Category / Ageing and Dementia

Cancer and Nutrition NIHR Infrastructure Collaboration

Do you have an interest in people living with Cancer and Nutrition?

Then read more about the important activities of the Cancer and Nutrition NIHR infrastructure collaboration.

Since its establishment in 2014 the collaboration has sought to better enable a wide community of interested parties to bring together the high quality research being carried out in cancer together with the highquality research being carried out in nutrition, so that each can add value to the other in the interest of patients and the public.

There are 5 workstreams : Workstream 1: Patientsand Public,  Workstream 2: Professional Workforce – training and capacity building,  Workstream 3: Research – building an infrastructure and action plan to tackle the evidence gap, Workstream 4 characterising nutritional status in cancer – the Tookit, Workstream 5: commercial sector and industry,

Professor Jane Murphy from the Ageing and Dementia Research Centre (ADRC) leads ‘Workstream 2: Professional Workforce – training and capacity building’  and is a member of the Steering Committee.

The activities accomplished in Phase 2 are presented in the following report just published and more details about the collaboration can be found on the website.

Report Link
http://cancerandnutrition.nihr.ac.uk/wp-content/uploads/2016/06/Cancer-Nutrition-Full-Report-FINAL_03-06-16.pdf

Website Link
http://cancerandnutrition.nihr.ac.uk/work-streams/

Please contact Jane:  jmurphy@bournemouth.ac.uk if you would like to know more or have any questions or queries.

The TACIT Trial releases YouTube video to help with recruitment

The TACIT Trial has a new professional video; please forward to anyone you know who has dementia or is a carer of someone with dementia who may be interested in taking part in this study: https://youtu.be/96Kyi_P7ngI.

Further information can be found below and by visiting the website  www.bournemouth.ac.uk/tai-chi.  A YouTube clip can also be seen with Dr Samuel  Nyman appearing on the BBC Radio Solent breakfast show and the breakfast team taking part in Tai Chi.

The TACIT Trial Team at Bournemouth University Ageing & Dementia Research Centre are looking for people living with dementia and their carers to take part in an exciting new study. For more information, please get in touch!

People with dementia and their informal carer will be helping with research to find out if Tai Chi is beneficial for people with dementia. All participants will be talking to researchers on a weekly basis and half will have the chance of getting to do Tai Chi. This study will be based in #Bournemouth #Ferndown #Christchurch #Dorchester #Poole #Romsey#Eastleigh #Portsmouth.
You can have a look at our flyer (https://goo.gl/vZzkWG) and our venues´ details (www.bournemouth.ac.uk/tai-chi).

If you want to get involved, please contact Yolanda Barrado-Martín by:
· E-mail: ybarradomartin@bournemouth.ac.uk
· Telephone: 07801890258
· Facebook #TheTACITTrial: Fill out our questionnaire (https://goo.gl/forms/WA5mk2vR8m9qWw0K2) with your contact details and we will get back to you!

New publication on Community Hospitals

The Health Services Journal published a commentary this week on Community Hospitals [1].  This online article is written by Dr. Emma Pitchforth who is based at RAND Europe in Cambridge (& BU Visiting Faculty), Prof. Edwin van Teijlingen (Faculty of Health & Social Sciences) and Dr. Ellen Nolte based at the European Observatory on Health Systems and Policies

The authors highlight the recently completed NIHR study on Community Hospitals [2].  The notion of a Community Hospital in the UK is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.

With ease of access and a sense of homeliness, there is potential for Community Hospitals to be better integrated into NHS in England.  The authors suggest that a more strategic role for ‘traditional’ Community Hospitals might be timely within the NHS in England.  They further conclude that if challenges around Community Hospitals are addressed and their within the English health system is properly defined, they could provide positive benefits to the health service. It seems that, if done correctly, Community Hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.The full NIHR report is Open Access and can be found here!

Last year the research team had already published a scoping review article from the NIHR study [3].

 

 

References:

  1. Pitchforth, E., van Teijlingen, E., Nolte, E. (2017) Community hospitals: a traditional solution to help today’s NHS? Health Services Journal (11 July) https://www.hsj.co.uk/community-services/community-hospitals-a-traditional-solution-to-help-todays-nhs/7020019.article#/scientific-summary
  2. Pitchforth, E., Nolte, E., Corbett, J., Miani., C, Winpenny., E, van Teijlingen, E., Elmore, N,, King, S,, Ball, S,, Miler, J,, Ling, T. (2017) Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies Health Services & Delivery Research 5(19): 1-248.
  3. Wimpenny, E.M., Corbett, J., Miami, C., King, S., Pitchforth, E., Ling, T., van Teijlingen, E. Nolte, E. (2016) Community hospitals in selected high income countries: a scoping review of approaches and models. International Journal of Integrated Care 16(4): 13 http://dx.doi.org/10.5334/ijic.2463

 

Ageing and Dementia Research Centre (ADRC) at Royal College of Physicians – launch of Electronic workbook for Nutrition and Dementia care

Professor Jane Murphy, Joanne Holmes and Michelle Board supported by Michelle O’Brien hosted the launch of the online version of the workbook ‘Eating and Drinking Well: Supporting People Living with Dementia’ at the Royal College of Physicians, London on 27th June 2017.  Attended by leading stakeholders across health and social care,  charities including age UK, hospices,  WRVS and  housing organisations,  this impact event explore how good nutrition and hydration can be improved for people living with dementia.

The ADRC was delighted to welcome Professor Martin Green, Chief Executive of Care England  who gave an inspiring keynote speech concentrating on the importance of  nutrition to ensure dignity in care.  He was passionate about the need to raise the profile of good food and nutrition amongst politicians and policy makers to enhance and maintain quality of life for many older people receiving social care.  Other speakers included Jan Zietara, Head of Operational Delivery, Health Education England (South) who talked about current work and new developments to enhance the knowledge and skills of the health and social workforce with particular focus on initiatives for dementia education and training.   Finally, Kathy Wallis, Senior Programme Manager, Nutrition in Older People Programme, Wessex Academic Health Science Network highlighted the projects, resources and tools undertaken to address the growing concerns of malnutrition (undernutrition) in older people living in the community.

Helped by a lovely afternoon tea, there was active and lively discussion by all participants about how the workbook could help improve the delivery of nutritional care for people with dementia across a range of health and social care sectors.  All were very supportive of the training tools and left the event with lots of ideas and identified actions to put into place that would be followed up by the team!

The workbook stems from research funded by the Burdett Trust for Nursing. The workbook is freely downloadable from the website:

http://www.bournemouth.ac.uk/nutrition-dementia

It is designed to be used in conjunction with a training film, also available via the website.

Experiences from a Fusion Investment Funded-Student Research Assistant project aiming to improve the quality of local NHS care

This year several students have been funded to work as student research assistants on Fusion Funded-projects.

Here, BU MSc student Renuka Balasundaram reflects on her experience of taking part in the scheme and completing the project.

Then, her supervisors Dr Samuel Nyman and Louise Fazakarley share their experiences and encourage staff to participate in the next scheme.

MSc Student reflection

My experience as a research assistant on the NHS Quality Improvement Project 2017”

 Renuka Balasundaram
Department of Psychology
Bournemouth University 

My voyage to explore the depths into the field of psychology started when I set off for my Masters in Neuropsychology in Bournemouth University right after my completion of Bachelors in psychology from India. The overwhelming coursework aside, the curriculum of teaching as a whole, felt very different. Three months into my master’s and having adapted myself in totally different environs, I decided to take a leap into the unknown by applying for post of SRA for the fusion funded program project, “NHS Quality Improvement Project”. A week after my successful interview with the project supervisors Dr. Samuel Nyman and Louise Fazakarley, I got a mail about my selection in the project which gave me mixed feelings of exhilaration and apprehension. The mixed emotions were mainly because it was my very first involvement in a practical research project involving hospital setup and interaction with patients. Things gradually settled after my induction with the Christchurch day hospital team and since then it had been a happy workplace with a very helpful and welcoming team at the hospital throughout the project. After a clear briefing of the work to be carried out in the hospital by my supervisors, I made regular visits to the hospital twice a week for almost two months followed by a month of data analysis and report writing. At every step of the project, I got full support from my supervisors which aided in the successful completion of the project. With regards to the project, we aimed to evaluate the Otago exercise training programme in Christchurch day hospital for which I used to regularly interact with the team and patients to get background knowledge and feedback about the training. In spite of having completed research modules in my bachelors and masters, as opposed to theory, it felt completely different when dealing with older patients as participants in a real life setting and collecting data from them through observation and regular interaction.

Personally, this research experience has given me insights into research in a real world and practical setting, enhanced my report writing skills and ultimately putting me firmly in pursuit of my future goal of becoming PhD laureate. It has also given me insight in to the meaning and importance of empirical evidence and scientific backup, for when patients come with a belief and hope of improvement after participation in the study. The project not only had a positive impact on me, but also on the hospital team whereby they implemented many of our suggestions and were pleased with our feedback. As learning and transition is key to growth and development, I strongly feel this project has achieved that, by paving way for an improved quality of training which would ultimately benefit the older population.

Supervisors reflection

We had a Student Research Assistant work with us on a quality improvement project based at Christchurch Day Hospital. Working with the Falls Prevention Team, a student (Renuka) conducted an audit of current practice in the Otago exercise programme with a view to improving patient care. We gained service user feedback, reviewed and analysed the data they had collected, and sought to recommend changes to increase their patients’ exercise practice outside of classes. The project culminated with a report that Renuka presented to the team. Two aspects made this project particularly rewarding:

 Learning opportunity for the student
Renuka, a psychology student, had a unique opportunity to work with non-psychology NHS staff as part of a multi-disciplinary team. She was also able to see the importance of research in a real-life context, giving a new depth of understanding to design features. We were also pleased to see our detailed feedback on her draft report transferred to improve her writing in general that she made use with her assignments.

Impact on the Falls Prevention Team
The team praised Renuka for her work and were enthusiastic to implement our recommendations for improving practice, these included changes in the ways they collected data and the inclusion of some behavioural change techniques to increase adherence. The following week we received an email confirming the changes made. It was rewarding to see our work had led to a direct, immediate, and practical, societal impact.

We can recommend the scheme as it provided an opportunity to co-create with the student and an NHS team that has led to a positive outcome that we hope in time will be shown to improve patient care. It also gave new insights into the factors that facilitate implementation of changes in an NHS team.

Dr Samuel Nyman and Louise Fazakarley

BU research recognised by The Renal Association Investigator Award at UK Kidney Week 2017

BU research, (led by me, Dr Paul Hartley), was recognised at UK Kidney Week in Liverpool last week. We were invited to speak about our fruit fly model of human renal disease, work that has been variously supported by grants from the British Heart Foundation and Kidney Research UK. The conference was an excellent opportunity to showcase the model and highlight our current collaborations with consultant-scientists based at Great Ormond Street Children’s Hospital as well as a number of different groups at the University of Bristol, the University of Osnabruck in Germany, Harvard Children’s Hospital and the University of Edinburgh. The research work is based in Dorset House labs and is supported by a wide network of talented people within BU as well as our undergrad and post-grad students.

New BU publication in Public Health

This week the Oxford Encyclopaedia published our contribution on religious organisations and health promotion [1].  The paper in question ‘Faith Communities and the Potential for Health Promotion’ is co-authored by scholars based in England, Scotland and Canada. This new publication is part of a growing number of publications at Bournemouth University on the contribution of faith communities to public health.

Faith communities often have multiple resources, existing networks and an infrastructure that can be applied to health promotion programmes for their own membership or as an outreach to the wider community. Health programmes in a faith community in high-income countries may include targeted initiatives, ranging from walking groups or weight checks, health events, or health assessments, to diabetes self-management. These activities can be organised by charities and NHS organisation and held at local churches, synagogues or mosques which is referred to as faith-placed health promotion.  If the health promotion is part of the ministry of the religious organisation it is referred to as faith-based health promotion.

On top of this encyclopaedia entry, the Open Access journal African Health Sciences [Impact Factor 0.66] accepted our paper in the same field a few weeks ago.  This  paper ‘Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review’ formed part of the first author’s M.Sc. in Public Health [2]. Our previous papers reported on a study of faith-based and faith-placed health promotion in and around Dundee [3-4].

 

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Prenatal Health

 

References

  1. Kiger, A., Fagan, D., van Teijlingen, E. (2017) Faith Communities and the Potential for Health Promotion. In: Encyclopedia of Health and Risk Message Design & Processing, Parrott, R. (ed.) New York, Oxford University Press. (http://communication.oxfordre.com/).
  2. Ochillo, M., van Teijlingen, E., Hind, M. (2017) Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review. African Health Sciences (accepted June).
  3. Fagan, D., Kiger, A., van Teijlingen E. (2010) A survey of faith leaders concerning health promotion and the level of healthy living activities occurring in faith communities in Scotland. Global Health Promotion 17(4): 15-23.
  4. Fagan, D., Kiger, A., van Teijlingen, E. (2012) Faith communities and their assets for health promotion: The views from health professionals and faith leaders in Dundee, Scotland, Global Health Promotion 19(2): 27-36.

Delivering DEALTS 2!

 

 

 

 

Health Education England  (HEE) has commissioned Bournemouth University to deliver a new ‘‘Train the Trainers’ enhanced education programme called ‘Dementia Education and Learning Through Simulation’  2 (DEALTS 2). This builds on previous work undertaken in 2013/14 by HEE to ensure healthcare professionals understand and can deliver key competencies according to the Dementia Core Skills Education and Training Framework at TIER 2 (Skills for Health and Health Education England, 2015).

Prof Jane Murphy, Dr Michele Board, Dr Michelle Heward and Ashley Spriggs from the Ageing and Dementia Research Centre (ADRC) delivered the first pilot session in Oxford on 10th May 2017.  This interactive day was really well received and included attendance by Jan Zietara, Head of Operational Delivery, HEE; Jacqueline Fairburn-Platt, Associate Dean Quality Improvement, HEE Thames Valley as well as Dementia and Quality Improvement Leads.   Over the next 2 months another 12 sessions will be delivered to trainers across the HEE regions in England. The delivery of the programme will be evaluated as well as the roll-out across England by the trainers themselves to staff to understand the impact the education is having on practice for the delivery of dementia care.  In June the early evaluation work will be supported with the help of a Student Research Assistant, Laurie Emerson.  Laurie is currently a final year psychology student in Faculty Sci Tech.

Third Edition of the EU Falls Festival in Amsterdam (8-9 May 2017)


Natalia Adamczewska and Yolanda Barrado-Martín represented the Psychology Department and Ageing & Dementia Research Centre (ADRC) at the Third Edition of the EU Falls Festival in Amsterdam on 8th and 9th May 2017. The theme of the congress was: Developing Collaborations across Professions and throughout Europe.

This festival brought together over 200 professionals from multiple disciplines (such as Nursing, Physiotherapy, Occupational Therapy, Medicine, Psychology and Technology) working under a common target: The prevention of falls amongst older adults. It was a great opportunity to see how different countries in Europe, but also researchers in America, represented by Dr. Robin Lee, US Lead Home and Recreation Team; and Australia, represented by Kim Delbaere, Falls Balance and Injury Centre, NeuRa; are working under this objective, the resources different countries invest on this and the different approaches used from different disciplines. A variety of interventions were presented from educational to exercise, and a debate was organised regarding the relevance of the role of technologies to prevent falls and support research.

Falls are the first external cause of death amongst older adults which explains the importance of researchers, practitioners and policy makers working together.​ Members of the World Health Organisation and the European Commission were also attending this meeting and sharing their views on the relevance of falls prevention.

Yolanda’s PhD project looks into the acceptability and adherence of participants living with dementia to a Tai Chi exercise intervention. Adherence to falls interventions was one the main concerns of the congress, however, the experiences of those living with dementia remain mostly under-explored.

Natalia focuses on the psychological adjustment to falls in her PhD project and she looks at fall-related PTSD. Various interventions presented at the festival could possibly be applied in order to enable participants to cope with psychological consequences of falling, such as virtual reality treatment presented by Jeff Hausdorff that he originally developed for fall prevention in idiopathic fallers.

Nutrition and Dementia care workbook now ebook!

This week is Dementia Awareness Week and the Ageing and Dementia Research Centre (ADRC) is engaging with a number of initiatives to raise awareness of dementia.

In 2016 we launched our nutrition and dementia care workbook, a research informed training tool informed by our project led Professor Jane Murphy with Joanne Holmes, funded by the Burdett Trust for Nursing. This has been very well received across health and social care, enabling staff to make quality improvements and impact on the delivery of nutritional care for people living with dementia.

This week we are excited to release an online version of our workbook and will have a much wider reach to support people living with dementia. It is freely available to everyone and can be accessed from our website http://www.bournemouth.ac.uk/nutrition-dementia

For more details contact Michelle O’Brien: mobrien@bournemouth.ac.uk