID 22370004.
  12. ^ Latinovic R, Gulliford M, Ridsdale L (March 2006). "Headache and migraine in primary care: consultation, prescription, and referral rates in a large population". Journal of Neurology, Neurosurgery & Psychiatry. 77 (3): 385–387. doi:10.1136/jnnp.2005.073221. PMC 2077680. PMID 16484650.
  13. ^ Morgan M, Jenkins L, Ridsdale L (January 2007). "Patient pressure for referral for headache: a qualitative study of GPs' referral behaviour". British Journal of General Practice. 57 (534): 29–35. PMC 2032697. PMID 17244421.
  14. ^ McKinlay, Alison; Underwood, Raphael; Wojewodka, Gabriella; Mazumder, Asif; Kilner, Rachael; Ridsdale, Leone (18 August 2019). "Should GPs have direct access to imaging for headache? A qualitative study of patients' views in the UK". BMJ Open. 9 (8): e029376. doi:10.1136/bmjopen-2019-029376. PMC 6701632. PMID 31427332.
  15. ^ Ridsdale L, Doherty J, McCrone P, Seed P, Headache Innovation and Evaluation Group (July 2008). "A new GP with special interest headache service: observational study". British Journal of General Practice. 58 (552): 478–483. doi:10.3399/bjgp08x319440. PMC 2441508. PMID 18611313.
  16. ^ Ridsdale L, Osumili B, McCrone P (June 2015). "Cost-effectiveness of self-management education versus usual care for patients with migraine headache: a pilot randomized controlled trial". European Journal of Neurology. 22 (Supp. 1): 285. doi:10.1111/ene.12807. hdl:10044/1/31495.
  17. ^ Cousins, S.; Ridsdale, L.; Goldstein, L. H.; Noble, A. J.; Moorey, S.; Seed, P. (17 October 2015). "A pilot study of cognitive behavioural therapy and relaxation for migraine headache: a randomised controlled trial". Journal of Neurology. 262 (12): 2764–2772. doi:10.1007/s00415-015-7916-z. ISSN 0340-5354. PMC 4655008. PMID 26477023.
  18. ^ Ridsdale L, Robins D, Williams H (January 1997). "Feasibility and effects of nurse run clinics for patients with epilepsy in general practice: randomised controlled trial. Epilepsy Care Evaluation Group". British Medical Journal. 314 (7074): 120–122. doi:10.1136/bmj.314.7074.120. PMC 2125629. PMID 9006472.
  19. ^ Ridsdale L, Kwan I, Cryer C (August 2000). "Newly diagnosed epilepsy: can nurse specialists help? A randomized controlled trial. Epilepsy Care Evaluation Group". Epilepsia. 41 (8): 1014–1019. doi:10.1111/j.1528-1157.2000.tb00287.x. PMID 10961629. S2CID 10579588.
  20. ^ Noble A, McCrone P, Seed P, Goldstein L, Ridsdale L (March 2014). "Clinical- and Cost-Effectiveness of a Nurse Led Self-Management Intervention to Reduce Emergency Visits by People with Epilepsy". PLOS One. 9 (6): e90789. Bibcode:2014PLoSO...990789N. doi:10.1371/journal.pone.0090789. PMC 3948384. PMID 24603669.
  21. ^ Ridsdale L, Charlton J, Ashworth M, Richardson MP, Gulliford MC (April 2011). "Epilepsy mortality and risk factors for death in epilepsy: a population-based study". British Journal of General Practice. 61 (586): e271 – e278. doi:10.3399/bjgp11X572463. PMC 3080232. PMID 21619751.
  22. ^ Ridsdale L (February 2015). "Avoiding premature death in epilepsy: General practice in the place to start, and much can be done". BMJ. 350: h718. doi:10.1136/bmj.h718. PMID 25670259. S2CID 40651265.
  23. ^ Ridsdale, L.; Philpott, S. J.; Krooupa, A.-M.; Morgan, M. (2017). "People with epilepsy obtain added value from education in groups: results of a qualitative study". European Journal of Neurology. 24 (4): 609–616. doi:10.1111/ene.13253. PMC 5396134. PMID 28181344.
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