https://www.stir.ac.uk/people/carolbugge
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 Professor Associate Dean of Research (Deputy) Chief Investigator TOPSY trial REF UoA (A3) Co-ordinator Module co-ordinator NURPD03 (Research Design for Clinical Practice)
Plenary Presentation: Pessary for Pelvic Organ Prolapse - Evidence and Use
https://www.ukcs.uk.net/
Invited plenary presentation to UKCS annual scientific meeting
PhD external examiner
University of Otago, Glasgow Caledonian University and Edith Cowan University, Western Australia
Externally examined for University of Otago, New Zealand; Edith Cowan University, Australia; Glasgow Caledonian University, UK.
Scientific Committee United Kingdom Continence Society Annual Scientific Meeting
https://www.ukcs.uk.net/
Scientific Committee RCN International Research Conference
Royal College of Nursing (UK)
https://www.rcn.org.uk/…onference-070921
Fellow of the European Academy of Nursing Science
I hold a research leadership position within the Faculty (Deputy Associate Dean for Research) and led the submission for the A3 unit of assessment for REF 2021 . I have led and am a member of the Enhancing Self Care Research Group within the Faculty of Health Sciences and Sport.
My research interests focus on development and assessment of health technologies 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 work across the full range of research methods with recognised expertise in process evaluation and intervention development for large funded clinical trials (please see projects).
SCENIC: Surmounting COVID Challenges, Experiences of Nurses in Charge
PI: Dr Kathleen Stoddart
Funded by: NHS Lothian and NHS Grampian
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TOPSY trial:Treatment Of Prolapse with Self-care pessary
PI: Dr Carol Bugge
Funded by: National Institute for Health Research
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Multicentre randomised trial of the effectiveness and cost-effectiveness of basic versus biofeedback-mediated intensive
PI: Dr Carol Bugge
Funded by: National Institute for Health Research
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Investigating pregnant women’s and health care professional’s views about knowing their individual risk of future pelvic floor dysfunction: a feasibility study for the UR-CHOICE Randomised Controlled Trial
PI: Dr Carol Bugge
Funded by: Chief Scientist Office
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SAS New Clinical Response Model
PI: Dr Kathleen Stoddart
Funded by: Scottish Ambulance Service
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Multicentre randomised trial of the effectiveness and cost-effectiveness of basic versus biofeedback-medicated intensive pelvic floor muscle training for female stress or mixed urinary incontinence
PI: Dr Carol Bugge
Funded by: National Institute for Health Research
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A mixed method study of Grade 6 staff nurses/midwives preparing for the role of SCN/M
PI: Dr Kathleen Stoddart
Funded by: NHS Forth Valley
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Leading Better Care: Longitudinal Study
PI: Dr Kathleen Stoddart
Funded by: NHS Forth Valley
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Leading Better Care 1 Evaluation: Longitudinal interview study with hospital-based senior charge nurses
PI: Dr Kathleen Stoddart
Funded by: Forth Valley NHS Board
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Leading Better Care in the Community
PI: Dr Kathleen Stoddart
Funded by: Forth Valley NHS Board
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Evaluation of Senior Charge Nurse/Midwife Development SCN/M) in NHS Forth Valley The experience of SCN/M in relation to the implementation of
PI: Dr Kathleen Stoddart
Funded by: Forth Valley NHS Board
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NMAHP Research Training Scheme
PI: Dr Carol Bugge
Funded by: University of Dundee
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Article
Does self-management of vaginal pessaries improve care for women with pelvic organ prolapse?
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
Article
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
Article
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
Article
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
Article
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
Article
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
Article
Pessaries (mechanical devices) for managing pelvic organ prolapse in women
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
Article
Commercial gaming devices for stroke upper limb rehabilitation: The stroke survivor experience
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
Poster
TOPSY ICTMC Recruitment Poster
Dembinsky M, Bugge C, Kearney R, Hagen S, Goodman K, Melone L, Khunda A & Graham M (2019) TOPSY ICTMC Recruitment Poster., Brighton, 06.10.2019-09.10.2019.
Article
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
Article
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
Article
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
Policy Document
Scottish Ambulance Service New Clinical Response Model
Stoddart K, Cowie J, Robertson T, Bugge C, Andreis F & Donaldson J (2019) Scottish Ambulance Service New Clinical Response Model. University of Stirling. Stirling. https://www.stir.ac.uk/research/public-policy-hub/policy-briefings/
Research Report
The Scottish Ambulance Service New Clinical Response Model Evaluation Report
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
Article
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
Experiment
Treatment of prolapse with self-care pessary: the TOPSY trial
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
Article
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
Poster
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/
Article
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
Article
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
Article
Avery KNL, Williamson P, Gamble C, Francischetto EO, Metcalfe C, Davidson P, Williams H, Blazeby JM, Blencowe N, Bugge C, Campbell MJ, Collinson M, Cooper C, Darbyshire J & Dimairo M (2017) Informing efficient randomised controlled trials: Exploration of challenges in developing progression criteria for internal pilot studies. BMJ Open, 7 (2), Art. No.: e013537. https://doi.org/10.1136/bmjopen-2016-013537
Article
Commercial gaming devices for stroke upper limb rehabilitation: a survey of current practice
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
Article
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
Research Report
Leading better care in the community: determining the need for change
Stoddart K, Bugge C, Smith A & Shepherd A (2014) Leading better care in the community: determining the need for change.
Article
Commercial gaming devices for stroke upper limb rehabilitation: A systematic review
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
Article
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
Article
Pessaries (mechanical devices) for pelvic organ prolapse in women
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
Article
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
Article
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
Article
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
Conference Paper (unpublished)
A Longitudinal study of hospital-based Senior Charge Nurses (SCNs)
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
Conference Paper (unpublished)
An action research study of the implementation of 'Leading better care' in the community
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
Meeting Abstract
Spontaneous and prompted expression of illness representations in urgent healthcare consultations
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
Article
Uncovering the features of negotiation in developing the patient-nurse relationship
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
Article
Appraisal and illness delay with symptoms of ACS: A questionnaire study of illness representations
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
Article
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
Conference Paper (unpublished)
Changing clinical leadership for senior charge nurses and midwives: A mixed methods study
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.
Research Report
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.
Meeting Abstract
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
Article
How people present symptoms to health services: a theory-based content analysis
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
Article
Psychometric properties of the pelvic organ prolapse symptom score
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
Research Report
Leading better care: a longitudinal interview study with hospital-based Senior Charge Nurses
Stoddart K & Bugge C (2008) Leading better care: a longitudinal interview study with hospital-based Senior Charge Nurses.
Meeting Abstract
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
Book Chapter
Methods for studying patient participation
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
Article
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
Article
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
Article
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
Article
Psychometric properties of the SF-36 in the early post-stroke phase
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
Article
Measuring stroke patients' health status in the early post-stroke phase using the SF36
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
Article
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
Article
Incidence, hospital admission rate, and health outcomes following stroke in Ayrshire and Arran
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
Article
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
Article
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
Article
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.
