I am an academic, dual registered, nurse with over 20 years research experience. I hold a portfolio of research about interventions to support self-management, much of which focuses on Pelvic Floor Dysfunction. I have recognised expertise in process evaluation within clinical trials.
Current Key Roles and Responsibilities:
Associate Dean of Research (Deputy)
Chief Investigator TOPSY trial
REF UoA (A3) Co-ordinator
Module co-ordinator NURPD03 (Research Design for Clinical Practice)
Event / Presentation
Pessary for Pelvic Organ Prolapse - Evidence and Use
I have a leadership role in research within the Faculty (Deputy Associate Dean for Research). I am a member of the Enhancing Self Care Research Group within the Faculty of Health Sciences and Sport.
My research interests focus on interventions to support self care across a range of clinical domains. I have particular expertise in self care interventions women use for pelvic floor dysfunction.
I have a keen interest in research methods. I am a qualitative and mixed methods researcher and have undertaken process evaluations and intervention development studies for large funded clinical trials (please see projects).
Bugge C, Dembinsky M, Kearney R & Hagen S (2021) Does self-management of vaginal pessaries improve care for women with pelvic organ prolapse?. BMJ, 372, Art. No.: n310. https://doi.org/10.1136/bmj.n310
Hagen S, Kearney R, Goodman K, Melone L, Elders A, Manoukian S, Agur W, Best C, Breeman S, Dembinsky M, Dwyer L, Forrest M, Graham M, Guerrero K & Bugge C (2020) Clinical and cost-effectiveness of vaginal pessary self-management compared to clinic-based care for pelvic organ prolapse: protocol for the TOPSY randomised controlled trial. Trials, 21 (1), Art. No.: 837. https://doi.org/10.1186/s13063-020-04738-9
Hagen S, Elders A, Stratton S, Sergenson N, Bugge C, Dean S, Hay-Smith J, Kilonzo M, Dimitrova M, Abdel-Fattah M, Agur W, Booth J, Glazener C, Guerrero K & McDonald A (2020) Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: multicentre randomised controlled trial. BMJ, 371, Art. No.: m3719. https://doi.org/10.1136/bmj.m3719
Bugge C, Kearney R, Dembinsky M, Khunda A, Graham M, Agur W, Breeman S, Dwyer L, Elders A, Forrest M, Goodman K, Guerrero K, Hemming C, Mason H & McClurg D (2020) The TOPSY pessary self-management intervention for pelvic organ prolapse: a study protocol for the process evaluation. Trials, 21 (1), Art. No.: 836. https://doi.org/10.1186/s13063-020-04729-w
Hagen S, Bugge C, Dean SG, Elders A, Hay-Smith J, Kilonzo M, McClurg D, Abdel-Fattah M, Agur W, Andreis F, Booth J, Dimitrova M, Gillespie N, Kovandzic M & Taylor A (2020) Basic versus biofeedback-mediated intensive pelvic floor muscle training for women with urinary incontinence: the OPAL RCT. Health Technology Assessment, 24 (70), pp. 1-144. https://doi.org/10.3310/hta24700
Grant A, Bugge C & Wells M (2020) Designing process evaluations using case study to explore the context of complex interventions evaluated in trials. Trials, 21 (1), Art. No.: 982. https://doi.org/10.1186/s13063-020-04880-4
Bugge C, Adams EJ, Gopinath D, Stewart F, Dembinsky M, Sobiesuo P & Kearney R (2020) Pessaries (mechanical devices) for managing pelvic organ prolapse in women. Cochrane Database of Systematic Reviews, 2020 (11), Art. No.: CD004010. https://doi.org/10.1002/14651858.cd004010.pub4
Thomson K, Pollock A, Bugge C & Brady MC (2020) Commercial gaming devices for stroke upper limb rehabilitation: The stroke survivor experience. Journal of Rehabilitation and Assistive Technologies Engineering, 7. https://doi.org/10.1177/2055668320915381
McClurg D, Bugge C, Elders A, Irshad T, Hagen S, Moore K, Buckley B & Fader M (2019) Factors affecting continuation of clean intermittent catheterisation in people with multiple sclerosis: Results of the COSMOS mixed-methods study. Multiple Sclerosis Journal, 25 (5), pp. 727-739. https://doi.org/10.1177/1352458518768722
Hagen S, McClurg D, Bugge C, Hay-Smith J, Dean SG, Elders A, Glazener C, Abdel-Fattah M, Agur WI, Booth J, Guerrero K, Norrie J, Kilonzo M, McPherson G & McDonald A (2019) Effectiveness and cost-effectiveness of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: Protocol for the OPAL randomised trial. BMJ Open, 9, Art. No.: e024153. https://doi.org/10.1136/bmjopen-2018-024153
Grant A, Dean S, Hay-Smith J, Hagen S, McClurg D, Taylor A, Kovandzic M & Bugge C (2019) Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: Protocol for the OPAL (optimising pelvic floor exercises to achieve long-term benefits) trial mixed methods longitudinal qualitative case study and process evaluation. BMJ Open, 9, Art. No.: e024152. https://doi.org/10.1136/bmjopen-2018-024152
Stoddart K, Cowie J, Robertson T, Bugge C, Donaldson J & Andreis F (2019) The Scottish Ambulance Service New Clinical Response Model Evaluation Report [NCRM report for SAS]. Scottish Ambulance Service. Stirling: University of Stirling. https://scottishamb-newsroom.prgloo.com/news/scottish-ambulance-service-clinical-model-credited-with-saving-43-percent-more-lives
Crispin V, Bugge C & Stoddart K (2017) Sufficiency and relevance of information for inpatients in general ward settings: a qualitative exploration of information exchange between patients and nurses. International Journal of Nursing Studies, 75, pp. 112-122. https://doi.org/10.1016/j.ijnurstu.2017.07.010
Bugge C (2017) Treatment of prolapse with self-care pessary: the TOPSY trial. [ISRCTN registry]. United Kingdom: Springer Nature. https://w3.abdn.ac.uk/hsru/topsy; https://doi.org/10.1186/isrctn62510577
Whitehead LC, Crowe MT, Carter JD, Maskill VR, Carlyle D, Bugge C & Frampton CMA (2017) A nurse-led education and cognitive behaviour therapy-based intervention among adults with uncontrolled type 2 diabetes: A randomised controlled trial. Journal of Evaluation in Clinical Practice, 23 (4), pp. 821-829. https://doi.org/10.1111/jep.12725
Bugge C, Grant A, Dean SG, Hay-Smith J, McClurg D & Hagen S (2017) Qualitative Studies Linked to Trials of Complex Interventions: what does case study methodology have to offer. 4th International Clinical Trials Methodology Conference (ICTMC), Liverpool, 07.05.2017-10.05.2017. http://www.ictmc2017.com/
Whitehead LC, Crowe MT, Carter JD, Maskill VR, Carlyle D, Bugge C & Frampton CMA (2017) A nurse-led interdisciplinary approach to promote self-management of type 2 diabetes: A process evaluation of post intervention experiences. Journal of Evaluation in Clinical Practice, 23 (2), pp. 264-271. https://doi.org/10.1111/jep.12594
Crowe MT, Whitehead LC, Bugge C, Carlyle D, Carter JD & Maskill VR (2017) Living with sub-optimal glycaemic control: the experiences of Type 2 diabetes diagnosis and education. Journal of Advanced Nursing, 73 (3), pp. 612-621. https://doi.org/10.1111/jan.13145
Thomson K, Pollock A, Bugge C & Brady MC (2016) Commercial gaming devices for stroke upper limb rehabilitation: a survey of current practice. Disability and Rehabilitation: Assistive Technology, 11 (6), pp. 454-461. https://doi.org/10.3109/17483107.2015.1005031
Brady MC, Jamieson K, Bugge C, Hagen S, McClurg D, Chalmers C & Langhorne P (2016) Caring for continence in stroke care settings: a qualitative study of patients’ and staff perspectives on the implementation of a new continence care intervention. Clinical Rehabilitation, 30 (5), pp. 481-494. https://doi.org/10.1177/0269215515589331
Thomson K, Pollock A, Bugge C & Brady MC (2014) Commercial gaming devices for stroke upper limb rehabilitation: A systematic review. International Journal of Stroke, 9 (4), pp. 479-488. https://doi.org/10.1111/ijs.12263
Stoddart K, Bugge C, Shepherd A & Farquharson B (2014) The new clinical leadership role of senior charge nurses: a mixed methods study of their views and experience. Journal of Nursing Management, 22 (1), pp. 49-59. https://doi.org/10.1111/jonm.12008
Bugge C, Adams E, Gopinath D & Reid F (2013) Pessaries (mechanical devices) for pelvic organ prolapse in women. Cochrane Database of Systematic Reviews, (2), Art. No.: CD004010. https://doi.org/10.1002/14651858.CD004010.pub3
Bugge C, Williams B & Hagen S (2013) ADePT (algorithm for decision-making after pilot and feasibility trials): a decision aid for progression from feasibility study to main trial. Trials, 14 (Supplement 1), Art. No.: 019. https://doi.org/10.1186/1745-6215-14-S1-O19
Bugge C, Williams B, Hagen S, Logan J, Glazener C, Pringle S & Sinclair L (2013) A process for Decision-making after Pilot and feasibility Trials (ADePT): Development following a feasibility study of a complex intervention for pelvic organ prolapse. Trials, 14 (1), Art. No.: 353. https://doi.org/10.1186/1745-6215-14-353
Bugge C, Hagen S & Thakar R (2013) Vaginal pessaries for pelvic organ prolapse and urinary incontinence: a multiprofessional survey of practice. International Urogynecology Journal, 24 (6), pp. 1017-1024. https://doi.org/10.1007/s00192-012-1985-7
Stoddart K & Bugge C (2013) A Longitudinal study of hospital-based Senior Charge Nurses (SCNs). RCN Annual International Nursing Research Conference 2013, Belfast, Northern Ireland, 20.03.2013-22.03.2013. http://www.rcn.org.uk/__data/assets/pdf_file/0010/511597/RCN_2013_research_-_Book_of_Abstracts.pdf
Smith A, Shepherd A, Stoddart K & Bugge C (2013) An action research study of the implementation of 'Leading better care' in the community. RCN 2013 Annual International Nursing Research Conference: Advancements in clinical leadership: Leading Better Care Symposium, Belfast, Northern Ireland, 20.03.2013-22.03.2013. http://www.rcn.org.uk/__data/assets/pdf_file/0010/511597/RCN_2013_research_-_Book_of_Abstracts.pdf
Farquharson B, Johnston M & Bugge C (2012) Spontaneous and prompted expression of illness representations in urgent healthcare consultations. Psychology and Health, 27 (Supplement 1), pp. 203-203. https://doi.org/10.1080/08870446.2012.707817
Stoddart K & Bugge C (2012) Uncovering the features of negotiation in developing the patient-nurse relationship. British Journal of Community Nursing, 17 (2), pp. 77-84. https://doi.org/10.12968/bjcn.2012.17.2.77
Farquharson B, Johnston M & Bugge C (2012) Appraisal and illness delay with symptoms of ACS: A questionnaire study of illness representations. British Journal of Cardiac Nursing, 7 (10), pp. 493-499. https://doi.org/10.12968/bjca.2012.7.10.493
Docherty A, Bugge C & Watterson A (2012) Engagement: an indicator of difference in the perceptions of antenatal care for pregnant women from diverse socioeconomic backgrounds. Health Expectations, 15 (2), pp. 126-138. https://doi.org/10.1111/j.1369-7625.2011.00684.x
Shepherd A, Stoddart K & Bugge C (2013) Changing clinical leadership for senior charge nurses and midwives: A mixed methods study. RCN Annual International Nursing Research Conference 2013, Belfast, Northern Ireland, 20.03.2013-22.03.2013.
Stoddart K, Bugge C, Shepherd A & Farquharson B (2011) The experience of SCN/M in relation to the implementation of 'Leading Better Care' and their views about the impacts upon patient care, themselves and colleagues: Final Report to NHS Forth Valley: August 2011.
Bugge C, McClurg D, Brady MC, Hagen S, Chalmers C, Capewell A, Jamieson K & Langhorne P (2011) Incontinence stroke project inspiring rehabilitation excellence (inspire) – a mixed methods approach to piloting a complex intervention to improve continence care following stroke. Neurourology and Urodynamics, 30 (6), pp. 903-905. http://apps.webofknowledge.com.ezproxy.stir.ac.uk/full_record.do?product=WOS&search_mode=GeneralSearch&qid=13&SID=Y2LMDfmBHOckeG1j7Ch&page=1&doc=1; https://doi.org/10.1002/nau.21185
Farquharson B, Johnston M & Bugge C (2011) How people present symptoms to health services: a theory-based content analysis. British Journal of General Practice, 61 (585), pp. 267-273. https://doi.org/10.3399/bjgp11X567090
Hagen S, Glazener C, Sinclair L, Stark D & Bugge C (2009) Psychometric properties of the pelvic organ prolapse symptom score. BJOG: An International Journal of Obstetrics and Gynaecology, 116 (1), pp. 25-31. https://doi.org/10.1111/j.1471-0528.2008.01903.x
Farquharson B, Johnston M & Bugge C (2008) Illness representations (IRs) in acute clinical presentations: Retrospective Illness Perception Questionnaire (IPQ-R) and real-time data compared. Psychology and Health, 23 (Supplement 1), pp. 116-117. https://doi.org/10.1080/08870440802299543
Bugge C & Jones A (2007) Methods for studying patient participation. In: Collins S, Britten N, Ruusuvuori J & Thompson A (eds.) Patient Participation in Health Care Consultations: Qualitative Perspectives. Maidenhead: Open University Press, pp. 22-40. http://www.mcgraw-hill.co.uk/html/0335219659.html
Bugge C, Entwistle VA & Watt IS (2006) The significance for decision-making of information that is not exchanged by patients and health professionals during consultations. Social Science and Medicine, 63 (8), pp. 2065-2078. https://doi.org/10.1016/j.socscimed.2006.05.010
Jones A & Bugge C (2006) Improving understanding and rigour through triangulation: An exemplar based on patient participation in interaction. Journal of Advanced Nursing, 55 (5), pp. 612-621. https://doi.org/10.1111/j.1365-2648.2006.03953.x
Entwistle VA, Watt IS, Gilhooly K, Bugge C, Haites N & Walker AE (2004) Assessing patients’ participation and quality of decision-making: insights from a study of routine practice in diverse settings. Patient Education and Counseling, 55 (1), pp. 105-113. https://doi.org/10.1016/j.pec.2003.08.005
Hagen S, Bugge C & Alexander H (2003) Psychometric properties of the SF-36 in the early post-stroke phase. Journal of Advanced Nursing, 44 (5), pp. 461-468. https://doi.org/10.1046/j.0309-2402.2003.02829.x
Bugge C, Hagen S & Alexander H (2001) Measuring stroke patients' health status in the early post-stroke phase using the SF36. International Journal of Nursing Studies, 38 (3), pp. 319-327. https://doi.org/10.1016/S0020-7489%2800%2900066-3
Alexander H, Bugge C & Hagen S (2001) What is the association between the different components of stroke rehabilitation and health outcomes?. Clinical Rehabilitation, 15 (2), pp. 207-215. https://doi.org/10.1191/026921501666047564
Alexander H, Bugge C, Hagen S & Russell EM (2000) Incidence, hospital admission rate, and health outcomes following stroke in Ayrshire and Arran. Health Bulletin, 58 (5), pp. 408-413. http://www.scopus.com/inward/record.url?partnerID=yv4JPVwI&eid=2-s2.0-0038480783&md5=2567ba87299b6e4a0e2bfaa908935a34
Bugge C, Alexander H & Hagen S (1999) Stroke patients' informal caregivers: Patient, caregiver, and service factors that affect caregiver strain. Stroke, 30 (8), pp. 1517-1523. https://doi.org/10.1161/01.STR.30.8.1517
Bugge C, Smith LN & Shanley E (1999) A descriptive survey to identify the perceived skills and community skill requirements of mental health staff. Journal of Advanced Nursing, 29 (1), pp. 218-228. https://doi.org/10.1046/j.1365-2648.1999.00862.x
Bugge C, Smith LN & Shanley E (1997) A descriptive study of multidisciplinary mental health staff moving to the community: the demographic and educational issues. Journal of Psychiatric and Mental Health Nursing, 4 (1), pp. 45-54. https://doi.org/10.1111/j.1365-2850.1997.tb00176.x
My teaching responsibilities centre on research methods and self care. I have been fortunate to be involved in the delivery of the Clinical Doctorate Programme for over 10 years. I am involved in various aspects of the programme. I co-ordinate NURPD03 - research design for clinical practice.
I have supervised several doctoral students to completion and continue to supervise a large group of doctoral students. The students are studying various aspects of self care related interventions. I am interested in supervising those who have an interest in self-care interventions and Pelvic Floor Dysfunction.