People

Dr Ash Routen

Research Fellow

School/Department: Health Sciences, Department of

Email: ar516@leicester.ac.uk

Address: Diabetes Research Centre Leicester General Hospital Gwendolen Road, Leicester, LE5 4PW

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Profile

Ash is a Research Fellow in the Diabetes Research Centre at the University of Leicester. He works across several areas of interest including ethnic minority health, inclusion and diversity, multiple long-term conditions (multimorbidity), and Covid-19.

Ash has authored over 50 publications. He sits on the editorial board of BMC Public Health, and is currently guest editing a Special Issue focused on Ethnic Minority Health and Primary Care in the International Journal of Environmental Research and Public Health.

Throughout the Coronavirus pandemic Ash has contributed to Covid-19 related research and policy recommendations. Ash is a member of the National Long Covid Research Working Group led by Professor Kamlesh Khunti.

Prior to joining Leicester in 2019 Ash worked at the School of Sport, Exercise and Health Sciences at Loughborough University, and The School of Medicine Pharmacy and Health at Durham University. His initial training was in Physical Activity and Public Health.


Research

Ash has a range of research interests that largely relate to applied public health research. These areas include health inequalities and ethnic minority health, inclusion and diversity in health and social care research, and multiple long-term conditions (multimorbidity).

Ash currently leads an NIHR ARC-EM project on the representation of under-served groups in applied health research. He has received funding as a co-investigator from a variety of funders. Recent examples from 2020 onward include:

A process evaluation of the enhanced diabetes care service in primary care in Leicestershire. Samuel Seidu (PI), Ash Routen, Grace Hawthorne, Ffion Curtis, Raj Thun, Michelle Hadjiconstantinou. £41,670.63. NIHR ARC East Midlands. 2022-2024.

National Multiple Long-Term Conditions Implementation Programme. Kamlesh Khunti (PI), Ash Routen, et al. £1.8m NIHR ARC Priority Themes. 2021-2023.

Understanding ARC researchers’ practices regarding the equality of participant involvement. Azhar Farooqi (PI) Ash Routen, Natalie Darko, Claire Gillies, Kamlesh Khunti. £161,159. NIHR ARC East Midlands. 2020 - 2023.

Establishing multi-stakeholder partnerships to implement community screening for cardiometabolic multimorbidity in India. Kamlesh Khunti (PI), Banshi Saboo, Vijay Viswanathan, Subash Babu, Nikhil Tandon, Ash Routen, Patrick Highton, Andrew Willis. £10,000. Global Challenges Research Fund. 2020-2021.


Publications

Routen A, Bodicoat D, Willis A, Treweek S, Paget S, Khunti K. (2022) Tackling the lack of diversity in health research. British Journal of General Practice, (Forthcoming)

Khunti, K Feldman EL, Laiteerapong N, Parker W, Routen AC, Peek M (2022) The impact of the COVID-19 pandemic on ethnic minority groups with diabetes. Diabetes Care, (Forthcoming)

Ali S, Routen A, Patel K, Gill P, Banerjee A, Sood H, Patel V, Hanif W, Khunti K (2022) Supporting Ethnic Minority populations post COVID-19: Recommendations from the South Asian Health Foundation. South Asian Health Foundation, ISBN13: ISBN 978-0-9546712-59

Routen A, Akbari A, Banerjee A, Katikireddi SV, Mathur R, McKee M, Nafilyan V, Khunti K (2022) Strategies to record and use ethnicity information in routine health data. Nature Medicine, . DOI: https://doi.org/10.1038/s41591-022-01842-y

Routen A, Bambra C, Willis A, Khunti K (2022) Hard to reach? Language matters when describing populations underserved by health and social care research. Public Health, 205(e28-e29) . DOI: https://doi.org/10.1016/j.puhe.2022.02.006

Routen A, O'Mahoney L, Ayoubkhani D, Banerjee A, Brightling C, Calvert M, Chaturvedi N, Diamond I, Eggo R, Elliott P, Evans RA, Haroon S, Herret E, O'Hara ME, Shafran R, Stanborough J, Stephenson T, Sterne J, Ward H, Khunti K (2022) Understanding and tracking the impact of long Covid in the United Kingdom. Nature Medicine, (28(6-16)). DOI: 10.1038/s41591-021-01591-4

Routen A, Abner S, Levene LS, Gillies CLL, Davies M, Seidu S, André Ng G, Khunti K (2022) Variations in documentation of atrial fibrillation predicted by population and service level characteristics in primary health care in England. Journal of Public Health, 14:fdac009 . DOI: Doi: 10.1093/pubmed/fdac009

Bodicoat DH, Routen AC, Willis A, Ekezie W, Gillies C, Lawson C, Yates T, Zaccardi F, Davies MJ, Khunti K (2021) Promoting inclusion in clinical trials-a rapid review of the literature and recommendations for action. Trials, 22(1):880 . DOI: Doi: 10.1186/s13063-021-05849-7

Evans RA, McAuley H, Harrison EM, Shikotra A, Singapuri A, Sereno M, Elneima O,Docherty AB, Lone NI, Leavy OC, Daines L, Baillie JK, Brown JS, Chalder T, De SoyzaA, Diar Bakerly N, Easom N, Geddes JR, Greening NJ, Hart N, Heaney LG, Heller S,Howard L, Hurst JR, Jacob J, Jenkins RG, Jolley C, Kerr S, Kon OM, Lewis K, Lord JM, McCann GP, Neubauer S, Openshaw PJM, Parekh D, Pfeffer P, Rahman NM, Raman B,Richardson M, Rowland M, Semple MG, Shah AM, Singh SJ, Sheikh A, Thomas D,Toshner M, Chalmers JD, Ho LP, Horsley A, Marks M, Poinasamy K, Wain LV, Brightling CE; PHOSP-COVID Collaborative Group (2021) Physical, cognitive, and mental health impacts of COVID-19 after hospitalisation (PHOSP-COVID): a UK multicentre, prospective cohort study. Lancet Respiratory Medicine, (9(11), p 1275-1287). DOI: 10.1016/S2213-2600(21)00383-0

Routen A, Gonzalez Aguado M, O' Connell S, & Harrington D (2021) The Daily Mile in practice: implementation and adaptation of the school running programme in a multiethnic city in the UK. BMJ Open, (11(8):e046655). DOI: 10.1136/bmjopen-2020-046655

Routen A, Pareek M, Khunti K (2021) Reporting of Race and Ethnicity in Medical and Scientific Journals. JAMA, (326(7):674). DOI: 10.1001/jama.2021.9265

Routen A, Darko N, Willis A, Miksza J, Khunti K (2021) “It's so tough for us now” – COVID-19 has negatively impacted religious practices relating to death among minority ethnic groups. Public Health, (194). DOI: 10.1016/j.puhe.2021.03.007

Ekezie W, Routen A, Denegri S, Khunti K (2021) Patient and public involvement for ethnic minority research: an urgent need for improvement. Journal of the Royal Society of Medicine, (7, p 347-350). DOI: 10.1177/0141076821994274

Khunti K, Routen A, Patel K, Ali SN, Gill P, Banerjee A, Lad A, Patel V, Hanif W (2020) Focused action is required to protect ethnic minority populations from COVID-19 post-lockdown. British Journal of General Practice, (71(702), p 37-40). DOI: 10.3399/bjgp21X714581

Khunti K, Routen A, Banerjee A, Pareek M (2020) The need for improved collection and coding of ethnicity in health research. Journal of Public Health, (43(2)). DOI: 10.1093/pubmed/fdaa198

Khunti K, Routen A, Pareek M, Treweek S, Platt K (2020) The language of ethnicity. BMJ, (371:m4493). DOI: 10.1136/bmj.m4493

Chalkley, A.E., Routen, A.C., Harris, J.P., Cale, L.A., Gorely, T., Sherar, L.B (2020) An Evaluation of the Implementation of a UK School-Based Running Program. Children, (7(10), 151). DOI: 10.3390/children7100151

Routen A, Darko N, Willis A, Miksza J, Khunti K (2020) The impact of Covid-19 and lockdown measures on self-reported life satisfaction and social relationships does not differ by ethnicity. Journal of Public Health, (15.fdaa160). DOI: 10.1093/pubmed/fdaa160

Kingsnorth AP, Whelan ME, Orme MW, Routen AC, Sherar LB, Esliger DW (2020) Resistance to data loss from the Freestyle Libre: impact on glucose variability indices and recommendations for data analysis. Applied Physiology, Nutrition, and Metabolism, (46(2), p 148-154). DOI: 10.1139/apnm-2020-0386

Khunti K, Routen A, Patel K, Ali S, Gill P, Banerjee A, Lad A, Patel V, Hanif W (2020) COVID-19 in Black, Asian and Minority Ethnic populations: An evidence review and recommendations from the South Asian Health Foundation. South Asian Health Foundation, ISBN13: 978-0-9546712-3-5

Khunti K, Platt L, Routen A, Abbasi K (2020) COVID-19 and ethnic minorities: an urgent agenda for overdue action. BMJ, (369:m2503). DOI: 10.1136/bmj.m2503

Razaq A, Harrison D, Karunanithi S, Barr B, Asaria M, Routen A, Khunti K (2020) BAME Covid-19 Deaths – What do we know? Rapid Data & Evidence Review. Oxford: Centre for Evidence-Based Medicine,

Daly-Smith A, Quarmby T, Archbold VSJ, Routen AC, Morris JL, Gammon C, Bartholomew JB, Resaland GK, Llewellyn B, Allman R, Dorling H (2020) Implementing physically active learning: Future directions for research, policy, and practice. Journal of Sport and Health Science, (9(1):41-49). DOI: 10.1016/j.jshs.2019.05.007

Daly-Smith A, Quarmby T, Archbold VSJ, Corrigan N, Wilson D, Resaland GK, Bartholomew JB, Singh A, Tjomsland HE, Sherar LB, Chalkley A, Routen AC, Shickle D, Bingham DD, Barber SE, van Sluijs E, Fairclough SJ, McKenna J (2020) Using a multi-stakeholder experience-based design process to co-develop the Creating Active Schools Framework. International Journal of Behavioral Nutrition and Physical Activity, (17(1):13). DOI: 10.1186/s12966-020-0917-z

Chalkley AE, Routen AC, Harris JP, Cale LA, Gorely T, Sherar LB (2020) "I Just Like the Feeling of It, Outside Being Active": Pupils' Experiences of a School-Based Running Program, a Qualitative Study. International Journal of Sport and Exercise Psychology, (42(1) p 48-58). DOI: 10.1123/jsep.2019-0037

Routen AC, Johnston JP, Glazebrook C, Sherar LB (2018) Teacher perceptions on the delivery and implementation of movement integration strategies: The CLASS PAL (Physically Active Learning) Programme. International Journal of Educational Research, (88). DOI: 10.1016/j.ijer.2018.01.003

Routen AC (2018) Measuring Physical Activity and Obesity Through Childhood. In: Medcalf R, Mackintosh C, eds. Researching Difference in Sport and Physical Activity. London: Routledge,

Erwin H, Beighle A, Routen A, Montemayor B (2018) Perceptions of Using Sit-to-Stand Desks in a Middle School Classroom. Health Promotion Practice, (19(1):68-74). DOI: 10.1177/1524839917730046

Chalkley AE, Routen AC, Harris JP, Cale LA, Gorely T, Sherar LB (2018) Marathon Kids UK: study design and protocol for a mixed methods evaluation of a school-based running programme. BMJ Open, (8(5):e022176). DOI: 10.1136/bmjopen-2018-022176

Chalkley AE, Routen AC, Harris JP, Cale LA, Gorely T, Sherar LB (2018) A retrospective qualitative evaluation of barriers and facilitators to the implementation of a school-based running programme. BMC Public Health 2018, (18(1):1189). DOI: 10.1186/s12889-018-6078-1

Routen AC, Chalkley A, Sherar LB (2017) Getting a GRIP (getting research into practice) on movement integration in the school classroom. Physical Therapy Reviews, (22(3-4)). DOI: 10.1080/10833196.2017.1306900

Routen AC, Biddle SJH, Bodicoat DH, Cale L, Clemes S, Edwardson CL, Glazebrook C, Harrington DM, Khunti K, Pearson N, Salmon J, Sherar LB (2017) Study design and protocol for a mixed methods evaluation of an intervention to reduce and break up sitting time in primary school classrooms in the UK: The CLASS PAL (Physically Active Learning) Programme. BMJ Open, (7(11):e019428). DOI: 10.1136/bmjopen-2017-019428

Hillier-Brown FC, Summerbell CD, Moore HJ, Routen A, Lake AA, Adams J, White M, Araujo-Soares V, Abraham C, Adamson AJ, Brown TJ (2016) The impact of interventions to promote healthier ready-to-eat meals (to eat in, to take away or to be delivered) sold by specific food outlets open to the general public: a systematic review. Obesity Reviews, (18(2):227-46). DOI: 10.1111/obr.12479

Tymms PB, Curtis SE, Routen AC, Thomson KH, Bolden DS, Bock S, Dunn CE, Cooper AR, Elliott JG, Moore HJ, Summerbell CD, Tiffin PA, Kasim AS (2016) Clustered randomised controlled trial of two education interventions designed to increase physical activity and well-being of secondary school students: the MOVE Project. BMJ Open, (6(1):e009318). DOI: 10.1136/bmjopen-2015-009318

Maques A, Peralta M, Martins J, Sarmento H, Carreiro da Costa F, Routen AC (2016) Psychosocial correlates of organized physical activity in Portuguese urban youth. Motriz Journal of Physical Education, (22(4), p 327-334). DOI: 10.1590/S1980-6574201600040017

Bingham DD, Costa S, Clemes SA, Routen AC, Moore HJ, Barber SE (2016) Accelerometer data requirements for reliable estimation of habitual physical activity and sedentary time of children during the early years - a worked example following a stepped approach. Journal of Sports Sciences , (34(20):2005-10). DOI: 10.1080/02640414.2016.1149605

Barber SE, Jackson C, Hewitt C, Ainsworth HR, Buckley H, Akhtar S, Bingham DD, Routen AC, Summerbell C, Richardson G, Moore HJ, Pickett KE, O'Malley C, Brierley S, Wright J (2016) Assessing the feasibility of evaluating and delivering a physical activity intervention for pre-school children: a pilot randomised controlled trial. Pilot and Feasibility Studies, (2:12). DOI: 10.1186/s40814-016-0052-4

Jarrett H, Fitzgerald L, Routen AC (2015) Interinstrument Reliability of the ActiGraph GT3X+ Ambulatory Activity Monitor During Free-Living Conditions in Adults. Journal of Physical Activity and Health, (12(3):382-7). DOI: 10.1123/jpah.2013-0070

Celestino TF, Gomes Leitao JC, Sarmento HB, Routen A, Pereira AA (2015) Elite coaches views of factors contributing to excellence in orienteering. Cultura Ciência e Deporte, (11(10):77-86.)

Barber SE, Akhtar S, Jackson C, Bingham DD, Hewitt C, Routen A, Richardson G, Ainsworth H, Moore HJ, Summerbell CD, Pickett KE, O’Malley C, Brierley S, Wright J (2015) Pre-schoolers in the Playground: a pilot cluster randomised controlled trial of a physical activity intervention for children aged 18 months to 4 years. Public Health Research, . DOI: 10.3310/phr03050

Routen AC, Edwards MG, Upton D, Peters DM (2014) The effect of pedometer step goal, feedback and self-monitoring interventions on accelerometer-measured physical activity in children. Graduate Journal of Sport, Exercise and Physical Education Research, (2:37-53)

Moore HJ, Nixon CA, Lake AA, Douthwaite W, O'Malley CL, Pedley CL, Summerbell CD, Routen AC (2014) The environment can explain differences in adolescents' daily physical activity levels living in a deprived urban area: cross-sectional study using accelerometry, GPS, and focus groups. Journal of Physical Activity and Health, (11(8):1517-24). DOI: 10.1123/jpah.2012-0420

Hardman K, Routen A, Tones S (2014) UNESCO-NWCPEA: world-wide survey of school physical education; final report. Paris: United Nations Educational, Scientific and Cultural Organization,

Routen AC (2013) Muddying the waters: moderate-to-vigorous intensity physical activity calculation in epidemiologic studies of youth. Journal of Pediatrics, (162(5):1082). DOI: 10.1016/j.jpeds.2013.01.017

Barber SE, Jackson C, Akhtar S, Bingham DD, Ainsworth H, Hewitt C, Richardson G, Summerbell CD, Pickett KE, Moore HJ, Routen AC ,O'Malley CL, Brierley S, Wright J (2013) "Pre-schoolers in the playground" an outdoor physical activity intervention for children aged 18 months to 4 years old: study protocol for a pilot cluster randomised controlled trial. Trials , (14:326). DOI: 10.1186/1745-6215-14-326

Routen AC, Upton D, Edwards MG, Peters DM (2012) Discrepancies in accelerometer-measured physical activity in children due to cut-point non-equivalence and placement site. Journal of Sports Sciences, (30(12):1303-10). DOI: 10.1080/02640414.2012.709266

Routen AC, Upton D, Edwards MG, Peters DM (2013) Intra- and inter-instrument reliability of the actiwatch 4 accelerometer in a mechanical laboratory setting. Journal of Human Kinetics , (31:17-24). DOI: 10.2478/v10078-012-0002-z

Routen AC, Edwards MG, Upton D, Peters DM (2011) The impact of school-day variation in weight and height on National Child Measurement Programme body mass index-determined weight category in Year 6 children. Child Care Health and Development , (37(3):360-7). DOI: 10.1111/j.1365-2214.2010.01204.

Routen AC (2011) Should our children be sitting comfortably in school?. BMJ, (343:d4273). DOI: 10.1136/bmj.d4273

Routen AC (2010) The Importance of Anthropometric Measurement Error. Journal of Human Sport and Exercise, (5(3):495-96.). DOI: 10.4100/jhse.2010.53.19

Supervision

Ash has co-supervised one PhD student to completion (Anna Chalkley, Loughborough University, 2016-2020) and examined postgraduate theses at MRes and MPhil level. 

He is currently the lead supervisor for one PhD student at the University of Leicester.

Selected Supervisory Experience:

Zara Kayani, Doctoral Student - University of Leicester, UK; 2022-2026.
Supervisory Role: Lead Supervisor; Dissertation: Advancing understanding on management of multimorbidity in ethnic minority populations and under-representation in associated clinical research.

Ellen Hopwood, Doctoral Student - University of Leicester, UK; 2021-2025.
Supervisory Role: Collaborator; Dissertation: Advancing understanding on the self-management of multimorbidity.

Anna Chalkley, Doctoral Student - University of Loughborough, UK; 2016-2020.
Supervisory Role: Supervisory Team; Dissertation: Implementation evaluation of a primary school-based running programme.

Teaching

Ash has experience of teaching on undergraduate courses, including leading modules, leading seminars, and delivering guest lectures.

Module Leader
School of Sport, Exercise and Health Sciences, Loughborough University, UK; 2017
Module: 22PSC032 - Physical Activity and Health of Children (Final Year Undergraduate)

Module Contributions (Guest Lectures)
School of Sport and Exercise Science, University of Worcester, UK; 2009-2011
Module: SPRT3024 - Physical Activity in the Prevention and Treatment of Disease.

Press and media

Ash has experience of appearing on live local radio and national television. He is happy to be contacted on the following topics: - Ethnic minority health - Health inequalities and under-served groups - Physical activity and sedentary behaviour.

Selected Media Experience:

BBC Radio Leicester Live Interview – in relation to paper on ethnic minority bereavement during Covid-19; March 2021.

BBC Radio Leicester Live Interview – in relation recruitment of ethnic minority communities to research during Covid-19; March 2021.

ITV East Midlands Recorded Television Interview – In relation to physically active learning in schools; 2018.

BBC One Live Television Interview – In relation to BBC Supermovers project launch; 2018.

Activities

Ash has acted as a peer-reviewer for over 30 public health journals such as the International Journal of Epidemiology and BMJ Open. In addition he has reviewed grant applications for a variety of funding bodies:

  • National Institute for Health Research (NIHR), Policy Research Programme, Subject Matter Expert; 2022.
  • UK Research and Innovation (UKRI) and Medical Research Council UK (MRC), OFFICIAL UK-India COVID-19 Partnership Initiative; 2021.
  • Glasgow Children’s Hospital Charity Research Fund, Project Grant; 2016.
  • Medical Research Council UK (MRC), Methodology Research Panel; 2014
  • National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care East Midlands (CLAHRC EM); 2014.

He has also provided consultancy for the South Asian Health Foundation, Public Health England, UNESCO, Youth Sport Trust, BBC and the English Premier League.

 

Qualifications

  • PhD - Physical Activity and Public Health University of Worcester (2013)
  • PGCert - Research Methods University of Worcester (2009)
  • MSc - Sport and Health Sciences University of Exeter (2008)
  • BSc - Exercise and Sport Sciences University of Exeter (2007)
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