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Senior Lecturer Beyond the Bar, Wellington CCW Module Convenor & TI Module Co-Convenor 

Department of Primary Health Care and General Practice 

Background and Interests

Lesley joined the Department in 2008 and is a senior lecturer (beyond the bar.)  She gained her Masters in Public Health (Glasgow) and Master of Science in Interprofessional Collaboration (London) before being awarded Fellowship of the UK Faculty of Public Health. Lesley has over 30 years’ experience establishing services in Public Health and Primary Care and held lecturing roles with Barts and The London School of Medicine and Dentistry prior to imigrating to New Zealand. Lesley is an active member of the Joint Centre for Disaster Research (Massey/GNS Science) and member of the New Zealand Health Promotion Forum’s primary health care reference group.

Teaching Activities

Postgraduate Education

Lesley convenes the postgraduate paper GENA737 Obesity Prevention and Management, a core paper of the new Postgraduate Certificate and Diploma in Health Sciences endorsed in Obesity Prevention and Management. Lesley was co-convenor of the postgraduate Primary Health Care paper. Lesley is involved with supervision and examination of Masters students and convenes public health summer school courses on Public Health and Disasters. She co-founded bariatric management innovation and provides free seminars and education for health professionals.

BMI LogoJoint Centre for Disaster Research

www.bariatricmanagementinnovation.org

Undergraduate Medical Education

Lesley convenes the Wellington Community Contact Week for 3rd year medical students (part of the Early Professional Experience Module), and is also co-convenor of the 6th year (trainee intern) module, and contributes to the 4th and 5th year teaching programs. Lesley is also a member of the Wellington Interprofessional Teaching Initiative (WITI).

Research Activities

Lesley’s research interests concern health risk communication and behaviour, as they relate to obesity, health equity and disaster risk reduction (DRR). Lesley is a member of the Applied Research on Communication in Health (ARCH) Group where she led the formation of the TabOO study (Talking About Overweight & Obesity). Her PhD looks at disaster risk reduction and people with extreme obesity. Lesley is also involved in education research including interprofessional education and community informed learning.

Sample of Current and Recent Research Projects

  • PhD – disaster risk reduction - Joint Centre for Disaster Research 2016
  • FABS Healthy Lifestyle Brief Intervention Trial - Compass Health/Ministry of Health 2018 
  • GP Referral to Weight Management Programmes – Ministry of Health 2016-2017
  • TAbOO: Talking about Overweight and Obesity – University of Otago Research Fund 2011, 2013,2015, 2018; RNZCGP Wellington Faculty Trust 2012,2014
  • Dynamics of an effective risk communication campaign for Influenza A(H1N1) – Health Research Council/Ministry of Health funded 2010-11
  • Longitudinal Interprofessional (LIP) Study
  • The Empathy Project – longitudinal education research project – Committee for the Advancement of Learning and Teaching Grant

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Publications

Hales, C., Gray, L., MacDonald, C., & Purdie, G. (2019). Dissonance in naming adiposity: A quantitative survey of naming preferences from a convenience sample of health professional and lay population in Aotearoa New Zealand. New Zealand Medical Journal, 132(1496), 20-30. Retrieved from https://www.nzma.org.nz/journal

Williams, O., Gray, L., & West, H. (2019). Cancer risk: Is it right to compare obesity to smoking? Science Focus, (19 July). Retrieved from https://www.sciencefocus.com/the-human-body/cancer-risk-is-it-right-to-compare-obesity-to-smoking/

Rook, H., Hales, C., Amankwaa, I., & Gray, L. (2019). ARC–Extreme: the preparedness of aged residential care facilities in caring for older adults with extreme obesity. Obesity Facts, 12(Suppl. 1), (pp. 244). doi: 10.1159/000497797

Hales, C., Gray, L., Russell, L., & Macdonald, C. (2019). What are the ethical risks of using simulation body suits in obesity research, education and practice? A reflexive critique. Obesity Facts, 12(Suppl. 1), (pp. 129). doi: 10.1159/000497797

Gray, L. (2019). A taboo topic? How general practitioners talk about overweight and obesity in New Zealand. Obesity Facts, 12(Suppl. 1), (pp. 31). doi: 10.1159/000497797

Chapter in Book - Research

Pullon, S., McKinlay, E., Gallagher, P., Gray, L., Skinner, M., & McHugh, P. (2015). Case study 14.4: Interprofessional education in a rural setting: A quick-start innovation for final-year health professional students. In K. Bin Abdulrahman, S. Mennin, R. Harden & C. Kennedy (Eds.), Routledge international handbook of medical education. (pp. 197). Abingdon, UK: Routledge. [Case Study].

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Journal - Research Article

Hales, C., Gray, L., MacDonald, C., & Purdie, G. (2019). Dissonance in naming adiposity: A quantitative survey of naming preferences from a convenience sample of health professional and lay population in Aotearoa New Zealand. New Zealand Medical Journal, 132(1496), 20-30. Retrieved from https://www.nzma.org.nz/journal

Dowell, A., Stubbe, M., Macdonald, L., Tester, R., Gray, L., Vernall, S., … Dew, K. (2018). A longitudinal study of interactions between health professionals and people with newly diagnosed diabetes. Annals of Family Medicine, 16(1), 37-44. doi: 10.1370/afm.2144

Gray, L., McAfee, L., McCrane, E. J., & MacDonald, C. (2018). My grab bag is two suitcases: An autoethnographical view of a super-plus size self-evacuation from Hurricane Irma. Australian Journal of Emergency Management, (Monograph No. 3).

Gray, L., Stubbe, M., Macdonald, L., Tester, R., Hilder, J., & Dowell, A. C. (2018). A taboo topic? How general practitioners talk about overweight and obesity in New Zealand. Journal of Primary Health Care, 10(2), 150-158. doi: 10.1071/HC17075

Hales, C., Gray, L., Russell, L., & MacDonald, C. (2018). A qualitative study to explore the impact of simulating extreme obesity on health care professionals’ attitudes and perceptions. Ostomy Wound Management, 1, 18-24.

Gray, L. (2017). Social determinants of health, disaster vulnerability, severe and morbid obesity in adults: Triple jeopardy? International Journal of Environmental Research & Public Health, 14(2), 1452. doi: 10.3390/ijerph14121452

Foster Page, L. A., Gray, L., Gallagher, P., McKinlay, E., & Rich, A. M. (2016). Untangling the web of influences on dental students' participation in interprofessional education programs. Journal of Dental Education, 80(6), 677-685.

McKinlay, E., Gallagher, P., Wilson, C., Gray, L., McHugh, P., & Pullon, S. (2016). Social learning, shared accommodation and interprofessional education: I think those conversations that you have at the dinner table …. Journal of Interprofessional Education & Practice, 5, 1-6. doi: 10.1016/j.xjep.2016.07.001

Barton, J., Dew, K., Dowell, A., Sheridan, N., Kenealy, T., Macdonald, L., Tester, R., … Gray, L., & Stubbe, M. (2016). Patient resistance as a resource: Candidate obstacles in diabetes consultations. Sociology of Health & Illness, 38(7), 1151-1166. doi: 10.1111/1467-9566.12447

Pullon, S., Wilson, C., Gallagher, P., Skinner, M., McKinlay, E., Gray, L., & McHugh, P. (2016). Transition to practice: Can rural interprofessional education make a difference? A cohort study. BMC Medical Education, 16, 154. doi: 10.1186/s12909-016-0674-5

Gray, L., Chamberlain, R., & Morris, C. (2016). "Basically you wait for an 'in'": Community pharmacist views on their role in weight management in New Zealand. Journal of Primary Health Care, 8(4), 365-371. doi: 10.1071/HC16026

McKinlay, E. M., Gallagher, P. A., Gray, L. A., Wilson, C. L., & Pullon, S. R. H. (2015). Sixteen months “from square one”: The process of forming an interprofessional clinical teaching team. Journal of Research in Interprofessional Practice & Education, 5(2). Retrieved from http://www.jripe.org/index.php/journal/article/view/191

Woodbridge, M. R., Dowell, A. C., & Gray, L. (2015). 'He said he had been out doing the traffic': General practitioner perceptions of sexually transmitted infection and HIV testing strategies for men. Journal of Primary Health Care, 7(1), 50-56.

Claridge, R., Gray, L., Stubbe, M., Macdonald, L., Tester, R., & Dowell, A. C. (2014). General practitioner opinion of weight management interventions in New Zealand. Journal of Primary Health Care, 6(3), 212-220.

Macdonald, L., Stubbe, M., Tester, R., Vernall, S., Dowell, T., Dew, K., Kenealy, T., Sheridan, N., Docherty, B., Gray, L., & Raphael, D. (2013). Nurse-patient communication in primary care diabetes management: An exploratory study. BMC Nursing, 12(20). doi: 10.1186/1472-6955-12-20

Lim, B. T., Moriarty, H., Huthwaite, M., Gray, L., Pullon, S., & Gallagher, P. (2013). How well do medical students rate and communicate clinical empathy? Medical Teacher, 35(2), e946-e951. doi: 10.3109/0142159x.2012.715783

Gray, L., MacDonald, C., Mackie, B., Paton, D., Johnston, D., & Baker, M. G. (2012). Community responses to communication campaigns for influenza A (H1N1): A focus group study. BMC Public Health, 12, 205. doi: 10.1186/1471-2458-12-205

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Journal - Research Other

Darlow, B., Brown, M., Gallagher, P., Gray, L., McKinlay, E., Purdie, G., Wilson, C., & Pullon, S. (2018). Longitudinal impact of interprofessional education on attitudes, skills and career trajectories: a protocol for a quasi-experimental study in New Zealand. BMJ Open, 8, e018510. doi: 10.1136/bmjopen-2017-018510

Gray, L. A. (2017). Central obesity and waist-to-height ratio as proxy for routine health risk assessment. British Medical Journal. doi: 10.1136/bmj.j2033

Gray, L., & MacDonald, C. (2016). Morbid obesity in disasters: Bringing the "conspicuously invisible" into focus. International Journal of Environmental Research & Public Health, 13, 1029. doi: 10.3390/ijerph13101029

Gallagher, P., Pullon, S., Skinner, M., McHugh, P., McKinlay, E., & Gray, L. (2015). An interprofessional community education project as a socially accountable assessment [Short report]. Journal of Interprofessional Care, 29(5), 509-511. doi: 10.3109/13561820.2015.1004040

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Journal - Professional & Other Non-Research Articles

Williams, O., Gray, L., & West, H. (2019). Cancer risk: Is it right to compare obesity to smoking? Science Focus, (19 July). Retrieved from https://www.sciencefocus.com/the-human-body/cancer-risk-is-it-right-to-compare-obesity-to-smoking/

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Conference Contribution - Published proceedings: Abstract

Rook, H., Hales, C., Amankwaa, I., & Gray, L. (2019). ARC–Extreme: the preparedness of aged residential care facilities in caring for older adults with extreme obesity. Obesity Facts, 12(Suppl. 1), (pp. 244). doi: 10.1159/000497797

Gray, L. (2019). A taboo topic? How general practitioners talk about overweight and obesity in New Zealand. Obesity Facts, 12(Suppl. 1), (pp. 31). doi: 10.1159/000497797

Hales, C., Gray, L., Russell, L., & Macdonald, C. (2019). What are the ethical risks of using simulation body suits in obesity research, education and practice? A reflexive critique. Obesity Facts, 12(Suppl. 1), (pp. 129). doi: 10.1159/000497797

Gray, L., Macdonald, C., Blake, D., Kenney, C., & Johnston, D. (2019). Disaster risk reduction considerations for people with high body mass. Obesity Facts, 12(Suppl. 1), (pp. 238). doi: 10.1159/000497797

Gray, L., Hales, C., Macdonald, C., & Purdie, G. (2019). Dissonance in naming adiposity: a quantitative survey of health professionals and general population in New Zealand. Obesity Facts, 12(Suppl. 1), (pp. 58). doi: 10.1159/000497797

Darlow, B., Brown, M., Gallagher, P., Gray, L., McKinlay, E., Purdie, G., Pullon, S., & Wilson, C. (2018). The Longitudinal Interprofessional Study: The impact of pre-registration interprofessional education on graduate attitudes to health care teams and team skills. Proceedings of the All Together Better Health (ATBH) IX Conference. 1123. Retrieved from http://www.atbhix.co.nz

Simmonds, S., Tewhaiti-Smith, J., Glass, C., Waaka, T., Gray, B., Darlow, B., Pullon, S., McKinlay, E., Lawson-Te Aho, K., Haimona, M., Kemp, L., Perry, M., Gray, L., Coleman, K., Robson, B., Neser, H., … Kewene, F. (2018). Whakawhanaungatanga: An interprofessional education approach to teach the process of establishing relationships [Workshop]. Proceedings of the All Together Better Health (ATBH) IX Conference. 1323. Retrieved from http://www.atbhix.co.nz

Gray, L. (2017). Preparing for the big one: Morbid obesity in disasters. Proceedings of the Natural Hazards Workshop. Retrieved from https://hazards.colorado.edu/

Wilson, C., Gallagher, P., Pullon, S., Skinner, M., McHugh, P., McKinlay, E., & Gray, L. (2017). The Community Education Project: A socially accountable assessment component within an interprofessional curriculum. Proceedings of the Interprofessional Education Showcase: Incorporating Interprofessional and Collaborative Practice into the Curriculum. Retrieved from https://www.fmhs.auckland.ac.nz/en/faculty/about/news-and-events/events/2017/nov0/21/interprofessional-education-showcase---cmhse.html

Pullon, S., Wilson, C., Gallagher, P., Skinner, M., McKinlay, E., Gray, L., & McHugh, P. (2017). Interprofessional education in rural communities: Making a difference. Proceedings of the Interprofessional Education Showcase: Incorporating Interprofessional and Collaborative Practice into the Curriculum. Retrieved from https://www.fmhs.auckland.ac.nz/en/faculty/about/news-and-events/events/2017/nov0/21/interprofessional-education-showcase---cmhse.html

Gray, L. (2017). Preparing for the Big One: Disaster risk reduction for persons with morbid obesity. Proceedings of the 26th Annual Conference of the Society for Risk Analysis - Europe (SRA-E). Retrieved from https://www.conference-service.com/sraelisbon2017/download/aip6bwhh/detailed_program_3.html

Pullon, S., Wilson, C., McHugh, P., Gallagher, P., Gray, L., Skinner, M., & McKinlay, E. (2016). Rural interprofessional education meets multiple learning objectives for entry to practice. Proceedings of the All Together Better Health (ATBH) VIII Conference. (pp. 88). Retrieved from http://www.atbh.org/

Jardine, C. G., Bouder, F., Driedger, S. M., Turner, N., Gray, L., Heywood, A., & Rath, B. (2016). Developing an international strategy for determining the immunization risk communication needs of immigrant Populations. Proceedings of the Society for Risk Analysis (SRA) Annual Meeting. Retrieved from http://sra.org/events/sra-2016-annual-meeting#program

Gallagher, P., McKinlay, E., Pullon, S., Gray, L., Tibble, M., & McHugh, P. (2016). "Ain't nothing like the real thing": IPE and students learning about indigenous health. Proceedings of the International Association for Medical Education (AMEE) Conference. 10N6. Retrieved from https://www.amee.org

Pullon, S., Gallagher, P., Pelham, K., McHugh, P., McKinlay, E., Skinner, M., & Gray, L. (2016). Partnerships matter: An interprofessional education programme as a socially accountable win-win for students and rural communities. Proceedings of the Primary Health Care Research Conference: Reform and Innovation in PHC Policy and Practice. (pp. 29). Retrieved from http://www.phcris.org.au/conference/2016/

Gray, L., Macdonald, C., Mackie, B., Paton, D., Baker, M. G., & Johnston, D. (2016). Community risk perception of flu vaccination campaigns in New Zealand. Proceedings of the Society for Risk Analysis (SRA) Annual Meeting. Retrieved from http://sra.org/events/sra-2016-annual-meeting#program

Gray, L. (2016). Awkward adiposity? [Invited]. Proceedings of the Obesity Summit. Barnet, UK: EuroSciCon. Retrieved from http://obesity2016.com

Pullon, S., Wilson, C., Gallagher, P., Skinner, M., McKinlay, E., Gray, L., & McHugh, P. (2016). Transitioning from student to graduate health practitioner. Proceedings of the Royal New Zealand College of General Practitioners (RNZCGP) Conference for General Practice. Retrieved from http://www.generalpractice.org.nz/gp16

Jardine, C., Bouder, F., Driedger, S. M., Turner, N., Gray, L., Heywood, A., & Rath, B. (2016). Risk communication needs for immunization of immigrant populations: Process and challenges in developing an international strategy. Society for Risk Analysis Europe Conference. Retrieved from http://programme.exordo.com/sra2016/delegates/presentation/125/

Stubbe, M., Dowell, T., Macdonald, L., Kenealy, T., Sheridan, N., Dew, K., Tester, R., Docherty, B., Hall, D.-A., Gray, L., & Vernall, S. (2015). 'I understand what it is but I didn't expect to get it': Justifications in the accounts of newly diagnosed type 2 diabetes patients. In J. Young (Ed.), Proceedings of the Annual General Practice and Primary Care Research Weekend. (pp. 8-9). Dunedin, New Zealand: Department of General Practice and Rural Health, University of Otago. [Abstract]

Gray, L., McKibben, M.-A., McKinlay, E., & Reid, K. (2015). Public health pathways and routes to fellowship: Following the yellow brick road because, because, because? Proceedings of the Public Health Association Conference. (pp. 28). Retrieved from https://www.ivvy.com/event/PHA15/

Darlow, B., McKinlay, E., Gallagher, P., Wilson, C., Gray, L., & Pullon, S. (2015). Following our students as they head into the big wide (collaborative) world: The Longitudinal Interprofessional Study. In J. Young (Ed.), Proceedings of the Annual General Practice and Primary Care Research Weekend. (pp. 15-16). Dunedin, New Zealand: Department of General Practice and Rural Health, University of Otago. [Abstract]

Gray, L., Gallagher, P., Pullon, S., McKinlay, E., Skinner, M., & McHugh, P. (2014). An unexpected socially accountable journey: Interprofessional health promoting practice in New Zealand. Proceedings of the New Zealand Population Health Congress: Connecting Communities, Policy and Science. (pp. 167). Retrieved from http://www.pophealthcongress.org.nz/nzphc14/programme/programme

Gray, L., Dowell, T., Macdonald, L., Tester, R., & Stubbe, M. (2014). Getting TabOO issues on the table: Talking about overweight and obesity in New Zealand General Practice. Obesity Research & Clinical Practice, 8(Suppl. 1), (pp. 41-42). doi: 10.1016/j.orcp.2014.10.075

McHugh, P., Pullon, S., McKinlay, E., Gray, L., Gallagher, P., & Skinner, M. (2014). A distributed interprofessional learning programme to connect rural New Zealand. Proceedings of the Royal New Zealand College of General Practitioners (RNZCGP) Conference for General Practice: Making Connections: Are You Plugged In? Retrieved from http://www.conference.co.nz/gp14/programme

Gallagher, P., Wilson, C., Pullon, S., Gray, L., & McKinlay, E. (2014). Building a community of practice: Forming a new interprofessional teaching team in a rural and distant location. Proceedings of the Australian & New Zealand Association for Health Professional Educators (ANZAHPE) Conference: Connecting Science and Theory with Learning for Clinical Practice. (pp. 90). Adelaide, Australia: ANZAHPE. [Abstract]

Skinner, M. A., Pullon, S., Gallagher, P., McKinlay, E., Gray, L., & McHugh, P. (2014). Looking to the future: The benefits of interprofessional collaboration in practice. Physiotherapy New Zealand Conference: Linking the Chain. (pp. 133). Wellington, New Zealand: Physiotherapy New Zealand. [Abstract]

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