Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Dr Gráinne Cousins

 Grainne Cousins

Dr Gráinne Cousins BA (Hons), MSc, PhD
Senior Lecturer
Tel: 01-402-2551

Gráinne graduated from University College Cork with a BA (Hons) Applied Psychology in 1999 before obtaining a Masters in Health Psychology at the National University of Ireland, Galway in 2002. She completed a HRB funded PhD in the RCSI in 2009. After completing her PhD she worked as a Post-doctoral Research Fellow in the HRB Centre for Primary Care Research in RCSI. Gráinne was appointed Lecturer in the School of Pharmacy in 2013 and promoted to Senior Lecturer in 2017.

Research Summary
Gráinne's main research interests are on alcohol consumption, and opioid substitution treatment. Her alcohol research was funded by the Health Research Board and the RCSI (Clement Archer Scholar Programme) to assess the potential impact of minimum unit pricing for alcohol in Ireland, and to assess the risk of serious alcohol-medication interactions in older adults. Her research on opioid substitution treatment is also funded by the Health Research Board to assess mortality and progression pathways in treatment. Her research group includes 5 PhD students, one post-doctoral researcher and one research associate. She is also a collaborator on the HRB funded HRB Centre for Primary Care Research. She has successfully supervised 10 MCh/MSc students and one PhD to completion.

Teaching Summary
Gráinne is responsible for the research curriculum of the integrated MPharm programme. She teaches epidemiology and research methods, and is module co-ordinator for a module on global and population health. Gráinne is also director of research on the National Pharmacy Internship Programme.

Professional Committees
European Innovation Partnership on Active and Healthy Ageing (2013 - present)
International Society for Pharmacoepidemiology (2015 - present)

Research Interests
Opioid substitution treatment
Epidemiological research
Systematic reviews

1. Holton AE, Boland F, Gallagher P, Fahey T, Kenny R, Cousins G. Life Course Transitions and Changes in Alcohol Consumption Among Older Irish Adults: Results From The Irish Longitudinal Study on Ageing (TILDA). J Aging Health. 2018; [Epub ahead of print].

2. Dillon P, Smith S, Gallagher P, Cousins G. Medication monitoring attitudes and perceived determinants to offering medication adherence advice to older hypertensive adults: a factorial survey of community pharmacy interns. International Journal Pharmacy Practice. 2018 June 13 [Epub ahead of print].

3. Dillon P, Phillips LA, Gallagher P, Smith S, Stewart D, Cousins G. Assessing the multidimensional realtionship between medication beliefs and adherence in older adults with hypertension using polynomial regression. Annals of Behavioural Medicine. 2018 Feb 5;52(2):146-156.

4. Holton AE, Gallagher P, Ryan C, Fahey T, Cousins G. Consensus validation of the POSAMINO (Potentially Serious Alcohol-Medication Interactions in older adults) criteria. BMJ Open. 2017;7(11).

5. Holton AE, Gallagher P, Fahey T, Cousins G. Concurrent use of alcohol interactive medications and alcohol in older adults: a systematic review of prevalence and associated adverse outcomes. BMC geriatrics. 2017;17(1):148.

6. Dillon P, Stewart D, Smith SM, Gallagher P, Cousins G. Group-based trajectory models: assessing adherence to antihypertensive medication in older adults in a community pharmacy setting. Clinical pharmacology and therapeutics. 2018 Jun;103(6):1052-1060.

7. Smith S, Cousins G, Clyne B, Allwright S, O'Dowd T. Shared care across the interface between primary and specialty care in management of longterm conditions. Cochrane Database of Systematic Reviews 2017, Issue 2. Art. No.: CD004910.

8. Hayden JC, Dawkins I, Breatnach C, Leacy FP, Foxton J, Healy M, Cousins G, Gallagher PJ, Doherty DR. Effectiveness of α2 Agonists for Sedation in Paediatric Critical Care: Study Protocol for a Retrospective Cohort Observational Study. BMJ Open 2017 May 30;7(5):e013858. 

9. Cousins G, Boland F, Barry J, Lyons S, Keenan E, O'Driscoll D, Bennett K, Fahey T. J-shaped relationship between supervised methadone consumption and retention in methadone maintenance treatment (MMT) in primary care: national cohort study. Drug and Alcohol Dependence 2017 (in Press).

10. Keating D, McWilliams S, Schneider I, Hynes C, Cousins G, Strawbridge J, Clarke M. Pharmacological guidelines for schizophrenia: a systematic reivew and comparison of recommendations for the first episode. BMJ Open 2017; 7(1).

11. Galvin R, Gilleit Y, Wallace E, Cousins G, Bolmer M, Rainer T, Smith SM, Fahey T. Adverse outcomes in older adults attending emergency departments: a systematic review and meta-analysis of the identification of Seniors At Risk (ISAR) screening tool. Age and Ageing 2016 (Epub ahead of print).

12. Cousins G, Mongan D, Barry J, Smyth B, Rackard M, Long J. Estimating Risk of Alcohol Dependence Using Empirically Validated Ordinal Risk Zones Versus Recommended Binary Risk Zones of the RAPS4: A Validation Study Using Stratum-Specific Likelihood Ratio Analysis. Alcoholism, Clinical and Experimental Research. 2016;40(8):1700-6.

13. Cousins G, Mongan D, Barry J, Smyth B, Rackard M, Long J. Potential Impact of Minimum Unit Pricing for Alcohol in Ireland: Evidence from the National Alcohol Diary Survey. Alcohol and Alcoholism (Oxford, Oxfordshire). 2016. (epub ahead of print).

14. Hayden JC, Breatnach C, Doherty DR, Healy M, Howlett MM, Gallagher P, Cousins G. Efficacy of alpha2-Agonists for Sedation in Pediatric Critical Care: A Systematic Review. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2016;17(2):e66-75.

15. Cousins G, Boland F, Courtney B, et al. Risk of mortality on and off methadone substitution treatment in primary care: a national cohort study. Addiction (Abingdon, England) 2016;111(1):73-82.

16. Gillis A, Cipollone I, Cousins G, et al. Does EUS-FNA molecular analysis carry additional value when compared to cytology in the diagnosis of pancreatic cystic neoplasm? A systematic review. HPB : the official journal of the International Hepato Pancreato Biliary Association 2015;17(5):377-86 doi: 10.1111/hpb.12364[published Online First: Epub Date]|.

17. Wong CS, Cousins G, Duddy JC, et al. Intra-abdominal drainage for laparoscopic cholecystectomy: A systematic review and meta-analysis. International journal of surgery (London, England) 2015;23(Pt A):87-96 doi: 10.1016/j.ijsu.2015.09.033[published Online First: Epub Date]|.

18. Doyle F, Rohde D, Rutkowska A, Morgan K, Cousins G, McGee H. Systematic review and meta-analysis of the impact of depression on subsequent smoking cessation in patients with coronary heart disease: 1990 to 2013. Psychosomatic medicine 2014;76(1):44-57 doi: 10.1097/psy.0000000000000020[published Online First: Epub Date]|.

19. Cousins G, Galvin R, Flood M, et al. Potential for alcohol and drug interactions in older adults: evidence from the Irish longitudinal study on ageing. BMC geriatrics 2014;14:57 doi: 10.1186/1471-2318-14-57[published Online First: Epub Date]|.

20. Keogh C, Wallace E, O'Brien KK, Galvin R, Smith SM, Lewis C, Cummins A, Cousins G, Dimitrov D, Fahey T. Developing an international register of clinical prediction rules for use in primary care: a descriptive analysis. Annals of family medicine 2014;12(4):359-66 doi: 10.1370/afm.1640[published Online First: Epub Date]|.

21. Burke NG, Kennedy J, Cousins G, et al. Locking plate fixation with and without inferomedial screws for proximal humeral fractures: a biomechanical study. Journal of orthopaedic surgery (Hong Kong) 2014;22(2):190-4.

22. Galvin R, Moriarty F, Cousins G, et al. Prevalence of potentially inappropriate prescribing and prescribing omissions in older Irish adults: findings from The Irish LongituDinal Study on Ageing study (TILDA). European journal of clinical pharmacology 2014;70(5):599-606 doi: 10.1007/s00228-014-1651-8[published Online First: Epub Date]|.

23. Galvin R, Cousins G, Boland F, et al. Prescribing patterns of glucosamine in an older population: a national cohort study. BMC complementary and alternative medicine 2013;13(1):316 doi: 10.1186/1472-6882-13-316[published Online First: Epub Date]|.

24. Cousins G, Layte R, Ingham R, et al. Sexual risk-taking at home and on holidays: the importance of context for the late application of condoms. Sexual health 2013;10(5):414-8 doi: 10.1071/sh13079[published Online First: Epub Date]|.

25. Cousins G, Bennett Z, Dillon G, et al. Adverse outcomes in older adults attending emergency department: systematic review and meta-analysis of the Triage Risk Stratification Tool. European journal of emergency medicine : official journal of the European Society for Emergency Medicine 2013;20(4):230-9 doi: 10.1097/MEJ.0b013e3283606ba6[published Online First: Epub Date]|.

26. Burke NG, Walsh J, Moran CJ, Cousins G, et al. Patient-reported outcomes after Silastic replacement of the trapezium for osteoarthritis. The Journal of hand surgery, European volume 2012;37(3):263-8 doi: 10.1177/1753193411419433[published Online First: Epub Date]|.

27. Cousins G, Teljeur C, Motterlini N, et al. Risk of drug-related mortality during periods of transition in methadone maintenance treatment: a cohort study. Journal of substance abuse treatment 2011;41(3):252-60 doi: 10.1016/j.jsat.2011.05.001[published Online First: Epub Date]|.

28. Cousins G, Hijazze S, Van de Laar FA, et al. Diagnostic accuracy of the ID Migraine: a systematic review and meta-analysis. Headache 2011;51(7):1140-8 doi: 10.1111/j.1526-4610.2011.01916.x[published Online First: Epub Date]|.

29. Burke NG, Devitt BM, Baker JF, Butler JS, Cousins G et al. Outcome of periacetabular osteotomy for the management of acetabular dysplasia: experience in an academic centre. Acta orthopaedica Belgica 2011;77(1):33-40.

30. Xiao L, Cousins G, Courtney B, et al. Developing an electronic health record (EHR) for methadone treatment recording and decision support. BMC medical informatics and decision making 2011;11:5 doi: 10.1186/1472-6947-11-5[published Online First: Epub Date]|.

31. Giesen LG, Cousins G, Dimitrov BD, et al. Predicting acute uncomplicated urinary tract infection in women: a systematic review of the diagnostic accuracy of symptoms and signs. BMC family practice 2010;11:78 doi: 10.1186/1471-2296-11-78[published Online First: Epub Date]|.

32. Cousins G, McGee H, Layte R. Suppression effects of partner type on the alcohol-risky sex relationship in young Irish adults. Journal of studies on alcohol and drugs 2010;71(3):357-65.