Loughborough University
Leicestershire, UK
LE11 3TU
+44 (0)1509 263171
Loughborough University

Loughborough University Research Publications

Publications for Ruth Parry

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Journal Articles

Jenkins, L, Parry, R, Pino, M (2021) Providing opportunities for patients to say more about their pain without overtly asking: a conversation analysis of doctors repeating patient answers in palliative care pain assessment, Applied Linguistics, ISSN: 0142-6001. DOI: 10.1093/applin/amaa062.

Pino, M, Doehring, A, Parry, R (2020) Practitioners’ dilemmas and strategies in decision-making conversations where patients and companions take divergent positions on a healthcare measure: an observational study using conversation analysis, Health Communication, ISSN: 1041-0236. DOI: 10.1080/10410236.2020.1813952.

Archer, W and Parry, R (2019) Blame attributions and mitigated confessions: The discursive construction of guilty admissions in celebrity TV confessionals, Discourse and Communication, 13(5), pp.591-611, ISSN: 1750-4813. DOI: 10.1177/1750481319856204.

Pino, M and Parry, R (2019) Talking about death and dying: Findings and insights from five conversation analytic studies (Editorial), Patient Education and Counseling, 102(2), pp.185-187, ISSN: 0738-3991. DOI: 10.1016/j.pec.2019.01.011.

Ford, J, Hepburn, A, Parry, R (2019) What do displays of empathy do in palliative care consultations?, Discourse Studies, 21(1), pp.22-37, ISSN: 1461-4456. DOI: 10.1177/1461445618814030.

Harwood, RH, O’Brien, R, Goldberg, SE, Allwood, R, Pilnick, A, Beeke, S, Thomson, L, Murray, M, Parry, R, Kearney, F, Baxendale, B, Sartain, K, Schneider, J (2018) A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study, Health Services and Delivery Research, 6(41), pp.1-134, ISSN: 2050-4349. DOI: 10.3310/hsdr06410.

Land, V, Parry, R, Pino, M, Jenkins, L, Feathers, L, Faull, C (2018) Addressing possible problems with patients’ expectations, plans and decisions for the future: one strategy used by experienced clinicians in advance care planning conversations, Patient Education and Counseling, ISSN: 0738-3991. DOI: 10.1016/j.pec.2018.11.008.

Whitehead, PJ, Drummond, A, Parry, R, Walker, MF (2018) Content and acceptability of an Occupational Therapy intervention in HomEcare Re-ablement Services (OTHERS), British Journal of Occupational Therapy, Online first, ISSN: 0308-0226. DOI: 10.1177/0308022618766844.

Pino, M and Parry, R (2018) How and when do patients request life-expectancy estimates? Evidence from hospice medical consultations and insights for practice, Patient Education and Counseling, 102(2, February 2019), pp.223-237, ISSN: 0738-3991. DOI: 10.1016/j.pec.2018.03.026.

Land, V, Parry, R, Seymour, J (2017) Communication practices that encourage and constrain shared decision making in health-care encounters: Systematic review of conversation analytic research, Health Expectations, 20(6), pp.1228-1247, ISSN: 1369-6513. DOI: 10.1111/hex.12557.

Whittaker, B, Parry, R, Bird, L, Watson, S, Faull, C (2017) Development, validity and reliability testing of the East Midlands Evaluation Tool (EMET) for measuring impacts on trainees’ confidence and competence following end of life care training, BMJ Supportive & Palliative Care, pp.bmjspcare-2016-001100-bmjspcare-2016-001100, ISSN: 2045-435X. DOI: 10.1136/bmjspcare-2016-001100.

Pino, M, Parry, R, Feathers, L, Faull, C (2017) Is it acceptable to video-record palliative care consultations for research and training purposes? A qualitative interview study exploring the views of hospice patients, carers and clinical staff, Palliative Medicine, ISSN: 1477-030X. DOI: 10.1177/0269216317696419.

Whitehead, PJ, Walker, MF, Parry, RH, Latif, Z, McGeorge, ID, Drummond, AER (2016) Occupational Therapy in HomEcare Re-ablement Services (OTHERS): results of a feasibility randomised controlled trial, BMJ Open, 6(8), pp.e011868-e011868, ISSN: 2044-6055. DOI: 10.1136/bmjopen-2016-011868.

Parry, R, Pino, M, Faull, C, Feathers, L (2016) Acceptability and design of video-based research on healthcare communication: evidence and recommendations, Patient Education and Counseling, ISSN: 0738-3991. DOI: 10.1016/j.pec.2016.03.013.

Pino, M, Parry, R, Land, V, Faull, C, Feathers, L, Seymour, J (2016) Engaging terminally ill patients in end of life talk: how experienced palliative medicine doctors navigate the dilemma of promoting discussions about dying, PLoS One, 11(5), ISSN: 1932-6203. DOI: 10.1371/journal.pone.0156174.

Whitehead, PJ, Worthington, EJ, Parry, R, Walker, MF, Drummond, A (2015) Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: a systematic review, Clinical Rehabilitation, 29(11), pp.1064-1076, ISSN: 0269-2155. DOI: 10.1177/0269215514564894.

Parry, R, Land, V, Seymour, J (2014) How to communicate with patients about future illness progression and end of life: a systematic review, BMJ Supportive and Palliative Care, 4(4), pp.331-341, ISSN: 2045-435X. DOI: 10.1136/bmjspcare-2014-000649.

Whitehead, PJ, Drummond, A, Walker, MF, Parry, R, McGeorge, ID, Latif, Z (2014) Occupational Therapy in HomEcare Re-ablement Services (OTHERS): study protocol for a randomized controlled trial, Trials, 15(1), ISSN: 1745-6215. DOI: 10.1186/1745-6215-15-447.

Ankolekar, S, Parry, R, Sprigg, N, Siriwardena, AN, Bath, PM (2014) Views of paramedics on their role in an out-of-hospital ambulance-based trial in ultra-acute stroke: Qualitative data from the Rapid Intervention With Glyceryl Trinitrate in Hypertensive Stroke Trial (RIGHT), Annals of Emergency Medicine, 64(6), pp.640-648, ISSN: 0196-0644. DOI: 10.1016/j.annemergmed.2014.03.016.

Schoeb, V, Staffoni, L, Parry, R, Pilnick, A (2013) "What do you expect from physiotherapy?": a detailed analysis of goal setting in physiotherapy, Disability and Rehabilitation, 36(20), pp.1679-1686, ISSN: 0963-8288. DOI: 10.3109/09638288.2013.867369.

Parry, R and Land, V (2013) Systematically reviewing and synthesizing evidence from conversation analytic and related discursive research to inform healthcare communication practice and policy: an illustrated guide, BMC Medical Research Methodology, 13(1), ISSN: 1471-2288. DOI: 10.1186/1471-2288-13-69.

Whitehead, PJ, Drummond, A, Walker, MF, Parry, R (2013) Interventions to reduce dependency in personal activities of daily living in community-dwelling adults who use homecare services: protocol for a systematic review, Systematic Reviews, 2(1), DOI: 10.1186/2046-4053-2-49.

Parry, R (2013) Giving reasons for doing something now or at some other time, Research on Language & Social Interaction, 46(2), pp.105-124, ISSN: 0835-1813. DOI: 10.1080/08351813.2012.754653.

Parry, R (2013) Communication and compassion need time and support: Insights from end of life care, International Journal of Therapy and Rehabilitation, 20(10), pp.478-479, ISSN: 1741-1645. DOI: 10.12968/ijtr.2013.20.10.478.

Ankolekar, S, Sare, G, Geeganage, C, Fuller, M, Stokes, L, Sprigg, N, Parry, R, Siriwardena, AN, Bath, PM (2012) Determining the feasibility of ambulance-based randomised controlled trials in patients with ultra-acute stroke: Study protocol for the “Rapid Intervention with GTN in Hypertensive Stroke Trial” (RIGHT, ISRCTN66434824), Stroke Research and Treatment, 2012, pp.1-10, ISSN: 2090-8105. DOI: 10.1155/2012/385753.

Parry, R (2009) Practitioners’ accounts for treatment actions and recommendations in physiotherapy: when do they occur, how are they structured, what do they do?, Sociology of Health & Illness, 31(6), pp.835-853, ISSN: 0141-9889. DOI: 10.1111/j.1467-9566.2009.01187.x.

Parry, R and Brown, K (2009) Teaching and learning communication skills in physiotherapy: What is done and how should it be done?, Physiotherapy, 95(4), pp.294-301, ISSN: 0031-9406. DOI: 10.1016/j.physio.2009.05.003.

Parry, R (2008) Are interventions to enhance communication performance in allied health professionals effective, and how should they be delivered? Direct and indirect evidence, Patient Education and Counseling, 73(2), pp.186-195, ISSN: 0738-3991. DOI: 10.1016/j.pec.2008.05.029.

Parry, R (2005) Official recommendations and actual practice in physiotherapy: Managing troubles of physical performance, Communication Medicine, 2(2), pp.151-161, ISSN: 1612-1783. DOI: 10.1515/come.2005.2.2.151.

Parry, R (2005) A video analysis of how physiotherapists communicate with patients about errors of performance: insights for practice and policy, Physiotherapy, 91(4), pp.204-214, ISSN: 0031-9406. DOI: 10.1016/j.physio.2005.05.004.

Parry, R (2004) The interactional management of patients' physical incompetence: a conversation analytic study of physiotherapy interactions, Sociology of Health and Illness, 26(7), pp.976-1007, ISSN: 0141-9889. DOI: 10.1111/j.0141-9889.2004.00425.x.

Parry, R (2004) Communication during goal-setting in physiotherapy treatment sessions, Clinical Rehabilitation, 18(6), pp.668-682, ISSN: 0269-2155. DOI: 10.1191/0269215504cr745oa.

Parry, R, Lincoln, NB, Vass, CD (1999) Effect of severity of arm impairment on response to additional physiotherapy early after stroke, Clinical Rehabilitation, 13(3), pp.187-198, ISSN: 0269-2155. DOI: 10.1177/026921559901300302.

Lincoln, NB, Parry, R, Vass, CD (1999) Randomized, controlled trial to evaluate increased intensity of physiotherapy treatment of arm function after stroke, Stroke, 30(3), pp.573-579, ISSN: 0039-2499. DOI: 10.1161/01.STR.30.3.573.

Parry, R, Lincoln, NB, Appleyard, MA (1999) Physiotherapy for the arm and hand after stroke, Physiotherapy, 85(8), pp.417-425, ISSN: 0031-9406. DOI: 10.1016/S0031-9406(05)65500-9.

Parry, R and Vass, CD (1997) Training and assessment of physiotherapy assistants, Physiotherapy, 83(1), pp.33-40, ISSN: 0031-9406. DOI: 10.1016/S0031-9406(05)66108-1.


Parry, R (2017) Distribution of agency across body and self. In Unknown Parent Title, © Oxford University Press, pp.119-129, ISBN: 9780190457211.

Parry, R (2015) Patient-focused practice and communication: Use of communication in the clinical setting. In Grieve's Modern Musculoskeletal Physiotherapy, © Elsevier, pp.1-27, ISBN: 9780702051524.

Parry, RH (2010) Video-based conversation analysis. In Bourgeault, I, Dingwall, R, de Vries, R (ed) The SAGE Handbook of Qualitative Methods in Health Research, SAGE Publications Limited, pp.373-396, ISBN: 9781847872920.

Parry, R (2006) Communication practices in physiotherapy: A conversation analytic study. In Qualitative Research for Allied Health Professionals Challenging Choices, © John Wiley & Sons Ltd, pp.108-124, ISBN: 9780470019634.


Parry, R, Pino, M, Seymour, J, Faull, C, Feathers, L, Blankley, K, Ford, J, Hepburn, A, Land, V, Jenkins, L, Whittaker, B (2016) End of Award Report February 17TH 2016: VERDIS: Video-based communication research and training in supportive and palliative care, pp.1-18, The Health Foundation.

Parry, R, Seymour, J, Whittaker, B, Bird, L, Cox, KJ (2013) Rapid evidence review: pathways focused on the dying phase in end of life care and their key components, pp.1-35.

Devices or Products

Parry, R, Whittaker, B, Pino, M, Land, V, Faull, C, Feathers, L, Watson, S (2019) Real Talk facilitator manual.


Archer, W and Parry, R (2018) Navigating the sensitivities and complexities of video-recording in the palliative care setting, Loughborough University.


Parry, R and Pino, M (Accepted for publication) VERDIS and RealTalk Publication Summaries.


Archer, W and Parry, R (2018) Panel: Collecting, archiving and using data from sensitive environments.

Ekberg, S, Parry, R, Land, V, Ekberg, K, Pino, M, Antaki, C (Accepted for publication) Communicating with patients and families about difficult matters: A rapid review in the context of the COVID-19 pandemic, BackgroundPandemics pose significant challenges for healthcare systems, including an increase in difficult discussions about future illness progression and end of life.ObjectivesTo synthesise existing evidence about communication practices used to discuss difficult matters, including prognosis and end of life, and to use this evidence to make recommendations for clinical practice. The aim of this study was to use rapid review methods to update findings from a previous systematic review published in 2014.Data sourcesMEDLINE, EMBASE, CINAHL, PsycINFO, Sociological Abstracts, Web of Science, Scopus, ASSIA and Amed.Study eligibility criteriaStudies using conversation analysis or discourse analysis to examine recordings of actual conversations about difficult matters relating to future illness progression and end of life.Study appraisal and synthesis methodsData appraisal and extraction procedures used in the 2014 review were modified for this rapid review.ResultsFollowing screening, 18 sources were deemed to meet eligibility criteria, which were added to the 19 sources included in the 2014 systematic review. Synthesis of study findings identified 11 communication practices: providing opportunities for patient or family members to propose matters to discuss (7 out of 37 included sources); seeking a patient or family member’s perspective (6/37); discussing the future indirectly (11/37); discussing the future explicitly (7/37) linking to something previously said or done (11/37); using hypothetical scenarios (13/37); framing a difficult matter as universal (5/37); acknowledging uncertainty (3/37); exploring options (2/37); displaying sensitivity (7/37); emphasising the positive (7/37).LimitationsDividing work amongst the study authors to enable rapid review may have created inconsistencies.Conclusions and implications of key findingsThis synthesis of high-quality evidence from actual clinical practice supports a series of recommendations for communicating about difficult matters during and beyond the COVID-19 pandemic.. DOI: 10.1101/2020.04.27.20078048.

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