University of Stirling, Health Sciences

Mother, daughter, sister, wife… mental health nurse? Student Leanne blogs in the Nursing Times

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Student Nurse Leanne Patrick

“As a mental health professional, how do you deal with a struggling family member? Mental health student nurse Leanne describes her experience.

 

“Today, the Scottish Association for Mental Health (SAMH) launched the Going To Be campaign that raises awareness about the number of children affected by mental health problems and how lack of support impacts their goals, dreams and ambitions for the future. ”

For the full post, published 11 May 2017 please visit Leanne’s Nursing Times blog online.

15 May 2017

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Male Nurses Today – why men should choose a career in Nursing

Today is International Nurses’ Day and this year we are marking it with this film.

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Thanks to all students involved, both on camera and behind it.

12 May 2017

Learning disability and dementia: hard to reach or under-researched?

LD_Film_Still3The term, ‘hard to reach groups’ is often heard in health and social care research conjuring up images of insurmountable barriers, and populations who are somehow tantalisingly inaccessible to the researcher. Yet, we have no difficulty in using terms such as person-centred, relation-centred or meaningful activities, recognising the importance of each when it comes to support needs and care planning with individuals.

So how do we match the person for whom we have very little evidence of their needs and preferences, with appropriate support that claims to address just that? Surely it is time to change the focus and acknowledge that ‘hard to reach’ groups are actually ‘under-researched’ and that, as researchers, we need to take some responsibility for this?

In 2016, I was part of the Dementia and Equalities group led by the NHS Health Scotland and Alzheimer Scotland.  This focused on five particular population groups with characteristics protected by the Equality Act 2010, where a range of challenges might arise in the context of dementia:

  • Age – younger onset dementia (under the age of 65 years)
  • Race and ethnicity –  black or minority ethnic (BME)
  • Learning disabilities
  • Lesbian, gay, bisexual and transgender (LGBT)
  • Disability – sensory impairment

LD_Film_Still2We know that such groups are under-represented in terms of the numbers of people diagnosed with dementia, and current services do not fit specific needs. Yet, without knowledge of the specific characteristics of such populations, the cycle of under representation will continue with a subsequent lack of evidence-based support in practice.

For example, we know that at least 1 in 3 people who have Down’s syndrome are estimated to have a type of dementia by the time they reach mid-50s. This leaves the potential for a period of ageing with increasing cognitive impairment whilst not ‘fitting’ into older persons or dementia care services which are typically for people aged over 65, or into learning disability services where the long-term focus in the UK is commendably on independence and self-determination.

Recent media coverage has focused on areas of dementia care that are becoming more evidence in care homes, day centres and hospitals across Scotland – sporting reminiscence, doll therapy, assistive technology or telecare are just a few examples. Whilst much evidence was originally anecdotal, research and evaluation have followed with a steadily growing evidence base for non-drug interventions. Even where we live with dementia has received attention – who knew fifteen years ago that colour contrast and the design of a room could be so important in supporting people with dementia to make sense of their environment? Yet this growing evidence of non-drug interventions has not included people with a learning disability and dementia.

LD_Film_Still1My current research is a three-year project funded by the Alzheimer’s Society, one of two national implementation grants funded in the UK, and the only one in Scotland. Along with Dr Kate Mattheys, Research Fellow, and a team of co-researchers and advisors including people with a learning disability, we will conduct a participatory action research study in two cycles. The aim is to implement non-drug interventions with people who have a learning disability and dementia. The first cycle will include participants with a recent diagnosis of dementia, whilst cycle 2 will focus on people with advanced dementia.

Taking a collaborative approach and including co-researchers with a learning disability, we hope to challenge the notion of ‘hard to reach’ groups in research and instead demonstrate that participatory and inclusive research can open doors that are otherwise firmly shut for individuals who are typically not invited to take part.

Under-researched populations such as people with a learning disability and dementia are not hard to reach; it is up to us to enable and facilitate inclusion in research using appropriate, and where necessary, adapted research and communication methods. Without this, the cycle of under-representation will continue with a subsequent lack of evidence-based support in practice.

Dr Karen Watchman, Senior Lecturer in Ageing, Frailty and Dementia.

  • Karen is Programme Director of the new online MSc Global Issues in Gerontology and Ageing due to launch on September 2017. One of the core modules: Health and Wellbeing of People with Dementia will include a focus on support for people with dementia in marginalised groups.
  • Karen’s new book Intellectual Disability and Dementia: A Guide for Families was published on World Down Syndrome Day, 21 March 2017.
  • For more information about learning disability and dementia please see Learning disabilities and dementia factsheet written by Karen Watchman and Andre Strydon (University College London) for the Alzheimer’s Society UK.
  • Images show actors from a 2015 dissemination project, Jenny’s Diary, a resource to support conversations about dementia with people who have a learning disability, developed by Karen Watchman and colleagues with the support of an Alzheimer’s Society Dissemination Grant. Jenny’s Diary is also available in German, Mandarin Chinese, Italian and Norwegian.

A Stop Smoking in Schools Trial: A process evaluation of the implementation of ASSIST in Scotland

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In 2014 the Institute for Social Marketing and a team of collaborators were appointed to conduct a process evaluation of ASSIST (A Stop Smoking in Schools Trial). ASSIST is a peer-led, school-based smoking prevention programme that encourages the dissemination of non-smoking norms by training students aged 12-14 to work as peer supporters. ASSIST was previously evaluated via a large cluster randomised trial of 59 schools in South Wales and Avon, England. Results from this trial showed that ASSIST was effective and cost effective at reducing smoking prevalence in young people (Campbell et al 2008), (Hollingworth et al 2012). This led to the wider roll out of ASSIST in parts of England and Wales and more recently in Scotland.

The overall aim of the study was to evaluate the process of implementing ASSIST in Scotland.

Three different delivery models were piloted in three NHS boards. This did not impact on fidelity or acceptability which was rated highly. Partnership working, from the onset, was viewed as being key to successful delivery and securing school participation. Feedback was overwhelmingly positive regarding the wider benefits of taking part in ASSIST for peer supporters (i.e. personal and communication skills) but also for the school and communities. There was less certainty regarding the extent of message diffusion and the impact this may have an adolescence smoking prevalence. Student survey results showed no significant change in self-reported smoking prevalence between baseline (1.6%) and follow-up (1.8%) and conversation recall with a peer supporter was low at 9%.

However, it is important that the current context (where regular smoking prevalence is 2% overall in 13 year olds in Scotland (SALSUS, 2015 http://www.gov.scot/Resource/0050/00508401.pdf) is taken into account. Opportunities to have informal conversations about smoking with peers may now be limited due to the ongoing decline in adolescent smoking since ASSIST was first developed. In addition, the data collection mode was a self-complete survey, so there is a possibility that by follow-up (12 weeks after baseline) young people may simply not remember conversation(s) with a peer supporter or may not have known that they had spoken with a peer supporter.

Overall, this study has demonstrated that it is feasible and acceptable to deliver the ASSIST programme in Scottish schools, although questions remain about the extent of message diffusion. Further consideration is required to assess whether delivery of ASSIST still offers a suitable return on investment and what role it may play in schools in areas of deprivation where smoking rates are higher. Now may be the time to consider whether, 13 years on from the original Randomised Control Trial, an implementation trial of ASSIST is warranted to determine if it is still effective and cost effective.

For more information see:  http://www.gov.scot/Publications/2017/03/6523 or contact fiona.dobbie@stir.ac.uk

Fiona Dobbie
24 March 2017

Photo Copyright: tum2282 / 123RF Stock Photo

Mythbusting guide to Down’s syndrome and dementia

Dr Karen Watchman has blogged for the Alzheimer Society:

“People with Down’s syndrome are at an increased risk of dementia. Dr Karen Watchman is a researcher, based at the University of Stirling, who specialises in understanding how to help people with learning disabilities to manage their dementia. For World Down’s Syndrome Day (March 21), Dr Watchman discusses myths around Down’s syndrome and how research can help people with both Down’s Syndrome and dementia.”

Read the full article here.

21 March 2017

Is my PhD my midlife crisis? Fiona Dobbie writes in THE

FionaDobbie_afCZNbo6_400x400Fiona Dobbie, Research Fellow in the Institute of Social Marketing has blogged in the Times Higher Education:

“I turned 40 this year, and rather than indulge in the clichéd symptoms of a mid-life crisis (getting a tattoo, having an affair, Botox) I am in my second year of a part-time PhD.

“It’s not that my life isn’t fulfilling or challenging enough. I am typical of my age: happily married with an energetic 6-year-old, fortunate to have friends and family and a full-time job as a university research fellow. So why am I doing a part-time PhD?”

Click here for the full article, published 12 March 2017.

 

How Stirling research is fighting cancer | World Cancer Day

Saturday 4th February 2017 is World Cancer Day – a day where the world comes together in unity in the fight against cancer. Here’s how Stirling research is helping to accelerate progress in the fight against cancer. Investigating carcinogens in astro football pitches In 2016, Professor Andrew Watterson identified cancer-causing chemicals in rubber crumb samples from 3G astro football…

via How Stirling research is fighting cancer | World Cancer Day — University of Stirling