Jane Cockle-Hearne

Jane Cockle-Hearne


Research Fellow

Academic and research departments

School of Health Sciences.

Biography

Biography

Jane graduated from London University, Bedford College (now Royal Holloway), with a first class honours degree in Psychology. Her research career began in consumer and health research in the marketing and advertising sectors where she worked as a senior strategic planner in a major global advertising agency, and as a director in a qualitative market research company. In 2003 Jane moved into academic health research at the University of Surrey. Jane has managed and developed a range of dementia, cancer care and nurse training studies and is now working towards a PhD by publication focusing on cancer self-management and patients' engagement with e-health. Jane is a member of the British Psychological Society.

Research interests

Jane's main research aims to support and improve cancer patients' survivorship and rehabilitation experience by empowering them cope with the difficult emotional and functional effects of disease and treatment. The emphasis of her research is the development of face-to-face and e-health self-management approaches utilising cognitive behavioural techniques and peer support. She is exploring and developing ways to provide motivating peer support within e-health, in particular through film. Her research has included assessing the unmet supportive care needs of men with prostate cancer across Europe and developing and testing complex interventions for symptom management. She has worked extensively with quantitative and qualitative methodologies and mixed methods designs. In collaboration with NHS Improving Access to Psychological Therapies Service (IAPT) she developed Getting  Down to Coping, a web-based, cognitive behavioural programme to reduce distress after diagnosis and treatment for cancer. As well as working on a broad range of cancer studies, Jane's wider research interests span men's health and emotional support in palliative care for young families when one parent is dying.

Departmental duties

  • Developing and writing grant proposals
  • Collaboration with partner and funding bodies
  • Literature reviews
  • Qualitative design, interviewing and analysis
  • Quantitative design, data collection and analysis
  • Clinical trial management and coordination
  • Writing for publication in peer review journals
  • Dissemination of research findings, report writing and conference presentations
  • Invited teaching on Advanced Research Methods module

My publications

Publications

Cockle Hearne J, Cooke D, Faithfull S (2015) Developing peer support in film for cancer self-management: what do men want other men to know?, Supportive Care in Cancer Springer
Purpose: This study reports an innovative theory-driven approach for developing filmed peer support for cancer self-management. Peer support conventionally includes empathetic interaction between people with shared experiences. This unique study considers how to authentically communicate peer empathy in a one-way film narrative.
Methods: We co-created a film based on phenomenological interviews with seven men who had volunteered to support other men by sharing their experiences of coping with prostate cancer. The film contributed to successful engagement with self-management. Interpretative Phenomenological Analysis of the interview data was conducted to explore the components of experiential empathy that the men had communicated.
Results: Four themes were identified illustrating what men wanted other men to know about coping with prostate cancer: Going into the unknown, it was difficult but I got through highlighted trauma and the importance of having a determined attitude; Only you can do it illustrated the triumph of their journey and of regaining control; I haven?t changed massively reflected the importance of a constant self; and Stay involved represented the overriding need to remain part of pre-cancer social environments.
Conclusions: We propose a construct framework of experiential empathy for men with prostate cancer: Resilience, Regaining Control, Continuity-of-Self and Social Connectedness. Filmed peer support that communicates these constructs will offer wide-ranging benefit to meet the needs of this group of men in both e-health and face-to-face self-management contexts. Further research could develop this theory-driven approach to filmed peer support for other cancer groups.
Cockle Hearne J, Charnay-Sonnek F, Denis L, Kelly D, Thoft B, Faithfull S (2012) Supportive Care Needs of Men with Prostate Cancer,
Cockle-Hearne J, Faithfull S (2014) Peer Volunteers in Cancer Self-Management: What Are the Key Characteristics to Look for? Findings From a Phenomenological Study Among Men With Prostate Cancer, PSYCHO-ONCOLOGY 23 pp. 345-346 WILEY-BLACKWELL
Ramsey V, Stevens S, Bryan K, Binder J, Cockle-Hearne J (2009) Using the Barnes Language Assessment with older ethnic minority groups, INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY 24 (4) pp. 426-431 JOHN WILEY & SONS LTD
Faithfull S, Cockle-Hearne J, Knibb W, Toms E, Thomas H, Cox A (2007) Meeting the support and follow-up needs of women with ovarian cancer: an evaluation of a nurse-led telephone follow-up service, EJC SUPPLEMENTS 5 (4) pp. 460-461 PERGAMON-ELSEVIER SCIENCE LTD
Faithfull S, Cockle-Hearne J, Khoo V (2011) Self-management after prostate cancer treatment: evaluating the feasibility of providing a cognitive and behavioural programme for lower urinary tract symptoms, BJU INTERNATIONAL 107 (5) pp. 783-790 WILEY-BLACKWELL
Cooke D, James P, Frankland J, Foster R, Marsh C, Cockle-Hearne J, Foster C, Benney M, Brodie H, Richardson A (2015) Transitioning Men with Prostate Cancer, after Treatment, to Remote Monitoring and Followup: Development and Preliminary Evaluation of a Supported Self-management Workshop, PSYCHO-ONCOLOGY 24 pp. 292-292 WILEY-BLACKWELL
Cockle-Hearne J, Charnay-Sonnek F, Denis L, Fairbanks HE, Kelly D, Kav S, Leonard K, van Muilekom E, Fernandez-Ortega P, Jensen BT, Faithfull S (2013) The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries., British Journal of Cancer 109 (8) pp. 2121-2130 Cancer Research UK
Background:Prostate cancer is for many men a chronic disease with a long life expectancy after treatment. The impact of prostate cancer therapy on men has been well defined, however, explanation of the consequences of cancer treatment has not been modelled against the wider variables of long-term health-care provision. The aim of this study was to explore the parameters of unmet supportive care needs in men with prostate cancer in relation to the experience of nursing care.Methods:A survey was conducted among a volunteer sample of 1001 men with prostate cancer living in seven European countries.Results:At the time of the survey, 81% of the men had some unmet supportive care needs including psychological, sexual and health system and information needs. Logistic regression indicated that lack of post-treatment nursing care significantly predicted unmet need. Critically, men's contact with nurses and/or receipt of advice and support from nurses, for several different aspects of nursing care significantly had an impact on men's outcomes.Conclusion:Unmet need is related not only to disease and treatment factors but is also associated with the supportive care men received. Imperative to improving men's treatment outcomes is to also consider the access to nursing and the components of supportive care provided, especially after therapy.
Binder J, Bryan K, Cockle-Hearne J, Ramsey V, Stevens S (2005) Language assessment of older adults using the Barnes Language Assessment, INTERNATIONAL PSYCHOGERIATRICS 17 pp. 276-277 CAMBRIDGE UNIV PRESS
Cockle Hearne J, Khoo V, Faithfull S (2009) A Phase II trial testing a self-management intervention following prostate cancer,
Cox A, Bull E, Cockle-Hearne J, Knibb W, Potter C, Faithfull S (2008) Nurse led telephone follow up in ovarian cancer: A psychosocial perspective, EUROPEAN JOURNAL OF ONCOLOGY NURSING 12 (5) pp. 412-417 ELSEVIER SCI LTD
Cockle Hearne J, Cooke DD, Faithfull S (2015) Developing peer support in film for cancer self-management: what do men want other men to know?, Support Care Cancer Springer-Verlag
Purpose: This study reports an innovative theory-driven approach for developing filmed peer support for cancer self-management. Peer support conventionally includes empathetic interaction between people with shared experiences. This unique study considers how to authentically communicate peer empathy in a one-way film narrative. Methods: We co-created a film based on phenomenological interviews with seven men who had volunteered to support other men by sharing their experiences of coping with prostate cancer. The film contributed to successful engagement with self-management. Interpretative Phenomenological Analysis of the interview data was conducted to explore the components of experiential empathy that the men had communicated. Results: Four themes were identified illustrating what men wanted other men to know about coping with prostate cancer: Going into the unknown, it was difficult but I got through highlighted trauma and the importance of having a determined attitude; Only you can do it illustrated the triumph of their journey and of regaining control; I haven?t changed massively reflected the importance of a constant self; and Stay involved represented the overriding need to remain part of pre-cancer social environments. Conclusions: We propose a construct framework of experiential empathy for men with prostate cancer: Resilience, Regaining Control, Continuity-of-Self and Social Connectedness. Filmed peer support that communicates these constructs will offer wide-ranging benefit to meet the needs of this group of men in both e-health and face-to-face self-management contexts. Further research could develop this theory-driven approach to filmed peer support for other cancer groups.
Cockle Hearne Jane, Barnett D, Hicks J, Simpson M, White I, Faithfull Sara (2018) A Web-Based Intervention to Reduce Distress After Prostate
Cancer Treatment: Development and Feasibility of the Getting
Down to Coping Program in Two Different Clinical Settings,
JMIR Cancer 4 (1) e8 JMIR Publications
Background: Distress after prostate cancer treatment is a substantial burden for up to one-third of men diagnosed. Physical and emotional symptoms and health service use can intensify, yet men are reticent to accept support. To provide accessible support that can be cost effectively integrated into care pathways, we developed a unique, Web-based, self-guided, cognitive-behavior program incorporating filmed and interactive peer support.

Objective: To assess feasibility of the intervention among men experiencing distress after prostate cancer treatment. Demand, acceptability, change in distress and self-efficacy, and challenges for implementation in clinical practice were measured.
Methods: A pre-post, within-participant comparison, mixed-methods research design was followed. Phase I and II were conducted in primary care psychological service and secondary care cancer service, respectively. Men received clinician-generated postal invitations: phase I, 432 men diagnosed Results: A total of 135 men consented (phase I, 61/432, 14.1%; phase II, 74/606, 12.2%); from 96 eligible men screened for distress, 32% (30/96) entered the intervention (phase I, n=10; phase II, n=20). Twenty-four completed the Web-based program and assessments (phase I, n=8; phase II, n=16). Adherence for phase I and II was module completion rate 63% (mean 2.5, SD 1.9) versus 92% (mean 3.7, SD 1.0); rate of completing cognitive behavior therapy exercises 77% (mean 16.1, SD 6.2) versus 88% (mean 18.6, SD 3.9). Chat room activity occurred among 63% (5/8) and 75% (12/16) of men, respectively. In phase I, 75% (6/8) of men viewed all the films; in phase II, the total number of unique views weekly was 16, 11, 11, and 10, respectively. The phase II mood diary was completed by 100% (16/16) of men. Satisfaction was high for the program and films. Limited efficacy testing indicated improvement in distress baseline to post intervention: phase I, P=.03, r=?.55; phase II, P=.001, r=?.59. Self-efficacy improved for coping P=.02, r=?.41. Service assessment confirmed ease of assimilation into clinical practice and clarified health care practitioner roles.

Conclusions: The Web-based program is acceptable and innovative in clinical practice. It was endorsed by patients and has potential to positively impact the experience of men with distress after prostate cancer treatment. It can potentially be delivered in a stepped model of psychological support in primary or secondary care. Feasibility evidence is compelling, supporting further evaluative research to determine clinical and cost effectiveness.