Tagged / BU research

Congratulations to Sara Stride

nhs, NHS, Postgraduate Research, Publishing, Research news, student research, Training, Uncategorized, writing

Congratulations to Sara Stride and her PhD supervisors on the publication of ‘Identifying the factors that influence midwives’ perineal practice at the time of birth in the United Kingdom’ in the international journal Midwifery [1].  The Obstetric Anal Sphincter Injuries (OASI) Care Bundle is designed to reduce the incidence of obstetric anal sphincter injuries. However, introducing behavioural change requires an understanding of current practice. This national study aims to establish midwives practice at the time of birth, and the factors that influence this.  The paper concludes that there has been a growth in the number of midwives using “hands on” at the time of birth but midwives feel that they require additional training in regards to identifying an OASI. The study should be repeated following the roll out of the OASI care bundle, to identify its impact on midwives’ perineal practice.  This nation-wide study identified the need for improvements in the recognition of OASI by midwives, and in future repeating the study would identify whether the OASI care bundle has influenced midwives’ practice.

Well done!

Prof. Edwin van Teijlingen

CMMPH

 

Reference

  1. Stride, S.L., Hundley, V.A., Way, S., Sheppard, Z.A. (2021) Identifying the factors that influence midwives’ perineal practice at the time of birth in the United Kingdom, Midwifery, 103077

Congratulations to Debora Almeida in FHSS

BU research, Postgraduate Research, Publishing, Research news, Uncategorized, writing

Congratulations to Debbie Almeida (in the Department of Midwifery & Health Sciences) who had another article published last month.  This latest academic article “Dominant versus non-dominant hand during simulated infant CPR using the two-finger technique: a randomised study” appeared in Resuscitation Plus [1].  Debbie’s BU co-authors are Carol Clark, Ursula Rolfe and Jon Williams.

Reference:

  1. Gugelmin-Almeida, D., Clark, C., Rolfe, U., Jones, M., Williams, J, (2021) Dominant versus non-dominant hand during simulated infant CPR using the two-finger technique: a randomised study, Resuscitation Plus, 7:
    100141

Participants wanted for Self-awareness research project

BU research, PG research

Participants wanted for Self-awareness research project

In addition to our snapshots of friends and family, holidays and special events, some of us also take pictures of things just because they caught our interest. We were thinking about something else, when suddenly – as if with a tap on the shoulder – our attention was drawn to the sight of two children playing in a park, an old house, or a bicycle lying by the side of the road. But we don’t know those children, or the people who lived in that house – and that’s not our bicycle.

This project explores the possibility that, when our attention is attracted to images and scenes with which we have no logical or personal connection, it may be because we intuitively recognised the scene (or the elements within it) as an symbolic description of the way we see the world – or perhaps as an allegorical self-portrait of the person we have become.

This project will encourage participants to reflect on the possible significance of their apparently ‘random’ snapshots – and to consider them as potentially valuable sources of personal insight.

Over the course of (approximately) two months, participants will be asked to:

  1. Meet three times (online) for approximately one hour each time (twice with the researcher and the other participants – and once one-on-one with the researcher)
  2. Take photographs of scenes to which your attention is intuitively attracted
  3. Describe and discuss your thoughts and reactions to the things you have photographed

Full anonymity is guaranteed.

The following are regrettably excluded from participation:

  • Those under 18 years of age
  • Undergraduates

If you are interested in taking part in this project, please contact Rutherford@bournemouth.ac.uk

 

Research staff ‘virtual writing workshop’ 29 June 13.30-16.30pm

BU research, BU2025, ECR Network, Events, PG research, Postgraduate Research, Publishing, research staff, Uncategorized, writing

This is a reminder about our ‘Virtual Writing Workshop’ on 29 June 13.30 – 16.30pm. We will have 2 blocks of writing (just over an hour each and then a break in the middle to get a coffee and chat to other researchers if you wish). If you can’t make 13.30 you can join a bit later – no worries.

This is for anyone (PhD student, academic, full time researcher) who wants to/needs to write and would like to do that in the company of colleagues from across the university.

Please come prepared with something you are working on. We recommend turning off email notifications and anything else that could distract to help us get the most out of the time – but your decision – it’s your time!

Please click this Zoom link to join us.

Kind regards, BU Research Staff Association

Dorset ICS Innovation Hub: Hypertension Presentation Tuesday 29 June

BU research, Events, NHS

Shifting testing from the clinic to the home.

Join Dr Karen Kirkham, Integrated Care System Clinical Lead, Dorset, to find out how Dorset is transforming the smartphone into a medical device at the next meeting of the Dorset ICS Innovation Hub Programme Group

This event takes place on Tuesday 29 June 1pm

For more information, please contact: sarah.chessell@uhd.nhs.uk

To join this event on Tuesday 29 June, please click here

 

Research impact at BU: seeing Stonehenge in a new light; developing elite athletes

BU research, Impact

A series of posts featuring BU’s impact case studies for REF 2021. (These are edited versions of the final submissions – the full impact case studies will be published online in 2022.)

Reframing Stonehenge: improving the visitor experience and
mental wellbeing, bringing economic benefit to the heritage
sector, and preserving the landscape

Research areas: Archaeology,
Archaeological Sciences, Nursing Science

Staff conducting research: Professor Timothy Darvill, Professor Kate
Welham, Dr Vanessa Heaslip

Background: Despite Stonehenge’s status as the world’s best-known prehistoric monument, academic understanding of the site, as well as its presentation to the public, was fraught with problems and gaps in the early 2000s. BU has conducted five interconnected projects in the past 20 years to improve this situation:

  • Stonehenge World Heritage Site Archaeological Research Framework (SRF) – guided research in the Stonehenge landscape since its publication in 2005 and  provides a greater understanding of the landscape surrounding Stonehenge and the sequence of construction.
  • Strumble-Preseli Ancient Communities and Environment Study (SPACES)/Stones of Stonehenge Project (SoS) – located and contextualised the primary source of Stonehenge’s famous bluestones at sites in south Wales. SPACES also suggested the stones may originally have been associated with the perceived healing power of local waters and brought to Stonehenge for that reason.
  • Stonehenge Riverside Project (SRP) – investigated the surrounding monumental landscape, filling important gaps in knowledge about a processional route through the site, making the landmark discovery of the ‘Bluestonehenge’ stone circle, and recognising settlement activity and Neolithic houses at Durrington.
  • Human Henge – building on the SPACES findings around perceived healing properties, examined whether a creative exploration of historic landscape could improve people’s mental health and wellbeing.

The impact:

Enhancing the visitor experience 

BU’s research provided: information for the Wessex Timeline – a new infographic running the length of the visitor centre, presenting the new chronology; digital plans for building full-size replicas of Neolithic houses; text, images, video, models, CGI reconstructions and physical artefacts for the exhibitions; updated content for the official website, guidebook, map, audio-tour, display cases and information panels.

An independent evaluation in 2014 confirmed that 70% of 300 visitors surveyed about the new content strongly agreed they better understood the chronology, context, building and significance of Stonehenge. The survey also indicated that after visiting the new centre, 68% of respondents strongly agreed they would like to explore the wider Stonehenge landscape.

After the opening of the new centre, visitor numbers immediately increased by 8% the following year (2014), becoming the UK’s third most visited paid-for tourist attraction. Numbers continue to rise, peaking at more than 1.6 million in 2019.

Improving mental wellbeing

Professor Darvill and Dr Heaslip worked with heritage NGOs and mental health charities to create ‘Human Henge’, a 10-week programme of activities taking place both within the stone circle and the wider landscape to improve mental wellbeing. It took place between 2016-18 and involved a group of 35 local participants with chronic mental health problems. A survey, based on the Warwick-Edinburgh Mental Wellbeing Scale, demonstrated that 79.3% of the participants reported a positive impact on their mental health, which increased throughout the programme and continued a year later. Many credited the programme with increasing their optimism and confidence, inner strength and improving social interaction, and specifically cited feelings of connection with ancestors who had lived at the site, reconnecting with their community and engaging with the research.

Preserving the landscape for the future

BU’s research continues to feed into the future management and preservation of the Stonehenge landscape, forming a core component of the latest Stonehenge, Avebury and Associated Sites World Heritage Site Management Plan. Professor Darvill also sits on the A303 Scientific Committee, formed in 2017 to provide specialist advice to the A303 Amesbury to Berwick Down Heritage Monitoring and Advisory Group. BU researchers’ understanding of the extent and distribution of archaeological features in the wider landscape has thus been instrumental in negotiations with Highways England on the course of the planned tunnel and rerouting of the road.

The development of athletic talent: driving policy change in national sporting organisations

Research area: Sport sciences

Staff conducting research: Professor Tim Rees

Background: The initial driver for the
research was UK Sport’s desire to generate a better understanding of what underpins the development of world-class sporting talent (i.e. gold medal winners). Professor Rees and collaborators at Bangor University, the University of Kaiserslautern, Germany, the University of Queensland, Australia, Queen’s University, Canada and University College London provided – for the first time – an authoritative and comprehensive review of the literature. The Great British Medallists Project serves as a key point of reference for researchers, practitioners and policymakers, as well as a guide for translating that knowledge into action. To date, it has been downloaded more than 46,000 times and has become the gold standard review.

Professor Rees carried out further research, examining the distinctions between super-elite athletes who have won multiple Olympic and World Championship gold medals and those of elite athletes who had not won any. Overall, the results showed the importance of early developmental experiences in the production of super-elite athletes, demonstrating the necessity of psychological screening.

Professor Rees’ research has helped develop an understanding as to how talented cricket players can successfully transition from the county academies and on through U17s and U19s into the Test side. He highlighted the importance of group memberships and social identity for coping with such transitions, as well as demonstrating that social group memberships also enhance resilience in the face of negative performance feedback. The findings suggest the importance of assessing players’ group memberships and monitoring ‘at-risk’ players who report belonging to relatively few pre-transition groups. They also highlight that groups are not just a context but  a critical psychological resource for athletes.

Professor Rees’ close working relationships with UK Sport, the English Cricket Board and England Rugby has allowed him to share his research at the very highest level of a number of sports, via senior management groups, performance directors, and practitioners. Publication of the research in open access format has also allowed it to reach physicians, sports medicine specialists, physiotherapists, exercise physiologists, team doctors and trainers alike, helping to bridge the gap between science and practice.

The impact:

UK Sport

Research by Professor Rees and collaborators was used in strategic planning by UK Sport for the Rio 2016 and Tokyo 2020 Olympic Games, and continues to be used. Professor Rees’ findings have also been used to reshape UK Sport’s talent development pathway by making psychological profiling of athletes relatively routine and upgrading the talent data capture processes of governing bodies of sports to ensure that those most likely to become ‘super-elite’ are identified earlier.

England & Wales Cricket Board and Lawn Tennis Association

The findings of Rees’ research into the importance of group memberships and social identity has significantly influenced national junior player development programmes in both cricket and tennis. The England and Wales Cricket Board’s England Development Programme has focused on the development of training environments that provide higher levels of peer and social support, while also enabling individuals to remain connected to wider social groups at home.

The Lawn Tennis Association’s (LTA) player development strategy has also been informed by the same research, with equal emphasis placed on personal, social and academic development as well as tennis skills and game style. Its National Academies, for those aged 13-18, ensure young players are integrated into the wider school and local community and maintain contact with family and friends at home.

Overall, the research has impacted on the journeys into and through talent development programmes of more than 2,000 high potential young athletes.

England Rugby

As a result of Professor Rees’ emphasis on the importance of developmental experiences and psychological screening of young athletes, England Rugby now routinely engages in psychological profiling and monitors player dropout and de-selection for possible re-entry of players into England Rugby’s talent system. The continued influence of this work led to the formation of a board to oversee further development of the ideas.

Research impact at BU: the benefits of emotional processing & advising government and business on trade post-Brexit

BU research, Impact

A series of posts featuring BU’s impact case studies for REF 2021. (These are edited versions of the final submissions – the full impact case studies will be published online in 2022.)

Emotional processing and its impact on mental and physical health

Research areas: Clinical Psychology, Health Care Statistics & Epidemiology

Staff conducting research: Professor Roger Baker, Professor Peter Thomas, Dr Sarah Thomas

Background: In the late 1970s, Professor Baker began to see a connection between physical symptoms and the way earlier stressful events were emotionally processed. Emotional processing is a type of natural healing that protects people from emotional distress. However, there are some styles of emotional processing that inhibit successful processing and which could contribute to psychological disorders or psychogenic conditions, i.e. physical illnesses which have a psychological cause.

Together with a project team and clinicians, Professor Baker began the development of the Emotional Processing Scale (EPS) in 2000. Research findings indicated that nearly every psychological disorder they studied revealed significant difficulties with emotional processing. In 2012, the team collaborated with 70 research groups globally to develop a wide range of cultural, diagnostic and healthy norms. The final EPS consisted of 25 questions, covering five different dimensions, and was published in 2015.

Emotional processing offers an alternative approach to diagnoses of psychiatric illnesses. Problematic ways of emotional processing are implicated in nearly every type of clinical condition, from psychological disorders to medical conditions with or without organic pathology. The development of EPS has enabled clinicians to identify patients for therapy and measure change in significant emotional dimensions during therapy. It has also led directly to the development of emotion-based therapies in post-traumatic stress disorder (PTSD), tinnitus and psychogenic epilepsy.

The impact:

Patient benefits in the UK

The EPS is used as a tool to diagnose and treat people with a variety of physical, behavioural and emotional pathologies. It has been employed by clinicians and in teaching, with examples including:

  • a consultant clinical neuropsychologist at Dorset HealthCare University Foundation Trust;
  • a psychologist working with the Dorset Youth Offending Team;
  • Sheffield’s Specialist Neurology Psychotherapy Service, for the treatment of patients with non-epileptic seizures; and
  • the Open University, which invited Professor Baker to contribute material on panic attacks – based on his Emotional Processign Model – for their new MSc in Psychology. The material has also been re-purposed for its OpenLearn Platform, where it has had more than 30,000 unique visits since March 2019.

Healthcare guidelines and policy

The British Psychological Society (BPS) awarded the EPS a 4/4* (Excellent) evaluation, describing it as “spearheading a revolution in thinking to overcome the limitations imposed by the ‘medical model’… [it] makes it possible to explore more fully the contributory role of key emotional factors in psychopathology and psychological therapy.” The Emotional Processing Scale now has BPS Registered Test status, which provides clinicians with reassurance that it meets the necessary quality standards.

A global resource

The EPS has been translated into 19 languages and been used by therapists, psychologists and teachers in France, Poland and Italy, while Professor Baker’s three self-help books – Emotional processing: healing through feeling, Understanding trauma: how to overcome post traumatic stress and Understanding panic attacks and overcoming fear – have sold more than 90,000 copies worldwide in total. They have been translated into French, German, Polish and Czech and continue to receive positive reviews, including: “Best book ever if you suffer from panic attacks” and “My doctor told me to buy this book. It certainly worked for me.”

Supporting trade policy: Brexit and beyond

Research area: Economics

Staff conducting research: Professor Sangeeta Khorana

Background: From 2008, Professor Khorana took the lead in a series of studies on trade agreements, which demonstrated how data and techniques can support trade negotiations. In 2015-17, she led research on the European Commission’s ‘Public Procurement Initiative’ project, developing a methodology to use contracts data for negotiating free trade agreements with third countries, and devising a template that uses statistical tools to analyse negotiating positions.

As co-investigator for the European Commission’s ‘Europe for Citizens’ programme in 2015, Professor Khorana carried out research on the Transatlantic Trade and Investment Partnership (TTIP). This led to her co-editing a book for EU member states to enable them to understand the implications of TTIP and how an agreement could affect the future of global economic governance.

After the UK’s EU referendum in 2016, Professor Khorana’s research focus shifted to an examination of the likely economic impact of Brexit. Her expertise in this area fed into the Handbook on the EU and International Trade – used as a learning resource and reference guide – as well as an edited book on Brexit, produced in conjunction with the Commonwealth Secretariat. More specifically, she has utilised her computable general equilibrium techniques, which combine economic theory with real economic data to compute the impacts of policies or shocks in the economy, to conduct a series of economic impact assessments on Brexit.

The impact:

The Department for International Trade (DIT)

The DIT approached Professor Khorana to seek her expertise on trade negotiations post-Brexit. Her subsequent involvement included:

  •  contributing directly to the ‘Market Access’ project, an ongoing initiative at the DIT, to support UK trade negotiators in trade talks with the USA and Australia;
  • membership of the Expert Advisory group on Public Procurement and Expert Advisory member of the Department of International Development’s Trade and Development group;
  • advising DIT officials on which sectors the UK could target for greater market access in a trade deal with the USA and Australia.

Welsh Assembly

The Welsh Assembly commissioned Professor Khorana and Welsh Assembly Adviser at Aberystwyth, Professor Nicholas Perdikis, to report on the economic implications for Wales of the UK’s departure from the EU. The 2017 study’s findings – that the Welsh economy would suffer under all scenarios – informed Senedd Cymru’s (the Welsh Parliament) decision to update its policy, stating that Wales “must maintain full and unfettered access to the Single Market” post-Brexit. This became the official policy position adopted by the Welsh Government at Westminster from 2018-2020.

Professor Khorana also gave oral evidence to the UK government’s Welsh Affairs Committee in September 2020, providing an updated assessment on Wales’ preparedness to leave the EU on 1 January 2021. The Welsh Parliament acknowledged Professor Khorana’s contribution and support in making a decision on future trading with the EU, noting that the 2017 report “systematically influenced” its analysis of the impacts of post-Brexit UK-EU trade agreements on the Welsh economy.

Scotch Whisky Association (SWA)

Between May and November 2018 Professor Khorana researched the impact of Brexit on Scotch Whisky exports, and utilised CGE modelling techniques to examine potential scenarios. The findings presented loss of market access for all Scotch whisky producers, and especially those making the more expensive single malt. The SWA used Professor Khorana’s estimates of potential costs of the different scenarios in its Position paper, aimed at defending the industry’s interests at Westminster, and recognised that it enabled it to prepare for the different Brexit scenarios and associated costs.

Dorset business sector

Professor Khorana also led briefings for the Dorset Engineering and Manufacturing Cluster, advising more than 70 local businesses on the effects of Brexit on exports and their workforce. These sessions enabled members of the Cluster to understand how to prepare to mitigate the effects of various scenarios on the UK’s departure from the EU.

Medical Science Virtual STEAMLab LAST CALL FOR APPLICATIONS

BU research, Events, RKE development framework

This is a reminder that on Thursday 22nd July 2021 from 2-4pm, RDS will be hosting a virtual STEAMLab event under the strategic investment area (SIA) of Medical Science.

As there are a limited number of spaces remaining, we have extended the timeline for applications. Therefore please apply for a space by 5pm Monday 28th June.

We ask all participants to download and complete the Application Form and return this to Lisa Andrews. 

For more information, please see our previous blog post.

If you have any queries prior to submitting your application, please contact RDS Research Facilitators Lisa Andrews or Ehren Milner.

Early Career Researchers on their Research

BU research, ECR Network, Events, Featured academics, Research communication

Wednesday June 23rd 16:00 – 17:00

The Early Career Researchers Network (ECRN) at BU provides a forum for Early Career Researchers to meet each other, share experiences and learning, and can lead to collaboration on research projects. This year, we are also providing a platform for Early Career Researchers to present their research and/or their experiences. This June we are pleased to present you with a double bill at the ECRN meeting on 23rd June 16:00 – 17:00.

June’s event features the following :

Evaluation of a hybrid physical activity and talking therapy-based intervention for promoting well-being in young children with Dr. Ashok Patnaik, Postdoctoral Researcher In Sport and Physical Activity

In this presentation, Ashok will describe the BU-led evaluation of the Stormbreak programme. He will introduce the audience to the rationale behind the programme and the philosophy that underpins it. He will then explain how the BU academic team have sought to evaluate the effectiveness of Stormbreak and share some of the data collected so far. Finally, he will talk about the challenges posed by COVID-19 to the conduct of the study and discuss some of the steps taken to address these challenges, e.g. digitisation of the study.

Improving care and support for people living with dementia with Dr. Michelle Heward, Post Doctoral Research Fellow and member of the Ageing and Dementia Research Centre at BU.

In this talk Michelle will discuss her research journey so far in the field of ageing and dementia. With specific examples of studies that she has been involved in that are designed to improve care and support through hearing the voices, understanding the experiences, and facilitating coproduction of people with dementia, family carers, practitioners, and care staff.

These presentations will be followed by Q&A.

If you would like to attend, please contact OD@bournemouth.ac.uk

RKEDF training: impact and funding bids

BU research, ECR Network, Events, Impact, Research Training, RKE development framework

Don’t forget to book your place on the RKEDF online training session Impact and Funding Bids on Thursday 17 June 13:00-14:00! Although the UKRI removed the Pathways to Impact sections of grant applications last year, they expect impact to be embedded within bids and this session will help you understand how to write about impact.

Although the session will include a brief look at definitions of impact, it is advised that you watch the 10-minute introduction to impact video on Brightspace beforehand to get the most out of the training.

Booking: Please email OD@bournemouth.ac.uk with evidence of approval from your Head of Department or Deputy Head of Department. You can see all the Organisational Development and Research Knowledge Development Framework (RKEDF) events in one place on the handy calendar of events.

Mothering, studying and isolating: A mature student’s experience of studying during the Covid-19 pandemic

BU research, COVID-19, student research, Uncategorized, Women's Academic Network

Archaeology and mothering, image by Marion Fayolle

A guest post by outgoing BSc Anthropology student Natalie Campbell.

While mature students may make up a minority of the student cohort our numbers are not insignificant. There can be advantages to returning to academia later in life. We may bring significant life and work experiences with us and often the driving forces behind our pursuit of education make for dedicated students. However, while we may not be leaving home for the first time and learning to stand on our own feet, we often have to contend with a weight of responsibility not experienced by your average school leaver. Many mature students have careers, homes and families to support requiring a constant juggling act of time and priorities. To me, this juggling act has never been more apparent than throughout the Covid-19 global pandemic.

I myself am a 3rd year undergraduate student studying BSc Anthropology. I am in my 30’s and have three children. As with many undergraduate degrees my final year has been dominated by my dissertation where I explored mothering in prehistory.

The following excerpt is the evaluative supplement of this dissertation where I reflect on the parallels between my research and my experience as a student and mother during lockdown.

I cannot reflect on this paper without first acknowledging the extraordinary circumstances in which it was written. The global pandemic has deeply impacted each and every one of us and encroached into every aspect of our lives for the past year. I cannot fail to see the irony of attempting to complete a dissertation exploring motherhood experiences while I myself, like millions of mothers around the world, was attempting to navigate a new motherhood experience of juggling childcare and home-schooling while working in lockdown. I am not ashamed to admit that during this time I experienced levels of stress I have never known before. However, the experience has taught me valuable lessons both academically and as a mother in patience, prioritising, flexibility, organisation and time management.

Throughout the entire process from researching to writing I was compelled to make considerations and accommodations for my children and other responsibilities. Whether that meant being mother by day and student by night or reading articles with a 4-year-old perched on my knee while watching more TV than is considered healthy. Reflecting on this has given me a deeper insight into how women’s lives are impacted by motherhood and how much of the mothering experience is about evaluating the situations put before us and putting considerations for our children at the heart of our response.

It is my hope that this insight was carried through into my research project, and that I was able to successfully demonstrate that mothering cannot be reduced to those large events such as childbirth and weaning, that are often the subject of anthropological and archaeological research. Much of mothering is in the small moments of care and consideration that take place every day, which may seem on the surface as invisible not only today but also in the archaeological record. However, by taking a more holistic approach we may be able to scratch the surface and see small traces of mothering in unexpected places such as the diet of a sick child or the positioning of bodies in graves.

While formulating a methodology for my project I struggled to compile a scientific framework that could present these intangible aspects of mothering in context, without losing the personal human experience aspect of mothering. When I was introduced to the concept of a fictive osteobiographical narrative I recognised its potential to represent scientific data in an accessible way. This was important to me as I was keen not to weigh motherhood down with academia to the extent that the human experience is lost. This is a fine line to tread while researching and writing for academic purposes. While some may consider a fictive narrative beyond the scope of academia, I believe it serves as a necessary reminder that behind the data, hypothesise and science are the real people who lived conscious, messy, complicated lives.

At the very beginning of this project, I was advised to choose an area I was truly interested in, otherwise I would be thoroughly tired of the subject by the end. When I first read the case study of the multiple burial at Monkton-Up-Wimborne I was instantly struck with a sense of empathy, not for any specific suffering or hardships they might have faced in life but as one mother to another recognising the extra mental load that comes when factoring children into every aspect of our lives. I remember remarking that I could barely get my children to school without some level of stress yet alone repeatedly escort them to the Mendips and back on foot! In contemporary Britain such an undertaking would require immense planning and consideration and I felt compelled to know if the same were true of Neolithic Britain.

I was to learn through my research that this line of thinking has the potential to create a bias in how we perceive the movement of women in past sedentary societies, where outdated assumptions that women only moved for marriage have prevailed. More research into the motivations behind female mobility is clearly necessary.

Further areas identified throughout this study for future research involve the visually identifiable impact of mothering on skeletal remains, including physical markers of carrying children and whether the higher levels of stress identified in Neolithic women was purely due to pregnancies or if the exertions of mothering had an impact too.

Finally, while this undertaking has been one of the hardest challenges I have faced, I can honestly say it was worth every moment of stress experienced. I entered this degree with the intention of improving my potential in order to support my family, but along the way I have discovered a passion for research which moving forward I would love to foster and develop.

Research impact at BU: stories of older LGBT people change attitudes & the treatment of long-term conditions with electrical stimulation

BU research, Impact

A series of posts featuring BU’s impact case studies for REF 2021. (These are edited versions of the final submissions – the full impact case studies will be published online in 2022.)

Changing hearts and minds: how the stories of older LGBT people are changing attitudes, education and care

RUFUS STONE (2012)

Research areas: Performative Social Science & Social Care

Staff conducting research: Dr Kip Jones, Professor Lee-Ann Fenge, Dr Rosie Read, Dr Marilyn Cash

Background: In ‘The Gay and Grey’ and ‘The Gay and Pleasant Land’ projects funded by the National Lottery and ESRC respectively, Dr Jones and his team explored the experiences of older LGBT people. They discovered common themes of identity issues, isolation and exclusion and, in particular, a lack of participation from rural residents and limited understanding of participants’ life stories.

Working with an advisory group of older gay people and service providers, BU researchers looked at how older gay men and lesbians in rural areas interacted with their communities, while considering socio-economic and cultural effects and differing attitudes towards sexuality and ageing. Their findings showed: a lifelong impact on gay men who grew up when homosexuality was illegal (up to 1967); the struggle to be accepted in rural communities by many older LGBT people; difficulties negotiating with service providers; fear and loneliness; and the prevalent risk of suicide among older gay men.

Based on these insights, Dr Jones wrote and produced a short film, RUFUS STONE, which tells the story of two young boys’ experience of anger and rejection from a rural 1950s community when they develop feeling for each other. The film sees the two reunited 50 years later, although one character has never revealed his sexuality and ultimately takes his own life. As well as the film, Professor Fenge collaborated with a group of older LGBT people to produce a card deck called ‘Methods to Diversity’ for care agencies and service providers. the cards detail activities and exercises to prompt staff to think about inclusivity and the diversity of the ageing population.

The impact: 

Changing attitudes

RUFUS STONE was screened around the world, attracting attention for both its style and subject matter. It won international accolades, including an award for Best LGBT Film at Rhode Island International Film Festival 2013, and was also featured in the New York Times. As well as prompting discussion around sexuality and marginalisation, the film demonstrably changed attitudes: evidenced by student-teachers in Kazakhstan planning to screen it to pupils to help them “understand… that some existing values are remnants of the older generation”.

The film was also shared online in 2016 and, by December 2020, had been viewed more than 17,800 times in 73 countries.

Educating future generations

Several universities in the UK and abroad use RUFUS STONE in their teaching, including: the University of Manchester, which features it in an undergraduate sociology module; Brighton University, which describes it as ‘inspirational’; Istanbul Yeni Yuzyil University, which has added it to its syllabus at the Faculty of Fine Arts; and the School of Communication and Media Studies in Lisbon.

Transforming frontline care

Hampshire County Council has used the film and the card deck since 2014 in training sessions with emergency services, residential care staff among others, instigating “changes in attitudes and awareness amongst council staff”. It adds that the resources indirectly inspired the county’s first Gay Pride.

The Help and Care UK charity used the film and card deck with its ‘wayfinder’ staff, who signposted older people to information and services. Watching RUFUS STONE challenged their attitudes and perceptions around homosexuality and led to greater awareness. In a 2016 wayfinders briefing document, they included their support for “freedom from discrimination” on the grounds of sexuality.

The Alzheimer’s Society has used the film since 2013 to improve its local and regional teams’ understanding of LGBT issues: “There is no question [it] was a catalyst for change. It was… raw and real so made us think outside the box”.

How our electrical stimulation devices have improved long-term medical conditions

Research areas: Clinical Engineering, Orthopaedics, Design Engineering & Computing

Staff conducting research: Professor Ian Swain, Dr Jon Cobb, Tom Wainwright, Professor Robert Middleton, Professor Paul Taylor, Choukri Mecheraoui

Background: Electrical stimulation is a method of controlling muscles using an external device, following neurological disease such as stroke or musculoskeletal problems. When used to provide a specific function, such as walking or hand grasp, it is known as functional electrical stimulation (FES). The results of Professor Swain’s first ever randomised controlled clinical trial of an ES device to rehabilitate patients with dropped foot after a stroke demonstrated significant advantages over traditional physiotherapy. In addition to providing support and immediate improvement, the device means people receive therapy as they walk, improving walking and quality of life.

Since 2006, Professor Swain has steered a collaboration between BU, Salisbury NHS Foundation Trust and Odstock Medical Limited (BU-SFT-OML), after taking the lead in patenting the first Odstock Dropped Foot Stimulator and helping establish OML. The clinical service has since expanded to include the treatment of people with multiple sclerosis (MS), spinal cord injury and Parkinson’s disease.

Clinical trials supervised by Professors Swain and Taylor showed that 43% of participants who had suffered a stroke improved their walking speed, while people with MS also demonstrated a highly significant improvement. Recent findings showed that such use of ES was the most effective assistive technology treatment, and that it is possible to use surface electrodes to restore useful hand function to people with tetraplegia.

Professor Swain’s move to BU’s Orthopaedic Research Institute (ORI) to work with Wainwright and Professor Middleton has enabled techniques developed for people with neurological problems to be applied to those with orthopaedic problems. Combining this expertise has led to the development of new stimulators and training courses.

The impact:

Health benefits

The findings from the BU-SFT-OML partnership have helped develop the National Clinical FES Centre in Salisbury, the largest clinical service in the world. As of February 2020, more than 7,700 people have been treated, primarily for walking problems, although the service is expanding to treat upper limb weakness, facial problems such as Bell’s Palsy, and constipation.

The FES devices developed with BU research input have radically improved people’s lives, increasing their functional ability and their participation in society.

Further FES centres, using equipment from BU-SFT-OML, have been established in the West Midlands, London and Sheffield, treating more than 2,600 patients in total.

Policy impacts

In 2016, NICE focused on the PACE device system, developed by BU-SFT-OML, in one of its Medical Innovation Bulletins. Professor Swain also contributed to the development of new NICE guidelines on the use of electrical stimulation in non-neurological long-term conditions.

Since 2014, OML has also trained more than 1,000 staff in total in the UK and abroad on how to implement the devices and treatments developed with BU for people with both lower and upper limb restrictions.