Dr Joseph Clark

BA, MA, PhD, FHEA

Research Fellow in Palliative Care

Role at Hull York Medical School

Joseph is a Research Fellow, Fellow in Advanced Higher Education and global palliative care lead for the Wolfson Palliative Care Research Centre. He is the postdoctoral lead for delivery of the Scholarship and Special Interest Programme (SSIP) and module tutor for Global Palliative Care.

Biography

Joseph joined the Hull York Medical School in 2016 having completed his PhD titled’ A Global Social Policy Analysis of International Palliative Care Development. He has a specific interest in international drug policy and palliative care development in low and middle-income countries. Joseph is currently lead researcher on several national and global projects and is leading the development of a global palliative care research strategy at Wolfson. Joseph welcomes enquiries from professionals and students interested in collaborating on global palliative care projects.

Visit the Global Palliative Care page

Research

BREATHE-INDIA: BREATHlEssness in INDIA - Development of a breathlessness beliefs and behaviour education intervention for use in the community-setting - More information

Exploring the association between chronic breathlessness and workforce participation, using Australia as an exemplar - More information

Estimating worldwide needs for morphine for pain in advanced cancer and proportions theoretically met by country estimates of requirements and consumption - More information

Improving Appropriate Access and Availability of Opioids for Cancer-related Pain Control in India: bridging the gap between policy and practice - a qualitative study

A cluster Randomised Controlled Trial to determine the effectiveness and cost-effectiveness of the NAT-C in reducing unmet needs of patients in primary care

A cluster Randomised Controlled Trial exploring the feasibility of testing the routine use of the Needs Assessment Cancer (NAT-C) in primary care.

Clark J, Fabowale B, Currow D and Johnson M. Are opioids 'medicines' or 'drugs'? A discourse analysis of the annual reports of the International Narcotics Control Board.

Clark J, Ghoshal A and Johnson M. Feasibility testing of self-management techniques appropriate for chronic breathlessness management in India.

Clark J, Murtagh F and Johnson M. Global Challenges Research Fund, Responsive mode funding: £4000 An exploratory project with partners in Nepal, considering the feasibility and appropriateness of a programme of chronic breathlessness research in Nepal.

Teaching

Joseph is a Fellow in Advanced Higher Education and postdoctoral lead for the Scholarship and Special Interest Program (SSIP).

Joseph developed and is currently delivering a short module ‘Global Health and Palliative Care’ to second year medical students within Hull York Medical School. He also contributes to marking across several modules within the department.

Publications

Clark J, Crowther L, Johnson MJ, Ramsenthaler C, Currow DC. Calculating worldwide needs for morphine for pain in advanced cancer and proportions feasibly met by country estimates of requirements and consumption. Retrospective, time-series analysis (1997-2017). PLOS Global Public Health. 2022. https://doi.org/10.1371/journal.pgph.0000533.

Clark, J., Chang, S., Kinchin, I. et al. Lower workforce participation is associated with more severe persisting breathlessness. BMC Pulm Med, 2022. https://doi.org/10.1186/s12890-022-01861-y

Clark J, Copsey B, Wright-Hughes A, et al. Cancer patients’ needs assessment in primary care: study protocol for a cluster randomised controlled trial (cRCT), economic evaluation and normalisation process theory evaluation of the needs assessment tool cancer (CANAssess). BMJ Open 2022;12:e051394. doi:10.1136/bmjopen-2021-051394

Clark J, Amoakwa E, Wright-Hughes A, Blenkinsopp J, Currow DC, Meads D, Farrin A, Allgar V, MacLeod M and Johnson M. A cluster randomised trial of a Needs Assessment Tool for adult Cancer patients and their carers (NAT-C) in primary care: A feasibility study. Plos One. 2021. https://doi.org/10.1371/journal.pone.0245647

Clark J, Gnanapragasam S, Greenley S, Pearce J and Johnson M. Perceptions and experiences of laws and regulations governing access to opioids in South, Southeast, East and Central Asia: A systematic review, critical interpretative synthesis and development of a conceptual framework. Palliat Med, 2020. doi: 10.1177/0269216320966505  

Clark JD, Johnson M, Fabowale B, Farrelly M, Currow D. Does the International Narcotics Control Board (INCB) sufficiently prioritise enablement of access to therapeutic opioids? A systematic critical analysis of six INCB annual reports, 1968-2018. Journal of Global Health Reports. 2020. doi:10.29392/001c.12925.

Daniel S, Clark JD, Gnanapragasam S, Venkateswaran C and Johnson M. Psychological Concerns of Indian Women With Breast Cancer in Different National Contexts: A Systematic Review and Mixed-Methods Synthesis. BMJ Support Palliat, 2020. doi: 10.1136/bmjspcare-2019-002076.

Button HE, Johnson M, Nwulu U and Clark J. Identification and Assessment of Breathlessness in Clinical Practice: A Systematic Review and Narrative Synthesis. J Pain and Symptom Manage, 2019. DOI: 10.1016/j.jpainsymman.2019.10.014.

Clark J, Barnes A, Campbell M and Gardiner C. A Life or “Good Death” Situation? A Worldwide Ecological Study of the National Contexts of Countries That Have and Have Not Implemented Palliative Care. J Pain Symptom Manage, 2019:57:793-801.

Clark J, Barnes A and Gardiner C. Re-framing Global Palliative Care for the Sustainable Development Goals Era: a qualitative study of the views of international palliative care experts. J Pain Symptom Manage, 2018;56(3):363-370.

​Currow D and Clark J. Why Smart Emerging Economies Will Invest in Excellent Palliative Care, if Palliative Care Services Do Their Part. J of Palliat Med. 2018;21(3):276-77.

Brereton L, Clark J, Ingleton C, Gardiner C, Preston L, Ryan T and Goyder E. What do we know about different models of providing specialist palliative care? Findings from a systematic review of reviews? 2017. Palliat Med, 217;31(9):781-797.

Clark J, Barnes A and Gardiner C. Systematic Mapping Review of International Palliative Care Research. 2016. BMJ Supportive and Palliative Care. doi:10.1136/bmjspcare-2015-001008

Brereton  L, Wahlster P, Lysdahl KB, Mozygemba K, Burns J, Chilcott JB, Ward S, Bronneke JB, Tummers M, van Hoorn R, Van der Wilt GJ, Pfadenhauer L, Gerhardus A, Rowher A, Rehfuess E, Oortwijn W, Refolo P, Sacchini D, Leppert W, Blazeviciene A, Preston L, Clark J, and Goyder E. On behalf of the INTEGRATE team. (2016). Integrated assessment of home based palliative care with and without reinforced caregiver support: ‘A demonstration of INTEGRATE-HTA methodological guidances’ – Executive Summary [Online]. Available from: http://www.integrate-hta.eu/downloads

Clark J. Systematic Mapping Review of International Palliative Care Research. EAPC 2015 14th World Congress of the European Association for Palliative Care. 2015. European Journal of Palliative Care. United Kingdom: Haywood Publishing Group

Clark D, Clark J, and Greenwood A. The place of supportive, palliative and end-of-life care research in the United Kingdom Research Assessment Exercise, 2001 and 2008. Palliat Med. 2010;24: 533-543

Wright M, Clark J, Greenwood A. et al (2004) Palliative care policy development in Central and Eastern Europe and Central Asia: An Open Society Institute initiative. Progress in Palliative Care 12(2): 71-75

Collaborations

Johnson M, Clark J, Salins Net al. BREATHE-INDIA: BREATHlEssness in INDIA - Development of a breathlessness beliefs and behaviour education intervention for use in the community-setting. Medical Research Council: Public Health Intervention Development scheme. £140,833.31. Start: October 2022 for 18 months

Clark J, Daniel S, Salins N, Currow D, Pearson M and Johnson M. Global Challenges Research Fund. Pump-priming funding. £25, 460. 2021. Improving Appropriate Access and Availability of Opioids for Cancer-related Pain Control in India : bridging the gap between policy and practice - a qualitative study.

Johnson M, Clark J, Daniel S, Salins N, Pearson M, Soyiri I, Hamzah E, Munday D. Bid in preparation for a project entitled: “Opioids for cancer pain: bridging the gap between policy and practice” with collaborators in India, Nepal and Malaysia.

Clark J, Ghoshal A and Johnson M. Feasibility testing of self-management techniques appropriate for chronic breathlessness management in India.

Clark J, Murtagh F and Johnson M. Global Challenges Research Fund, Responsive mode funding: £4000 An exploratory project with partners in Nepal, considering the feasibility and appropriateness of a programme of chronic breathlessness research in Nepal.

Postgraduate research supervision

Joseph welcomes enquiries from prospective students interested in global palliative care.

Current supervision:

  • Helene Elliott-Button, PhD candidate - "Identification and Management of Chronic Breathlessness in Primary Care."

  • Rutendo Gambe, Academic Foundation Trainee – "Roles and experiences of informal carers of people with advanced cancer in Africa"

Thesis Advisory Panel member:

  • Isabel Kate Binnie, PhD candidate – "Safety First: body-mind approaches for breathlessness-related distress in advanced disease – a realist review"