Medicine

Michael Moore

BM, BS, MRCP, FRCGP

Primary position:
Reader in Primary Care Research

Background

The University of Southampton

Dr Moore is an academic GP with more than 25 years' experience as a partner in a Salisbury practice. His practice has been engaged in research since 1993 and is now actively contributing to NIHR clinical network research.  

He is deputy director of the Primary Care and Population Sciences academic unit based within the Faculty of Medicine. This group aims to improve the management of disorders with major impact on public health, through a better understanding of the processes and outcomes of decisions made by health care professionals and their patients including help-seeking behaviour, diagnosis, decisions about interventions, treatment outcomes and predictors of benefit. 

His research interests include the optimal management of acute minor illness with a focus on antibiotic sparing strategies and he brings this experience to his role as the RCGP National Clinical Champion for Antimicrobial Stewardship. He is also involved in other programmes of work including depression management, obesity, alcohol and liver disease.

Qualifications

B. Med. Sci. 1980 Nottingham
B.M. B.S. 1982 Nottingham
M.R.C.P. (UK) 1985
D.R.C.O.G. 1987
M.R.C.G.P. 1988

Certificate in Health Economics - University of Aberdeen 1999
Fellow of the Royal College of General Practitioners November 2000
MSC Research in Health (Dist) - University of Southampton 2004

Dr Michael Moore's photo

Publications

The University of Southampton's electronic library (e-prints)

Article

Gulliford, Martin C., van Staa, Tjeerd, Dregan, Alex, McDermott, Lisa, McCann, Gerard, Ashworth, Mark, Charlton, Judith, Little, Paul, Moore, Michael V. and Yardley, Lucy (2014) Electronic health records for intervention research: a cluster randomized trial to reduce antibiotic prescribing in primary care (eCRT Study). Annals of Family Medicine, 12, (4), 344-351. (doi:10.1370/afm.1659). (PMID:25024243).
Yardley, Lucy, Ware , L.J, Smith , E.R., Williams , S., Bradbury , K.J., Arden-Close, Emily, Mullee, M., Moore , M., Peacock , J.L., Lean, M.E.J., Margetts, B.M., Byrne, Christopher D., Hobbs , R.F.D. and Little, Paul (2014) Randomised controlled feasibility trial of a web-based weight management intervention with nurse support for obese patients in primary care. International Journal of Behavioral Nutrition and Physical Activity, 11, (67) (doi:10.1186/1479-5868-11-67). (PMID:24886516).
Lai, L., Flower, A., Moore, M., Prescott, P. and Lewith, G. (2014) Polycystic ovary syndrome: a randomised feasibility and pilot study using Chinese Herbal medicine to explore Impact on Dysfunction (ORCHID) - Study Protocol. European Journal of Integrative Medicine (doi:10.1016/j.eujim.2014.03.001). (In Press).
Little, P., Moore, M., Kelly, J., Williamson, I., Leydon, G., McDermott, L., Mullee, M. and Stuart, B. PIPS Investigators (2014) Delayed antibiotic prescribing strategies for respiratory tract infections in primary care: pragmatic, factorial, randomised controlled trial. British Medical Journal, 348, (g1606), 1-8. (doi:10.1136/bmj.g1606). (PMID:24603565).
Little, P., Stuart, B., Hobbs, F.D., Butler, C.C., Hay , A.D., Delaney, B., Campbell, J., Broomfield, S., Barratt, P., Hood, K., Everitt, H., Mullee, M., Williamson, I., Mant, D. and Moore, M. DESCARTE investigators (2014) Antibiotic prescription strategies for acute sore throat: a prospective observational cohort study. The Lancet Infectious Diseases, 14, (3), 1-7. (doi:10.1016/S1473-3099(13)70294-9). (PMID:24440616).
Wang, K., Birring, Surinder S., Taylor, Kathryn, Fry, Norman K., Hay, Alastair D., Moore, Michael, Jin, Jing, Perera, Rafael, Farmer, Andrew, Little, Paul, Harrison, Timothy G, Mant, David and Harnden, Anthony (2014) Montelukast for postinfectious cough in adults: a double-blind randomised placebo-controlled trial. The Lancet Respiratory Medicine , 2, (1), 35-43. (doi:10.1016/S2213-2600(13)70245-5).
Moore, Michael, Stuart, B., Coenen, Samuel, Butler, Chris C, Goossens, Herman, Verheij , Theo J M and Little, Paul on behalf of the GRACE consortium (2014) Amoxicillin for acute lower respiratory tract infection in primary care: subgroup analysis of potential high-risk groups. British Journal of General Practice, (64), e75-e80. (doi:10.3399/bjgp14X677121).
Kendrick, T., Moore, M., Gilbody, S., Churchill, R., Stuart, B. and El-Gohary, Magdy (2014) Routine use of patient reported outcome measures (PROMs) for improving treatment of common mental health disorders in adults (Protocol). Cochrane Database of Systematic Reviews, Issue 5, 1-17. (doi:10.1002/14651858.CD011119).
Little, Paul, Stuart, Beth, Hobbs, F.D. Richard, Butler, Chris C., Hay, Alastair D., Campbell, John, Delaney, Brendan, Broomfield, Sue, Barratt, Paula, Hood, Karenza, Everitt, Hazel, Mullee, Mark, Williamson, Ian, Mant, David and Moore, Michael on behalf of the DESCARTE investigators (2013) Predictors of suppurative complications for acute sore throat in primary care: prospective clinical cohort study. British Medical Journal, 347:f6867, 1-14. (doi:10.1136/bmj.f6867).
Little, Paul, Moore, Michael, Hobbs, F.D.R., Mant, David, McNulty, Cliodna, Williamson, Ian, Cheng, Edith, Stuart, Beth, Kelly, Joanne, Barnett, Jane and Mullee, Mark PRISM investigators (2013) PRImary care Streptococcal Management (PRISM) study: identifying clinical variables associated with Lancefield group A β-haemolytic streptococci and Lancefield non-Group A streptococcal throat infections from two cohorts of patients presenting with an acute sore throat. BMJ Open, 3, (10), e003943. (doi:10.1136/bmjopen-2013-003943 ). (PMID:24163209).
Little, P.S., Moore, M., Kelly, J., Williamson, I., Leydon, G., McDermott, L., Mullee, M. and Stuart, B. on behalf of the PIPS investigators (2013) Ibuprofen, paracetamol, and steam for patients with respiratory tract infections in primary care: pragmatic randomised factorial trial. BMJ, 347:f6041, 1-13. (doi:10.1136/bmj.f6041).
Little, P., Hobbs, F.D.R., Moore, M., Mant, D., Williamson, I., McNulty, C., Cheng, Y.E., Leydon, G., McManus, R., Kelly, J., Barnett, J., Glasziou, P. and Mullee, M. on behalf of the PRISM investigators (2013) Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management). BMJ, 347:f5806, 1-10. (doi:10.1136/bmj.f5806 ). (PMID:24114306).
Little, P., Stuart, B., Francis, N., Douglas, E., Tonkin-Crine, S., Anthierens, S., Cals, J.W., Melbye, H., Santer, M., Moore, M., Coenen, S., Butler, C., Hood, K., Kelly, M., Godycki-Cwirko, M., Mierzecki, A., Torres, A., Llor, C., Davies, M., Mullee, M., O'Reilly, G., van der Velden, A., Geraghty, A.W., Goossens, H., Verheij, T. and Yardley, L. on behalf of the GRACE consortium (2013) Effects of internet-based training on antibiotic prescribing rates for acute respiratory-tract infections: a multinational, cluster, randomised, factorial, controlled trial. The Lancet, 382, (9899), 1175-1182. (doi:10.1016/S0140-6736(13)60994-0). (PMID:23915885).
Sheron, Nick, Moore, Michael, O'Brien, Wendy, Harris, Scott and Roderick, Paul (2013) Feasibility of detection and intervention for alcohol-related liver disease in the community: the Alcohol and Liver Disease Detection study (ALDDeS). British Journal of General Practice, 63, (615), e698-e705. (doi:10.3399/bjgp13X673711).
Eyles, Caroline, Moore, Michael, Sheron, Nicholas, Roderick, Paul, O'Brien, Wendy and Leydon, Geraldine M. (2013) Acceptability of screening for early detection of liver disease in hazardous/harmful drinkers in primary care. British Journal of General Practice, 63, (613), e516-e522. (doi:10.3399/bjgp13X670642). (PMID:23972192).
El-Gohary, Magdy, Hay, Alastair D., Coventry, Peter, Moore, Michael, Stuart, Beth and Little, Paul (2013) Corticosteroids for acute and subacute cough following respiratory tract infection: a systematic review. Family Practice, 1-9. (doi:10.1093/fampra/cmt034). (PMID:23836094).
Moore, Michael (2013) Editorial. Antibiotics: time to act. British Journal of General Practice, 63, (612), 340-341. (doi:10.3399/bjgp13X668447). (PMID:23834861).
Leydon, Geraldine M., Shergill, Narinder K., Campion-Smith, Charles, Austin, Helen, Eyles, Caroline, Baverstock, Jenny, Addington-Hall, Julia, Sloan, Richard, Davis, Carol and Moore, Michael V. (2013) Discontinuity of care at end of life: a qualitative exploration of OOH end of life care. BMJ Supportive & Palliative Care, 1-10. (doi:10.1136/bmjspcare-2012-000266).
Summers, Rachael H., Elsey, Helen, Moore, Michael, Byrne, Christopher, Byrne, James, Welbourn, Richard and Roderick, Paul (2013) Weight loss surgery for non-morbidly obese populations with type 2 diabetes: is this an acceptable option for patients? Primary Health Care Research & Development, 1-10. (doi:10.1017/S146342361300025X). (PMID:23735219).
Bruton, Anne, Kirby, Sarah, Arden-Close, Emily, Taylor, L, Webley, F, George, S, Yardley, L, Price, D, Moore, M., Little, P., Holgate, S., Djukanovic, R., Lee, AJ, Raftery, J., Chorozoglou, M, Versnel, J, Pavord, I, Stafford-Watson, M and Thomas, M. (2013) The BREATHE study: Breathing REtraining for Asthma - Trial of Home Exercises. A protocol summary of a randomised controlled trial. Primary Care Respiratory Journal, 22, (2), PS1-PS7. (doi:10.4104/pcrj.2013.00047).
Coupland, Carol, Morriss, Richard, Arthur, Antony, Moore, Michael, Hill, Trevor and Hippisley-Cox, Julia (2013) Safety of antidepressants in adults aged under 65: protocol for a cohort study using a large primary care database. BMC Psychiatry, 13, 135. (doi:10.1186/1471-244X-13-135). (PMID:23663769).
Gamblin, J., Jefferies, Johanna M.C., Harris, S., Ahmad, N., Marsh, P., Faust, S.N., Fraser, S., Moore, Michael, Roderick, Paul, Blair, I. and Clarke, Stuart C. (2013) Nasal self-swabbing for estimating the prevalence of Staphylococcus aureus in the community. Journal of Medical Microbiology, 62, (Pt 3), 437-440. (doi:10.1099/jmm.0.051854-0 ). (PMID:23222858).
Moore, Michael, Byng, Richard, Stuart, Beth, Harris, Tirril and Kendrick, Tony (2013) 'Watchful waiting' or 'active monitoring' in depression management in primary care: exploring the recalled content of general practitioner consultations. Journal of Affective Disorders, 145, (1), 120-125. (doi:10.1016/j.jad.2012.04.042). (PMID:22819205).
Little, Paul, Stuart, Beth, Moore, Michael, Coenen, Samuel, Butler, Christopher C., Godycki-Cwirko, Maciek, Mierzecki, Artur, Chlabicz, Slawomir, Torres, Antoni, Almirall, Jordi, Davies, Mel, Schaberg, Tom, Molstad, Sigvard, Blasi, Francesco, De Sutter, An, Kersnik, Janko, Hupkova, Helena, Touboul, Pia, Hood, Kerenza, Mullee, Mark, O'Reilly, Gillian, Brugman, Curt, Goossens, Herman and Verheij, Theo GRACE consortium (2013) Amoxicillin for acute lower-respiratory-tract infection in primary care when pneumonia is not suspected: a 12-country, randomised, placebo-controlled trial. The Lancet Infectious Diseases, 13, (2), 123-129. (doi:10.1016/S1473-3099(12)70300-6). (PMID:23265995).
Moore, M.V. (2013) Antibiotics: time to act. British Journal of General Practice, 63, (612), 340-341. (doi:10.3399/bjgp13X668447).
Leydon, Gerry M., McDermott, Lisa, Moore, Michael, Williamson, Ian, Hobbs, Richard, Lambton, Tessa, Cooper, Rebecca, Henderson, Hugo, Kelly, Jo, Barnett, Jane, Middleton, Karen and Little, Paul on behalf of the PRISM Investigators (2013) A qualitative study of GP, NP and patient views about the use of rapid streptococcal antigen detection tests (RADTs) in primary care: "swamped with sore throats?". BMJ Open, 3, (4), e002460. (doi:10.1136/bmjopen-2012-002460).
Moore, Michael and McNulty, Cliodna (2012) European Antibiotic Awareness Day 2012: TARGET antibiotics through guidance, education, and tools. British Journal of General Practice, 62, (605), 621-622. (doi:10.3399/bjgp12X659132). (PMID:23211234).
Coughtrie, Abigail L., Whittaker , Robert N., Begum , Nelupha, Anderson , Rebecca, Tuck, Andrew, Faust, Saul N., Jefferies , Johanna M., Yuen, Ho Ming, Roderick , Paul J., Mullee, Mark A., Moore, Michael V. and Clarke, Stuart C. (2012) Microbial analysis of the upper respiratory tract to support the development of effective vaccine policy: a population-based pilot study. The Lancet, 380, S31.
Vugt, S.V., Broekhuizen, L., Zuithoff, N., Butler, C., Hood, K., Coenen, S., Goossens, H., Little, P., Almirall, J., Blasi, F., Chlabicz, S., Davies, M., Godycki-Cwirko, M., Hupkova, H., Kersnik, J., Moore, M., Schaberg, T., De Sutter, A., Torres, A. and Verheij, T. GRACE Project Group (2012) Airway obstruction and bronchodilator responsiveness in adults with acute cough. Annals of Family Medicine, 10, (6), 523-529. (doi:10.1370/afm.1416). (PMID:23149529).
Vugt, S. van, Broekhuizen, L., Zuithoff, N., De Jong, P., Butler, C., Hood, K., Coenen, S., Goossens, H., Little, P., Almirall, J., Blasi, F., Chlabicz, S., Davies, M., Godycki-Cwirko, M., Hupkova, H., Kersnik, J., Mierzecki, A., Molstad, S., Moore, M., Schaberg, T., De Sutter, A., Torres, A., Touboul, P. and Verheij, T. (2012) Incidental chest radiographic findings in adult patients with acute cough. The Annals of Family Medicine, 10, (6), 510-515. (doi:10.1370/afm.1384 ).
Sheron, Nick, Moore, Mike, Ansett, Stacey, Parsons, Camille and Bateman, Adrian (2012) Developing a 'traffic light' test with potential for rational early diagnosis of liver fibrosis and cirrhosis in the community. British Journal of General Practice, 62, (602), e616-e624. (doi:10.3399/bjgp12X654588). (PMID:22947582).
Lai, Lily, Flower, Andrew, Moore, Michael and Lewith, George (2012) Developing clinical practice guidelines for the treatment of polycystic ovary syndrome with Chinese herbal medicine: a mixed-method modified Delphi study. European Journal of Integrative Medicine, 4S, 9-123. (doi:10.1016/j.eujim.2012.07.586).
El-Gohary, Magdy, Burgess, Hana, Doney, L., Johnson, E., Stuart, Beth, Moore, Michael, Hearn, P. and Little, Paul (2012) Topical antifungal treatments for tinea cruris and tinea corporis (Protocol). Cochrane Database of Systematic Reviews, 8, (CD0099) (doi:10.1002/14651858.CD009992).
Moore, Michael, Ali, Saima, Stuart, Beth, Leydon, Gerry M., Ovens, Jessica, Goodall, Chris and Kendrick, Tony (2012) Depression management in primary care: an observational study of management changes related to PHQ-9 score for depression monitoring. British Journal of General Practice, 62, (599), e451-e457. (doi:10.3399/bjgp12X649151). (PMID:22687239).
Lynch, Jeannette, Moore, M., Moss-Morris, R. and Kendrick, T. (2011) Are patient beliefs important in determining adherence to treatment and outcome for depression? Development of the beliefs about depression questionnaire. Journal of Affective Disorders, 133, (1-2), 29-41. (doi:10.1016/j.jad.2011.03.019). (PMID:21507489).
Gulliford, Martin C., Van Staa, Tjeerd P., McDermott, Lisa, Dregan, Alex, McCann, Gerard, Ashworth, Maek, Charlton, Judith, Grieve, Andrew P., Little, Paul, Moore, Michael and Yardley, Lucy Electronic Cluster Randomised Trial Research Team eCRT Research Team (2011) Cluster randomised trial in the General Practice Research Database: 1. Electronic decision support to reduce antibiotic prescribing in primary care (eCRT study). Trials, 12, (115), 1-6 [6pp]. (doi:10.1186/1745-6215-12-115). (PMID:21569237).
Leydon, G.M., Dowrick, C.F., McBride, Anita, Burgess, H., Howe, A.C., Moore, M., Clarke, P.D., Maisey, S.P. and Kendrick, Tony on behalf of the QOF Depression Study Team (2011) Questionnaire severity measures for depression: a threat to the doctor-patient relationship? British Journal of General Practice, 61, (583), 117-123. (doi:10.3399/bjgp11X556236). (PMID:21276338).
Lasseter, G.M., McNulty, C.A.M. and Hobbs, F.D.R. et al. for the PRImary care Streptococcal Management (PRISM) Investigators Group (2011) Effect of swab type on the analytical sensitivity of five point-of-care tests for group A streptococci. British Journal of Biomedical Science, 68, (2), 91-94. (PMID:21706921).
Little, P., Turner, S., Rumsby, K., Jones, R., Warner, G., Moore, M., Lowes, J.A., Smith, H., Hawke, C., Leydon, G. and Mullee, M. (2010) Validating the prediction of lower urinary tract infection in primary care: sensitivity and specificity of urinary dipsticks and clinical scores in women. British Journal of General Practice, 60, (576), 495 -500. (doi:10.3399/bjgp10X514747). (PMID:20594439).
Little, P., Merriman, R., Turner, S., Rumsby, K., Warner, G., Lowes, J.A., Smith, H., Hawke, C., Leydon, G., Mullee, M. and Moore, M.V. (2010) Presentation, pattern, and natural course of severe symptoms, and role of antibiotics and antibiotic resistance among patients presenting with suspected uncomplicated urinary tract infection in primary care: observational study. British Medical Journal, 340, b5633-[6pp]. (doi:10.1136/bmj.b5633). (PMID:20139213).
Little, P., Moore, M.V., Turner, S., Rumsby, K., Warner, G., Lowes, J.A., Smith, H., Hawke, C., Leydon, G., Arscott, A., Turner, D. and Mullee, M. (2010) Effectiveness of five different approaches in management of urinary tract infection: randomised controlled trial. BMJ, 340, c199. (doi:10.1136/bmj.c199). (PMID:20139214).
Dowrick, C., Flach, C., Leese, M., Chatwin, J., Morriss, R., Peveler, R., Gabbay, M., Byng, R., Moore, M., Tylee, A., Kendrick, T. and THREAD Study Group (2010) Estimating probability of sustained recovery from mild to moderate depression in primary care: evidence from the THREAD study. Psychological Medicine, 41, (1), 141-150. (doi:10.1017/S003291710000437).
Sheron, Nick, Harris, Stacy, Moore, Mike, Williams, Emily, Ledbury, Michelle, Mackintosh, Will, Kramer, Lisa, Kapoor, Nina, Johari, Nur, Watts, Alicia and Bateman, Adrian (2010) A pragmatic traffic light system for triage of liver disease - results in a cohort of 710 subjects. Gut, 59, supplement 2 (doi:10.1136/gut.2010.223362.38).
Brown, George W., Harris, Tirril O., Kendrick, Tony, Chatwin, Judy, Craig, Tom K.J., Kelly, Vikki, Mander, Helen, Ring, Adele, Wallace, Vuokko, Uher, Rudolf and Moore, M. (on behalf of the THREAD study group) (2010) Antidepressants, social adversity and outcome of depression in general practice. Journal of Affective Disorders, 121, 239-246. (doi:10.1016/j.jad.2009.06.004). (PMID:9589602).
Moore, Michael, Yuen, Ho Ming, Dunn, Nick, Mullee, Mark A., Maskell, Joe and Kendrick, Tony (2009) Explaining the rise in antidepressant prescribing: a descriptive study using the general practice research database. British Medical Journal, 339, (b3999), 952-954. (doi:10.1136/bmj.b3999). (PMID:19833707).
Moore, Michael, Little, Paul, Rumsby, Kate, Kelly, Jo, Watson, Louise, Warner, Greg, Fahey, Tom and Williamson, Ian (2009) Effect of antibiotic prescribing strategies and an information leaflet on longer-term re-consultation for acute lower respiratory tract infection. British Journal of General Practice, 59, (567), 728-734. (doi:10.3399/bjgp09X472601). (PMID:19843421).
Leydon, Geraldine M., Turner, Sheila, Smith, Helen, Little, Paul and Moore, M.V. on behalf of the UTIS team (2009) The journey from self-care to GP care: a qualitative interview study of women presenting with symptoms of urinary tract infection. British Journal of General Practice, 59, (564), e219-e225. (doi:10.3399/bjgp09X453459). (PMID:19566988).
Kendrick, T., Chatwin, J., Dowrick, C., Tylee, A., Morriss, R., Peveler, R., Leese, M., McCrone, P., Harris, T., Moore, M., Byng, R., Brown, G., Barthel, S., Mander, H., Ring, A., Kelly, V., Wallace, V., Gabbay, M., Craig, T. and Mann, A. (2009) Randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of selective serotonin reuptake inhibitors plus supportive care, versus supportive care alone, for mild to moderate depression with somatic symptoms in primary care: the THREAD (THREshold for AntiDepressant response) study. Health Technology Assessment, 13, (22), i-182. (doi:10.3310/hta13220). (PMID:19401066).
Kendrick, Tony, Dowrick, Christopher, McBride, Anita, Howe, Amanda, Clarke, Pamela, Maisey, Sue, Moore, Michael and Smith, Peter W. (2009) Management of depression in UK general practice in relation to scores on depression severity questionnaires: analysis of medical record data. BMJ, 338, (b750), 1-8. (doi:10.1136/bmj.b750). (PMID:19299475).
Little, P., Turner, S., Rumsby, K., Warner, G., Moore, M., Lowes, J.A., Smith, H., Hawke, C., Turner, D., Leydon, G.M., Arscott, A. and Mullee, M. (2009) Dipsticks and diagnostic algorithms in urinary tract infection: development and validation, randomised trial, economic analysis, observational cohort and qualitative study. Health Technology Assessment, 13, (19), 1-96. (doi:10.3310/hta13190). (PMID:19364448).
Coleman, Cassie and Moore, Michael (2008) Decongestants and antihistamines for acute otitis media in children. Cochrane Database of Systematic Reviews, 3, (CD001727) (doi:10.1002/14651858.CD001727.pub4).
Moore, M., Little, P., Rumsby, K., Kelly, J., Watson, L., Warner, G., Fahey, T. and Williamson, I. (2008) Predicting the duration of symptoms in lower respiratory tract infection. British Journal of General Practice, 58, (547), 88-92. (doi:10.3399/bjgp08X264045).
Williamson, I.G., Rumsby, K., Benge, S., Moore, M., Smith, P.W., Cross, M. and Little, P. (2007) Antibiotics and topical nasal steroid for treatment of acute maxillary sinusitis: a randomized controlled trial. JAMA The Journal of the American Medical Association, 298, (21), 2487-2496. (doi:10.1001/jama.298.21.2487). (PMID:18056902).
Moore, Michael and Little, Paul (2007) Humidified air inhalation for treating croup: a systematic review and meta-anlaysis. Family Practice, 24, (4), 295-301. (doi:10.1093/fampra/cmm022). (PMID:17602176).
Lynch, Jeannette, Kendrick, Tony, Moore, Michael, Johnston, Olwyn and Smith, Peter W.F. (2006) Patients' beliefs about depression and how they relate to duration of antidepressant treatment. Use of a U.S. measure in a U.K. primary care population. Primary Care Mental Health, 4, (3), 207-217.
Williamson, I., Benge, S., Moore, M., Kumar, S., Cross, M. and Little, P. (2006) Acute sinusitis: which factors do FPs believe are most diagnostic and best predict antibiotic efficacy? Journal of Family Practice, 55, (9), 789-796. (PMID:16948963).
Little, P., Turner, S., Rumsby, K., Warner, G., Moore, M., Lowes, J.A., Smith, H., Hawke, C. and Mullee, M. (2006) Developing clinical rules to predict urinary tract infection in primary care settings: sensitivity and specificity of near patient tests (dipsticks) and clinical scores. British Journal of General Practice, 56, (529), 606-612. (PMID:16882379).
Moore, M. and Little, P. (2006) [Review]. Humidified air inhalation for treating croup. Cochrane Library, (3), 1-18. (doi:10.1002/14651858.CD002870.pub2).
Kendrick, Tony, Peveler, Robert, Longworth, Louise, Baldwin, David, Moore, Michael, Chatwin, Judy, Thornett, Andrew, Goddard, Jonathan, Campbell, Michael, Smith, Helen, Buxton, Martin and Thompson, Christopher (2006) Cost-effectiveness and cost-utility of tricyclic antidepressants, selective serotonin reuptake inhibitors and lofepramine: randomised controlled trial. British Journal of Psychiatry, 188, (4), 337-345. (doi:10.1192/bjp.188.4.337).
Little, P., Moore, M., Warner, G., Dunleavy, J. and Williamson, I. (2006) Longer term outcomes from a randomised trial of prescribing strategies in otitis media. British Journal of General Practice, 56, (524), 176-182.
Little, Paul, Rumsby, Kate, Kelly, Joanne, Watson, Louise, Moore, Michael, Warner, Gregory, Fahey, Tom and Williamson, Ian (2005) Information leaflet and antibiotic prescribing strategies for acute lower respiratory tract infection: a randomized controlled trial. Journal of the American Medical Association, 293, (24), 3029-3035. (doi:10.1001/jama.293.24.3029).
Moore, Michael, Little, Paul, Williamson, Ian, Warner, G and Coppin, R (2005) A pain in the neck for steroids (letter). British Journal of General Practice, 55, (514), 393 - 394.
Little, P., Dorward, M., Gralton, S., Hammerton, L., Pillinger, J., White, P., Moore, M., McKenna, J. and Payne, S. (2004) A randomised controlled trial of three pragmatic approaches to initiate increased physical activity in sedentary patients with risk factors for cardiovascular disease. British Journal of General Practice, 54, (500), 189-195.
Peveler, Robert, Kendrick, Tony, Buxton, Martin, Campbell, Mike, Baldwin, David, Moore, Mike, Longworth, Louise, Smith, Helen, Goddard, Jonathan and Chatwin, Judy (2004) Randomised controlled trial to assess the health economics of antidepressants in primary care (The AHEAD Study). Journal of Affective Disorders, 78, (Supplement 1), S42-S43. (doi:10.1016/j.jad.2003.12.004).
Little, Paul, Dorward, Martina, Warner, Greg, Moore, Michael, Stephens, Katharine, Senior, Jane and Kendrick, Tony (2004) Randomised controlled trial of effect of leaflets to empower patients in consultations in primary care. British Medical Journal, 328, (7437), 441-444. (doi:10.1136/bmj.37999.716157.44).
Little, Paul, Dorward, Martina, Warner, Greg, Stephens, Katharine, Senior, Jane and Moore, Michael (2004) Importance of patient pressure and perceived pressure and perceived medical need for investigations, referral, and prescribing in primary care: nested observational study. British Medical Journal, 328, (7437), 444-446. (doi:10.1136/bmj.38013.644086.7C).
Moore, M., White, P. and Royle, P. (2004) Airborne collapse: an in-flight emergency. British Journal of General Practice, 54, (499), 130 - 131.
Moore, M. (2003) SARS revisited (letter). British Journal of General Practice, 53, (492), 570.
Exworthy, M., Wilkinson, E.K., McColl, A., Moore, M., Roderick, P., Smith, H. and Gabbay, J. (2003) The role of performance indicators in changing the autonomy of the general practice profession in the UK. Social Science and Medicine, 56, (7), 1493-1504. (doi:10.1016/S0277-9536(02)00151-X).
Smith, Helen, Wright, David, White, Peter and Moore, Michael (2003) To collaborate or not to collaborate?: the WReN rapid guide to assessing research requests. Primary Health Care Research and Development, 4, (1), 5-7. (doi:10.1191/1463423603pc129oa).
Little, Paul, Gould, Clare, Moore, Michael, Warner, Greg, Dunleavey, Joan and Williamson, Ian (2002) Predictors of poor outcome and benefits from antibiotics in children with acute otitis media: pragmatic randomised trial. British Medical Journal, 325, (7354), 22-24. (doi:10.1136/bmj.325.7354.22).
Little, P., Somerville, J., Williamson, I., Warner, G., Moore, Michael, Wiles, R., George, S., Smith, Ann and Peveler, Robert (2001) Psychosocial, lifestyle and health status variables in predicting high attendance among adults. British Journal of General Practice, 51, (473), 987 -994.
Little, Paul, Everitt, Hazel, Williamson, Ian, Warner, Greg, Moore, Michael, Gould, Clare, Ferrier, Kate and Payne, Sheila (2001) Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. British Medical Journal, 323, (7318), 908-911. (doi:10.1136/bmj.323.7318.908).
Watson, Louise, Little, Paul, Moore, Michael, Warner, Greg and Williamson, Ian (2001) Validation study of a diary for use in acute lower respiratory tract infection. Family Practice, 18, (5), 553-554. (doi:10.1093/fampra/18.5.553).
Little, Paul, Somerville, Jane, Williamson, Ian, Warner, Greg, Moore, Michael, Wiles, Rose, George, Steve, Smith, Ann and Peveler, Robert (2001) Randomised controlled trial of self management leaflets and booklets for minor illness provided by post. British Medical Journal, 322, (7296), 1214-1217. (doi:10.1136/bmj.322.7296.1214).
Little , P., Gould, C., Williamson, I., Moore, M., Warner, G. and Dunleavey, J. (2001) Delayed prescribing of antibiotics increased duration of acute otitis media symptoms in children but reduced diarrhoea. Evidence-Based Nursing, 4, (4), 107. (doi:10.1136/ebn.4.4.107).
Moore, M., Smith, H., Dunleavey, J., Field, J., Fenwick, A. and White, P. (2001) Enhancing the educational value of research presentations in primary care: visual presentation with expert review (ViPER). Education for Primary Care, 12, 437 - 439.
Little, P., Everitt, H., Williamson, I., Warner, G., Moore, M., Gould, C., Ferrier, K. and Payne, S. (2001) Preferences of patients for patient centred approach to consultation in primary care: observational study. British Medical Journal, 322, (7284), 468-472. (doi:10.1136/bmj.322.7284.468).
Little, Paul, Gould, Clare, Williamson, Ian, Moore, Michael, Warner, Greg and Dunleavey, Joan (2001) Pragmatic randomised controlled trial of two prescribing strategies for childhood acute otitis media. British Medical Journal, 322, (7282), 336-342. (doi:10.1136/bmj.322.7282.336).
Moore, Michael, Smith, Helen, Dunleavey, Joan, Field, Jenny, Fenwick, Angela, White, Peter and Woodcock, Alison (2001) A novel approach to research presentations for networks: an evaluation of visual presentation with expert review (ViPER). Primary Health Care Research and Development, 2, (4), 205-207. (doi:10.1191/146342301682157674).
Little, Paul, Somerville, Jane, Williamson, Ian, Warner, Greg, Moore, Michael, Wiles, Rose, George, Steve, Smith, Ann and Peveler, Robert (2001) Family influences in a cross-sectional survey of higher child attendance. British Journal of General Practice, 51, (473), 977-982.
Wilkinson, Emma K., McColl, Alastair, Exworthy, Mark, Roderick, Paul, Smith, Helen, Moore, Michael and Gabbay, John (2000) Reactions to the use of evidence-based performance indicators in primary care: a qualitative study. Quality in Health Care, 9, (3), 166-174. (doi:10.1136/qhc.9.3.166). (PMID:10980077).
Little, P., Williamson, I., Warner, G. and Moore, M.V. (2000) Length of penicillin treatment of streptococcal infections: care must be taken when extrapolating data (letter). BMJ, 320, (7250), 1666. (doi:10.1136/bmj.320.7250.1665). (PMID:10905831).
McColl, Alastair, Roderick, Paul, Smith, Helen, Wilkinson, Emma, Moore, Michael, Exworthy, Mark and Gabbay, John (2000) Clinical governance in primary care groups: the feasibility of deriving evidence-based performance indicators. Quality in Health Care, 9, (2), 90-97. (doi:10.1136/qhc.9.2.90). (PMID:11067257).
Lattimer, Val, Sassi, Franco, George, Steve, Moore, Michael, Turnbull, Joanne, Mullee, Mark and Smith, Helen (2000) Cost analysis of nurse telephone consultation in out of hours primary care: evidence from a randomised controlled trial. BMJ, 320, (7241), 1053-1057. (doi:10.1136/bmj.320.7241.1053). (PMID:10764368).
Moore, M., Post, K. and Smith, H. (1999) 'Bin Bag' study: a survey of the research requests received by general practitioners and the primary health care team. British Journal of General Practice, 49, (448), 905-906. (PMID:10818659).
Thompson, Felicity, George, Steve, Lattimer, Val, Smith, Helen, Moore, Michael, Turnbull, Joanne, Mullee, Mark, Thomas, Eileen, Bond, Hugh and Glasper, Alan (1999) Overnight calls in primary care: randomised controlled trial of management using nurse telephone consultation. BMJ, 319, 1408. (PMID:10574857).
Moore, M.V. and Lattimer, V. (1999) Marginal cost effectiveness of hypertension guidelines. BMJ, 319, (7210), 630. (doi:10.1136/bmj.319.7210.630).
McColl, Alastair, Roderick, Paul, Gabbay, John, Smith, Helen and Moore, Michael (1999) Letter. Performance indicators for primary care groups. BMJ, 318, 804-805.
McColl, Alastair, Roderick, Paul, Gabbay, John, Smith, Helen and Moore, Michael (1998) Performance indicators for primary care groups an evidence based approach. BMJ, 317, 1354-1360. (PMID:9812935).
Lattimer, Val, George, Steve, Thompson, Felicity, Thomas, Eileen, Mullee, Mark, Turnbull, Joanne, Smith, Helen, Moore, Michael, Bond, Hugh and Glasper, Alan South Wiltshire Out of Hours Project (SWOOP) Group (1998) Safety and effectiveness of nurse telephone consultation in out-of-hours primary care: randomised controlled trial. BMJ, 317, 1054-1059. (PMID:9774295).
Moore, M.V., Little, P.S., Williamson, I. and Warner, G. (1997) Scoring system for throat infection (letter). British Journal of General Practice, 47, (416), 181-182. (PMID:9167326).
Moore, M. South Wiltshire Out of Hours Project (SWOOP) Group (1997) Nurse telephone triage in out of hours primary care: a pilot study. BMJ, 314, (7075), 198-199. (PMID:9022437).
Moore, M.V. (1996) Letter. Improving the detection of psychological disorders. British Journal of General Practice, 46, (413), 755-756. (PMID:8995865).
Moore, M.V. (1996) Letter. Detecting psychiatric illness. British Journal of General Practice, 46, (412), 689-690. (PMID:8978124).
Lattimer, V., Smith, H., Thomas, Emma, Thompson, F., Moore, M.V., Glasper, A. and George, S. (1996) The South Wiltshire out of hours project (SWOOP). Southampton Health Journal, 2, 6-8.

Conference or Workshop Item

Bailey, C., Chivers Seymour, K., Drake, Sue and Moore, Michael (2012) Experiences and support needs of older caregivers caring for family members (or friends) with cancer. In, Palliative Care Congress, 14 - 16 Mar 2012. Gateshead, GB,

Monograph

Little, Paul, Hobbs, FD Richard, Moore, Michael, Mant, David, Williamson, Ian, McNulty, Cliodna, Lasseter, Gemma, Cheng, MY Edith, Leydon, Geraldine, McDermott, Lisa, Turner, David, Pinedo-Villanueva, Rafael, Raftery, James, Glasziou, Paul and Mullee, Mark (2014) PRImary care Streptococcal Management (PRISM) study: in vitro study, diagnostic cohorts and a pragmatic adaptive randomised controlled trial with nested qualitative study and cost-effectiveness study. Southampton, GB, NIHR Journals Library, 132pp. (HTA Journal Series, (doi:10.3310/hta18060) , 18 6).
Addington-Hall, Julia, Gerard, Karen, Brien, Sarah, Brailsford, S.C., Salisbury, Christopher, Heaney, David, Todd, Christopher, Moore, Mike, Leydon, Geraldine M., England, Helen and Lattimer, Valerie (2013) Variations in out of hours end of life care provision across primary care organisations in England and Scotland. Final Report. NIHR Service Delivery and Organisation Programme. London, GB, HMSO, 144pp.
Lattimer, Valerie, Burgess , Abigail, Knapp, Frances, Dalton, Sue, Brailsford, Sally, Junior, Evandro, Moore, Michael, Baverstock, Jenny and Heaney, David (2010) The impact of changing workforce patterns in emergency and urgent out of hours care on patient experience staff practice and health system performance. London, GB, HMSO, 308pp. (NIHR Service Delivery and Organisation Programme).
Peveler, R., Kendrick, A., Buxton, M., Longworth, L., Baldwin, D., Moore, M., Chatwin, J., Goddard, J., Thornett, A., Smith, H., Campbell, M. and Thompson, C. NCCHTA (2005) A randomised controlled trial to compare the cost-effectiveness of tricyclic antidepressants, selective serotonin reuptake inhibitors and lofepramine. Southampton, UK, National Coordinating Centre for Health Technology Assessments, 152pp. (Health Technology Assessment, (Vol 9: number 16) ).
 

Research

Research Interests

Depression

He has published work related to antidepressant treatment for mild to moderate depression, a comparison of alternative treatments for primary care depression and data relating to rising antidepressant prescriptions.

Current work includes an exploration of patients’ explanatory models of depression and their relation to antidepressant adherance (PhD student Dr Jeanette Lynch).

Use of severity questionnaires for depression in the GP contract Quality and Outcome Framework (QOF); their impact on treatment, and patient and practitioners’ views.

Minor Illness

Acute minor illness is a major reason for consultation in primary care and many contacts result in an antibiotic prescription. Antibiotics have a marginal if any beneficial effect for many self limiting acute illnesses. The focus of this work is to identify alternative strategies to provide symptom relief and better targeting of antibiotics to those who really need them. He contributes to the minor illness programme which is focussed on.

- Better understanding of diagnosis 
- Understanding better which patients are at risk of adverse outcome 
- Clarifying whether there is benefit from treatment 
- Clarifying which subgroups of patients particularly benefit 
- Clarifying what aspects of the consultation process help outcome 
- Clarifying what self help approaches work
- Understanding better patient and doctor behaviour and how to change it

Current work incudes contributing to an NIHR minor illness programme (nasal irrigation for sinusitis, optimal antipyretic treatment for fever, xylitol for sore throat, acute cough cohort and internet doctor), a web intervention for flu prevention and the PRISM study (a trial comparing the use of rapid antigen tests to alternative pragmatic prescribing strategies). Newly funded work includes collaborations on two trials of oral steroids for symptom relief in acute cough and acute sore throat.

He has completed further work on the diagnosis and prescribing for adult female urinary tract infection with a further funded study focussed on alternative strategies to reduce the need for antibiotics.

Chronic Liver Disease

Liver disease the only major disease area showing significant increase in prevalence and the major driver for this is alcohol although obesity as a co-factor is likely to become more important. Very many people have fat in the liver and abnormal tests but few go on to develop progressive scarring. Testing ways to make a diagnosis of early liver scarring is a priority.

Current work includes an observational study looking at the use of new fibrosis markers in an at risk primary care population.

Obesity

Obesity is also implicated in the aetiology of chronic liver disease and existing non surgical strategies to aid with weight loss of limited effectiveness. Current work includes the development of a nurse supported website to aid with diet and wt loss in the context of primary care (POWER study) and an exploration of the views of patients and physicians on the role of weight loss surgery as a treatment for type 2 diabetes.

Academic unit:  Primary Care & Population Sciences

Research projects

BREATHE (Breathing Retraining for Asthma Trial of Home Exercise)

Although effective medicinal treatment exists for asthma, many people continue to have distressing symptoms and impaired quality of life. People with asthma have expressed interest in non-drug asthma treatments, particularly in breathing exercises. Several recent studies have shown benefits from a short course of breathing exercises taught by a respiratory physiotherapist for people with asthma who remained symptomatic despite usual treatment. We believe that many NHS patients could potentially benefit from these exercises, but unfortunately, there is currently not enough access to suitable trained physiotherapists able to provide such a service. We propose to provide the same breathing training programme that we have previously shown to be effective when taught 'face-to-face' by a physiotherapist in the form of a DVD, or internet download. Patients will use this in their own home at times convenient to them, in addition to their standard treatment (e.g. with inhalers). We will find out whether this type of instruction is better than the 'usual care' that is currently provided, and whether it is as good as the 'face to face' physiotherapist instruction (which is more expensive and less convenient for patients).

Positive Online Weight Reduction (POWeR)

Developing a nurse-delivered behavioural intervention to support weight loss in obese adults

Positive Online Weight Reduction Plus (POWeR+)

Responsibilities

  • Theme lead for primary care theme of the NIHR Wessex CLAHRC
  • Director of Division five of the new Wessex Clinical Research Network
  • RCGP National Clinical Champion for Antimicrobial Stewardship
  • Member of the HIOW CLRN executive committee and HIOW CLRN board
  • Member of the Wessex Alcohol Collaborative

PhD supervision

Jane Vennik
Lily Lai
Jeanne Trill

Supervision of medical student study in depth

Media

9 January 2014
Article in the Mirror: 'Top medic warns increased levels of antibiotics are putting nursing home residents at risk'.
Also related to this is an article from the BMJ following up on the select committee.

25 October 2013
An article entitled 'Clinical score cuts antibiotic use for sore throats by 30%' in 'Pulse Today' 25 October 2013 regarding our PRISM study is available to read on this link.

28 October 2013
An interview with Dr Michael Moore on the BBC radio 4 programme Inside Health is available to listen to via this link.

25 September 2013
'Traffic light' test could prevent hundreds of people developing alcohol-related cirrhosis. Please click here for full news item.

15 November 2012
GP warning on antibiotic overuse. Please click here for full news item.

Contact

Dr Michael Moore
Primary Medical Care
Aldermoor Health Centre
Aldermoor Close
Southampton
SO16 5ST

Room Number: AHC/PCRN SW

Telephone: (023) 8024 1056
Email: mvm198@soton.ac.uk